Fort Walton Beach Council agenda — 01-26-2010 Regular — reading text

within the proposal documents. 20. INSURANCE A successful proposer must provide evidence of insurance coverage, to be specified in the Contract and delivered at the time ofexecution ofthe Contract, which is equal or exceeds the City' s minimum standards for this type of service. As outlined below, such insurance shall be written by a company licensed to do business in the State of Florida and have an A.M. best rating ofat least A -. a. WORKERS COMPENSATION Coverage A - To be in conformity with Florida Statues Coverage B - $ 500,0001$ 500, 0001$ 500, 000 b. COMMERCIAL GENERAL LIABILITY Each occurrence for: Bodily Injury/Property Damage $ 1, 000,000 Products /Completed Operations $ 1, 000,000 c. ANNUAL AGGREGATE FOR Bodily Injury /Property Damage $ 2, 000,000 Products /Completed Operations $ 2, 000,000 Page 16 142-  All coverage above shall include the following provisions: the City of Fort Walton Beach shall'be an additional insured; the policy shall not be cancelled unless the City is given at least thirty 3 0) days advanced notice; contractual liability; and any coverage' s which are eliminated, restricted or reduced to less than what is commonly provided by standard I.S. O. forms must be indicated. d. COMMERCIAL-AUTOMOBILE LIABILITY Combined single limit for bodily injury and/or property damage $ 1, 000, 000. This coverage shall include the following provisions: the City of Fort Walton Beach shall be an additional insured; the policy shall not be cancelled unless the City is given at least thirty 30) days advanced notice; contractual liability; any coverage' s which are eliminated, restricted or reduced to less than what is commonly provided by standard I.S. O. forms must be indicated; and symbol " 2" ( Any Auto) or the equivalent shall be used to designate which autos are insured. e. PROFESSIONAL LIABILITY The Contractor shall carry professional liability insurance in an amount of not less than $ 500, 000.00. 21. PERFORMANCE BOND The Contractor will execute and deliver to the City, with the contract, a Performance Bond, or Unconditional Irrevocable Letter of Credit payable to the City, in the face amount equal to the value of the contract as surety for faithful performance under the terms and conditions of the Contract. If the Bond is on an annual coverage basis, renewal of each succeeding year shall be submitted to the City thirty ( 30) days prior to the termination date of the existing Bond. The Performance Bond must be executed by a surety company of recognized standing, authorized to do business in the State of Florida, and having a resident agent. Ifa letter ofcredit is chosen, it must be in a form acceptable to the City, drawn on a bank acceptable to the City, and issued in favor of the City. Page 17 143-  STANDARD FORMS THE FORMS LISTED BELOW ARE TO BE COMPLETED AND SUBMITTED WITH YOUR PROPOSAL, AND ARE ATTACHED HEREWITH: 1. PROPOSER' S CERTIFICATION 2. ADDENDUM PAGE 3. DRUG FREE WORKPLACE 4. PUBLIC ENTITY CRIME FORM NOTE: PLEASE ENSURE THAT ALL OF THESE DOCUMENTS ARE COMPLETED AND SUBMITTED WITH YOUR PROPOSAL. FAILURE TO DO SO MAY RESULT IN YOUR PROPOSAL NOT BEING CONSIDERED FOR AWARD. Page 18 144-  PROPOSER' S CERTIFICATION (RFO 10 -002) I have carefully examined the Request for Proposal, Instructions to Proposers, General and/ or Special Conditions, Vendor's Notes, Specifications, proposed agreement and any other documents accompanying or made a part of this Request for Proposal. I hereby propose to furnish the goods or services specified in the Request for Proposal at the prices or rates quoted in my proposal. I agree that my proposal will remain firm for a period of up to nine 90 days in order to allow the City adequate time to evaluate the proposals. I agree to abide by all conditions of this proposal. I certify that all information contained in this proposal is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit this proposal on behalf of the vendor /contractor as its act and deed.and that the vendor /contractor is ready, willing and able to perform ifawarded the contract. I further certify, under oath, that this proposal is made without prior understanding, agreement, connection, discussion, or collusion with any other person, firm or corporation submitting a proposal for the same product or service; no officer, employee or agent of the City of Fort Walton Beach or of any other proposer interested in said proposal; and that the undersigned executed this Proposer's Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do so. NAME OF BUSINESS: BY: SIGNATURE NAME & TITLE, TYPED OR PRINTED: MAILING ADDRESS: CITY, STATE, ZIP CODE: TELEPHONE NUMBER: FAX NUMBER: State of County of Acknowledged and subscribed before me on the day of , 2009, by , as the of [business] Signature of Notary Notary Public, State of Personally Known OR- Produced Identification of Page 19 145-  ADDENDUM PAGE The undersigned acknowledges receipt of the following addenda to the Documents ( Give number and date of each): Addendum No. Dated: Addendum No. Dated: Addendum No. Dated: Addendum, No. Dated: Addendum No. Dated: FAILURE TO SUBMIT ACKNOWLEDGMENT OF ANY ADDENDUM THAT AFFECTS TEE PROPOSAL PRICES IS CONSIDERED A MAJOR IRREGULARITY AND WILL BE CAUSE FOR REJECTION OF THE PROPOSAL. NAME OF BUSINESS: SIGNATURE NAME & TITLE, TYPED OR PRINTED: Page 20 146-  DRUG -FREE WORKPLACE FORM The undersigned vendor, on , 2009, in accordance with section 287.087, Florida Statutes, certifies that [ business] does: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers ofdrug abuse in the workplace, the business' policy of maintaining a drug -free workplace, any available drug counseling, rehabilitation, employee assistance programs and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in Paragraph 1. 4. In the statement specified in Paragraph 1, notify the employees that, as a condition of working on' the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer ofany conviction of,or plea of guilty or nolo contendere to, any violation of Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in a drug assistance or rehabilitation program-if such is available in the employee's community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug -free workplace. through implementation of Paragraphs 1 through 5. Check ong: As the person authorized to sign this statement; I certify that this firm complies fully with above requirements. As the person authorized to sign this statement; this firm does not comply fully with the above requirements. NAME OF BUSINESS: lv SIGNATURE NAME & TITLE, TYPED OR PRINTED: Page 21 147-  PUBLIC ENTITY CRIME FORM REQUEST FOR QUALIFICATIONS (RFQ) NO. 10 -002 CITY OF FT. W,4L?'ON BEACH PRE -QUALIFICATION FOR GENERAL CONSULTING SERVICES SWORN STATEMENT UNDER SECTION 287.133 ( 3) ( A) FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted with Bid, Proposal or Contract 2. This sworn statement is submitted whose business address is and (if applicable) Federal Employer Identification Number ( FEIN) is ( if the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: 3. My name is. and my relationship to the entity named above is 4. 1 understand that a " public entity crime" as defined in Paragraph 287. 133( a)( g). Florid 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 ofany 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 any 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. 5. 1 understand that "convicted" or "conviction" as defined in paragraph 287. 133( a)( b), Florida Statutes, means finding of guilt or a conviction ofa public entity crime with or without an adjudication of guilt, in any federal or state trial court of records 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. 6. 1 understand that an " affiliate" as defined in Paragraph 287. 133( 1)( a), Florida Statutes, means: