1545* SE Drilling Services IFB 11/12-17 Misc Docs\k
PURCHASING DEPARTMENT
Tuesday, November 27, 2012
'T'RANSMI'TTAL MEMORANDUM
To: City Clerk
RE: Southeast Drilling Services, Inc IFB 11/12 -17 Misc Documents
The item(s) noted below is /are attached and forwarded to your office for the following action(s):
❑
Development Order
❑
Mayor's signature
❑
Final Plat (original mylars)
❑
Recording
❑
Letter of Credit
❑
Rendering
❑
Maintenance Bond
®
Safe keeping (Vault)
❑
Ordinance
❑
Deputy City Manager
❑
Performance Bond
❑
Payment Bond
❑
Resolution
❑
City Manager Signature
❑
❑
City Clerk Attest/Signature
Once completed, please:
❑ Return originals to Purchasing
❑ Return copies
El
Special Instructions:
Safe keening
Marisol Ordonez \
From Date
P
T: \Dept forms \City Clerk Transmittal Memo - 2009.doc
Southeast Drilling Services, Inc.
MEMORANDUM
DATE: 11/19/12
` TO: City of Sanford
COPY:
FROM: Bart Ziegler /SED ,
RE: Bid: Hidden Lakes Well 7 _
MBE /WBE Participation
This memorandum has been prepared in conjunction with the contract submittal requirements for the
referenced project.
The construction and testing of production Well No. 7 is a rather unique construction activity for a Water Well
Contractor with minimal outside services required to complete the project. Southeast is a registered Small
Business Enterprise with Palm Beach County, the City of West Palm Beach, and the South Florida Water
Management District, however, we are not a WBE/MBE firm.
The referenced project with exception to Geophysical Logging services will be performed in house. There are
only a couple of vendors that perform the referenced geophysical logging services that we have contact with in
the Central Florida area, neither of which is a WBE/MBE firm.
CiDOCUNMNTS AND SETTINGMSED\LOCAL SETTINGS\TEMFORARY RTFERNET FILES \CONTENT.T5\52NRJN7H\MI 11912SANFORD.DOC
10614 US HWY 92 Tampa, FL 33610 (8 13) 968 -7277 FAX (813) 443 -0530
PROJECT NO. IFB 11/12 -17
SECTION 00830
CONTRACTOR'S REPORT OF
DISADVANTAGED BUSINESS ENTERPRISE PARTICIPATION
Project Name: Aquifer 7 Month of November 20 12
General Contractor: Southeast Drilling Services Inc
Contact Person: W. B.- Ziegler Telephone: ( 8 13) 968-7277
Address: 10614 E US Hicihwa 92 Tamr)a Fr 33610
Amount of Contract: $ ocp io a : MBE o/ WBE�
3a7 ado ,
DBE Information: Circle either MBE or WBE
MBEMBE Firm Name:
Date of Award:
Completed -to -Date:
Work Description:
Comments:
Form.
Contact Person:
Contract Value: $
$ Paid -to -Date: $
Telephone #:
MBE/WBE Firm Name:
Date of Award: _
Completed -to -Date:
Work Description:
Comments:
Contact Person:
Contract Value: $
$ Paid -to- Date: $
Telephone
MBEMBE Firm Name:
Date of Award:
Completed -to -Date:
Work Description:
Comments:
_ Contact Person:
Contract Value: $
Paid -to -Date: $
Telephone #:
MBE/WBE Firm Name: Contact Person:
Date of Award: Contract Value: $
Completed-to -Date: $ Paid -to -Date: $
Work Description: Telephone #:
Comments:
Attach additional pages as required,4
General Contractor's Signature: Date: 11/1S/2012
For questions or further information ase co Tbursement ourson at (850) 245 -8358.
NOTE: Please submit with constructio requests for payment on ail
projects using federal funds.
00830 -1
4111
PROJECT NO. IFB 11/12 -17
SECTION 00835
APPENDIX G TO THE FLORIDA DEPARTMENT OF ENVIRONMENTAL
PROTECTION SUPPLEMENTARY CONDITIONS f�
CERTIFICATION OF COMPLIANCE WITH 41 CFR 60 -1.7: REPORTS AND OTHER
REQUIRED INFORMATION
[Note: This certification is required by 41 CFR 60- 1.7(b) and is applicable to all FDEP - assisted
construction contracts and subcontracts with a price exceeding $10,000; this certification is to
be included in all FDEP - assisted construction contracts and subcontracts with a price exceeding
$10,000 and in all solicitations for such contracts and subcontracts.]
This certification relates to a construction contract proposed by city of San fn,,J (insert the
name of the Owner), which expects to finance the proposed construction contract with
assistance from the Florida Department of Environmental Protection (which administers a State
revolving fund loan program supported in part with funds directly made available by grants from
the United States Environmental Protection Agency). I am the undersigned prospective
construction contractor or subcontractor. I certify that:
(1) l —X— have / have not participated in a previous contract or subcontract subject
to the Equal Opportunity Clause and
(2)
(2) if I have participated in a previous contract or subcontract subject to the Equal Opportunity
Clause, 1 have /_ have not filed with the Joint Reporting Committee, the Director of
the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity
Commission all reports due under the applicable filing requirements. I understand that, if I have
participated in a previous contract or subcontract subject to the Equal Opportunity Clause and
have failed to file all reports due under the applicable filing requirements, I am not eligible, and
will not be eligible, to have my bid or offer considered, or to enter into the proposed contract or
subcontract, unless and until I make an arrangement regarding such reports that is satisfactory
to the office where the reports are required to be filed. I agree that I will obtain identical
certifications from prospective lower -tier construction subcontractors when I receive bids or
offers or initiate negotiations for any lower -tier construction subcontracts with a
price exceeding $10,000. 1 also agree that I will retain such certifications in my files.
11/15/2012
(Signature of Authorized Official) (Date) �
(Name and Title of Authorized Official [Print oyTpe])
(Name of Prospective Construction Contractor or Subcontractor [Print or Type])
10614 E US Highway 92 Tampa FL 33610 / (R1';)6;
(Address and Telephone Number of Prospective Construction Contractor or
Subcontractor [Print or Type])
(Employer Identification Number of Prospective Construction Contractor or Subcontractor)
END OF SECTION
00836-1
PROJECT NO. IFB 11112 -17
SECTION 00881
USE OF DAVIS BACON PAY RATE CERTIFICATION
Name of Project: Hidden Lakes Well 7 Replacement; IFB 11/12 -17
Owner: City of Sanford, Florida
Contractor . Southeast Drilling Services, Inc.
The Contractor named above hereby accepts responsibility to comply with Davis Bacon Pay
Rate requirements applicable to the project indicated above. The contractor shall on a continual
basis monitor web site http: / /www.wdol.gov /dba.aspx Select or enter DBA WD number:
FL177 +click search. (this is the DBA WD for Heavy Construction Projects including water and
sewer lines applicable to Seminole County, Florida.
The price or prices quoted in the attached bid or proposal are based upon and in compliance
with wage rates mandated by the Davis Bacon Act as may be amended, 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 individual signing this document.
General Decision
of Affiant
Date
Name of Affiant Title
State of Florida, County of Hillsborough On this 15th day of November 2012,
before me, the undersigned Notary Public of the State of Florida, personally appeared
W.B. Ziegler and N/A
(Name(s) of individuals who appeared before notary)
whose name(s) is /are Subscribed to the within instrument, and helshhee /�thheey 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
* c MY COMMISSION # EE015738
EXPIRES August 09, 2014
(407) 39"153 Floridallotaryservfce.com
XX Personally known to me, or _ Produced identification
(Type of Identification Produced)
_ DID take an oath, or XX DID NOT take an oath
END OF SECTION
[n
00845 -1
CERTIFICATION OF CONTRACTOR'S INSURANCE AND BONDING
Project DW 1103
l°
I certify that Southeast Drilling Inc , general contractor for
(Name of Contractor)
Hidden Lake Wellfield Well #7 Replacement , has obtained, and will be required
(Contract Description)
to maintain, insurance as is customary during construction, including workers' compensation,
comprehensive general liability, contractors' indemnification obligations, vehicle liability, and
property. Builder's risk or similar types of insurance in the amount of full replacement cost of
the project, or portion thereof, being constructed under the contract has also been obtained, and
will be maintained, by the contractor to the extent that such insurance is obtainable. Flood
insurance, if applicable, has also been obtained and will be maintained by the contractor.
I also certify that the contractor has submitted a payment and performance bond or bonds as
described below:
Type of Bond Amount of Bond Surety
Performance Bond $267,200 Western Surety Company
Payment Bond $267,200 Western Surety Company
4/
Signatur (D e)
Tom George, Deputy City Manager
(Typed Name and Title of Local Government's
Authorized Representative)