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Okaloosa County BOCC — November 4, 2014 — TIG Contract — reading text
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General Liability Insurance (A combined single limit)
3. Personal and Advertising Injury $250,000
4, Professional Liability $1,000,000 each occutrence
(A combined single limit)
NOTICE OF CLAIMS OR LITIGATION
The CONTRACTOR agrees to report any incident or claim that results from performance
of this Agreement. The County representative shall receive written notice in the form of
a detailed written report describing the incident or claim within ten (10) days of the
CONTRACTOR’s knowledge. In the event such incident or claim involves injury and/or
property damage to a third party, verbal notification shall be given the same day the
CONTRACTOR becomes aware of the incident or claim followed by a written detailed
report within ten (10) days of verbal notification,
INDEMNIFICATION & 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 wrongful conduct of the CONTRACTOR and other persons
employed or utilized by the CONTRACTOR in the performance of this contract.
Note: For CONTRACTOR’s convenience, this certification form is enclosed and is
made a part of the bid package.
CERTIFICATE OF INSURANCE
1,
Certificates of insurance, in duplicate, indicating the job site and evidencing all required
coverage must be submitted to and approved by Okaloosa County prior to the
commencement of any of the work. The certificate holder(s) shall be as follows:
Okaloosa County, 602-C North Pearl Street, Crestview, Florida, 32536.
All policies shall expressly require 30 days written notice to Okaloosa County at the
address set out above, or the cancellations of material alterations of such policies, and the
Certificates of Insurance, shall so provide.
3, All certificates shall be subject to Okaloosa County’s approval of adequacy of protection
and the satisfactory character of the Insurer. County reserves the right to approve or
reject all deductible/SIR above $10,000. The Certificates of Insurance shall disclose any
and all deductibles or self-insured retentions (SIRg).
4, All deductibles or SIRs, whether approved by Okaloosa County or not, shall be the
CONTRACTOR’ full responsibility. In particular, the CONTRACTOR shall afford full
coverage as specified herein to entities listed as Additional Insured.
5. In no way will the entities listed as Additional Insured be responsible for, pay for, be
damaged by, or limited to coverage required by this schedule due to the existence of a
deductible or SIR. Specific written approval from Okaloosa County will only be
provided upon demonstration that the CONTRACTOR has the financial capability and
funds necessary to cover the responsibilities incurred as a result of the deductible or SIR.
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 tights 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 shail 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.
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.
PC Specialists, Inc., DBA
Technology Integration Group “Vanecete.
Respondent’s Company Name Authorized Signature —- Manual
Local: 417 Racetrack Road Suite E,
Ft. Walton Beach, FL 32547 Tom Janecek
Physical Address Authorized Signature — Typed
Corporate HQ: 10240 Flanders Court,
San Diego, CA 92121 Chief Financial Officer
Mailing Address Title
850-439-0090 X1610 850-226-8513
Phone Number FAX Number
850-393-9000 850-439-0090 X0
Cellular Number After-Hours Number(s)
10/16/2014
Date
10
COMPANY DATA
Physical Address & Phone #:
Proposer’s Company Name:
Physical Address:
Contact Person (Typed-Printed):
Phone #:
Cell #:
Federal ID or 88 #:
Proposer’s License #:
Fax #:
Emergency #’s After Hours,
Weekends & Holidays:
Local Branch: 417 Racetrack Rd., Suite E
Ft. Walton Beach, FL 32547
850-439-0900 X1610
PC Specialists, Inc., DBA
Technology Integration Group
Corporate Headquarters:
10240 Flanders Court,
San Diego, CA 92121
Nigel Los
850-439-0090 X1610
850-393-9000
95-3825596
Business License for Okaloosa County:
3600-1007-46783
850-226-8513
850-439-0090 Ext. 0
11
DRUG-FREE WORKPLACE CERTIFICATION
THE BELOW SIGNED RESPONDENT 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
ate 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:
COMPANY: Technology Integration Group
10/16/2014 - SIGNATURE; © berecet—
PC Specialists, Inc., DBA
NAME: Tom Janecek
(Typed or Printed)
ADDRESS: Corporate Headquarters:
TITLE: Controller
10240 Flanders Court,
E-MAIL: Tom. Janecek@tig.com
San Diego, CA 92121
PHONE NO.: 800-858-0549
12
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 respondent 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: 10/16/2014 SIGNATURE; ~ tareeeh—
PC Specialists, Inc., DBA
COMPANY? Technology Integration GroupNAME: Tom Janecek
Corporate Headquarters:
ADDRESS; 19240 Flanders Court, TITLE; Chief Financial Officer
San Diego, CA 92121
E-MAIL: Tom. Janecek@tig.com
PHONE NO.:; 800-858-0549
13
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Minorlty/Small Business, Cage Cade: 0JRGS DUNS#H: 10-626-7958 Federal Tax ID it 95-3825606
Ordering / Mailing Address: Remit Payment To: Quote No:
Technology Integration Group Tachnology Intagration Group 4105805 - 1
10§ EAST GREGORY STREET P.O, Box 85244 10/01/2014
PENSACOLA, FL. 32602 San Diego, CA 92186-5244 Expires:
40/04/2014
Please Include Ref No, on check or P.O.
BIN To: Ship To:
OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS OKALOOSA COUNTY BOARD OF COUNTY
302 N WILSON STREET, #202 COMMISSIONERS
CRESTVIEW, Ft. 32536 302 NORTH WILSON STREET
SUITE 202
CRESTVIEW, Ft 32536
Account Manager [Prepared By
NIGEC LOS “NIGEL. LOS@TIG.COM KAREN BARE - KAREN.BARE@TIG.COM
Line | Gty Part# Description Price Total Price
1 1 54005193 SWA MITEL GOMMUNICATIONS DIRECTOR (LICENSE 225,20 228.20
SUPPORT/ELECTRONIC)
APP, RECORD: 11112378 EOC $300 / Okaloosa County
Oct 02 2014 - Oat 01 2017
2 4 64005739 SWAS DESIGNATED LIGENSE MANAGER 21,898.68 21,693.58
(RENEWAVELECTRONIC_VEN)
APP, RECORD: 1300395 Application Group / Okalaosa Caunty
Oct 02 2044 - Oct 01 2017
3 1 64005217 SWA MITEL BORDER GATEWAY (SUPPORT FOR 143.68 143.68
SOFTWARE/ELECTRONIC)
APP, RECORD: 20287816 SRC Server - Airport VPI Connection /
Okaloosa County
May 122015 - Oct 01 2017
4 1 54005109 SWA MITEL COMMUNICATIONS DIRECTOR (LICENSE. 226,20 225.20
SUPPORTIELECTRONIC)
APP, RECORD: 22747524 BCC Bank Building Crestview / Okaloosa
County
_ Oot 02 2014 - Oct Of 207
8 1 54006103 SWA MITEL COMMUNICATIONS DIRECTOR (LICENSE 225,20 226.20
SUPPORT/ELECTRONIC)
Signature: Pate: L vi
Print Name: — P90.
Disclaimer: TiG reealls products from numerous manufacturers, Itis common Industry practice for manufacturers to offer Incentives and rebates for product
sales. This quote may contaln praduct or services eubject fo such incentives. No representation or warranty to the contrary Is made.
Tachnology Integration Group passes through to buyer the terms and conditions of the ertginal equipment manufacturers product and software licenses and
watrantias, Any exception must be negotialad directly with the original equipment manufacturer.
Rune | Gity rargr Description Price lotal Price
APP, RECORD: 76427363 Clerk of Court Courthouss Crestview /
Okaloosa County
Oct 02 2014 - Oct 01 2017
7 1 64008193 SWA MITEL COMMUNICATIONS DIRECTOR (LICENSE 228.20 226,20
SUPPORT/ELECTRONIC)
APP. RECORD: 48779722 Airport 3300 / Okatoosa County
Oet 02 2014 - Act 01 2017
a 4 64008206 SWA NUPOINT STANDARD EDITION 1,217.10 4247.10
APP, RECORD: 0384298 Sheriff NuPolnt / Okaloosa County
Jul 14 2015 «Oot 04 2017
9 1 84005193 SWA MITEL COMMUNICATIONS DIRECTOR (LICENSE 226.20 226.20
SUPPORT/ELECTRONIC)
APP, RECORD: 74342830 Conv, Center & TDC / Okalooga County
Oot 02 2014 - Oot 01 2017
10 1 64008183 SWA MITEL COMMUNICATIONS DIRECTOR (LICENSE 226.20 225.20
SUPPORTELECTRONIC)
APF, RECORD: 75427383 Clerk of Court Courthouse Crestview /
Okaloosa County
Oct 02 2014 - Oot 01 2017
"1 1 $4006183 SWA MITEL COMMUNICATIONS DIRECTOR (LICENSE 472.10 472.10
SUPPORT/ELECTRONIC)
APP, RECORD: 7827150 Sharif 3300 /
