Okaloosa County BOCC — February 18, 2014 — Biosolid Removal Documents — reading text

6. Make a good faith effort to continue fo maintain a drug-free workplace through implementation of this section. As the person authorized to sign this statement, | certify that this firm complies fully with the above requirements. DATE: 1717 SIGNATURE: jul L We | COMPANY: Ri Farms, Lic. NAME: ld L/ Ai ven bak aporess: 625 Burnt St to Jy ee . ne Bid At 3635) TITLE: , PHONENO.: 3224-5 354- Ile lostRevsed 06/24/2013 Page 19 RECYCLED CONTENT INFORMATION 1. ls the material in the above: Virgin or Recycled (Check the applicable blank). If recycled, what percentage de. Product Description: 2. ls your product packaged and/or shipped in material containing recycled content? Yes, No. Specify: 3. ls your product recyclable after it has reached its intended end use? Yes No Specify: The above is not applicable if there is only a personal service involved with no product involvement. Name of Bidder: (WA) A E Farms LLC Page 20 LOCAL PREFERENCE DATA SHEET Okaloosa County grants a preference to in-county bidders only when bids are received from firms located in states, 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 the out-of-county bidder is located. If the political subdivision in which a bidder is located offers a preference to its local firms, that bidder must plainly state the extent of such preference to include the amount and type preference offered. Any bidder failing to indicate such preference will be removed from the County bid list and any and all bids from that firm will be rejected. Does the state, county, municipality or political subdivision in which your firm is located offer a preference to their local bidders? If “YES,” list below the extend of such preference. (If your firm is located in Okaloosa County, you will check “YES"-reciprocal only.) YES NO 4 lf yes, you must identify how you confirmed this information or who you spoke with within your area of business location below: RuE Farms, LUC. Wy TILL Bidder's Company Name Authorized Signature — Manual WA Aivenback Printed Name [= 2-14 Date INDEMNIFICATION AND HOLD HARMLESS To the fullest extent permitted by law, CONTRACTOR shall.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 intentional wrongful conduct of the CONTRACTOR and other persons employed or utilized by the CONTRACTOR in the performance of this Agreement. Ry E Earns LLC. Bidder’s Company Name 62S Burt St BlecK HL F654 Physical Address f Sane Mailing Address ADY- S3BY-M/L Phone Number SSO -204-t170 Cellular Number [- 7-14 DATE (REVISED: JANUARY 12, 2001) Last Revised — 12/6/13 whe Authorized Signature — Manual Mtl Aivenbar ¥ Authorized Signature — Typed Ce/pwner Title * riven JP 23eanail.com Eme.! FAX NumberY BFY- 53 4- WIE After-Hours Number(s) Page 22 BID SHEET BID #: #WS 21-14 BID ITEM: WATER & SEWER BIOSOLIDS REMOVAL & TRANSPORTATION 1. PRICE PER CUBIC YARD TO INCLUDE ALL TRANSPORTATION/PICKUP #0 S a) & DISPOSAL COSTS | ' 2. PRICE PER CUBIC YARD WITHOUT TRANSPORTATION COSTS 4 7 b 5 (DISPOSAL ONLY & SITE LOCATED IN FLORIDA) ‘ DISPOSAL SITE ADDRESS /D 7/ b e // Ko | Ostuniak 3p1.4g5, FE 32432 3. PRICE PER CUBIC YARD WITHOUT TRANSPORTATION COSTS (DISPOSAL ONLY & SITE LOCATED IN ALABAMA) # 6,25 DISPOSAL SITE ADDRESS F004 3 Edwad $ K d Flovela Ab 36442 Note: It is not necessary to submit a bid on all three line items. The County reserves the tight to perform a financial analysis on all line items of all bids and take into consideration distance to the disposal site (in which County expenses/resources would be incurred by transporting biosolids), in order to award the bid to the contractor(s) which produce the overall lowest expenses to the County. Remarks: eh ae ee ee eee ee em a om ae oe a ni oa et 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). Ay E Fugms te Bidder's Company Name 625 Burnt st Bleck AL Z631% Address BBY SBY-IIG Phone # 20-YI8IF22- Federal ID # or SS # Ath, L/L Authorized Signature — Manual WM Rive nbark Authorized Signature — Typed co/p wWueor Title © Piven 3b28e quai (Com Fax# Emygi} ~