Fort Walton Beach Council agenda — 09-10-13--regular — reading text

and ( if applicable) Federal Employer Identification Number ( FEIN) is If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement 3. My name is my relationship to the entity named above 4. 1 understand that a " public entity crime" as defined in Paragraph 287. 133( a)( g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or any agency or political subdivision of any other stale or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 5. 1 understand that ' convicted' or " conviction" as defined in paragraph 287. 133( a)( b), Florida Statutes, means finding of guilt or a conviction of a public entity crime with or without an adjudication of guilt, in any federal or state trial court of records relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non j-ury trial, or entry of a plea of guilty or nolo contendere. 6. 1 understand that an " affiliate" as defined in Paragraph 287. 133( l)( a), Florida Statutes, means: 1. A predecessor or successor of a person convicted of a public entity crime; or 2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The tern " affiliate" includes those officers, directors, executives, partners, shareholders, employees, Pay and Classification Study for the City of Fort Welton Beach, FL UP 13 018 RFP# 13 - 018 Public Entity Crimes Statement — Pg 2 of 3 members, and agents who are active in the management of an affiliate. The ownership by one of shares constituting a controlling income among persons when not for fair interest in another person, or a pooling of equipment or income among persons when not for fair market value under a length agreement, shall be a prima facie case that one person controls another person. A person who was knowingly convicted of a public entity crime, in Florida during the preceding 36 months shall be considered an affiliate. 7. 1 understand that a " person' as defined in Paragraph 287. 133( 1)( e), Florida Statutes, means any natural person or entity organized under the laws of the state or of the United States with the legal power to enter into a binding contract for provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The tern " person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active n management of an entity. 8. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this swom statement. ( Please indicate which statement applies.) Neither the entity submitting this swom statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, nor affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. Please attach a copy of the final order) The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer of the Slate of Florida, Division of Administrative hearings. The final order entered by the hearing officer determined that it was in public interest to remove the person or affiliate from the convicted vendor list. ( Please attach a copy of the final order) The person or affiliate has not been placed on the convicted vendor list. Please describe any action taken by, or pending with, the Department of General Services.) Signature) Company) Date:  9ISd4. b Pay and Classification Study for the City of Fon Walton Bench, FL RFP 13 -018 RFP# 13 -018 Public Entity Crimes Statement —Pg 3 of 3 STATE OF FLORIDA COUNTY OF PERSONALLY APPEARED BEFORE ME, the undersigned authority, who, after first being sworn by me, affixed his/ her signature at the space provided above on this day of 2013, and is personally known to me, or has provided driver' s license/military id) as identification. Notary Public My Commission expires: End of Attachment D a0N N  15. 1. b Pey and Classification Study for the City of Fart WA.. Beach FL UP U -SIR 25. 5 ATTACHMENT E FEESCHEDULE REQUEST FOR PROPOSALS REP # 13 -018 PAY & CLASSIFICATION STUDY FOR THE CITY OF FORT WALTON BEACH Proposer Name: BE SECTION COST 5. 1 thm 5. 4 5. 5. 1 - Option 1 - Low 5. 5. 2 - Option 2 - Hi TOTAL: P g 1;18  15. 1. b Pay and Classification Shody for the City of For, Walton Beech, FL UP 13 -018 26. 0 ADDITIONAL INFORMATION - DOCUMENTS POSTED SEPARATELY The documents listed below are for informational purposes only: EXHIBIT A: Current Pay & Classification Plan- 2012 -2013 FY ket  15'.1'. 6 Pay and Classification Sandy for the City of Pon Walton Beech FL RFP 13 - 0I8 27. 0 NOTICE TO PROPOSERS CITY OF FORT WALTON BEACH, FLORIDA BID NUMBER: RFP# 13 -018 Date: June 18, 2013 The City of Fort Walton Beach will accept sealed proposals at City Hall until July 16, 2013, at 2:30 PM, CST, at which time all bids received will be opened and read aloud at City Hall Annex Conference Room, 105 Miracle Strip Parkway SW, Fort Walton Beach, FL 32548 for the following: PAY & CLASSIFICATION STUDY FOR THE CITY OF FORT WALTON BEACH, FL Copies of the Proposal Provisions and Forms may be found at the Florida Bid System website at www. Flori(taBidSystein.com ( registration required) or at the City of Fort Walton Beach website at www.FWB. org. Additional technical information relative to this RFP may be obtained from Paul L. Eubanks, Purchasing Agent, at (850) 833 -9523 or peubanksfiffwb ore during normal business hours. The City of Fort Walton Beach reserves the right to waive informalities in any REP; to make award( s) by individual item, group of items, all or none, or a combination thereof, to reject any and all proposals or waive any minor irregularity or technicality in proposals received, that in its judgment will be in the best interest of the City of Fort Walton Beach. Mark outside of envelope: RFP 13 -018 — Pay & Classification Studv for the City of FWB Nate: Any bidder failing to mark the outside of the envelope, as set forth herein may not be entitled to have their proposal considered. Andress responses and deliver to: City Clerk City of Fort Walton Beach 107 Miracle Strip Parkway SW Fort Walton Beach, FL 32548 Persons with disabilities needing a special accommodation to participate in this Request for Proposal should contact the City Clerk at 107 Miracle Strip Parkway SW, Fort Walton Beach, Florida 32548, ( 850) 833 -9509, at least seven days before the date the accommodation is necessary. 8 Aed 8L0-£ L ddN Jo Pdemtl : YOSZ) Dll' suogn! oS uaaa6aaA3 - ! esodoad P! 8 BLO-£ L dJH quawgoeLLy a Y m Pay and Cluairicni,m S , frdie City of FOa WA. Bach, FL RFP 13L1 aYW 25. 1 ATTACHMENT A PROPOSER' S CERTIFICATION (RFP 13- 018) I have carefully examined the Request for Proposal, and any other documents accompanying or made a part of this RFP. I certify that all information contained in this submittal is truthful to the best of my knowledge and belief 1 further certify that I am duty authorized to submit this Proposal on behalf of the organization as its act and deed. I further certify, under oath, that this submittal is made without prior understanding, agreement, connection, discussion, or collusion with any other person, firm or corporation submitting an RFP for this pmject; no officer, employee or agent of the City of Fort Walton Beach or of any other proposer interested in said submittal; and that the undersigned executed this Proposers Certification with thdl