Fort Walton Beach Council agenda — 01-24-12 regular — reading text

AL 3z J6N0 CITY. STATE, ZIP CODE 0 a m TELEPHONE NUMBER FAX NUMBER 1 47i -U- f' Si m04N c r2 13122 E DATE m a Page i of 27 Packet Pg. 55  8. 3. a n rnR ais ADDENDUM PAGE ITB 12 -008 No The undersigned acknowledges receipt of the following addenda to the Documents ( Give number 0 and date of each): aNm m Addendum No. NJ/— Q Addendum No. fj/ Addendum No. Kamv a J— O Addendum No. i- m00 FAILURE TO SUBMIT ACKNOWLEDGMENT OF ANY ADDENDUM THAT AFFECTS I FIE DID PRICES IS CONSIDERED A MAJOR IRREGULARITY AND WILL BE CAUSE mI- FOR REJECI "ION OF THE BID. 9aN3 hN Y1) LL . 1) ~ C"E&fk.ISS NAME SS c BY r"t, C'' vN Signature t r- R tll L. I/ P- wcu AME& Fld(typeorprint) x Q D f3DX 1517 Ja M AILING ADDRESS O a flc) < 3 1- 613 a CI' PY, STA TF. ZIP CODE m t4` ol . t9y, -y ss m TF.CF.PHONE NUMBER oN FAX NUMBER aE IL 13) I DA Page 6 of 27 Packet Pg. 56  8. 3. 8 un cu ut i. a worlx n un — — —_ __- __— REFERENCES —ITB 12 -008 Bidder shall submit as a part of the bid package, four ( 4) business references with name of the ONO business, address, contact person, and telephone number. All references shall be for similar product that has been delivered within the last five (5) years. Nv c REGARDING PROPOSER( BIDDER: FBI I LjTEkPP1S£ S r -li lr0Ymuar O m00N mH_ 9R3Q rmm UC NdN FLd WC faH mO4N LCUEaN Page 7 of 27 PackeR.Pg. 57  F83. Drug -Free Workplace Form —ITB 12 -008 0 The undersigned vendor, on IL , 2011, in accordance with section 287. 087, o Florida Statutes, certifies that [ business] v)LL p, j, Jm ^ s, does: d N L Publish a statement notifying employees that the unlawful manufacture, distribution, c dispensing, possession, or use of a controlled substance is prohibited in the workplace oC and specifying the actions that will be taken against employees for violations of such M prohibition. La 2. Inform employees about the dangers of drug abuse in the workplace, the business's policy u of maintaining a drug -free workplace, any available drug counseling, rehabilitation, p employee assistance programs and the penalties that may be imposed upon employees for m drug abuse violations. o N 3. Give each employee engaged in providing the commodities or contractual services that opI= are under bid a copy of the statement specified in Paragraph 1. a 4. In the statement specified in Paray'aph I. notify the employees that, as a condition of 3 G 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 ro plea of guilty or role contendere lo, any violation of Chapter 893 or of any controlled V 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. c Impose a sanction on, or require the satisfactory participation in a drug assistance or Nm rehabilitation program if such is available in the employer's community, by any n employee who is so convicted. cw 6. Make a good faith effort to continue to maintain a drug -free workplace through e