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City of Sunny Isles Beach I Request for Proposal No. 12-01-05
LEGAL ADVERTISEMENT
NOTICE TO BIDDER
NOTICE IS HEREBY GIVEN that the City of Sunny Isles Beach is seeking sealed Bids for the following
work as specified.
Event Rides and Carnival Related Equipment Rental
Invitation to Bid No. 12-01-05
The Bid Specifications for this Invitation to Bid are available from DemandStar by calling (800) 711-1712
or by accessing their website at www.demandstar.com. The Bid Specifications may also be examined at
the City of Sunny Isles Beach - Office of the City Clerk. Vendors who obtain the Bid Specifications from
sources other than DemandStar or the City of Sunny Isles Beach are cautioned that their Bid response
package may be incomplete. Addenda will be posted and disseminated by DemandStar at least five days
prior to the submittal date to all vendors who are listed on the official list. The City may not accept
incomplete Bids.
Bids shall be on a unit price basis; segregated Bids will not be accepted. Sealed Bids will be received by
the City Clerk no later than 10:00 AM, on Monday, 02/13/2012 at the Sunny Isles Beach
Government Center located at 18070 Collins Avenue, 4th floor, Sunny Isles Beach, Florida, 33160. Bids
received after this time will not be considered. The City is under no obligation to return Bids. Timely
submitted Bids will be opened publicly and read aloud at this time.
The envelope containing the sealed Bid must be clearly marked:
"IMPORTANT, BID ENCLOSED"
Bid No. 12-01-05
Event Rides and Carnival Related Equipment Rental
OPENING DATE AND TIME: Monday, 02/13/2012 at 10:00 AM
The Owner reserves the right to reject any or all Bids, with or without cause, to waive technical errors
and informalities, and to accept the Bid, which best serves the interest of, and represents the best value
to, the Owner in conformity with the criteria set forth in Section 62-8 of the Code of Ordinances of the
City of Sunny Isles Beach.
All questions regarding Invitation to Bid No. 12-01-05 shall be directed in writing to Jane A. Hines, CMC,
City Clerk, at least five (5) business days prior to the date of the Bid opening. Questions may be
submitted via email to: JHines@)sibfl.net or via facsimile (305) 792-1563 or via regular mail at: Jane A.
Hines, CMC, City Clerk, City of Sunny Isles Beach, 18070 Collins Avenue, Sunny Isles Beach, FL 33160.
Jane Hines, CMC, City Clerk
City of Sunny Isles Beach
City of Sunny Isles Beach I Invitation to Bid No. 12-01-05
Invitation to Bid
Goods & Services
Event Rides and Carnival Related Equipment
Rental
Invitation to Bid No. 12-01-05
Publish Date:
Bid Due and Bid Opening Date:
01/27/2012
02/13/2012 at 10:00 AM
Pre-Bid Conference:
Where to Deliver Proposal
Intentionally Omitted
Sunny Isles Beach Government Center
18070 Collins Avenue
Sunny Isles Beach, Florida 33160
City of Sunny Isles Beach I Invitation to Bid No. 12-01-05
. .
1 '- .
~
ANTI-KICKBACK
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
ANTI-KICKBACK AFFIDAVIT
STATE OF FLORIDA )
)
COUNTY OF 6 12,1(<./ "1l~ )
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: #ag
Title: ~?S; J2.-<~
The foregoing instrument was acknowledged before me this I / day of
;::a.-6 Il..V 14 fl-j , 20-LL, by )2/ ~r.1tU~o ;11. CIH1/t.. W [name
of person], as j7,Z<l.s.'; cI c5-vT [type of authority], for
,:I,u~/)s {'If-fl t(d/V t;- G ,-::J;:,u<:,. [name of party on behalf of whom instrument was
, ,
executed] .
AFFIX NOTARY STAMP HERE:
~tS'y PUll( LUIS A. DEL V Al.LE
..<> ......./c> MY COMMISSION * EE 138713
*.~ * EXPIRES: February 17, 2~16
"~<l'" Bonded Thru Budget NotaIY SeMceS
"t$OFf~CI
c s' --C. ~
Notary Public - State of Florida
Print or Type Commissioned Name
Personally Known OR Produced Iclentification -.L
Type of Identification Produced '~l-;' e;:/;J- '.~)JJ-"t.'.s UCbvJfi'
,
OECEMBER 28, 2010
70f7
DISPUTE DISCLOSURE
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
DISPUTE DISCLOSURE FORM
Answer the following questions by placing a "X" after "Yes" or "No". If you answer "Yes", please
explain in the space provided, or on a separate sheet attached to this form.
19.1. Has your firm or any of its officers, received a reprimand of any nature or been suspended by the
Department of Professional Regulations or any other regulatory agency or professional associations within the last
five (5) years?
YES
NO
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 j. 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 ly of Sunny Isles ~ct . / /
tA V\.lU C~(le e- -ZIJ/ i}O /2-
Fi/J 0/ () I Date
fII~ait (/f1~~0 Cl..(C~Vo CHJitlJiS O/~.g(.~{--
Authorized Signature Print or Type Name and Title
DECEMBER 28,2010
60f7
CONFLICT OF INTEREST
OF SU'N
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
CONFLICT OF INTEREST STATEMENT
The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must
disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the
City of Sunny Isles Beach or its agencies.
STATE OF FLORIDA
COUNTY OF i5 ~cV~lflj.
BEFORE ME, the undersigned authority, personally appeared i?'ci'ha)O It-f. C?l!r}lZ!..&-S=- , who was duly sworn,
deposes, and states:
18.1. I am the '? /4?S',.'})~>:C . -#//)) of
...:;c-;t/f'wz..u",.. C'4T1-((&'j~S', ''::IN. with a local office in 7l?if /1~,~1! ~'J.l1 f1 q Fe.. and principal office in
?<jJY //vrU ~tt!..I #I/~ /?p. ~(Y.i& 'l..V 5)'().?'f
18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. /2- - 0/- 0 [described
as: Landscape Maintenance Services, The Affiant has made diligent inquiry and provides the information contained in this
Affidavit based upon his own knowledge, f
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 anyone 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 anyone associated with them have any potential conflict of interest due to any
other clients, contracts, or property interests for this project.
18.7-1 certify that no member of the entity's ownership or management is presently applying for any employee position or
actively seeking an elected position with the City of Sunny Isles Beach,
18.8 I certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City
of Sunny Isles Beach.
18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will
immediately notify the City of Sunny Isles Beach.
Dat~.J?I(;;tdafOt n/~/)V#--,1.7 ' ,~. 2..012-
~)~ i--'fuJ 0 '€fLJ,Lfl-JJo .#1.. C7 /M/t-tC'e:i-
' FIANT Print or Type Name and Title
NOTARY PUBLIC STATE OF FLORIDA
~o~~;.Y.~~~'b LUIS A. DEL VALLE
* b.~ '" MY COMMISSION # EE 138713
II'~~ EXPIRES: February 17, 2016
~trOF F\o~f; Bonded Thru Budgel Notary SerIices
Sworn to and subscribed before me this _ day of
o . Personally Known OR
c;y---- Produced Identification ; Type of Identification
C- -, ~---===- ~.c:~
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,2010.
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DECErABE'K :2B, 2010
50f7
\
PUBLIC ENTITY CRIMES
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a)
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
PUBLIC ENTITY CRIMES
Pursuant to the provisions of paragraph (2) (a) of Section 287.133, Florida State Statutes - "A person or affiliate
who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a
Bid on a Contract to provide any goods or services to a public entity, may not submit a Bid on a Contract with a
public entity for the construction or repair of a public building or public Work, may not submit Bids on leases of
real property to a public entity, may not be awarded to perform Work as a Contractor, supplier, Sub-Contractor, or
Consultant under a Contract with any public entity, and may not transact business with any public entity in excess
of the threshold amount Category Two of Sec. 287,017, FS for thirty six months from the date of being placed on
the convicted vendor list".
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
11.1. This sworn statement is submitted to City of Sunny Isles Beach
by .R1\C4~h 0 /11-. ef-MfL l<-.~. PI2c!-!27 44../'/
[pnnt mdlvldual's name and tllleJ
for ..:::z::;v ;&t-/V (,;J.f a - i1 {I~ 6- ~c.. .
whose business address is: 7 t7Jr-- ;::W &-J,I 6" Lv d. U 1/3
.~/~ ~ l6k r'J."vd i FZ- '5 .3' Ci Z.y
and (if applicable) its Federal Employer Identification number (FEIN) is X 6 ... 2't.g '7 CJ 3 'I.
(If the entity had no FEIN, include the Social Security Number of the individual signing this sworn
statement: <\ f-o - /3 .- 7r'/.b .)
11.2. I understand that a "public entity crime" as defined in Paragraph 287.133(1 )(g), Florida Statutes, means a
violation of any state or federal law by a person with respect to and directly related to the transaction of
business with any public entity or with an agency or political subdivision of any other state or with the
United States, including, but not limited to, any Bid or Contract for goods or services to be provided to any
public entity or an agency or political subdivision of any other state of the United States and involving
antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.
11.3. I understand that "convicted" or "conviction" as defined in Para. 287.133(1 )(b), Florida Statutes, means a
finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any
federal or state trail court of record relating to charges brought by indictment or information after July 1,
1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendere.
11.4. I understand that an "affiliate" as defined in Para. 287.133(1 )(a), Florida Statutes, means:
a.)
predecessor or successor of a person convicted of a public entity crime; or
b.)
Any entity under the control of any natural person who is active in the management of the entity
and who has been convicted of a public entity crime. The term "affiliate" includes those officers,
directors, executors, partners, shareholders, employees, members, and agents who are active in
the management of an affiliate. The ownership by one person of shares constituting a controlling
interest in another person, or a pooling of equipment or income among persons when not for fair
20f7
OECEMBER 28, 2010
market value under an arm's length agreement, shall be a prime facie case that one person
controls another person. A person who knowingly enters into a joint venture with a person who
has been convicted of a public entity crime in Florida during the preceding 36 months shall be
considered an affiliate.
11.5, I understand that a "person" as defined in Para. 287,133(1 )(e), Florida Statutes, means any natural
person or entity organized under the laws of any state or of the United States with the legal power to
enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or
services let by a public entity, or which otherwise transacts or applies to transact business with a public
entity. The term "persons" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in management of any entity.
11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity
submitting this sworn statement. (Indicate which statement applies.)
t/ 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 I2c-XaJJ<?
(Si9I,<t,UC)iA-g.i/o I.vi! C Ii A-f2/z s
(printeij5'~)SI )7e..-lLt
(Title)
Sworn to and subscribed before me this / /
J?,\ ~ r-I;!.,'h 0 111, (/,/-j-/+-/tu-<>r
(AFFIX NOTARY STAMP HERE)
LUIS A. eEl. VALL&
MY COMMISSION I EE 138713
v *, i< EXPIRES: February 17,2016
.~- 01'.. ~<:J" Bonded Thru Budget Notal'j Services
-I1110F'F,Q
day of FMJA;~
,20 I 'l.-, by
~
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- )
Signature: Notary Public - State of Florida
Print or Type Commissioned Name
Personally Known OR Produced Identification ~
Type of Identification Produced m~\ of", 'b/ZJ..;(J,;,,Lj Oe..;l-vrL
10/1998
3of7
NON-COLLUSION AFFIDAVIT
Or SU~
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 151t<,(v/h<<".I. )
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,
of which he is
I N {4.~rJ1J ~ C tf ALLL'WG//
(Name of Corporation, Partnership, Individual, etc.)
a, rittlJ IIt(rt~5!/~
(Type of Business)
fl., ti"K'VO
INe,
, formed under the laws of
(/LJ/4 Pi4
(State)
JNt. c 11l4-\l-LJ!~
(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.
~f.~~
tZ{C~YO
M
C ItIW-L81
([=>rl?-$ I~J-
AFFIANT'S TITLE
TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this L day of kts,w /I (1-,
,
,2oLz."
Personally Known or Produced Identification - .
Type of identification .rto /t.1 d;~'tt'v,?rfJ /; ~14t.S 6
(Affix seal here)
~()'~~Y,~~"<", LUIS A. DEL VAllE
*.' . .",MYCOMMISSIONHEl38713
EXPIRES: February 17,2016
'1'.>;,~omQ~()'<t, Bonded Thru Bud[jel Notary Services
OECEMBER 28,2010
1 of7
EQUAL OPPORTUNITY /
AFFIRMATIVE ACTION
Or SUN
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
EQUAL OPPORTUNITY I 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.
Firm:
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, rt ~t~g)~ Ck{le~~7-e
7'lf:>-([ c?'/tt~S bl-~~
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Signed:
Title:
Address:
OECEMBER 28, 2010
40f7
DELIVER TO:
City of Sunny Isles Beach
City Clerk
18070 Collins Avenue
Sunny Isles Beach, FL 33160
INVITA TION TO BID
SECTION 4
BID SUBMITTAL FORMS
OPENING: 10:00 A.M.
02/13/2012
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:
01/27/2012
This Bid Submittal Consists of
Pages 19 through 24
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 12-01-05
Event Rides and Carnival Related Equipment Rental
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 Aaent:
Marcanthony Tu//och
Firm N~
1/1 JW5
Chq ~C1 'Ie /11f-
./
Commodity Coders}:
RETURN ONE ORIGINAL AND FOUR COPIES OF BID SUBMITTAL PAGES AND AFFIDA VIrs
FAILURE TO SIGN PAGE 27 OF SECTION 4 BID SUBMITTAL WILL RENDER YOUR BID NON-
RESPONSIVE
City of Sunny Isles Beach I Request for Proposal No. 12-01-05
Percentage Discount
Must Attach Current List of Items
offered (With Pricing)
Percentage Discount off List Price (Tents) 0
%
Percentage Discount off List Price (Tables) 0
%
Percentage Discount off List Price (Chairs) 0
%
Percentage Discount off List Price % 0
(Mechanical Rides and Equipment)
Percentage Discount off List Price (Arts and % 0
Crafts booths)
Percentage Discount off List Price (Carnival % 0
Games)
Percentage Discount off List Price (Other % 0
equipment and materials otherwise not
specified)
Experience Record: List references who may be contacted to ascertain information on past and/or
present contracts, work, jobs, that BIDDER/PROPOSER has performed of a type similar to that required
by specifications of the City's Bid or RFP with whom you have done business with in the past three (3)
years:
FIRM NAME/ADDRESS
IV\ \ 9~'~ \ l\<<d-
~15~ V\.Q; ,bL:N1.
'3.:3 13Z- (V\\ q"lM..\
CONTACT PERSON:~()Sl G-oslv\\\.
DESCRIPTION OF JOB ')
~I ctM ~vJL (,U~~ (/1 tt~'\Lt~~
"p,,\l N(\v\;\"\ ~;)\',^,-e
(~O /
PHONE NO.: 1r:6 ~ ~77'- 91'13
City of Sunny Isles Beach I Request for Proposal No, 12-01-05
FIRM NAME/ADDRESS DATE OF JOB
(I1t1~'tIJ{I~ ~ 1I12P1~
."..f..e. '0 (ll/6l.55/V h.,;"fiM
cfo ItV\.g trYt 5V'{'@,ei
CONTACT PERSON:4~...r €St'( Cl!r(,{fI~
DESCRIPTION OF JOB
till <(;;LtS 6'1 t'Jke-ls / MttS/C
e V /
PHONE NO.: 1 ~'t - 2LI3 - :3 7 s"tJ
FIRM NAME/ADDRESS DATE OF JOB DESCRIPTION OF JOB
&('<1.\ f4e-f &1iJLJJ- t/z?J-wt 1-< f( Se-(- tip tlbs"'~~-e.
COCOl-J ~t>~ !Zu:e-.5 / {p i'l f<-sf.
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CONTACT PERSON: S W2-(O
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PHONE NO.:
'3or;-tS-ct- /733
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City of Sunny Isles Beach I Request for Proposal No, 12-01-05
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
Addendum #1, Dated
Addendum #2, Dated
Addendum #3, Dated
Addendum #4, Dated
Addendum #5, Dated
Addendum #6, Dated
Addendum #7, Dated
Addendum #8, Dated
PART II:
D NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID
FIRM NAME:
AUTHORIZED SIGNATURE:
DATE:
TITLE OF OFFICER:
City of Sunny Isles Beach I Request for Proposal No. 12-01-05
BID SUBMITTAL FORM
Bid Title: Event Rides and Carnival Related Equipment Rental
The undersigned Proposers proposes and agrees, if this Bid is accepted, to enter into an agreement with
The City of Sunny Isles Beach and furnish all Work 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 Proposers accepts all of the terms and conditions of the Advertisement or Invitation to Bid and
Instructions to Proposers, including without limitation those dealing with the disposition of Bid Security,
This Bid will remain subject to acceptance for 90 days after the day of Bid opening, The Proposers
agrees to sign and submit the Agreement with the Bonds and other documents required by the Bidding
Requirements within ten days after the date of the City's Notice of Award.
In submitting this Bid, the Proposer represents, as more fully set forth in the Agreement, that:
· The Proposer has familiarized himself/herself with the nature and extent of the
Contract Documents, Work, site, locality, and all local conditions and Law and
Regulations that in any manner may affect cost, progress, performance, or
furnishing of the Work,
· The Proposer has given the City written notice of all conflicts, errors,
discrepancies that it has discovered in the Contract Documents and the written
resolution thereof by City is acceptable to the Proposer,
· This Bid is genuine and not made in the interest of or on behalf of any
undisclosed person, firm or corporation and is not submitted in conformity with
any agreement or rules of any group, association, organization, or corporation;
the Proposer has not directly or indirectly induced or solicited any other Proposer
to submit a false or sham Bid; the Proposer has not solicited or induced any
person, firm or corporation to refrain from Bidding; and Proposer has not sought
by collusion to obtain for itself any advantage over any other Proposers or over
the City,
The Proposer understands and agrees that the Bid is for unit prices to furnish and install individual Work
Items, complete in place, Estimates are provided for the purposes of Bid Evaluation and to establish unit
prices for individual Work Items 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:
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City of Sunny Isles Beach I Request for Proposal No. 12-01-05
23 '
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Street Address:
'5302-S
Mailing Address (if different):
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Telephone No. 5t?'-'; ~9rl6 - !g'ze Fax No. 15C( ,-312.- /OrJ;,s"
Email Address: ~v\o(.k @) c..I-\l\CU~ -bl>'''\FEIN No.1:Jk.-.2d.!tJ%J.7JJ2JlJ!j
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* "By signing this document the bidder agrees to all Terms
(Si nature of authorized agent)
Print Name: ~{Cvte.Vo C HfteUF S
Title: (? (e5,~f
THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF PROPOSER TO
BE BOUND BY THE TERMS OF ITS PROPOSAL. FAILURE TO SIGN THIS SOLICITATION WHERE
INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE PROPOSAL
NON-RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY
PROPOSAL THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE
PROPOSER TO THE TERMS OF ITS OFFER.
City of Sunny Isles Beach I Request for Proposal No. 12-01-05
INFERNO'S CHALLENGE MOBILE OBSTACLE COURSE
Developed by CEO, Mr. Ricky Charles, this challenge is ideal for the every day
person, the professional, or the athlete. The ultimate goal of inferno's
challenge is to have fun while jumping starting your fitness routine. As you
know, health care costs is steadily rising, which is impacting the financial
aspect of many organizations. This surreal mobile obstacle course is looking
to be considered for the city of sunny isles beach Hallandale.
BACKGROUND
A former theme park stuntman, performer with the Ringling brothers Barnum &
Bailey Circus; and the Miami heat group, event coordinator, Mr. Charles realized
that both children and adults were becoming more and more obese, because
they were not participating in any fitness programs.
'MY VISION WAS TO ENGAGE CHILDREN AND ADULTS IN A CHALLENGING YET
FUN PHYSICAL ENVIRONMENT, SO THEY CAN MASTER PHYSICAL SKILLS WHILE
BUll DING SELF ESTEEM,CONFIDENCE AND CHARACTER.'
I believe inferno's challenge mobile obstacle course is unique and is vital in the
fight against obesity and other diseases.
Sincerely,
Ricky Charles
Chief Executive Officer
INFERNO'S CHALLENGE MOBILE OBSTACLE COURSE
UNITS SOLD SEPERATELY FOR A PRICE OF $75/HR INCLUDE
A DELIVERY/GAS SURRCHARGE OF $150.00 IS WAIVED
A. B.I.G (basketball interactive game)
B. ALL TOYS ON WHEELS.
C. SLAM DUNK BOUNCE UNIT.
PACKAGE 1
FIRE STARTER INCLUDES (MINI OBSTACLE)B.I.G./SLAM
DUNK/TOYS/MUSIC/PRIZES. FOR THE CITY OF HALLANDALE $550/2HRS.
A DELIVERY/GAS SURRCHARGE OF $ 150.00 IS WAIVED
PACKAGE 2
BURNING INCLUDES (FULL OBSTACLE) B.I.G./SLAM
DUNK/TOYS/MUSIC/PRIZES. FOR THE CITY OF HALLANDALE $650/3hrs
A DELIVERY/GAS SURRCHARGE OF $150.00 IS WAIVED
PACKAGE 3
INFERNO INCLUDES (FULL OBSTACLE) B.I.G./SLAM DUNK/TOYS/MUSIC/PRIZES.
FOR THE CITY OF HALLANDALE $750/4HRS
A DELIVERY/GAS SURRCHARGE OF $150.00 IS WAIVED
PACKAGE 4
DUNK SHOW INCLUDES 3 PERFOMERS ON B.I.G'/MUSIC/PRIZES. FOR THE
CITY OF HALLANDALE $500/1HR
A DELIVERY/GAS SURRCHARGE OF $ 150.00 IS WAIVED
fA cORDNr.(GEBmIELE~'li~(EtIt'jI4.I.~S:I~ln;~ltm'I1.I~I;:: ':l~,~. ~ 11 DA~1~~~gYY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
McKinley Financial Services, Inc.
545 North Andrews Avenue
Fort Lauderdale, FL 33301
954.938.2685
tparke@mckinleylnsurance.com
COMPANY
A
Nautilus Insurance Co.
INSURED
Inferno Challenge
8861 SW 22nd Street
Miramar, FL 33025
COMPANY
B
COMPANY
C
COMPANY
o
,COVERAGES,,!,"~ ~ ~ 'be ""-f'~=~,""~......st-.....,.-.."~.Jft~~"'- ~~ DL..:..tml' ~
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 REaUIREMENT, 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,
CO
L TR TYPE OF INSURANCE
~ERAL LIABILITY
A X COMMERCIAL GENERAl LIABilITY
I CLAIMS MADE 00 OCCUR
I-- OWNER'S & CONTRACTOR'S PROT
INCLUDES ATHLETIC
I-- PARTICPANTS
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDlYYI DATE (MM/DDIYY)
NN103715
02/23/2011
0212312012
LIMITS
GENERAl AGGREGATE $
PROOUCTS.COMP/OP AGG $
PERSONAl & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone rlNl) $
MEO EXP (Anyone person) $
COMBINED SINGLE LIMIT $
2 000 000,00
Included
1.000,000.00
1,000,000.00
100,000,00
5,000.00
I AUTOMOBILE LIABILITY
I-- ANY AUTO
I-- ALL OWNED AUTOS
I-- SCHEDULED AUTOS
HIRED AUTOS
I-- NON.OWNED AUTOS
I--
THE PROPRIETOR!
PARTNERS,c)(ECUTIVE
OFF'CEIIS ARE'
RINCL
EXCL
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY.EAACCIDENT $
OTHER THAN AUTO ONLY,
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
I yvc STATU- I I ~m
TORYLIM,TS ER
EL EACH ACCIOENT $
EL OISEASE . POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
$
$
GARAGE LIABILITY
I--
I-- ANY AUTO
EXCESS LIABILITY
h UMBRELLA FORM
II OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
EMPLOYERS' lIABIUTY
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLESlSPECIAL ITEMS
Joe DiMaggio Children's Hospilal is named additional insured
l~~~q~1:.E;;HOl!DER, ,a;. _ _ ..._"
Joe DiMaggiO Children's Hospital
4320 Sheridan Street
Hollywood, FL 33021
" .; J,-'CANCEL.l!ATIONKd'" {j ".'.i~ ,)f
.. _..~...... .Ii ;~:~_.-...._-..... .. :a ..~~~~':.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION OATE THEREOF. THE ISSUING COMPANY WILL
ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE
HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
COMPANY I~GENl}l OR REPRESENTATIVES.
AUTHORIZED ~Pf~~NT"I~
James 9i (])raJ(fj l~,
is,,.,...........n ,!, '~"'''',..~ r~,'1 ~J_~~-r'i!J" <iI i~ ii"('i.1l1 1It@'ACORQ1CORP.ORATION.1988
'."",. -LO.ili<,~.:;.'.... ...._"~.....~'<I>-'l\..,J;!... i:tf,.'.I:fi _j.;l;b~..lfi.JJ;1iI! ~>II "', "" ~'~!I,:<\_ ....~ ,tf~,-..lIi!iIiIc .~"""""'_'~'''''~'. "" ~ "PO" .."",. ~'9c .0,'"
I
...' -' '....-~ ....,'" f,....'.-..,-,,- --!1l"P.t'~..
lACOR.P,~~~ (~!,~~).,,' ~ ~'~3""
i
.i~
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COMMERCIAL LINES POLICY - COMMON POLICY DECLARATIONS
NAUTILUS INSURANCE COMPANY
Scottsdale, Arizona
Transaction Type: New
Renewal of Policy #
Rewrite of Policy #
Cross Ref. Policy #
Policy No. NC950215
Inspection Ordered:
[Xl Yes 0 No
THIS INSURANCE IS ISSUED PURSUANT TO THE
FLORIDA SURPLUS LINES LAW. PERSONS
INSURED BY SURPLUS LINES CARRIERS DO NOT
HAVE THE PROTECTION OF THE FLORIDA
INSURANCE GUARANTY ACT TO THE EXTENT OF
ANY RIGHTOF RECOVERY FOR THE OBLIGATION
OF ANY INSOLVENT UNLICENSED INSURER.,
Named Insured and Mailing Address
(No., Street, Town or City, County, State, Zip Code)
INFERNO CHALLENGE
8861 S.W. 22ND STREET
MIRAMAR FL 33025-
Agent and Mailing Address Agency No. 00922 - 00
(No., Street, Town or City, County, State, Zip Code)
Gabor Insurance Services, Inc.
7270 NW 12th Street, Suite 700
Miami, FL 33126
NO FLAT CANCELLATION
Policy
Perioa: From 08/25/2009 to 08/25/2010 at 12:01 AM. Standard Time at your mailing address shown above.
Business Description: PERFORMS CIRCUS TYPE SHOWS FOR PA..t(TIES, ETC. Tax State ~
Form of Business: IX] Individual 0 Partnership 0 Joint Venture 0 Trust 0 Limited Liability Company (LLC)
o Organization, including a Corporation (but not including a Partnership, Joint Venture or LLC)
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO AlL THE TERMS OF THIS POLICY,
WE WILL PROVIDE YOU THE INSURANCE 5T ATtO IN THIS POLICY.
THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PAHTS FOR WrllCH A PREMIUM IS INDICATED.
THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. PREMIUM
Commercial General Liability Coverage Pare
$
$
$
$
$
$
1,000.00
Tax & Fee Schedule
POLICY FEE
INSPECTION FEE
SURPLUS LINES TAX
SERVICE FEE
FHCF FEE
TOTAL ADVANCE PREMIUM
35 . 00 Minimum & Deposit
75.00
55.50 TOTAL TAXES & FEES
1.12
11.10
1,177.72
1,000.00
s
$
177.72
$
TOTAL
Form(s) and Endorsement(s) made a part of this policy at time of issue:
Refer to Schedule of Forms and Endorsements.
Agent: Mckinley Financial /
Surplus Lines Agent: Ronald
License Number: A091647
Countersigned: Miami, FL
08/27/2009
James Drake
S. Gabor
--~~
Countersignature or Authorized Representative, wh'i'C'hever is applicable
By
MG
SF
THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE PART DECLARATIONS, COVERAGE PART COVERAGE
FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY,
I..._I....J........ __.........:_'"'......;.1 ..................:...1.....' I..........,..........,.. Cn..ui.....n... ("\f.Ji,..o In,.. \&,j+h it~ nQrrni~<:,inn