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HomeMy WebLinkAboutSelect Environmental Servicesr C' Ell V E D MAY 2 1; Z t DELIVER TO: INVITATION TO BID City of Sunny Isles Beach City Clerk SECTION 4 OPENING: 10:00 A.M� �t 18070 Collins Avenue BID SUBMITTAL FORMS May 25, 2011 Sunny Isles Beach, FL 33160 PLEASE QUOTE PRICES F.O.B. DESTINATION, LESS TAXES, DELIVERED IN CITY OF SUNNY ISLES BEACH, FLORIDA NOTE: City of Sunny Isles Beach is exempt from all taxes (Federal, State, and Local). Bid price should be less all taxes. Tax Exemption Certificate furnished upon request. Issued by: Purchasing Agent Date Issued: This Bid Submittal Consists of April 29, 2011 Pages 23 through 27 Sealed bids are subject to the Terms and Conditions of this Invitation to Bid 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. IFB 11 -04 -03 STORM WATER CATCH BASIN CLEANING & LINE JETTING A Bid Deposit in the amount of 0% of the total amount of the bid shall accompany all bids A Performance Bond in the amount of 0% of the total amount of the bid will be required upon execution of the contract by the successful bidder and City of Sunny Isles Beach Procurement Agent: Firm Name: Marcanthony Tulloch Select Environmental Services, Inc. Commodity Code(s): 890--66 RETURN ONE ORIGINAL AND FOUR COPIES OF BID SUBMITTAL PAGES AND AFFIDAVITS FAILURE TO SIGN PAGE 27 OF SECTION 4 BID SUBMITTAL WILL RENDER YOUR BID NON- RESPONSIVE PAGE 23 OF 28 BID No. 11 -01 -01 BID BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA CONTRACTOR: (Name, legal status and address) Select Environmental Services, Inc. 12221 N. US Highway 301 Thonotosassa, FL 33592 OWNER: (Name, legal status and address): City of Sunny Isles Beach, Florida 18070 Collins Avenue Sunny Isles Beach, FL 33160 BOND AMOUNT: Five Percent of Amount Bid ( 5% ) PROJECT: (Name, location or address, and Principal number, if any) Hartford, Connecticut 06183 SURETY: (Name, legal status and principal place of business) Travelers Casualty and Surety Company of America One Tower Square Hartford, CT 06183 Storm Water Catch Basin Cleaning & Line Jetting Bid No. I1 -04 -03 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 25`h day of May , 2011. (Witness) (Witness) Oslar F. 'nco Select Environmental Services, Inc. (Principal) (Seal) (Title) Travelers Casualty an Surety Company of America (Surety) (Seal) — &.a (Title) Brenda D. Hockberger, Attome -in -Fact 215 Shuman Blvd., Naperville, IL 60563 Ph. (630) 961 -7012 Fax (866) 216 -5979 The Company executing this bond vouches that this document conforms to American Institute of Architects Document A310, 2010 Edition POWER OF ATTORNEY TRAVELERS, Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 223406 Certificate No. 004130609 KNOW ALL MEN BY THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies "), and that the Companies do hereby make, constitute and appoint Carol F. Tasciotti, Evonne Brown, Adele M. Korczak, Grace Villarreal, Gail Schroeder, Cindy Genslinger, Gina M. Damato, Thomas A. Pictor, Jane Bronson, Michael Damewood, Rosemary Muliere, Kathy Anderson, Vaenessa Sims, Luisa Seymour, Marva Miller, Thomas N. Tague, Brenda D. Hockberger, Meredith Day, Carlina A. Petersen, Tara S. Petersen, Todd D. Baraniak, Dale F. Poquette, Oscar F. Rincon, Heather Meyer, Moises Alcantar, James P. Fagan, Heather J. Meneghetti, Stephanie Miller, Grace Lawrence, David Letcher, Andrew Stontz, Ann Mulder, Gabriel Jacquez, Amber Derkson, Matthew Donovan, Joanna L. Leggett, Matthew Tobias, Nenad Osmanovic, and Mark J. DeGrazia of the City of Naperville /Chicago , State of Illinois , their true and lawful Attomey(s) -in -Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of State of - -ranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. Count' of K On this 25t ­Is to be hereto affixed, this 24th Brenda D Ho b relay of May CO corporation op CA' the nown to me to be the ' the same. °lporation that Attorney_in -,r 2011 IN TNESS executed the act of TRAVELS before me WIHE�CF, I Have w'thin ins RS CASUALTY here n'ument y appeared unto set and acknowledged A SURET'y my hand and affixed my official seal fie that Such OFF/ CI S NOTgRYpUeLIR F' RIIyCON the day and to in this certificate Y CDti1MISSlON OF qUILLINOIS 30 2012 first Written above e. State of Connecticut tl V o ary public) City of Hartford ss. 24th March 2011 On this the day of before me personally appeared George W. Thompson, who a,- -_ himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. p.7 In Witness Whereof, I hereunto set my hand and official seal. iAq W wr 0, V �� My Commission expires the 30th day of June, 2011. p�L1G * Made C. Tetreault, Notary Public 41W C�'$ 58440 -4 -09 Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER BID FORM Pump Out Services Item# Est. Qty Description Unit Price Extended Price $ $ 1 598 Storm water catch basins 150.00 89,700.00 Per Basin 2 37,400 Jetting 15.00 561,000.00 Per linear Foot Grand Total: $ 650,700.00 Page 24A of 28 Bid No. 11 -01 -01 SECTION 4 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 PART II: Addendum #1, Dated no date / see attached Addendum #2, Dated no date / see attached Addendum #3, Dated no date / see attached Addendum #4, Dated Addendum #5, Dated Addendum #6, Dated Addendum #7, Dated Addendum #8, Dated ❑ NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID FIRM NAME: Select Environmental Services, Inc. AUTHORIZED SIGNATURE: ❑� DATE: 5/25/11 TITLE OF OFFICER: Asst. ice President PAGE 25 OF 28 BID No. 11 -01 -01 to be contracted by the City under individual Purchase Orders, based on the unit prices established under this Bid. 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: Select Environmental Services, Inc. Street Address: 12221 N. US Highway 301, Thonotosassa, FL 33592 Mailing Address (if different): Telephone No. 813- 986 -5400 x No. 813- 986 -5415 Email Address: Perez @selectenvironmentalsys.com FEIN No. _0/ 1 0 9 6 5 9 7 5 * "BYSIGNING THIS DOCUMENT THE BIDDER AGREES TO ALL TERMS AND CONDITIONS OF THIS INDENTATION TO BID, SIGNATURE. 1 (SIGNATURE OF AUTHORIZED AGENT) PRINT NAME: Ryan Perez TITLE: Asst. Vice President 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. N C C fih 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 Hillsborough 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, Select Environmental Services, Inc. (Name of Corporation, Partnership, Individual, etc.) a Corporation formed under the laws of Delaware (Type of Business) (State) of which he is Asst. Vice President (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. AF S NAME Ryan Perez, Asst. Vice President AFFIANT'S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 23rd day of May 2002011 Personally Known XX or Produced Identification Type of identification 4�Y,�B� RIKI COURTMAN r °r �o MY COMMISSION #D0956249 EXPIRES: JAN 27, 2014 (Affix seal here) �-o rt m ^- rough 1st State Insurance NOTARY PUBLIC (name printed or typed) DECEMBER 28, 2010 1 of 7 N P PUBLIC ENTITY CRIMES City of Sunny Isles Beach 18070 Collins Avenue x 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 Ryan Perez, Asst vice President [print inaiwauars name ana ❑ ie1 for Select Environmental Services, Inc. [print name of entity submitting sworn statement] whose business address is: 12221 N. US Highway 301 Thonotosassa,FL 33592 and (if applicable) its Federal Employer Identification number (FEIN) is 01- 0965975 (If the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement: n/a ) 11.2. 1 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. 1 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. 1 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 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. 1 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: (Sig e) Ryan Perez (Printed Name) Asst. Vice President (Title) Sworn to and subscribed before me this 23rd day of May , 2011 by Ryan Perez (AFFIX NOTARY STAMP HERE 0 RIKI COURTMAN r° '`� MY COMMISSION #DD956249 EXPIRES: JAN 27, 2014 Bonded through 1st state Insurance Signature: No ry Public — State of Florida Riki CourtrT Print or Type Commissioned Name Personally Known XX OR Produced Identification Type of Identification Produced n/a 10/1998 3of7 NN4 ©F &F EQUAL OPPORTUNITY / 1T AFFIRMATIVE ACTION .9 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: Asst. VFce- President Title: Firm: Select Environmental Services, Inc. Address: 12221 N. US Highway 301 Thonotosassa, FL 33592 DECEMBER 28, 2010 4 of 7 51ra*+r �s &� CONFLICT OF INTEREST City of Sunny Isles Beach �S. 18070 Collins Avenue Sunny Isles Beach, FL 33160 ;G 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 Hillsborough BEFORE ME, the undersigned authority, personally appeared Ryan Perez deposes, and states: 18.1. 1 am the Select Environmental Services, Inc. who was duly sworn, Asst. Vice President of with a local office in Thnnntncacca FI and principal office in 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 11 -04 -03 described as: a 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. 18.71 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 1 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. Mre-3 this 237 day of ,May 2011 , 2010. Ryan Perez, Asst. Vice President AFFIAV Print or Type Name and Title Sworn to and subscribed before me this O10 day of 2010. l Personally Known OR O Produced Identification Type of Identi cation NOTARY PUBLIC STATE OF FLORIDA RIKI COURTMAN a; MY COMMISSION #DD956249 EXPIRES: JAN 27, 2014 Bonded through 1st State Insurance DECEMBER 28, 2010 5 of 7 DISPUTE DISCLOSURE City of Sunny Isles Beach v. 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 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 X 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 X 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. Select Environmental Services, Inc. 5/23/11 Firm M Authoriz ignatur Date Ryan Perez, Asst. Vice President Print or Type Name and Title DECEMBER 28, 2010 6 of 7 ��ar�war is <F. , ,e f f'L.DR C STATE OF FLORIDA ) COUNTY OF Hillsborough 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 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. The foregoing instrument May ' 2011 , by of person], as Asst. Vice President Select Environmental Services, Inc. executed]. AFFIX NOTARY STAMP HERE: r RIKI COURTMAN MY COMMISSION #DD956249 EXPIRES: JAN 27, 2014 a^ Bonded through 1st State Insurance Personally Known xx Type of Identification Produced By: Title: Asst. Vice President was acknowledged before me this 23rd day of Ryan Perez [name [name of party on [type of authority], for behalf of whom instrument was Notky Public — State of Florida Riki Courtman Print or Type Commissioned Name OR Produced Identification n/a DECEMBER 28, 2010 7 of 7 FLO l OF 5UO Pta 4 Addendum No. 1 CITY OF SUNNY ISLES BEACH STORM WATER CATCH BASIN CLEANING & LINE JETTING CITY ITB NO. 11 -04 -03 To All Bidders: Bidders for the above - referenced project shall take note of the following changes, additions, deletions, clarifications, etc. to the Plans and Specifications, which in accordance with the Contract Documents shall become a part of and have precedence over anything shown or described otherwise. Section 2 paragraph ' shall now 2.19 AVAILABILITY OF CONTRACT TO OTHER GOVERNMENT AGENCIES Although this Solicitation is specific to the City, it is hereby agreed and understood that other government agency may avail itself of this contract and purchase any and all items specified herein from the successful bidder(s) at the contract price(s) established herein. Under these circumstances, a separate purchase order shall be issued by the agency, which identifies the requirements of the additional agency (ies). 2.19.1 OTHER PARTICIPATING CITIES The following Cities needs are included within this bid. City of Cooper City 9090 Sw 501h Place Cooper City, FL 33329 City of Coconut Creek 4800 West Copans Rd Coconut Creek, FL 33063 Replace page 24 of d document with attached page 24A , END OF SECTION Riki Courtman ........................... Fm:Onvia.com Inc ............. 17:12 Addendum No. 2 CITY OF SUNNY ISLES BEACH Stormwater Catch Basin Cleaning CITY RFQ NO. 11 -04 -03 To All Bidders: Bidders for the above - referenced project shall take note of the following changes, additions, deletions, clarifications, etc. to the Plans and Specifications, which in accordance with the Contract Documents shall become a part of and have precedence over anything shown or described otherwise. The bid opening date listed on Demandstar is incorrect. The correct date is Wednesday, May 25, 2011 at 10:00 a.m. All Sealed Bids shall be received by the City Clerk no later than 10:00 AM, on Wednesday, May 25, 2011 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. END OF SECTION Riki Courtman To All Bidders: Fm:Onvia.com Inc 17:04 05/19/11 PG 001 SJNNY ,S4Fs Ik C) U 2 * 4 5y Mp � {Vf� 9 � � yF �* FL��\ 5� c'rY OF SUN PLO Addendum No. 3 CITY OF SUNNY ISLES BEACH Stormwater Catch Basin Cleaning CITY RFQ NO. 11 -04 -03 Bidders for the above - referenced project shall take note of the following changes, additions, deletions, clarifications, etc. to the Plans and Specifications, which in accordance with the Contract Documents shall become a part of and have precedence over anything shown or described otherwise. Request for Information: • What are the dimensions on the basins? What is the distance between manholes? Catch basin dimensions vary and should be field verified. As to the distance between manholes it too varies. I have attached a scan of the stormwater atlas for the City. This atlas includes FDOT ROW which should not be included as part of the proposal. • Do we have to have the insurance for the bid or if awarded the bid, can we get the insurance within like 5 days? Insurance requirements must be met upon award. END OF SECTION 0 w O J LL LL O w F- O 00 00 Co CJ) 'ct- U Q OD (3) m 0 0 H N to O O r-I a c� w z(n 0 H H a xQ 0% 144 P; O a PQ 90 zz OH H U) mz MW wu C74 H 00 P4 �>+ PS QH Q �z UCH W zz HO P$ uN z WU �D W w a U, O EA z FA z u zo H wU a H w N Q Qi W EA HW as U ww H co a xz rd, H xa UW E-A z H Ei m H P: P4 UZ a� x U - Q J CO 0 w C1 w U) Q Q J n (f) w O U U] U w z H O rn H OD o H d+ N Ln > �4 U un OD g Q) H cn "' U -1-i N > ch N k a H U] P', (N M r-I Ci ctS U O o 44 H E4H OM [�y, H rT4 H FA P4 o� "OH 1O U V) •• HIYa x9 r1 -,A N al H 0 rd �D o aZ1 wPz0 FA P; -I 0 0 Q U -4 O C, W N,�•,-I HwNz C QQ4-34J waNO M P: WNx rI i4 N xc4rlH N N N -H a)Fi ba ul .o m G X PZrDW Qi W EA HW as U ww H co a xz rd, H xa UW E-A z H Ei m H P: P4 UZ a� x U - Q J CO 0 w C1 w U) Q Q J n (f) w DATE (MMIDD/YYYY) ACC?R© CERTIFICATE OF LIABILITY INSURANCE 05/13/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC. NAME: 500 WEST MONROE STREET A/C No Ext : (A /C, Not: CHICAGO, IL 60661 E -MAIL Attn: Contract. ReviewCSS @marsh.com PRODUCER INSURED INSURER A : Zurich American Insurance Company 16535 SELECT ENVIRONMENTAL SERVICES, INC. 12221 US HIGHWAY 301 INSURER B: THONOTOSASSA, FL 33592 INSURER C : INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: CHI - 003625145 -01 REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY GL09377201 -07 10/31/2010 10/31/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 CLAIMS -MADE I _X1 OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 X XCU INCLUDED GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X PRO- LOC $ A AUTOMOBILE X LIABILITY ANY AUTO BAP 9377199 -07 10/31/2010 10/31/2011 COMBINED SINGLE LIMIT (Ea accident) $ 2 ��� 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DEDUCTIBLE $ $ RETENTION $ A WORKERS COMPENSATION WC9377202 -07 10/31/2010 10/3112011 X I wCSTATU- OTH- - AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) A NIA E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: STORM WATER CATCH BASIN CLEANING & LINE JETTING BID SPECIFICATIONS BID NO. 11- 04 -03. CITY OF SUNNY ISLES BEACH IS AN ADDITIONAL INSURED UNDER GENERAL LIABILITY AND AUTOMOBILE LIABILITY, BUT ONLY TO THE EXTENT REQUIRED BY THEIR WRITTEN CONTRACT WITH THE NAMED INSURED FOR OPERATIONS PERFORMED BY THE NAMED INSURED. (,tK I IFII:A I t HULUtK CITY OF SUNNY ISLES BEACH 18070 COLLINS AVENUE SUNNY ISLES BEACH, FL 33160 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Katey E. Jones �[�,. -� Ks �✓� @ 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD