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/ BID REQUESTED: 132 NICHE COLUMBARIUM FOR BEAL MEMORIAL CEMETERY The City of Fort Walton Beach invites bids for 132 Niche Columbarium for Beal Memorial Cemetery. Bids will be opened and publicly read aloud at City Hall, City of Fort Walton Beach, 105 Miracle Strip Parkway, Fort Walton Beach, Florida at 2: 30 PM on March 31, 2009. Bids must be SUBMITTED ON THE FORMS FURNISHED BY THE CITY and in accordance with specifications and the list of quantities desired. It is the intent and purpose of the City of Fort Walton Beach that this Invitation to bid promotes competitive bidding. It shall be the bidder's responsibility to advise the Purchasing Department at the address noted in the Special Conditions, if any language, requirements, etc. or any combination thereof, inadvertently restricts or limits the requirements stated in this Invitation to bid to a single source. Such notification must be submitted in writing and must be received by the Purchasing Department no later than ten ( 10) days prior to the bid closing date. Sincerely, William Worlds Purchasing Agent TABLE OF CONTENTS BIDREQUESTED: .................................................................................................... I TABLEOF CONTENTS ................................................................ .............................. 2 3 COVERSHEET .............................................................................................................. .............................. 4 INSTRUCTIONS FOR SUBMITTING BID .................................................................. .............................. 5 BIDDER' S CERTIFICATION ...................................................................................... ............................... 6 ADDENDUMPAGE ...................................................................................................... .............................. REFERENCES............................................................................................................... ............................... 7 NO BID RESPONSE TO INVITATION ............................................... .............................. 8 VENDOR QUESTIONNAIRE ..................................................... .............................. 9- 10 DRUGFREE WORKPLACE FORM .................................................. ............................. 11 GENERALCONDITIONS ......................................................... ............................. 12- 17 EVALUATION CRITERIA MATRIX ........................................... ............................. 15 SPECIALCONDITIONS ............................................................ ............................. 18- 21 PRE -BID CONFERENCE .......................................................... ............................. 18 BONDREQUIREMENTS ......................................................... ............................. 20 INSURANCE REQUIREMENTS ........................................... ............................. 20- 21 BASEBID PRICING FORM ....................................................... ............................. 22- 23 SPECIFICATIONS INFORMATION ................................................... ............................. 24 P;2w,tsAal COVER SHEET ITB TITLE: 132 NICHE COLUMBARIUM FOR BEAL MEMORIAL CEMETERY MAIL DATE: 3/ 12/ 09 BID NO: 09 -114 This completed form must appear as the top sheet for all bids submitted. Total Amount of bid or Base bid 47, z y 3-- e(-- Amount of bid Bond Amount of Cashier' s Check Amount of Certified Check All Items bid? Yes +' No Submitted by: BY: Ci/ lLw NAME OF BUSINESS. SIGNATURE P,e 40 0 MAILING ADDRESS NAME & TITLE (type or print) CITY, STATE, ZIP CODE S ) _- Z., z C fir/ TELEPHONE NUMBER FAX NUMBER BIDDER' S CERTIFICATION 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 furnish 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 r• 14 Signature AV ' 0 " A hvt WJ - S NAME & TITLE (type or print) jj d hl / 1C' t xt." yc iC L a 14 MAILING ADDRESS CITY, STATE, ZIP CODE TELEPHONE NUMBER 1W 5Z , 36 z 41,41 FAX NUMBER X (A , i 2 LL ``' 09 DATE ADDENDUM PAGE The undersigned acknowledges receipt of the following addenda to the Documents ( Give number and date of each): Addendum No. Dated Addendum No. Dated Addendum No. Dated Addendum No. Dated 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. a: I. i iv 4•' ,.. % lFitti•i .. L" 1 L 5 1' S [, i'c' -- /, t tJ ) " h%7c. t4y s . rj NAME OF BUSINESS 4v , 4 0 Si 9 nature NAME & TITLE (type or print) N' RC A C 1,4- MAILING ADDRESS 3z.IQ 7 CITY, STATE, ZIP CODE i Z_) = 3% Z - & sti c TELEPHONE NUMBER 4/ V) 3& Z - & - FAX NUMBER k6t, L . 3 !, DATE REFERENCES 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 work that has been performed within the last five ( 5) years. Name: / Name: / V' c" . ' «. L i .. Contact: Contact: Address: Address: Jq̀ 5 q6 j-jCJ-" cq a c 6A 3151.3c, pe"; i;ACC 4- 43 , f_9 ztc.r Telephone: Telephone: get Facsimile: Facsimile rt 2 - 373 - C i LC S3 - 44- 3s Name: .' t, Name:_ } r- e Contact: Contact: IIA Address: Address: 460 k+ a c.. L 13 " a 5i t 15 A L. t3 A K4.. i. F J %.# c h_ i2 3Zs I F%i 4L / VIC134 6- 3Z4 C 3 Telephone: Telephone: Facsimile: Facsimile Drug -Free Workplace Form The undersigned vendor, on A N " o, rh4 2009, in accordance with section 287. 087, Florida Statutes, certifies that [ business] 1.,,`, 3 rk"e, does: 1. Publish a notifying employees that the unlawful manufacture, distribution, statement dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business's policy

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