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

m Please describe any action takeni. pe ing with, the Department of m General Services.) - 4 j,. i nature) c AICL TSKiGS uc. E Company) vm Date: / Z/ — Page I I of 27 Packet Pg. fiO  8 3. a ITBk 12 -008 Public Entity Crimes Statement — Pg 3 of 3 DNo0 STATE OF FLORIDA Country OF F Q IIYi Gt mMin m 0 PERSONALLY APPEARED BEFORE ME, the undersigned authority, who, after III being sw rn by me. affixed his/her signature at the space provided above on this day of , 201 I, and is personal( known Io me. or has provided 9rmm driver' s license /military id) as identification. i f IAI SEAL ^., ! L. A p' fir. c.WIMd Stale a rlonaa C W l. e' i --^ GIL"h— M•. / C_+ m0 EE 130) 20 Notarc Public My ' ues oa. zz, 2ou Mti Couiniisblml CAP—,. mr 0QN3 trmm uc NNN n CNW L• Page 12 of 27 Packet Pg. 61 0u11I0H pe2418AO - 900- Z1 911 PJeMV : L990 ' 3ul sosudjGIU3 IIIH - IVSOdoud - ell 800- n I08W43uuv a Yu ax U)afO Oa Z 0 J O JwWN H W ma N2 0 W N OFw Q L) tYmm w OU 00 N a it  0O0 zz 0 J m JWWH O m CIJ NYJ W 2 m m u' W Of o 0 CL 0 p Q U O Ma m Co inami JQ NC .MN 0 m C y p U Nd U1E 0) W N m 50 g UWW W P- UU, ti OU I 000 N_ 1- LM 7 ml Attachment: 12 -008 ITS - PROPOSAL - Hill Enterprises Inc. ( 1587 : Award ITB 12 -008 - Overhead Rolling D  8. 3. b This completed form most appear as the top sheet for all bids submitted. COVERSHEET LJNO Na TITLE: I7B 12- 008 - COMMERCIAL OVERHEAD STEEL ROLLING DOORS c 6tr BID NO: ITB 12 -008 ISSUE DATE NOVEMBER 3. 2011 A zu NO BID BOND IS REQUIRED FOR THIS BID N( A Amount of Bid Bond ( 5% of base bid) NtA amount of Cashier' s Check ( 5% of base bid) S N(A Amount of Certified Check ( 5% of base bid) All items bid" Yes :rNo Total Amount of bid or Base bid Submitted by: CH— AMPION t' ONTanCTORS INC SIGNATURE NAME OF BUSINESS Howard Holley President P. O. Box 155 NAME & TITLE (type or print) MAILING ADDRESS C[ le Florida 32536 - CITY, STATE, Z.IP CODE 850 1 423 - 0480 I 850) 423 - 0235 TELEPHONE NUMBER FAX NUMBER Page 3 of 27 Packet Pg. 84  8. 3. b rraxt: -oas coa, m. dnioad. ou s:,vi aoar no„ ITB 12- 008 PRICING FORM INVITATION TO BID You are invited to purchase of Commercial Overhead Steel Rolling Doors bid on the following: for the City of Fort Walton Beach Item n Unit Price Total Price No. Qty• Unit 1 1 ob Fire Station #6 S yb l0aj ylo,006, 2 I Job h Fire Station #7 $ 2a A51. Z6j1S \. ID: M- NOTE I : A0 items quoted must be in compliance with the specifications- If you are taking exception, N indicate those exceptions oa company letterhead and attach to this invitation to bid- NOTE 2. Warranties: Bids shall identify all warranties provided by product manufacturers and vendodmstaller, to include parts and labor. UNOR