Okaloosa County BOCC — February 18, 2014 — Underground Electric Manhole — reading text

Number, and Address for receipt of official communications: (Each joint venturer must sign. The manner of signing for each individual, partnership, and corporation that is a party to the joint venture shall be in the manner indicated above.) END OF SECTION 00300 BID PROPOSAL OKALOOSA COUNTY WATER AND SEWER DATE: 10/4/2013 00300 - 9 ADDENDUM 2 SECTION 00300 Russell Stephenson - Electrical Manhole Rehabilitation BID PROPOSAL ATTACHMENT "A" CERTIFICATION OF BIDDER REGARDING TRENCH SAFETY This certification is required pursuant to the Trench Safety Act, Chapter 90-96, Florida Statutes regarding Trench Safety. The Act specifically incorporates the Occupational Safety and Health Administration's excavation safety standards, 29 CFR S. 1926.650 Subpart P as the state standard. Any revisions to OSHA's safety standards that are consistent with the Florida Statutes shall also be complied with upon its effective date. The Act requires that any bidder or prospective contractor, or any of their proposed subcontractors, shall provide written assurance that the contractor will comply with the applicable trench safety standards. NAME AND ADDRESS OF BIDDER (Include Zip Code) Bill Smith Electric, Inc. PO Box 1087 Gonzalez,FL 32560 1. Bidder agrees that he is aware of the Trench Safety Act and the requirements of the Act. Le ~ [C1 2. Bidder agrees comply with all applicable trench safety standards as set forth in the Act and as referenced in the Act. YES | NO [| NAME AND TITLE OF SIGNER (Please Print or Type) Bill Smith, President SIGNATURE: DATE: 10/10/13 BID PROPOSAL OKALOOSA COUNTY WATER AND SEWER DATE: 10/4/2013 00300 - 10 ADDENDUM 2 SECTION 00300 Russell Stephenson - Electrical Manhole Rehabilitation BID PROPOSAL ATTACHMENT "B" CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all bidders/proposers must disclose if any , employee(s), elected official(s), or 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 persons name(s) and position(s) with your business. YES NO_ xX NAME(S) and POSITIONS(S): FIRM NAME: 8:11 Smith Electric, Inc. BY (printed); __ Bi 11. Smith BY (signature): TITLE: President ADDRESS: PO Box 1057, Gonzalez, FL 32560 PHONE: (850) 968-6500 BID PROPOSAL OKALOOSA COUNTY WATER AND SEWER. DATE: 10/4/2013 00300 - 11 ADDENDUM 2 SECTION 00300 Russell Stephenson - Electrical Manhole Rehabilitation BID PROPOSAL ATTACHMENT "C" 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: l. 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 bid 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 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. Impose a sanction on, or require the satisfactory participation in drug abuse assistance or rehabilitation program if such is available in the 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. BID PROPOSAL OKALOOSA COUNTY WATER AND SEWER DATE: 10/4/2013 00300 - 12 ADDENDUM 2 SECTION 00300 Russell Stephenson - Electrical Manhole Rehabilitation BID PROPOSAL As the person authorized to sign this statement, I certify that this firm complies fully with the above requirements. DATE: 10/10/2013 SIGNATURE: COMPANY:Bill Smith Electric NAME: Bi ADDRESS: PO Box 1057 (Typed or Printed) Gonzalez, FL 32560 Smith TITLE: President PHONE: _(850) 968-6500 BID PROPOSAL OKALOOSA COUNTY WATER AND SEWER DATE: 10/4/2013 00300 - 13 ADDENDUM 2 SECTION 00300 Russell Stephenson - Electrical Manhole Rehabilitation BID PROPOSAL ATTACHMENT "D" INDEMNIFICATION AND HOLD HARMLESS To the fullest extent permitted by law, CONTRACTOR shall indemnify hold harmless OWNER, 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 intentionally wrongful conduct of the CONTRACTOR and other persons employed or utilized by the CONTRACTOR in the performance of this Agreement. Bill Smith Electric, Inc. Bidder's Company Name 1095 Hidden Terrace Drive Cantonment, FL 32533 Physical Address PO Box 1057 Gonzalez, FL 32560 Mailing Address (850) 968-6500 Phone Number (850) 324-4712 Cellular Number 10 October 2013 Date BID PROPOSAL OKALOOSA COUNTY WATER AND SEWER 00300 - 14 ADDENDUM 2 , a Authorized Signature — Manual Bill Smith Authorized Signature — Typed President Title (850) 937-8113 FAX Number (850) 324-2806 After-Hours Number(s) DATE: 10/4/2013 SECTION 00300 Russell Stephenson - Electrical Manhole Rehabilitation BID PROPOSAL ATTACHMENT "E" 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: 10 October 2013 SIGNATURE: Z A COMPANY: Bill Smith Electric, Inc. yayp-Bill Smith ADpRESS: PO Box 1057 ritte: President Gonzalez, FL 32560 E-MAIL: J@ke@billsmithelectric.com PHONE No.: (850) 968-6500 BID PROPOSAL OKALOOSA COUNTY WATER AND SEWER DATE: 10/4/2013 00300 - 15 ADDENDUM 2 SECTION 00300 Russell Stephenson - Electrical Manhole Rehabilitation BID PROPOSAL ATTACHMENT "F" “NO CONTACT CLAUSE” The Okaloosa County Board of County Commissioners have established a solicitation silence policy (No Contact Clause) that prohibits oral and written communication regarding all formal solicitations for goods and services (formal bids, Request for Proposals, Requests for Qualifications) issued by the Board through the County Purchasing Department. The period commences when the procurement document is received and terminates when the Board of County Commissioners approves an award. When the solicitation silence period is in effect, no oral or written communication is allowed regarding the solicitation between prospective bidders/proposers and members of the Board of 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. representing Bill Smith Electric, Inc. Signature "oa OL Company Name I 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. BID PROPOSAL OKALOOSA COUNTY WATER AND SEWER DATE: 10/4/2013 00300 - 16 ADDENDUM 2