Fort Walton Beach Council agenda — 09-14-2010 Regular — reading text

8 DRUG FREE WORKPLACE FORM .................................................... .............................. 9 GENERALCONDITIONS .......................................................... ............................. 10- 15 SPECIALCONDITIONS ............................................................. ............................. 16- 19 INSURANCE REQUIREMENTS ................................................ ............................... 18 - 19 BIDPRICING FORM .................................................................... ............................. 20 VENDOR QUESTIONNAIRE .......................................................... ............................. 21 NOTICE TO BIDDER.S .................................................................... ............................. 22 E  COVER SHEET ITB TITLE: Dismantling and Disposal of Sewer Plant Equipmenet ISSUE DATE: August 2. 2010 BID NO: 10 -018 This completed form must appear as the top sheet for all bids submitted. NO BID BOND IS REQUIRED FOR THIS BID Total Amount of bid or Base bid $ Amount of Bid Bond ( 5% of base bid) N/ A Amount of Cashier's Check ( 5% of base bid) N/ A Amount of Certified Check ( 5% of base bid) N/ A All Items bid? Yes No Submitted by: BY: NAME OF BUSINESS SIGNATURE MAILING ADDRESS NAME & TITLE (type or print) CITY, STATE, ZIP CODE TELEPHONE NUMBER FAX NUMBER C INSTRUCTIONS FOR SUBMITTING BID RESPONSE FOR ITB 10 -018: 1. Bidders are expected to examine this bid form and all instructions. Failure to do so will be at the bidder's risk. 2. All prices and notations must be in ink or typewritten. No erasures are permitted. Mistakes may be crossed out and corrections typed adjacent and must be initialed and dated in ink by person signing bid. All bids must be signed with the firm name and by a responsible officer or employee. 3. Each bidder shall furnish all the information required on the bid form and each accompanying sheet on which he /she makes an entry. 4. Unit price for each unit bid shall be shown. A total shall be entered in the amount column for each item bid. In case of discrepancy between a unit price and extended price, the unit prices will be presumed to be correct. 5. Although the City generally awards bids based on a " lump sum" basis to the bidder submitting the lowest responsive and responsible total bid as shown on the Invitation to bid cover sheet, the City may choose to award on a " per group" or " per item" basis. Therefore, bidders must submit with their bids, all pricing pages on the forms provided, clearly indicating which items are bid and which are not. Failure to submit these pages will render such bid non -responsive. 6. Persons with disabilities needing a special accommodation to participate in this invitation to bid should contact the City Clerk, 107 Miracle Strip Parkway, Fort Walton Beach, Florida 32548, ( 850) 833- 9509, at least seven days before the date the accommodation is necessary. BID CHECKLIST: Bidders are cautioned to assemble the bid packet using this check list: Invitation to Bid Cover Sheet with Total Amount Bid Stated On It Signed Bidder's Certification Page Addendum Page References Completed Drug Free Workplace Form Invitation to Bid Price Schedule, Unit Price and Total Price Columns Completed Bid Envelope Prepared as Specified —Clearly Labeled and Properly Delivered N/ A Bid Bond SPECIAL ITEMS ( APPLICABLE TO THIS BID ONLY): N/ A Performance Bond Requirements ( See Special Conditions) Insurance (See Special Conditions) Vendor Questionnaire NOTE: PLEASE ENSURE THAT ALL DOCUMENTS ARE COMPLETED AND SUBMITTED WITH YOUR BID IN ACCORDANCE WITH THIS INSTRUCTION SHEET. FAILURE TO DO SO MAY RESULT IN YOUR BID NOT BEING CONSIDERED FOR AWARD.  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. 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 sixty 60 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. NAME OF BUSINESS BY: Signature NAME & TITLE ( type or print) MAILING ADDRESS CITY, STATE, ZIP CODE TELEPHONE NUMBER FAX NUMBER DATE  ADDENDUM PAGE The undersigned acknowledges receipt of the following addenda to the Documents ( Give number and date of each): Addendum No. Dated Dated Addendum No. Dated Addendum No. Dated 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 FAX NUMBER DATE 6  REFERENCES 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 work that has been performed within the last five (5) years. Name: Name: Contact: Contact: Address: Address: Telephone: Telephone: Facsimile: Facsimile Name: Name: Contact: Contact: Address: Address: Telephone: Telephone: Facsimile: Facsimile  NO BID" RESPONSE TO INVITATION TO BID 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 P. O. Box 4009 Fort Walton Beach, FI 32549 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 Dismantle and Disposal of Sewer Plant Equipment, ITB No. 10 -018, Opening at 2: 30 PM, on August 17, 2010. Reason for not bidding: BY: Signature Name & Title ( type or print) Company Name Date  Drug -Free Workplace Form The undersigned vendor, on _ 2010, in accordance with section 287. 087, Florida Statutes, certifies that [ business] does: 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 sanction on, or require the in satisfactory participation 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: IC SIGNATURE NAME & TITLE, TYPED OR PRINTED: