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CITY OF SUNNY ISLES BEACH
BEACH ACCESS SIGNS
Prepared by:
Calvin, Giordano 8 Associates. Inc.
Engineers Surveyors Planners
1800 Eller Drive, Suite 600
Fort Lauderdale, Florida 33316
Phone: 954.921.7781 Fax: 954.921.8807
EECE ►V hL)
JUN 2 9 2006. o�
qq of SauwtY Isles Beams
O11Fce of dx� City Glens
CGA Project No. 03- 4122.E
City of Sunny Isles Beach Bid No. 06 -06 -01
May 2006 FOR BIDDING PURPOSES ONLY
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DOCUMENT 00650
ACKNOWLEDGEMENT OF CONFORMANCE
WITH O.S.H.A. STANDARDS
TO THE CITY OF SUNNY ISLES BEACH
sms We ?tcs - 6 acknowledge and agree that as providers
for the construction of the "BEACH ACCESS SIGNS ", that we have the sole responsibility
for compliance with all requirements of the Federal Occupational Safety and Health Act of
1970, and all State and Local Safety and Health regulations, and agree to indemnify and
hold harmless the City of Sunny Isles Beach, and Calvin, Giordano & Associates, Inc.,
Consulting Engineers against any and all legal liability or loss the District or the Engineer
may incur due to tic r) sins , knik. In e- failure to comply
with siirh art_
ATTEST
PROVIDER
By:
Title: �,rl
D10
ATE
END OF DOCUMENT
00650 -1
03- 4122.E
Bid of 1`c'S
Address
SECTION 00300
BID FORM
Phone � l�C �`0 .lC dj j �' 73
To furnish all materials, equipment and labor and to perform all work in accordance with the Contract
Documents for construction of: Beach Access Signs located in the CITY OF SUNNY ISLES BEACH.
To: CITY OF SUNNY ISLES BEACH
18070 Collins Avenue, Suite 250
Sunny Isles Beach, Florida 33160
The undersigned Bidder has carefully examined the Bidding Documents and the site of the proposed work
and is familiar with the nature and extent of the work and any local conditions that may in any manner
affect the work to be done.
The undersigned Bidder agrees to do all the work and furnish all materials called for by the Bidding
Documents, in the manner prescribed therein and to the standards of quality and performance established
by the Engineer for the unit price amounts stated in the spaces herein provided, for each of the items or
combination of items stipulated. Unit price line items shall include cost of implementing all applicable
safety requirements. Bidder acknowledges that estimated quantities scheduled are approximated for the
sole purpose of obtaining comparative bids for determination of the lowest responsible bidder and actual
quantities required may increase or decrease. Bidder further agrees that payments will be made on the
basis of actual quantities placed and accepted in the construction
05/06 00300 -1 03 -4 1 22. E
0
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BEACH ACCESS SIGNS
UNIT PRICE BID SCHEDULE
Item Estimated
No. Description Quantity Unit Unit Price Estimated Amount
I. SIGNS
I . Furnish New Beach Access Sign as Per Plans
(Complete Sign and Post) (No Installation)
2. Furnish New Post as Per Plans (Additional Post
Only) (No Installation)
SUBTOTAL
II. GENERAL
3. Mobilization (Not to Exceed S% of Total Bid
Amount)
4. Contingency (S% of Total Bid Amount)
SUBTOTAL GENERAL
i
GRAND TOTAL (Items I -II)
1
21 EA `-ice 2, i �C.� a p Ap- 5-(Q �� c)D OJ
21 EA , 200. ° °25+ ZOO o0
61r9oo
1 LS l C) . ov ao
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(!Authorize ignature
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(Written)
S 4 i05 So
Y—Up
(Date)
05/06 00300 -2 03 -412? F.
BID SECURITY
Accompanyin, this Bid is a certified or cashier's check or a bid bond in the amount of S 5' � of the bid or
$5,000.00, whichever is Iess made payable to the Owner which may be forfeited as liquidated damages if,
in the event this proposal is accepted, the undersigned fails to execute the Agreement and furnish and pay
for the required performance and payment bonds for the Owner within 10 days alter acceptance of the
Bid; otherwise said certified or cashier's check or bid bond will be returned to the undersigned.
The undersigned Bidder agrees to commence work within 10 days after the date of written Notice to
Proceed, and further agrees to substantially complete the work within 70 consecutive calendar days after
the date of written Notice to Proceed, subject to such extensions of time allowed by the Conditions of the
Contract.
The undersigned Bidder also agrees to complete the entire work within 70 days after the Contract time
commences to run.
The undersigned Bidder agrees that this Bid shall be good and inay not be withdrawn for a period of 60
days after the scheduled closing time for receiving bids.
The undersigned agrees to forfeit to the Owner, as liquidated damages for each calendar day elapsing
between the date established as the date of substantial completion and the actual date of such substantial
completion of the contract work, the amount of $500.00 per calendar day.
The undersigned further agrees to forfeit to the Owner, as liquidated damages for each calendar day
elapsing between the date established as the date of final completion and the actual date of final
completion of the contract work, the amount of $500.00 per calendar day.
05/06 00300 -3 03- 4122_E
ADDENDA
Bidder acknowledges the receipt of Addendum No.'s
1. ,2 ,3. ,4. ,5.
Dated this day of
(month) (year)
Provider:C
Address: 1D 1
AN-
SEAL LA V0
Attachments:
Subprovider List
Bid Security
Trench Safety Act documentation
END OF DOCUMENT
05/06 00300 -4 03 -4122. E
M
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
I,^, Rea
1. This sworn statement is submitted to l � S" .fin ,* k`�..5 1
b y � L — 2 (,prj, na offe public entity]
Y � T 1 {_ S l
'nQtSdivu namepnd
for
[print name of entity submitting sworn statement]
whose business address is
and (if applicable) its Federal Employer Identification Number (FEIN) is U5S -Ci Q U l
10 (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn
statement: )
10 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 of the United
States, including, but not limited to, any bid or contract for goods or services to be provided to any public
10 entity or an agency or political subdivision of any other state or of the United States and involving
antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.
10 3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statues,
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 trial court of record relating to charges brought by indictment or information after July
1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.
10 4. 1 understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means:
1. A predecessor or successor of a person convicted of a public entity crime; or
2. An 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,
executives, 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 market value under an arm's length
agreement, shall be a prima 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.
I understand that a "person" as defined in Paragraph 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 "person" includes those officers, directors, executives, partners, shareholders, employees, members,
and agents who are active in management of an entity.
Form PUR 7068 (Rev. 06/11/92)
00402 -1
03- 4122.E
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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 its 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, 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, nor
any 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 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.
'qU_[signature]
-r
r_V" Sworn to and subscribed before me this t day of — 20041
Personally known N
OR Produced identification
(Type of identification)
Form PUR 7068 (Rev. 06/11/92)
00402 -2
Notary Public -State of -�—�OR10A
Maria E Lora
: p'�Y•pU8
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Commission #DD 157256
My C
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(Printedped or stamped
commis T oned name of notary public)
03- 4122.E
DOCUMENT 00403
TRENCH SAFETY ACT
(90 -96, Laws of Florida)
Bidder acknowledges that included in the appropriate bid items of the proposal and in the
Total Bid Price are costs for complying with the Florida Trench Safety Act (90 -96, Laws of
Florida) effective October 1, 1990. The bidder further identifies the costs of such
compliance to be summarized below:
Trench Safety Unit of Unit Unit Extended
Measure Measure (Quantity) Cost Cost
(Description) (LFSF)
A.
B.
3
C.
rol
Total $
If applicable, the Provider certifies that all trench excavation done within his control in
excess of five feet in depth shall be in accordance with the Florida Department of
Transportation's Special Provisions Article 125 -1 and Subarticle 125 -4.1 (TRENCH
EXCAVATION SAFETY SYSTEM AND SHORING, SPECIAL - TRENCH EXCAVATION).
Failure to complete the above may result in the bid being declared non - responsive.
Provider agrees that the above safety compliances and costs are included in his bid
package.
ignat re of Bidding Provider
END OF DOCUMENT
05/06 00403 -1 03- 4122.E
DOCUMENT 00420
INFORMATION REQUIRED FROM BIDDERS
GENERAL INFORMATION
The Bidder shall furnish the following information. Failure to comply with this requirement may cause
its rejection. Additional sheets shall be attached as required. f
1. Provider's Name /Address: P1� `�'
2. Provider's Telephone Number: S
3. Provider's License: E —Ito 2
Primary Classification: C--IM ) 6ne4)Q6
4. Number of years as a Provider in construction work of the type involved in this Contract:
5. List the names and titles of all officers of Provider's firm:
�K �� -h2 �r'res��
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Name of person who inspected site or proposed work for your firm:
Name: �f
Date of Inspection:
What is the last project of this nature you have completed?
Have you ever failed to complete work awarded to you; if so, where and why?
P3.
05/06 00420 -1 03-4122.E
9.
Name three individuals or corporations for which yAu have performed work and to which you
c%. 4Cz)(j D
N , I acs 3�j - --79w 7z�w
10. List the following information concerning all contracts on hand as of the date of submission of
this proposal. (In case of co- venture, list the information for all co-ventures).
NAME TOTAL CONTRACTED %
OF CONTRACT DATE OF COMPLETION
PROJECT CITY VALUE COMPLETION TO DATE
Ac\, Ins_ u�hclJ VACMrce +1 *'Wo ki 1LI 7,0'o a Bo%
(Continue list on inset sheet, if necessary)
1 1 . What equipment do you own that is available for the work?
AV-eD^ rP�Gi�1
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P i rx- tp Tau CIL
ATMs
12. What equipment will you purchase for the proposed work?
0 b
NOTE: Attach additional sheets if required.
If requested by the City, the Bidder shall furnish a notarized financial statement, references and other
information, sufficiently comprehensive to permit an appraisal of his current financial condition.
05/06 00420 -2 03- 4122.E
LIST OF SUBPROVIDERS
The Bidder SHALL list below the name and address of each Subprovider who will perform work under
this Contract in excess of one -half percent of the total bid price, and .shall also list the portion of the
work which will be done by such Subprovider. After the opening of Proposals, changes or
substitutions will be allowed with written approval of the City of Sunny Isles Beach. Subproviders
must be properly licensed.
Work to be Performed Subprovider's Name /Address
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
NOTE: Attach additional sheets if required.
It 05/06
L'
00420 -3
03- 4122.E
DOCUMENT 00650
ACKNOWLEDGEMENT OF CONFORMANCE
WITH O.S.H.A. STANDARDS
TO THE CITY OF SUNNY ISLES BEACH
We IPICS 5 Ut L. acknowledge and agree that as providers
for the construction of the "BEACH ACCESS SIGNS ", that we have the sole responsibility
for compliance with all requirements of the Federal Occupational Safety and Health Act of
1970, and all State and Local Safety and Health regulations, and agree to indemnify and
hold harmless the City of Sunny Isles Beach, and Calvin, Giordano & Associates, Inc.,
Consulting Engineers against any and all legal liability or loss the District or the Engineer
may incur due to plcs Scn,t , k�k. Inc failure to comply
with siirh art_
ATTEST
PROVIDER
(J
L
By: dec�y
Title:
D10
ATE
END OF DOCUMENT
05/06 00650 -1 03- 4122.E
CHECK NO-
OFFICIAL CHECK 19081
1- 866 -514 -6900
1007
PAY
ONLY Ts Ts
PAY
■FIVE THOUSAND DOLLARS AND ZERO CENTS • « « « « « « « ««
TO THE
ORDER City of Sunny Isles
OF
MEMO: Sing Bit Bond
DATE AMOUNT
03/06/2006 * 5 000.00
1007 II' 1908 le i:0 6 f60 1 5 5 7 6i: 50000 7 2 L Gil'
AUTHORIZED
63- 1557/660