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Okaloosa County BOCC — April 5, 2016 — 2016 Solid Waste Procurement - FINAL — reading text
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[Note: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure or fails to file or
amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such expenditure or failure.]
The Contractor, ___________________, certifies or affirms the truthfulness and accuracy of each statement of its
certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C.
A 3801, et seq., apply to this certification and disclosure, if any.
__________________________ Signature of Contractor's Authorized Official
__________________________ Name and Title of Contractor's Authorized Official
__________________________ Date
RFP Page - 33 OKALOOSA COUNTY
Okaloosa County Solid Waste & Recyclables Collection, Transfer, and Processing/Disposal
RFP# XXXXXX
RANKING SHEET
Qualifications Respondent Name
Technical Proposal (0-35)
Project Organization
Collection Services
Transfer Station Operations
Solid Waste Processing &
Disposal
Qualifications and References
(0-15)
Company Qualifications
Personnel Qualifications
Collection Service
Performance
Transfer Station Operations
Solid Waste & Disposal
Performance History
Financial Capability
Previous Experience in
Okaloosa County
Financial Proposal (0-45)
Waste Diversion Proposal (0-5)
Total (100 point scale)
COMMITTEE MEMBER (Print): Date:
SIGNATURE
RFP Page - 34 OKALOOSA COUNTY
Okaloosa County Solid Waste & Recyclables Collection, Transfer, and Processing/Disposal
RFP# XXXXXX
Form A – Collection Service References
Proposer shall complete and submit this form in conjunction with any other relevant material.
COLLECTION SERVICE – REFERENCE #1
Municipality/County:
Contact (Name/Title):
Contact Address:
Contact Phone: ( ) Contact Email:
Term of Current Contract: Start Date: End Date:
Residential Collection Service Provided:
Services Type of Frequency of Collection
Number of Automated
Provided Type of Service Service (U/S) Collection? 1x per 2x per
(check all (U =Universal; Units Serviced Other
that apply) S =Subscription)
(check if yes) week week
□ Solid Waste □
□ Recycling □
□ Yard Waste □
□ Bulk Waste n/a
Commercial Collection Service Provided:
Number of commercial Municipal Solid Waste (MSW) customers:
Roll-off compactor/open top container service provided: □ YES □ NO
Commercial recycling collection provided: □ YES □ NO
Technology:
Is service verification via RFID included in the services provided? □ YES □ NO
Is asset management included in the service provided? □ YES □ NO
Other relevant information:
RFP Page - 35 OKALOOSA COUNTY
Okaloosa County Solid Waste & Recyclables Collection, Transfer, and Processing/Disposal
RFP# XXXXXX
COLLECTION SERVICE – REFERENCE #2
Municipality/County:
Contact (Name/Title):
Contact Address:
Contact Phone: ( ) Contact Email:
Term of Current Contract: Start Date: End Date:
Residential Collection Service Provided:
Services Type of Frequency of Collection
Automated
Provided Service (U/S) Number of
Type of Service Collection? 1x per 2x per
(check all (U =Universal; Units Serviced Other
(check if yes) week week
that apply) S =Subscription)
□ Solid Waste □
□ Recycling □
□ Yard Waste □
□ Bulk Waste n/a
Commercial Collection Service Provided:
Number of commercial Municipal Solid Waste (MSW) customers:
Roll-off compactor/open top container service provided: □ YES □ NO
Commercial recycling collection provided: □ YES □ NO
Technology:
Is service verification via RFID included in the services provided? □ YES □ NO
Is asset management included in the service provided? □ YES □ NO
Other relevant information:
RFP Page - 36 OKALOOSA COUNTY
Okaloosa County Solid Waste & Recyclables Collection, Transfer, and Processing/Disposal
RFP# XXXXXX
COLLECTION SERVICE – REFERENCE #3
Municipality/County:
Contact (Name/Title):
Contact Address:
Contact Phone: ( ) Contact Email:
Term of Current Contract: Start Date: End Date:
Residential Collection Service Provided:
Services Type of Frequency of Collection
Automated
Provided Service (U/S) Number of
Type of Service Collection? 1x per 2x per
(check all (U =Universal; Units Serviced Other
(check if yes) week week
that apply) S =Subscription)
□ Solid Waste □
□ Recycling □
□ Yard Waste □
□ Bulk Waste n/a
Commercial Collection Service Provided:
Number of commercial Municipal Solid Waste (MSW) customers:
Roll-off compactor/open top container service provided: □ YES □ NO
Commercial recycling collection provided: □ YES □ NO
Technology:
Is service verification via RFID included in the services provided? □ YES □ NO
Is asset management included in the service provided? □ YES □ NO
Other relevant information:
RFP Page - 37 OKALOOSA COUNTY
Okaloosa County Solid Waste & Recyclables Collection, Transfer, and Processing/Disposal
RFP# XXXXXX
COLLECTION SERVICE – REFERENCE #4
Municipality/County:
Contact (Name/Title):
Contact Address:
Contact Phone: ( ) Contact Email:
Term of Current Contract: Start Date: End Date:
Residential Collection Service Provided:
Services Type of Frequency of Collection
Automated
Provided Service (U/S) Number of
Type of Service Collection? 1x per 2x per
(check all (U =Universal; Units Serviced Other
(check if yes) week week
that apply) S =Subscription)
□ Solid Waste □
□ Recycling □
□ Yard Waste □
□ Bulk Waste n/a
Commercial Collection Service Provided:
Number of commercial Municipal Solid Waste (MSW) customers:
Roll-off compactor/open top container service provided: □ YES □ NO
Commercial recycling collection provided: □ YES □ NO
Technology:
Is service verification via RFID included in the services provided? □ YES □ NO
Is asset management included in the service provided? □ YES □ NO
Other relevant information:
RFP Page - 38 OKALOOSA COUNTY
Okaloosa County Solid Waste & Recyclables Collection, Transfer, and Processing/Disposal
RFP# XXXXXX
Form B – Transfer Station Operations References
Proposer shall complete and submit this form in conjunction with any other relevant material.
TRANSFER STATION OPERATIONS – REFERENCE #1
Municipality/County:
Contact (Name/Title):
Contact Address:
Contact Phone: ( ) Contact Email:
Term of Current Contract: Start Date: End Date:
Types of Materials Handled:
Average Daily Throughput (Tons per day):
Transfer Station Operation Activities Provided:
TRANSFER STATION OPERATIONS – REFERENCE #2
Municipality/County:
Contact (Name/Title):
Contact Address:
Contact Phone: ( ) Contact Email:
Term of Current Contract: Start Date: End Date:
Types of Materials Handled:
Average Daily Throughput (Tons per day):
Transfer Station Operation
