Okaloosa County BOCC — February 18, 2014 — Network Cabling Service — reading text

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 yo ur business. YES NO_X NAME(S) POSITION(S) FIRM NAME: Network Cabling Services, Inc. BY (PRINTED): Jeffl. Carter BY (SIGNATURE): Y i TITLE: Owner! Ly ADDRESS: 365 College Drive ~ 101 Middleburg, Florida 32068 PHONE NO. 904-298-3803 E-MAIL jcarter@ncscabling.com DATE 12/03/2013 DRUG-FREE WORKPLACE CERTIFICATION THE BELOW SIGNED PROPOSER 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: 42/03/2013 SIGNATURE: L- COMPANY: Network Cabling Services, Inc. NAME: Jeff l. Carter (Typed or Printed) ADDRESS: 365 College Drive ~101 TITLE: Owner/CFO Middleburg, Florida 32068 E-MAIL: jcarter@ncscabling.com PHONE NO.: 904-298-3803 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. Network Cabling Services, Inc. Uf - Proposer’s Company Name Authorizéd Signature — Manual 365 College Drive ~ 101 Middleburg, Fl 32068 Jeff L. Carter Physical Address Authorized Signature ~ Typed Owner/CFO Mailing Address Title 904-298-3803 904-298-3805 Phone Number FAX Number Cellular Number After-Hours Number(s) 12/03/2013 DATE (REVISED: JANUARY 12, 2001) FEDERAL E-VERIFY COMPLIANCE CERTIFICATION In accordance with Okaloosa County Policy and Executive Order Number 11-116 from the office of the Governor of 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 contract to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract term; and shall provide documentation of 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: 12/03/2013 SIGNATURE: ful COMPANY: Network Cabling Services, Inc. NAME: Jeff L. Carter (Typed or Printed) ADDRESS: 365 College Drive ~ 101 TITLE: Owner/CFO Middleburg, Florida 32068 E-MAIL: jcarter@ncscabling.com PHONE NO.: 904-298-3803 BID SHEET Bid #: IS 17-14 BID ITEM: NETWORK CABLING & REPAIR BID PRICE PER HOUR: $_40.00 CATEGORY 5e: $40.00 CATEGORY 6 OR BETTER: $_40.00 FIBER OPTIC: $_40.00 ANTI-COLLUSION STATEMENT: The below signed bidder has not divulged to, discussed or compared his bid with other bidders and has not colluded with any other bidder or parties to bid whatever. Note: No premiums, rebates, or gratuities permitted either with, prior to, or after any delivery of materials. Any such violation will result in the cancellation and/or return of material (as applicable) and the removal from bid list(s). Network Cabling Services, Inc. MY — Bidder’s Company Name Authorize ignature ~ Manual Jeff L. Carter Authorized Signature — Typed 7018 Pine Forest Road ~ Pensacola, Florida 32526 Owner/CFo Address Title 850-941-4200 850-941-4201 Phone # Fax # 59-3097885 Federal ID # or SS # CONTRACT This agreement, executed in Crestview, Florida this 4th day of December 2013 between the County of Okaloosa, Florida, the Owner, hereinafter called the Party of the First Part, and Network Cabling Services, Inc. or its successors, executors, administrators and assigns, hereinafter called the Party of the Second Part. WITNESSETH: That for and in consideration of payments, hereinafter mentioned, to be made by the Party of the First Part, the Party of the Second Part agrees to furnish all equipment, machinery, tools and labor; to furnish and deliver all materials required to be furnished and delivered in and about the improvement and to do and perform all work related to network cabling & repair as per attached Bid #IS 17-14 for a price of $_40.00 per hour in strict conformity with the provisions of this Contract, the Notice to Contractors, the Specifications and the Plans approved by the Owner. The said Plans, Specifications, the Notice to Contractors, and the Proposal are hereby made a part of this agreement as fully and to the same effect as if the same had been set forth at length in the body of this agreement. In consideration of the foregoing promises, the Party of the First Part agrees to pay to the Party of the Second Part such unit prices for the work actually done as are set out in the accompanying proposal in the manner provided in the said Specificati ons. The Contractor shall be prepared to begin work to be performed under the contract as he set forth in his proposal, but will not proceed until he receives official notice to begin. This contract will be in effect upon completion of signatures by both parties and will run through September 30, 200813 This contract may be renewed for two (2) additional one-year periods if in agreement by both parties. REPRESENTATIVES: The authorized representative of the County shall be: Don Vanderhoek, Information Systems Director Okaloosa County Information Systems 1804 Lewis Turner Blvd. Ft. Walton Beach FL 32548 850-651-7570 / 850-651-7576 (fax) E-Mail: dvanderhoek@co.okaloosa.fl.us The authorized representative for _Network Cabling Services, Inc. shall be: Herman Turner ~ Branch Manager {850} 324-1223 cell Shane Fabozzi ~ Project Manager {850} 428-0029 cell 7018 Pine Forest Road ~ Pensacola, Florida 32526 850-941-4200 Voice 850-941-4201 fax hturner@ncscabling.com sfabozzi2ncscabling.com E-Mail: All notices required by this agreement shall be in writing to the representative listed above with a courtesy copy to the following: Joanne Kublik Contracts & Leases Coordinator Okaloosa County Purchasing Department 602-C North Pearl Street Crestview, FL 32536 850-689-5960 / 850-689-5032 (FAX) E-Mail: jkublik@co.okaloosa.f|.us IN WITNESS WHEREOF, the Chairman of the Board of County Commissioners, by authority vested in him, has hereunto subscribed his name on behalf of the County of Okaloosa, Florida, the Owner, and the said _Owner/CFo has hereto fixed _his signature, the day and year above written. WITNESS: ane Ky oe Network Cabling Services, Inc. (7 Lynn\Bruce CONTRACTOR BY Va “A Jeff L. Carter ~ Owner/CFO TITLE STATE OF FLORIDA COUNTY OF OKALOOSA This contract is accepted this day of 2013_and is effective on the day of 2013. WITNESS: COUNTY OF OKALOOSA, FLORIDA BY Client#: 1009924 ACORD.. CERTIFICATE OF LIABILITY INSURANCE NETWOCAB DATE (MM/DD/YYYY) 12/02/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Insurance Services LLC 101 Century 21 Drive, Suite 200 Jacksonville, FL 32216 CONTACT Wichelle O'Steen [AG tio, Ext): 904-450-4716 (Ak, No: 877-775-0285 EMAIL .¢. Michelle.Osteen@usi.biz INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Eravelers Companies 25666 INSURED iInsuRER B: Travelers Property Cas. Co. of 25674 Network Cabling Services, Inc. INSURER c ; Bridgefield Employers Insurance 10701 365 College Drive Ste 101 INSURER D - Middleburg, FL 32068 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ie TYPE OF INSURANCE ARELSUBR] POLICY NUMBER (AMDB YY) | (MIDDAY) LIMITS A | GENERAL LIABILITY CO4A28628A 07/22/2013 | 07/22/2014, GACH OCCURRENCE $1,000,000 X| COMMERCIAL GENERAL LIABILITY BAM ARES (eee ence) | $300,000 | CLAIMS-MADE [x] OCCUR MED EXP (Any one person) _| $5,000 | X) Blkt Add'l Insured PERSONAL & ADV INJURY [$1,000,000 | x} Bikt Waiver of Subro GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $2,000,000 | POLICY [ x| FRO. [| Loc $ A | AUTOMOBILE LIABILITY 8104A28628A 07/22/2013|07/22/2014| Gavecuey | 51,000,000 X! ANY AUTO BODILY INJURY (Per person) | $ |_| ALL OWNED sotoe ee BODILY INJURY (Per accident) | $ |_X| HIRED AuTos oro NED PROPERTY DAMAGE : X Bikt Al $ A | _X|UMBRELLALIAB | | occur CUP4A28628A 07/22/2013 | 07/22/2014 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED | x| RETENTION $10,000 C | WORKERS COMPENSATION VIN 83030808 42/23/2012) 12/23/2013 x [Tavis | _|Pa OE CR RnBeR EXCLUDE | | NIA E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE] $1,000,000 DESCRIPTION or OPERATIONS below E.L. DISEASE - POLICY LIMIT | $1,000,000 B |Installation QT6603C780932 07/22/2013 | 07/22/2014 140,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Low voltage electrical contractor Okaloosa County is to be named as Additional Insured