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Okaloosa County BOCC — October 15, 2013 — Airport Skycap and Wheelchair Services_Internal Coord Sheet_Recommendation of Award and Bid Tabs_Contract — reading text
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— UNIFORMS/EQUIPMENT — Successful bidder shall provide all employees uniforms to wear
while performing the duties and responsibilities listed. Uniforms are to be kept clean and in good
repair.
Successful bidder shail provide all equipment, to include a curbside podium, hand truck, and
luggage carriers and wheelchairs. Equipment will be commercial grade and kept in good working
condition. All equipment will be professionally marked with company name and/or logo.
SECTION 7 —- HOURS OF COVERAGE - Skycaps will be readily available to assist passengers or perform
escort related functions one and one-half {1 %) hours prior to the first scheduled departure for each
day and be on site for these duties until thirty (80) minutes prior to the last departure of each day.
SECTION 8 — PAYMENT — Successful bidder shall invoice COUNTY on the first day of each month for the
preceding month for the actual hours worked in a format approved by their airport. Hours for billing
shall list those performing baggage. wheelchair, and escort services separately. Please send invoice
to:
Northwest Florida Regional Airport
Accounts Payable
1701 State Road 85, N.
Eglin AFB, Florida 32542-1498
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Last Revised — 06/24/2013 Page 3
SECTION 9 —- HOLD HARMLESS - To the fullest extent permitted by law, the contractor shail indemnify
and hold harmless COUNTY, its officers and employees from liabilities, damages, losses, and costs
including but not limited to reasonable attorney fees, to the extent caused by the negligence,
recklessness, or international, wrongful conduct of the contractor and other persons employed or
utilized by the contractor in the performance of this agreement. Complete Hold Harmless form within
Special Conditions.
SECTION 10 - TERMINATION — Upon occurrence of a default and after expiration of applicable cure
periods, the COUNTY may serve a notice of termination if the default has not been timely cured. On
the date set forth in the notice of termination, the term of this agreement and alll rights, title and
interest of contractor shall expire, In the event of such termination, contractor shall be entitled to
compensation for work Undertaken through the termination date.
SECTION 11 - NOTICES — Any notice which may be required under this agreement shall be provided
as follows:
COUNTY
Northwest Florida Regional Airport
Airports Director
1701 State Road 85, N., #1
Eglin AFB, FL 32542-1498
SECTION 12 - FORCE MAJEURE ~ in the event that contractor's operations at the Airoort are halted or
substantially decreased by reason of strike, labor dispute, picketing, action or interference of
governmental authorities, riots, terrorist attack, act of God or other cause reasonably beyond the
control of contractor, this agreement (and payment for services). may be suspended for the duration
of such halted or decreased operations.
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Last Revised - 06/24/2013 Page 4
SECTION 13 ~ EXHIBITS
EXHIBIT “A”
The following terms and rates apply to the agreement:
1 Weekly hours invoiced for actual hours worked.
2. Rates valid from to
3. Holidays paid at time and a half are:
New Years Day
Independence Day (July 4!h)
Labor Day
Thanksgiving Day
Christmas Day
BILLING RATES
Straight Time
Skycaps (gratuity wages}
Skycaps (non-gratuity wages)
Last Revised ~ 06/24/2013
Overtime/Holiday
Page 5
INVOICE #:
EXHIBIT “B”
SAMPLE INVOICE
COMPANY NAME
NORTHWEST FLORIDA REGIONAL AIRPORT
MONTHLY INVOICE — CUSTOMER SERVICES
DATES COVERED
INVOICE DATE:
Type of Service
Unit Price (Cost/Hr) Amount (Hours)
Monthly Cost
Skycap/Porter
Skycap - Holiday/OT
Security Escort
Security Escort
Holiday/OT
Wheelchair Services
TOTAL COST
Note: Total Cost is inclusive of overhead and any related management fees.
A 8 A A OS Sv
a IT Vc PTE
Last Revised - 06/24/2013
Page 6
EXHIBIT “C”
SECURITY/BADGING DOCUMENT
NORTHWEST FLORIDA REGIONAL AIRPORT
STEPS TO OBTAIN SECURITY BADGE
i. Badge applicant completes “Northwest Florida Regional Airport Application” and Privacy Act
Notice attached.
2. Employer Signatory Authority writes letter authorizing SIDA badge:
a. *See attached letter for example; specify either SIDA or NON SIDA badge type for
issue.
b. *Letter MUST be on Company Letterhead.
3. Badge applicant brings 2 original forms of identification, as required on the attached “List of
Acceptable documents”. Based on I-9 requirements.
4, Applicant brings all of the above items completed to the badging office at the Northwest
Florida Regional Airport. Call for badging hours at 651-7166.
5. The applicant is fingerprinted for a Criminal History Records Check. Once the fingerprints and
TSA required Security Threat Assessment (STA) are received back with no disqualifying crimes,
the applicant completes Security training and the Security badge fs issued.
The Security Badge is the property of the Northwest Florida Regional Airport and must be returned
when the badge holder is off property for longer than two weeks, or is terminated from employment
at the airport.
LE A ae AI ALLAN LITO NE OIE PE ST SP
Last Revised — 06/24/2013 Page 7
NORTHWEST FLORIDA REGIONAL AIRPORT (VPS) Category Il
APPLICATON
Name:
(First) (Middle) (Last) (Full Alias/Maiden or Nickname}
Social Security # / /. Daytime Phone# { ) SEX: M or F
Current Mailing Address
(No PO Box} (Street Acidress} (City) (State) {Zip}
Date of Birth / / State of Birth Country of Birth US Citizen: YES or NO
US Citizens born abroad, or naturalized citizens, must provided additional paperwork as required by DHS.
Non US Citizens must provide: Alien Registration # or +-94 Form #
Individuals with a non-immigrant VISA must provide the control #
Height (Ft/In) Welght. Eyes Har.
Employer Name. Employer Daytime Phone ( }
Employee Position
Have you ever been convicted, or found to be innocent by reason of insanity, of ANY of the following
crimes?
¢ Forgery of certificates, false marking of aircraft, and other aircraft registration violations (49USC
46306} .
Interference with air navigation (49USC 46308) or aircraft piracy (49 USC 46502}
Improper transportation of hazardous material (49 USC 46312}
Interference with flight crew members or flight attendants (46 USC 46504)
Commission of certain crimes aboard an aircraft in flight (46 US 46506}
Carrying ad weapon or explosive aboard an aircraft {49 USC 46505)
Conveying false information or threats (49 USC 46507)
Aircraft piracy outside the special aircraft jurisdiction of the United States (49 USC 46502(1))
Lighting violations in connection with transportation of controlled substances (49 USC 46315]
Unlawful entry into an aircraft area that serves air carrier or foreign air carriers contrary to
established security requirernents (49 USC 46314)
Destruction of an aircraft or aircraft facility (18 USC 32)
Murder or assauit with intention to murder, Kidnapping or Hostage taking
Treason, Espionage, or Sedition (illegal anti-government activity}
Unlawful possession, use, sale, distrioution, or manufacture of an explosive or weapon
Armed Robbery or Felony unarmed robbery, Extortion, Felony Arson, Rape (Sexual Battery), or
Aggravated Sexual Abuse
Distripution of, or intent to distribute, a controlled substance [illegal drugs}
« Felony involving a threat
e Felony Involving any of the following: Willful destruction of property, Importation or manufacture of
a controlied substance; Burglary, Theft, Dishonesty, Fraud, or misrepresentation; Possession or
distribution of stolen property; Aggravated Assault; Bribery, or illegal possession of a controlled
substance punishable by a maximum term of imprisonment of more than | year
e Violence at international airports (18 USC 37)
¢ Conspiracy or attempt to commute any of the aforementioned criminal acts
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Last Revised — 06/24/2013 Page 8
NO YES If yes, list type of crime and date convicted:
| certify that the information provided above is true, complete, and correct to the best of my knowledge
and is provided in good faith, | understand that a knowing and willful false statement on this application
can be punished by fine or imprisonment or both. (See section 1001 of Title 18 United States Code}. |
understand that the ten (10) year employment history | have provided to my employer is subject to
verification, Also, | am subject to an initial criminal history records check, and recurrent checks at the
discretion of the Northwest Florida Regional Airport Administration. | understand that the Security Badge
issued to me is the property of Northwest Florida Regional Airport and that | must return if upon termination
of my employment. | understand that | am responsible for this badge, It is for my use only, and that in the
event of loss | will incur replacement and unrecoverable charges. Should the applicant become involved
in any future crimes or arrests he/she will advise the Airport Operations Center immediately.
Applicant’s Signature Date:
Media ID Number Issued: Media ID Type: Media Status:
Level of Access fo be granted: Date Badge issued:
Date Badge terminated/Revoked: Reason for revocation:
Cn re
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Last Revised - 06/24/2013 Page 9
Signatory Authority Letter for Security Badges
MUST BE ON COMPANY LETTERHEAD
Date
Airport Security Coordinator
Northwest Florida Regional Airport
1701 State Road 85 N
Eglin AFB, FL 32542-1413
Airport Badging Office:
Please process the application of the employee(s) named below for issuance of a Northwest Florida
Regional Airport SIDA/NONSIDA (state which one) badge as required to perform their duties as an
employee of this company:
Employees’ Full Name Date of Hire Date of Birth Badge Type
| certify all employment background check requirements have been met. } understand my
responsibility to ensure the VPS Badging office is notified immediately if employment status, or
disposition of the badge, changes.
Sincerely,
Signatory Authority Person's Signature and Title
Company Name
!am an employee of the above company requesting a Security badge at Northwest Florida
Regional Airport. | will notify the above person immediately. of any changes in employment, or
disposition of the badge.
Employee Printed Name
Employee Signature
TEE EEE
Last Revised - 06/24/2013 Page 10
PRIVACY ACT NOTICE
Authority: 49 U.S.C. 83114, 44936 authorizes collection of this information.
Purpose: The Department of Homeland Security {DHS} will use the olographical information to
conduct a security threat assessment and will forward any fingerorint information to the Federal
Bureau of Investigation to conduct a criminal history records check of indivicuals who are applying
for, or who hoid, an airport-issued identification media or who are applying to become a Trusted
Agent of the airport operator. DHS will also transmit the fingerprints for enrollment into the US-Visit's
Automated Biometrics Identification System (IDENT). If you provide your Social Security Number {SSN},
DHS may provide your name and SSN to the Social Security Administration (SSA) to compare that
information against Sosa's records to ensure the validity of your name and SSN.
Routine uses: This information may be shared with third parties during the course of a security
threat assessment, employment investigation, or adjudication of a waiver or appeal request to the
extent necessary to obtain information pertinent to the assessment, investigation, or adjudication of
your application or in accordance with the routine uses identified in the Transportation Security
Threat Assessment System {T-STAS), DHS/TSA 002.
Disclosure: Furnishing this information (including your SSN} is voluntary; however, if you do not
provide your SSN or any other information requested, DHS may be unable to complete your
application for identification media.
| authorize the Social Security Administration to release my Social Security Number and full
name fo the Transportation Security Administration, Office of Transportation Threat Assessment and
