Fort Walton Beach Council agenda — 09-13-11 regular — reading text

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 firm for a period of up to nine[ 0 days in order to allow the City adequate time to evaluate the bids. I 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 c/ ontractor as its act and deed and that the vendor /contractor 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 bidders Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do so. NAME OF BUSINESS Signature TITLE (type or print) MAILING ADDRESS CITY, STATE, ZIP CODE 1 TELEPHONE NUMBER FAX NUMBER DA'1' B Page 5 of 27  tuawdmbs Bu[jotiuoyy mold lZ0- tt 811 O£ bt) 3uawnooa pis LZO- tl 811 auawyoetty Em a a ADDENDUM PAGE ITB 11. 021 o.N 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 BUSINESS BY: Signature NAME & TITLE (type or print) MAILING ADDRESS CITY, STATE, ZIP CODE TELEPHONE NUMBER 1 FAX NUMBER DATE Page 6 of 27  luawdlnb3 BupouuoW mold lZ0- ll all: Oe") luawmod pig LZO- ll all quawyaelly Aam a REFERENCES a N 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 product that has been delivered within the last five (5) years. REGARDING PROPOSER/ Name: Name: Contact: Contact: Address: Address: Telephone: Telephone: Facsimile: Facsimile Name: Name: Contact: Contact: Address: Address: Telephone: Telephone: Facsimile: Facsimile Page 7 of 27  luawdlnba 6ulr01lu0W Mold [ ZO- tt all: o£ bt) luawn000 p! 9 tZo- tt all wounloeuv a( a va am ap, m NO BID" RESPONSE TO INVITATION TO BID aw IF YOU ARE NOT SUBMITTING A BID, PLEASE PROVIDE THE INFORMATION BELOW AND RETURN THIS FORM BEFORE THE SCHEDULED BID OPENING DATE TO: Purchasing Agent City of Fort Walton Beach 105 Miracle Strip Pkwy, SW Fort Walton Beach, F132548 Or by fax to ( 850) 833 -9643 FAILURE TO RESPOND TO THREE (3) CONSECUTIVE BIDS MAY RESULT IN YOUR COMPANY BEING DELETED FROM THE CITY' S BIDDER' S LIST. We have received your invitation to bid for PURCHASE OF 10 ( TEN) FLOW MONITORS, ACCESSORIES, SOFTWARE & TRAINING, ITB No. 11 -021, Opening at 2: 30 PM CST, on August 23, 2011. Reason for not bidding: L3 Signature Name & Title (type or print) Company Name Page 8 of 27  4uawdlnb3 6u1J011u0ty Mold iZO- il 811: 0£ 6i) luawnooa pnd iZ0- Il 811 auawgael1v a6 e ao a aaYum Drug -Free Workplace Form The undersigned vendor, on 2011, 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 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 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 of any 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 saaction 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 one: 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: 10 SIGNATURE NAME & TITLE, TYPED OR PRINTED: Page 9 of 27  luawdinb3 6u1ro11uoty Mold tZo- tt 911 : OEvi) luawnooO p19 tZ0- tt 811 7uawyoe1lV a w a GENERAL CONDITIONS ua ary I. EXECUTION OF BID: Bid must contain a manual signature of an authorized representative in the space provided. Florida law requires that when a municipality enters into a contractual agreement with a corporation licensed to do business in the State of Florida, such agreement shall be signed by two ( 2) Corporate Officials (i.e., President, Vice President, Secretary, Treasurer) with the corporate seal affixed. It is also required that such execution be acknowledged before a Notary Public with Notary Seal affixed. If neither the aforementioned corporate officers nor the corporate seal are readily available, a letter of authorization can be submitted in lieu of these requirements. Such letter of authorization must be on the corporate stationery, must clearly state that the person who signed the referenced agreement is duly authorized to enter into such agreement on behalf of the corporation and must be signed by the corporate officials designated above. Failure to submit letter of authorization within two ( 2) weeks after notification of award may result in award to the next apparent low bidder. 1. 1 In the case of a partnership, the agreement must be signed by a general or managing partner and notarized as outlined above. 1. 2 In the case of a sole proprietorship, the owner must sign the agreement and have such execution notarized. 1. 3 If you have any questions regarding the execution of the signature page, please feel free to contact the Purchasing Division at ( 850) 833 -9523 for further clarification. 2. SUBMITTAL OF BIDS: Bids shall be submitted utilizing the bid form( s) provided by the City. All bids shall be properly executed with all blank spaces filled in. The signatures of all persons signing shall be in longhand. Erasures, interfineations, or other corrections shall be authenticated by affixing in the margin immediately opposite the correction the initials of a person signing the bid. If the unit price and the total amount named by a hidder for anv item are nnr t., 3. AMENDMENT OF THE INVITATION TO BID: It is the bidder' s responsibility to contact the Purchasing Department prior to submitting a bid to ascertain if any addenda have been issued, to obtain all such addenda, and return executed addenda with the bid (or complete and sign addenda acknowledgement form.) The failure of a bidder to submit acknowledgment of any addenda that affects the bid price(s), is considered a major irregularity