Okaloosa County BOCC — April 27, 2013 — reading text

LIST OF SUBCONTRACTORS The PROPOSER expressly agrees that: Attachment: RESTORE Act Consulting Draft RFP (1507 : Restore Act Consulting Services RFP & Committee) 1. If awarded the contract as a result of the proposal, the subcontractors used in the execution of the work will be those listed below. 2. The following list includes all subcontractors who will perform work on this project. 3. The subcontractors listed below are financially responsible and are qualified to do the work required. 4. Use of any of the subcontractors is subject to the approval of the County and Engineer. CATEGORY NAME OF SUBCONTRACTOR ADDRESS ________________________________ ________________________________ CONTRACTOR'S NAME AUTHORIZED SIGNATURE ________________________________ TITLE Last Revised- 03-07-2013 Page 22 Packet Pg. 666  8.6.a.a LOCAL PREFERENCE DATA SHEET Refer to Special Bid Condition Attachment: RESTORE Act Consulting Draft RFP (1507 : Restore Act Consulting Services RFP & Committee) Does the state, county, municipality or political subdivision in which your firm is located offer a preference to their local proposers? (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 Last Revised- 03-07-2013 Page 23 Packet Pg. 667  8.6.a.a INDEMNIFICATION AND HOLD HARMLESS Attachment: RESTORE Act Consulting Draft RFP (1507 : Restore Act Consulting Services RFP & Committee) To the fullest extent permitted by law, CONTRACTOR shall indemnify and hold harmless the 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 Last Revised- 03-07-2013 Page 24 Packet Pg. 668  8.6.a.a CONTRACT This agreement, executed in Crestview, Florida this _____ day of ___________________________ 2013 between the County of Okaloosa, Florida, the Owner, hereinafter called the Party of the First Part, and ______________________________ or its successors, Attachment: RESTORE Act Consulting Draft RFP (1507 : Restore Act Consulting Services RFP & Committee) executors, administrators and assigns, hereinafter called the Party of the Second Part. WITNESSETH: That for and in consideration of payments, hereinafter mentioned, to be made by the Party of the First Part, the Party of the Second Part agrees to furnish all equipment, machinery, tools and labor; to furnish and deliver all materials required to be furnished and delivered in and about the improvement and to do and perform all work related to providing Restore Act Management Consulting Services for the Okaloosa County Board of County Commissioners per the attached proposal for an approximate total price of $ in strict conformity with the provisions of this Contract, the Notice to Contractors, the Specifications and the Plans approved by the Owner. The said Notice to Contractors, and the Proposal are hereby made a part of this agreement as fully and to the same effect as if the same had been set forth at length in the body of this agreement. In consideration of the foregoing promises, the Party of the First Part agrees to pay to the Party of the Second Part such unit prices for the work actually done as are set out in the accompanying proposal in the manner provided in the said Specifications. The Contractor shall be prepared to begin work to be performed under the contract as he set forth in his proposal, but will not proceed until he receives official notice to begin. REPRESENTATIVES: The authorized representative of the County shall be: The Okaloosa County Administrator 1804 Lewis Turner Boulevard Suite 400 Fort Walton Beach, FL 32547 (850) 651-7515 E-Mail: The authorized representative for shall be: E-Mail: Last Revised- 03-07-2013 Page 25 Packet Pg. 669  8.6.a.a All notices required by this agreement shall be in writing to the representative listed above with a courtesy copy to the following: Jack Allen Contracts & Leases Okaloosa County Purchasing Department Attachment: RESTORE Act Consulting Draft RFP (1507 : Restore Act Consulting Services RFP & Committee) 602-C North Pearl Street Crestview, FL 32536 850-689-5960 / 850-689-5998 (FAX) E-Mail: jallen@co.okaloosa.fl.us IN WITNESS WHEREOF, the Chairman of the Board of County Commissioners, by authority vested in him, has hereunto subscribed his name on behalf of the County of Okaloosa, Florida, the Owner, and the said has hereto fixed his signature, the day and year above written. WITNESS: CONTRACTOR BY TITLE STATE OF FLORIDA COUNTY OF OKALOOSA This contract is accepted this _____ day of _____________________ 2013 and is effective on the _____ day of _________________________ 2013. ATTEST: COUNTY OF OKALOOSA, FLORIDA BY Gary Stanford Deputy Clerk of Court Last Revised- 03-07-2013 Page 26 Packet Pg. 670  8.6.a.a ----------------------------------------------------------------------------------------------------- ANTI-COLLUSION STATEMENT: The below signed proposer has not divulged to, discussed or compared his proposal with other proposers and has not colluded with any other proposer or parties to proposal whatever. (Note: No premiums, rebates, or gratuities permitted either with, prior to, or after any delivery of materials. Any such violation will result in the cancellation and/or return of material (as applicable) and the removal Attachment: RESTORE Act Consulting Draft RFP (1507 : Restore Act Consulting Services RFP & Committee) from proposal list(s). Bidder’s Company Name Authorized Signature – Manual Authorized Signature – Typed Address Title Phone # Fax # Federal ID # or SS # E-mail address Last Revised- 03-07-2013 Page 27 Packet Pg. 671  8.6.a.a RESTORE ACT MANAGEMENT CONSULTANTS Attachment: RESTORE Act Consulting Draft RFP (1507 : Restore Act Consulting Services RFP & RFP: BCC 19-13 RANKING SHEET Understanding of Proposed projects (20 pts) Responsiveness to Proposal (20 pts) Geographic Location of Firm (10 pts) Project Handled of Similar Nature (15 pts) References (15 pts) Staff/Capacity to meet County Requirements (15 pts) Cost (10pts) TOTAL POSSIBLE – 100 PTS PERSON RANKING PRINTED