Loading...
HomeMy WebLinkAboutSpecifications -CCNA 2014 (Final)City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 1     Request for Qualifications Goods & Services Continuing Professional Services for Architectural, Landscape Architectural, Engineering and Land Surveying Firms Only (CCNA) Request for Qualifications No. 14-07-02 Publish Date: Bid Due and Bid Opening Date: 07/17/2014 08/12/2014 at 2:30 PM Pre-Bid Conference: Where to Deliver Proposal Intentionally Omitted Final Question Due Date: 07/28/2014 at 5:00 PM Sunny Isles Beach Government Center 18070 Collins Avenue Sunny Isles Beach, Florida 33160 City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 2     TABLE OF CONTENTS Table of Contents Page 2 Legal Advertisement/Notice to Bidder Page 3 Special Terms & Conditions Section 1 Page 4 Scope of Work / Technical Specifications Section 2 Page 8 Evaluation Process Section 3 Page 12 Proposal Format Section 4 Page 14 Bid Submittal Form Section 5 Page 16 Affidavits Non-Collusive Affidavit Page 1 of 7 Public Entity Crimes Page 2 of 7 Equal Opportunity / Affirmative Action Statement Page 4 of 7 Conflict of Interest Statement Page 5 of 7 Dispute Disclosure Form Page 6 of 7 Anti-Kickback Affidavit Page 7 of 7 Attachments City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 3     LEGAL ADVERTISEMENT NOTICE TO BIDDER NOTICE IS HEREBY GIVEN that the City of Sunny Isles Beach is seeking sealed Bids for the following work as specified. Continuing Professional Services for Architectural, Landscape Architectural, Engineering and Land Surveying Firms Only (CCNA) Request for Qualifications No. 14-07-02 The Bid Specifications for this Request for Qualifications are available from DemandStar by calling (800) 711-1712 or by accessing their website at www.demandstar.com. The Bid Specifications may also be examined at the City of Sunny Isles Beach – Office of the City Clerk. Bidders who obtain the Bid Specifications from sources other than DemandStar or the City of Sunny Isles Beach are cautioned that their Bid response package may be incomplete. Addenda will be posted and disseminated by DemandStar at least five days prior to the submittal date to all vendors who are listed on the official list. The City may not accept incomplete Bids. Sealed Bids will be received by the City Clerk no later than 2:30 PM, on Tuesday, 08/12/2014 at the Sunny Isles Beach Government Center located at 18070 Collins Avenue, 4th floor, Sunny Isles Beach, Florida, 33160. Bids received after this time will not be considered. The City is under no obligation to return Bids. Timely submitted Bids will be opened publicly and read aloud at this time. The envelope containing the sealed Bid must be clearly marked: “IMPORTANT, BID ENCLOSED” Bid No. 14-07-02 Continuing Professional Services for Architectural, Landscape Architectural, Engineering and Land Surveying Firms Only (CCNA) OPENING DATE AND TIME: Tuesday, 08/12/2014 at 2:30 PM The Owner reserves the right to reject any or all Bids, with or without cause, to waive technical errors and informalities, and to accept the Bid from the most qualified proposers pursuant to the requirements of Florida Statute 287.055 All questions regarding Request for Qualifications No. 14-07-02 shall be directed in writing to Jane A. Hines, MMC, City Clerk, NO LATER THAN July 28th 2014 by 5:00 PM. Questions may be submitted via email to: JHines@sibfl.net or via facsimile (305) 792-1563 or via regular mail at: Jane A. Hines, MMC, City Clerk, City of Sunny Isles Beach, 18070 Collins Avenue, Sunny Isles Beach, FL 33160. Jane Hines, MMC, City Clerk City of Sunny Isles Beach City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 4     Section 1 Special Terms and Conditions 1.1 PURPOSE OF BID: The City of Sunny Isles Beach, Florida, (the “City”) a municipality located in Miami-Dade County, Florida, seeks to solicit proposals for the qualifications and selection of firms to provide Architecture, Landscape Architecture, Engineering, and Land Surveying consulting professional services. 1.2 PRE-BID CONFERENCE (NON-MANDATORY): Intentionally Omitted 1.3 TERM This contract will commence on the first calendar day of the month succeeding approval of the contract by the City Commission, or designee, unless otherwise stipulated in the Notice of Award letter, which is distributed by the City’s Purchasing Agent; and contingent upon the completion and submittal of all required bid documents. This contract shall have an initial term of one (1) year with up to four (4) one year renewals provided that the services rendered by the Consultant during the contract period are satisfactory and that City funding is available as appropriated on an annual basis. However in the event funding is not appropriated on an annual basis during any particular year within the contract term, then the contract may be canceled upon thirty (30) days written notice to the firm. In such an event, the City shall only be responsible for the reasonable value of services performed prior to the effective date of termination. 1.4 OPTIONS TO RENEW The contract may be renewed upon mutual agreement up to four (4) one year renewals. 1.5 METHOD OF AWARD See Section 4 1.6 PRICE Intentionally Omitted 1.7 PERFORMANCE BOND Intentionally Omitted 1.8 DELIVERY City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 5     Intentionally Omitted 1.9 INSURANCE Comprehensive General Liability with minimum limits of One Million Dollars ($1,000,000.00) per occurrence combined single limit for Bodily Injury Liability and Property Damage Liability. Coverage must be afforded on a form no more restrictive than the latest edition of the Comprehensive General Liability policy, without restrictive endorsements, as filed by the Insurance Services Office, and must include: o Premises and Operation; o Independent Contractors; o Broad Form Property Damage; o Broad Form Contractual Coverage applicable to this specific Contract; o Personal Injury Coverage with Employee and Contractual Exclusions removed, with minimum limits of coverage equal to those required for Bodily Injury Liability and Property Damage Liability; and o Errors and Omissions Liability. Business Automobile Liability with minimum limits of One Million Dollars (1,000,000.00) per occurrence combined single limit for Bodily Injury Liability and Property Damage Liability. Coverage must be afforded on a form no more restrictive than the latest edition of the Business Automobile Liability policy, without restrictive endorsements, as filed by the Insurance Services Office, and must include: o Owned Vehicles; o Hired and Non-Owned Vehicles; and o Employers’ Non-Ownership. Before starting the Work, the consultant will file and make sure that all certificates of insurance required by this document and by the Contract are in the City’s possession. These certificates shall contain a provision that the coverage afforded under the policies will not be canceled or materially changed until at least thirty (30) days prior written notice has been given to the City by certified mail. The City shall be named as an additional insured on the above-referenced policies. The consultant agrees that if any part of the Work under the Contract is sublet, they will require the Sub-vendor(s) to carry insurance as required, and that they will require the Sub- vendor(s) to furnish to them insurance certificates similar to those required by the City in this section. 1.9.1 Cancellation and Re-Insurance: If any insurance should be canceled or changed by the insurance company or should any insurance expire during the period of this contract, the Consultant shall be responsible for securing other acceptable insurance to provide the coverage specified in this section to maintain coverage during the life of this Contract. All deductibles must be declared by the Consultant and must be approved by the City. At the option of the City, either the City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 6     Consultant shall eliminate or reduce such deductible or the Consultant shall procure a Bond, in a form satisfactory to the City, covering the same. 1.10 MONTHLY INVOICES PAYMENTS Cut-off date is the close of the last business day of the month. Vendor shall submit by the 10th day of the following month vendor's completed Statement of Services/Invoice. Should the 10th fall on a weekend or holiday, Consultant shall submit his application on the next workday. Consultant is advised that processing of invoices must follow this schedule, as the City has funding requirements and other payment obligations which may prevent payment of late Statement of Services for that month’s billing cycle. A late Statement of Services with a recommendation for payment will be paid in the next month’s billing cycle. 1.11 FEDERAL, STATE AND LOCAL REGULATIONS The successful Proposer shall comply with all federal, state and local ordinances, regulations, and rules as well as any other laws that would apply to the proposed project. Such proposer costs associated with regulatory requirements shall be included in the project cost whether depicted specifically or not within the body of the proposal. 1.12 TASK / WORK ORDER ASSIGNMENT / CONTRACT ADMINISTRATION The City Manager or his designee will be the Contract Administrator for each project. The Contract Administrator will prepare a scope of services for each task assignment, upon which the selected firm will submit a fee proposal. Work orders/Purchase Orders will be issued by the City on an as-needed and project by project basis. To the extent practical, work orders will be evenly distributed among the professional category’s pool of Proposer’s. At the time each service requirement is identified, a detailed statement of work and project schedule will be provided to the Consultant. The Consultant will then provide a detailed level of effort, project and staffing schedule that conforms to the specific project and schedule requirements. A firm fixed price for that effort will be negotiated based on the pre-determined rate schedule (hourly labor rates and/or unit pricing) included in the contract at the time of contract execution. Depending on the nature of the project, some work orders may be billable on a time and materials basis subject to completion of designated milestones and documentation of hours expended. Payment in all cases will be subject to successful completion of tasks and the City’s acceptance of deliverables and/or project milestones. No work is authorized until such time as a work order / purchase order is fully executed by the City’s Purchasing Agent. Any work provided under a revision or amendment to a work order is not authorized until the amendment is fully executed by the City. No minimum quantity of work orders is guaranteed. City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 7     1.13 DELIVERABLES Deliverables shall be submitted by the Consultant as delineated in the Statement of Work for each work order. The deliverables shall be submitted on or before the date provided in the Schedule of Tasks and Deliverables. The City shall review, comment, reject and/or approve the deliverable as being acceptable Proposer’s awarded work orders shall: • Provide timely delivery services and resources • Screen candidates for task orders to ensure they meet required qualifications and check references before recommending to the City • Supervise consulting and sub consulting staff; oversee their work and performance • Manage the project (timelines, budget, deliverables, and contingencies) and track the progress • Quality assures all deliverables; ensure written reports are polished and coherent • Communicate regularly with the City Work Order Project Managers 1.14 BACKGROUND CHECK The successful proposer and all personnel employed by them shall be required, at their sole cost and expense, to pass a criminal background check prior to award of the contract, and every renewal term. The criminal background check shall consist of a Florida department of law enforcement ("FDLE") Florida crime information center/national crime information center ("FCIC/NCIC") criminal records check. Any employee not meeting this requirement will not be permitted to work at any city facility. The successful proposer shall be required to co-ordinate the criminal background checks by contacting Human Resources at 305-792-1708. END OF SECTION City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 8     Section 2 Scope of Services / Technical Specifications   2.1 SCOPE OF SERVICES The objective of this solicitation is to solicit proposals for the qualifications and selection of firms to provide Architecture, Landscape Architecture, Landscape Architecture, Engineering, and/or Land Surveying consulting professional services in conformance with FSS §287.055. This Request for Qualifications (“RFQ”) shall serve to provide interested parties with general information as to the procedures for selection of firms providing architectural, landscape architectural, engineering and land surveying services to the City of Sunny Isles Beach. The City may select one or more firms for each specialization or professional category. Firms will not be limited to one professional category. Each selected firm shall enter into a contract with the City on a per project basis. A purchase order / work order or similar document between the City and the selected firm will be issued for each project. Any professional services listed below will be for projects that do not exceed $2,000,000.00 in basic construction cost or $200,000.00 for a planning or study activity pursuant to Florida Statute 287.055. 2.2 CONSULTANT RESPONSIBILITIES Architecture Activities may include but shall not be limited to: • Provide drawings and specification for facility additions, renovations or new construction. • Attend meetings with City staff and presentations to City Commission; Provide plans developed on AutoCAD’s latest version and copies of a reproducible hard copy and diskette of plans in the requested format shall be provided to the City.  Permit assistance.  Construction phase services. Landscape Architecture Activities may include but shall not be limited to: • Provide drawings and specifications for landscaping projects • Site master planning, analysis and design • Urban design plans/concept diagrams City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 9     • Open space planning, analysis and design • Natural resource planning, analysis and design • Design guidelines • Streetscape planning, analysis and design • Feasibility analysis • Peer review analysis • Renderings • Assist in the preparation of or prepared construction documents and specifications • Park Design • Median Design • Cost estimates for above work • Attend meetings with City staff and presentations to City Commission • Provide plans developed on AutoCAD’s latest version, and copies of a reproducible hard copy and diskette of plans in the requested format shall be provided to the City.  Construction phase services.  Permit assistance. Engineering Activities may include but are not limited to: • Engineering Design: Detailed engineering for the construction of roadways within State, County or Local rights-of-way and similar facilities, park or park enhancement design, dock and seawall design, and storm drainage and other underground utility design. These services may include any aspect of the following: • Project programming and preparation of conceptual designs • Preparation of construction contract drawings and specifications complying with the requirements of the authorities having jurisdiction City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 10     • Development of schedules for design and construction • Preparation of estimated quantities, costs and bid forms • Construction support services • Storm water Infrastructure and Pump Station Evaluation and Design • Reports and Analysis for compliance reports to government agencies including but not limited to USEPA, FDEP, Miami Dade County, DERM/RER • Environmental assessments and testing • Storm water System Master planning • Grant Assistance and writing • Project Management • Evaluation of bids as compared to project budget • Respond to RFIs • Attend meetings with City staff and presentations to City Commission. • Provide plans developed on AutoCAD’s latest version, and copies of a reproducible hard copy and diskette of plans in the requested format shall be provided to the City.  Transportation Planning and Traffic Engineering • Parking Studies  Structural Engineering 2.3 REQUIREMENTS OF PROPOSERS Proposers interested in performing these services must exhibit considerable relevant experience with this type of work, and should emphasize both experience and capability of particular personnel City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 11     who will actually perform the work. Proposers should indicate any subs proposed to be utilized in work for the City. The selected firm(s) will be responsible for reviewing existing Miami-Dade County, City of Sunny Isles Beach Codes, Resolutions and Ordinances and State of Florida Building Codes and for incorporating data into complete construction documents including final construction plans (working drawings), technical specifications, construction estimates, and related bid documents necessary for the bidding and construction of the projects. The selected firm(s) will be responsible for obtaining all Federal, State and local permits and/or approvals from Miami-Dade Water and Sewer, DERM/RER, Florida Department of Environmental Protection, HRS, Miami-Dade County, Florida Department of Transportation (FDOT) as necessary and all City of City of Sunny Isles Beach Building permits necessary for the construction of the projects. Firms may also be required to provide consulting services to the City on various matters which do not result in drawings, specifications or construction documents. The respondent shall agree to indemnify and hold harmless and pay on behalf of the City, for any liability and/or legal costs arising out of any claims and litigation related to the services provided, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the respondent in the performance of the contracted services. END OF SECTION City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 12     Section 3 Evaluation Process 3.1 REVIEW OF PROPOSALS FOR RESPONSIVENESS Each proposal will be reviewed to determine if the proposal is responsive to the submission requirements outlined in the solicitation. A responsive proposal is one which follows the requirements of this solicitation that includes all documentation, is submitted in the format outlined in this solicitation, is of timely submission, and has the appropriate signatures as required on each document. Failure to comply with these requirements may result in the proposal being deemed non-responsive. The contract will be awarded to the most qualified individual or firm for professional services based on an evaluation of the criteria described herein. 3.2 QUALIFICATIONS Proposals shall include the following: Technical Qualifications Proposer’s relevant experience, qualifications and past performance providing services of the type required by this solicitation. Relevant experience and qualifications of key personnel, including background and references. Proposers approach methodology to providing the services requested in Section 2.1 of this solicitation. Proposed solution functionality, implementation, other objectives and requirements as stated. 3.2.1 ADDITIONAL INFORMATION In order to be considered, Proposers shall provide sufficient information as part of their proposal submission (submission shall not be limited to the information below). All requested documentation and/or information shall be provided in the Proposal. Proposers failing to provide sufficient documentation detailing their qualifications, experience and extent and implications of proposal shall not be considered. The Consultant shall be required to meet the following minimum qualifications:  The selected prime firms shall be registered firms licensed to conduct business within the State of Florida. All professional services shall be performed under the direction of a professional/professionals registered or licensed with the State of Florida within their respective areas of practice. City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 13      The selected prime firms shall have been in business and have a minimum of five (5) years of experience in providing professional services in the State of Florida within their respective areas of practice.  The selected prime firms must identify a Team Project Manager who must be licensed or registered in the State of Florida and have a minimum of seven (7) years of experience in their respective areas of practice including having served as project manager on similar projects on a minimum of three (3) previous occasions within the State of Florida. 3.3 Price Intentionally Omitted. Price is not a factor to be considered during the evaluation process. END OF SECTION City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 14     Section 4 Proposal Format 4.1 INSTRUCTIONS TO RESPONDENTS Responses should be prepared addressing the requirements according to the instructions provided and in a concise manner. This RFQ solicits proposals for four different professional categories. Respondents may submit proposals for one or more of the professional categories, clearly identifying those professional services contained therein. 4.2 FORMAT Proposers must submit one (1) original, three (3) copies and one (1) electronic copy on CD or DVD (Must be clearly labeled with Company Name, Bid No., Title & Professional category/categories) of the Proposal. The original Proposal must contain an original signature. Be sure that the individual signing the Proposal is authorized to commit the Proposer's organization to the Proposal as submitted. Each page of the Proposal should state the name of the Proposer, the RFQ number, and the page number. The City reserves the right to request additional data or material to support Proposals. All material submitted in response to the RFQ will become the property of the City. 4.3 LABEL EACH SECTION AS NUMBERED The proposal must be in the following format. 1. Company Information  In response to this Proposal, all Proposers must provide the following:  Name of Agency/Company (including any "Doing Business As" names)  Company Locations.  Internet Web Site Address (if any).  Details of Entity Business Structure (Corporation, Partnership, LLC).  Date Founded.  Home office address, telephone number, and local address and phone number.  List of any outstanding litigation that would threaten the viability of the firm or the performance of this contract.  Proof of insurance.  Indication of how long it would take to implement service after authorized to begin. 2. Qualifications Proposer’s relevant experience, qualifications and past performance including:  An explanation of why the Proposer is the best qualified to perform the contract and demonstrate its qualifications including an item-by-item disclosure outlining how the firm meets or exceeds the requirements of this RFQ.  Must explain how the firm meets the minimum qualifications, provide evidence such as copy of license and proof of relevant experience. City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 15      Proposers shall not submit a price proposal, hourly rates or fees in its initial response to this RFQ (Price is NOT a factor to be considered in this qualification process) 3. Staffing Relevant experience and qualifications of key personnel, including key personnel of subcontractors, that will be assigned to projects well as experience and qualifications. The size and experience of the company staff pool from which staff assigned to the management contract can be drawn. The composition of the staff team should include:  The names of the employees in the area responsible for this contract.  Their function in the company.  The name of the person who will be responsible for the coordination of work.  Must show evidence of how the firm’s personnel meets the minimum qualifications as it pertains to years of experience. 4. Approach / Methodology Proposer’s general approach methodology to providing the services requested in this solicitation  Suitability of the methodologies and approaches used in achieving tasks  Overall organization to completing the project  Ability to meet desired timelines and deadlines Describe your firm’s understanding of the following types of projects and your firm’s Strengths in designing the types of projects listed in Section 3. 5. References Each Proposer must submit a list of three (3) public sector clients’ references of current and past customers of which they have provided services within the past five (5) years of similar scope and size of those described herein.  Each Reference must be supplied on client’s letterhead.  Each Reference letter must be signed with contact person and phone number. The City retains the right to request any additional information pertaining to the Proposer's ability, qualifications and procedures used to accomplish all work under the contract as it deems necessary to ensure safe and satisfactory work. 6. Contract Forms All completed contract forms. Failure to provide all documentation responsive to items #1 through #6 above may result in the Proposer’s proposal being deemed non responsive and the City may in its sole discretion refuse to consider the proposal. END OF SECTION City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 16     DELIVER TO: City of Sunny Isles Beach City Clerk 18070 Collins Avenue Sunny Isles Beach, FL 33160 REQUEST FOR QUALIFICATIONS SECTION 5 BID SUBMITTAL FORMS OPENING: 2:30 PM 08/12/2014 Issued by: Purchasing Agent Andrew Rozwadowski Date Issued: 07/17/2014 This Bid Submittal Consists of Pages 16 through 19 Sealed bids are subject to the Terms and Conditions of this Request for Qualifications and the accompanying Bid Submittal. Such other contract provisions, specifications, drawings or other data as are attached or incorporated by reference in the Bid Submittal, will be received at the office of the City Clerk at the address shown above until the above stated time and date, and at that time, publicly opened for furnishing the supplies or services described in the accompanying Bid Submittal Requirement. RFQ 14-07-02 Continuing Professional Architectural & Engineering Services Firms Only (CCNA) Procurement Agent: Firm Name: Andrew Rozwadowski ________________________________________ Commodity Code(s): RETURN ONE (1) ORIGINAL, ONE COPY AND ONE ELECTRONIC PDF COPY ON CD OR DVD OF BID SUBMITTAL PAGES AND AFFIDAVITS FAILURE TO SIGN PAGE 16 THROUGH 19 OF THE BID SUBMITTAL WILL RENDER YOUR BID NON-RESPONSIVE City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 17     SECTION 6 BID SUBMITTAL FOR: ACKNOWLEDGEMENT OF ADDENDA INSTRUCTIONS: COMPLETE PART I OR PART II, WHICHEVER APPLIES PART I: LIST BELOW ARE THE DATES OF ISSUE FOR EACH ADDENDUM RECEIVED IN CONNECTION WITH THIS BID Addendum #1, Dated Addendum #2, Dated Addendum #3, Dated Addendum #4, Dated Addendum #5, Dated Addendum #6, Dated Addendum #7, Dated Addendum #8, Dated PART II: NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID FIRM NAME: AUTHORIZED SIGNATURE: DATE: TITLE OF OFFICER: City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 18     BID SUBMITTAL FORM Bid Title: Continuing Professional Architectural & Engineering Services Firms Only (CCNA)   The undersigned Proposers proposes and agrees, if this Bid is accepted, to enter into an agreement with the City of Sunny Isles Beach to perform and furnish all Work as specified or indicated in the Contract Documents and in accordance with the other terms and conditions of the Contract Documents. The Proposers accepts all of the terms and conditions of this or Request for Qualifications. This Bid will remain subject to acceptance for 90 days after the day of Bid opening. The Proposers agrees to sign and submit the Agreement with the other documents required by the Bidding Requirements within ten days after the date of the City’s Notice of Award. In submitting this Bid, the Proposer represents, as more fully set forth in the Agreement, that:  The Proposer has familiarized himself/herself with the nature and extent of the Contract Documents, Work, site, locality, and all local conditions and Law and Regulations that in any manner may affect cost, progress, performance, or furnishing of the Work.  The Proposer has given the City written notice of all conflicts, errors, discrepancies that it has discovered in the Contract Documents and the written resolution thereof by City is acceptable to the Proposer.  This Bid is genuine and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization, or corporation; the Proposer has not directly or indirectly induced or solicited any other Proposers to submit a false or sham Bid; the Proposer has not solicited or induced any person, firm or corporation to refrain from Bidding; and Proposer has not sought by collusion to obtain for itself any advantage over any other Proposers or over the City. The City and the successful Proposer will establish completion times for each individual Work Item and the successful Proposer agrees that the work will be completed within the time frames agreed upon and stipulated in the individual Purchase Orders and/or Notice to Proceed. Firm Name: _____________________________________________________________________________ Street Address: _____________________________________________________________________________ Mailing Address (if different): _____________________________________________________________________________ City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 19     Telephone No. _______________________________Fax No. _________________________ Email Address: _______________________________FEIN No. __/__-__/__/__/__/__/__/__ *“By signing this document the bidder agrees to all Terms Signature: __________________________________________________________________ (Signature of authorized agent) Print Name: _________________________ Title:_________________________________________ THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF PROPOSER TO BE BOUND BY THE TERMS OF ITS PROPOSAL. FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE PROPOSAL NON-RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY PROPOSAL THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE PROPOSER TO THE TERMS OF ITS OFFER. City of Sunny Isles Beach |Request for Proposal No. 14‐07‐02 20     AFFIDAVITS   NON-COLLUSION AFFIDAVIT City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 STATE OF FLORIDA ) ) COUNTY OF _____________) The undersigned being first duly sworn as provided by law, deposes, and says: This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will be relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. The undersigned is authorized to make this Affidavit on behalf of, _____________________________________________________________ (Name of Corporation, Partnership, Individual, etc.) a, ________________________________, formed under the laws of _____________ (Type of Business) (State) of which he is ________________________________________________. (Sole Owner, Partner, President, etc.) Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph 10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any member or agent thereof. ___________________________________ ___________________________________ AFFIANT’S NAME AFFIANT’S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this _____ day of _______________________, 200_. Personally Known ________ or Produced Identification ________; Type of identification ___________________________________ (Affix seal here) ___________________________________ NOTARY PUBLIC (name printed or typed) DECEMBER 28, 2010 1 of 7 PUBLIC ENTITY CRIMES City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES PUBLIC ENTITY CRIMES Pursuant to the provisions of paragraph (2) (a) of Section 287.133, Florida State Statutes - "A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a Bid on a Contract to provide any goods or services to a public entity, may not submit a Bid on a Contract with a public entity for the construction or repair of a public building or public Work, may not submit Bids on leases of real property to a public entity, may not be awarded to perform Work as a Contractor, supplier, Sub-Contractor, or Consultant under a Contract with any public entity, and may not transact business with any public entity in excess of the threshold amount Category Two of Sec. 287.017, FS for thirty six months from the date of being placed on the convicted vendor list". THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 11.1. This sworn statement is submitted to City of Sunny Isles Beach _____________ by____________________________________________________________________________ [print individual’s name and title] for____________________________________________________________________________ [print name of entity submitting sworn statement] whose business address is: _______________________________________________________________________________ _______________________________________________________________________________ and (if applicable) its Federal Employer Identification number (FEIN) is_____________________. (If the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement:_________________________________.) 11.2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any Bid or Contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 11.3. I understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trail court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendere. 11.4. I understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: a.) predecessor or successor of a person convicted of a public entity crime; or b.) Any entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executors, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair DECEMBER 28, 2010 2 of 7 10/1998 market value under an arm's length agreement, shall be a prime facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 11.5. I understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "persons" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of any entity. 11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies.) ____ Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. ____ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. ____ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (Attach a copy of the final order.) I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. By: ______________________________________ (Signature) ______________________________________ (Printed Name) ______________________________________ (Title) Sworn to and subscribed before me this ______ day of_______________________, 20_____, by __________________________________________________. (AFFIX NOTARY STAMP HERE) ______________________________________ Signature: Notary Public – State of Florida ______________________________________ Print or Type Commissioned Name Personally Known __________ OR Produced Identification __________ Type of Identification Produced ________________________________ 3 of 7 EQUAL OPPORTUNITY / AFFIRMATIVE ACTION City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 EQUAL OPPORTUNITY/AFFIRMATIVE ACTION STATEMENT The contractors and all subcontractors hereby agree to a commitment to the principles and practices of equal opportunity in employment and to comply with the letter and spirit of federal, state, and local laws and regulations prohibiting discrimination based on race, color, religion, national region, sex, age, handicap, marital status, and political affiliation or belief. Signed: ________________________________________ Title: ________________________________________ Firm: ________________________________________ Address: ________________________________________ ________________________________________ DECEMBER 28, 2010 4 of 7 CONFLICT OF INTEREST City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 CONFLICT OF INTEREST STATEMENT The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the City of Sunny Isles Beach or its agencies. STATE OF FLORIDA COUNTY OF ___________________ BEFORE ME, the undersigned authority, personally appeared _____________________________, who was duly sworn, deposes, and states: 18.1. I am the _________________________________________________ of __________________________________with a local office in _____________________________ and principal office in _____________________. 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. ______________ described as: Landscape Maintenance Services. The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his own knowledge. 18.3 The Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has no financial interest in other entities submitting Bids for the same project. 18.4 Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity’s submittal for the above Bid. This statement restricts the discussion of pricing data until the completion of negotiations if necessary and execution of the Contract for this project. 18.5 Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from participation in contract letting by any local, State, or Federal Agency. 18.6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any other clients, contracts, or property interests for this project. 18.7 I certify that no member of the entity’s ownership or management is presently applying for any employee position or actively seeking an elected position with the City of Sunny Isles Beach. 18.8 I certify that no member of the entity’s ownership or management, or staff has a vested interest in any aspect of the City of Sunny Isles Beach. 18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will immediately notify the City of Sunny Isles Beach. Dated this _________ day of _____________________________________, 2010. _________________________________ _________________________________ AFFIANT Print or Type Name and Title Sworn to and subscribed before me this _____ day of ______________________, 2010. ˆ Personally Known ________ OR ˆ Produced Identification ________; Type of Identification _________________________ __________________________________ NOTARY PUBLIC STATE OF FLORIDA DECEMBER 28, 2010 5 of 7 DISPUTE DISCLOSURE City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 DISPUTE DISCLOSURE FORM Answer the following questions by placing a “X” after “Yes” or “No”. If you answer “Yes”, please explain in the space provided, or on a separate sheet attached to this form. 19.1. Has your firm or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulations or any other regulatory agency or professional associations within the last five (5) years? YES __________ NO __________ 19.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years? YES __________ NO __________ 19.3. Has your firm had against it or filed any requests for equitable adjustment, contract claims, Bid protests, or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business? YES __________ NO __________ If yes, state the nature of the request for equitable adjustment, contract claim, litigation, or protest, and state a brief description of the case, the outcome or status of the suit and the monetary amounts of extended contract time involved. I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation of falsification of facts shall be cause for forfeiture of rights for further consideration of this Bid for the City of Sunny Isles Beach. ________________________________________ ______________________________________ Firm Date ________________________________________ _______________________________________ Authorized Signature Print or Type Name and Title DECEMBER 28, 2010 6 of 7 ANTI-KICKBACK City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 ANTI-KICKBACK AFFIDAVIT STATE OF FLORIDA ) ) COUNTY OF ___________ ) I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or by an officer of the corporation. By: ________________________________ Title: ________________________________ The foregoing instrument was acknowledged before me this _____ day of __________________, 20____, by _________________________________________ [name of person], as __________________________________ [type of authority], for ________________________________ [name of party on behalf of whom instrument was executed]. AFFIX NOTARY STAMP HERE: _______________________________ Notary Public – State of Florida ________________________________ Print or Type Commissioned Name Personally Known __________ OR Produced Identification __________ Type of Identification Produced ________________________________ DECEMBER 28, 2010 7 of 7