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Fort Walton Beach Council agenda — 12-24-2010 Regular — reading text
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8. 3.b
INSTRUCTIONS FOR SUBMITTING BID RESPONSE FOR ITB 11 -004:
1. Bidders are expected to examine this bid form and all instructions. Failure to do so will be at the
bidder's risk.
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2. All prices and notations must be in ink or typewritten. No erasures are permitted. Mistakes may
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be crossed out and corrections typed adjacent and must be initialed and dated in ink by person signing U
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bid. All bids must be signed with the firm name and by a responsible officer or employee.
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3. Each bidder shall furnish all the information required on the bid form and each accompanying 0
sheet on which he /she makes an entry. 0
4. Unit price for each unit bid shall be shown. A total shall be entered in the amount column for
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each item bid. In case of discrepancy between a unit price and extended price, the unit prices will be
presumed to be correct.
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5. Bidders must submit with their bids, pricing responses on the forms provided.
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6. Persons with disabilities needing a special accommodation to participate in this invitation to bid z
should contact the City Clerk, 107 Miracle Strip Parkway, Fort Walton Beach, Florida 32548, ( 850) 833- m
9509, at least seven days before the date the accommodation is necessary.
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BID CHECKLIST: Bidders are cautioned to assemble the bid packet using this check list.
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Invitation to Bid Cover Sheet with Total Amount Bid Stated On It
Signed Bidder's Certification Page ti
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Addendum Page v
References Completed
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Drug Free Workplace Form J
Invitation to Bid Pricing Form W
Bid Envelope Prepared as Specified —Clearly Labeled and Properly Delivered
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SPECIAL ITEMS ( APPLICABLE TO THIS BID ONLY): LL
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Insurance ( See Special Conditions)
Vendor Questionnaire O
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NOTE: PLEASE ENSURE THAT ALL DOCUMENTS ARE COMPLETED AND SUBMITTED
WITH YOUR BID IN ACCORDANCE WITH THIS INSTRUCTION SHEET. FAILURE TO DO SO MAY 0
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RESULT IN YOUR BID NOT BEING CONSIDERED FOR AWARD.
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8. 3.b -]
BIDDER' S CERTIFICATION
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.
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I hereby propose to furnish the goods or services specified in the Invitation at the prices or rates quoted U
in my bid. I agree that my bid will remain firm for a period of up to sixty 60 days in order to allow the L
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City adequate time to evaluate the bids. a
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I certify that all information contained in this bid is truthful to the best of my knowledge and belief. 4-
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further certify that I am duly authorized to submit this bid on behalf of the vendor /contractor as its act
and deed and that the vendor /contractor is ready, willing and able to perform if awarded the bid. 0
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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 0
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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 Ir-
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the matters therein contained and was duly authorized to do so. Z
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NAME OF BUSINESS 0
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BY: 3
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Signature
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NAME & TITLE ( type or print)
MAILING ADDRESS
CITY, STATE, ZIP CODE
TELEPHONE NUMBER
FAX NUMBER
DATE
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Packet Pg. 26
8. 3. b
ADDENDUM PAGE
The undersigned acknowledges receipt of the following addenda to the Documents ( Give number and
date of each):
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Addendum No. Dated ° U
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Addendum No. Dated
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Addendum No. Dated
