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1915 Riverwalk Ph III Southern Sunshine GroupT: City Clerk : Request for Services 1R6 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 Ordinance Payment and Performance Bond ❑ City Mayor's Signature ® City Clerk Record Keeping ❑ Safe Keeping ❑ City Attorney's Signature ❑ City Clerk's Signature Resolution IFB 17/18-15 Riverwalk Ph III — Southern Sunshine Group Once completed, please: ❑ Return originals ❑ Return copy El Special Instructions: City Clerk may keep original for their records. Thank you! From 0 Jo- TADept_forms\City Clerk Transmittal Memo - 2009.doc -Z- -Be — ate FO CITY COMMISSION WORK SESSION Railroad Depot Room 2nd Floor Sanford City Hall MONDAY, March 12,2018 300 North Park Avenue 4:00 PM Sanford, Florida In accordance with the Americans with Disabilities Act, persons with disabilities needing assistance to participate in any of these proceedings should contact the City Clerk at 407.688.5010 at least 48 hours in advance of the meeting. Advice to the public: If a person decides to appeal a decision made with respect to any matter considered at the above meeting or hearing, he or she may need a verbatim record of the proceedings, including the testimony and evidence, which record is not provided by the City of Sanford. (FS 286.0105) AGENDA Presentation of CRA/City Parking Study — Sonia Fonseca 2. Discussion re: Rescue Outreach Mission [Commission*,No.118-062] 3. Regular Meeting Items — additional information A. Resolution No. 2715, approving QuantumFlo for a JGI award and executing an Interlocal Agreement. [Commission Memo 18-059] (RM 8.C) B. Resolution No. 2717, amending the budget and awarding Procurement activity to Southern Sunshine Group. [Commission Memo 18-061] (RM 8.E) 4. Discussion re: Appointment of City Clerk 5. Briefing Items 4:00 — 4:30 PM 4:30 — 6.'001'PM 5:00 — 5:15 PM 5:15 —5:30 PM 6:30 — 6:45 PM 6. City Manager Comments 5:45 — 6:00 PM AGREEMENT BETWEEN THE CITY OF SANFORD AND SOUTHERN SUNSHINE GROUP, INC. - IFB 17118-15, RIVERWALK PHASE III GROUND MAINTENANCE (LANDSCAPING) SERVICES THIS AGREEMENT (hereinafter the "Agreement") is made and entered into this day of MawrGln , 2018, by and between the City of Sanford, Florida, a Florida municipality, (hereinafter referred to as the "CITY"), whose mailing address is 300 North Park Avenue, Sanford, Florida 32771, and Southern Sunshine Group, Inc., a Florida corporation authorized to do business in the State of Florida, ("SSGI" throughout)") whose Florida corporate address and contact address 1100 Radford Drive Deltona, Florida 32738. The CITY and SSGI may be collectively referenced herein as the "parties". WITNESSETH; IN CONSIDERATION of the mutual covenants, promises, and representations contained herein and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: Section 1. Recitals. The above recitals are true and form a material part of this Agreement upon which the parties have relied. Section 2. Authority. 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 persons executing this Agreement for each party certify that they are authorized to bind the party fully to the terms of this Agreement. Section 3. Scope of Agreement; Direction of Services. (a). This Agreement is for the services set forth in the attachments hereto and SSGI agrees to accomplish the actions specified in the attachments for the compensation set forth in those documents. Additionally, services may be ordered and directed by the CITY by means of purchase orders/work orders. (b). It is recognized that SSGI shall perform services as otherwise directed by the CITY all of such services to include all labor and materials that may be required including, but in no way limited to, the services provided by subconsultants as may be approved by the CITY. (c). The City's contact/project manager for all purposes under this Agreement shall be the following: Robert Beall Operations Manager Parks & Grounds Division __ 1 I Page. City of Sanford City Hall Post Office Box 1788 Sanford, Florida 32772 Phone: 407-688-5080 (extension 5423) Email: robert.beaII@sanfordfl.gov ; provided, however, that all notices under this Agreement shall be copied to: Ms. Marisoi Ordonez Purchasing Manager Finance -Purchasing Division City of Sanford City Hall Post Office Box 1788 Sanford, Florida 32772 Phone: 407.688.5028 Email: marisol.ordonez@sanfordfl.gov Section 4. Effective Date and Term of Agreement. This Agreement shall take effect on the date that this Agreement is fully executed by the parties hereto. This Agreement shall be in effect for a term of 3 years and, upon the exercise of an option to renew by the CITY, for 2 additional terms of 1 year each. In any event, this Agreement shall remain in effect until the services to be provided by SSGI to the CITY under each work order have been fully performed in accordance with the requirements of the CITY; provided, however, that, the indemnification provisions and insurance provisions of the standard contractual terms and conditions referenced herein shall not terminate and the protections afforded to the CITY shall continue in effect subsequent to such services being provided by SSGI No services have commenced prior to the execution of this Agreement that would entitle SSGI for any compensation therefor. Section 5. Compensation. The parties agree to compensation as set forth in the attachments hereto and as may be set forth in each purchase/work order issued by the CITY. Section 6. Standard Contractual Terms and Conditions. All "Standard Contractual Terms and Conditions", as provided on the CITY's website, apply to this Agreement. Such Terms and Conditions may be found at the CITY's website (www. SanfordFL.gov). The parties shall also be bound by the purchasing policies and procedures of the CITY as well as the controlling provisions of Florida law. Work orders shall be used, in accordance therewith, in the implementation of this Agreement to the extent deemed necessary by the CITY in its sole and absolute discretion. Section 7. SSGI's Mandatory Compliance with Chapter 119, Florida Statutes, and Public Records Requests. (a). In order to comply with Section 119.0701, Florida Statutes, public records laws, SSGI must: (1). Keep and maintain public records that ordinarily and necessarily would be required by the CITY in order to perform the service. (2). Provide the public with access to public records on the same terms and conditions that the CITY would provide the records and at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes, or as otherwise provided by law. (3). Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. (4). Meet all requirements for retaining public records and transfer, at no cost, to the CITY all public records in possession of SSGI upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the CITY in a format that is compatible with the information technology systems of the CITY. (b). If SSGI does not comply with a public records request, the CITY shall enforce the contract provisions in accordance with this Agreement. (c). Failure by SSGI to grant such public access and comply with public records requests shall be grounds for immediate unilateral cancellation of this Agreement by the CITY. SSGI shall promptly provide the CITY with a copy of any request to inspect or copy public records in possession of SSGI and shall promptly provide the CITY with a copy of SSGI' response to each such request. 1001 IF THE CONTRACTORIVENDOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S (VENDOR'S) DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (407) 688-5012, CYNTHIA PORTER, CITY CLERK, CITY OF Sanford, CITY 3 a L, HALL, 300 NORTH PARK AVENUE, SANFORD, FLORIDA 32771, PORTE RC@SAN FORDF L. GOV. Section 8. Time is of the Essence. Time is hereby declared of the essence as to the lawful performance of all duties and obligations set forth in this Agreement. Section 9. Entire Agreement/Modification. This Agreement, together with all "Standard Contractual Terms and Conditions", as provided on the CITY's website and the attachments hereto (the documents relative to the procurement activity of the CITY leading to the award of this Agreement) constitute the entire integrated agreement between the CITY and SSGI and supersedes and controls over any and all prior agreements, understandings, representations, correspondence and statements whether written or oral in connection therewith and all the terms and provisions contained herein constitute the full and complete agreement between the parties hereto to the date hereof. This Agreement may only be amended, supplemented or modified by a formal written amendment of equal dignity herewith. In the event that SSGI issues a purchase order, memorandum, letter, or any other instrument addressing the services, work, and materials to be provided and performed pursuant to this Agreement, it is hereby specifically agreed and understood that any such purchase order, memorandum, letter, or other instrument shall have no effect on this Agreement unless agreed to by the City, specifically and in writing in a document of equal dignity herewith, and any and all terms, provisions, and conditions contained therein, whether printed or written•or referenced on a Web site or otherwise, shall in no way modify the covenants, terms, and provisions of this Agreement and shall have no force or effect thereon. Section 10. Severability. 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. Section 11. Waiver. 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. Section 12. Captions. 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. Section 13. Counterparts. 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. 4 11, Section 14. Binding Effect. This Agreement shall be binding upon and inure to the benefit of the successors in interest, transferees and assigns of the parties. 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 signatories hereof represent that they have the requisite and legal authority to execute this Agreement and bind the respective parties herein. Section 15. Remedies. The rights and remedies of the parties, provided for under this Agreement, are in addition to any other rights and remedies provided by law or otherwise necessary in the public interest. Section 16. Governing law, Venue and Interpretation. This Agreement is to be governed by the laws of the State of Florida. Venue for any legal proceeding related to this Agreement shall be in the Eighteenth Judicial Circuit Court in and for Seminole County, Florida. This Agreement is the result of bona fide arms length negotiations between the CITY and SSGI, and all parties have contributed substantially and materially to the preparation of the Agreement. Accordingly, this Agreement shall not be construed or interpreted more strictly against any one party. than against any other party and all provisions shall be applied to fulfill the public interest. IN WITNESS WHEREOF, the CITY and SSGI have executed this instrument for the purpose herein expressed. ATTEST. CITY OF SAN am . Colbert s Attorney ADDITIONAL SIGNATURE PAGE FOLLOWS: 111 ATTEST. Th8mas A. Keane Vice President 6_1011j9:N 0 N a I, IM; 6 1 P Attachment "A" Statement of "No Bid Submittal" I f you do not intend to submit on this requirement, please complete and return this form prior to date shown for receipt of proposals to: City of Sanford. Purchasing Division. 300 N. Park Avenue Suite 236, Sanford, Florida 32771. I/WE HAVE DECLINED TO SUBMIT A BID FOR IFB 17/18-03, titled CEMETERY OPENING AND CLOSING OF GRAVE -'S for the following reason(s): [Please place a check mark (✓) next to the reason(s) as applicable] (✓) City of Sanford ( Finance Department I Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 50301 Fax: 407-688-5021 Solicitation Number: IFB-17/18-15 INVITATION T4 BID (IFB) TERM CONTRACT Due Date• December 5, 2017 06tlrj F� s7,-� TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Attachment "A" Statement of "No Bid Submittal" I f you do not intend to submit on this requirement, please complete and return this form prior to date shown for receipt of proposals to: City of Sanford. Purchasing Division. 300 N. Park Avenue Suite 236, Sanford, Florida 32771. I/WE HAVE DECLINED TO SUBMIT A BID FOR IFB 17/18-03, titled CEMETERY OPENING AND CLOSING OF GRAVE -'S for the following reason(s): [Please place a check mark (✓) next to the reason(s) as applicable] (✓) Reason Bid requirements too "restrictive". Insufficient time to respond to the Invitation to Bid. We do not offer this service. Our schedule evould not permit us to erform. Unable to meet requirements..._ Unable to meet insurance or bond requirements. Scope of Services unclear (please explain below). Other ( leases ecify below). REMARKS: Company Name: J'(X( f W '— /l `I (�/t lr�t'S�f7!/I �/j�� r j� iii t=j n Mailing Address: dotes Li t�Cl� ►IT Vdh,�!� rJ • F- ( �0 / 3 ff Telephone Number: - JF r %" c5% Fax Number: 4j E-mail Address: S'4140So"'q't.P.mS-Ur Title c1u/1 / fC..:2.CcYt-�. FEIN: 3ltl-D�lo�_ Printed Name l Qz —' D to Rei 03/2016 PUR-F-303 37 rvaf,C4 City of Sanford ( Finance Department ( Purchasing Division Solicitation 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Number: ° Phone: 407-688-5028 or 5030 1 Fax: 407-688-5021 IFB-17118-15 77- INVITATION TO BID (IFB) Due Date: December 5 TERM CONTRACT , 201'1 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Attachment "B" Insurance Requirements Rev 03/2016 PUR-F-303 3 8 Contract Exceeds not Exceed Contract does notExceed COVERAGE REQUIRED 5500,000, 180 days and,180 hazards existnl jCo:ntr:actdoes days and hazards exist $25,000, 30 days andnounusual existWorkers' Compensation Employers. Liabilitymployers Liability 7sualzards Liability 0 $1,000,000.00 $500,000.00 Certificates of exemption are not Each Accident $1,000,000.00 Each Accident $500,000.00 dent $500,000.00 acceptable in lieu of workers Disease Disease Disease compensation insurance $1.000,000.00 $500,000.00 $500,000-00 Commercial General Liability $3,000.000.00 Per $1,000,000.00 Per $500,000.00 Per shall include- Bodily Injured Liability Occurrence Occurrence Occurrence and Advertising hVitring Liability Coverages shall include: Premises/ $3,000,000.00 General $1,000,000.00 General $500.000.00 General Operations; products/Completed Aggregate Aggregate Aggregate Operations; Contractual Liability: independent Contractors, Explosion: Collapse: Underground. 6Yhen required by the City, coverage must be provided for Sexual Harassnienl, Abuse and Molestation. Comprehensive Auto Liability, $ 1,000,000 Combined $ 1,000,000 Combined $ 500,000 Per Occurrence CSL, shall include "any auto" w• Single Limit Single Limit $ 1,000,000 General $ 500,000 General Aggregate shall include all of lire fo//owing: owned,, leased, hired. non -owned $ 1,000.000 General Aggregate autos, and .scheduled autos. A re ate Professional Liability (when required) $1,000,000.00 $1,000.000.00 $1.000,000.00 Minimum Minimum Minimum Builder's Risk (when required) shall 100% of completed 100% of completed 100% of completed value of additions include theft, sinkholes, offsite value of additions value of additions and structure storage, transit, installation and and structure and structure equipment breakdown. Permission to occupy shall be included and the policy shall be endorsed to cover the interest of all parties, including the City of Sanford, all contractors and subcontractors. $3.000,000 Aggregate: $1,000,000 Aggregate: $500,000 Aggregate: No vehicle maximum Garage Keepers (�Nhen required) No per vehicle No per vehicle maximum per referred maximum referred $3,000,000 Combined referred $1.000.000 Combined $500.000 Combined Single Garage Liability (when required) Single Limit $3,000,000 General Single Limit g $1.000.000 General Limit $500.000 General Aggregate Aagregate A re ate Rev 03/2016 PUR-F-303 3 8 a. It is noted that Professional Liability, builder's risk, garage keepers and garage liability is not required unless applicable conditions exist. If clarification is needed the CONTRACTOR must request clarification from the City of Sanford Purchasing Office. b. Vendor, Contractor, bidder shall provide, to the City of Sanford "City," prior to commencing any work, a Certificate of Insurance which verifies coverage in compliance with the requirements outlined below. Any work initiated without completion of this requirement shall be unauthorized and the City will not be responsible. c. The City reserves the right, as conditions warrant, to modify or increase insurance requirements outlined below as may be determined by the project, conditions and exposure ➢ Certification Terms and Conditions It is noted that the City has a contractual relationship with the named vendor, contractor or provider (collectively referred hereinafter as Contractor) applicable to a purchase order, work order, contract or other form of commitment by the City of Sanford, whether in writing or not and has no such contractual relationship with the Contractor's insurance carrier. Therefore, the onus is on the Contractor to insure that they have the insurance coverage specified by the City to meet all contractual obligations and expectations of the City. Further, as the Contractor's insurance coverage is a matter between the vendor and its insurance carrier, the City will turn to the Contractor for relief as a result of any damages or alleged damages for which the Contractor is responsible to indemnify and hold the City harmless. It is understood that the Contractor may satisfy relief to the City for such damages either directly or through its insurance coverage; exclusions by the insurance carrier notwithstanding, the City will expect relief from the Contractor. a. The insurance limits indicated above and otherwise referenced are minimum limits acceptable to the City. Also, all contractor policies shall to be considered primary to City coverage and shall not contain co-insurance provisions. b. All policies, except for professional liability policies and workers compensation policies shall name the City of Sanford as Additional Insured. c. Professional Liability Coverage, when applicable, will be defined on a case by case basis. d. In the event that the insurance coverage expires prior to the completion of the project, a renewal certificate shall be issued 30 days prior to said expiration date. e. All limits are per occurrence and must include Bodily Injury and Property Damage. f. All policies must be written on occurrence form, not on claims made Form, except for Professional Liability. g. Self -Insured retentions shall be allowed on aM liability coverage. h. In the notification of cancellation: The City of Sanford shall be endorsed onto the policy as a cancellation notice recipient. Should any of the above described policies of Sanford in accordance with the policy provisions. L All insurers must have an A.M. rating of at least A -VII. j. It is the responsibility of the Prime CONTRACTOR to ensure that all sub -contractors retained by the Prime CONTRACTOR shall provide coverage as defined here -in before and after and are the responsibility of said Prime CONTRACTOR in all respects. k. Any changes to the coverage requirements indicated above shall be approved by the City of PUR-(:-303 39 Rev 0312016 City of Sanford I Finance Department I Purchasing Division Solicitation i 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Number: Phone: 407-688-5028 or 50301 Fax: 407-688-5021 IFB-17/18-15 77- INVITATION TO BID (IFB) Due Date; TERM CONTRACT December 5, 2017 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES a. It is noted that Professional Liability, builder's risk, garage keepers and garage liability is not required unless applicable conditions exist. If clarification is needed the CONTRACTOR must request clarification from the City of Sanford Purchasing Office. b. Vendor, Contractor, bidder shall provide, to the City of Sanford "City," prior to commencing any work, a Certificate of Insurance which verifies coverage in compliance with the requirements outlined below. Any work initiated without completion of this requirement shall be unauthorized and the City will not be responsible. c. The City reserves the right, as conditions warrant, to modify or increase insurance requirements outlined below as may be determined by the project, conditions and exposure ➢ Certification Terms and Conditions It is noted that the City has a contractual relationship with the named vendor, contractor or provider (collectively referred hereinafter as Contractor) applicable to a purchase order, work order, contract or other form of commitment by the City of Sanford, whether in writing or not and has no such contractual relationship with the Contractor's insurance carrier. Therefore, the onus is on the Contractor to insure that they have the insurance coverage specified by the City to meet all contractual obligations and expectations of the City. Further, as the Contractor's insurance coverage is a matter between the vendor and its insurance carrier, the City will turn to the Contractor for relief as a result of any damages or alleged damages for which the Contractor is responsible to indemnify and hold the City harmless. It is understood that the Contractor may satisfy relief to the City for such damages either directly or through its insurance coverage; exclusions by the insurance carrier notwithstanding, the City will expect relief from the Contractor. a. The insurance limits indicated above and otherwise referenced are minimum limits acceptable to the City. Also, all contractor policies shall to be considered primary to City coverage and shall not contain co-insurance provisions. b. All policies, except for professional liability policies and workers compensation policies shall name the City of Sanford as Additional Insured. c. Professional Liability Coverage, when applicable, will be defined on a case by case basis. d. In the event that the insurance coverage expires prior to the completion of the project, a renewal certificate shall be issued 30 days prior to said expiration date. e. All limits are per occurrence and must include Bodily Injury and Property Damage. f. All policies must be written on occurrence form, not on claims made Form, except for Professional Liability. g. Self -Insured retentions shall be allowed on aM liability coverage. h. In the notification of cancellation: The City of Sanford shall be endorsed onto the policy as a cancellation notice recipient. Should any of the above described policies of Sanford in accordance with the policy provisions. L All insurers must have an A.M. rating of at least A -VII. j. It is the responsibility of the Prime CONTRACTOR to ensure that all sub -contractors retained by the Prime CONTRACTOR shall provide coverage as defined here -in before and after and are the responsibility of said Prime CONTRACTOR in all respects. k. Any changes to the coverage requirements indicated above shall be approved by the City of PUR-(:-303 39 Rev 0312016 Sanford, Risk Manager. 1. Address of "Certificate Holder" is City of Sanford; P 4 Box 1788 (300 N. Park Avenue); Sanford, Florida 32771; Attention Purchasing Manager; Phone 407.688.5028/5030 Fax 407.688.5021. m. All certificates of insurance, notices etc. must be provided to the above address. n. In the description of the certificate of insurance please also add the solicitation number and project name. Ty ed NamVof FIANT STATE OF V 1 �r%' A U, COUNTY OF V cswS: cz Th foregoing instrument was executed before me this day of 0e�CCM b r 20 1 by 3tr"V\ I�IeayW- as �QtrP.S,cie,n+ of ' c ) h 41Et'150A.} 0P Grc ' ' who personally swore or affirmed that he/she is authorized to execute this document and thereby bind the 'Corporation, and who is personally known tome OR has produced or 1Vet5 t(, V\Sf_ as identification. 1 r'� x - °' NO"GARY PUAtIC, State of t:�'lot^�d (stamp) \ The City reserves the unilateral right to modify the insurance requirements set forth at any time during the process of solicitation or subsequent thereto. PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE °'Failure to submit this form may be grounds for disqualification of your submittals PUR-F-303 40 Rev 0313016 City of Sanford J Finance Department ( Purchasing Division Solicitation 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Number: Ai�s9 Phone: 407-688-5028 or 5030 1 Fax: 407-688-5021 IF$ -17!18-15 INVITATION TO BID (IFB) Due Date: TERM CONTRACT December 5, 2017 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Sanford, Risk Manager. 1. Address of "Certificate Holder" is City of Sanford; P 4 Box 1788 (300 N. Park Avenue); Sanford, Florida 32771; Attention Purchasing Manager; Phone 407.688.5028/5030 Fax 407.688.5021. m. All certificates of insurance, notices etc. must be provided to the above address. n. In the description of the certificate of insurance please also add the solicitation number and project name. Ty ed NamVof FIANT STATE OF V 1 �r%' A U, COUNTY OF V cswS: cz Th foregoing instrument was executed before me this day of 0e�CCM b r 20 1 by 3tr"V\ I�IeayW- as �QtrP.S,cie,n+ of ' c ) h 41Et'150A.} 0P Grc ' ' who personally swore or affirmed that he/she is authorized to execute this document and thereby bind the 'Corporation, and who is personally known tome OR has produced or 1Vet5 t(, V\Sf_ as identification. 1 r'� x - °' NO"GARY PUAtIC, State of t:�'lot^�d (stamp) \ The City reserves the unilateral right to modify the insurance requirements set forth at any time during the process of solicitation or subsequent thereto. PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE °'Failure to submit this form may be grounds for disqualification of your submittals PUR-F-303 40 Rev 0313016 Attachment "C" Public Entity Crimes Statement SWORN STATEMENT UNDER SECTION 287.133(3) (a), FLORIDA STATUTES: THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS. A. This sworn statement is submitted with Bid, or Contract Number iFB 17/18-15, titled. Riverwalk Phase IiI Ground Maintenance Services. B. This sworn statement is submitted by CLgLern Suv7-i . whose business address is [Name of entity submitting sworn ttatementl Employer identification Number (FEIN) is `,5RZ Number of the individual signing this sworn statement: and (if applicable) its Federal (If the entity has no FEIN, include the Social Security C. My name is 66yaf l and my relationship to the above is �rP5�dC617 [Please print name of individual signing] D. I understand that a "public entity crime" as defined in section 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 in Florida 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 to be provided to any public entity or an agency or political subdivision and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. E. I underst6nd that "convicted" or "conviction" as defined in section 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 atter July 1. 1989, as a result of a jury verdict, non -jury trial, or entry of plea of guilty or nolo contenders. F. 1 understand that "affiliate" as defined in section 287.133(1) (a), Florida Statutes, means: 1. A predecessor or successor of a person convicted of a public entity crime; or 2. 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 for 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 Nvho has been convicted of a public entity crime in Florida during the preceding thirty-six (36) months shall be considered an affiliate. G. I understand that a "person" as defined in section 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 for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 1-1. 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 with a check mark (✓) which statement applies]. PUR-F-303 41 Rev 03/2016 City of Sanford I Finance Department ( Purchasing Division Solicitation 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Number: Phone: 407-688-5028 or 5030 1 Fax: 407-688-5021 OB -17/18-15 - INVITATION TO BID (IFB) Due Date: TERM CONTRACT December 5, 2017 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Attachment "C" Public Entity Crimes Statement SWORN STATEMENT UNDER SECTION 287.133(3) (a), FLORIDA STATUTES: THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS. A. This sworn statement is submitted with Bid, or Contract Number iFB 17/18-15, titled. Riverwalk Phase IiI Ground Maintenance Services. B. This sworn statement is submitted by CLgLern Suv7-i . whose business address is [Name of entity submitting sworn ttatementl Employer identification Number (FEIN) is `,5RZ Number of the individual signing this sworn statement: and (if applicable) its Federal (If the entity has no FEIN, include the Social Security C. My name is 66yaf l and my relationship to the above is �rP5�dC617 [Please print name of individual signing] D. I understand that a "public entity crime" as defined in section 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 in Florida 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 to be provided to any public entity or an agency or political subdivision and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. E. I underst6nd that "convicted" or "conviction" as defined in section 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 atter July 1. 1989, as a result of a jury verdict, non -jury trial, or entry of plea of guilty or nolo contenders. F. 1 understand that "affiliate" as defined in section 287.133(1) (a), Florida Statutes, means: 1. A predecessor or successor of a person convicted of a public entity crime; or 2. 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 for 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 Nvho has been convicted of a public entity crime in Florida during the preceding thirty-six (36) months shall be considered an affiliate. G. I understand that a "person" as defined in section 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 for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 1-1. 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 with a check mark (✓) which statement applies]. PUR-F-303 41 Rev 03/2016 VNeither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees. embers, or agents who is active in the management of the entity, nor any affiliate of the entity have been convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, em_ployees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1. 1989, AND [Please indicate which additional statement applies]. _ There has been a proceeding concerning the conviction before a judge or hearing officer of the State of Florida, Division of Administrative Hearings, or a court of law having proper jurisdiction. The final order entered by the hearing officer or judge did not place the person or affiliate on the convicted contractor list. [Please attach a copy of the final order.] The person or affiliate was placed on the convicted contractor list. There has been a subsequent proceeding before a court of law having proper jurisdiction or a judge or hearing officer of the State of Florida, Division of Administrative Hearings. The final order eniered by the judge or hearing officer determined that is was in the public interest to remove the person or affiliate from the convicted contractor list. [Please attach a copy of the final order.] _ The person or affiliate has not been placed on any convicted vendor list. [Please describe any action taken by or pending with the State of Florida, Department of Management Services.] By the signature(s) below, Uwe. the undersigned,, as authorized signatory to commit the firm, certify that the information as provided in Attachment "C", Public Entity Crimes Statement, is truthful and correct at the time of submission. 4e an -e Typed Name 9f AFFIANT 'Title STATE OF r p f% COUNTY OF ttSt The foregoing instrument was exe•uted before me this L K day of 'CuM b 0 _ 20 �� by ZlAtGtl� P.uu1� as P{25�dC� of 4 �C ,\ SJh--W-V\e, 6GJ P who personally swore or. affirmed that he/she is authorized to execute this document and thereby bind the Corporation, and who is personally known to me OR has produced Or"Ue(S Vx <-et15C, as identification. / �/ =,�My AUDSWGHNOTARY PU 1C. State of(stamp) ic— Siate of Fl]2021 ion # GG 1626xpires Nov 21, PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE 1�9'Failurc to submit this form may be grounds for disqualification of your submittal's PUR-P-303 42 Rev 03/2016 City of Sanford I Finance Department I Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 j Fax: 407-688-5021 Solicitation Number: IFB-17/18-I5 INVITATION TO BID (IFB) TERM CONTRACT Due Date: December 5, 2017 4!'as 9 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES VNeither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees. embers, or agents who is active in the management of the entity, nor any affiliate of the entity have been convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, em_ployees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1. 1989, AND [Please indicate which additional statement applies]. _ There has been a proceeding concerning the conviction before a judge or hearing officer of the State of Florida, Division of Administrative Hearings, or a court of law having proper jurisdiction. The final order entered by the hearing officer or judge did not place the person or affiliate on the convicted contractor list. [Please attach a copy of the final order.] The person or affiliate was placed on the convicted contractor list. There has been a subsequent proceeding before a court of law having proper jurisdiction or a judge or hearing officer of the State of Florida, Division of Administrative Hearings. The final order eniered by the judge or hearing officer determined that is was in the public interest to remove the person or affiliate from the convicted contractor list. [Please attach a copy of the final order.] _ The person or affiliate has not been placed on any convicted vendor list. [Please describe any action taken by or pending with the State of Florida, Department of Management Services.] By the signature(s) below, Uwe. the undersigned,, as authorized signatory to commit the firm, certify that the information as provided in Attachment "C", Public Entity Crimes Statement, is truthful and correct at the time of submission. 4e an -e Typed Name 9f AFFIANT 'Title STATE OF r p f% COUNTY OF ttSt The foregoing instrument was exe•uted before me this L K day of 'CuM b 0 _ 20 �� by ZlAtGtl� P.uu1� as P{25�dC� of 4 �C ,\ SJh--W-V\e, 6GJ P who personally swore or. affirmed that he/she is authorized to execute this document and thereby bind the Corporation, and who is personally known to me OR has produced Or"Ue(S Vx <-et15C, as identification. / �/ =,�My AUDSWGHNOTARY PU 1C. State of(stamp) ic— Siate of Fl]2021 ion # GG 1626xpires Nov 21, PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE 1�9'Failurc to submit this form may be grounds for disqualification of your submittal's PUR-P-303 42 Rev 03/2016 • City of Sanford ( Finance Department I Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Solicitation Number: Phone: 407-688-5028 or 5030 i Fax: 407-688-5021 IFB-17/18-15 INVITATION TO BID (IFB) Due Dates cs�i-� TERM CONTRACT December 5?2017 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Attachment "D" Conflict of Interest Statement A. I am the ? ps12C,k- of S'©t ite" 6 rv44 o with a local office in [Insert Title] [Insert Company Name] 7— %�nr , �[ and principal office in 7�/ /9 B. The entity hereby submits an offer to IFB 17/18-15, Riverwalk Phase III Ground Maintenance Services. C. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its full knowledge. D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and time and that said above stated entity has no financial interest in other entities submitting a proposal for the work contemplated hereby. E. Neither the AFFIANT nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion or collusive activity, or otherwise taken any action which in any way restricts or restraints the competitive nature of this solicitation, including but not limited to the prior discussion of terms, conditions, pricing, or other offer parameters required by this solicitation. F. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from participation in this solicitation or any contract to follow thereafter by any government entity. G. Neither the entity nor its affiliates. nor anyone associated with them, have any potential conflict of interest because and due to any other clients, contracts, or property interests in this solicitation or the resulting project. H. I hereby also certify that no member of the entity's ownership or management or staff has a vested interest in any City Division/DepartmentJOftice. 1. 1 certify that no member of the entity's ownership or management is presently applying, actively seeking, or has been selected for an elected position within City of Sanford government. J. In the event that a conflict of interest is identified in the provision of services, I, the undersigned will immediately notify the City in writing. By the signature(5) below, Uwe, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attaebaient "D1',AF'- flJAt-pf lntere*, atement, is truthful and correct at the time of submission. Title STATE OF 1 1 1 _ COUNTY OF C 0 t ti. Theforegoin instrument was executed before me this 1 day of _ ece m e . 20 by t/Lr6t k _ 3'1 C _as ire S I d -PI J of "5,0—th e iy, who personally swore or affirmed that he/she is authorizedi to execute this document and thereby bind the Corporation, and who is personally known to me OR has produced 111yC/. I I to n.Se as identification. l/ `. Notary Commission ic -State 16260x' NOTARY UBLIC, State of / r (stamp) I.iv Comm. Expires Nov 21.2021 D SUBMIT WITH YOUR IFB RESPONSE `°'Failure to submit this form may be grounds for disqualification of your submittal' PUR-F-303 43 Rev 03/2016 i City of Sanford I Finance Department I Purchasing Division 300 N. Park.Avenue Suite 236, Sanford, Florida 32771 Solicitation Number: Phone: 407-68$-5028 or 5030 i Fax: 407-688-5021 jFB-1711$-15 INVITATION TO BID (IFB) TERM CONTRACT I Due Date: December 5, 2017 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Attachment "E" Drug -Free Workplace Certification When applicable, the drug-free certification form below must be signed and returned with the IFB response. In order to have a drug-free workplace program, a business shall: A. 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 Ibr violations of such prohibition. B. Inform employees about the dangers of drug abuse in the workplace, the business' 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. C. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified'in the first paragraph. D. In the statement specified in the first paragraph, 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 nota contendere to, any violation of chapter 893, Florida Statutes, 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. E. 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. F. Make a good faith effort to continue to maintain a drug-free workplace through implementation of the foregoing provisions. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attaghrnc it_EI Drug -Free WorkOlace Certification, is truthful and correct at the time of submission. Tame of A • FIANT Title STATE OF Y^f COUNTY OF _y (/.5 I G, )e foregoing instrument was exe uted before me this L kti day of eta ?f , 20 )1 by taai wtnt, as Ye 1 of 4 of Yt.> h IKZ_ •toma' . who personally swore or affirmed that hd/she is authorized fo execute this document and thereby bind the Co oration, and who is personally known to as identification. �% f �.o I GR'* % Jr Site of Florida " E ark f3Gtiti6tis3t� 182607 NOTARY PL46LIC. State of rri du ��;,. ''04x9�r�i�s. E7iAite�K)or Z1.2021 (stamp) ^�� PL ITH YOUR IFB RESPONSE —(if applicable) 131JR-r-303 44 Rev 03/2016 Attachment "F" Bid Price Schedule and Acceptance of Bid Terms and Conditions W- Weekly C Every Three Weeks N -As Needed, Times /Year B- One Time /Two Weeks Q -Quarterly X- Per Specifications Season A- 4/1 through 9/30 Season B- 11/1 through 2/28 Season C- March through October Season D- Once Per Month Section City of Sanford ( Finance Department I Purchasing Division Solicitation xt1V%94 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-5021 Number: IFB-17/18-15 INVITATION TO BID (IFB) Due Date: TERM CONTRACT December 5, 2017 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Attachment "F" Bid Price Schedule and Acceptance of Bid Terms and Conditions W- Weekly C Every Three Weeks N -As Needed, Times /Year B- One Time /Two Weeks Q -Quarterly X- Per Specifications Season A- 4/1 through 9/30 Season B- 11/1 through 2/28 Season C- March through October Season D- Once Per Month Section Descriptionjjj 2ttd2 p2! III TOTAL (19 WEEKS) 17/92 Riverwalk; South side of 17/92 from S.R. 46 to C.R. C15 North side of 17/92 from Man oustine Avenue to C.R. C15 (16 acreage) C Trash tR /yo.GAG! ll',42. 00 C Moir I q7. Ov 5,0 73. 040 C Weedeat ti vc- N Edge1 C Blow j/. 7�. a5 i N Round Weed Control , 75,E ,. OCi COST PER YEAR TOTAL $lv, /6b.d5 I/ we, the undersigned, as authorized signatory to commit the firm, do hereby accept in total all the terms and conditions stipulated and referenced in this IFB document and do hereby agree that if a contract is offered or negotiated it will abide by the terms and conditions presented in the IFB document or as negotiated pursuant thereto. The undersigned, having familiarized him/herself with the terms of the IFB documents, local conditions, and the cost of the work at the place(s) where the work is to be done, hereby proposes and agrees to perform within the time stipulated, all work required in accordance with the scope of services and other documents including Addenda, if any, on file at the City of Sanford Purchasing Division for the price set forth herein in Attachment "F" Bid Price Schedule and Acceptance of Bid Terms and Conditions. The signature(s) below are an acknowledgment of my/our full understanding and acceptance of all the terms and conditions set forth in this IFB document or as otherwise agreed to between the parties in writing. PUR-F-303 45 Rev 03/2016 Bidder/Contractor Name: C2'_04:c p rid C . Mailing Address: //,y D, /e/-yvha J;2_ 9 30 Telephone Number:.-O-rX5 -K'Si/ Fax Number: L/Lt- E-mail Address: SCuu� SUu�7'IerY7�u� r j d'�Vrj j i�4� 1;3P5/ �& /— Title STATE or 16 COUNTY OF Va I 1,�.;>I G - Printed Name /a Boll -- D to FEIN: Th Fo{egoin instrument was exeopted etore me this / day of G'Ll� b r 20 by t(a vie, as ` 6�Z5 � �41 of �� A-11r.�'t't � s �t� �.�2.. cifa��1 who personally swore or affirmed that he/she i authorized to execute this document and thereby bind the Corporation. and who is personally known to me OR has produced brti /C (� k t Ub.Y-as identification. (stamp) E SYVISHAUD SINGHNotary Public - State of Florida= Commission S GG 162607�e , My Comm. Expires Nov 21.20211. /�v " / NOTARY PU IC, State of - Iy �- d to PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE ®"Failure to submit this form may be grounds for disqualification of your submittal" PUR-F-303 46 Rev 03/2016 City of Sanford ( Finance Department I Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Solicitation Number: V_1V%94 Phone: 407-688-5028 or 5030 Fax: 407-688-5021 IFB-17/18-15 INVITATION TO BID (IFB) TERM CONTRACT Due Date: December 5, 2017 . TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Bidder/Contractor Name: C2'_04:c p rid C . Mailing Address: //,y D, /e/-yvha J;2_ 9 30 Telephone Number:.-O-rX5 -K'Si/ Fax Number: L/Lt- E-mail Address: SCuu� SUu�7'IerY7�u� r j d'�Vrj j i�4� 1;3P5/ �& /— Title STATE or 16 COUNTY OF Va I 1,�.;>I G - Printed Name /a Boll -- D to FEIN: Th Fo{egoin instrument was exeopted etore me this / day of G'Ll� b r 20 by t(a vie, as ` 6�Z5 � �41 of �� A-11r.�'t't � s �t� �.�2.. cifa��1 who personally swore or affirmed that he/she i authorized to execute this document and thereby bind the Corporation. and who is personally known to me OR has produced brti /C (� k t Ub.Y-as identification. (stamp) E SYVISHAUD SINGHNotary Public - State of Florida= Commission S GG 162607�e , My Comm. Expires Nov 21.20211. /�v " / NOTARY PU IC, State of - Iy �- d to PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE ®"Failure to submit this form may be grounds for disqualification of your submittal" PUR-F-303 46 Rev 03/2016 Attachment "G" Addendum Receipt Acknowledgement Certification The undersigned acknowledges receipt of the following addenda to the solicitation document(s) (Give number and date ol'each): Addendum No. _ ijttXi _ City of Sanford I Finance Department I Purchasing Division Solicitation a 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Number: ` Vj00# Phone: 407-688-5028 or 5030 1 Fax: 407-688-5021 IFB-17/18-15 INVITATION TO BID (IFB) TERM CONTRACT Due Date: December 5, 2017 t 779 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Attachment "G" Addendum Receipt Acknowledgement Certification The undersigned acknowledges receipt of the following addenda to the solicitation document(s) (Give number and date ol'each): Addendum No. _ ijttXi _ Dated: �%/ 7,21/2--0/ 7 Addendum No. Dated: Addendum No. Dated: Addendum No. Dated: Addendum No. Dated: By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm. certify that the information as provided in Attachment "G", Addendum Receipt Acknowledgement Certification, is truthful and correct at the time of submission. Bidder/Contractor Mailing Address: Telephone Number,... &1.571- ,5//_ fax Number: E-mail Address: Suri $ qt.�f Q/11S lu • c J .CJ;r� FEIN: J4 Ai t ze ign tory Printed ame Title ate PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE 'V"Failure to submit this form may be grounds for disqualification of your submittal'' PUR-F-303 47 Rei- 03/2016 DATE: November 15-2017 TO: All Bidders/Proposers FROM: MarisolOrdonez City of Sanford Purchasing Division SUBJECT: Riverwalk Ph III Ground Maintenance Services I ADDENDUM #1 This addendum is issued to provide additional information, clarification, corrections, additions, deletions and/or answers to questions concerning the above referenced solicitation. All information provided in this addendum is incorporated into the solicitation document as set forth therein. All other parts of the solicitation have been maintained as originally distributed. This addendum supersedes any verbal and/or other instructions given to any bidder/proposer qualified to respond pursuant to the requirements set forth in the solicitation document. I. QUESTIONS AND ANSWERS (Q&A) The City has received the following question(s) concerning the solicitation: Q 1. I have a question in regard to IFB 17/18-15, Riverwalk Ph. III Ground Maintenance Services. On page 4, Section H, 1 it says the Surety Bond is to made out to City if Casselberry. Why Casselberry, and not the City of Sanford. Al. The City of Sanford is correct there was a typo error that has been corrected on this addendum under the clarification section below; Q2. Can we have a map for the area that's to be services? Also can you please state the service schedule, there's conflicting statements in the paperwork from being serviced every 3 weeks to being once a month that is listed on the bid price sheet. A2. The Sanford Riverwalk map is attached with this addendum. The Service schedule will be every 3 weeks, which is 19 weeks for the year. Corrected Attachment F is attached to this addendum. II. CHANGES, ADDITIONS AND/OR CLARIFICATIONS H. Bid Bond On page 4, Section H, 1 The ITB response shall be accompanied by an ITB Security Bond equaling five percent (5%) of the total ITB price. Failure of the Bidder to supply same, in the amount and type required, shall automatically render the Bidder as non-responsive resulting in the disqualification from further consideration of your ITB response. Rev. 1112016 City of Sanford I Finance Department I Purchasing Division ► 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone:407-688-5028or5030 Fax: 407-688-5021 Email: nrehasin ,Wsanfordfl.!ov ADDENDUM RIVERWALK PH III GROUND MAINTENANCE SERVICES #1 DATE: November 15-2017 TO: All Bidders/Proposers FROM: MarisolOrdonez City of Sanford Purchasing Division SUBJECT: Riverwalk Ph III Ground Maintenance Services I ADDENDUM #1 This addendum is issued to provide additional information, clarification, corrections, additions, deletions and/or answers to questions concerning the above referenced solicitation. All information provided in this addendum is incorporated into the solicitation document as set forth therein. All other parts of the solicitation have been maintained as originally distributed. This addendum supersedes any verbal and/or other instructions given to any bidder/proposer qualified to respond pursuant to the requirements set forth in the solicitation document. I. QUESTIONS AND ANSWERS (Q&A) The City has received the following question(s) concerning the solicitation: Q 1. I have a question in regard to IFB 17/18-15, Riverwalk Ph. III Ground Maintenance Services. On page 4, Section H, 1 it says the Surety Bond is to made out to City if Casselberry. Why Casselberry, and not the City of Sanford. Al. The City of Sanford is correct there was a typo error that has been corrected on this addendum under the clarification section below; Q2. Can we have a map for the area that's to be services? Also can you please state the service schedule, there's conflicting statements in the paperwork from being serviced every 3 weeks to being once a month that is listed on the bid price sheet. A2. The Sanford Riverwalk map is attached with this addendum. The Service schedule will be every 3 weeks, which is 19 weeks for the year. Corrected Attachment F is attached to this addendum. II. CHANGES, ADDITIONS AND/OR CLARIFICATIONS H. Bid Bond On page 4, Section H, 1 The ITB response shall be accompanied by an ITB Security Bond equaling five percent (5%) of the total ITB price. Failure of the Bidder to supply same, in the amount and type required, shall automatically render the Bidder as non-responsive resulting in the disqualification from further consideration of your ITB response. Rev. 1112016 I. The ITB Security Bond shall be submitted in the form of Bid Bond; in the amount of five percent (5%) of the total ITB price, made payable to the City of Sanford, issued by a Surety firm and through a reputable and responsible surety bond agency licensed to do business in the State of Florida. 2. The Surety must be rated as "A+"® or better as to strength by Best's Insurance Guide, published by A. M. Best Company, Inc., located at I Arnbest Road, Oldwick, New Jersey 08858. For the latest ratings and Insurance Guide, access www.ambest.coln. 3. The terms of the ITB Security Bind shall be: L The Bidder The Bidder shall enter into an Agreement if awarded to the Bidder; ii. The Surety (or alternate form of security forfeit) shall be responsible for the costs resulting from the failure of the Bidder to enter into an Agreement if awarded to the Bidder; including the increased costs associated with awarding to the next most responsive, responsible Bidder and costs associated with conducting the ITB process and letting the Agreement; iii. To promptly enter into an Agreement to perform the work and furnish the required Performance and Payment Bond, if applicable; and iv. Any interest earned as a result of the City depositing the accepted money order, certified or cashier's check, or cash received as ITB Security Bond into an interest bearing account shall be retained by the City 4. Return of ITB Security Bond. As soon as the ITB responses have been evaluated, the City may, at its sole discretion, return or release the ITB Security Bonds accompanying such ITB responses, which in its sole judgment, would not likely be considered for award. All other ITB Security Bonds will be held until award of this project and the agreement has been executed by the successful Bidder; after which any remaining ITB Security Bonds will be returned to the respective Bidders. It shall be the sole responsibility of the Bidder to request in writing from the City the return of the ITB Security Bond or alternative form of security used. ITB Security Bond or alternative form of security used shall not be returned unless requested by the Bidder in writing. I. ATTACHMENTS Sanford Riverwalk Map attached. Attachment F corrected Respondents must acknowledge receipt of this Addendum by signing this form below and returning it to the Procurement Division prior to the hour and date specified for receipt of bids/proposals or by including this Addendum with your submittal. Failure to comply may result in disqualification of your response. Rev. 11/2016 City of Sanford I Finance Department I Purchasing Division w 300 N. Park Avenue Suite 236, Sanford, Florida 32771 ADDENDUM Phone: 407-688-5028 or 5030 Fax: 407-688-50211 Email: urchasin rasanfordiL ov RIVERWALK PH III GROUND MAINTENANCE SERVICES �A$ ;b� #1 I. The ITB Security Bond shall be submitted in the form of Bid Bond; in the amount of five percent (5%) of the total ITB price, made payable to the City of Sanford, issued by a Surety firm and through a reputable and responsible surety bond agency licensed to do business in the State of Florida. 2. The Surety must be rated as "A+"® or better as to strength by Best's Insurance Guide, published by A. M. Best Company, Inc., located at I Arnbest Road, Oldwick, New Jersey 08858. For the latest ratings and Insurance Guide, access www.ambest.coln. 3. The terms of the ITB Security Bind shall be: L The Bidder The Bidder shall enter into an Agreement if awarded to the Bidder; ii. The Surety (or alternate form of security forfeit) shall be responsible for the costs resulting from the failure of the Bidder to enter into an Agreement if awarded to the Bidder; including the increased costs associated with awarding to the next most responsive, responsible Bidder and costs associated with conducting the ITB process and letting the Agreement; iii. To promptly enter into an Agreement to perform the work and furnish the required Performance and Payment Bond, if applicable; and iv. Any interest earned as a result of the City depositing the accepted money order, certified or cashier's check, or cash received as ITB Security Bond into an interest bearing account shall be retained by the City 4. Return of ITB Security Bond. As soon as the ITB responses have been evaluated, the City may, at its sole discretion, return or release the ITB Security Bonds accompanying such ITB responses, which in its sole judgment, would not likely be considered for award. All other ITB Security Bonds will be held until award of this project and the agreement has been executed by the successful Bidder; after which any remaining ITB Security Bonds will be returned to the respective Bidders. It shall be the sole responsibility of the Bidder to request in writing from the City the return of the ITB Security Bond or alternative form of security used. ITB Security Bond or alternative form of security used shall not be returned unless requested by the Bidder in writing. I. ATTACHMENTS Sanford Riverwalk Map attached. Attachment F corrected Respondents must acknowledge receipt of this Addendum by signing this form below and returning it to the Procurement Division prior to the hour and date specified for receipt of bids/proposals or by including this Addendum with your submittal. Failure to comply may result in disqualification of your response. Rev. 11/2016 Acknowledgment is hereby made of Addendum #1 to Riverwalk Ph. III Ground Maintenance Services. g(,ujP P-14 $LI.Lf� Name of Firm/Company 1100 &d hd (Dr. Street Address Contact Email City, State, Z p Code Tele hone Number Fax Aumber Authorized Person Printed Name lzed 1son nature 11/2016 74'— Authorized Person Title Date of Siigna4e CO/ City of Sanford ( Finance Department ( Purchasing Division ►, PRt 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 Fax: 407-688-5021 Email: urchasin ra'."nfordll. ov ADDENDUM RIVERWALK PH III GROUND MAINTENANCE SERVICES ►v 7—` #1 Acknowledgment is hereby made of Addendum #1 to Riverwalk Ph. III Ground Maintenance Services. g(,ujP P-14 $LI.Lf� Name of Firm/Company 1100 &d hd (Dr. Street Address Contact Email City, State, Z p Code Tele hone Number Fax Aumber Authorized Person Printed Name lzed 1son nature 11/2016 74'— Authorized Person Title Date of Siigna4e CO/ (fit+, ''�; � _.. ` ,.. ,.. �-<„ . �� K .. . ..i t. ..... i Vi �t'._.._, I�_�, i N !� � � �.,. 3 t .r n,. .... _ y i 'C ... .,. 1 G S '- f � � :,l . .i I _., i Q... jli(I bl j _ ._� a. � i i 'o J` O i f "��j _ - ....7 y ; ��- . s' _ _ .. � + �' -_ i � _� :... ;i , . � � - i ��,� . _ ;. ��a . I , :1:� ' � 7 .t ' ; 1 ti E k_.. ... ... i _ t �.. `... 3 e I } .. r` �... .. • � ... ,{ y'�. ... . 1 r; r f _ . ;� , � � ' �:.,i f. � � / � f �' �_ j I . ..._ .. >rl i - � i .., ,, � .. � .z i �. -..� I .. Z ' � j .. � .. ti „� �i �_ .{ Y ,i i .�� .. .... r f .._ . ___ I \ i � ' Ali, � :. ry ' .; .; � � ... -� .,r ..�. ,.,� � S ._�.: _. ._... .,::.., �. 1 �t. ,, ,� � . � --- j . ..: _ 5 , ! 'w - � � l11i � _ u .. -r � =. ,. - w . ..... ' . ,.. � 1 � ♦ 4: H l.. j � ..� wry ; :... ,,,�} f tib � i i � _.; . -E'��`....� Attachment "H" Organizational Information "rhe Bidder must include a cop) of their State (Certificate of Good Standing/Articles of Incorporation, which lists the corporate officers. In addition to the aforementioned documents, the Bidder/Bidder must include necessary information to verify the individual signing this proposal/bid and or any contract document has been authorized to bind the corporation. Examples include: A. A copy of the Articles of Incorporation listing the approved signatories of the corporation. B. A copy ora resolution listing the members of staff as authorized signatories for the company. C. A letter from a corporate officer listing the members of staff that are authorized signatories for the company. City of Sanford I Finance Department I Purchasing Division Solicitation N. Park Avenue Suite 236, Sanford, Florida 32771 Number; M14300 Phone: 407-688-5028 or 5030 Fax: 407-688-5021 IFB-17/18-15 INVITATION TO BID (IFB) Due Date: Joint Venture TERM CONTRACT December S, 2017 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Attachment "H" Organizational Information "rhe Bidder must include a cop) of their State (Certificate of Good Standing/Articles of Incorporation, which lists the corporate officers. In addition to the aforementioned documents, the Bidder/Bidder must include necessary information to verify the individual signing this proposal/bid and or any contract document has been authorized to bind the corporation. Examples include: A. A copy of the Articles of Incorporation listing the approved signatories of the corporation. B. A copy ora resolution listing the members of staff as authorized signatories for the company. C. A letter from a corporate officer listing the members of staff that are authorized signatories for the company. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm. certify that the information as provided in Attachment "H", Organizational Information, is truthful and correct at the time of submission. Bidder/Contractor Name: JUGt f vc.t./� 1 I t ✓&5%2i�1 (61-OU19 Mailing Address: l/oo I t Gf t/ 14iCl/ Telephone um -`7 - Fax Number: ?Jv E-mail Address: SuY c�SpL(izts�%.� FEIN:,2Q— A rized i ato Printed Name Title — /Dat6 PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE `V'Failure to submit this form may be grounds for disqualification of your submittal"O PUR-r-303 48 Rev 03/2016 -ed); TYPE OF ORGANIZATION (Please place a check mark (✓) next to applicable type) Corporation Partnership Non -Profit Joint Venture Sole Proprietorship Other (Please specify) State of Incorporation / Principal Place of Business (Enter Address) ��U © �� l• Federal I.D. or Social Security Number By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm. certify that the information as provided in Attachment "H", Organizational Information, is truthful and correct at the time of submission. Bidder/Contractor Name: JUGt f vc.t./� 1 I t ✓&5%2i�1 (61-OU19 Mailing Address: l/oo I t Gf t/ 14iCl/ Telephone um -`7 - Fax Number: ?Jv E-mail Address: SuY c�SpL(izts�%.� FEIN:,2Q— A rized i ato Printed Name Title — /Dat6 PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE `V'Failure to submit this form may be grounds for disqualification of your submittal"O PUR-r-303 48 Rev 03/2016 -ed); Attachment "I" Proposed Schedule of Subcontractor Participation 0 No Subcontracting (of any kind) will be utilized on this project. City of Sanford I Finance Department I Purchasing Division Solicitation Total Project Amount: S 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-5421 Number: IFB-ilm-15 F�?°$77- INVITATION TO BID (IFB) TERM CONTRACT Due Date: December 5, 2017 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Attachment "I" Proposed Schedule of Subcontractor Participation 0 No Subcontracting (of any kind) will be utilized on this project. Solicitation Number: (IFB-17/18-031 Title: Cemetery Opening and Closing of the Graves Total Project Amount: S Subcontractor Minority Code (if applicable) Company Name Address Phone. Fax, Email Trade, Services or Materials portion to be subcontracted Percent (%) of Scope/Contract Federal ID Dollar Value PERCENTAGE TOTALS FOR SUBCONTRACTOR PARTICIPATION PERCENTAGE TOTALS FOR MINORITY SUBCONTRACTOR PARTICIPATION When applicable, the Bidder, will enter into a formal agreement with the subcontractors identified herein for work listed in this schedule conditionedupon execution of a contract with the City. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "I", Proposed Schedule of Subcontractor Participation, is truthful and correct at the time of submission. Bidder/Contractor Name: SvuAern )W,L6h1I -e Cl) -OLEO �r7� Mailing Address: 1100 -t3Gcd f &rd T)/. e Hvga ' F 3�21 `fi b e- 'I'elephonc_btumber: �U 571- %! Fax Number: A04 E-mail Address: Swap@ SWj-�eryLsccn s�'2ec FEIN: 61 uthor' -e�1 "S' tory Printed Name &151 la /I Ig o17 'I'itle Date PLEASE COMPLETE AND SUBMIT WITH YOUR ITB RESPONSE °'Failure to submit this form may be grounds for disqualification of your submittal' PUR-r-303 49 Rev 03/2016 r,300 N. Park Avenue Shite 236,Sanford, Florida 32771 Phone: 407-688-5028 or 5030 jFax: 407-688-5021 Pit City of Sanford � Finance Department � Purchasing Division Solicitation A9 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES Contractin Agency/Client: GC.f-i/,hi•ts Contact Name and Phone #: yo 7- 2�/fo- :2/ 2 J Attachment "J" References [udder shall submit as a part of their bid response, a minimum of five (5) of the most significant projects similar in size and scope which were performed within the last three (3) years. The contact person shall be someone who has personal knowledge of the Bidder's performance for the specific requirements listed and is aware the City may be contacting them. Contact Email Address and Fax #: Contract Amount: 5,a� n Start Date: M�ad1 :20/ End Date: C6 eC-jC�Mctf-;L:n Project Name: 41, b' CAO- � 2 T e of Project/Service: &W17/YlLeyrt,� Type Address: 75 Al. Gt/i`ll��✓7-I�' 'f7.t5v,-f/� � 3 ? 1 Contracting Agency/Client: c2�ks qL Gre ' •c>/i' Contact Name and Phone #: o? 10 Contact Email Address and Fax #: Contract Amount: 02 ' oov Start Date: End Date: —1A Project #3: Project Name: OLtn / , " � mitaA Type of Project/Service: .t i Address: Z .4 Contracting Agency/Client: Va uS;�C Cevn/DCT Contact Name and Phone #: , 3 ff ---J, - � X00 Contact Email Address and Fax #: Contract Amount: Start Date: ..J� l t, End Date: Project #r3: Project Name: �rinu y e of Pvt "f rojectJSerce: j %YC.Gc.i> Address: 2 � 0 G 1 Conti -acting A enc /Client: Zi/YI/y Contact Name and Phone #: 6P 45 3 Contact Email Address and Fax #: Contract Amount: vdt� Start Date: G o�l7 End Date: Project #5: Project Name: Y©ltl i Curt Type of Project/Service:� f 3?�LCt Address: / !7 �Gi-G2tc- t/2 • •�� Contracting Agency/Client: � •..r„-,- � �-- Contact Name and Phone Contact Email Address and Fax #: Contract Amount: ous Start Date: End Date: 1iLs-.��-- PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE `'Failure to submit this form may be grounds for disqualification of your submittal`' r,300 N. Park Avenue Shite 236,Sanford, Florida 32771 Phone: 407-688-5028 or 5030 jFax: 407-688-5021 Numbers IFB-17/1$-IS INVITATION TO BID (IFB) TERM CONTRACT Due Date. December S, 201fi A9 TITLE: RIVERWALK PH III GROUND MAINTENANCE SERVICES ' Project #1 Project Name: f�- Type ofl'roject/Service: Address: Y00©�� /due. C�r`Zccctc�v.Ft` 3 Boa Contractin Agency/Client: GC.f-i/,hi•ts Contact Name and Phone #: yo 7- 2�/fo- :2/ 2 J Contact Email Address and Fax #: Contract Amount: 5,a� n Start Date: M�ad1 :20/ End Date: Project #2: Project Name: 41, b' CAO- � 2 T e of Project/Service: &W17/YlLeyrt,� Type Address: 75 Al. Gt/i`ll��✓7-I�' 'f7.t5v,-f/� � 3 ? 1 Contracting Agency/Client: c2�ks qL Gre ' •c>/i' Contact Name and Phone #: o? 10 Contact Email Address and Fax #: Contract Amount: 02 ' oov Start Date: End Date: —1A Project #3: Project Name: OLtn / , " � mitaA Type of Project/Service: .t i Address: Z .4 Contracting Agency/Client: Va uS;�C Cevn/DCT Contact Name and Phone #: , 3 ff ---J, - � X00 Contact Email Address and Fax #: Contract Amount: Start Date: ..J� l t, End Date: Project #r3: Project Name: �rinu y e of Pvt "f rojectJSerce: j %YC.Gc.i> Address: 2 � 0 G 1 Conti -acting A enc /Client: Zi/YI/y Contact Name and Phone #: 6P 45 3 Contact Email Address and Fax #: Contract Amount: vdt� Start Date: G o�l7 End Date: Project #5: Project Name: Y©ltl i Curt Type of Project/Service:� f 3?�LCt Address: / !7 �Gi-G2tc- t/2 • •�� Contracting Agency/Client: � •..r„-,- � �-- Contact Name and Phone Contact Email Address and Fax #: Contract Amount: ous Start Date: End Date: 1iLs-.��-- POR -F-303 50 Rev 03J20I6 uj 0 I OU c >-O m C) z 63 P om 290--6 = C*4 LU 00 0 z ar- Z FjCD 0 ow,— W.r- — , s Co mm 0 on 'D (3�0 CD z (D— 0=2.0, 0 Co ci 0 .5 OC -0 .0 uj z — =M'* 00 o CPU, Z,2 -.5; 0, Cl) CL D 0 > j 0 cc Cc gr LU< z _{/ 0 :5 C cc0 U3 C)!5 z Doo 0 uj C3 0 — L Z Vo 0 wo 5-6 0 :D cr Lo C) coo -2 §-3__3.— 0 0 on zo� Z:6 u -co co 0 m C) r- co 0 = C*4 /0L/ 0 z 0 CN -6 0- 0 6 0 z LU CD LU 00 Co ci 0 .5 OC -0 Z cc c) cn < a I- z w C14 c 0 x (5 z — D cr-c) co >- :tl L) CL D U) 0 -j Z:c LL LL O< �i 0 cc Cc gr LU< z _{/ 0 :5 C cc0 U3 C)!5 z Doo 0 uj C3 (n L Z :D cr Lo C) -2 Z CC o 0 0 — ui U) — o rax)rpyvr rrrtmuuwauun rYUrlUMI irarvr Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a _M ^ t� resident alien, sole proprietor, or disregarded entity, see the instructions for Part 1, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see Now to get a TIN, later. or Note: if the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer Identification number Number To Give the Requester for guidelinos on whose number to enter._ I 1 � , Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or i am waiting for a number to be issued to me); and 2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service QRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that 1 am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct Cetiification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have fated to report all interest and dividends on your tax return. For real estate transactions; item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement ORA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Pari 11, later. Here V.S. err ►,. _ �_.--� �----- Date • General Instructions Section references are to the internal Revenue Code unless otherwise noted Future developnwnts. For the latest information about developments related to Farm W-9 and its instructions, such as legislation enacted after they were published, go to www.frs.gov1FormW9. Purpose Of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (T(N) which may be your social security number (SSM, individual taxpayer identification number OTiN), adoption taxpayer identification number (ATiN), or' employer identification number (EIM. to report on an 5nformation retum the amount paid to you, or other amount reportable on an information return. Examples of Information returns include, but are not limited to, the following. • Form 1099 -INT (interest earned ar paid) - • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-8 (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1089-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098•E (student loan interest). 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form w-9 only it you are a U.S. person (including a resident alien), to provide your correct 11N. tf you do not return Form W-9 to the n9guester with a TM' you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (A-V, 11-2017) Request for Taxpayer rive Farm Identification Number Certification 1 Form to the ttlev. Novomber2o17y and requester. Do not Departmothe rni�suty Imeinst tenue SwAce ® Go to www.1ts.gov/FormW9 for Instructions and the latest information send to the IRS. I Name (as shown on your ams tax (\t�urn). Name is'raquired on this Tins: do not leave this tine blank. So+ ,lin �w ks e rc Grp I > lr-. 2 Business name/disrogarded entity name, it different from above eh 3 Check appropriate box for federal tax classification of the person whose name Is entered on lire 1. Check only one of the ♦ Exemptions (codes apply only to fotowing seven boxes. certain entities, not ind)vktuals: see instructiarn p ❑ Individual/sols proprietor or fR C Corporation ❑ S Corporation ❑ Partnerahip ❑ Trumfestate on page 3): n single -member LLC Exempt payee code (it any) Gcfasslfkatbn ❑ Unvted liability company. Enter the tax 10- (C <C corporation, 5aS corporatlan, P.-Partnership)-Partnership)PartnshlD} p Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA ieponmg n LLC If the LLC Is classified as a single -member LLC that Is disregarded from the owner unless the owner of the LLC is code (tan ) LLC that y e C IL another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member is disregarded from the owner should check the appropriate box fon the tax classification of Its owner, u ❑ Other (see instnictlons)10- r.\yo+•,roe:cM,,:..-u,�....w..,¢.o-,,..,�, t 5 Address ( mber, street, end L or suite no.) See Instructions. Requester's name and address (opliarw4 is 1 itlpad f v,-dU r, N 6 City, state, and ZIP code Del, mac,,. '_�>a--7319 T last account numbor(s) here (optional) rax)rpyvr rrrtmuuwauun rYUrlUMI irarvr Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a _M ^ t� resident alien, sole proprietor, or disregarded entity, see the instructions for Part 1, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see Now to get a TIN, later. or Note: if the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer Identification number Number To Give the Requester for guidelinos on whose number to enter._ I 1 � , Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or i am waiting for a number to be issued to me); and 2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service QRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that 1 am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct Cetiification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have fated to report all interest and dividends on your tax return. For real estate transactions; item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement ORA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Pari 11, later. Here V.S. err ►,. _ �_.--� �----- Date • General Instructions Section references are to the internal Revenue Code unless otherwise noted Future developnwnts. For the latest information about developments related to Farm W-9 and its instructions, such as legislation enacted after they were published, go to www.frs.gov1FormW9. Purpose Of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (T(N) which may be your social security number (SSM, individual taxpayer identification number OTiN), adoption taxpayer identification number (ATiN), or' employer identification number (EIM. to report on an 5nformation retum the amount paid to you, or other amount reportable on an information return. Examples of Information returns include, but are not limited to, the following. • Form 1099 -INT (interest earned ar paid) - • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-8 (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1089-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098•E (student loan interest). 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form w-9 only it you are a U.S. person (including a resident alien), to provide your correct 11N. tf you do not return Form W-9 to the n9guester with a TM' you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (A-V, 11-2017) A� R" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 07/27/2017 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, 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 holder in lieu of such endorsement(s). PRODUCER CONTACTNAME: PHONE (888) 202-3007 FAX No): HiSCOX Inc. ADDRIE SS: Contact@hiscox.COm 520 Madison Avenue 32nd Floor DAMAGE TO RENTED PREMISES Ea occurrence S 100,00_0_ New York, NY 10022 INSURER(S) AFFORDING COVERAGE NAIC If INSURER A : Hiscox Insurance Company Inc 10200 INSURF.O INSURER H : INSURER C : S 1100 Radford Dr Deitona, FL 32738 INSURER D INSURER E: INSURER F: COMBINED SINGLE LIMIT $ Ea accident COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE 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. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE LTR WVD B POLICYNUMBER MMIDCDlYYW POLICY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE o OCCUR ry UDC -2027815 -CGL -17 07/27/2017 07/27/2018 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence S 100,00_0_ MED EXP (Any one person) 5 5,000 A PERSONAL&ADV INJURY S 1,000,000 GEjN'LAGGREGATE LIMIT APPLIES PER: _X } JEC7 LOC POLICY 0 I OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS S 2,000,000 _ S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTONON-OWNED HIREDAUTOS AUTOS COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) S BODILY INJURY (Per accident) S DAMAGE $ FRaccident) S UMBRELLALIAH EXCESSLIAH OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DED RETENTIONS S I WORKERS COMPENSATION j AND EMPLOYERS' LIABILITY jANYPROPRIETOR/PARTNERIEXECUTIVE Y OFFICERIMEMBER EXCLUDED? (Mandatory in NH) It yes, describe under '. DESCRIPTION OF OPERATIONS below N /A STATUTE ERH E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE U 19UIJ-ZU14 AGUKU t4UKYUKA I IUN. An ngnrs reservea. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ��®�l>DQ0 ar,... �. CERTIFICATE 4F LIABILITY INSURANCE DATE (MMl)D/YYYY) 12/14/2016 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, 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 holder in lieu of such endorsement(s). PRODUCER Stonehenge Insurance Solutions, Inc. 300 Avenue of the Champions Ste. 222 Palm Beach Gardens, FL 33418 NAME: _ PHONE FAX No. Exit: A1C No); E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC B _ _ _ INSURER A.Technology Insurance Company, Inc. 42376 _ INSURED Fortune Financial Inc. dba— INSURER 9: — INSURER C: Fortune Business Solutions 13101 Telecom Drive i -- Suite 100 INSURER D: INSURER E: Tampa, FL 33637 INSURER F: -- COVERAGES CERTIFICATE NUMBER:MJ96X9EU REVISION NUMBER! THIS IS TO CERTIFY THAT THE 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE A suan wvo POLICY NUMBER POLICY EFF MMJDD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s CLAIMS -MADE D OCCUR PREMISE3�Eaoaurr nce $ MED EXP (Any one person) S PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY ❑ JECOTT M LOC PRODUCTS - COMP/OP AGG _ SA S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident s BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident S S UMBRELLA LIABOCCUR EACH OCCURRENCE S AGGREGATE S EXCESS UAB CLAIMS -MADE DED RETENTIONS 5 A WORKERS COMPENSATION AND EMPLOYEAS'LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE = OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N / A TWC3587000 10/1/2017 10/1/2018 X PER OTH- _TAS?U—TE- E.L. EACH ACCIDENT - $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,00.0,000 If yyes, describe under DESCRIPTION OF OPERATIONS be bw E.L. DISEASE - POLICY LIMIT S 1,000,000 s $ S S $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage is extended to leased employees but not subcontractors of Thomas Adam Keane dba Keane Field Services. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Proof of Coverage AUTHORIZED REPRESENTATIVE Proof of Coverage FL Page 1 of 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Winter aven, FL 33888-0007 DECLARATIONS P NAMED INSURED «T3 003189 0058 KEANE, THOMAS A & KEANE^ SARAH J IIUO RADFOBD DB DELT8NA FL 32738-6612STATE FARM PAYMENT PLA� 5S -7248-2A A POLICY NUMBER E67 6395 -CC POLICY PERIOD SEP 07 �0_17to 12:01 A.M. Standard Time 1397797519 |UU0J,U|JU(|7,|h(|nn|Up|mUU[|`UHJn/JU�U' DONOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT ISDUE, THEN A SEPARATE STATEMENT IS ENCLOSED AGENT BRANDON KEENE STE 115 9717 EAGLE CREEK CENTER| ORLANDO, FL 32832-6346 PHONE: (407)203-1711 2016 FORD F250 SID PICKUP 1FT7VV2A63GEB22084 103H60' UN medical expenses that are payable under the Florida Motor Vehicle No -Fault Law. The most we will pay for such reasonable medical expenses is 80% of the "schedule of maximum charges" found in the Florida Motor Vehicle No -Fault Law and in the Limits section of the Florida Car Policy's No -Fault Coverage. New Policy Form For questions, problems orbzobtain information about coverage call: (4]7)203-1711. State Farm works hard to offer the best combination of price, service,and protection. The amount you pay for au insurance /adetermined by many factors such aethe coverages you have, where you live, the kind ofcar you drive, h' car inused, who dhvmeth�car'�ndinfornnabonfronlconsumer repoda. . ��e d n edica �6 e cenL iwa cl�te mined b I nformation from consumer reports: Time since most recent public record or collect Consumer report reference number 17250161600440 aLdLUrarm 5iaie ryarrm Mutual Automobile insurance Company 63293-2-A MUTL VOL WinterHaven Gardens L 3388Blvd 0007 DECLARATIONS PAGE as N N O �a 'r NAMED INSURED AT3 003190 0058 KEANE, THOMAS A & KEANE, SARAH J 1100 RADFORD DR DELTONA FL 32738-6612 59-7248-2 A A POLICY NUMBER E67 6396-CO7-59 POLICY PERIOD SEP 07 2017 to MAR 07 12:01 A.M. Standard Time STATE FARM PAYMENT PLAN NUMBE 1397797519 'Illy(n'rlri�ll�lll�lrlrndE!!llnl'!'i1111'rrl!'lliilliliyn AGENT BRANDON KEENE STE 115 9717 EAGLE CREEK CENTER BLVD ORLANDO, FL 32832-6346 PHONE: (407)203-1711 DO NOT• ON AMOUNTIF AN DUE, THEN A SEPARATE STATEMENT -18 ENCLOSED. • 2013 FORD F150 PICKUP 1 FTMF1 CM6DFD64141 103H6010002 IMPORTANT NOTICE- Under No -Fault Covera e, the only medical expenses we will pay are reasonable medical expenses that are payable under the Florida Motor Vehicle No -Fault Law. The most we will pay for such reasonable medical expenses is 80% of the "schedule of maximum charges" found in the Florida Motor Vehicle No -Fault Law and in the Limits section of the Florida Car Policy's No -Fault Coverage. New Policy Form - For questions, problems or to obtain information about coverage call: (407)203-1711. State Farm works hard to offer you the best combination of price, service, and protection. The amount you pay for automobile insurance is determined by many factors such as the coverages you have, where you live, the kind of car you drive, how your car is used, who drives the car, and information from consumer reports. Your premium was determined by information from consumer reports: Time since most recent public record or collection, excludingmedical, utility; Percent of balance to high credit on all open accounts; Percent of accounts paid as agreed in the last 24 months to total accounts; Percent of open auto finance accounts to total accounts reported in the last 12 months. �y ;R , .. i '.'.+,��rt�?v,.. .tr�.S.`+:3";t e,a+.�. i r • •� ♦ 3� � SP. {^be < }r +�r+y+ ✓',K"y axk is qy, w.o-. �t Ri ^`nt { $1,000,000, $!i/1!i i 10 ,;. r .. �,a-n.�,'�^A .�. -EE{,;e..4ti•4��5��.�i�,.s�3P,§�'G`"'�e,.-Ps�,e#*��'a.,.�''?V`e,�n�.�, °.u�^�.; ae. ��4' �. No -Fault• • yy 2w` Y `�"i�".F, f{%.' �z�gzun �yp��' (:.S tAs' n'3.%"ij .({,-asa�.�,� fl'h'-1��v�f,�� • iY rtx,$ 'i. �?�f �T .fi�'4eA�+?.1" c�`. �1�.c�. '°�SW�. `Y+;. ,;t .. "✓ m G .`"Y�x v'un>s;6rsi+r..�. c'c'h's�4i:.�. Collision Coverage - $500 Deductible Bodily $1001000 $300,000 IMPORTANT NOTICE- Under No -Fault Covera e, the only medical expenses we will pay are reasonable medical expenses that are payable under the Florida Motor Vehicle No -Fault Law. The most we will pay for such reasonable medical expenses is 80% of the "schedule of maximum charges" found in the Florida Motor Vehicle No -Fault Law and in the Limits section of the Florida Car Policy's No -Fault Coverage. New Policy Form - For questions, problems or to obtain information about coverage call: (407)203-1711. State Farm works hard to offer you the best combination of price, service, and protection. The amount you pay for automobile insurance is determined by many factors such as the coverages you have, where you live, the kind of car you drive, how your car is used, who drives the car, and information from consumer reports. Your premium was determined by information from consumer reports: Time since most recent public record or collection, excludingmedical, utility; Percent of balance to high credit on all open accounts; Percent of accounts paid as agreed in the last 24 months to total accounts; Percent of open auto finance accounts to total accounts reported in the last 12 months. Electronic Articles of Incorporation For SOUTHERN SUNSHINE GROUP, INC P17000005390 FILED January 17 2017 Sec. Of Stale msolomon The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: SOUTHERN SUNSHINE GROUP, INC Article II The principal place of business address: 1100 RADFORD DR DELTONA, FL. 32738 The mailing address of the corporation is: 1100 RADFORD DR DELTONA, FL. 32738 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 100 Article V The name and Florida street address of the registered agent is: SARAH J•KEANE 1100 RADFORD DR DELTONA, FL. 32738 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: THOMAS A KEANE P17000005390 FILED Article VI January 17 2017 Sec. Of State The name and address of the incorporator is: msolomon THOMAS A KEANE 1100 RADFORD DR DELTONA, FL 32738 Electronic Signature of Incorporator: THOMAS A KEANE I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are trice. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1st and May 1st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: VP THOMAS A KEANE 1100 RADFORD DR DELTONA, FL. 32738 US Title: PRES SARAH J KEANE 1100 RADFORD DR DELTONA, FL. 32738 US Article VIII The effective date for this corporation shall be: 01/13/2017 Equipment list -2013 Ford F150 -2016 Ford F250 -2008 Nissan Titan -22ft open trailer -16ft Open Trailer -12ft Open Trailer -12ft Open Trailer -2013 Scag Cheetah 61 Inch Mower -Hustler Xonel 52inch Commercial Mower -Scag Tiger Cub 52 inch Commercial Mower -Scag V -Ride 36 Inch Commercial Mower -2013 Scag Cheetah 61 Inch Mower rear discharge -Spartan Pro 61" Commercial Mower -1 Stihl F590 Weed Whacker -1 Echo SR225 Weed Whacker -1 Stihl FS70R Weed Whacker -1 Stihl FS90 Weed Whacker -1 Kawasaki Weed Whacker -1 Echo SR225 Edger -1 Echo SR230 Edger -2 Stihl FC 90 Edger -1 Stihl BR430 Blower -1 Stihl BR200 Blower -1 Stihl SH 96 CE Blower -1 Stihl BG 56 CE Blower - 1 Stihl SG20 Backpack Sprayer -1 Redmax EBZ6500 Blower - 1 Stihl Pole Saw (and extension) -1 Stihl Hedge Trimmer -1 Echo Hedge Trimmer -2 Stihl Chainsaws (36' and 48") - 1 Shindaiwa t262 Weed Whacker