Okaloosa County BOCC — October 15, 2013 — Request for Approval to Adv RFP General Eng Services_Internal Coor Sheet_RFP — reading text

County Commissioners, the County Administrator or members of the Board Approved Review Committee. All questions or requests for information regarding the solicitation must be directed to the designated Purchasing Representative listed in the solicitation, Any information thought to affect the committee or staff recommendation submitted after bids are due, should be directed to the Purchasing Director or his appointed representative. It shall be the Purchasing Director’s decision whether to consider this information in the decision process. Any attempt by a vendor/proposer to influence a member or members of the aforementioned shall be grounds to disqualify the proposer from consideration during the selection process. All proposers must agree to comply with this policy by signing the following statement and including it with their submittal. I representing Signature Company Name Hereby agree to abide by the County’s “No Contact Clause” and understand violation of this policy shall result in disqualification of my proposal/submittal. Last Revised — 03/02/2009 di FEDERAL E-VERIFY COMPLIANCE CERTIFICATION In accordance with Okaloosa County Policy and Executive Order Number 11-116 from the office of the Governor if the State of Florida, Proposer hereby certifies that the U.S. Department of Homeland Security’s E-Verify system will be used to verify the employment eligibility of all new employees hired by the contractor during the contract term, and shall expressly require any subcontractors performing work or providing services pursuant to the contact to likewise utilize the U.S. Department of Homeland Securities E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract term; and shall provide documentation such verification to the COUNTY upon request. As the person authorized to sign this statement, I certify that this company complies/will comply fully with the above requirements. “ DATE: SIGNATURE: COMPANY: NAME: ADDRESS: TITLE: E-MAIL: PHONE NO.: Last Revised ~ 03/02/2009 12 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all bidders/proposers, must disclose if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), of if any of its agencies is also an owner, corporate officer, agency, employee, etc., of their business. Indicate either “yes” (a county employee, elected official, or agency is also associated with your business), or “no”. If yes, give person(s) name(s) and position(s) with your business. YES NO NAME(S) POSITION(S) FIRM NAME: BY (PRINTED): BY (SIGNATURE): TITLE: ADDRESS: PHONE NO. Last Revised — 03/02/2009 13 DRUG-FREE WORKPLACE CERTIFICATION THE BELOW SIGNED BIDDER CERTIFIES that it has implemented a drug-free workplace program. In order to have a drug-free workplace program, a business shall: 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. 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 and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. Give each employee engaged in providing the commodities or contractual services that are under quote a copy of the statement specified in subsection 1. In the statement specified in subsection 1, notify the employees that, as a condition of working on the commodities or contractual services that are under quote, 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. Impose a sanction on, or require the satisfactory participation in, drug abuse assistance or rehabilitation program if such is available in employee’s community, by any employee who is convicted. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign this statement, I certify that this firm complies fully with the above requirements. DATE: SIGNATURE: COMPANY: NAME: (Typed or Printed) ADDRESS: TITLE: PHONE NO.: Last Revised — 03/02/2009 14 INDEMNIFICATION AND HOLD HARMLESS To the fullest extent permitted by law, CONTRACTOR shall indemnify and hold harmless COUNTY, its officers and employees from liabilities, damages, losses, and costs including but not limited to reasonable attorney fees, to the extent caused by the negligence, recklessness, or intentional wrongful conduct of the CONTRACTOR and other persons employed or utilized by the CONTRACTOR in the performance of this Agreement. Bidder’s Company Name Authorized Signature — Manual Physical Address Authorized Signature — Typed Mailing Address Title Phone Number FAX Number Cellular Number After-Hours Number(s) DATE (REVISED: January 27, 2009) Last Revised — 08/20/2013 15 NOTICE TO PROCEED DATE: TO: PROJECT: You are hereby notified to commence WORK in accordance with the Agreement dated , 2010, on or before , and you are to complete the WORK within . The date of completion of all WORK is therefore Tn case of failure on the part of the CONTRACTOR to complete the work within the time(s) specified in the contract, or within such additional time(s) as may be granted by Okaloosa County, the County will suffer damage, the amount of which is difficult, if mot impossible, to ascertain. Therefore the CONTRACTOR shall pay to the COUNTY, as liquidated damages, the sum of $ for each calendar day of delay that actual completion extends beyond the time limit specified until such reasonable time as may be required for final completion of the work. In no way shall costs for liquidated damages be construed as penalty on the CONTRACTOR. You are required to return an acknowledged copy of this NOTICE TO PROCEED to the OWNER: Okaloosa County Purchasing, 602-C North Pearl St, Crestview, FL 32536. OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS OWNER BY: Richard L. Brannon TITLE: Purchasing Director ACCEPTANCE OF NOTICE Receipt of the above NOTICE TO PROCEED is hereby acknowledged. Company Name This the day of , 2013 Signature By: Type or Print Name Title: Last Revised — 08/20/2013 16 NOTICE OF AWARD TO: PROJECT DESCRIPTION: The OWNER has considered the BID submitted by you for the above-described WORK in response to its Advertisement for Bids dated and Information for Bidders. You are hereby notified that your BID has been accepted for items in the amounts of $ You are required by the Instructions to Bidders to execute the Agreement and furnish the required CONTRACTOR'S Performance Bond, Payment Bond, and Certificates of Insurance within fifteen (15) calendar days from the date of this notice to you. If you fail to execute said Agreement and to furnish said bonds within fifteen (15) calendar days from the date of this notice, said OWNER will be entitled to consider all your rights arising out of the OWNER’s acceptance of your BID as abandoned and as a forfeiture of your BID Bond. The OWNER will be entitled to such other rights as may be granted by law. You are required to return an acknowledged copy of this NOTICE OF AWARD to the OWNER: Okaloosa County Purchasing, 602-C North Pearl St., Crestview, FL 32536. If you have any questions, please cail Jack Allen at 850-689-5960, Dated this day of , 2013, OWNER — OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS BY: TITLE Purchasing Director Richard L Brannon ACCEPTANCE OF NOTICE Receipt of the above NOTICE OF AWARD is hereby acknowledged. BY: This the day of , 2013, BY: Title: Last Revised ~ 08/20/2013 17 “SAMPLE” AGREEMENT FOR PROFESSIONAL ARCHITECTURAL, ENGINEERING AND AVIATION PLANNING SERVICES Between the OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS and [NAME] THIS AGREEMENT for professional architectural, engineering, and aviation planning services (the “Agreement”), is made and entered into as of the day of , 20___, by and between the Okaloosa County Board of County Commissioners, a public and governmental body existing under and by virtue of the laws of the State of Florida with a business address at 101 East James Lee Boulevard, Crestview, Florida 32536 (hereinafter referred to as “COUNTY"), and [Name], a [state] corporation with a business address at [address, city, state, zip] (hereinafter referred to as “CONSULTANT’). WITNESSETH: © WHEREAS, the COUNTY desires to employ the services of the CONSULTANT to provide professional architectural, engineering, and aviation planning services for the Okaloosa County Airports System, and WHEREAS, the CONSULTANT has stated that it is qualified, willing and able to perform the professional architectural, engineering, and aviation planning services required on the terms and conditions hereinafter set forth, and WHEREAS, the COUNTY has given public notice of the professional architectural, engineering, and aviation planning services to be considered pursuant to this Agreement, and WHEREAS, the selection of the CONSULTANT has been made in accordance with the provisions of FAA Advisory Circular 150/5100-14C, 49 CFR Part 18 and the Consultant's Competitive Negotiation Act, Section 287.055, Florida Statutes, NOW, THEREFORE, in consideration of the mutual premises and covenants herein set forth, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows: ARTICLE 1: BASIC SERVICES Last Revised ~ 08/20/2013 18 1.1. The Basic Services of the CONSULTANT required under this Agreement by the COUNTY shall be described in separately authorized Task Orders (the “Services”), A sample Task Order is provided in Exhibit 1 attached hereto. 1.2. Task Orders shall specify the Task Description/Scope of Services, Task Schedule, Task Deliverables, Compensation, and special provisions, if applicable. The CONSULTANT and the Services rendered by the CONSULTANT shall follow and conform to the Scope of Services and special provisions of each Task Order. Compensation shall be limited to the amount as mutually agreed upon by the CONSULTANT and COUNTY and shall be subject to approval by the Federal Aviation Administration for federally funded work and the Florida Department of Transportation for state-funded work, as applicable. The CONSULTANT’s Services will be paid for by the COUNTY for Services under each authorized Task Order as indicated in Article 7 hereof. The CONSULTANT shall, at its own expense, obtain all data and information (other than that referred to in Article 3 hereof) necessary for the performance of its Services. The COUNTY makes no guarantee as to the amount or type of projects that will be assigned. Projects will be assigned at the sole discretion of the COUNTY. No work will commence until a fully executed Task Order is received by the CONSULTANT. 1.3. Professional services may include but not be limited to: architectural services; engineering studies; surveys; geotechnical investigations; engineering design; preparation of plans, specifications and contract documents; preparation of cost estimates; federal, state and local governmental agency permits (fees to be provided by COUNTY); construction inspections; construction management; contract administration; project completion certifications and record drawings as may be required; presentations to the Board of County Commissioners and the general public; appraisal and assistance in acquisition; assistance in identifying and