Fort Walton Beach Council agenda — 02-26-13--regular — reading text

d installation of 0.030" Polyethylene wrapping on 8" pilings from sea floor to one ( 1) foot ao 4 d above Mean High Water (MH W). Z 8A 1 LS Labor & Materials (w /o hardware) for the 39 e, installation of composite decking. g FT CIO, 2.2x, J TOTAL ALTERNATIVE BID ITEMS 411 NOTE 1 ALL ITEMS QUOTED MUST BE IN COMPLIANCE WITH HE SPECIFICATIONS. IF YOU ARE TAKING EXCEPTION, INDICATE THOSE EXCEPTIONS ON COMPANY LETTERHEAD AND ATTACH TO THIS INVITATION TO BID. Page 24 of 28  Ml to hoop Bu0slx3 to tuamaoeldab Eto-£ L all : ZOZZ) " out Bullowlu00 WODU - GIB EW- EI :Iuewtl* CIIV , n an v arn iu SECTION2. 1 BIDDER' S CERTIFICATION —rrB 13. 013 a I have carefully examined the Invitation to bid, Instructions to bidders, General and Special Conditions, Vendor' s Notes, Specifications, proposed agreement and any other documents accompanying or made a part of this Invitation. I hereby propose to furnish the goods or services specified in the Invitation at the prices or rates quoted in my bid. I. agree that my bid will remain fine for a period of up to ninety 90 days in order to allow the City adequate time to evaluate the bids. 1 certify that all information contained in this bid is truthful to the best of my knowledge and belief, I further certify that I am duly authorized to submit this bid on behalf of the vendor /contactor as its act and deed and that the vendor /contactor is ready, willing and able to perform if awarded the bid. I further certify that this bid is made without prior understanding, agreement, connection, discussion, or collusion with any other person, firm or corporation submitting a bid for the same product or service; no officer, employee or agent of the City of Fort Walton Beach or of any other bidder interested in said bid; and that the undersigned executed this bidder' s Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do so. NAME OF BUSINESS BY: ./ Signature Arl o NAME & TITLE (type or print) l/ MAILING ADDRESS C' o (7 O- , ' C/• 3 ? 2 a. CITY, STATE, ZIP CODE raa)I 639 - 636.5 TELEPHONE NUMBER a FAX NIJ DATE Page 5 of 28  M3 le 8004 6utlstx3 to luewooetdoU £ LO -EL 911: ZOZZ) out 6upOWIM00 WOW - 019 £ lO- Ei, :luauwy0eIIV , a a O M aOl a SECTION 2. 2 ADDENDUM PAGE – ITB 13 -013 a The undersigned acknowledges receipt of the following addenda to the Documents (Give number and date of each): Addendum No. Addendum No. Addendum No. Addendum No. FAILURE TO SUBMIT ACKNOWLEDGMENT OF ANY ADDENDUM THAT AFFECTS THE BID PRICES IS CONSIDERED A MAJOR IRREGULARITY AND WILL BE CAUSE FOR REJECTION OF THE BID. NAME OF BY: USINESSpp' 17 — A -M ' 7 l, Signature Z: 5 (D P vv- NAME & TITLE ( type or print) MAILING ADDRESS CITY, STATE, .ZIP CODE TELEPHONE NUMBER FAX DATE Page 6 of 28  Md le 4sop 6upsix3 to luawaoelda8 ELO- Et all: ZOZZ) ' oul 6ugoeA000 1149114 - 419 El0-£ t WOWL13e44V e Ma a SECTION 23 REFERENCES —ITS 13 -013 Ym a Bidder shall submit as a part of the bid package, four ( 4) business references with name of the business, address, contact person, and telephone number. All references shall be for similar work that has been performed within the last five (5) years. , l 1 REGARDING PROPOSER l BIDDER: r ^ { r . T'n;ri Tin dam. Name: Name: An fY S Cahn Contact: Contact: Address: Address: 5c. 6 onfi 1• C, FI Telephone: Telephone: Facsimile: Facsimile U- Gl. t4 Name: a c A10, 17V-0J Q. Name:'+ t rigyutr ar JO,, yt Contact: Contact: ot7fiv e i n l a,( I m Addres Address: P0 63X ood 0 5 c ootner r. onivP rt e 3 1( o h v- r t i 51ann - l. 3a Telephone: Telephone: 3•; l 305- 3 A-o1 aV ant _ o3s Facsimile: Facsimile 1 - -» 3 Page 7 of 28  Md Is Hoop BuilsIx3 to luawaoeldoa Elo- Et H11 : ZOZZ) - out Bupoejiu00 VY9VY - 019 EtO -EI 7u8wg3eIIV as a v a SECTION 2. 5 DRUG-FREE WORKPLACE FORM Yn o. The undersigned vendor, on Fe ln ! b 2013, in accordance with Section Florida Statutes, certifies that [ business) 287. 087, MGM Ga. rir r/ ra - GnG. 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 of drug abuse in the workplace, the business's 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 dmg 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 of any conviction of, or plea of guilty or note contenders 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 -fine workplace through implementation of Paragraphs I through 5. Check As the person authorized to sign this statement, I certify that this fine 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 BUSINE.SSS- - BY: / SIGNATURE