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Fort Walton Beach Council agenda — 01-24-12 regular — reading text
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This completed form must appear as the top sheet for all bids submitted.
COVER SHEET
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TITLE: ITB 12 -008 - COMMERCIAL OVERHEAD STEEL ROLLING DOORS m
ISSUE DATE: NOVEMBER 3, 2011 BID NO: ITB 12- 008
NO BID BOND IS REQUIRED FOR THIS BID
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) N/ A
All Items bid? Yes No
Total Amount of bid or Base bid
Submitted by:
NAME OF BUSINESS SIGNATURE
MAILING ADDRESS NAME & TITLE (type or print)
CITY, STATE, ZIP CODE
1 l 1
TELEPHONE NUMBER FAX NUMBER
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INSTRUCTIONS FOR SUBMITTING BID RESPONSE FOR ITB 12 -008:
1. Bidders are expected to examine this bid form and all instructions. Failure to do so will o
be at the bidder's risk.
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2. All prices and notations must be in ink or typewritten. No erasures are permitted. rn
Mistakes may be crossed out and corrections typed adjacent and must be initialed and dated in m
ink by person signing bid. All bids must be signed with the firm name and by a responsible = 0
officer or employee.
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3. Each bidder shall furnish all the information required on the bid form and each
accompanying sheet on which he /she makes an entry. b
4. Unit price for each unit bid shall be shown. A total shall be entered in the amount column
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for each item bid. In case of discrepanev between a unit price and extended orice the unit prices r
will be presumed to be correct. m
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5. Although the City generally awards bids based on a " lump sum" basis to the bidder m
submitting the lowest responsive and responsible total bid as shown on the Invitation to bid a
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 N
which items are bid and which are not. Failure to submit these pages will render such bid non-
responsive.
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6. Persons with disabilities needing a special accommodation to participate in this invitation d
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to bid should contact the City Clerk, 107 Miracle Strip Parkway, Fort Walton Beach, Florida e
32548, ( 850) 833 -9509, at least seven days before the date the accommodation is necessary.
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BID CHECKLIST: Bidders are cautioned to assemble the bid packet using this check list.
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 # 5)
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.
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BIDDER' S CERTIFICATION
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I have carefully examined the Invitation to bid, Instructions to bidders, General and Special c
Conditions, Vendor's Notes, Specifications, proposed agreement and any other documents
accompanying or made a part of this Invitation. . ad.
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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 nine[ 90 days in z
order to allow the City adequate time to evaluate the bids.
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I certify that all information contained in this bid is truthful to the best of my knowledge and d
belief. I further certify that I am duly authorized to submit this bid on behalf of the O
vendor /contractor as its act and deed and that the vendor /contractor is ready, willing and able to , 0
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perform if awarded the bid.
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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 a
product or service; no officer, employee or agent of the City of Fort Walton Beach or of any 3
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 ro
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
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ADDENDUM PAGE ITB 12 -008
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The undersigned acknowledges receipt of the following addenda to the Documents ( Give number o
and date of each): O
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
1
TELEPHONE NUMBER
1)
FAX NUMBER
DATE
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REFERENCES —ITB 12 -008
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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. Nm
REGARDING PROPOSER / BIDDER:
Name:
Name: 0LaNzd
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Contact:
Contact:
Address:
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Address: m
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Telephone: Telephone:
