Okaloosa County BOCC — October 15, 2013 — Airport Skycap and Wheelchair Services_Internal Coord Sheet_Recommendation of Award and Bid Tabs_Contract — reading text

Credentialing (TTAC), Attention: Aviation Programs (TSA-19}/Aviation Worker Program, 601 South 12th Street, Arlington, VA 20598. | am the individual to whom the information applies and want this information released to verify that my SSN is correct. | know that if | make any representation that | know is false to obtain information from Social Security records, | could be punished by a fine or imprisonment or both. Signature: Date of Birth: SSN and Full Name: iad Last Revised — 06/24/2013 Page 11 LISTS OF ACCEPTABLE DOCUMENTS LIST A Documents that Establish Both Identity and Employment All documents must be unexpired LIST B Documents that Establish Identity Authorization OR LIST C Documents that Establish Employment Authorization U.S. Passport or U.S. Passport Card Permanent Resident Card or Alien Registration Receipt Card (Form 1551) 1, Driver's license or [D card issued by a Staté or outlying possession of the United States provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address « Social Security Account Number card other than one that specifies on the face that the issuance of the card does not authorize employment in the United States . Certification of Birth Abroad . Foreign passport that contains a temporary I-551 stamp ot temporary 1-551] pritited notation on a machine- readable immigrant visa 2. 1D card issued by federal, state or local government agencies or entities, provided it contains a photograph or itiformation suck as name, date of birth, gender, height, eye color, and address issued by the Department of State (Form FS-545) }. Employment Authorization Document that contains a photograph (Form 1-766) 3. School ED card with a photograph Certification of Report of Birth issued by the Department of State (Form DS-1350) 4. Voter's registration card . Original or certified copy of birth . In the case of a nonimmigrant alien authorized to work for a specific employer incident to status, a foreign passport with Form J-94 or Form 1-944 bearing the same name as the passport and containing an endorsement of the alien's nonimmigrant status, as lorig as the period of endorsement has not yet expired and the proposed émployment is not in conflict with any restrictions or limitations identified on the form 5. U.S. Military card or draft record 6. Mititary dependent's ID card certificate issued by a State, county, municipal authority, or territory of the United States bearing an official seal 7, U.S. Coast Guard Merchant Mariner Card Native American tribal document 8. Native American tribal document 9, Driver's license issued by a Canadian goverment authority U.S. Citizen ID Card (Form 1-197) Passport from the Federated States of Micronesia (FSM) or the Republic of the Marshall Islands (RMI) with Form I-94 or Form 1-94A indicating nonimmigrant admission under the Compact of Free Association Between the United States and the FSM or RMI _ For persons under age 18 who are uitable to present a document listed above: . Identification Card for Use of Resident Citizen in the United States (Form L-179) 10, School record or report card 11. Clinic, doctor, or hospital record 12, Day-care or nursery school record Employment authorization document issued by the Department of Homeland Security Tilustrations of many of these documents appear in Part 8 of the Handbook for Employers (M-274) Th KeVISed — U6/-24/:2U13 Form 1-9 (Rev. 02/02/09) N Page 5 rage tz 4 EXHIBIT “D” BID SHEET BID #: AP 34-13 BID ITEM: SKYCAP & WHEELCHAIR SERVICES FOR NORTHWEST FLORIDA REGIONAL AIRPORT Each proposer shali bid on the following items. These rates are to be inclusive of all overhead, management fees as well as profit. HOURLY RATES: Skycap/Porter Services: $ 10.57 Skycap/Porter Services (Overtime/Holiday): $ 15.86 Wheelchair Services: $ 13.59 “Wheelchair Services (Overtime/Holiday): $ 20.39 Security Escort Services $ 13.59 Security Escort Services (Overtime/Holiday): $ 20.39 Remarks: “Wheelchair services overtime and holiday rates would be applicable to hourly employees who work in excess of 40 hours per week or on the holidays specified herein We are familiar with the fluctuation of hours required, based on seasonal and flight schedule changes, and how to effectively schedule personnel to perform a superior quality service. 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, prior to, 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). Crowne Aviation Services, LLC ZL, 72,0) Bidder's Company Name Authorized Signature — Manual” 1900 Century Place, NE, Ste 100 Sally A. Leonard Atlanta, GA 30345 Authorized Signature —- Typed CEO Address Title 404-389-0460 404-389-0255 Phone # Fax # 26-3753625 Federal ID # or SS # = Last Revised — 06/24/2013 Page 13 INDEMNIFICATION AND HOLD HARMLESS To the fullest extent permitted by law, CONTRACTOR shail indemnify and hola 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 intentional wrongful conduct of the CONTRACTOR and other persons employed or utilized by the CONTRACTOR in the performance of Ihis Agreement, Crowne Aviation Services, LLC y) ) Bicder's Company Name thorized Signature — Manual 1900 Century Place, NE # 100, Atlanta, GA 30345 Sally A. Leonard Physical Address Authorized Signature - Tyoed Same CEO Mailing Address Tifle 404-389-0460 404-389-0255 Phone Number FAX Number 770-241-4660 404-389-0460 Cellular Number After-Hours Number(s} July 24, 2013 DATE a a aC Last Revised ~ 06/24/2013 Page 14 SPECIAL CONDITIONS 1. Bid Price — Bidders are requested to use the attached Bid Sheet to provide pricing. 2. Local Preference - Okaloosa County reserves the right to grant a preference to in-county bidders only when bids are received from firms located in states, counties, municipalities or other political subdivisions which offer preference to bidders located in such political subdivisions. The amount of preference given to local bidders will be the same as that given by the state, county, municipality or other political subdivisions in which a bidder is located. If the political subdivision in which a bidder is located offers a preference to its local firms, that bidder musi plainly state the extent of such preference to include the amount and type preference offered. Any bidder failing to indicate such preference will be rerrnoved from the County bid lis] ane any all biels fron that firm will be relected. ‘ Note: For bidder's convenience, this certification form is enclosed and is made a part of the bid package. 3. Public Entity Crime Information - A person or affiliate wno has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid on a contract to provide any goods or services fo a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform: work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list. 4, Discrimination ~ An entity or affiliate who has been placed on the discriminatory vendor list may not submit a bid on a contract to provide goods or services to a public entity, may not suomit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not award or perform work as a contractor, supplier, subcontractor, or consultant under contract with any public entity, and may not transact business with any public entity. 5. Conflict of Interest - The award hereunder is subject to the provisions of Chapter 112, Florida Statutes. All respondents must disclose with their proposal the name of any officer, director, or agent who is also a public officer or an employee of the Okaloosa Board of County Commissioners, or any of its’ agencies. Furthermore, all resoondents must disclose the name of any County officer or employee who owns, directly or indirectly, an interest of five percent (5%) or more in the firm or any of its branches. Furthermore, the official, olor fo or at the time of submission of fhe proposal, must file a statement with the Clerk of Circuit Court of Okaloosa County if he is an officer or employee of the County, disclosing his or spouses or chila's interest and the nature of the intended business. Note: For bidder's convenience, this certification form is enclosed and is made a part of the bid package. x LE STC a All Ss SE Last Revised — 06/24/2013 Page 15 6. Identical Tie Proposal - Preference shall be given to businesses with drug-free workplace programs. Whenever iwo or more proposals that are equal with respect to price, quality and service are received by the County for the procurement of commodities or contractual services, a proposal received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process (see attached certification form). Established procedures for processing tie proposals will be followed if none of the tied vendors have a drug-free workplace program. Note: For bidder's convenience, this certification form is enclosed and is made a part of the bid package. 7. Reorganization or Bankruptcy Proceedings - Bids will not be considered from vendors who are currently involved in official financial reorganization or bankruptcy proceedings. 8. Bid Opening Information - Bid Opening shall be public, on the date and time specified on the bid form. It is the bidder's responsibility to assure that his bid is delivered at the proper time and place. Offers by telegram, facsimile, or telepnone are NOT acceptable. NOTE: Crestview, Florida is “not a next day guaranteed delivery location” by delivery services. 9 Right to Waive and Reject A. The Board, in its absolute discretion, may reject any proposal of a proposer that has failed, in the opinion of the Board, to compiete or perform an Okaloosa County contracted project in a timely fashion or has failed in any other way, in the opinion of the Board, to perform a prior contract in a satisfactory manner, ana has directed the Okaloosa County Purchasing Director to emphasize this condition to potential proposers. B, There is no obligation on the part of the County to award the proposal to the lowest proposer, and the County reserves the right to award the proposal to proposer submitting a responsive proposal with a resulting negotiated agreement which is most advantageous and in the best interest of Okaloosa county, and to reject any and all proposals or to waive any irregularity or technicality in proposals received, Okaloosa County shall be the sole judge of the proposal and the resulting negotiated agreement that is in its best interest and its decision shall be final. jon The Board of County Commissioners reserves the right to waive any informalities or reject any and all proposals, in whole or part, to utilize any applicable state contracts in lieu of or in addition to this propesal and io accept the proposal that in its judgment will best serve the interest of the County. D. The Board of County Commissioners