Fort Walton Beach Council agenda — 02-12-13--regular — reading text

5 BIDDER' S CERTIFI CATION ............................................................ 6 ADDENDUMPAGE ........................................................................... 7 REFERENCES.................................................................................... 8 NO BID RESPONSE TO INVITATION ......................................... 9 DRUGFREE WORKPLACE FORM ................................................ 10 - 12 PUBLIC ENTITIES CRIME FORM ......................................... ............................... 13 18 SECTION 2: GENERAL CONDITIONS ............................................. ............................... 19- 23 SECTION 3: SPECIAL CONDITIONS ................................................ ............................... INSURANCEREQUIREMENTS .............................................. ............................... 20 23 24- 25 SECTION 4: SCOPE OF WORK AND SPECIFICATIONS ............... ............................... 26- 27 SECTION 5: BID PRICING FORM ............ ................... ............................................... 28 NOTICETO BIDDERS ................................................................................ Page 2 of 28  8. 3. b f 3 i1 " li-0 VA GL1. 49 PUIP RE Y 11R 9U) 11s I " kII A110`, This completed form must appear as the top sheet for all bids submitted. COVERSHEET TITLE: ITB 13 -009 - WELL #9 PUMP REPAIR AND INSTALLATION DECEMBER 18, 2012 BID NO: ITB 13 -009 ISSUE DATE: NO BID BOND IS REQUIRED FOR THIS BID N/ A Amount of Bid Bond ( 5% of base bid) $ N/ A Amount of Cashier' s Check ( 5% of base bid) $ N/ A Amount of Certified Check ( 5% of base bid) $ All Items bid? Yes _ No Total Amount of bid or Base bid Submitted by: BY: SIGNATURE NAME OF BUSINESS MAILING ADDRESS NAME & TITLE (type or print) CITY, STATE, ZIP CODE EMAIL ADDRESS 1 TELEPHONE NUMBER FAX NUMBER Page 3 of 28 SECTION I - INSTRUCTIONS FOR SUBMITTING BID RESPONSE FOR ITB 13 -009: 1. Bidders are expected to examine this bid form and all instructions. Failure to do so will be at the bidder' s risk. 2. All prices and notations must be in ink or typewritten. No erasures are permitted. Mistakes may be crossed out and corrections typed adjacent and must be initialed and dated in ink by person signing bid. All bids must be signed with the firm name and by a responsible officer or employee. 3. Each bidder shall furnish all the information required on the bid form and each accompanying sheet on which he /she makes an entry. 4. Unit price for each unit bid shall be shown. A total shall be entered in the amount column for each item bid. In case of discrepancy between a unit price and extended price the unit prices will be presumed to be correct. 5. Although the City generally awards bids based on a " lump sum" basis to the bidder submitting the lowest responsive and responsible total bid as shown on the Invitation to bid cover sheet, the City may choose to award on a " per group" or " per item" basis. Therefore, bidders must submit with their bids, all pricing pages on the forms provided, clearly indicating which items are bid and which are not. Failure to submit these pages will render such bid non- responsive. 6. Persons with disabilities needing a special accommodation to participate in this invitation to bid should contact the City Clerk, 107 Miracle Strip Parkway, Fort Walton Beach, Florida 32548, ( 850) 833 -9509, at least seven days before the date the accommodation is necessary. BID CHECKLIST: Bidders are cautioned to assemble the bid packet using this checklist: Invitation to Bid Cover Sheet with Total Amount Bid Stated On It Signed Bidder' s Certification Page Addendum Page References Completed Drug Free Workplace Form Public Entity Crime Form Invitation to Bid Price Schedule, Unit Price and Total Price Columns Completed Bid Envelope Prepared as Specified —Clearly Labeled and Properly Delivered N/ A Bid Bond SPECIAL ITEMS ( APPLICABLE TO THIS BID ONLY): N/A Performance Bond Requirements ( See Special Conditions) XX Insurance ( See Special Conditions) XX Exceptions to Specifications on company letterhead ( See General Conditions 2. 5 and 2. 6 — figs 14 -15) NOTE: PLEASE ENSURE THAT ALL DOCUMENTS ARE COMPLETED AND SUBMITTED WITH YOUR BID IN ACCORDANCE WITH THIS INSTRUCTION SHEET. FAILURE TO DO SO MAY RESULT IN YOUR BID NOT BEING CONSIDERED FOR AWARD. Page 4 of 28  8. 3. b 118. ; - U FV I11_ 9% M, 10 _11" N % Nn JNSl AIION X BIDDER' S CERTIFICATION —ITB 13 -009 I have carefully examined the Invitation to bid, Instructions to bidders, General and Special Conditions, Vendor's Notes, Specifications, proposed agreement and any other documents accompanying or made a part of this Invitation. I hereby propose to famish the goods or services specified in the Invitation at the prices or rates quoted in my bid. I agree that my bid will remain firm for a period of up to ninety 90 days in order to allow the City adequate time to evaluate the bids. I certify that all information contained in this bid is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit this bid on behalf of the vendor /contractor as its act and deed and that the vendor /contractor is ready, willing and able to perform if awarded the bid. I further certify that this bid is made without prior understanding, agreement, connection, discussion, or collusion with any other person, firm or corporation submitting a bid for the same product or service; no officer, employee or agent of the City of Fort Walton Beach or of any other bidder interested in said bid; and that the undersigned executed this bidder's Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do so. NAME OF BUSINESS BY: Signature NAME & TITLE ( type or print) MAILING ADDRESS CITY, STATE, ZIP CODE TELEPHONE NUMBER 1 FAX NUMBER DATE Page 5 of 28 et Pg.  8. 3. b 1113 J lF rl L! I • A PI IIP RI P VR A DI141 ALL AI IiI__ _ ADDENDUM PAGE ITB 13 -009 The undersigned acknowledges receipt of the following addenda to the Documents ( Give number and date of each): Addendum No. Addendum No. Addendum No. Addendum No. FAILURE TO SUBMIT ACKNOWLEDGMENT OF ANY ADDENDUM THAT AFFECTS THE BID PRICES IS CONSIDERED A MAJOR IRREGULARITY AND WILL BE CAUSE FOR REJECTION OF THE BID. NAME OF BUSINESS BY: Signature NAME & TITLE (type or print) MAILING ADDRESS CITY, STATE, ZIP CODE I TELEPHONE NUMBER FAX NUMBER DATE Page 6 of 28 43 i  8. 3. b w6L1. a9Pt %IF RI P A IIt OorsS I U I 110 ,____ U- 3 REFERENCES —ITB 13 -009 Bidder shall submit as a part of the bid package, four ( 4) business references with name of the business, address, contact person, and telephone number. All references shall be for similar product that has been delivered within the last five ( 5) years. REGARDING PROPOSER / BIDDER: Name: Name: Contact: Contact: Address: Address: Telephone: Telephone: Facsimile: Facsimile Name: Name: Contact: Contact: Address: Address: Telephone: Telephone: Facsimile: Facsimile Page 7 of 28  NO BID" RESPONSE TO INVITATION TO BID IF YOU ARE NOT SUBMITTING A BID, PLEASE PROVIDE THE INFORMATION BELOW AND RETURN THIS FORM BEFORE THE SCHEDULED BID OPENING DATE TO: