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SECTION 00454 NON - COLLUSION AFFIDAVIT State of ntnim ) SS County of DQ AN:WM C- being first duly sworn, deposes and says that: (1) He /She/They is /are the r)'a I C�_- I ' r - .....,,� joie•, �r'7fi11 (O e , ,,!aart er fficer rRepresen tive or Agent) of V, A - . , j$� . the BIDDER that has submitted the attached Bid; (2) He /She/They is /are fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; (3) Such Bid is genuine and is not a collusive or sham Bid; (4) Neither the said BIDDER nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other BIDDER, firm, or person to submit a collusive or sham Bid in connection with the Work for which the attached Bid has been submitted; or to refrain from bidding in connection with such Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or conference with any BIDDER, firm, or person to fix any overhead, profit, or cost elements of the Bid or of any other BIDDER, or to fix any overhead, profit, or cost elements of the Bid Price or the Bid Price of any other BIDDER, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person interested in the proposed Work; (5) The price or prices quoted in the attached Bid are fair and proper and are not tain d by anyf,"Igsjon,, copse «,t connivance, or unlawful agreement on the part of the BIDDER or any other of its gents, representatives, owns, ~ employees or parties in interest, including this affiant. 00454-1 I. List completed Irrigation projects within FDOT Rights -of -Way, using the `Wethose' Irrigation system: Project Name: State Road Number: Year Work Completed: Length of Roadway: Work Completed by Bidder or Subcontractor: Bidder Name: Subcontractor Name: Project Name: State Road Number: Year Work Completed: Length of Roadway: Work Completed by Bidder or Subcontractor: Bidder Name: Subcontractor Name: W NONILL sf r-.t1VkLCK COM/Ww% END OF SECTION 00450-3 (qS4) ?63 3q-11 2. Current workload - Projects in excess of $300,000.00 Project Name Owner Name Contract Price 20 1 al f 29M 1 3. The following information shall be provided for this project. a) Estimated total construction man -hours MA &M. u b) Percent man -hours to be performed by Contractor's permanent staff ©� . c) Permanent an-hours to be performed by direct hired employees for this project _ I DG` c d) Percent man -hours to be performed by Subcontractors tt& ® I N 16A`RC AJ OWL % 4. The following information shall be attached to the bid. a) Contractor's home office organization chart. A b) Contractor's proposed project organizational chart. c) Resumes of proposed key project personnel, including on -site superintendent. com Pit 5. List and describe any: a) Bankruptcy petitions filed by or against the BIDDER or any predecessor organizations, b) Any arbitration's or civil or criminal proceedings or c) Suspension of contracts or debarring from bidding by any public agency brought against the BIDDER in the last five (5) years. 6. Governmental References: List other Governmental Agencies or Quasi - governmental agencies for which you have done business within the past five years. Name Of Agency: (J- LT OF Vt4LVN4)aa Address: 38 9 F DMI EEE w'I S 1- � 4iti�1 Telephone No. WS-1 - (00i. Contact Person: (t (�, $01 Type Of Project: L fl 11/L> S 01 P/ Nb 1 1" 5 !INMA i'1 *J Name Of Agency: Address: Telephone No. _ Contact Person: _ Type Of Project: Name Of Agency: Address: Telephone No. _ Contact Person: Type Of Project: 00450-2 SECTION 00434 LIST OF PROPOSED SUBCONTRACTORS BIDDER shall list all Proposed Subcontractors to be used on this project if they are awarded the Contract. CLASSIFICATION NAME AND ADDRESS OF WORK OF SUBCONTRACTOR LANDSCAPE IRRIGATION W y�,r*41 cc /1/3- tu 51%.viuJC & '//) DECORATIVE PAVERS 4-1 This is not an order END OF SECTION 00434-1 IN WITNESS *HUREOF, the above bonded parties have executed this instrument under their several seals this day of '/' % 5 20 �' Z- , the name and the corporate seal of each corporate party being hereto affixed and these presents being duly signed by its undersi ned representative. IN PRESENCE OF: W c /0 0m5 o J .7 (SEAL) (Individual or Partnership Principal) ATTEST: Secretary *Impress Corporate Seal IMPORTANT ?Do Sly 44 SDIa- i SECTION 00420 AWARD PREFERENCE FOR IDENTICAL TIE BIDS Whenever two or more Bids which are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a Bid received from a business that certifies that it has implemented a drug -free workplace program shall be given preference in the award process. Established procedures for processing tie Bids will be followed if none of the tied vendors have a drug -free workplace program. In order to have a drug -free workplace program, a business shall: 1) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2) Inform employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug - free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3) Give each employee engaged in providing the commodities or contractual services that are under Bid a copy of the statement specified in subsection (1). 4) In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under Bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five days after such conviction. 5) Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program, if such is available in the employee's community, by any employee who is so convicted. 6) Make a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As the person authorized to sign t e fate e , I?certify that thi irm c plies fully with the above requirements. VENDOR'S SIGNATURE: END OF SECTION 00420-1 A CORPORATION By: IS�/zS� //�c-, .*�, 0aos+5a3t (Corporation Name) Attest: (Name of Person Authorized to Sign) &MtW MAZZCL1A bt&Os6c (Title) pl)-c;i� (Corporate Seal) (President) Business address: //9,00 I)t 4�j 4 C- 33 3 3 Phone No: 9} 4— � ` 3 172 4" Facsimile No: 00410-10 1 References Description Unit Unit Price Section Y0 1 F CoAr i4-cr /S MDtDo 02900 Remove 12" existing fill and add Planting CY $ Soil in Place 02910 Existing Tree Relocation EA $ 5� ®i'Q, * Includes Removal and Relocation of existing fence. ALLOWANCES References Description Unit Unit Price Section Y0 1 F CoAr i4-cr /S MDtDo 01210 Owners Landscape Allowance LS $50,000.001 01210 Owners Irrigation Allowance LS $100,000.00 TOTAL OF BASE BID $ y TOTAL OF BASE BID PLUS ALLOWANCES $ kmov97 PA(ce bo lit- IkCL 00410-7 L4 I-� VA/ Cr C ®STr °f'3 tvt Js W c c ( 126 0100 DCb Y0 1 F CoAr i4-cr /S MDtDo kmov97 PA(ce bo lit- IkCL 00410-7 L4 SECTION 00454 NON - COLLUSION AFFIDAVIT r State of nIX 2002 1 City of §U- isies f3ea ;h ss County of f�L 'A i0t iM XA being first duly sworn, deposes and says that: (1) He /She/They is /are the rr'a J O I ' r (O e , art er Officer Representative or Agent) of .�} E lk2 . the BIDDER that has submitted the attached Bid; (2) He /She/They is /are fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; (3) Such Bid is genuine and is not a collusive or sham Bid; (4) Neither the said BIDDER nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other BIDDER, firm, or person to submit a collusive or sham Bid in connection with the Work for which the attached Bid has been submitted; or to refrain from bidding in connection with such Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or conference with any BIDDER, firm, or person to fix any overhead, profit, or cost elements of the Bid or of any other BIDDER, or to fix any overhead, profit, or cost elements of the Bid Price or the Bid Price of any other BIDDER, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person interested in the proposed Work; (5) The price or prices quoted in the attached Bid are fair and proper and are not tain d by any,,Q ]Wjon„ cousp r x connivance, or unlawful agreement on the part of the BIDDER or any other of its gents, representatives, own employees or parties in interest, including this affiant. r . 00454-1 I. List completed Irrigation projects within MOT Rights -of -Way, using the `Wethose' Irrigation system: Project Name: State Road Number: Year Work Completed: Length of Roadway: Work Completed by Bidder or Subcontractor: Bidder Name: Subcontractor Name: Project Name: State Road Number: Year Work Completed: Length of Roadway: Work Completed by Bidder or Subcontractor: Bidder Name: Subcontractor Name: � I�i�l(:A"C1t�V� w i N a ins ►c,..�. S f r,41V kLCK C o ff° END OF SECTION 00450-3 'q-5-4) ?& 3 -3 y-I l 2. Current workload - Projects in excess of $300,000.00 Project Name Owner Name Contract Price 1TWIVATAIN 'WRIMPlaw WNW r 1 3. The following information shall be provided for this project. a) Estimated total construction man -hours AvMvic Cd. a b) Percent man -hours to be performed by Contractor's permanent staff c) Permanent an-hours to be performed by direct hired employees for this project d) Percent man -hours to be performed by Subcontractors t GG ° I FA16A`f(C A) 4. The following information shall be attached to the bid. a) Contractor's home office organization chart. A b) Contractor's proposed project organizational chart. c) Resumes of proposed key project personnel, including on -site superintendent. 10t f em- o r com PA /'l 5. List and describe any: a) Bankruptcy petitions filed by or against the BIDDER or any predecessor organizations, b) Any arbitration's or civil or criminal proceedings or c) Suspension of contracts or debarring from bidding by any public agency brought against the BIDDER in the last five (5) years. 6. Governmental References: List other Governmental Agencies or Quasi - governmental agencies for which you have done business within the past five years. Name Of Agency: C LT OF �tALtR*A)RLE Address: 389 4 1 E R W4 S "i - (d+v 1 Telephone No. TPf — 4-S-1 - (L©� Contact Person: C fk (1, J G1 8 SD k Type Of Project: L A S P/ XC 1 M J jNL1it rl *J Name Of Agency: Address: Telephone No. Contact Person: Type Of Project: Name Of Agency: Address. Telephone No. Contact Person: Type Of Project: 00450-2 SECTION 00434 LIST OF PROPOSED SUBCONTRACTORS BIDDER shall list all Proposed Subcontractors to be used on this project if they are awarded the Contract. CLASSIFICATION NAME AND ADDRESS OF WORK OF SUBCONTRACTOR LANDSCAPE /400 S �� S1 333 IRRIGATION (,'U � I L( I �� l MF,�j�YL l/< 1-tS Sv �2 /C- 1✓/�,L fh'lki� DECORATIVE PAVERS ql_ This is not an order END OF SECTION 00434-1 IN *IEFREOF, the above bonded parties have executed this instrument under their several seals this day of 1 20 6' Z , the name and the corporate seal of each corporate party being hereto affixed and these presents being duly signed by its undersi ed representative. IN PRESENCE OF: ) 09105 L Ss (SEAL) (Individual or Partnership Principal) ATTEST: Secretary *Impress Corporate Seal IlOPORTANT (Business Address) -6aVd FM .33.3:3 v (City /State /Zip) (Business Phone) (Corporate )* By: Surety companies executing bonds must appear on the Treasury Department's most current list (circular 570 as amended) and be authorized to transact business in the State of Florida. END OF SECTION 00432-2