Fort Walton Beach Council agenda — 03-12-13--regular — reading text

the laws of the state or of the United States with the legal power to enter into a binding contract for provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term ' person' includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active n management of an entity. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. ( Please indicate which statement applies.) X_Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, nor affiliate of the entity have been charged with and convicted ofapublic entity crime subsequentto July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. ( Please attach a copy ofthe final order.) The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer ofthe State ofFlorida, Division ofAdministrative Hearings. The final order entered by the hearing officer determined that it was in public interest to remove the person or affiliate from the convicted vendor list. ( Please attach a copy of the final order) The person or affiliate has not been placed on the convicted vendor list. (Please describe any action taken by, or pending with, the Department of General Services.) Signature) 4 Febuary, 2013 Date) STATE OF: Florida COUNTY OF: Okaloom PERSONALLY APPEARED BEFORE ME, the undersigned authority, who, after first being sworn by me, affixed his/her signature at the space provided above on this 5th day of February 2013, and is personally known to me, or has ni1W/ On. provided P DD Form 2, ( Retired USAF ID) i ara egs •. ` %. NOTARY PUBLIC, 10 USC• Q: Office of the Staff Judge Adv ' Huriburt Held, 14 . * 32 $` Nd Public US P1P f My Commission expires Ql f PQ 2 1111 MOM 28  weisf,S punoS 6uipue-1 0l0-Ct ddM P' emV : OZZZ) suoitenpo d OSl- Ot0 -CL ddM : IuarugoeuV KFYNl3 -IIIU t° o Port Gaon Lsndin SowdS tem N a NO BID" RESPONSE TO REQUEST FOR PROPOSAL U a N IF YOU ARE NOT SUBMITTING A PROPOSAL, PLEASE PROVIDE THE INFORMATION BELOW AND RETURN THIS FORM BEFORE THE SCHEDULED BID OPENING DATE TO: Purchasing Agent City Of Fort Walton Beach 105 Miracle Strip Parkway, SW Fort Walton Beach, FL 32548 Or by fax to (850) 833 -9643 FAILURE TO RESPOND TO THREE (3) CONSECUTIVE BIDS MAY RESULT IN YOUR COMPANY BEING DELETED FROM THE CITY' S BIDDER' S LIST. We have received your Request for Proposal for FORT WALTON LANDING SOUND SYSTEM, RFP 13-010, opening at 2: 30 PM CST, on February 5, 2013. Reason for not bidding: BY: Signature pp 77 Name & Title (type or print) 7-,5-,f o,-,, 1LAu r LeC Company Name Date 11 of28  Lrrmc[ c o, rF , o Rumue- r nr n -r r. dAN naeMW : A7771 SUOgOnpUJd OST- OtO- EL d: IU : IUamgoegy a DR - 13 mto 52013 Florida Annual Resale Certificate for Sales Tax R. 10M2 m THIS CERTIFICATE EXPIRES ON DECEMBER Sir 2813 v eql r [ ion EII D to rt5ft NsjRbr_ w less $ a 02120/ 01 56- 80123726453 THE SOUND COUNCIL BRENDON GRIMES 405 LOVEJOY RD NW UNIT CPD FORT WALTON BEACH FL 32548 -3421 TO* is to terry that all tangible perbcnbl property p r: hasetl or renreai, real praperty rented, or sernres purchased by the above business are being purahaseo or hurad far one of thatdbwing purposas: rnWrq, ra9ar e,. Revle dsleJide parsnrYrl prq,titY • Neimlpl ax real paprctY. 1ebw IngeEigrl, a leperso' rar payarY Pe+ anlal ¢ s tangb e pelm olproaMy. R ma' mrmces, Incaporerbnmm endvele Was part pt: h u16r rof teoglple personalpropeM1Y daome. wmryr— roars oeingO.pretluttebr . sam by manNadunoq. ncrema, zz . racs=a „ rer! ni erox. = v. oo, ca,.re. or pr « ess;:rg. Misu,v of rsurd bereassignebor Wil sublavt Thiscedifrcatecxn only Mused taw, acdva regislelad dbdeforlw arthaaes employe. Misuse of this Annuel Ressk Cartietek wAI sutiect the user to penaMes as provitled by law. Use slpcetl plgtompylammk pnpsses. Presented to: Ilnr,r, ra++eol veeerc n vK.v'.vYi leer ireosenledbY:+ r /= hn\\'\\ awrr3, fe,+ TVwrr,: m1 rave. rv rivis PROFESSIONAL SOUND & LIGHTING The Sound Council LLC This company is owned and operated by a Retired USAF Veteran. State certification has been applied for and we are awaiting certification. I request your consideration in this matterwhile awarding points under Line 4 of your evaluation criteria. MSgt, Hrendon Grimes, USAF ( Retired) Owner  welsAS punoS 6uipuel Ol0- CL ddxl pjemtl : OZZZ) suogonpoId OSl- 0lO- SL ddil auawyoelIV r aNN d lwhmm a u One Year Limited System Warranty a The Sound Council LLC warrants that all the equipment sold, delivered, and installed by our firm, or installed by a subcontracted installation firm, to be free from defects in material and workmanship for one year from invoice date of purchase. This warranty extends to the original purchaser only and is subject to the following terms, conditions and limitations. 1. A defect in material and workmanship is defined as a malfunction in any of the electronic components installed by us in the system found to be operating incorrectly or not operating at all, under the accepted standards set by the manufacturer of the product at fault. Loose hardware or a malfunction, which is related to normal wear or hard usage, are not covered. 2. This warranty will not be extended to equipment which has been abused or misused or which has not been properly maintained, including cleaning and preventative maintenance. 3. Service calls made for equipment covered under this warranty are free of charge. Service calls made for equipment found to be misused will be charged at our normal rates. 4. Items found to be defective on non -local installations may be replaced by shipping the unit to us directly without a service call. All shipping charges will be paid for by