Fort Walton Beach Council agenda — 07-23-13--special---alconese rezoning — reading text

Ribbed V -belt ( I OPL), automatic tensioning Axle.............................................................................................. Floating Axle Fronttires ......................................................................................... 2 x ( I ] x7- 4) Rear tires ........................................... ............................... Floating axle, 4 x ( 18x8. 5) Machinelength in inches .................................................. 124„124" Machinewidth in inches ................................................... 81" Machineheight in inches .............................................................................. Tareweight in lbs. ( approx.) ............................................ 2381 Max. perm. gross weight in lbs. ( approx.) ....................... 3086 Maximum perm. drawbar land in lbs ................................ Golf course kit .............................. .... .... ................................. Height adjustable roller with scraper Electromagnetic remote control ................................................................. Yes Lighting........................................................................................................ Yes a , asrnop Ilog I IO-£ 191Uo piemy : p-£ IOZ) Iuamdlnb3 piece - lesodosd P119 ILO- EL 811 : 1ucmgoetyy a d a GonCouree Turf Sweeper Machine ITB IMI1 Y aN BIDDER' S CERTMCATION —ITB 13- 011 1 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 famish the goods or services specified in the Invitation at the prices or rates quoted in my bid. 1 agree that my bid will remain frrn for a period of up to ninety 90 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 /contractor 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 bidder's Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do so. v,,, e.i is G U dfnOw 11 C/ r; . IISINE BY: - I) LU6. ( 321'._/ y Signature er.,... lac1, lC0' v( cin,. mpno. t,• NAME & TITLE (type or print) 2.4 '90 6:. I V - s« C •Qad n_ I MAILING ADDRESS rnoh',1e %" 3LLJ CITY, STATE, ZIP CODE a.5)) L45& 19 q.3 TELEPHONE NUMBER r9s1 t45`.b1 13O4 FAX NUMBER F1 D 15 C% Q-1> 0 R ra%gt Ul a n& n ;. Cat„ EMAIL ADDRESS 2.i a1dA13 DAT  asaooD tlo0 l to-£ l all Jo piemy : t,-£l0Z) mmudlnb3 pjeag - lesodoJd P! 9 40-£l all :3uawyoeRy m Ma a Golf Course TudSweepa Machine I' M 13 -011 x a N ADDENDUM PAGE —ITB 13 -011 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. - 1; `;•. NAME & TITLE (type or print)..` CA Q N MAILING ADDRESS mnl2lk U 3L L1-) CITY, STATE, ZIP CODE VC 45(r )943 TELEPHONE NUMBER 1351 1 452 o`)L M FAX NUMBER U0 Dn AI  asmoo 1pD t to-£ l all to paemtl : 6-£ IOZ) luawdlnb3 preag - lesodoad PIS I l04 t all :luawgoeny r a a GolfCoume TU Sweepv Machine IM 13 -011 6p Drug -Free Workplace Form —ffD 13 -011 The undersigned vendor, on 2013, m acoo ce with Section 287. 087, Florida Statutes, certifies that [ business] 6& Ui wePt 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 ofthe statement specified in Paragraph I. 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 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 dmg -free workplace through implementation of Paragraphs 1 through 5. Clleck 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: BY: SIGNATURE NAME & TITLE, TYPED OR PRINTED: 1iMM con G L C G01 Q-41sto"  asanop llo"J LLO-£ L 91110 Premy : q -" 0Z) luamdlnb3 paeag - lesodord PIS LLO-£ L 911 : luamyaegy aa n Golf Course Torf SWaWMachine ffli 13 -011 LL PUBLIC ENTITY CRIME FORM - ITB 13 -011 SWORN STATEMENT UNDER SECTION 287. 133 ( 3) ( A) FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED M THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS. This sworn statement is submitted with Proposal, Proposal or Contract k ) 3 -0 % J This swom statement is submit[ d by - 5 AO — ¢ U( Oma whose business address isaM Ln -" Sew raQ IlleL' le AL Van ( if applicable) Federal Employer Identification Number ( FEIN) is ,&J- J& XS l4$ (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement). My name is and my relationship to the entity named above is ( ye ' V' e' Ynbrv"