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O 0 Crossing Guard Service Proposal for
City of Sunny Isles Beach
0 ® Prepared by Brian Haupricht
0 ® May 18, 2016
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School Crossing Guard
Services Proposal
PARK INC
Prepared for:
City of Sunny Isles Beach
May 18, 2016
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www.parkinc.com 1704.377.1755 11415 South Church Street I Suite T I Charlotte, NC 28203
0 PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
ADDRESS 1415 South Church Street I Suite TI Charlotte I North Carolina 128203
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PARK INC
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0 May 18, 2016
0 City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, Florida 33160
O To Whom It May Concern,
O It is our pleasure to submit the following proposal for crossing guard services for the City of Sunny Isles
O Beach. In this proposal, you will find a detailed description on how our company operates its crossing
O guard operations. This proposal will cover our pre-hire process, training, and on-going employee
O evaluation. It also covers operations as it pertains to crossing guards in general and the City of Sunny
Isles Beach specifically. Lastly, included is background information on our company and a list of
O references of our current crossing guards operations, many of which have a crossing guard component
0 similar in size and scope or larger than those of the City of Sunny Isles Beach.
0
OWe greatly appreciate your consideration and welcome the opportunity to partner with your organization.
O Please do not hesitate to contact me with any questions.
O Sincerely,
0
O '/� -
0 Brian A. Haupricht
0 President
0 1415 South Church Street, Suite T
O Charlotte, NC 28203
Phone 704.377.1755
O FAX 704.377.3155
hauprichtb@parkinc.com
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0 "-- \ PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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PARK INC
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Q EXECUTIVE SUMMARY
Q Park Inc is pleased to submit this proposal to provide crossing guard services for the City of Sunny Isles
0 Beach. Park Inc specializes in providing highly customized crossing guard, traffic controlling, parking
garage, surface lot, shuttle, and valet parking services to its customers. We currently maintain service
0 contracts at more than 75 locations in 20 states, staffed by
Q more than 400 dedicated employees. Our Mission
O Be the most sought after operation in the
cities we service, both by client
O We are qualified and ready to help the City of Sunny Isles establishments and by people who want to
work in the services industry. Secondly,
Beach address three essential needs: become a national model of exceptional
Qcrossing guard services. Finally, establish a
strong, successful presence in cities where
Q • Provide exceptional customer service and sound we choose to do business.
O crossing guard operations on a day-to-day basis. Our Strategy
• Assure smooth, successful execution of two important Engrain the service ethic in our people.
OStress professionalism at all levels. Give our
transitions: 1) the addition of a new crossing guard employees the means to work smarter and
Q provider, and 2) maintenance of accessible, efficient more effectively. Reward their good work
with bonuses and career growth
Q crossing guard services for the public. opportunities. Use our experience to
continually adapt and improve our
Q • Eliminate the workload with regard to crossing guard performance. Formalize and strengthen our
management for the staff of the City of Sunny Isles internal communication so that every
Q Beach. employee understands and contributes to our
mission.
0 Our Commitments
•
Q Park Inc is distinguished by exceptional attention to Total customer focus. Customize our
services to the precise needs of our
customer service and operational detail. We maintain this client establishments
Q
distinction by rigorous standards of recruiting, hiring, Unparalleled service. Make every guest
feel great about facilities where we
Qtraining, evaluation, and employee motivation. provide services
Q • Excellent employees. Recruit, train, and
Park Inc also has an advantage in its relative small size in support the best people. Reward hard
Q the crossing guard services industry. We have the flexibility, work, smart work, and loyalty. Stress
professionalism.
Q responsiveness, and energy that are characteristic of a • Operational excellence. Provide good
successful young company. This translates into more value to our customers and their publics;
strive to be accident free
Qintensive and hands-on customer service. • Smart growth. Grow aggressively but
always maintain quality service.
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0 PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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O PARK INC
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OMoreover, because we currently operate over 75 locations in the region, we are committed to the
0 industry and highly motivated to take the City of Sunny Isles Beach crossing guard operations to new
0 levels of customer service and success. We welcome the opportunity to do so.
0
OFollowing is a summary of our team members and their responsibilities as it pertains to this project:
0 Team Member Responsibilities
0 Gary Lewis, CPP Vice President of Operations — Coordination of all activities with City
O of Sunny Isles Beach / Staff Recruitment / Uniforms and supplies /
Setup account per guidelines
OKim Dziuk Human Resources Manager—Coordination of interviewing, hiring,
Oand training / Ensure compliance with all pre-hire requirements,
checks, and tests
OLindsey Boyer, CPA, CFE Controller— Oversee financial aspects of the project including
0 payroll and billings
OBrian Haupricht, CPP President — Oversight of the entire project team
OTBD Contract Manager— Hands on involvement of the day to day
operations. First point of contact for City of Sunny Isles Beach and
0 the Park Inc staff.
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O /\��y/\� PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
_ / ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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PARK INC
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O BACKGROUND & EXPERIENCE
0 Company History and Growth
O Park Inc is well qualified to deliver on the scope of services and to manage the crossing guard operations
0 for the City of Sunny Isles Beach. Founded in 1994 in Charlotte, North Carolina, with just a few
0 employees and one customer, Park Inc has expanded to over 75 operations in 20 states, with more than
O 400 employees. During that period, annual revenues have grown to over $8.0 million. Founder Brian
Haupricht remains the company's chief executive officer and its principal shareholder.
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OFrom its initial concentration on valet parking, the company has developed a full range of services,
0 including crossing guards, traffic controlling, large-scale garage management, surface lot operation,
0 shuttle bus services, and consultation.
O Headquartered in Charlotte, North Carolina, Park Inc currently manages parking and crossing guard
0 services Nationwide. Corporate administrative functions are housed at the headquarters office while
0 regional and local offices provide hands-on management of local service operations.
0 The company owes its success to a strong customer service program developed through extensive
0 employee training that is reinforced daily in local operations. The company differentiates itself from its
0 industry peers by its high level of service and professionalism. We strive to create an outstanding guest
O experience for our clients and their customers- each and every time.
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O /���y\� PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
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PARK INC
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OQuality Values
O Park Inc takes a very proactive, hands-on approach in day to day management with an understanding
that our employees are the most important factor in providing an outstanding customer experience. It
Obegins in our recruiting process as we work diligently to procure candidates with a background in
Ocustomer service. We then provide a detailed orientation where clear expectations are set related to:
O • Policies and operational procedures
O • Uniform and dress code
O • Best practices for providing outstanding customer service
OWe have created a culture at Park Inc where our core values guide the services we provide every day.
OThose core values include:
O • Deliver Service Excellence
O • Exercise Honesty and Integrity
O • Educate and Be Educated
O • Demonstrate Respect for Employees, Customers, and Community
O • Support a Spirit of Continuous Improvement
OWe strive to ensure these core values are embraced by each of our employees and exemplified in the
Oservice we provide.
OPark Inc Mission Statement
O We are committed to a partnership with our clients by providing efficient and convenient parking
O services, focused on adaptability and responsiveness to our customers'needs. Through the
O application of innovative solutions, we offer a diverse range of parking and service amenities
O with dedication and integrity. We are committed to supporting activities that enhance and
0 service the communities in which we operate.
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c /��y\� PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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PARK INC
O EXPERIENCE
O Park Inc understands that working in a school environment is different than working for a social
O establishment or operating a commercial parking facility. We have taken that understanding and created
O a division within our organization that focuses only on crossing guard services.
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OWhat makes the Park Inc's Crossing Guard System Different?
O 1. Specialized
lJ We currently provide crossing guard, traffic controlling, valet parking, parking management, and
O shuttle services for 75 locations in the region and handle more than 100,000 customers per week
0 at those facilities.
0 2. Crossing Guard Training
Park Inc has continued to improve upon our Crossing Guard system. We have developed a
0 crossing guard specific training program that teaches each of our attendants:
O • To be unfailingly polite
• To safely assist with pedestrian flow around the staging area
0 • To be proactive in recognizing customers needs
• To recognize and react to emergency situations
0 • Facility acclimation
O 3. Our system is easily modified to fit the individual needs of the facility.
OOur system is highly flexible allowing us to provide superior service during times of construction
0 or unforeseen circumstances.
O4. Annual Park Inc University training seminar for all supervisory personnel.
All supervisory personnel attend a 2 day educational conference in Charlotte each summer to
0 improve company and industry best practices in the areas of Human Resources, Parking
OManagement, Safety, Compliance, Problem Solving, Accounting, and to enhance lines of
O communication with their peers in the company.
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ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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CPARK INC
CLIENT REFERENCES
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O Charlotte-Mecklenburg Schools Police Department
0 600 E. Fourth Street
Fifth Floor
Charlotte, NC 28202
Lynne Clifford
0 . 980.343.2758
O Fort Mill School District
2233 Deerfield Drive
0 Fort Mill, SC 29715
Tommy Schmolze
803.548.2527
O Charlotte Country Day School
0 1440 Carmel Road
Charlotte, NC 28226
0 B.E. James
0 704.301.9570
O Union Academy Charter Schools
675 North Martin Luther King Jr. Boulevard
O Monroe, NC 28110
0 Dr. Ann Walters
704.238.8883
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7 ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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PARK INC
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PROPOSED SOLUTION
0 As a successful, growing company in the crossing guard and parking services industry, Park Inc has
O substantial experience and skill in starting or assuming crossing guard, traffic controlling, parking, valet,
Qand shuttle service operations. We would like to begin by forming a start-up team composed of Park Inc
and the City of Sunny Isles Beach management. The purpose of the start-up team will be a smooth,
Osuccessful introduction of Park Inc to the City of Sunny Isles Beach. The strategy is to share pertinent
O information, develop procedures agreeable to both parties, identify particular needs and problems, and
O plan solutions before the operation even begins. The following activities are proposed from the onset of
the contract award:
O Week 1 - Kick-Off Activities
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O Develop a clear understanding of the start-up issues and concerns on both sides and develop a
schedule of start-up activities including who will do what and when.
O
1. Identify general scope of services required.
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• Listing of work-sites, estimated coverage needed, staff required and daily coverage schedules
O 2. Identify operational expectations.
0 • the City of Sunny Isles Beach specific employee training requirements
O • the City of Sunny Isles Beach specific employee scripts, knowledge, and general responsibilities
• the City of Sunny Isles Beach specific employee dress code, including bad weather, seasons, etc.
O 3. Identify management issues.
0 • Chain of command; day to day management; the City of Sunny Isles Beach contact; Park Inc contact
O • Emergency calls: contacts, procedures, telephone numbers, possible problems
• Staffing changes: current numbers, contact names, telephone numbers
O4. Identify finance issues.
O • How costs are computed, billing format, timing, payment
0 5. Identify liability and legal issues.
O • Insurance, emergency procedures, handling of claims.
O6. Walk through and discuss specific site concerns and requirements
• At each specific work site station, identify any specific instructions for staffing, where employee
Oshould stand, support call source, and other issues.
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PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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C PARK INC
C Week 2 - Second Meeting
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0 • Present more detailed schedule based on kick-off meeting notes and walk-through
C • Review and confirm with the City of Sunny Isles Beach.
• Confirm training, orientation, and other pre-start-up issues to be resolved.
• Use the kick-off meeting list of items
0 • Review, discuss, confirm and make adjustments to the plan
O • Prepare operational memo of agreement and scope of services
• Prepare actual start-up schedule, training and other activities
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O Week 3 - Implementation of Start-up
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0 • Monitor initial Park Inc onsite activities to ensure plans are implemented as discussed
C • During initial days, both Park Inc management staff and the City of Sunny Isles Beach management
staff should be available for resolving initial problems and situations not identified at training
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sessions.
• Place initial Park Inc staff on site and begin Park Inc employee operation.
0 • Monitor and repeat walk-through process and answer employee's questions and concerns.
0 • Repeat for first few full schedules of different shifts.
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Weeks 4- 10 - Ongoing Activities
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0 • Wrap-up review to discuss all implementation activities. For first couple of weeks, and as necessary,
Chave prescheduled weekly Park Inc/City of Sunny Isles Beach management meetings to review
satisfaction, problems, and how to make further improvements.
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C ��\ PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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PARK INC
0 QUALITY ASSURANCE
O Park Inc's business and reputation are built on excellent customer service. It permeates everything we
O do. A dedication to customer service is evident in our interviewing process, training, day-to-day
0 performance, and our constant desire to improve. One important way that we maintain a focused
customer service attitude is by fueling the synergistic effect between excellent customer service and
0 continued success as a company. We take every opportunity to reinforce the belief that great customer
0 service benefits the customer, the employee, the client, and the company.
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OOur goal is to maximize employee performance. To help us achieve this goal we have instituted the
following processes:
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0 • Employee standards have been set and communicated to all employees.
0 • Every attempt is made to hire only customer focused individuals.
• We implement a consistent and effective training program.
0 • Management is customer focused and models that behavior for their staff.
0 • We review our employees' work on a regular basis.
0 • We reward for good job performance.
0 • We take corrective action where employee performance is poor.
• We dismiss employees who do not provide the level of service that we demand.
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O Park Inc employees, through the training process, are taught to perform their duties according to our
O proven system. This system includes:
0 • Greeting customers and pedestrians • Assisting customers with directions and
0 with a smile and scripted greeting information
0 • Assisting with client requests • Cleaning their responsible areas
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0 The true difference in our system is our people. We realize that our resources are our people.
And that service is a critical requirement when the crossing guards are the first and last points of
0 customer contact. Accordingly, we recruit quality candidates that meet our strict criteria.
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Cmotif 704.377.1755 FAX 704.377.3155 WEB parkinc.com
ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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PARK INC
O HIRING
O Recruiting. We recruit for new personnel using internet job websites, Park Inc's career portal website,
O and flyers in appropriate locations such as colleges and senior centers, and through current employees.
ORecruitment is constant for us, partly because our business continues to grow, requiring additional staff;
and partly because we have a practice of keeping at least 10 candidates (the spot labor list) available for
O hire at all times. This practice allows us to dismiss mediocre associates if necessary and still maintain
O appropriate staffing levels.
0
O Pm-Screen Telephone Call. To save everyone time, we like to check in with the candidate over the
0 phone first. We ask 'deal breaker' questions such as:
O Do you have a valid driver's license? Are you 18 or older? Have you ever been convicted of a DUI or
0 felony?When are you available to work? Are you able to stand for an hour at a time?
OThis call also gives us the opportunity to hear the person's speaking voice (Does he/she speak clearly?
Does he/she have a pleasing, polite tone of voice, and avoid slang and inappropriate language?). Some
0 candidates are eliminated at this stage.
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0 Interview. We have spent a considerable amount of time identifying the qualities that we consider
0 essential in good, customer-oriented personnel. It is the objective of our interviewing process to hire
O candidates with these attributes:
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0 • Service oriented • Team player
0 • Positive in outlook • Problem solver who takes the initiative
• Punctual • Reliable
0 • Available when needed • Constructive contributor
0 • Honest • Good role model for others
0 • Well groomed
0 C . Personable
• Polite and courteous
0 • Good communicator orally and in writing
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C //��y\\� PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
AOORESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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PARK INC
O Motor Vehicle, Criminal Background Screening, etc. To ensure that we are getting safe
and trustworthy employees we hire only those who have not been convicted of any
O serious crimes, crimes involving theft, do not appear on the sex offender registry, pass a
Opre-hire drug screen, or anything that is a specific requirement in the contract:
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O We use the following tools in training our managers in the interviewing process:
Q
O • Interviewing checklist (please see appendix to this section)
0 • Interviewing script (please see appendix to this section)
• Sessions with an experienced interviewer to see how it is done
0 • Works with an experienced interviewer to identify interview questions that fit the new
Q interviewer's style
O • Experienced interviewer sits in with new interviewer and offers positive suggestions
• Check references —we require two employment and/or school references along with
O
a personal reference
0 • Conduct background criminal and motor vehicle report checks as well as drug
O screening (if required) and other tests as required by the contract
O • Make written Offer of Employment
• Schedule orientation and training
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\ \ / ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
0 TRAINING
PARK INC
Orientation Program (— 1-2 hours)
• Welcome
O
• Introduction to the history of Park Inc/Future of Park Inc
0 • New hire paperwork
O • Performance expectations
O • Review of policy manual
O • Closing remarks
0 Classroom Training (— 1-2 hours)
O • Review of employee guide
O • Additional topics as required by contract
• Question and answer period
0 • Take employee examination
0 • Review work schedules and instructions for the next two weeks
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OOn Site Training (— 3 hours)
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• New employee introduced to account manager
• New employee familiarized with specific site and it's procedures
0 • Designated trainer models all information received during classroom training
O • Trainer handles 2 customers with new employee watching
O • Trainee handles next 5 with trainer watching
Trainee handles additional customers with trainer available for help
O • Trainer explains closing procedures
0 • New employee assigned to work alongside experienced employee for a period of
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� / ADDRESS 1415 South Church Street I Suite TI Charlotte I North Carolina 128203
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O EVALUATION
OPARK INC
OWe use five main methods of evaluation:
O • In-house --- as previously described, our managers perform regular spot-checks.
0 • In house --- we send out 'mystery parkers' to experience our services first hand
O (please see Mystery Shopper Employee Assessment in appendix)
`0 • From the customer's perspective --- "How Are We Doing Cards" will be available at
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all job sites, exits and on shuttle buses.
• On a regular basis, the president of the company will telephone our contact at the
O City of Sunny Isles Beach to see how things are going.
0 • Annually, we send out an account survey form to our contact at each account
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\\ / ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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O MYSTERY SHOPPER EMPLOYEE ASSESSMENT
O PARK INC
Date:
OLocation Name:
Name of Employee:
0 Time:
O Personal Appearance: (Visually inspect the condition of the employee's uniform.)
Was the employee's uniform clean? Yes No
O Was the employee wearing his/her nametag? Yes No
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O _ Was the employee professional in appearance? Yes No
0 Overall was Park Inc well represented by the employee(s) appearance?Yes No
O Customer Service: (Pay particular attention to the enthusiasm level of the employee as
well as his/her diction when speaking.)
O Did the employee establish eye contact with you? Yes No
O Did the employee smile upon greeting you? Yes No
O Did the employee use a courteous greeting? Yes No
Did the employee display a high level of energy? Yes No
O Were you able to observe inappropriate workplace behavior? Yes No
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ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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Employee Corrective Action
PARK INC
O- _ Violation 1" 2°° 3f- 14O1
Reporting late for a shift without a call to management o 0 w I S
OFailure to wear proper uniform o 0 I WI S
Failure to shave before shift o 0
I w I S
Leaving a scheduled shift before the designated time o 0 INA/ I ❑
OSmoking or eating in view of guests during scheduled work hours 0 w I D
Behavior or action that causes any valid guest complaints w S D
0 Damaging a vehicle s/❑ ❑
O Failure to report to work for a scheduled shift 5l❑ ❑
Acts of disloyalty to Park Inc and/or acts that convey a negative image of Park Inc WE) ❑
O Engaging in any act of violence,disorderly conduct or unsafe acts S/D D
OAbusing,defacing or destroying company property S/D D
ORefusal/failure to perform assigned work or to follow instructions of management S/D D
Falsifying or refusing to provide information or otherwise refusing to cooperate in the 5/❑ D
Oinvestigation of incidents of associate misconduct,accidents,theft or other incidents
O Behavior or action that causes the loss of an account ❑
Supplying false or misleading information when applying for employment D
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Possession, purchase, use or being under the influence of alcohol during scheduled work D
hours
0 Possession, purchase, use or being under the influence of illegal drugs during scheduled D
O work hours
Abusing,defacing or destroying the property of clients or their guests D I
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Threatening or using abusive language to any manager,guest,or employee D
Gross negligence or carelessness D I
OTheft or unlawful possession of Park Inc or Authority funds,stolen,lost or mislaid property, D
O or property of a guest
Inappropriate use of company funds D
O Revealing confidential information about the business to outsiders or to other associates D
who are not entitled to receive such information
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Working for another company in a competitive business to Park Inc D
0 O-Oral W-Written S-Suspension D-Dismissal
O Based on a 12 month rolling calendar, consisting of 365 days:
>6 Orals- Dismissal >3 Written-Dismissal >2 Suspensions-Dismissal
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ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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0 PARK INC Employee Standards Checklist
• The employee shows a professional attitude in his/her uniform:
0 • Shirt should be tucked in and a belt worn.
Q • Designated uniform must be worn.
• Socks should be worn with comfortable shoes that are in good condition.
0 • Only plain white undershirts are worn.
0 • The employee shows a professional attitude in personal appearance:
0 • Hair is neat and conforms to Park Inc's guidelines.
• Make-up and jewelry is within appropriate guidelines.
0 • If clean shaven, employee shaved before coming to work.
• Employee has a friendly expression and great posture.
O • Employee follows customer service procedures
• Employees are clearly visible to all.
• Employee offers immediate assistance to guests.
O • Employee offers a friendly and appropriate greeting.
• Employee thanks each guest.
O • Employees does not smoke or eat in view of the customer
0 • Employee shows a professional attitude in his/her attendance.
O • Employee follows established 'request off procedures.
• Employee makes the effort to know his/her own schedule.
O • Employee is never tardy or absent without cause.
• If employee is unable to work scheduled shift, calls in to manager as soon as
Opossible. Also attempts to find his/her own replacement.
0 • Employee reports time worked appropriately:
0 • Employee fills out timesheets/timecards each time he/she works.
• Employee reports his/her time accurately.
0 • Employee uses time clock, where available.
O • Employee turns in timesheets/timecards according to instructions for that site.
O • Employee's 'employee conduct' is always appropriate.
• Employee adheres to employee conduct standards as specified in the policy
manual.
O • Employee's performance, work habits, overall attitude and demeanor is
satisfactory in the judgment of Park Inc management.
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OPHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
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PARK INC MANAGEMENT PROPOSAL
In connection with the management of the City of Sunny Isles Beach crossing guard
Ooperation, Park Inc will assume all operational responsibilities associated with the
managing the crossing guard operation:
O GENERAL OPERATIONAL FUNCTIONS
O 1. Staffing
O
Park Inc will arrange for properly balanced staffing to operate, maintain, and manage
0 the crossing guard operation. Park Inc will provide part time guards and supervisors
to account for scheduled and unscheduled time off. All scheduling will be approved
0 by City of Sunny Isles Beach.
O11 crossing guards 8272 total hours per year
O 1 supervisor 1128 total hours per year
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2. Payroll and Payroll Taxes
OPark Inc will oversee all payroll payment and administration of its staff assigned to
the City of Sunny Isles Beach. Park Inc will arrange for the payment of and file all
O payroll taxes in accordance with federal and state laws.
O3. Insurance & Worker's Compensation
OPark Inc will carry a three million-dollar general liability insurance policy and name
the City of Sunny Isles Beach as an additional insured on this policy. Park Inc will
O . carry a standard Worker's Compensation policy on their employees.
OThe following is a summary of existing insurance coverage:
O • General Liability
O Providing for any mishap causing personal injury; either by premises or
attendant. Policy limit: $2,000,000, Per occurrence limit $1,000,000
O • Employee Dishonesty
O Provides for loss of and loss from damage to, covered property such as
money, equipment, or security. Policy limit: $500,000.
O • Umbrella Liability
0 Provides excess coverage for General Liability in the amount of$10,000,000.
O4. Uniform and Appearance
0 All Park Inc employees will be attired in standardized uniforms for easy identification.
All employees will maintain a clean and presentable appearance.
O
0
0
19
O
0
O -��y\� PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
ADDRESS 1415 South Church Street I Suite TI Charlotte I North Carolina 128203
-0 5. Management
O PARK INC
Park Inc will provide on-call management to oversee the entire crossing guard
O operation at the City of Sunny Isles Beach. This person will enforce all policies and
procedures, changes to and improvements of specific operations, and continuous
0 personnel management.
O 6. Operating Supplies
•
OPark Inc will provide all necessary supplies to ensure a smooth and efficient crossing
guard operation. This will include, but is not limited to: uniforms, safety vests, and
0 stop paddles/flashing batons.
•
0 7. Vision
OThe objective of crossing guards is to ensure the students safely crossing
intersections where vehicular traffic passes. Park Inc will achieve this at the City of
OSunny Isles Beach by offering professional crossing guard service, emphasizing
service, convenience, and safety. This service will add to the City of Sunny Isles
0 Beach total customer experience, providing a key element to its range of service
0 offerings.
0 8. Contingency Plan
ODuring our initial hiring we look for employees who have flexible schedules. We
typically look for employees who desire part-time work. Should there be a need to
Oincrease man-power unexpectedly; our supervisor will begin calling those employees
who are not scheduled to come into work. If there is going to be an increase in
0 • usage that is planned, we will schedule the appropriate staff to handle the increase.
O Park Inc will provide "on-call" crossing guards (one of which is the supervisor) in the
event of unexpected absences. Our ultimate goal is to provide reliable service with
0 zero gaps in service.
OThrough working at the City of Sunny Isles Beach and our experience, we will be
O able to provide a staff that is able to handle all kinds of fluctuation in the crossing
guard system.
0
0
0
.0_-
.0
O
0
Q20
'01
•
-0PHONE 704.377.1755 FAX 704.377.3155 WEB parkinc.com
�\ / ADDRESS 1415 South Church Street I Suite T I Charlotte I North Carolina 128203
0
0 9. Reporting
PARK INC
O - Park Inc uses a customized employee tracking system that allows the employees to
O clock in and out using their cell phones. Each employee is required to "opt in° to
allow us to track their clock in location using GPS. We are able to review the
0 location that they clocked in and out to ensure they were at their job site during the
scheduled times. This system also sends a text and email alert to the supervisor to
0 alert them when an employee has not clocked in for a shift.
In addition, a report is available from the time and attendance system for to use as
0 backup for all billable hours. See sample invoice after this proposal.
0
O Sample employee time report
O Park Inc_ _ _ _ lob Activity__Detail_ Report
0 1415 South Church Street-- --- -�- -- — -- ---- — ----- ----_-- - --- -- -Period:o5/31/14-os/lep4
Suite T
Charlotte,NC 28203
0 Zone(s): 1700
(3187)CLT Country Day School(3187) lob Total 8.33 (Sb 20m)
O
Date In Employee Code Last Name First Name Cock in Clock Out Total Hours Total(II m)
MonCay,05/12 113774 Mutms Ceaty 07:15 AM 08:00 AM .75 (45m)
O Monday,05/12 113]]4 Means
Canty 03:00 PM 04:1:0 FM 1.00 (ib)
Tuesday.05/13 113714 MOMSClary 07:15 AM 08:00 NI .75 (45m)
Tuesday,05/13 113774 Mittens Crory 03:00 PM 04:00 PM 1.00 (1n)
OWednesday,05/14 113774 Meansholy 07:15 AM 08:00 AM .75 (45m)
Wednesday,05/14 113774 MullinsCeah 03:00 PM 04:00 PM 1.00 (1h)
OThursday,05/15 113774 MWani Cealy 07:40 AM 08:00 AM .33 (20m)Thursday,05/15 113774 MullinsCeary 03:00 PM 04:00 PM 1.00 (1h)
Friday,05/16 113774 Muffins Ceary 07:15 AM 08:00 44 .75 (45m)
OFi day.05/16 113774 Mullins Crory 03:00 PM 04:00 PM 1.00 PP)(3187)RT Country Day School(3187) Subtotals8.33 (8n 20m)
0
0
0
-0
0
0
0
0 .
0
0
0
0
21
0
0
CITY OF SUNNY ISLES BEACH
) • 18070 Collins Avenue
Sunny Isles Beach, Florida 33160 ,r"""r
305.947.0606 ° ',•.`•
/ www.sibfl.net �/ O n'•
•® 11 t '
S� '• 'too S
eft'of sus t`°
® JOS rt..?�Y
S
® BID FORM 1
BID COVER
® Bid Title: SCHOOL CROSSING GUARD SERVICES
® The undersigned Bidder 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 Services as specified or indicated in the Contract Documents for the
Contract Price and within the Contract Time indicated in this Bid and in accordance with the other terms and
® conditions of the Contract Documents.
® The Bidder accepts all of the terms and conditions of this Invitation to Bid and Instrucions to Bidders. This Bid
will remain subject to acceptance for 90 days after the day of Bid opening. The Bidder agrees to sign and submit
® the Agreement with 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 Bidder represents, as more fully set forth in the Agreement, that:
® • The Bidder 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 Bidder 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 Bidder.
® • This Bid is genuine and not made in the interest of or on behalf of any undisdosed
person, firm or corporation and is not submitted in conformity with any agreement or
® rules of any group, association, organization, or corporation; the Bidder has not directly
or indirectly induced or solicited any other Bidder to submit a false or sham Bid; the
® Bidder has not solicited or induced any person,firm or corporation to refrain from Bidding;
and Bidder has not sought by collusion to obtain for itself any advantage over any other
® Bidders or over the City.
® Exact Legal Company Name: E V eri 114<ill) Pa r�1•n 5 to C .
® / J J
® Business Name (dba), if any: pa (kr T1 c
® Street Address: / 9 t Y Sc u t c'1 Cc1 W rc l,, ST 1 S N:TR 7, 1, L 4,1c t/Y, A/C Z 2°3
® Mailing Address(if different):
® Telephone No.: —7ou- 37 7 - / 7 S
® City of Sunny Isles Beach I Invitation to Bid No. 16-04-05 18
9
A
I )
CITY OF SUNNY ISLES BEACH
18070 Collins Avenue
J Sunny Isles Beach, Florida 33160syums*Ij�Fr
305.947.0606 00
J wwv+.sibB.net `! O nl
a
tejn or sus br'O
ei
® 70`x - 3R7 - 3Iss
Fax No.:
Email Address: InaLp �C�-
rtLIT
I 0 park ;1nt. COwi
FEIN No.: SC - .20? 3 `1 �U
a
*By signing this document the bidder agrees to all Terms
•
® Authorized Signature:� f
l�
B
2 t
® Print Name: n r1/I'4i1 `�A u 0/,'C L1T
® Title: Pre Si o4rnT
® THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF BIDDER 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-
40 RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION,ACCEPT ANY PROPOSAL THAT
INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE BIDDER TO THE TERMS
OF ITS OFFER.
a
a
a
a
a
a
a
® City of Sunny Isles Beach I Invitation to Bid No. 16-04-05 19
a
O
CITY OF SUNNY ISLES BEACH
1 ) 18070 Collins Avenue
Sunny Isles Beach, Florida 33160 1 s s to
) 305.947.0606 °j •'•.
y/� A
wwwsibB.net O n'
® — ------- .� 1' .k. .1.4_
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Sf • .i°
Cary Of SUN 09
O 01 L'r
® BID FORM 2
® ADDENDA ACKNOWLEDGEMENT
® INSTRUCTIONS: COMPLETE PART I OR PART II, WHICHEVER APPLIES
0
PART I:
UST BELOW ARE THE DATES OF ISSUE FOR EACH ADDENDUM RECEIVED IN CONNECTION WITH THIS
® BID •
® Addendum #1, Dated ts•M'a y / 7 , 2O /
® Addendum #2, Dated a`I 7, 20 /(0
® Addendum #3, Dated
® Addendum #4, Dated
® Addendum #5, Dated
® Addendum #6, Dated
® Addendum #7, Dated
® Addendum #8, Dated
PART II:
® 0 NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID
0 � I, -}}�
® COMPANY NAME: EVer`/f{ni, aar�5,nj , l.nc . dLa aavk inC
AUTHORIZED SIGNATURE:r2/ JAC DATE: S/ � ?] I C
A TITLE OF OFFICER: Pr!SIJt11T
0
City of Sunny Isles Beach I Invitation to Bid No. 16-04-05 20
)
CITY OF SUNNY ISLES BEACH
r \
18070 Collins Avenue
Sunny Isles Beach, Florida 33160 s�N"`rico
305.947.0606 `•;
www.sibfl.net O o
tl
•
, O 46
•Cfh OF SUN l'341°
® dal t:„, -
• BID FORM 3
• BID PRICING
• Estimated
• Description of Service Annual Hours Hourly Rate Extended Cost
• School Crossing Guard Supervisor 1,128 $ 17 (L' $ f 31 �,
• � I
410 School Crossing Guard 8,272 $ ' 3 $ LOQ (-111-.
t1 , S /-
Annual Total $ / 9, 336. -f O
•
•
•
•
•
•
•
•
•
•
•
•
• City of Sunny Isles Beach I Invitation to Bid No. 16-04-05 21
•
•
® S0NN1.rite
® �. NON COLLUSION AFFIDAVIT
® ••C ••-;—,:_f_.---0•• • City of Sunny Isles Beach
18070 Collins Avenue
41 C, •no.' oP Sunny Isles Beach.FL 33160
® 'or sun'� Telephone:(305)907-0606 Fax(305)949-3113
•
//pert ,�.
, (re. IA n a
STATE OF FtCrFtle�A - )
® COUNTY OFM4^(,'{/ILi )
® 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 cf 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 cf,
(Name cf CorOoration, nership,In idual,etc.)•
�/ ,,(� Cc
�
•
® a,_ CO(fp>c/l4 tion _,formed under the laws of /V a'i•1 l crc`r n ti
(T)*. cf Business) (State)
® cf which he is ff/�I �-e S t_Olt'/kr
(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 cf 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 nct 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 nct 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 cf 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.
® '' .—_''__ Pres,-af mf
® AFFIANT'S NAME AFFIANT'S TITLE .•�•:
0
® "-r!
O S,. B
_l \�,?n PUBLIC ENTITY CRIMES
V Z
• ;\ -'_ 1= City of Sunny Isles Beach
' 18070 Collins Avenue
•rio"sem Sunny Isles Beach,FL 33160
® "0, •u"'"�"` Telephone:(305)947-0606 Fax:(305)949-3113
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a)
® FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
0
PUBLIC ENTITY CRIMES
•
Pursuant to the provisions of paragraph (2) (a) of Section 287133, 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---ELIHalr:cki J7resrden-
1prmfin ual's name an -- —7—• pp -}
for F :n P4 IA; S SMC. cC b4 PG rk DAC
1prl na nm mating swan stattm4ntj
whose business address is:
® ILL ! CL171-% Cly.rrtn SrreeTf SNtr-eT
® CI A(toiffL kerrin Gro/inn a 203
• and (if applicable)its Federal Employer Identification number(FEIN) is S L 2O' 3 9 9v.
(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.
I® 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 nob 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
o 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
® DECEveER 2e.2010 2of 10
® market value under an arm's length agreement, shall be a prime facie case that one person
0 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.
4111
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: . C
® (Si tore)
® _f,•r4 fieYpr_•x� l
(P ' ted Nae�
ryg�re5•ofen/
® (Title)
® Sworn to and subscribed before me this.v __/t__day of el , 20 l(o , by
3rt , H• +��� i .
® (AFFIX NOTARY STAMP HERE)
® Signature: Notary PPublic—Sf3ta of Finrida _
tice
9 Print or Typ Commissioned Name ,•
."--,>,_
\
Air
® Personally Known IV
OR Produced Identification `;V • 'r
® Type of Identification Produced . .,' �.
�. C,_ c s„
1011998 3 of 10 -
i Yf* p
/.
® EQUAL OPPORTUNITY /
l=
® / AFFIRMATIVE ACTION
s
City of Sunny Isles Beach
® e..' 'no•�o. su•'a 18070 Coffins 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: .e-3- 7
® Title: olenT
Firm: cverytill ) Pa(k (
;rj , -. GILA 1 (k r c
® _ if
® Address: /4 (s So�E CurcLi STre.elr S�,_--e T
® C�fa/(OIke /i/orri, 6-ta)11a 21(2o3
•
•
•
•
•
•
•
DECEVEER 212 2010 4 of 10
0 $NNYY
® / c`\ce CONFLICT OF INTEREST
V1_
® 7s.<-
n City 1 70Cny Isles Beach
A- 18070 Beat Avenue
se ' -no•S°0 ss Sunny Isles Beach,FL 33160
® u„on Telephone:(305)947-0606 Fax:(305)949-3113
® CONFLICT OF INTEREST STATEMENT
® The award of any contract hereunder is sutject 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.
® Morn.621/na
STATE OF FLORIDA .
0 COUNTY OF yvucklenb1.[,
® BEFORE ME, the undersigned authority, personally appeared B 4 n 44 £4 prr G 141,, who was duly sworn,
deposes, and states:
• 18.1. I am the Presto/6g-IT If
of
Geer-at,:Ai Pc/k.115, Inc _ with a local office in C.k.1671tr it/c/((n td.,14 and principal office in
® (t,./(cite, /1/ct1t, 1cr-c(:ii o ///�"v�1
18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No.(& i-i-OS 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 prcject.
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 prcject.
® 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 prcject.
® 18.71 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,-1, on behalf of the above named entity, will
®
immediately notify the City of Sunny Isles Beach.
® Dated this (t day of M 20147
122
�� Br(/.1 4..., Aric1i 4estat,n
® AFFIANT Print or Type Nartne and Title
Swo f to and subscribed before me this I% day of t"1. ,20167
® 3- Personally Known OR
O Produced Identification ; Type of Identification .. ,.
® z...kar 6V'er - Jn
® NOTARY PUBLIC STATEVF7t19Rte* 7 - T y^..3
�,
•� z
® 4, -r
0
DECEMBER 28.2010 50f 10 '+.,. „Y.r`'
•
• t/SVNNT/I<E
OA \EB
® c, \^ DISPUTE DISCLOSURE
• City of Sunny Isles Beach
• 18070 Collins Avenue
• >;<--
• r iow Sunny Isles Beach,FL 33160
® 'o. sow "i� 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 X.
® 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 A 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. p
Et A( Rtit
Date
• C ?. r - B(144 W44pCICUT1 Pies-lc/c4
® Authorized Signature Print or Type Name And Title
•
•
•
0
•
•
0
DECEVEER28.2010 6 of 10
•
• VNN11,
O�/� �f0
• f/ 0 ) ANTI - KICKBACK
® V1•\� t;' ! City of Sunny Isles Beach
.� '.�`� 18070 Collins Avenue
�,,,r'no'.`O4 J Sunny Isles Beach,Fl 33160
® 'o. sus''' Telephone:(305)947-0606 Fax:(305)949-3113
• ANTI-KICKBACK AFFIDAVIT
® Afrer(„ 6rdl s/l
® STATE OF ftORTUA )
S COUNTY OF Mm4(ln6,43 )
® 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: ,/,_ I/ c'
® Title: (has-, f(nf
The foregoing instrument was acknowledged before me this I& day of
• Mkt , 20 RP , by 5r; A N...upna+ [name
of person], as Pr-ec: , rnT [type of authority], for
® E1,,cfri1i Pc/L 1n5 ,Zinc dux p 4/k Mc [name of party on behalf of whom instrument was
® executefi].
® AFFIX NOTARY STAMP HERE: - . .
® Notary Public '7 '
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® Print or Tyjje Commissioned Name
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to Personally Known OR Produced Identification
Type of Identification Produced N74
0
DECEMBER 28,2010 7 of 10