Okaloosa County BOCC — November 5, 2013 — Cathey Construction Hangar Door Bid — reading text

BIDSHET COPY BID ITEM: . AIRCRAFT MAINTENANCE HANGAR DOOR REPLACEMENT @ DESTIN AIRPORT BID #: AP 48-13 TOTAL BID PRICE (LUMP SUM) §$ ati 700 # OF DAYS : Z Gj REMARKS: - ANTI-COLLUSION STATEMENT: The below signed bidder has not divulged to, discussed or compared his bid with other bidders and has not colluded with any other bidder or parties. to. bid. whatever. (Note:. No.-premiums, rebates, or gratuities permitted either “ with, priorto; or after any delivery of materials. Any such violation will result in the cancellation and/or return of material (as applicable} and the removal from bid list s). SO gd Z a ao wad Authofved Signa ure — Manual [ ato is ytactinssy DOU Bidder's Company Name | Doberraren — Whilesn “2 Gotey _ : | Authorized Signoure - Typed | f « , Gn as oe pen a bebe | N\fitcoReath Fi syd —_Preendedr Address Be Title. . . CAD USS IOP Sep le UK. SOT Phone# ~~ SO Fax # | or Aw UDWSUe — ¢ea@ Cothoye entero Federal ID # or SS #- E-mail address — ‘ Cc Oy _ Last Revised - 06/21/2013 THE AMERICAN INSTITUTE OF ARCHITECTS ? We HANS § AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, that we Cathey Construction & Development, LLC as Principal, hereinafter called the Principal, and Fidelity and Deposit Company of Maryland a corporation duly organized under the laws of the State of Maryland as Surety, hereinafter called the Surety, are held and firmly bound unto Okaloosa County Board of County Commissioners 302 N Wilson St Crestview, FL 32536 as Obligee, hereinafter called the Obligee, inthe sumof 5 %ofBid Dollars ($ ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly, by these presents. WHEREAS, the Principal has submitted a bid for Aircraft maintenance hangar door replacement at Destin-Fort Walton Beach Airport NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shail enter into a Contract with the Obligee in accordance with thee terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shail pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain In full force and effect. day of July 2013 _ Fidelity and eee Company of Maryland | £. ; . (Ww wh O,a (Seal) Stephen C. Chonkownsess “ CAE Jo M. Chonko (Title) Attorney-In-Fact AIA DOCUMENT A310 -BID BOND - AIA FEBRUARY 1970 ED-THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N.Y, AVE., NW, WASHINGTON, D.C. 20006 1 ~ “NO CONTACT CLAUSE” © The Okaloosa County Board of County Commissioners have established a solicitation silence policy (No Contact Clause) that prohibits oral and written communication regarding all formal solicitations for goods and services (formal bids, Request for Proposals, Requests for Qualifications) issued by the Board through the County Purchasing Department. The period commences when the orocurement document is received and terminates when the Board of County Commissioners approves an award. When the solicitation silence period is in effect, no oral or written communication is allowed regarding the solicitation between prospective bidders/proposers and members of the Board of County Commissioners, the County Administrator or members of the Board Approved Review Committee. All questions or requests for information regarding the solicitation must be directed - to the designated Purchasing Representative listed in the solicitation. © Any information thought to affect the committee or staff recommendation submitted after bids are due, should be directed to the Purchasing Director or his appointed representative. It shall be the Purchasing Director's “decision whether to consider this information -in: the. decision process. _ — , Any attempt by a vendor/proposer to influence a member or members of the aforementioned shall be grounds to disqualify the proposer from consideration during the selection process. to comply with this policy by signing the following statement and . includi syinittal | GO So Zi f — J | () P | 4 /) d f s a Ronee } “Tf “hy : LA representing _|_ he osf oaiseiinatiz See! : ii [es Li Signature “Company Name Date Hereby agree to abide by the County's “No Contact Clause” and understand violation of this policy shall result in disqualification of my proposal/submittal. Last Revised — 06/21/2013 . , Page 11 Refer to Bid Specification NAME OF CUSTOMER ADDRESS PHONE NUMBER PERSON TO CONTACT NAME OF CUSTOMER — ADDRESS | PHONE NUMBER PERSON TO CONTACT NAME OF CUSTOMER ADDRESS PHONE NUMBER PERSON TO CONTACT NAME OF CUSTOMER ADDRESS PHONE NUMBER - PERSON TO CONTACT NAME OF CUSTOMER. ADDRESS PHONE NUMBER . _ PERSON TO CONTACT | Dena Sheba REFERENCE DATA SHEET ‘ | i}. | Pidck Meche [AB S. US iste! Go | Suir Ve Fe ao ES 6252-14557» ee Ke ily my f\ - bull 1S pce. pm) (20cl 6 Calin Sr. TANS Dot shiv Radke BG - 2: oO -tolll EL. ot a mar tor Af faxes 2409 Sraic ed 24974 St Ques che, pe FSH 1- SOL Why: PSs! THe _Patryis ; : De = al Dr, ChIRBUAA 2. hus 5321 uw. bHeelvbau 4S _ oe Ce Aci nie ORs et. Bo 22 Ti} 2220 C Sate : iz L tS & - \ y ae 44h ln. oe a Ru S220 (Sr SSO ipUS aad Bivnenda Lees iol Ft. Sanaa Last Revised — 06/21/2013 INDEMNIFICATION AND HOLD HARMLESS To the fullest extent permitted by law, CONTRACTOR shall indemnity and hold harmless COUNTY, its officers and employees from liabilities, damages, losses, and costs including but not limited fo reasonable attorney fees, To the extent caused by the negligence, recklessness, or intentional ~ wrongful conduct of the CONTRACTOR and other persons employed - or utilized by the - CONTRACTOR in the performance of this Agreement. Pretivel | | ou double - Bidder’s Cdmpany Name - 7 a ne <> (DA NAIM SE. wruliaw Bea “2. “Physical Address . ‘Authorized Signature — Typed” Pp Pook (310 o1 Mee pic Reatht Lye $9 deaf Mailing Address _ Title _ FBOLELSIOD | BEp foUS'S los” Phone Number , FAX Number SR OSU KYUS - E52 240 /BE vy? Cellular Number After-Hours Number(s } “4 Lys < ¥4 DATE . _Last Revised ~ 06/21/2013 _ : Page 13 © ADDENDUM ACKNOWLEDGEMENT The bidder acknowledges that he/she has received the following addendum: ADDENDUM NO. olf DATED. ADDENDUM NO. _ DATED “ADDENDUM NO. DATED ADDENDUM NO. | DATED ADDENDUM NO. _ DATED Bidder Firm Name: Cort fl nin bey Address: p p foe 13 : | Neeteo 1 Ban SUED Tie: a Pres | Phone #: a | a SO US 510 FAX No.: 5 ald le UY SI a Last Revised — 06/21/2013 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, alll bidders/proposers, must disclose - "if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), or if any of its: agencies Is also an owner, corporate officer, agency, employee, etc., of their business. indicate either “yes” (a county employee, elected official, or agency is also associated with . your business), or no". If yes, give person(s) name(s) and position(s) with your business. YES I NOL NAME(S) | POSITION(S). FIRM NAME: 7 [pr-hoe1 [wvittruptins Dv BY (PRINTED): a Withee Pe (aot, a “BY ISGNATURE):- A ae a Bx TITLE: KES ADDRESS: - Pp og LS (07. _ he ea ew TR ats FL3zyi0 pHONENO, RGD Le UFC | | | EMAIL oe Coale Cn tae Covetrectten. COV Last Revised 06/21/2013 oe Page DRUG-FREE WORKPLACE CERTIFICATION | THE BELOW SIGNED.BIDDER CERTIFIES that it has imolemented a drug-free workplace program. In order to have a drug-free workplace program, business shall: 1. Publish a. statement notifying employees that the unlawful manufacture, distribution, — 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 of maintaining a drug-free workplace, any available drug counseling, rehabilitation and employee assistance programs, and the penalties that may. be imposed upon employees for drug abuse violations. , 3. Give each employee engaged in providing the commodities or contractual services that are under quote a copy of the statement specified in subsection 1. AL In the. statement specified in subsection 1, notify. the employees that, as a condition of . working on the commocities or contractual services that .are under. quote, the employee ~. will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 or of any controlled . 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. 5. . |mpose a sanction on, or require the satisfactory participation in, drug abuse assistance © or rehabilitation program if such is available in employee’s community, by any employee who is convicted. 7 6 Make di good. faith effort to ‘continue to maintain a ‘drug-free workplace through: . ~ implementation of this section. co As the person authorized to. sign this ‘statement, | certify that this firm complies fully with the. above requirements. a pat: a Pe BG TS SIGNATURE _ ~~ co s COMPANY: © oY hou Laut NAME: Whew BLAH Ef bark B on ‘se ; 7 Se Ke Sha pae UB aphe (Typed or Printeq) nopeess; «= PEYDOV. 13107 | | | MG Kae taf toe oy np TLE; PVE Oe | NWiialaeathi aio "nO Amt crnnlctte erat: COND OSes CE NETUT PD, * CO} PHONE NO. LED laURS/ DD _ - Last Revised - 06/21/2013 _ . “Page 16. - RECYCLED CONTENT FORM RECYCLED CONTENT INFORMATION 1. Is the material in the above: Virgin Mo Recycled (Check the applicable blank). If recycled, what percentage he - Product Description: 2. . Isyour product packaged and/or shipped in material containing recycled content? Vee Now KX. specity: | : 3, | ‘syour product recyclable after it has reached its intended end use? Yes No_ X Specify: | The above is not applicable if there is only a personal service involved. with no product involvement. A, A Name of Bidder: _ |b Shou AW SH HE tem oe s ff) E-Mail _ UsTen ; as-is tu A if Cet COU _ ‘ ‘naam, Last Revised - 06/21/2013 ; ; Page 17 LOCAL PREFERENCE DATA SHEET Refer to Special Bid Condition Does the state, county, municipality or political subdivision in which your firm is located offer a preference to their local bidders? (If your firm is located in Okaloosa County, you will check “NO.”) If “VES,” list below the extent of such preference. oO. Le “NO YES . f\ . _ ; fda di Poop ON i ot sp f ! fel: i Ss ff io ? AI Uo lucite Bidder’s Company Name . Authorized’ Signature — Manual _ Po ; _ - tg —— foe i 6 yt AEP} at lia Th Re __of f My if ih yi < OF he & 6 a i ® Onrhod Cs ue hh CP TOA. CM VU eas St abe j _ Authorized Signature —-Typed / E-Mail Page 18 Last Revised — 06/21/2013 E-VERIFY COMPLIANCE CERTIFICATION ~ In accordance with Okaloosa County Policy and Executive Order Number 11-116 from the office of the Governor of the State of Florida, Bidder hereby certifies that the U.S. Department of Homeland Security's E-Verify system will be used to verify the employment eligibility of all new. employees hired by the contractor during the contract term, and shall expressly require any . - subcontractors performing work or providing services pursuant to the contract to likewise utilize the U.S.