1545* Southeast Drilling Services, Inc. P.O. 033258DATE: 01/17/13
PURCHASING OFFICE: 407.688.5030
ACCOUNTS PAYABLE: 407.688.5020
FACSIMILE: 407.688.5021
VENDOR NO.: 11855
TO:
PURCHASE ORDER
CITY OF SANFORD
P.O. BOX 1788
(300 NORTH PARK AVENUE)
SANFORD, FLORIDA 32772
FLORIDA TAX EXEMPT NO.: 858012621681 C -8
SOUTHEAST DRILLING SERVICES, I
10614 E US HIGHWAY 92
TAMPA, FL 33610
PO NUMBER 033258
SUBMIT INVOICES TO: ACCOUNTS PAYABLE
FINANCE DEPT.
P.O. BOX 1788
SANFORD, FL32772
SHIP TO:
CITY OF SANFORD
300 N. PARK AVENUE
SANFORD, FL 32771
DELIVER BY
TERMS
F.O.B. DESTINATION
BID OR QUOTATION NO.
REQUISITION NO.
UNLESS OTHERWISE INDICATED
09/30/13
NET /30
63587
ACCOUNT NO.- 452-4530-536.63-03 PROJECT NO.: DW 110 6
NO DEVIATION FROM THIS PURCHASE ORDER WILL BE ALLOWED UNLESS AUTHORIZED BY THE PURCHASING MANAGER - CITY OF SANFORD
ITEM NO.
DESCRIPTION
QUANTITY
UNIT OF
ISSUE
I UNIT COST
EXTENDED COST
1
HIDDEN LAKES WELL 7 REPLACEMENT
327200.00
NA
1.00
327200.00
SRF DW 590120
SUB
TOTAL
327200.00
TOT
L
327200.00
APPROVED BY: APPROVED BY:
PURCHASIN GENT CITY MAN R
ALL PACKAGES AND INVOICES ASSOCIATED WITH THIS P.O. MUST BEAR THIS PURCHASE ORDER NUMBER. THE VENDOR IS RESPONSIBLE TO CAREFULLY
READ AND COMPLY WITH ALL OF THE STANDARD TERMS AND CONDITIONS PROVIDED ON THE REVERSE SIDE OF THIS PURCHASE ORDER
AND AT HTTP: //WWW.SANFORDFL.GOVI DEPARTMENTS /PURCHASE/TERMS.HTML
COPIES TO: VENDOR ORIGINATING DEPARTMENT PURCHASING
Ardaman & Associates, Inc.
ENO% Geotechnical, Environmental and
Materials Consultants
City of Sanford
Utility Department
P.O. Box 1788
Sanford, FL 32772 -1788
Attention: Mr. Paul R. Moore, P.E., Director
Subject: Hidden Lakes Well #7 Replacement — Bid Evaluation
Dear Mr. Moore:
September 20, 2012
File Number 10- 10 -0406A
As requested, Ardaman $ Associates, Inc. (Andaman) Is pleased to provide the City of Sanford a
bid evaluation for the Hidden Lakes Well #7 Replacement project. The bids were due
September 17, 2012 at 2:00 pm. There were a total of three bids received by the City for this
project. All three contractors were determined capable to perform the work based on personal
experience with the contractors and the example projects provided.
The base bids for the project include items 1 through 23, which involve construction and testing of
the well, purchase and installation of a vertical turbine pump and motor, and installation of a fence
and gate around the well. The bid tabulation is provided in Table 1. The base bids are as
follows:
BASE BIDS
1. Southeast Drilling Services Inc. $267,200.00
2. Rowe Drilling Company Inc. $274,150.00
3. All Webbs Enterprises, Inc. $364,750.00
There were additive/deductive items In the contract, which included straddle packer testing,
demolition of the existing well house, pulling the existing pump, logging and abandoning the
existing well, and installation of limerock gravel during the well abandonment. The additive item
bids are as follows:
ADDITIVE ITEMS
1. Southeast Drilling Services Inc. $60,000.00
2. Rowe Drilling Company Inc. $80,900,00
3. All Webbs Enterprises, Inc. $47,200.00
The apparent low bidder was Southeast Drilling Services Inc. at $267,200 for the base bid and at
$327,200 for base bid plus additive items. The bid from Southeast Drilling Services appears to
be mathematically unbalanced with 36% of the total cost of the base bid within the general
administration and mobilization of the project (item numbers 1 through 4), but the bid does not
appear to be materially unbalanced because the estimated quantities for the contract are good
estimates for this type of project. Compared to the other two bids, there are only five items with
unit costs higher than the average cost of the other two bidders other than Items 1 thru 4. These
Include surface casing, video logging, well development, step drawdown testing, and constant
rate discharge testing. The table on the next page compares the unit costs from the three drillers
for these items and the average for the unit costs from Rowe and All Webbs for comparison.
8009 S. Orange A,enue 32809. Post Ofte Box 5930o3, Orlando, Florida 32859 -3003 Phone (407) SW.3M FAX(407)859-812f
Louisiana: Alexandria, Baton Rouge, Monroe, New Orleane, Shreveport
Florida. Bartow. Cocoa, Fart Myers, Mlami, Orlando. Pon St Lucia, Sarasota, Tallahassee, Tampa, West Palm Beach
City of Sanford
Hidden Lakes Well #7 Replacement
File Number 113- 10- 10 -0406A
-3-
We appreciate the opportunity to submit this bid evaluation and look forward to working with you
on this important project. if you have questions or need additional information, please do not
hesitate to contact us.
Very truly yours,
ARDAMAN & ASSOCIATES, INC.
WC. S
Herbert G. Stangland, Jr., P.E.
Senior Water Resource ngineer
Florida ' nse No. 16713
Douglas P. esne, P.G.
Senior Hydro eologist/Senior oject Manager
Florida License No. 1527
Cc: Migdalia Hernandez, PE -- Sanford
BidEvaluation.doc
DPD:dpd
Enclosures
WS RM
1 Item No.
CITY COMMISSION MEMORANDUM 12.153.0
OCTOBER 8, 2012 AGENDA
TO: Honorable Mayor and Members of the City Commission
PREPARED BY: Paul Moore, Utility Director
SUBMITTED BY: Norton N. Bonaparte, Jr., City Manager
SUBJECT: Hidden Lakes Well Field
Well #7 Replacement — Bid # IFB 11/12 -17
SYNOPSIS:
Award of a bid to Southeast Drilling Services for the replacement of Well #7 in the Hidden Lakes
Well Field is requested.
FISCAL/STAFFING STATEMENT:
The lowest bid was submitted by Southeast Drilling Services at a base bid plus additive items
totaling $327,200.00. Funding is available from the FDEP loan/grant.
BACKGROUND:
City staff has found casing problems with Well #7 in the Hidden Lakes Well Field. This well is
over 50 years old and the small casing is failing. The well is too small to be re -cased and maintain
adequate flow. With the help of our geo- technical consultant, Ardaman and Associates, it was
determined that the best course of action is to replace this well with a larger, deeper well. This
larger well will better manage the flows at the Auxiliary Water Plant.
LEGAL REVIEW:
N/A
RECOMMENDATION:
It is the recommendation of the staff and our consultant to award the bid to the lowest bidder,
Southeast Drilling Services, for the base amount plus additive items at a cost of $327,200.00.
SUGGESTED MOTION:
"I move to award bid #IFB 11112 -17 to Southeast Drilling Services in the amount of $327,200.00."
Attachment: Bid Tabulation
CERTIFICATE OF LIABILITY INSURANCE I eATI! " MIDONY '
11/06!2012
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holderin lieu of such andorsement(s).
PRODUCER Phone: (813)988 -1234 Fax (813)958.0989 = 4 c T Tracy
ASSOCIATES AGENCY, INC. PF1O 813 988.1234 Ax 813 988.0989
PO BOX 16180 "A � 11470 N. 53RD ST. traoy@associatoslns.com
1958
TEMPLE TERRACE FL 33687 PR00f1�"
AOerley Lick R001780 INSUREFIfft AFFORDING COVERAGE
INSURED
SOUTHEAST DRILLING SERVICES INC.
P.O. BOX 274045
TAMPA FL 33688
COVERAGES CERTIFICATE NUM BER: 262011
WSURERA , OWNERS INSURANCE CO. 32700
waffE is : AUTO OWNERS INSURANCE CO. 18988
wsuFmc : Meadowbrook Insurance Co.
INSURERE :
REVISION NUMBER:
Inw Iw 1UL;r-KIIhY 7tiATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
INSR TYPE OF INSURANCE ADM a""M POLICYNUMaER Poucre F POLICY EXP
LIMBS
A GENERAL LL488M 20709632 07/01/12 07/01/13
EACH OCCURRENCE $
1,000,000
X COMMERCIAL GENERAL LIABILITY
DPAMr1ETDREMED S
PREMISES Ma
300,000
CLAIMS -MADE E OCCUR
ac�l
MEO. EXP (Any one person) $
10,000
PERSONAL 8 ADV INJURY $
1,000,000
GENERAL AGGREGATE S
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OPAGO $
11000,000
POLICY E PRO LCC
$
B
AuToNoss s LW"LIry
4142994900
07101112
07 /01113
COMBINED SINGLE LIMIT
S
X ANY AUTO
(En acddenl)
11,000,000
BOOBY INJURY (Per parson)
$
ALL AUTOS
BODILY INJURY(Per sodden/)
S
SCHEDULE DULEDAUTOS
PROPERTY DMIAGE
X
HIRED AUTOS
raodden
$
X NON- OwNEDAUros
8
S
B
X
uYaRELLA LIM
X OCCUR
4346231701
07/01112
07/01/13
EACHOCCURRENCE
5
excaeS LIMO
CLAIMS MADE
AGGREGATE
5,000,000
DEDUCTIBLE
X I
RETENTION S
S
C
AND NEEMPLOYYERr "LaeLff
WC0732469
07/01/12
07/01/13
X T Lain °T}1
$
MY PROPRIETORIPARTNERIEIIECUTNE YIN
0"ICEMEYEER EXCLUDED?
NIA
E.I. EACH ACCIDENT
500,000
E.L DISEASE- EA EMPLOYEE
500,000
(MandsayM NM
ryee.duaE. undo,
E.L.OISEASE- POLICY LIMIT
S 600,000
DESCR"PnONOF OPERATIONS aobs
DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (Attach ACOR0101, AddlUonal Remarks Schedule, It more space Is required)
The City of Sanford Is an additional Insured. A 30 day notice of cancellation applies with 10 days for non - ,payment.
HOLDER CANCELLATION
City of Sanford SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attn: Purchasing Manager THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
P.O. Box 1788 ACCORDANCE WITH THE POLICY PROVISIONS.
Sanford, FI 32771 AUTHORIZED REPRESENTATIVE
Attention: fx 407 -688 -5021 I
' " ° MireR e"
VRD 25 (2009/09) ®1988.2009 ACORD CORPORATION. All rights reserve
The ACORD name and logo are registered marks of ACORD
The Undersigned accepts and agrees to meet all of the Insurance coverage requirements,
terms, conditions and certification(s) stated herein before and after and further agrees to
maintain and provide the designated coverage during the life of the Identified document. Also,
when the coverage requirements stated herein before and after are specifically referenced by
applicable solicitation, purchase order or contract document, those terms, conditions and
coverage requirements are Incorporated Into that document as if fully set forth In verbatim .
Southeast Drilling Services, Inc.
Firm
Authorized nature
Sonya P. Ziegler
Printed Name
11/06/2012
Date
Se cretary
Tltle
3 of 3 Insurance Requirements .
M -187 Monday, October 22, 2012
PURCHASING DEPARTMENT
TRANSMITTAL MEMORANDUM
To: City Clerk and Mayor
x RE: Southeast Drilling Services IFB 11/12 -17 Well No. 7 Replacement
The item(s) noted below is /are attached and forwarded to your office for the following action(s):
❑ Development Order
❑ Final Plat (original mylars)
❑ Letter of Credit
❑ Maintenance Bond
Q Ordinance_
❑ Performance Bond
❑ Resolution
® Mayor's signature
❑ Recording
❑ Rendering
❑ Safe keeping (Vault)
❑- - Deputy City Manager
❑ Payment Bond
❑ City Manager Signature
® City Clerk Attest/Signature
Once completed, please:
® Return originals to Purchasing
❑ Return copies
Special Instructions:
Execute Work Orders and Agreement Section 520
Marisol Ordone
From
to A ;Vla.
Date
TADept_formslCity Clerk Transmittal Memo - 2009.doc
rri TT-"
DOCUMENT APPROVAL 10/22/2012 8:5 AM
Contract Agreement Name Southeast Drilling Services IFB 11/12 -17 Well No. 7
Replacement
Finance birector
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PROJECT NO. IFB 11/12 -17
SECTION 00520
AGREEMENT FORM
PART 1 GENERAL
1.01 THIS AGREEMENT, made and entered into the of
by and between the City of Sanford, Florida, 300 North Park Avenue, Sanford,
Florida 32771 a municipal corporation of the State of Florida, holding tax exempt
status, hereinafter referred to as the "CITY" (also referred to as "OWNER ") and
Southeast Drilling Services, Inc. whose principal and local address is 10614 E.
US Highway 92, Tampa, FL 33610 - 5972 hereinafter referred to as to as the
"CONTRACTOR ". The CITY and the CONTRACTOR are collectively referred to
herein as the Parties.
1.02 The Owner and Contractor Agree as Follows:
A. Contract Documents
The Contract Documents include the Agreement, Addenda (which pertain to the
Contract Documents), Contractors Bid, Notice to Proceed, the Bonds, the
General Conditions, the Supplementary Conditions, the Specifications listed in
the Index to the Project Manual, any technical specifications as incorporated by
the Project Manual; the Drawings as listed in the Project Manual, all Written
Amendments, Change Orders, Work Change Directives, Field Orders, and
Engineer's written interpretations and clarifications issued on or after the
Effective Date of this Agreement. These form the Contract and all are as fully a
part of the Contract as if attached to this Agreement or repeated herein. See
Addendum 1.02 -A
B. Scope of Work
The Contractor shall provide and furnish all of the necessary labor, supervision,
material, tools, expendable and permanent equipment, and all utility and
transportation services required to perform and complete in a workmanlike manner,
all of the work described as: Hidden Lakes Well 7 Replacement; IFB 11/12 -17, for
the City of Sanford, Florida.
All work shall be performed in strict accordance with the Drawings & Specifications
prepared by the City of Sanford Utility Division, hereinafter called the Engineer, and
in strict compliance with the Contractor's Proposal as accepted, including any
amendments agreed upon at the time of execution of this Agreement, and with the
other Contract Documents herein mentioned which are a part of this Agreement.
As invoices are submitted for linear feet of pipe rehabilitation work completed, the
City of Sanford will only pay for completed work including the disturbed area
rehabilitation.
.
00520 -1
PROJECT NO. IFB 11/12 -17
C. Contract Time
Work under this Agreement shall be commenced within thirty (30) days after
issuance of written Notice to Proceed, and shall be completed within one
hundred(100) calendar days from commencement of construction date to
Substantial Completion from the issuance of the written Notice to Proceed with
an additional twenty(20) calendar days to Final Completion.
D. Liquidated Damages
OWNER and CONTRACTOR recognize that time is of the essence of this
Agreement and that OWNER will suffer financial loss if the Work is not
substantially complete within the time specified in Paragraph C above, plus any
extensions thereof allowed in accordance with the General Conditions. They
also recognize the delays, expense and difficulties involved in proving in a legal
arbitration proceeding the actual loss suffered by OWNER if the Work is not
substantially complete on time. Accordingly, instead of requiring any such proof,
OWNER and CONTRACTOR agree that as liquidated damages for delay (but not
as a penalty) CONTRACTOR shall pay OWNER 500. -- for each calendar day
that expires after the time specified in Paragraph C for substantial completion
until the work is substantially complete. It is agreed that if this Work is not Finally
completed in accordance with the Contract Documents, the CONTRACTOR shall
pay the OWNER as liquidated damages for delay, and not as penalty, one -fourth
( of the rate set forth above.
E. Contract Price
Unit Price Contract
The Owner will pay the Contractor in current funds for the performance of the
work, subject to additions and deductions by Change Order and subject to the
Measurement and Payment Provisions, and subject to actual constructed
quantities; the Total Contract Price will be addressed thru a Work Order.
Payments will be made to the Contractor on the basis of the Schedule of Unit
Prices included as a part of his Bid, which shall be as fully a part of the Contract
as if attached or repeated herein. All work must be completed within the
specifications and documentations which include but not limited to dewatering,
excavation, sheeting, shoring, bracing, installation of water main consisting of
mainline, fittings, valves, hydrants, restraint, disinfection, bacteriological, leakage
testing along with suitable backfill, compaction, density testing, and surface
restoration.
F. City of Sanford Tax Recovery
The CONTRACTOR shall cooperate with the CITY in the implementation of the
CITY's tax recovery program and, to that end, the CITY may make purchases
directly under its purchase order processes relative to various materials, supplies
and equipment that may be part of the services provided under this Agreement.
The CONTRACTOR hereby recognizes the right of the CITY to engage in tax
recovery/savings through direct purchases.
00520 -2
PROJECT NO. IFB 11/12 -17
G. Payments
The Owner will make payments as provided in the General Conditions and
Supplementary Conditions.
H. Retainage
In accordance with the provisions of the State of Florida Local Government
Prompt Payment Act, the value of each application for payment shall be equal to
the total value of the Work performed to date, less an amount retained, and less
payments previously made and amounts withheld in accordance with the General
Conditions and Supplementary Conditions. Retainage for this project is 10 %, to
be held by Owner as collateral security to ensure completion of Work. When the
Work is 50 percent complete, defined as being 50 percent complete based on the
construction progress schedule as updated during construction, and expenditure
of at least 50 percent of the total updated construction cost, retainage shall be
reduced in accordance with State law.
Contract Documents
The Agreement comprises the Contract Document listed herein. In the event that
any provision of one Contract Document conflicts with the provisions of another
Contract Document, the provision in that Contract Document first listed below shall
govern, except as otherwise specifically stated:
a. Agreement (this instrument);
b. Change Orders
C. Addenda to Contract Documents, Nos.
d. Bid /Proposal
e. Instructions for Bidders;
f. Detailed Specification Requirements;
g. Drawings
h. General Conditions;
i. Advertisement;
j. Performance and Payment Bonds;
k. Proposal Guaranty.
Additional Terms and Conditions
The CONTRACTOR hereby warrants and represents to the CITY that it is
competent and otherwise able to provide professional and high quality
goods and /or services to the CITY by means of employees who are neat
in appearance and of polite demeanor.
2. All submissions submitted by the CONTRACTOR in the proposals /bid
submitted to the CITY are hereby incorporated herein to the extent not
inconsistent with the terms and conditions as set forth herein.
00520 -3
PROJECT NO. IFB 11/12 -17
3. The CONTRACTOR acknowledges that the CITY may retain other goods
and /or service providers to provide the same goods and /or services for
CITY projects. The CONTRACTOR acknowledges that the CITY, at the
CITY's option, may request proposals from the CONTRACTOR and the
other goods and /or service providers for CITY projects. The CITY
reserves the right to select which goods and /or services provider shall
provide goods and /or services for the CITY's projects.
4. The CONTRACTOR agrees to provide and ensure coordination between
goods /services providers.
5. Each party hereto represents to the other that it has undertaken all
necessary actions to execute this Agreement, and that it has the legal
authority to enter into this Agreement and to undertake all obligations
imposed on it. The person(s) executing this Agreement for the
CONTRACTOR certify that he /she /they is /are authorized to bind the
CONTRACTOR fully to the terms of this Agreement.
6. The CONTRACTOR hereby guarantees the CITY that all materials,
supplies, services and equipment as listed on a Purchase Order meet the
requirements, specifications and standards as provided for under the
Federal Occupations Safety and Health Act of 1970, from time to time
amended and in force on the date hereof.
7. It is agreed that nothing herein contained is intended or should be
construed as in any manner creating or establishing a relationship of co-
partners between the parties, or as constituting the CONTRACTOR
(including, but not limited to, its officers, employees, and agents) the
agent, representative, or employee of the CITY for any purpose, or in any
manner, whatsoever. The CONTRACTOR is to be and shall remain
forever an independent contractor with respect to all services performed
under this Agreement.
Persons employed by the CONTRACTOR in the provision and
performance of the goods and /or services and functions pursuant to this
Agreement shall have no claim to pension, workers' compensation,
unemployment compensation, civil service or other employee rights or
privileges granted to the CITY's officers and employees either by
operation of law or by the CITY.
9. No claim for goods and /or services furnished by the CONTRACTOR not
specifically provided for herein shall be honored by the CITY.
10. Execution of this Agreement by the CONTRACTOR is a representation
that the CONTRACTOR is familiar with the goods and /or services to be
provided and /or performed and with local conditions. The
CONTRACTOR shall make no claim for additional time or money based
upon its failure to comply with this Agreement. The CONTRACTOR has
informed the CITY, and hereby represents to the CITY, that it has
extensive experience in performing and providing the services and /or
00520 -4
PROJECT NO. IFB 11/12 -17
goods described in this Agreement and that it is well acquainted with the
components that are properly and customarily included within such
projects and the requirements of laws, ordinance, rules, regulations or
orders of any public authority or licensing entity having jurisdiction over
the CITY's Projects.
11. Quality, Professional Standards, and Security Requirements
a. Under this paragraph 11, the term "CONTRACTOR'S employees"
shall include CONTRACTOR'S agents, employees and
SUBCONTRACTORS extending to SUBCONTRACTORS agents
and employees.
b. The CONTRACTOR shall be responsible for the professional
quality, accepted standards, technical accuracy, neatness of
appearance of employees, employee conduct, safety, and the
coordination of all services furnished by the CONTRACTOR under
any Agreement resulting from this solicitation. The City reserves
the right to require all CONTRACTOR employees, when on City
property or work sites, to wear identification badges at all times
which, at a minimum, provides the name of the employee and the
CONTRACTOR.
C. The CITY reserves the right to require the CONTRACTOR to
provide to the CITY a list of employees working on the project.
Also, the list shall include employee working days, times and
assignments within forty-eight (48) hours of the CITY's written
request for such information. This information will be reviewed,
screened and verified by the CITY, prior to the employees of the
CONTRACTOR entering the CITY's premises and /or work sites.
d. The CONTRACTOR shall comply with Section 2 -67 of the Sanford
City Code as it relates to security screenings of private contractors
and employees of private contractors. The CONTRACTOR shall
cause each person found by the City Commission to be
functioning in a position critical to the security and /or public safety
of the CITY by reason of access to any publicly owned or
operated facility to undergo the following inquiries and procedures
conducted by the City of Sanford:
1) Fingerprinting in accordance with the CITY's pre - employment
procedures;
2) Submission of the fingerprints to the Florida Department of
Law Enforcement for state criminal history evaluation; and
3) Submission of the fingerprints to the Federal Bureau of
Investigation for a national criminal history evaluation.
e. Such confidential information shall be used by the CITY to
determine a person's eligibility to function in such critical
employment position(s) as described. Additionally, the CITY may
00520 -5
PROJECT NO. IFB 11/12 -17
request and the CONTRACTOR shall provide the name, address
and social security number and licenses (driver's, commercial
drivers license or CDL, or other operator's license) for employees
of the CONTRACTOR and /or SUBCONTRACTORS that may
work on the CITY's premises in positions found by the City
Commission to be critical to the security and /or public safety of the
CITY by reason of access to any publicly owned or operated
facility. The CONTRACTOR shall release such information upon
approval of the affected employees. If an employee refuses to
authorize the release of their address, social security number
and /or licenses they shall not be allowed to work or continue to
work in such critical positions.
The CONTRACTOR shall work closely with the CITY on all
aspects of the provision of the goods and /or services. With
respect to services, the CONTRACTOR shall be responsible for
the professional quality, technical accuracy, competence,
methodology, accuracy and the coordination of all of the following
which are listed for illustration purposes and not as a limitation:
documents, analysis, reports, data, plans, plats, maps, surveys,
specifications, and any and all other services of whatever type or
nature furnished by the CONTRACTOR under this Agreement.
The CONTRACTOR shall, without additional compensation,
correct or revise any errors or deficiencies in his /her /its plans,
analysis, data, reports, designs, drawings, specifications, and any
and all other services of whatever type or nature. The
CONTRACTOR's submissions in response to the subject bid or
procurement processes are incorporated herein by this reference
thereto.
12. Neither the CITY's review, approval or acceptance of, nor payment for,
any of the goods and /or services required shall be construed to operate
as a waiver of any rights under this Agreement or of any cause of action
arising out of the performance of this Agreement and the CONTRACTOR
shall be and remain liable to the CITY in accordance with applicable law
for all damages to the CITY caused by the CONTRACTOR negligent or
improper performance or failure to perform any of the goods and /or
services furnished under this Agreement.
13. The rights and remedies of the CITY, provided for under this Agreement,
are in addition to any other rights and remedies provided by law.
14. Time is of the essence in the performance of all goods and /or services
provided by the CONTRACTOR under the terms of this Agreement.
15. Invoices, which are in an acceptable form to the CITY and without
disputable items, which are received by the CITY, will be processed for
payment within thirty (30) days of receipt by the CITY.
00520 -6
PROJECT NO. IFB 11/12 -17
16. The CONTRACTOR will be notified of any disputable items contained in
invoices submitted by the CONTRACTOR within fifteen (15) days of
receipt by the CITY with an explanation of the deficiencies.
17. The CITY and the CONTRACTOR will make every effort to resolve all
disputable items contained in the CONTRACTOR's invoices.
18. Each invoice shall reference this Agreement, the appropriate billing
period.
19. The Florida Prompt Payment Act shall apply when applicable. A billing
period represents the dates in which the CONTRACTOR completed
goods and /or services referenced in an invoice.
20. Invoices are to be forwarded directly the City's designated CEI
representative, as identifed at the preconstruction meeting, for review and
processing.
21. CITY designates the City Manager or his /her designated representative,
to represent the CITY in all matters pertaining to and arising from the
work and the performance of this Agreement.
22. The City Manager, or his /her designated representative, shall have the
following responsibilities:
a. Examination of all work and rendering, in writing, decisions
indicating the CITY's approval or disapproval within a reasonable
time so as not to materially delay the work of the CONTRACTOR;
b. Transmission of instructions, receipt of information, and
interpretation and definition of CITY's policies and decisions with
respect to design, materials, and other matters pertinent to the
work covered by this Agreement;
C. Giving prompt written notice to the CONTRACTOR whenever the
CITY official representative knows of a defect or change
necessary in the project; and
d. Coordinating and managing the CONTRACTOR's preparation of
any necessary applications to governmental bodies, to arrange for
submission of such applications.
23. Until further notice from the City Manager the designated representative
for this Agreement is:
Migdalia Hernandez, Water Resources Engineer
Utility Department
City of Sanford
P.O. Box 1788
Sanford, Florida 32772
24. CITY may terminate this Agreement for convenience at any time or for
any one (1) or more of the reasons as follows:
00520 -7
PROJECT NO. IFB 11/12 -17
a. If, in the CITY's opinion, adequate progress is not being made by
the CONTRACTOR due to the CONTRACTOR 's failure to
perform; or
b. If, in the CITY's opinion, the quality of the goods and /or services
provided by the CONTRACTOR is /are not in conformance with
commonly accepted professional standards, standards of the
CITY, and the requirements of Federal and /or State regulatory
agencies, and the CONTRACTOR has not corrected such
deficiencies in a timely manner as reasonably determined by the
CITY; or
C. The CONTRACTOR, or any employee or agent of the
CONTRACTOR, is indicted or has a direct charge issued against
him for any crime arising out of or in conjunction with any work
that has been performed by the CONTRACTOR; or
d. The CONTRACTOR becomes involved in either voluntary or
involuntary bankruptcy proceedings, or makes an assignment for
the benefit of creditors; or
e. The CONTRACTOR violates the Standards of Conduct provisions
herein or any provision of Federal, State or local law or any
provision of the CITY's Code of Conduct.
25. In the event of any of the causes of termination, the CITY's designated
representative may send a certified letter to the CONTRACTOR
requesting that the CONTRACTOR show cause why the Agreement
should not be terminated. If assurance satisfactory to the CITY of
corrective measures to be made within a reasonable time is not given to
the CITY within seven (7) calendar days of the date of the letter, the CITY
may consider the CONTRACTOR to be in default, and may then
immediately terminate this Agreement.
26. In the event that this Agreement is terminated for cause and it is later
determined that the cause does not exist, then this Agreement or the
Purchase/Work Order shall be deemed terminated for convenience by the
CITY and the CITY shall have the right to so terminate this Agreement
without any recourse by the CONTRACTOR.
27. The CONTRACTOR may terminate this Agreement only if the CITY fails
to pay the CONTRACTOR in accordance with this Agreement.
28. Notwithstanding any other provision of this Agreement, the CITY shall
have the right at any time to terminate this Agreement in its entirely
without cause, if such termination is deemed by the CITY to be in the
public interest, in writing of deficiencies or default in the performance of
its duties under the Agreement and the CONTRACTOR shall have ten
(10) days to correct same or to request, in writing, a hearing. Failure of
the CONTRACTOR to remedy said specified items of deficiency or
default in the notice by either the CITY's designated representative within
ten (10) days of receipt of such notice of such decisions, shall result in the
termination of the Agreement, and the CITY shall be relieved of any and
00520 -8
PROJECT NO. IFB 11/12 -17
all responsibilities and liabilities under the terms and provisions of the
Agreement.
29. The CITY shall have the right to terminate this Agreement without cause
with a sixty (60) day written notice to the other party. The CITY reserves
the right to terminate any Agreement for cause with a five (5) day written
notice to the CONTRACTOR. Notice shall be served to the parties as
specified in the Agreement.
30. In the event that this Agreement is terminated, the CITY shall identify any
specific work to be continued to completion pursuant to the provisions of
this Agreement.
31. In the event that after the CITY termination for cause for failure of the
CONTRACTOR to fulfill its obligations under this Agreement it is found
that the CONTRACTOR has not so failed, the termination shall be
deemed to have been for convenience and without cause.
32. In the event this Agreement is terminated or canceled prior to final
completion without cause, payment for the unpaid portion of the services
provided by the CONTRACTOR to the date of termination and any
additional services shall be paid to the CONTRACTOR.
33. Upon receipt of notice of termination, given by either party, the terminated
parry shall promptly discontinue the provision of all goods and /or services,
unless the notice provides otherwise.
34. The performance or provision of the CONTRACTOR's goods and /or
services under this Agreement may be suspended by the CITY at any
time.
35. In the event the CITY suspends the performance or provision of the
CONTRACTOR services hereunder, the CITY shall so notify the
CONTRACTOR in writing, such suspension becoming effective within
seven (7) days from the date of mailing, and the CITY shall pay to the
CONTRACTOR within thirty (30) days all compensation which has
become due to and payable to the CONTRACTOR to the effective date of
such suspension. The CITY shall thereafter have no further obligation for
payment to the CONTRACTOR for the suspended provision of goods
and /or services unless and until the CITY's designated representative
notifies the CONTRACTOR in writing that the provision of the goods
and /or services of the CONTRACTOR called for hereunder are to be
resumed by the CONTRACTOR.
36. Upon receipt of written notice from the CITY that the CONTRACTOR's
provision of goods and /or services hereunder are to be resumed, the
CONTRACTOR shall continue to provide the services to the CITY.
37. The CONTRACTOR agrees that it will not discriminate against any
employee or applicant for employment for work under this Agreement
00520 -9
PROJECT NO. IFB 11/12 -17
because of race, color, religion, sex, age, national origin or disability and
will take affirmative steps to ensure that applicants are employed and
employees are treated during employment without regard to race, color,
religion, sex, age, national origin or disability. This provision shall include,
but not be limited to, the following: employment, upgrading, demotion or
transfer; recruitment advertising; layoff or termination; rates of pay or their
forms or compensation; and selection for training, including
apprenticeship. The CONTRACTOR, moreover, shall comply with all the
requirements as imposed by the Americans with Disability Act, the
regulations of the Federal government issued thereunder, and any and all
requirements of Federal or State law related thereto.
38. Indemnity and Insurance
a. To the fullest extent permitted by law, the CONTRACTOR shall
indemnify, hold harmless and defend the CITY, its agents,
servants, officers, officials and employees, or any of them, from
and against any and all claims, damages, losses, and expenses
including, but not limited to, attorney's fees and other legal costs
such as those for paralegal, investigative, and legal support
services, and the actual costs incurred for expert witness
testimony, arising out of or resulting from the performance or
provision of services required under this Agreement, provided that
same is caused in whole or in part by the error, omission,
negligent act, failure to act, breach of contract obligation,
malfeasance, officers, officials, employees, or
subCONTRACTORs. Additionally, the CONTRACTOR accepts
responsibility for all damages resulting in any way related to the
performance of work. In no event, shall either party be
responsible or liable to the other for any incidental, consequential,
or indirect damages, whether arising by contract or tort.
In accordance with Section 725.06, Florida Statutes, adequate
consideration has been provided to the CONTRACTOR for this
obligation, the receipt and sufficiency of which is hereby
specifically acknowledged.
C. Nothing herein shall be deemed to affect the rights, privileges, and
immunities of the CITY as set forth in Section 768.28, Florida
Statutes.
d. In claims against any person or entity, indemnification under this
Section by an employee of the CONTRACTOR or its agents or
subCONTRACTORs, anyone directly or indirectly employed by
them or anyone for whose acts they may be liable, the
indemnification obligation under this Section shall not be limited by
a limitation on amount or type of damages, compensation, or
benefits payable by or for the CONTRACTOR or its agents or
subCONTRACTORs, under Workers Compensation acts,
disability benefits acts, or other employee benefit acts.
00520 -10
PROJECT NO. IFB 11/12 -17
e. The execution of this Agreement by the CONTRACTOR shall
obligate the CONTRACTOR to comply with the indemnification
provision of this Agreement; provided, however, that the
CONTRACTOR must also comply with the provisions of this
Agreement relating to insurance coverage.
The CONTRACTOR shall submit a report to the CITY within
twenty -four (24) hours of the date of any incident resulting in
damage or which is reasonably likely to result in a claim of
damage.
39. The CONTRACTOR shall obtain or possess and continuously maintain
the insurance coverage as set forth and required in the bid documents.
40. All insurance other than Workers Compensation and Professional Liability
that must be maintained by the CONTRACTOR shall specifically include
the CITY as an additional insured.
41. The CONTRACTOR shall provide Certificates of Insurance to the CITY
evidencing that all such insurance is in effect prior to the issuance of the
first Purchase/Work Order under this Agreement from the CITY. These
Certificates of Insurance shall become part of this Agreement. Neither
approval by the CITY nor failure to disapprove the insurance furnished by
a CONTRACTOR shall relieve the CONTRACTOR of the
CONTRACTOR's full responsibility for performance of any obligation
including the CONTRACTOR's indemnification of the CITY under this
Agreement. If, during the period which an insurance company is
providing the insurance coverage required by this Agreement, an
insurance company shall: (1) lose its Certificate of Authority, (2) no longer
comply with Section 440.57, Florida Statutes, or (3) fail to maintain the
requisite Best's Rating and Financial Size Category, the CONTRACTOR
shall, as soon as the CONTRACTOR has knowledge of any such
circumstance, immediately notify the CITY and immediately replace the
insurance coverage provided by the insurance company with a different
insurance company meeting the requirements of this Agreement. Until
such time as the CONTRACTOR has replaced the unacceptable insurer
with insurance acceptable to the CITY, the CONTRACTOR shall be
deemed to be in default of this Agreement.
42. The insurance coverage shall contain a provision that requires that prior
to any changes in the coverage, except increases in aggregate coverage,
thirty (30) days prior notice will be given to the CITY by submission of a
new Certificate of Insurance.
43. The CONTRACTOR shall furnish Certificates of Insurance directly to the
CITY's Designated Representative. The certificates shall clearly indicate
that the CONTRACTOR has obtained insurance of the type, amount and
classification required by this Agreement.
00520 -11
PROJECT NO. IFB 11/12 -17
44. Nothing in this Agreement or any action relating to this Agreement shall
be construed as the CITY's waiver of sovereign immunity beyond the
limits set forth in Section 768.28, Florida Statutes.
45. The CITY shall not be obligated or liable under the terms of this
Agreement to any party other than the CONTRACTOR. There are no
third party beneficiaries to this Agreement.
46. The CONTRACTOR is an independent contractor and not an agent,
representative, or employee of the CITY. The CITY shall have no liability
except as specifically provided in this Agreement.
47. All insurance shall be primary to, and not contribute with, any insurance
or self - insurance maintained by the CITY.
48. The CONTRACTOR warrants that it has not employed or retained any
company or person, other than a bona fide employee working solely for
the CONTRACTOR, to solicit or secure this Agreement and that the
CONTRACTOR has not paid or agreed to pay any person, company,
corporation, individual or firm other than a bona fide employee working
solely for the CONTRACTOR, any fee, commission, percentage, gift, or
any other consideration, contingent upon or resulting from the award of
making this Agreement.
49. The CONTRACTOR shall not discriminate on the grounds of race, color,
religion, sex, or national origin in the performance of work under this
Agreement or violate any laws pertaining to civil rights, equal protection or
discrimination.
50. The CONTRACTOR hereby certifies that no undisclosed (in writing)
conflict of interest exists with respect to the Agreement, including, but not
limited to, any conflicts that may be due to representation of other clients,
customers or vendees, other contractual relationships of the
CONTRACTOR, or any interest in property that the CONTRACTOR may
have. The CONTRACTOR further certifies that any conflict of interest
that arises during the term of this Agreement shall be immediately
disclosed in writing to the CITY. Violation of this Section shall be
considered as justification for immediate termination of this Agreement.
51. The CONTRACTOR shall ensure that all taxes due from the
CONTRACTOR are paid in a timely and complete manner including, but
not limited to, occupational license tax.
52. If the CITY determines that any employee or representative of the
CONTRACTOR is not satisfactorily performing his /her assigned duties or
is demonstrating improper conduct pursuant to any assignment or work
performed under this Agreement, the CITY shall so notify the
CONTRACTOR, in writing. The CONTRACTOR shall immediately
remove such employee or representative of the CONTRACTOR from
such assignment.
00520 -12
PROJECT NO. IFB 11/12 -17
53. The CONTRACTOR shall not publish any documents or release
information regarding this Agreement to the media without prior approval
of the CITY.
54. The CONTRACTOR shall certify, upon request by the CITY, that the
CONTRACTOR maintains a drug free workplace policy in accordance
with Section 287.0878, Florida Statutes. Failure to submit this
certification may result in termination.
55. If the CONTRACTOR or an affiliate is placed on the convicted vendor list
following a conviction for a public entity crime, such action may result in
termination by the CITY. The CONTRACTOR shall provide a certification
of compliance regarding the public crime requirements set forth in State
law upon request by the CITY.
56. The CITY reserves the right to unilaterally terminate this Agreement if the
CONTRACTOR refuses to allow public access to all documents, papers,
letters, or other materials subject to provisions of Chapter 119, Florida
Statutes, and other applicable law, and made or received by the
CONTRACTOR in conjunction, in any way, with this Agreement.
57. The CONTRACTOR shall comply with the requirements of the Americans
with Disabilities Act (ADA), and any and all related Federal or State laws
which prohibits discrimination by public and private entities on the basis of
disability.
58. The CITY will not intentionally award publicly- funded contracts to any
contractor who knowingly employs unauthorized alien workers,
constituting a violation of the employment provisions contained in 8
U.S.C. Section 1324a(e) Section 274A(e) of the Immigration and
Nationally Act (INA). The CITY shall consider the employment by the
CONTRACTOR of unauthorized aliens, a violation of Section 274A(e) of
the INA. Such violation by the CONTRACTOR of the employment
provisions contained in Section 274A(e) of the INA shall be grounds for
immediate termination of this Agreement by the CITY.
59. The CONTRACTOR agrees to comply with Federal, State, and local
environmental, health, and safety laws and regulations applicable to the
goods and /or services provided to the CITY. The CONTRACTOR agrees
that any program or initiative involving the work that could adversely
affect any personnel involved, citizens, residents, users, neighbors or the
surrounding environment will ensure compliance with any and all
employment safety, environmental and health laws.
60. The CONTRACTOR shall ensure that all goods and /or services are
provided to the CITY after the CONTRACTOR has obtained, at its sole
and exclusive expense, any and all permits, licenses, permissions,
approvals or similar consents.
00520 -13
PROJECT NO. IFB 11/12 -17
61. If applicable, in accordance with Section 216.347, Florida Statutes, the
CONTRACTOR shall not use funds provided by this Agreement for the
purpose of lobbying the Legislature, the judicial branch or State agency.
62. The CONTRACTOR shall advise the CITY in writing of it who has been
placed on a discriminatory vendor list, may not submit a bid on a contract
to provide goods or services to a public entity, or may not transact
business with any public entity.
63. The CONTRACTOR shall not engage in any action that would create a
conflict of interest in the performance of that actions of any CITY
employee or other person during the course of performance of, or
otherwise related to, this Agreement or which would violate or cause
others to violate the provisions of Part III, Chapter 112, Florida Statutes,
relating to ethics in government.
64. The CONTRACTOR shall maintain books, records, documents, time and
costs accounts and other evidence directly related to its provision or
performance of services under this Agreement. All time records and cost
data shall be maintained in accordance with generally accepted
accounting principles.
65. The CONTRACTOR shall maintain and allow access to the records
required under this Section for a minimum period of five (5) years after
the completion of the provision or performance goods and /or services
under this Agreement and date of final payment for said goods and /or
services, or date of termination of this Agreement.
66. The CITY may perform, or cause to have performed, an audit of the
records of the CONTRACTOR before or after final payment to support
final payment under any Purchase/Work Order issued hereunder. This
audit shall be performed at a time mutually agreeable to the
CONTRACTOR and the CITY subsequent to the close of the final fiscal
period in which goods and /or services are provided or performed. Total
compensation to the CONTRACTOR may be determined subsequent to
an audit as provided for in this Section, and the total compensation so
determined shall be used to calculate final payment to the
CONTRACTOR. Conduct of this audit shall not delay final payment as
required by this Section.
67. In addition to the above, if Federal, State, County, or other entity funds
are used for any goods and /or services under this Agreement, the
Comptroller General of the United States or the Chief Financial Officer of
the State of Florida, or the County of Seminole, or any representatives,
shall have access to any books, documents, papers, and records of the
CONTRACTOR which are directly pertinent to goods and /or services
provided or performed under this Agreement for purposes of making
audit, examination, excerpts, and transcriptions.
00520 -14
PROJECT NO. IFB 11/12 -17
68. In the event of any audit or inspection conducted reveals any
overpayment by the CITY under the terms of the Agreement, the
CONTRACTOR shall refund such overpayment to the CITY within thirty
(30) days of notice by the CITY of the request for the refund.
69. The CONTRACTOR agrees to fully comply with all State laws relating to
public records.
70. The CONTRACTOR agrees that if any litigation, claim, or audit is started
before the expiration of the record retention period established above, the
records shall be retained until all litigation, claims or audit findings
involving the records have been resolved and final action taken.
71. The CONTRACTOR shall not sublet, assign or transfer any interest in this
Agreement, or claims for the money due or to become due out of this
Agreement to a bank, trust company, or other financial institution without
written CITY approval. When approved by the CITY, written notice of
such assignment or transfer shall be furnished promptly to the CITY.
72. Any CONTRACTOR proposed subcontractors shall be submitted to the
CITY for written approval prior to the CONTRACTOR entering into a
subcontract. Subcontractor information shall include, but not be limited
to, State registrations, business address, occupational license tax proof of
payment, and insurance certifications.
73. The CONTRACTOR shall coordinate the provision of goods and /or
services and work product of any CITY approved subcontractors, and
remain fully responsible for such goods and /or services and work under
the terms of this Agreement.
74. Any subcontract shall be in writing and shall incorporate this Agreement
and require the subcontractor to assume performance of the
CONTRACTOR's duties commensurately with the CONTRACTOR's
duties to the CITY under this Agreement, it being understood that nothing
herein shall in any way relieve the CONTRACTOR from any of its duties
under this Agreement. The CONTRACTOR shall provide the CITY with
executed copies of all subcontracts.
75. The CONTRACTOR shall reasonably cooperate at all times with the
CITY and other CITY contractors and professionals.
76. This Agreement is to be governed by the laws of the State of Florida.
77. Venue for any legal proceeding related to this Agreement shall be in the
Eighteenth Judicial Circuit Court in and for Seminole County, Florida.
78. This Agreement is the result of bona fide arms length negotiations
between the CITY and the CONTRACTOR and all parties have
contributed substantially and materially to the preparation of the Contract.
00520 -15
PROJECT NO. IFB 11/12 -17
Accordingly, this Agreement shall not be construed or interpreted more
strictly against any one parry than against any other party.
79. Neither parry shall be considered in default in performance of its
obligations hereunder to the extent that performance of such obligations,
or any of them, is delayed or prevented by Force Majeure. Force Majeure
shall include, but not be limited to, hostility, terrorism, revolution, civil
commotion, strike, epidemic, fire, flood, wind, earthquake, explosion, any
law, proclamation, regulation, or ordinance or other act of government, or
any act of God or any cause whether of the same or different nature,
existing or future; provided that the cause whether or not enumerated in
this Section is beyond the control and without the fault or negligence of
the party seeking relief under this Section.
80. This Agreement, together with the exhibit(s), if any, constitutes the entire
integrated Agreement between the CITY and the CONTRACTOR and
supersedes all prior written or oral understandings in connection
therewith. This Agreement, and all the terms and provisions contained
herein, including without limitation the exhibits hereto, constitute the full
and complete agreement between the parties hereto to the date hereof,
and supersedes and controls over any and all prior agreements,
understandings, representations, correspondence and statements
whether written or oral.
81. This Agreement may only be amended, supplemented or modified by a
formal written amendment.
82. Any alterations, amendments, deletions, or waivers of the provisions of
this Agreement shall be valid only when expressed in writing and duly
signed by the parties.
83. Written notice requirements of this Agreement shall be strictly construed
and such requirements are a condition precedent to pursuing any rights
or remedies hereunder. The CONTRACTOR agrees not to claim any
waiver by CITY of such notice requirements based upon CITY having
actual knowledge, implied, verbal or constructive notice, lack of prejudice
or any other grounds as a substitute for the failure of the CONTRACTOR
to comply with the express written notice requirements herein. Computer
notification (e -mails and message boards) shall not constitute proper
written notice under the terms of the Agreement.
84. The failure of the CITY to insist in any instance upon the strict
performance of any provision of this Agreement, or to exercise any right
or privilege granted to the CITY hereunder shall not constitute or be
construed as a waiver of any such provision or right and the same shall
continue in force.
85. In no event shall any obligation of the CITY under this Agreement be or
constitute a general obligation or indebtedness of the CITY, a pledge of
the ad valorem taxing power of the CITY or a general obligation or
00520 -16
PROJECT NO. IFB 11/12 -17
indebtedness of the CITY within the meaning of the Constitution of the
State of Florida or any other applicable laws, but shall be payable solely
from legally available revenues and funds.
86. The CONTRACTOR shall not have the right to compel the exercise of the
ad valorem taxing power of the CITY.
87. Each exhibit referred to and attached to this Agreement is an essential
part of this Agreement. The exhibits and any amendments or revisions
thereto, even if not physically attached hereto, shall be treated as if they
are part of this Agreement.
88. The Section headings and captions of this Agreement are for
convenience and reference only and in no way define, limit, describe the
scope or intent of this Agreement or any part thereof, or in any way affect
this Agreement or construe any provision of this Agreement.
89. If any term, provision or condition contained in this Agreement shall, to
any extent, be held invalid or unenforceable, the remainder of this
Agreement, or the application of such term, provision or condition to
persons or circumstances other than those in respect of which it is invalid
or unenforceable, shall not be affected thereby, and each term, provision
and condition of this Agreement shall be valid and enforceable to the
fullest extent permitted by law when consistent with equity and the public
interest.
90. All provisions of this Agreement shall be read and applied in para materia
with all other provisions hereof.
91. In the event of a dispute related to any performance or payment
obligation arising under this Agreement, the parties agree to exhaust any
alternative dispute resolution procedures reasonably imposed by the
CITY prior to filing suit or otherwise pursuing legal remedies.
92. The CONTRACTOR agrees that it will file no suit or otherwise pursue
legal remedies based on facts or evidentiary materials that were not
presented for consideration to the CITY in alternative dispute resolution
procedures or which the CONTRACTOR had knowledge and failed to
present during the CITY procedures.
93. In the event that CITY procedures are exhausted and a suit is filed or
legal remedies are otherwise pursued, the parties shall exercise best
efforts to resolve disputes through voluntary mediation. Mediator
selection and the procedures to be employed in voluntary mediation shall
be mutually acceptable to the parties. Costs of voluntary mediation shall
be shared equally among the parties participating in the mediation.
94. This Agreement may be executed in any number of counterparts, each of
which shall be deemed an original, but all of which, taken together, shall
constitute one and the same document.
00520 -17
PROJECT NO. IFB 11/12 -17
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year
first above written.
CONTRACTOR:
Southeast Drilling Services, Inc.
Name of Firm
/0 z Z
By (Sign u ) Date
W. B. 2gler, President
Printed Name and Title .
ATTEST:
By (Signat e) 6 100 Date
Sonya P. Ziegler. Secretary
Printed Name and Title
OWNER:
Name of Own
By (Signatureh, / \/\ /, Date
'(SEAL)
(SEAL)
Printed Name and Title
ATTEST:
y (Signature) V Date
Janet Dougherty, City Clerk
Printed Name and Title
,9 cis 40 i On�,
I
END OF SECTION
00520 -18
PROJECT NO. lFB 11/12 -17
Addendum 1.02 -A
Documents which are fully a part of the Contract with the City of Sanford are identified by title
and number as set forth below and are available for review at and downloading from the City's
Web site (site in full) and all documents are agreed to be incorporated into the Contract as if
physically attached to the Contract and are, further, agreed to be incorporated into the Contract
as if fully set forth therein verbatim..
_1.02.1 Executed, Section 00520 Agreement Form.
_1.02.2 The Project Manual, Note (Index, Page 00010 of the Project Manual; Includes all
instructions, terms, general and supplemental conditions, bid documents, plans, prints and
specifications pertaining to the Project).
_1.02.3
Addenda Applicable to the Bid.
_1.02.4
Contractor's Bid, 00410.
_1.02.5
Performance Bond, 00605.
_1.02.6
Payment Bond, 00610.
_1.02.7
Material and Workmanship Bond, 00615.
_1.02.8
Standard General Forms Set, 00435.
_ Disputes Disclosure Affidavit, 00435 -1.
_ Drug Free Work Place Affidavit, 00435 -2.
_ Florida Statutes on Public Entity Crimes Affidavit, 00435 -3.
Non - Segregated Facilities Affidavit, 00435 -4.
_ Conflict of Interest Affidavit, 00435 -5.
_ Non- Collusion Affidavit, 00435 -6.
Unauthorized (Illegal) Alien Workers Affidavit, 00435 -7.
_ Americans With Disabilities Act Affidavit, 00435 -8.
Security and Public Safety Affidavit, 00435 -9.
Offeror's Qualification Statement, 00435 -10.
_ Compliance with Public Records Law Affidavit, 00435 -11.
Exempt Public Records, 00435 -12.
_1.02.9 Insurance Certificate(s).
_1.02.10 E- Verify Compliance Affidavit, 00436.
_1.02.11 Trench Safety Statement Affidavit, 00440.
_1.02.12 Criminal History Evaluation Affidavit. 00470.
_1.02.13 Notice of Award, 00510.
Any additional document(s) that are not specifically listed in Section 1.02.1 — 1.02.14, but which
are included in the Project Manual and any additional documents agreed upon by the Parties
shall be included as a part of the Contract.
_1.02.15 Notice to Proceed, 00530.
_1.02.16 Consent of Surety to Final Payment 00617.
00520 -19
r,
PROJECT NO. IFB 11/12 -17
_1.02.17 Contractor's Application for Payment Form 00625.
_1.02.18 Certificate of Substantial Completion 00626.
_1.02.19 Certificate of Final Completion 00627.
1.02.20 Contractor's Partial Release of Lien Form 00640.
1.02.21 Subcontractor's Final Release of Lien Form 00641.
1.02.22 Subcontractor's Partial Release of Lien Form 00644.
1.02.23 Contractor's Release of Lien Form 00645.
_1.02.24 Project Field Order Form 00840.
_1.02.25 Work Directive Change Form 00845.
_1.02.26 Change Order F00850.
_1.02.27 FDEP SRF & ARRA Supplemental Conditions Form 00810
1.02.28 Debarment Certification form 00820
1.02.29 Subcontactor Debarment Certification Form 00825
_1.02.30 MBE /BE Form 00830
_1.02.31 EEO Form 00835
_1.02.32 Certification Non - segregated Facilities Form 00860
_1.02.33 Buy American Certification EPA(2) Form 00870
1.02.34 Davis Bacon Poster Form 00880
_1.02.35 Davis Bacon Pay Rates Certification Form 00881
_1.02.36 Project Activity Summary Form 00883
_1.02.37 Vendor /Contractor Performance Report Form 00884
1.02.38 Contractor Evaluation Form 00885
_1.02.39 FDEP /SRF & ARRA Certified Payroll Form 00900
_1.02.40 FDEP Supplemental Conditions Form 00910
Documents 1.02.15 — 1.02.40 are included in the Project Manual as forms to be used as
appropriate. These forms and any addenda agreed upon by the parties, when processed and
executed, even though the actions occurred after the effective date of the Contract, become
fully a part of the Contract.
00520 -20
City of Sanford
Hidden Lakes Floridan Aquifer Well 7 Replacement
File Number 10 -0406A
SECTION 00410
BID FORM
COPY
CONTRACTORS NAME: Southeast Drilling Services Inc LICENSE NO
9078
PROJECT IDENTIFICATION: City of Sanford Hidden Lakes Floridan Aquifer Well 7
Replacement Construction and Testing Program
Bid No. IFB 11/12 -17 Bid Due Date and Time: September 17 2012 at 2:00 p.m.
*There will be NO exceptions for late delivery!
THIS BID MUST BE DLIVERED TO: F. William Smith, Purchasing Manager
City of Sanford
300 N. Park Avenue (City Hall)
Second Floor, Room 236
Sanford, Florida 32771
1. The undersigned BIDDER proposes and agrees, if this Bid is accepted, to enter into an
Agreement with OWNER in the form included in the Contract Documents to complete all
Work as specified or indicated in the Contract Documents for the Contract Price and
within the Contract Time indicated in this Bid and in accordance with the Contract
Documents.
2. BIDDER certifies that he has investigated and meets the requirements to do business in
the jurisdiction where the project is located.
BIDDER accepts all of the terms and conditions of the Instructions to Bidders
(Section 00200) including, without limitation, those dealing with the disposition of Bid
Security, Public Entity Crimes, and Minority Policies. This Bid will remain open for 90
days after the day of Bid opening. BIDDER will sign the Agreement and submit the
Contract security and other documents required by the Contract Documents within ten
(10) working days after the date of OWNER'S Notice of Award,
4. In submitting this Bid, BIDDER represents, as more fully set forth in the Agreement, that:
(a) BIDDER has examined copies of all the Contract Documents and of the following
addenda:
Date Number
08 -24 -2012 01
09 -11 -2012 02
(receipt of all of which is hereby acknowledged) and also copies of the Advertisement to Bid and
the instructions to Bidders;
(b) BIDDER has examined the site and locality where the Work is to be performed,
the legal requirements (federal, state and local laws, ordinances, rules and
DPD /00410.doc 00410 -1 071312
Southeast Drilling Services, Inc.
City of Sanford
Hidden Lakes Floridan Aquifer Well 7 Replacement
File Number 10 -0406A
regulations) and the conditions affecting cost, progress or performance of the
Work and has made such independent investigations as BIDDER deems
necessary.
1.
2.
3.
4.
5.
6
7
8.
9 0
11
12
13
14
15
16
17
18
19
20
21
22
23
(c) This Bid is genuine and not made in the interest of or on behalf of any
undisclosed person, firm or corporation and is not submitted in conformity with
any agreement or rules of any group, association, organization or corporation;
BIDDER has not directly or indirectly induced or solicited any other Bidder to
submit a false or sham Bid; BIDDER has not solicited or induced any person, firm
or a corporation to refrain from bidding; and BIDDER has not sought by collusion
to obtain for himself any advantage over any other Bidder or over OWNER; and
BIDDER will complete the Work in accordance with the Contract Documents for the
prices shown based on the following schedule:
Item
No. Description
Estimated
Quantity Unit
Unit Price Item Total
Indemnification of Owner & Engineer
Performance and Payment Bonds
Insurance and Administrative Costs
Mobilization /Demobilization
Surface Casing (24" black steel)
- Installed
Pilot Hole Drilling (6" minimum)
Well Casing (17.4" Certal-ok PVC)
- Installed
Open Hole Drilling (15 inches)
Cement Grout — Installed
Geophysical Logging
Video Logging
Install and Remove Discharge Line
Well Development
Step Drawdown Test
Constant Rate Discharge Test
Inorganic Water Quality Analysis
Water Quality Analysis (Table 02522)
Disinfection & Bacteriological Clearing
Plumbness & Alignment Test
Concrete Pad and Flange Cap
Perform Surveying
Install Vertical Turbine Pump & Motor
with Appurtenances
Install Fence and Gate
1
LS
$ 1,000
$ 1,000
1
LS
$ S Lx-'o
$ wo
1
LS
$ 30 00
$ �
1
50
LS
LF
$
$ d ro
$ yu wo
$ , LM2
375
LF
$ D
$ //, 24
125
LF
$
$ 0 o
285
LF
$
$ l a, 5
13.5
CY
$ _
$
1
LS
$ ocu
$
1
LS
$ . LXX)
$ U00
1
LS
$ /,S (X00
$ S' am
40
HR
$ oo
$
4
H R
$ �IOy
$ /,g
24
HR
LS
$ 1 /0 0
$ 1pn
$
1
$
_� - (u
1
LS
$
$ 9-_S
1
1
LS
LS
$ 4 - ,/ uo a
$ LUD
$ �' `y
$
1
LS
J A
$ cvo
7.�
$ Lx l')
LS
$ �
$�
1
LS
$ wu
$ Q� ucxo
1
LS
$ /
$ /, S'Oo
DPD /00410.doc 00410 -2 071312
Southeast Drilling Services, Inc.
City of Sanford
Hidden Lakes Floridan Aquifer Well 7 Replacement
File Number 10 -0406A
UU
TOTAL BID $ 0C)
(Figure)
(Words)
ADDITIVE /DEDUCTIVE ITEMS
Item
Estimated
No.
Description
Quantity
Unit
Unit Price
Item Total
24,
Straddle Packer Tests with
3
EA
$ 6 c'U0
$ &WU
Water Quality Analysis
25,
Demolition of Existing Well House
1
LS
$ /0000
$ /o CZ AD
26.
Pull Existing Well Pump
1
LS
$ ' � L
$ /o an)
27.
Log & Abandon Existing Well 7
1
LS
$ �u
$ a ovo
28.
Limerock gravel
20
CY
$ /00
$
BIDDER acknowledges that the quantities are not guaranteed and final payment will be
based on actual quantities determined as provided in the Contract Documents. The Owner and
Owner's Consultant do not expressly or by implication represent that the actual quantities
involved will correspond exactly therewith; nor shall the BIDDER plead misunderstanding or
deception because of such estimate or quantities of work performed or material furnished in
accordance with the Contract Documents and it is understood that the quantities may be
increased or decreased or diminished as provided in the General Conditions without in any way
invalidating any of the unit prices bid.
BIDDER agrees that the Work will be substantially completed within 100 calendar days after
the date when the Contractor receives notification to proceed from the Owner, and completed
within 120 calendar days after the date when the Contractor receives notification to proceed
from the Owner. All permit applications, required for construction, shall be submitted by the
Contractor within 10 days after the Contract is executed. Copies of all permits shall be provided
to the Owner upon receipt.
BIDDER agrees to enter into and execute a contract with the Owner, if awarded on the basis
of this Bid, and to furnish a Performance Bond and a Labor and Material Payment Bond in
accordance with the Instructions to Bidders.
BIDDER recognizes that time is of the essence to complete this Project and that Owner will
suffer financial loss if the Work is not substantially complete within the time specified above.
The BIDDER also recognizes the delays, expense and difficulties involved in proving, in a legal
or arbitration proceeding, the actual loss suffered by Owner if the Work is not substantially
complete on time, Accordingly, instead of requiring any such proof, Owner has determined and
BIDDER agrees to accept that as liquidated damages for delay (but not as a penalty) Contractor
shall pay Owner Five Hundred Dollars $5( 00.00 ) for each calendar day that expires after the
time specified above for substantial completion until the Work is substantially complete. After
substantial completion, if Contractor shall neglect, refuse or fail to complete the remaining Work
within the time specified above for completion and readiness for final payment or any proper
DI'D /00410.doc 00410 -3 071312
Southeast Drilling Services, Inc.
City of Sanford
Hidden Lakes Floridan Aquifer Well 7 Replacement
File Number 10 -0406A
extension thereof granted by Owner, Contractor shall pay the Owner an amount equal to all
actual expenses incurred by the Owner as a direct result of the Contractor's negligence, refusal,
or failure to so complete the remaining work. In the event the Contractor is terminated or
abandons the work prior to the scheduled date for final completion, the Contractor may be liable
for both liquidated damages attributable to delay and for excess completion costs.
6. The following documents are attached to and made a condition of this Bid:
(a) 00435 Standard General Forms Set
(b) 00410 Completed Bid Submission form, One Original plus 4 Copies
(c) 00420 Bid Bond, 5% of Total Bid
(d) Licenses
7. Communications to the BIDDER concerning this Bid shall be addressed to:
Mailing Address: 10614 E US Highway 92
Street Address: same
City, State, Zip Code: Tampa, FL 33610 -59 72
Telephone No.: 813 - 968 -7277
Fax No.: 813 -443 -0530
8. The terms used in this Bid which are defined in the General Conditions of the
Construction Contract included as part of the Contract DOCUMENTS have the
meanings assigned to them in the General Conditions.
If BIDDER is:
A Partnership
An Individual
A Corporation x
A Joint Venture
SIGNATURE PAGE BEGINS AND ENDS ON NEXT PAGE(5)
DPD /00410.doc 00410 -4 071312
Southeast Drilling Services, Inc.
City of Sanford
Hidden Lakes Floridan Aquifer Well 7 Replacement
File Number 10 -0406A
By Southeast Drilling Services Inc
(Name)
Florida
(State of Incorporation)
Y
(Name of P
to Sign - Signature)
(Name of Person Authorized to Sign - Typed or Printed)
President
(Title)
(Corporate Seal)
Attest
Business address: 10614 E US Highway 92
Tampa FL 33610 -5972
Phone No.
813- 968 -7277
Fax No.: 813 - 443 -0530
END OF BID
DPD /00410.doc 00410 -5 071312
Southeast Drilling Services, Inc.
IFB 11/12 -17
SECTION 00420
BID BOND FORM
KNOW ALL MEN BY THESE PRESENT, that we, the undersigned, (1) Southeast
Drilling Services, Inc. as Principal, and (2) Western Surety Company
as Surety, are hereby and firmly bound unto The (3) City
of Sanford, Florida as Owner, in the penal sum of (4) Five percent of bid
Dollars ($ 5% of bid ) (5 percent of the total base bid) for the
payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, our
heirs, executor's, administrators, successors, and assigns.
The condition of the above obligation is such that whereas the Principal has submitted to (3)
The City of Sanford, Florida as Owner a certain Bid for (5) Hidden Lakes Well 7 Replacement;
IFB 11/12 -17 , attached hereto and hereby made a part hereof.
1) Bidder
2) Surety
3) City of Sanford, Florida
4) Amount of Bond as Required in the Instructions to Bidders
5) Name of Project as Shown in Invitation for Bids
NOW, THEREFORE,
A. If said Bidder shall be in rejected, or in the alternate,
B. If said Bid shall be accepted and the Principal shall execute and deliver the Agreement
(properly completed in accordance with the Bidding Documents), and shall furnish a
bond for his faithful performance of said contract, and for the payment of all persons
performing labor or furnishing materials in connection therewith, and shall in all other
respects perform the agreement created by the acceptance of said Bid, then this
obligation shall be void, otherwise the same shall remain in force and effect; it being
expressly understood and agreed that the liability of the Surety for any and all claims
hereunder shall, in no event, exceed the penal amount of this obligation as herein
stated.
The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety
and its bond shall be in no way impaired or affected by any extension of the time within which
the Owner may accept such Bid; and said Surety does hereby give waive notice of any such
extension.
00420 -1
IFB 11/12 -17
IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals,
and such of them as are corporations have caused their corporate seals to be hereto affixed
and these presents to be signed by their proper officers.
Signed and sealed this 10th day of September , 2012
ATTEST:
-
By (Principal Officer)
Sonya P. Ziegler, Secretary
Typed Name and Title
(CORPORATE SEAL)
Principal
By (Signature of Officer)
W. B. Ziegler, President
Typed Name and Title
10614 E US Highway 92
Address
Tamp, FL 33610 -5972
City, State, Zip
By
Toni Valentine /Customer Service
Typed Name and Title
(SEAL)
Western Surety Company
Surety
By: -
Attorney -Fact
Jennifer A Fava /Attorney -in -fact
Typed Name and Title
11470 N. 53rd Street
Address
Temple Terrace, Fl 33617
City, State, Zip
813 - 988 -1234 813 - 988 -098
Telephone No
END OF SECTION
Facsimile No.
00420 -2
W stern Surety Comb .ny
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN-FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
Michael Wayne Rogers, Sharon Elaine Taylor, Jennifer A Fava, Individually
of Temple Terrace, FL, its true and lawful Attomey(s) -in -Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf
bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Vice President and its corporate seal to
be hereto affixed on this 22nd day of January, 2010.
State of South Dakota ss
1
County of Minnehaha
J
WESTERN SURETY COMPANY
�ET, c
F��� PP OIPq N
_15
\`TC %'
a ' T " o"� Paul ZfBruflat, Senior Vice President
On this 22nd day of January, 2010, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Senior Vice President of WESTERN SURETY COMPANY described in and
which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was
so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
My commission expires l
r D. KRELL r
November 30, 2012
Z sE NOTARY PUBLIC EAS i
r SOUTH DAKOTA i
+ Ila- k,14W
'f titititititi tsyti titi b4ti�r4ti4 yyy,
D. Krell, Notary Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force, and further certify that the By -Law of the corporation printed on the reverse hereof i still - in / force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation this �D day of e.O l T�f 1&A
WESTERN SURETY COMPANY
��Tll a s k; $
(Z)y
L. Nelson, Assistant Secretary
Form F4280-09 -06
IFB 11/12 -17
Disputes Disclosure Form 435 -1
Answer the following questions by answering "YES" or "NO ". If you answer "YES ", please explain in the
space provided, please add a page(s) if additional space is needed.
1. Has your firm, or any of its -officers, received a reprimand of any nature or been suspended
by the Department of Professional Regulation or any other regulatory agency or professional
association within the last five (5) years? No
2. Has your firm, or any member of your firm, been declared in default, terminated or removed from
a contract or job related to the, services your firm provides in the regular course of business within
the last five (5) years? N_
3. Has your firm had filed against it or filed any requests for equitable adjustment, contract claims or
litigation in the past five (5) years that is related to the services your firm provides in the regular
course of business? Yes If yes, the explanation must state the nature of the request for
equitable adjustment, contract claim or litigation, a brief description of the case, the outcome or
status of suit and the monetary amounts or extended contract time involved.
Southeast Drilling Services, Inc. vs City of Boynton Beach, FL, filed December 2008, for Wellfield Expansion
delays - request for equitable adjustment, settled.
I hereby certify that all statements made are true and agree and understand that any misstatement or
misrepresentation or falsification of facts shall be cause for forfeiture of rights for further consideration of
the project identified.
Southeast Drilling Services, Inc.
Firm
09/11/2012
ature
W. B. Ziegler, President
Date
Printed or Typed Name and Title
FORM NO. DSPT 12.204
Southeast Drilling Services, Inc.
IFB 11/12-17
Drug -Free Work Place 435 -2
The undersigned, in accordance with Florida Statute 287.087 hereby certifies that the company named
below does:
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
proposed a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, 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. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, by any employee who
is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
Southeast Drilling Services, Inc.
A Firm
Sig
11/2012
W. B. Zie gler, President
Date
Printed or Typed Name and Title
FORM NO. DFWP 14.204
Southeast Drilling Services, Inc.
IFB 11/12 -17
Florida Statutes On Public Entity Crimes 435 -3
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
This sworn statement is submitted to The City of Sanford
by W. B. Ziegler on behalf of Southeast Drilling Services, Inc.
whose business address is: 10614 E US Highway 92, Tampa FL 33610 -5972
and (if applicable) its Federal Employer Identification Number (FEIN) is 59- 3252801 (If the entity has
no FEIN, include the Social Security Number of the individual signing this statement: )
I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a
violation of any state or federal law by a person with respect to and directly related to the transaction of
business with any public entity or with an agency or political subdivision of any other state or with the
United States, including, but not limited to, any bid or contract for goods or services, any lease for real
property, or any contract for the construction or repair of a public building or public work, involving antitrust,
fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.
I understand the "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes, means
a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any
federal or state trial court of record relating to charges brought by indictment or information after July 1,
1989, as a result of a jury verdict, non -jury trial, or entry of a plea of guilt or nolo contendere.
4. 1 understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means:
A predecessor or successor of a person convicted of a public entity crime: or
An entity under the control of any natural person who is active in the management of the entity and
who has been convicted of a public entity crime. The term "affiliate" includes those officers,
directors, executives, partners, shareholders, employees, members, and agents who are active in
the management of an affiliate. The ownership by one person of shares constituting a controlling
interest in another person, or a pooling of equipment or income among persons when not fair
market value under an arm's length agreement, shall be a prima facie case that one person
controls another person. A person who knowingly enters into a joint venture with a person who has
been convicted of a public entity crime in Florida during the preceding 36 months shall be
considered an affiliate.
I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural
person or entity organized under the laws of any state or of the United States with the legal power to enter
into a binding contract and which bids or applies to bid on contracts 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 in
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 of its officers, director, executives,
partners, shareholders, employees, members, or agents who are active in the management of the entity,
nor any affiliate of the entity were charged with and convicted of a public entity crime after 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 the management of the entity, or
any affiliate of the entity was charged with and convicted of a public entity crime after July 1, 1989.
Southeast Drilling Services, Inc.
IFB 11/12 -17
The entity submitting this sworn statement, or one of its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in the management of the entity, or any
affiliate of the entity was charged with and convicted of a public entity crime subsequent to July 1, 1989.
However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida,
Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it
was not in the public interest to place the entity submitting this swom statement on the convicted vendor
list. (Attach a copy of the final order.)
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE
PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND,
THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I
ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A
CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDE IN SECTION 287.017, FLORIDA
STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE IN�9�l1AT N CONTAINED IN THIS FORM.
11/2012
(date)
State of Florida
County of kL6i3f OTICSN
On this 11 day of t 2012, before me, the undersigned Notary Public of the State of
Florida, personally appeared
W , R _t Q _rg and A/A
(Name(s) of individuals who appeared before notary)
whose name(s) is /are Subscribed to the within instrument, and he /she /they acknowledge that he /she /they executed
it.
WITNESS my hand
and official seal.
NOTARY PUBLIC, STATE OF FLORIDA
NOTARY PUBLIC
SEAL OF OFFICE:
(Name of Notary Public: Print, Stamp, or Type as Commissioned.)
_ Personally known to me, or
MICHAEL J 1MHITM�►f� _ Produced identification:
::
*c MY COMMISSION # EE01573
'? EXPIRES August 09, 2014 (Type of Identification Produced)
Fiodaallowry °m _ DID take an oath Of
(407) 398 -0153 DID NOT take an oath.
FORM NO. PEC 15.204
00435 -3.2
Southeast Drilling Services, Inc.
IFB 11/12 -17
Certification of Non- Segregated Facilities 435 -4
By affixing his signature to this form, the Bidder certifies that he does not maintain or provide for
his employees any segregated facilities at any of his establishments, and that he does not
permit his employees to perform their services at any location, under his control, where
segregated facilities are maintained. The Bidder certifies further that he will not maintain or
provide for his employees any segregated facilities at any location under his control where
segregated facilities are maintained. The Bidder agrees that a breach of this certification will be
a violation of the Equal Opportunity clause in any contract resulting from acceptance of this Bid.
As used in this certification, the term "segregated facilities" means any waiting rooms, work
areas, restrooms and washrooms, restaurants and other eating areas, time clocks, locker rooms
and other storage and dressing areas, parking lots, drinking fountains, recreation or
entertainment area, transportation and housing facilities provided for employees which are
segregated by explicit directive, or are in fact segregated on the basis of race, color, religious
disability or national origin, because of habit, local custom, or otherwise. The Bidder agrees that
(except where he has obtained identical certifications from proposed subcontractors for specific
time periods) he will obtain identical certifications from proposed subcontractors prior to the
award of subcontracts exceeding $10,000 which are not exempt from the provisions of the
Equal Opportunity clause, and that he will retain such certifications in his files.
The nondiscriminatory guidelines as promulgated in Section 202, Executive Order 11246, and
as amended by Executive Order 11375 and as amended, relative to Equal Opportunity for all
persons and implementations of rules and regulations prescribed by the United States Secretary
of Labor are incorporated herein.
NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.
Date: 09/11/2012
By:
W. B. zieAler Presid
Official Address:
10614 E. US Highway 92
Tampa FL 33610 -5972
FORM NO. SFAC 16.204
Southeast Drilling Services, Inc.
IFB 11/12 -17
Conflict of Interest Statement 435 -5
1. W. B. Ziegler of Southeast Drilling Services, Inc. deposes and states that
Name of Affiant Name of Company
2. The above named entity is submitting an Expression of Interest for the City of Sanford project
identified below.
3. The Affiant has made diligent inquiry and provides the information contained in this Affidavit based
upon his own knowledge.
4. The Affiant states that only one submittal for the above project is being submitted and that the above
named entity has no financial interest in other entities submitting proposals for the same project.
5. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement,
participated in any collusion, or otherwise taken any action in restraint of free competitive pricing in
connection with the entity's submittal for the above project. This statement restricts the discussion of
pricing data until the completion of negotiations and execution of the Agreement for this project.
6. Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or
otherwise ineligible from participating in contract lettings by any local, state, or federal agency.
7. Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of
interest due to any other clients, contracts, or property interests for this project.
8. 1 certify that no member of the entity's ownership, management, or staff has a vested interest in any
aspect of or Department of the City of Sanford.
9. 1 certify that no member of the entity's ownership or management is presently applying for an
employee position or actively seeking an elected position with City of Sanford.
10. In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above
named entity, will immediately notify the City of Sanford in writing.
09/11/2012
Signa of iant Date
B. Ziegler President
Typed or Printed Name of Affiant Tdle
State of Florida, County of A 1LLSBoRO
On this 11 day of SE VAS>6R , 20 AL, before me, the undersigned Notary Public of the State of
Florida, personally appeared
W $ r ESc..EZ. _ and A//A
(Name(s) of individuals who appeared before notary)
whose name(s) is /are Subscribed to the within instrument, and he /she /they acknowledge that he /she /they executed
it.
WETNESS my hand
and official seal.
NOTARY PUBLIC, STATE OF FLORIDA
NOTARY PUBLIC
SEAL OF OFFICE:
, ;►�sY��
MICHAE WHITMAN
=* '= MY COVINIIN # EE015738
i y
EXP S ust 09, 2D14 (407) 398 -0153 F!ardeService.com
FORM N0. CFI 18.204
(Name of Notary Public: Print, Stamp, or Type as Commissioned.)
x Personally known to me, or
Produced identification:
(Type of Identification Produced)
_ DID take an oath, or
DID NOT take an oath.
Southeast Drilling Services, Inc.
IFB 11/12-17
Non - collusion Affidavit of Offeror /Bidder 435 -6
The undersigned, by signing this document hereby certifies that the company named below
hereby is or does:
1. States that the entity named below and the individual signing this document has submitted
the attached bid or proposal:
2. He is fully informed respecting the preparation and contents of the attached proposal and of
all pertinent circumstances respecting such proposal;
3. Said bid or proposal is genuine and is not a collusive or sham bid or proposal;
4. Neither the said bidder or proposer nor any of its officers, partners, owners, agents,
representatives, employees or parties in interest, including this affiant, has in any way
colluded, conspired, connived or agreed, directly or indirectly with any other bidder,
proposer, firm or person to submit a collusive or sham bid or proposal in connection with the
Contract for which the attached bid or proposal has been submitted or to refrain from bidding
or proposing in connection with such Contract, or has in any manner, directly or indirectly,
sought by agreement or collusion or communications or conference with any other bidder,
proposer, firm or person to fix the price or prices in the attached bid or proposal or of any
other bidder of proposer, or to fix any overhead, profit or cost element of the bid or proposal
price or the bid or proposal price of any other bidder or proposer, or to secure through any
collusion, conspiracy, connivance or unlawful agreement any advantage against the City
of Sanford or any person interested in the proposed Contract.
5. The price or prices quoted in the attached bid or proposal are fair and proper and are not
tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the
bidder or proposer or any of its agents, representatives, owners, employees, or parties in
interest, including the in ividual signing this document.
Z M; 09/11/2012
ignatur o Afr1 t Date
W. Zealer President
Typed y rinted Name of Affiant Title
State of Florida, County of Ai SDPDL)QH On this II day of SEPtZK'SER 2012- ,
before me, the undersigned Notary Public of the State of Florida, personally appeared
Z L 1 ECG- M and VIA
( Name(s) of individuals who appeared before notary)
whose name(s) is /are Subscribed to the within instrument, and he /she /they acknowledge that h she /they
executed it. WITNESS my hand and official seal.
NOTARY PUBLIC, STATE OF FLORIDA
NOTARY PUBLIC
SEAL OF OFFICE:
(Name of Notary Public: Print, Stamp, or Type as Commissioned.)
�► MICHAEL J WHITMAN X Personally known tome, or _Produced identification
• '4::
*= MY COMMISSION # EE015738
EXPIRES August 09, 2014
(Type of Identification Produced)
(407)398-0153 Fiorraa NOtaryservfoe.cum _ DID take an oath, or - aDID NOT take an oath
FORM No. AC 5.908
Southeast Drilling Services, Inc.
IFB 11/12 -17
Unauthorized (Illegal) Alien Workers 435 -7
The CITY will not intentionally award publicly- funded contracts to any contractor who knowingly
employs unauthorized alien workers, constituting a violation of the employment provisions
contained in 8 U.S.C. Section 1324a(e) Section 274A(e) of the Immigration and Nationally Act
(INA). The CITY shall consider the employment by the CONTRACTOR of unauthorized aliens,
a violation of Section 274A(e) of the /NA. Such violation by the CONTRACTOR of the
employment provisions contained in Section 274A(e) of the INA shall be grounds for immediate
termination of this Agreement by the CITY.
1. By executing this certification, the CONTRACTOR certifies that
Southeast Drilling Services, Inc. (name of company) does not and will not during the
performance of any contract resulting from the solicitation identified below employ illegal alien
workers or otherwise violate the provisions of the federal Immigration Reform and Control Act of
1986.
2. The Undersigned agrees to, upon request of the City, provide copies of Immigration Form I-
9 for each person associated with the above named company who has been or is present at the
designated jobsite associated with any work or project resulting from this solicitation.
CONTRACTOR:
Signature:
Southeast Drillin Services, Inc.
Printed Name: W. B. Ziegler
Title: fP /esident Date: 09/11/2012
— —
Affix Corporate Seal
STATE OF FLORIDA )
) ss
COUNTY OF 14 14- LS80 An- H )
The foregoing instrument was acknowledged before me this Ot day of %5cFr9/4B f?
20 t , by 1,.9.8. of ; 6,- yHEAeT pgIt uo.rG S,eo uILE %. firm),
on behalf of the firm. He /She is personally known to me or has produced
* identification.
Print Name •:ss" MICHAEL J WHITMAN
Notary Public in and for the County 'f ';:
a MY COMMISSION # EE015738
and State Aforementioned
''!o: ,,•� EXPIRES August 09, 2014
My commission expires: ( FforidallotaryService.com
Form No. IM 0506.209
Southeast Drilling Services, Inc.
IFB 11/12 -17
Americans With Disabilities Act Affidavit 435 -8
By executing this Certification, the undersigned CONTRACTOR certifies that the information
herein contained is true and correct and that none of the information supplied was for the
purpose of defrauding the City of Sanford (CITY).
the CONTRACTOR will not discriminate against any employee or applicant for employment
because of physical or mental handicap in regard to any position for which the employee or
applicant for employment is qualified. The CONTRACTOR agrees to comply with the rules,
regulations and relevant orders issued pursuant to the Americans with Disabilities Act (AFA), 42
USC s. 12101 et seq. It is understood that in no event shall the CITY be held liable for the
actions or omissions of the CONTRACTOR or any other party or parties to the Agreement for
failure to comply with the ADA. The CONTRACTOR agrees to hold harmless and indemnify
the CITY, its agents, officers or employees from any and all claims, demands, debts, liabilities or
causes of action of every kind or character, whether in law or equity, resulting from the
CONTRACTOR's acts or omissions in connection with the ADA.
CONTRACTOR:
Signature -4
Title:
Affix Corporate
Southeast Drilling Services, Inc.
Printed Name:
STATE OF Florida )
) ss
COUNTY OF Hillsborough )
W. B. Ziegl
Date: 09/11/20 9
The foregoing instrument was acknowledged before me this 11 day of 6EPT
20 (P , by W. B. Ziegler of Southeast Drilling Services. Inc. firm),
on behalf of the firm. He /She is personally known to me or has produced
IVI identification.
Print Name J WHITMAN
—�`
MICHAEL
Notary Public in and for the County •- MY COMMISSION # EE015738
and State Aforementioned EXPIRES August 09 2014
My commission expires: I FloridallotaryService.com
Form No. AWD 0512.209
Southeast Drilling Services, Inc.
IFB 11/12 -17
Affidavit: Security and Public Safety Requirements, 00425 -9
Code of Sanford, Florida:
The CONTRACTOR shall be responsible for the accepted standards, appearance, conduct, and safety of
its employees, subcontractors, agents, and any other person caused by the CONTRACTOR to have
access to any facility under the authority of the City.
1. The CONTRACTOR under any agreement with the City, shall require all personnel under its
cognizance, at all times when performing work in the context of that agreement to wear identification
badges which, at a minimum, provides the name of the employee and the CONTRAACTOR.
2. The CONTRACTOR shall, when so required, provide to the CITY a list of employees working on
the project which includes a list of employee work days, times and assignments for each employee within
forty-eight (48) hours of the request for such information. This information, when requested by the CITY,
shall be provided prior to the employees of the CONTRACTOR entering the CITY's premises.
3. The CONTRACTOR shall comply with Section 2 -67 of the Sanford City Code as it relates to security
screenings of private contractors, subcontractors and employees of private contractors. The
CONTRACTOR shall cause each person designated or found by the City to be functioning in a position
and /or location critical to the security and /or public safety of the CITY to undergo the following inquiries
and procedures conducted by the City of Sanford:
a. Fingerprinting in accordance with the CITY's Procurement procedures,
b. Submission of the fingerprints to the Florida Department of Law Enforcement for state
criminal history evaluation, and
C. Submission of the fingerprints to the Federal Bureau of Investigation for a national
criminal history evaluation.
Such confidential information shall be used by the CITY to determine a person's eligibility to function in
such critical employment position(s) as described. Additionally, the CITY may request and the
CONTRACTOR shall provide the name, address and social security number and licenses (drivers,
commercial drivers license or CDL, or other operator's license) for employees of the CONTRACTOR that
may work on the CITY's premises in positions found by the City to be critical to the security and /or public
safety of the CITY by reason of access to any publicly owned or operated facility. The CONTRACTOR
shall release such information upon approval of the employees. If an employee refuses to authorize the
release of their address, socio security number and /or licenses they shall not be allowed to work or
continue to work I r'ti I posit .
09/11/2012
W. B. Ziegler
ad or Printed Name
V P resident Southeast Drilling Services, Inc.
Title Name of Company
State of Florida, Counyf Hillsborough On this I I day of 6EPT - EMV M 20L
before me, the undersigned Notary Public of the State of Florida, personally appeared
W. B. Ziegler and AJ1i,
( Name(s) of individuals who appeared before notary)
whose name(s) is /are Subscribed to the within instrument, and he /she /they acknowledge that he /she /they
executed it. WITNESS my hand and official seal.
NOTARY PUBLIC, STATE OF FLORIDA
NOTARY PUBLIC
SEAL OF OFFICE:
7 ,,MICHAEL J WHITMAN
=' MY COMMlSSlON # EE015738
EXPIRES August 09, 2014
(407) 396-0153 Floridallotaryservice.com
(Name of Notary Public: Print, Stamp, or Type as Commissioned.)
X Personally known to me, or _ Produced identification
(Type of Identification Produced)
_ DID take an oath, or X DID NOT take an oath
Southeast Drilling Services, Inc.
IFB 11112 -17
OfFeror's Qualification Statement, 00435 -10
SUBMITTED BY NAME: Southeast Drilling Services Inc.
CHECK ONE: _Individual _Partnership x Corporation _Other
1. State the true, exact, correct and complete name of the company, partnership, corporation, trade or
fictitious name under which you do business and the address of the place of business.
The correct name of the Offeror is:
Southeast Drilling Services, Inc.
The address of the principal place of business
is: 10614E US Highway 92. Tampa FL 33610 -5972
2. If Offeror is a corporation, answer the following:
a. Date of Incorporation: June 1994
b. State of Incorporation: Florida
C. President's Name: W B. Ziegler
d. Vice President's Name: W C. Ziegler
e. Secretary's Name: Sonya P. Ziegler
f. Treasurer's Name: W. B. Ziegler
g. Name and address of Resident Agent: W B. Ziegler
10614 E. US Hwv 92, Tampa, FL 33610 -5972
3. If Offeror is an individual or a partnership, answer the following:
a. Date of Organization:
b. Name, Address and Ownership Units of all Partners:
C. State whether general or limited partnership:
4. If Offeror is other than an individual, corporation or partnership, describe the organization and
give the name and address of principals:
5. If Offeror is operation under a fictitious name, submit evidence of compliance with the Florida
Fictitious Name Statute. Information attached: _Yes x NA
Southeast Drilling Services, Inc.
IFB 11/12 -17
How many years has your organization been in business under its present business
name? 18
Under what other former names has your organization
operated? NA
Indicate registration, license number or certificate numbers for the businesses or professions
which are the subject of the Proposal/Bid. Please attach certificate of competency and /or state
registration.
Attachment 2• Water Well Contractor 9078, 1232 & 9451
Have you ever failed to complete any work awarded to you? If so, state when, where and
why.
State the names, telephone numbers and last known addresses of three (4) owners,
individuals or representative of owners with the most knowledge of work which you have
performed or goods you have provided on similar projects within the last five years (government
owners are preferred as references). It is noted that the experience claimed here must be
associated with the company named above. Additional or other relevant experience may be
included on a separate sheet provided by the offeror. The City of Sanford reserves the right to
require additional information and to conduct any investigation deemed necessary to evaluate the
offer and the Offeror being considered for an award.
See Attachment 1
(name) (address) (phone number)
(name) (address) (phone number)
(name) (address) (phone number)
(name) (address) (phone number)
10. List the pertinent experience of the key individuals of your organization (continue on insert sheet,
if necessary).
See attached resumes Attachment 3
11. State the name of the individual who will have personal supervision of the work:
J B Ziegler
12. State the names and addresses of all businesses and /or individuals who own an interest of more
435 -10.2
Southeast Drilling Services, Inc.
Attachment 2
I R-Do-=p
Il
State of Florida Li"'Cens
0-
Mter Well Contractor
Southwest- Florida Water Mana,gement.District
Certifies That
John B. Ziegler
HAS BEEN DULY LICENSED AS WATER WELL
CONTRACTOR IN THE STATE OF FLORIDA
LICENSE NUMBER: 9451
September 28;:2011 Well Construction Regulation
License Issue date Brooksville Regulation Department
Attachment 1
PROJECT ENGINEER &
REPRESENTATIVE PROJECT PROJECT
ADDRESS & TELEPHONE NUMBER VALUE STATUS `ID COMPLETE
c1 Ai7 Rin In Pmeress 22%
Cardno ENTRIX
13666 Colonial Boulevard
Fort Myers, FL 33912
T : 239 -574 -1919
John Rand. PG
Booth, Ern, Straughan, Hiott
350 North Sinclair Ave.
Tavares, FL 32778
Robert A. Em Jr. PE 352- 267 -2449
NIA
NIA
4030 West Boy Scout Blvd.
A„as 7W
Tampa, Florida 33607
Marty Clasen, P.G.: 613 -281
CDM
6365 NW 6th Way
Suite 200
Ft. Lauderdale, FL 33309
Stewart Meoenheimer. 954-7
Miller Legg
2005 Vista Pkwy.
Suite 100
West Palm Beach, FL 33411
Christopher Holmes. P.E.: 5E
AECOM
3550 SW Corporate Pkwy.
Palm City. FL 34990
561- 627 -2900
MclOm & Creed
1365 Hamlet Ave.
Clearwater, FL 33756
Palm Beach Co. Water Utilfries Dept
6100 Forrest KII Blvd.
West Palm Beach, FL 33413
Tom Uram: W4 000
Palm Beach Co. Water Utiiitiies Dept
8100 Forrest Hill Blvd.
West Palm Beach, FL 33413
Tom Umm: 561 493 -6000
Mathews Consulting Inc.
1475 Cenhepark Blvd.
Suite 250
West Palm Beach, FL 33401
Rene Mathews: 561 - 4757961
Mock Roos & Associates, Inc.
5720 Corporate way
West Palm Beach, FL 33407
Gant/ Gruber 561 - 683 -3113
MWH Constructors
16101 Alioo Road
Ft Myers, FL 33913
Tom MachinskL 2391166 -1075
COW
1601 Betvedere Rd.
Suite 211
West Palm Beach, FL 33406
Pat Gleason: 561. 6833336
Amadis Reese Macon & Assoc
6415 Lake Worth Road, Suite 307
Lake Worth FL 334632907
Thomas C. Jensen: 561.4333226
Palm Beach Co. Water Utilithes Dept-
8100 Forrest Hill Blvd.
West Palm Beach, FL 33413
Tom Uram: 561 -093 -6D00
CH2M Hill Constructors, Inc.
4350 W. Cypress Street
Suite 600
Tampa, FL 33607
Katus Watson: 235947 -2300
10D%
DATE
COMPLETED
2
1
Jun-07
In
Southeast Drilling Sern ices. Inc.
PROJECT OWNER, ADDRESS,
PROJECT NAMEILOCATION
TELEPPHONE
NUMBER & REPRESENTATIIVE
Algenol Biofuels
Alaenol Biofuels
Research and Development Facility
16121 Lee Road
Injection War System Project, # 02184002
Fort Myers, FL 33912
16121 Lee Road
561- 262-7819
Fort Myers, FL 33912
Paul Peterson
City of Mourn Dora
City of Mount Dora
Eastern Service Area WTP Production Wells
Public Works &•Utilities Department
Project No. 11 -0B -002
1250 North Highland Street
Mount Dora, FL 32757
352. 551 -9118 Paul M. Lahr, PE
Altman Management
Aitrnan Contractors, Inc.
Salon Irrigation Pump Station and Well
1514 S. Federal Hwy
PO No. 031051D4AMC
Suite 3D0
Satod Apartments
Boca Raton, FL 33432
Ft. Lauderdale, FL
Brett Kapuler. 561- 237 -1336
Altman Management
Altman Contractors, Inc.
Satod Irrigation Pump Station and Well
1514 S. Federal Hwy
.PO No. 03- 109.104AMC
Suite 300
Satori Apartments
Boca Raton, FL 33432
IFt. Lauderdale FL
Brett Kapuler. 561.237 -1336
;Sarasota County
Sarasota County Utilities
(Central County WRF Deep Injection Well
1001 Sarasota Center Blvd.
Yfbi. N0. LU11 - Ulb
tt. Myers, �1 '33tlUtl
Jack Gibson: 941- 861 -0548
City of Boca Raton
Bow Raton Utility Services
Test Pilot Holes Construction
1401 Glades Rd.
Well Nos. 28W, 31W & 33W
Boca Raton, FL 33431 -6417
Pmj. No. 78424
561. 338 -7300
Palm Beach County
PBC - Capital Improvements Divisio
So County Regional Park `A" Recharge Welt! 2633 Vista Pkwy.
Pmj. No. 09211
West Palm Beach, FL 33411
561- 233-0260
Seacoast Utility Authority
Seacoast Utility Authority
Hood Rd. Well No. 1 &
42DO Hood Rd.
Richard Rd. Well No. 4 Replacement
Palm Beach Gardens, FL 33410
Pro'. No. 09476 -W
City of Clearwater
City of Clearwater
Water Treatment Pants 1 & 3
100 S. Myrtle Ave.
Welffield Expansion Project - Phase 1
Clearwater, FL 337584748
Pm'. No. 07 -0037 -UT
Tara Kivett 727 - 562.4750
Glades Utility Authority
Glades Utility Authority
Material tntegrety Testing of Pahokee DIW
39700 Hooker Hwy,
PahDkee, FL
Belglade, FL 33430
Jim Stiles: 561 -BDI -6301
Palm Beach County
Palm Beach Co. Water Utilitiies Dep
Floridan & Deep Injection Well
6100 Forrest Hill Blvd.
Continuing Construction Contract
West Palm Beach, FL 33413
WUD 08 -051
Tom Uram: 561.493-6000
PBC Wellfield Rehabilitation
Palm Beach Cc. Water Utilitiies Dep
Continuing Construction Contract
8100 Forrest Hill Blvd.
WUD 07 -184 (WUD D8.023)
West Palm Beach, FL 33413
Tom Uram: 561 -093 -6000
Town of Lantana Raw Water Supply Well N Town of Lantana, Florida
Contract #1
500 Greynolds Circle
Lantana, FL 33462
561 - 540 -5758
City of West Palm Beach
City of West Palm Beach
Surficial Aquifer Exploratory Wells and Monih Public Utilites Department
Public Utilles Department
West Plant Beach, FL 334D1
Pinewoods WTP Raw Water Main
Lee County Utilities
Corkscrew WTP Wells & Water Main
1500 Monroe Street
16101 Arco Road
Fort Myers, FL 33901
Ft Myers, FL 33931
Douglas Meurer, 239 - 5338181
Palm Beach County
Palm Beach Co. Water Uturrtnes Dep
System Wide Wellfield Improvements &
6100 Forrest Hill Blvd.
ECRWWTF Monitoring Well Nos. 2 & 6 Weill
West Palm Beach, FL 33413
Proj.No. WUD 05-041
Tom Ulm: 5614936000
8100 Forrest Hill Blvd.
West Palm Beach, FL 334163
Buena Road & Lilac Street
Seacoast Utility Authority
Wellfield Modifications
4200 Hood Rd.
Palm Beach County, Florida
Palm Beach Gardens, FL 33410
Wilbert Stewart: 561 -627 -2900
PBC Welifield Rehabilitation
Palm Beach Co. Water Utilithes Dep
Continuing Construction
8100 Forrest Hill Blvd.
Contract Nos. 06.084 WA 1 & 2
West Palm Beach, FL 33413
Tom Limm: 561 493 -6000
City of Fort Myers
City of Fort Myers
5 Floridan Raw water Supply Wells
2751 Jacksonville Street
2751 Jacksonville Street
Fort Myers, FL 33912
Fort Myers, FL 33912
Byron Weiohtrnan: 235332 -6876
PROJECT ENGINEER &
REPRESENTATIVE PROJECT PROJECT
ADDRESS & TELEPHONE NUMBER VALUE STATUS `ID COMPLETE
c1 Ai7 Rin In Pmeress 22%
Cardno ENTRIX
13666 Colonial Boulevard
Fort Myers, FL 33912
T : 239 -574 -1919
John Rand. PG
Booth, Ern, Straughan, Hiott
350 North Sinclair Ave.
Tavares, FL 32778
Robert A. Em Jr. PE 352- 267 -2449
NIA
NIA
4030 West Boy Scout Blvd.
A„as 7W
Tampa, Florida 33607
Marty Clasen, P.G.: 613 -281
CDM
6365 NW 6th Way
Suite 200
Ft. Lauderdale, FL 33309
Stewart Meoenheimer. 954-7
Miller Legg
2005 Vista Pkwy.
Suite 100
West Palm Beach, FL 33411
Christopher Holmes. P.E.: 5E
AECOM
3550 SW Corporate Pkwy.
Palm City. FL 34990
561- 627 -2900
MclOm & Creed
1365 Hamlet Ave.
Clearwater, FL 33756
Palm Beach Co. Water Utilfries Dept
6100 Forrest KII Blvd.
West Palm Beach, FL 33413
Tom Uram: W4 000
Palm Beach Co. Water Utiiitiies Dept
8100 Forrest Hill Blvd.
West Palm Beach, FL 33413
Tom Umm: 561 493 -6000
Mathews Consulting Inc.
1475 Cenhepark Blvd.
Suite 250
West Palm Beach, FL 33401
Rene Mathews: 561 - 4757961
Mock Roos & Associates, Inc.
5720 Corporate way
West Palm Beach, FL 33407
Gant/ Gruber 561 - 683 -3113
MWH Constructors
16101 Alioo Road
Ft Myers, FL 33913
Tom MachinskL 2391166 -1075
COW
1601 Betvedere Rd.
Suite 211
West Palm Beach, FL 33406
Pat Gleason: 561. 6833336
Amadis Reese Macon & Assoc
6415 Lake Worth Road, Suite 307
Lake Worth FL 334632907
Thomas C. Jensen: 561.4333226
Palm Beach Co. Water Utilithes Dept-
8100 Forrest Hill Blvd.
West Palm Beach, FL 33413
Tom Uram: 561 -093 -6D00
CH2M Hill Constructors, Inc.
4350 W. Cypress Street
Suite 600
Tampa, FL 33607
Katus Watson: 235947 -2300
10D%
DATE
COMPLETED
2
1
Jun-07
In
Southeast Drilling Sern ices. Inc.
Attachment 1
Southeast Drilling Sere ices, Inc.
PROJECT ENGINEER &
PROJECT OWNER, ADDRESS,
REPRESENTATIVE
PROJECT
PROJECT
DATE
PROJECT NAMEILOCATION
TELELPHONE
ADDRESS & TELEPHONE NUMBER
VALUE
STATUS
%COMPLETE
COMPLETED
NUMBER & REPRESENTATIIVE
City of Boynton Beach
City of Boynton Beach
CH2MHill
54,556,125 Complete 100% Jun-07
East Plant Expansion Test Wells
100 E Boynton Beach Blvd
800 Fairway Drive, Suite 350
and Aqufer Storage & Recovery Well
Boynton Beach, FL 33425
Deerfield Beach, FL 33441
Chris Roshek 561- 742 -6487
Garret Bulman: 9544264008
Lake Region WTP Test Production Wells
Palm Beach Co. Water UtiltUies Dept
CDM
$3,461,340 Complete 100% Jun-07
4600 Bacom Point Rd.
6100 Forrest Hill Blvd.
9311 College Parkway
Project No. 03-169
West Palm Beach, FL 33413
Ft Myers, FL 33919
Pahokee, FL 33476
Tom Uram: 561493 -6000
Bob Maliva: 239 - 432 -9494
100% May -07
Oltl Palm Golf Community
WCI Communties, Inc.
Arcadis
$3,429,000 Complete
Hood Rd. WellBeld Expansion
1580 Sawgrass Corporate Prky.
2081 Vista Pkwy.
11607 Central Boulevard
Suite 410
West Palm Beach, FL 33411
Palm Beach Gardens, FL
Sunrise, FL 33323
Tom Tessier. 561 -697 -7000
Motts Barry, 954.825-4659
City of Clewiston Public Works Complex
City of Clewiston
COW
$1,841,513 Complete 10D% Sep-06
Construction, Development & Testing of
115 W Ventura Avenue
9311 College Parkway
Two 16" Floridan Aquifer Production Wells
Clewiston, FL 33440
West Palm Beach, FL 33411
Kevin McCarthy: 8639B3 -1454
Ft. Myers. FL 33919
Bob Maliv 561- 689 -3336
Palm Beach County Water WUD
Palm Beach Co. Water Utilithes Dept
Palm Beach Co. Water Utilitiies Dept.
5641,OD0 Complete 100% Apr -06
Project No. 01 -1826 WTP Nos. 2, B & 9
8100 Forrest H01 Blvd.
8100 Forrest H01 Blvd.
R. J. Sullivan Corp.
West Palm Beach, Ft 33413
West Palm Beach, FL 33413
Tom Uram: 561493 -6000
Tom Uram: 561 -093.6000
Wells PBG tt14, RR 09, and Raw Water Maii Seacoast Utility Authority
LBFH, Inc.
$735,000 Complete 100% JW-05
Palm Beach Gardens, FL
4200 Hood Rd.
3550 SW Corporate Pkwy.
Palm Beach Gardens, FL 33410
Palm City, FL 34990
Michael Pimemet: 772 - 2863863
Hood Rd. Wellfield 7 Replacement
Seacoast Utility Authority
Amadis
5738,220 Complete 100% Jul-D5
Wells Nos. HR -8, HR -9, HR -10, HR -11, HR -1
4200 hood Rd.
2081 Vista Pkwy.
Palm Beach Gardens, FL
Palm Beach Gardens, FL 33410
West Palm Bch., FL 33411
Wilbert Stewart 561 -027 -2900
Tom Tessier. 561- 697 -7DO0
City of Fort Myers
City of Fort Myers
CH2M H01 Constructors, Inc.
s1,099,552 Complete 100% May -04
Raw Water Supply Wells & RO WTP Expans
2751 Jacksonville Street
4350 W. Cypress Street, Suite 600
2751 Jacksonville Street
Fort Myers, FL 33912
Tampa, FL 33607
Fort Myers, FL 33912
Byron We' htman: 233332 -6876
Katus Watson: 813. 874-0777
System Wide Wellheld Expansion
Palm Beach Co. Water Utilitiies Dept.
Palm Beach Co. Water Ub"Ittites Dept.
56,021,739 Complete 100% Apr-04
Project No. 00-136
2D65 Prarie Rd.
2D65 Prarie Rd.
West Palm Beach, R 33416
West Palen Beach, FL 33416
West Palm Beau, FL 33416
Tom Uram: 561.4936000
Tom Uram: 561493-6000
Collier County
Collier County Utilities Department
Collier County Utilities Department
$1,742,374 Complete 100% Feb-04
South County Regional Water Treatment Plai
3301 East Tamiami Trail
3301 East Tamiami Trail
Reverse Osmosis Expansion
Naples, FL 34112
Naples, FL 34112
Naples, F1 34117
Morin Thampi: 233530-5339
Morin Thampi: 233530 -5339
WTP No. 9 Weltrield Rehabilitation
Palm Beach Co. Water Utllitiies Dept.
Montgomery Watson
$1,877,271 Complete 100% Mar -03
Project No.01 -002
2065 Prarie Rd.
2328 - 1 Din Av North
West Palen Beach, FL 33416
Lake Worth, FL 33461
Tom Uram: 561.493 -6000
Nell Johnson P.E.: 813-221-1981
North Springs Improvement District
North Springs Improvement District
John McKune
6686,697 Complete 100% Jul-02
Potable Water Supply Wells
10300 NW 11th Manor
Gee & Jenson
Coral Springs, FL 33071
3300 University Dr.
954 - 753-0380
Coral Springs, FL 33065
9547524960
Shady Hills Power Plant
El Paso Energy
WA
$324,965 Complete 100% Apr -02
14240 Merchant Energy Way
14240 Merchant Energy Way
Shady Hills, FL 34610
Shady Hills, FL 34610
727 - 6566000
Suncoast Parkway Toll Plazas
FOOT
Greenhome & O'Mara, Inc.
$202,605 Complete 100% Feb-02
Hillsborough/Pasco Co., FL
Archer Westem Contractors, Ltd.
1527 N. Dale Mabry Hwy,
5411 Van Dyke Rd.
Suite 101
Lutz, FL 33549
Lutz, FL 33549
Jon Sv
Tracy Keenan: 6139031415
Palm Beach County
Palm Beach Co. Water Utiittiies Dept
Palm Beach Co. Water Utllitiies Dept.
$6,092,163 Complete 100% Jan-02
WTP 9 Wellheld Expansion
2065 Prarie Rd.
2065 Pratte Rd.
Project No. 96-66
West Palm Beach, F7 33416
West Palm Beach, FL 33416
Tom Uram: 561493 -6000
Tom Uram: 5614936000
Vandolah Power Plant
Vandolah Power Company, LLC
Gemma Power Systems, LLC
$465,629 Complete 100% Jan-02
Wachulla, FL
1001 Louisiana Street
2394 Vandolah Road
Houston, TX 77002
Wachula, FL 33873
Dan Ward: 863767 -6650
Southeast Drilling Sere ices, Inc.
ATTACHMENT 3
BART ZIEGLER, P.E.
Water Resource Engineer
B.S., Civil Engineering, University of Florida
Experience
Mr. Ziegler is the President of Southeast Drilling Services, Inc. (Southeast), a
general construction, water well construction and environmental drilling company
with over 60 combined years of experience. Southeast currently provides services
throughout the state of Florida.
Mr. Ziegler is also a Water Resources Engineer. He provides expertise in general
civil engineering, hydrogeology, and groundwater projects for water supply and
effluent disposal. His project experience includes ASR wells (design and
construction), water supply systems, deep injection wells (design, construction,
supervision, mechanical integrity testing), groundwater monitoring studies, toxic
and hazardous waste investigations, park design, and regulatory permitting.
His primary responsibilities at Southeast include overall company management,
bidding and estimating, project coordination, management and contract
administration. He is also involved in the day to day project operations of ongoing
projects. Mr. Ziegler has been the lead project manager on approximately 80% of
Southeast's large drilling projects in the last 17 years.
Prior to his employment with SED, Mr. Ziegler was employed by CH2M Hill, an
international environmental consulting firm. He acted as a Client Coordinator in
addition to the design and construction of general water resource projects.
Professional Registration
Professional Engineer, Florida;
Licensed Water Well Contractor, Florida
Other Registrations
Certified Welder
Licensed Private Pilot
CPR Training and Certification
First Aid Training and Certification
Certified Site Safety Coordinator
Southeast Drilling Seri: ices, Inc.
Membership in Professional Organizations
Florida Water Well Association, Florida Engineering Society,
Publications
With Albert Muniz. Aquifer Storage and Recovery in the Floridan Aquifer System
of South Florida. American Society of Civil Engineers -Water Resource Planning
and Management Conference. Denver, CO. Man 1994
With Albert Muniz, J.I.Garcia- Bengochea, and R. David Pyne. Water
Management in the 21 Centruy. Proceedings of the Florida Water Management
Districts. Florida Department of Environmental Protection - International Dialogue
of Water Management. Miami, FL. October 1993.
Southeast Drilling Sere ices, Inc.
WILLIAM C. ZIEGLER
Water Resource Specialist
Education
Undergraduate studies, University of Florida
Experience
Mr. Ziegler is currently a Vice President of Southeast Drilling Services, Inc. The firm is a
water well construction and environmental drilling company and currently provides services
throughout the state of Florida in water supply system construction and project management.
Mr. Ziegler has been in the water well construction industry since 1968 and a licensed water
well contractor in the state of Florida since 1971 (when state licensure was established). He
has assisted in the design and managed construction of production, irrigation, monitor,
injection and ASR well programs throughout the State. Southeast Drilling Services, Inc.
provides design and construction services in the Private, Agricultural, and Municipal sectors.
Prior to establishing Southeast Drilling Services, Inc., Mr. Ziegler was President of
Diversified Drilling Corporation from its inception (1976) through 1988 in which he
managed the day to day operations and financial planning and Vice President of Drilling
Consultants, Inc. from 1988. The companies performed general Water Well Construction
and Water Plant Installation throughout Florida and South Georgia. .
Professional Registration
Licensed Water Well Contractor, Florida
South West Florida Water Management District Advisory Board
Licensed Private Pilot
Public Engagements
Moderator for Trio Center Short Courses on Water Well Construction
Instructor for City of Tampa Water Plant Operators School
Speaker for The Great American Teach -in
Membership in Professional Organizations
National Ground Water Association
Florida Ground Water Association (Past Board of Directors)
West Coast Chapter of Florida Ground Water Association (Founding Member and Past Board
of Directors)
r:\sEDTMUNES\wczsFDa.noc
J. BRIAN ZIEGLER
Supervisor/Driller
Education
Chamberlain High School
Experience
Mr. Ziegler is currently the lead well drilling technician for Southeast Drilling Services, Inc. for
projects throughout the state of Florida. He has been responsible for monitor wells, public supply
systems, irrigation wells, private well construction and primary and secondary drinking water
sampling on public supply systems. He played a key role in the development and implementation of
Southeast's Groundwater Screening Program that has been used throughout the southeast to identify
and determine the extent of toxic and hazardous waste materials in groundwater.
Prior to joining Southeast, W. Ziegler was employed by Drilling Consultants Inc. in Tampa,
Florida. He served as the lead for drilling operations throughout the state. He was responsible for
monitor well; public supply systems, irrigation wells, private well construction and primary and
secondary drinking water sampling on public supply systems.
Registrations and Certifications
Licensed Water Well Contractor, Florida
40 Hour OSHA Certification for Health and Safety (29 CFR 1910.120)
8 Hour - Refresher Courses (29 CFR 1910.120)
American Red Cross certified for emergency care
CPR certified
Certified Crane Operator
P:\SED\Resumes\JBZSED-2004. doe
IFB 11/12 -17
than five percent (5 %) of the Offeror's business and indicate the percentage owned of each such
business and /or individual:
W. B. Ziegler 50 %, W. C. Ziegler 25% and Sonya P. Ziegler 25%
13. State the names, addresses and the type of business of all firms that are partially or wholly
owned by the Offeror:
NA
14. State the name of the Surety Company which will be providing the bond, and name and address
of agent:
Western Surety Company
Michael Rogers Associates Agency P O. Box 16190 Temple Terrace. 33 687 -6190
15. Bank References:
Mutual of Omaha, Brian Holliday, 302 N Dale Mabry Hwy., Tampa, FL 33609
(bank) (address)
Wells Fargo, Kevin Schmidt, 1501 W Swann Av, Bldg 3, Tampa, FL 33606
(bank) (address)
Heritage Bank of Florida, 23000 State Road 54, Lutz, FL 33549
(bank) (address)
THE INFORMATION INDICATED IN ITEM 16 IS NOT REQUESTED AT THIS TIME, HOWEVER, THE CITY RESERVES
THE RIGHT TO REQUEST THIS INFORMATION.
16. Attach a financial statement including Offeror's latest balance sheet and income statement
showing the following items:
a. Current Assets (e.g., cash, joint venture accounts, accounts receivable, notes receivable,
accrued income, deposits, materials, real estate, stocks and bonds, equipment, furniture
and fixtures, inventory and prepaid expenses).
b. Net Fixed Assets
C. Other Assets
d. Current Liabilities (e.g., accounts payable, notes payable, accrued expenses, provision
for income taxes, accrued salaries, real estate encumbrances and accrued payroll taxes)
e. Other Liabilities (e.g., capital, capital stock, authorized and outstanding shares par
values, earned surplus, and retained earnings)
435 -10.3
Southeast Drilling Services, Inc.
IFB 11/12 -17
State the name of the firm preparing the financial statement and date thereof:
This financial statement must be for the identical organization named on page
one? If not, explain the relationship and financial responsibility of the
organization whose financial statement is provided (e.g., parent, subsidiary). Please
note, that the City of Sanford reserves the right to reject financial statement(s) submitted
by other than the organization named on page one.
THE OFFEROR ACKNOWLEDGES AND UNDERSTANDS THAT THE INFORMATION CONTAINED IN RESPONSE TO
THIS QUALIFICATIONS STATEMENT SHALL BE RELIED UPON BY THE CITY IN AWARDING THE CONTRACT
AND SUCH INFORMATION IS WARRANTED BY OFFEROR TO BE TRUE. THE DISCOVERY OF ANY OMISSION OR
MISSTATEMENT THAT MATERIALLY AFFECTS THE OFFEROR'S QUALIFICATIONS TO PERFORM UNDER THE
CONTRACT SHALL CAUSE THE CITY TO REJECT THE BID OR PROPOSAL, AND IF AFTER THE AWARD TO
CANCEL AND TERKA6,T.E;;10/kWAA�) AND /OR CONTRACT.
ESL.EQ and N /h
(Name(s) of Individuals who appeared before notary)
whose name(s) is /are Subscribed to the within instrument, and he /she /they acknowledge that he /she /they
executed it.
WITNESS my hand
and official seal.
NOTARY PUBLIC, STATE OF FLORIDA
NOTARY PUBLIC SEAL OF OFFICE:
:►GYP''• MICHAEL J WHITMAN
*: MY COMMISSION # EE015738
EXPIRES August 09, 2014
(407) 398 -0153 Floridallotaryservice.com
(Name of Notary Public: Print, Stamp, or Type as Commissioned.)
Personally known to me, or _ Produced identification:
(Type of Identification Produced)
DID take an oath, or X DID NOT take an oath.
Form No. SOQ 25.204
435 -10.4
Southeast Drilling Services, Inc.
State of Florida, County of H1L1.bR6 6V6;A . On this 11 day of SEPTEM3ER ,
2p! p_ , before me, the undersigned Notary Public of the State of Florida, personally appeared
IFB 11/12 -17
COMPLIANCE WITH THE PUBLIC RECORDS LAW, 435 -11
Upon award recommendation or ten (10) days after opening, submittals become "public records" and
shall be subject to public disclosure consistent with Chapter 119, Florida Statutes. Proposers /Bidders
must invoke the exemptions to disclosure provided by law as applicable to the response to the
solicitation, must identify the data or other materials to be protected, and must state the reasons why
such exclusion from public disclosure is necessary. The submission of a proposal authorizes release of
your firm's credit data to the City of Sanford.
If the company submits information exempt from public disclosure, the company must identify with
specificity which pages /paragraphs of their bid /proposal package are exempt from the Public Records
Act, identifying the specific exemption section that applies to each. The protected information must be
submitted to the City in a separate envelope marked accordingly.
By submitting a response to this solicitation, the company agrees to defend, indemnify and hold the City
harmless in the event we are forced to litigate the public records status of the company's documents.
/ZX L 09/11/2012
Signat Affiant Date
W. B. Zi gl President
Type Printed Name of Affiant Title
State of Florida, County of Hillsborough On this It day of 6ZpTp ^A 8E2 2012 ,
before me, the undersigned Notary Public of the State of Florida, personally appeared
W B Ziegler and JVA
( Name(s) of individuals who appeared before notary)
whose name(s) is /are Subscribed to the within instrument, and he /she /they acknowledge that he /she /they
executed it. WITNESS my hand and official seal.
NOTARY PUBLIC, STATE OF FLORIDA
NOTARY PUBLIC
SEAL OF OFFICE:
(Name of Notary Public: Print, Stamp, or Type as Commissioned.)
MICHAEL J WHITMAN y Personally known to me, or _Produced identification
MY COMMISSION #EE015738
[-: 407) ±:�� EXPIRES August 09, 2014
(Type of Identification Produced)
3980153 FloridaNcrtaryService.com _ DID take an oath, or
x DID NOT take an oath
Southeast Drilling Services, Inc.
IFB 11/12 -17
Acknowledgement of Receipt of Exempt Public Records and Agreement to Safeguard
00435 -12
I hereby acknowledge for myself and my principal Southeast Drilling Services, Inc.
(name of bidder or proposer), (hereinafter referred to as the "recipient') in accordance with the
provisions of Florida Statute 119.07(1) and 24(a), Article 1 of the State of Florida Constitution), that
any and all documents such as building plans, blueprints, schematic drawings and diagrams,
regardless of the status of the documents (draft, preliminary or final) which depict the internal layout
and structural elements of a proposed or existing public building, arena, stadium, water treatment
facility, wastewater treatment facility, or other structure owned or operated by the City of Sanford that
have been provided to the recipient by the City of Sanford are exempt from the Public Records Law of
the State of Florida as set forth in the above reverenced law. The recipient hereby acknowledges its
obligation to maintain the exempt status of this information and agrees to fully maintain, in every
respect, the exempt status of the documents and protect and safeguard the documents from public
dissemination. The recipient recognizes that the purpose of this exemption is to protect the City of
Sanford, its citizens and the general public from acts of terrorism. The statement of the recipient
made herein includes binding representations with regard to the following persons and entities,
without limitation: all subcontractors (potential or contracted) of recipient, all employees, agents,
officers and any other persons associated with recipient. The recipient shall ensure that all said
persons and entities are advised of and agree to protect the exempt nature of the above referenced
documents and to safeguard same prior to permitting any of the above said persons or entities to
have access to the referenced documents. The recipient may use the referenced documents to make
Bids upon an exempt municipal project in coordination with such persons and entities, provided
recipient ensures that the exempt status and control of the documents is protected.
Listing of specific documents, provided to the Recipient as documented below, which are exempt from
the Statutes indicated and as provided above:
1.
2.
3.
Recipient: Z?—b
Signature r
Representing:
east Drilling Services,
Name of Company
Date
Printed Name and Title: W B Ziegler, President
Solicitation Number:
IFB 11/12 -17
Solicitation Title: Hidden Lakes Well No 7 Replacement
5.1208 Exempt Public Records
Southeast Drilling Services, Inc.
SECTION 00436
IFH 11/12 -17
AFFIDAVIT OF E- VERIFY REQUIRMENTS COMPLIANCE
City of Sanford, Florida
Name of Project: Hidden Lakes Well 7 Replacement
Bid Number /Contract Number: IFB 11/12 -17
I, W. B. Ziegler the duly authorized representative /agent of
Southeast Drilling Services, Inc. , hereinafter referred to as Contractor, by this Affidavit attest to
the following:
1. That the Contractor is currently in compliance with and throughout the term of Contract
Number IFB 11/12 -17 will remain in compliance with Executive Order 11 -02, issued
by the Office of the Governor, State of Florida, requiring the use of the Department of
Homeland Security's Status Verification ( "E- Verify ") System to ensure that all employees
of the Contract and the Contractor's subcontractors performing work under the above -
listed Contract are legally permitted to work in the United States.
a. Each Contractor that performs work under the Project referenced above shall provide
the City of Sanford, Florida, a copy of the "Edit Company Profile" screen indicating
enrollment in the E- Verify Program.
2. That the Contractor will register and participate in the work status verification for all
newly hired employees of the contractor and for all subcontractors performing work on
the above - listed Contract.
3. That the Contractor agrees to maintain records of its compliance with the verification
requirements as outlined in this Affidavit and, upon request of the any Authority having
jurisdiction over the Project, including, but not limited to, the State of Florida, agrees to
provide a copy of each such verification to that Authority.
4. That all persons assigned by the Contractor or its subcontractors to perform work under
contract Number IFB 11/12 -17 meet the employment eligibility requirements as
established by the Federal Government and the government of the State of Florida.
5. That the Contractor understands and agrees that its failure to comply with the verification
requirements as set forth herein or its failure to ensure that all employees and
subcontracts performing work under Contract Number IFB 11/12 -17 are legally
authorized to work in the United States and the State of Florida constitute a breach of
Contract Number IFB 11/12 -17 for which the City of Sanford may immediately
terminate the Contract without notice and without penalty. Contractor further
understands and agrees that in the event of such termination, the Contractor shall be
liable to the City for any costs incurred by the City as a result of the Contractor's breach.
6. That for the purposes of this Affidavit, the following definitions apply:
"Employee" — Any person who is hired to perform work in the State of Florida.
"Status Verification System" — the procedures developed under the Illegal
Immigration Reform and Immigration Responsibility Act of 1996, operated by the
Department of Homeland Security and known as the "E- Verify Program ", or any
successor electronic verification system that may replace the E- Verify Program.
00436
Southeast Drilling Services, Inc.
[Balance of this page intentionally blank; signatory page follows]
DATED this
9th day of September 20 12 .
Southeast Drilling Services Inc.
Contractor Name
By: ) �' / /Zd
Prin ame' _ R 7�PQIPr
Title: Prpciripnt
STATE OF FLORIDA
COUNTY OF SEMINOLE
I HEREBY CERTIFY that, on this 9 day of S Tpj)N%ER 20 _L? , before me,
an officer duly authorized in the State and County aforesaid to take acknowledgments, personally
appeared La 'R �R / Cal �2 , X who is personally known to
me or _ who has produced as identification.
HAEL J WHITMAN
^" MY COMMISSION # EE015738 Print Name
EXPIRES August 09, 2014 Notary Public in and for the County
(407) 345 -0153 FloddaNcoryservice.com
and State Aforementioned
My commission expires:
00436
Southeast Drilling Services, Inc.
PROJECT NO. IFB 11/12 -17
SECTION 00440
TRENCH SAFETY STATEMENT
Bidder acknowledges that included in the various items of the proposal and in the Total Bid
Price are costs for complying with the Florida Trench Safety Act (90 -96, Laws of Florida)
effective October 1, 1990. The bidder further identifies the cost of compliance with the
applicable trench safety standards as follows:
Trench Safety Measure
(Description)
Units of
Measure
LF, SY
Unit
Quantify
Unit Cost
Extended
Cost
A.
B.
C.
D.
TOTAL:
NOTE: The total cost shown herein is already included in the various items in the Total Bid Price
in the Contractor's Proposal and is not additional to the pricing shown on the Bid Form.
Bidder, by signature below, assures that the contractor performing trench excavating will comply
with the applicable Trench Safety Standards. Failure to complete the above and submit with the
Bid Form along with other required bidding documents, may result in bid being declared non-
responsive.
NOTE: BEFORE EXECUTION CONTRACTOR IS REQUIRED TO REVIEW SECTION 00430.
00440-1
7/11
Southeast Drilling Services, Inc.
PROJECT NO. IFB 11112 -17
Submitted, signed and seal d this �� day of , 2
CONT CTO ATURE
By: W. . egler President
Printed Na Title
10614 E. US Highway 92, Tampa, FL 3 3610 -5972
Business Address
ATTEST:
Signature (f U v Seal
NOTE: If the Contractor intends to install pipe by some other method than trenching Linder the
definitions found in the Florida Trench Safety Act (90 -96, Laws of Florida), he shall So indicate
by outlining in the space provided below the method he proposes and how it will comply with the
Florida Trench Safety Act and related OSHA Standards for the Owner's evaluation.
The Cost of accomplishing the work by any alternate methods to trenching is included in the bid
prices shown in the Contractor's Proposal. Outline of Alternate Method:
Submitted, signed and sealed this day of 2011.
CONTRACTOR SIGNATURE
By:
Printed Name Title
Business Address
ATTEST:
Signature Seal
END OF SECTION
00440-2
7/11
Southeast Drilling Services, Inc.
PROJECT NO. IFB 11/12 -17
Monday, Wednesday and Friday from 9:00 AM -12:00 Noon.
E. Fingerprint cards shall be sent to:
Criminal Justice Information Services
Post Office Box 1489
Tallahassee, Florida 32302 -1489
F. The ORI number directs the report to be returned to the City of Sanford. The
Contractor shall not request the report to be returned to the Contractor. Only the
fingerprint card(s) and the indicated payment are to be placed in the envelope. No
cover letter or other instructions are to be included. Only a report(s) sent directly to
the City of Sanford by the FDLE will be accepted as valid.
IF A CONTRACTOR OR CONTRACTOR'S EMPLOYEE REFUSES TO AUTHORIZE THE RELEASE OF THEIR
ADDRESS, SOCIAL SECURITY NUMBER, LICENSES AND /OR TO PARTICIPATE IN THE CRIMINAL HISTORY
RECORD CHECKS WHEN REQUIRED BY THE CITY, THEY SHALL NOT BE ALLOWED TO WORK OR
CONTINUE TO WORK IN OR ON SUCH CRITICAL POSITION(S) OR PROJECT(S). REPORTS WHICH REFLECT
INCIDENTS IN AN INDIVIDUAL'S BACK GROUND WILL BE ADDRESSED AND RESOLVED ON A CASE BY
CASE BASIS.
END OF SECTION
00470-2
Southeast Drilling Services, Inc.