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Okaloosa County BOCC — January 30, 2013 — reading text
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satisfactory evidence thereof, Okaloosa County shall have the right
(but not the obligation) to take out and maintain insurance on the project. All
costs for the coverage will be paid by CONTRACTOR upon presentation of a bill.
General Terms
Any type of insurance or increase of limits of liability not described above which the
CONTRACTOR required for its own protection or on account of statute shall be its own
responsibility and at its own expense.
The carrying of the insurance described shall in no way be interpreted as relieving the
CONTRACTOR of any responsibility under this contract.
Should the CONTRACTOR engage a subcontractor or sub-subcontractor, the same
conditions will apply under this agreement to each subcontractor and sub-
subcontractor.
The CONTRACTOR hereby waives all rights of subrogation against Okaloosa County and
its consultants and other indemnities of the CONTRACTOR under all the foregoing policies
of insurance.
Umbrella Insurance
The CONTRACTOR shall have the right to meet the liability insurance requirements with
the purchase of an umbrella insurance policy. In all instances, the combination of
primary and umbrella liability coverage must equal or exceed the minimum liability
insurance limits stated in this agreement.
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. _____________________________________
E-MAIL _____________________________________
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.
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 and 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 quote a copy of the statement specified in subsection 1.
4. 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.
5. 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.
6. 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: _________________________
_______________________
E-MAIL: ________________________
_______________________
PHONE NO.: _____________________ ___
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 12, 2001)
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 Certificate 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 certificate 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. 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 call John Christopher 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: __________________________________________________
NOTICE TO PROCEED
DATE: ________________
TO:
PROJECT: ________________________________________________________
You are hereby notified to commence WORK in accordance with the Agreement dated
_____________________, 2013.
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: ________________________________
LOCAL PREFERENCE DATA SHEET
Refer to Special Bid Condition
Does the state, county, municipality or political subdivision in which your firm is located offer a
preference to their local bidders? (If your firm is located in Okaloosa County, you will check
“NO.”) If “YES,” list below the extent of such preference.
YES____________________ NO_______________________
________________________ __________________________________
________________________ __________________________________
________________________ __________________________________
________________________ __________________________________
_____________________________ ______________________________
Bidder’s Company Name Authorized Signature – Manual
______________________________ ______________________________
E-Mail Authorized Signature – Typed
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
DATE: June 4, 2013
TO: Honorable Chairman and Members of the Board
FROM: Don Turner
SUBJECT: Lord & Son Contract for Design-Build on Shalimar Annex
DEPARTMENT: Facility Maintenance
BCC DISTRICT: All
STATEMENT OF ISSUE: Request BCC approval of the contract documents, with
attachments, for the design-build project at the Shalimar Annex between Okaloosa County and
Lord & Son.
BACKGROUND: At its October 16th, 2012, meeting, the Board executed a contract with Lord
and Son for the renovation of the Shalimar Annex. The Board also authorized funding in the
amount of $166,597 for Phase I design-build services to begin the space allocation and floor
planning activities up to schematic design.
The Board authorized the formation of a Task Force to provide inputs into the Phase I design
process. The Task Force held its first meeting at the end of November 2012 and has held several
meetings since the beginning of the year. The design-build team has been present for all Task
Force meetings, has held individual user-group meetings, and produced multiple sets of visual
aids during the process. During the processing of the contractor's most recent partial payment
request, it was pointed out that all exhibits were missing from the official executed contract
packet.
Attached, please find a copy of the original executed contract. Plus, please find Exhibit A which
defines some general
