1993 IRFQ 18/19-119 Martins Collission40$�y
�V °7
FINANCE DEPARTMENT
Wednesday, November 14, 2018
To: City Clerk/P�A, n W-11 ��" ' j�'
RE: IRFQ 18/19-119 Auto Paint and Body Repairs (3) contractors
The item(s) noted below is/are attached and forwarded to your office for the following action(s):
❑
Development Order
❑
Mayor's signature
❑
Final Plat (original mylars)
❑
Recording
❑
Letter of Credit
❑
Rendering
❑
Maintenance BondSafe
16
keeping (Vault)
F]Ordinance
Deputy City Manager
❑
Performance Bond
❑
Payment Bond
❑
Resolution
❑
City Manager Signature
El
❑
City Clerk Attest/Signature
❑
City Attorney/Signature
Once completed, please:
❑ Return originals to Purchasing- Department
❑ Return copies
El
Special Instructions: The PO's are less than $50,000 does not need CC approval.
1. DBG, Ltd. Co.
2. Sanford Paint and Body Inc
3. Martins Collision Center
Mo-rr4o-b OMoto-I;�z
From
SharePoint_Finance_Purchasing_Forms - 201 &.doc
-2' Lj 1,3
Date
WEpi •
FINANCE DEPARTMENT
October 23, 2018
i n lmm iMIN
Contract/Agreement Name: IRFQ 18/19-119 Auto Paint and Body Repairs (3)
contractors were awarded. The PO's are less than
$50,000 does not need CC approval.
1. DBG, Ltd. Co.
2. Sanford Paint and Body Inc
3. Martins Collision Center
Approval:
Purchasing Manager
Finance b7irector
Date
W
Ci ey Date
AGREEMENT BETWEEN THE CITY OF SANFORD AND MARTINS COLLISION
CENTER 1 INC./IRFQ 18/19-119 AUTO PAINT AND BODY REPAIRS
THIS AGREEMENT (hereinafter the "Agreement") is made and entered into this
day of %1�t, 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 Martins Collision Center 1, Inc., a
Florida corporation, whose principal address is 2540 South Myrtle Avenue, Sanford,
Florida 32773, and whose mailing address is 8190 Narrow Leaf Point, Sanford, Florida
32771 (hereinafter referred to as "Martins"). The City and Martins 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 statements 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
Martins agrees to accomplish the provision of goods and services and actions specified
in the attachments for the compensation set forth in those documents relating to the
provision of auto painting and body repairs. Goods and services may be ordered and
directed by the City by means of City purchase orders/work orders.
(b). It is recognized that Martins 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:
Ms. Marisol Ordonez
Purchasing Manager
Finance -Purchasing Division
11Page
City of Sanford
Post Office Box 1788
Sanford, Florida 32772
Phone: 407.688.5028
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 Martins 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 Martins No services have commenced prior to the
execution of this Agreement that would entitle Martins for any compensation therefor.
Notwithstanding the foregoing, the City may unilaterally terminate this Agreement in the
event that the City is not satisfied with the goods or services provided by Martins within
the 6 calendar months commencing on the first day of the first month after this
Agreement commences.
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. Martins' 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, Martins 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.
21Pa e.
(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 Martins 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 Martins does not comply with a public records request, the City shall
enforce the contract provisions in accordance with this Agreement.
(c). Failure by Martins to grant such public access and comply with public
records requests shall be grounds for immediate unilateral cancellation of this
Agreement by the City. Martins shall promptly provide the City with a copy of any
request to inspect or copy public records in possession of Martins and shall promptly
provide the City with a copy of Martins' response to each such request.
(d). 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,
TRACI HOUCHIN, CMC, FCRM, CITY CLERK, CITY OF SANFORD, CITY
HALL, 300 NORTH PARK AVENUE, SANFORD, FLORIDA 32771,
TRACI.HOUCHIN@SANFORDFL.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 Martins 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 Martins 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,
31Page
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.
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 Martins, and all parties have contributed substantially
and materially to the preparation of the Agreement. Accordingly, this Agreement shall
411
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 Martins have executed this instrument for
the purpose herein expressed.
ATTEST.- CITY OF SANFORD
i Olbert,
Mert, City 'tto'ne
41 mrt
04 A) th
ATTEST.
Heidi Martin
Vice President
MARTINS COLLISION CENTER 1,
INC.
By:
Davi artin
President
Dated: f- " l
5 1 P a e
Exhibit "A" Price Sheet
K ? i F
4I"� y M=
Solicitation Evaluation Category
TOTAL BID PRICE FOR EVALUATION
$0.00
Auto Painting Houd
$42.00
$0.00
Body Repairs (Hourly)
$42.00
$0.00
TOTAL BID PRICE INCLUDING
$84.00
ADDITIONAL BID ITEM
61 Pa -e
10/05/2018 03:52PM 4073238000 MARTINS COLLISION PAGE 01/13
MOD)ER XNEOP-MABON- 1
DUE DATIE. Octo�er 11, 2018 at 2.-00 P. M. Local Time
Name of Firm:k ....... City o Sanford Purchasing Division
Contact Person: Marisol Ordofiez, Purchasing Manager
Address: 2tj9.0 /W .................. Address: 300 N. Park Avenue Suite 243
City, , State
I , Zip: Sanford, Florida 32771
1 .
Address: ....................................................................................... Phone Number: 407-688-5028, or ext. 5030
Pax Number: I 407.688.5021
City/State/Zip Code: Email: purchasing(@,sanfbrdfl.&_o
For Div./Dept./Office Bill Getman, Fleet Maint Supervisor
Contact Person:...CUYI� ...... Address- Public Works -Fleet Maintenance Division
101 W. Fulton Street
P,honeNumber:..4,'.q—..3.a3—.1.0 .................................
Florida 32771
d' ,
Fax Number: ... If .......... 3....... ....................... ISSUED DATE;
Ema
(+ Ln ..... BIDDER'S SIG A�
BIDDER'S PRINTED NAME: ..... �z .......
.( N URE:.. 7"
i
Title:............................. .. ..... .... ..................................... .......... Date: ............. . .... ! ...................................................................
1PLEASE RETURN BY DUE DATE AND TIME VIA FAX, MAIL OR EMAkW CONTACT PERSON STATED ADOV)d
1. Intent. The intent of this solicitation is to select a successful Bidder for thelprovision of auto paint and body repairs.
2. Deliverables and Scope of Serviced The successful Bidder shall provide All necessary material, goods, labor, etcetera
to auto paint and body repairs.
Existing Material Removal: The successful )Bidder shall be responsible fbi the safe removal, hauling and appropriate
disposal of existing: material removed as a result of this project. Before any removal is to take place, the successful Bidder
shall coordinate with the assigned City representative to ensure this activity does not interfere with any other events or
projects in progress at the facility as applicable.
Delivery and Set -Up.- Delivery shall be made to Fleet Division , located at 800 W. Fulton Street, Sanford FJ,, 32771
between the hours of 6:30 A.M. and 5:00 P.M. Monday through Thursay. Th� successful Bidder shall be responsible for
coordinating the delivery of all goods/services in a timely manner.
Partial deliveries or deliveries on any other date and time shall not be allowed unless written authorization has been obtained
from the appropriate City authorized representative. The City shall not pay for any storage charges, Cash on Delivery
(C.O.D.) shipments, or packaging or drayage charges. The successful Bidder shall be responsible for all risk of loss, any
damage and/or stolen materials and equipment while in transit to the Applicable Paint and Body repair facility.
Delivery and Time Performance- Projeof completion shall be attained no lat6r than a reasonable timeframe frorn the date
a purchase qKder has beep LU the ul 13 idder. At appro
_Me ro imately within 24 hours after teardown and
,d by -__Qity IQ the successf
parts availability the city will be notified after issuance of the purchase order, rob the City, the successful Ridder shall update
:)T
the appropriate City representative providing a tentative delivery schedule androject commencement date.
This delivery schedule shall be further updated if there are any changes or delays as well as twenty-four (24) hours prior to
actual delivery to ensure the facility is accessible and ready to receive deliver.. Any costs associated with deliveries not
properly coordinated with the appropriate City representative shall be borne bthe successful Bidder.
Permitting: N/A; The successful Bidder shall be solely responsible for all pertinent permits required as well as adhering,
VUR -F-309 I I Rev. 03=16
City of Sauford I Fivance Department I ) urchasing Division
My Of
S,k3�_UORD
FINANCE DEPARTMENT
300 N. Park Avenue, Sanford, FlorIida 32771
Phone: 407.688.5028, or extension 5030 1 FIax: 40'7.688.5021
FORM
IRFQ
INFORMAL REQUEST FOR QUOTE
MFQ718/19- 119T
AUTO PAINT& �ODY REPAIRS
MOD)ER XNEOP-MABON- 1
DUE DATIE. Octo�er 11, 2018 at 2.-00 P. M. Local Time
Name of Firm:k ....... City o Sanford Purchasing Division
Contact Person: Marisol Ordofiez, Purchasing Manager
Address: 2tj9.0 /W .................. Address: 300 N. Park Avenue Suite 243
City, , State
I , Zip: Sanford, Florida 32771
1 .
Address: ....................................................................................... Phone Number: 407-688-5028, or ext. 5030
Pax Number: I 407.688.5021
City/State/Zip Code: Email: purchasing(@,sanfbrdfl.&_o
For Div./Dept./Office Bill Getman, Fleet Maint Supervisor
Contact Person:...CUYI� ...... Address- Public Works -Fleet Maintenance Division
101 W. Fulton Street
P,honeNumber:..4,'.q—..3.a3—.1.0 .................................
Florida 32771
d' ,
Fax Number: ... If .......... 3....... ....................... ISSUED DATE;
Ema
(+ Ln ..... BIDDER'S SIG A�
BIDDER'S PRINTED NAME: ..... �z .......
.( N URE:.. 7"
i
Title:............................. .. ..... .... ..................................... .......... Date: ............. . .... ! ...................................................................
1PLEASE RETURN BY DUE DATE AND TIME VIA FAX, MAIL OR EMAkW CONTACT PERSON STATED ADOV)d
1. Intent. The intent of this solicitation is to select a successful Bidder for thelprovision of auto paint and body repairs.
2. Deliverables and Scope of Serviced The successful Bidder shall provide All necessary material, goods, labor, etcetera
to auto paint and body repairs.
Existing Material Removal: The successful )Bidder shall be responsible fbi the safe removal, hauling and appropriate
disposal of existing: material removed as a result of this project. Before any removal is to take place, the successful Bidder
shall coordinate with the assigned City representative to ensure this activity does not interfere with any other events or
projects in progress at the facility as applicable.
Delivery and Set -Up.- Delivery shall be made to Fleet Division , located at 800 W. Fulton Street, Sanford FJ,, 32771
between the hours of 6:30 A.M. and 5:00 P.M. Monday through Thursay. Th� successful Bidder shall be responsible for
coordinating the delivery of all goods/services in a timely manner.
Partial deliveries or deliveries on any other date and time shall not be allowed unless written authorization has been obtained
from the appropriate City authorized representative. The City shall not pay for any storage charges, Cash on Delivery
(C.O.D.) shipments, or packaging or drayage charges. The successful Bidder shall be responsible for all risk of loss, any
damage and/or stolen materials and equipment while in transit to the Applicable Paint and Body repair facility.
Delivery and Time Performance- Projeof completion shall be attained no lat6r than a reasonable timeframe frorn the date
a purchase qKder has beep LU the ul 13 idder. At appro
_Me ro imately within 24 hours after teardown and
,d by -__Qity IQ the successf
parts availability the city will be notified after issuance of the purchase order, rob the City, the successful Ridder shall update
:)T
the appropriate City representative providing a tentative delivery schedule androject commencement date.
This delivery schedule shall be further updated if there are any changes or delays as well as twenty-four (24) hours prior to
actual delivery to ensure the facility is accessible and ready to receive deliver.. Any costs associated with deliveries not
properly coordinated with the appropriate City representative shall be borne bthe successful Bidder.
Permitting: N/A; The successful Bidder shall be solely responsible for all pertinent permits required as well as adhering,
VUR -F-309 I I Rev. 03=16
10/05/2018 03:52PM 4073238000 MARTINS COLLISION
meeting and or exceeding all local, state, and national building codes.
City Responsibility; The City shall be responsible for:
a. Provide a designated set-up area for the successful Bidder to deliver all
for this project;
b. Provide access to the work area;
c. Provide towing and delivery of damaged vehicle as required;
d. The City shall snake the facility available for evaluation and inspectio
calling 407.688-5000 Ext 5411 or 5412 to schedule an appointment; as
e. Appointments will be given on a first come, first serve basis based ox
hours of 6.30 A.M. and 5:00 P.M., Monday through Thursday.
Obligations of the Successful Bidder: It is understood that the successful Bid
materials, permits, equipment, transportation, supervision, and any and all oth(
which are necessary to fully complete and deliver the goods/services requested
to create, or cause to be filed, any liens for labor and/or materials on, or agai
City. Such lien, attachment, or encumbrance, until it is removed, shall precl
payment expected by virtue of this project. The successful Bidder will en!
contractors, representatives, volunteers, and the like, fully comply with all o�
providing services for the City in accordance herewith. The successful Bidd(
methods, techniques, sequences, safety programs, and procedures necessary 1
forth in the Scope of Services. The successful Bidder shall use appropriate too',
and proper working order, so as to enable the successful Bidder to complete th
PAGE 02/13
materials and equipment required
accompanied by a City Representative by
availability and will be given between the
ger shall provide and pay for all labor, tools,
items or services, of any type whatsoever,
)y the City, and shall not have the authority
st, the City, or any property owned by the
de any and all claims or demands for any
ire that all of its employees, agents, sub -
the terms and conditions set herein, when
shall be solely responsible for the means,
properly and fully complete the work set
and/or equipment which are in good repair
services required hereby.
{,Irwin -Vin Thr,.)uww;;(ul Fiirhl5r,111all br, r51lrrlrniltl5 fru 1115 r5rrirtyah haar ui�. grid Ivirid dig irml chin dnhrii grnnrnlyd
as a result of performing the services for this turn -key solution on a daily bass; including up to, but not be limited to all
existing equipment removed, all packaging materials, crating, cardboard, prote ive packaging, liners, plastic, etcetera. Any
dumpsters located within Public Works compound shall not be used by the suc essful Bidder. The successful Bidder shall
broom clean the premises at the end of each day and upon completion of delivery, installation and, set-up.
Puntcb List: The designated City representative and the successful Bidder shal
and project completion by the successful Bidder. In the event any deficiencie
to outline all deficiencies discovered. After the punch list is issued to the su
have reasonable but a timely mariner timeframe to respond and correct all ite
item must be replaced, an expected delivery date for said item shall be given
must be redone, an expected completion date shall be given to the City. Final a4
shall not be done by the City until all items on the punch list have been compli
Public Emergencies: It is hereby made a part of this bid that before, dur:
hurricane, tornado, flood, or other acts of God, City of Sanford shall require a
vital and imperative that the health, safety, and welfare of the citizens of Sanfor
that threatens public health and safety as determined by the C ity. The Bidder a
to the City or governmental entities on a "first priority" basis. The City expt
and/or services under the awarded Agreement in the event of a disaster, emerg
of God. Should the Bidder provide the City with products and/or services
expects to pay a fair and reasonable price for all products and/or services ren(
emergency, hurricane, tornado, flood, or other acts of God.
The City shall select the lowest quote that is most responsive to the needs o
response shall be accompanied by a detailed description of the requirement
3. Price Submittal. in accordance with the terms, conditions and speeifica
the firm, do hereby accept in total all the terms and conditions stipulated and
submit the following prices for I(RIFQ-18/19-1119, Auto Paint and Body Rel
perform an inspection of all items delivered
are identified, a punch list shall be created
cessfA Bidder, the successful Bidder shall
as listed on the punch list. In the event an
o the City. Similarly, in the event an area
:eptance and subsequent invoice processing
g, and after a public emergency, disaster,
First Priority" for goods and services. It is
are protected from any emergency situation
tees to rent/sell/lease all goods and services
s to pay contractual prices for all products
acy, hurricane, tornado, flood, or other acts
)t under the awarded Agreement, the City
red or contracted in the event of a disaster,
City as outlined herein. The bidder's price
,ce to be offered.
, Uwe, as authorized signatory to commit
enced in this IRFQ document and hereby
, as follows:
10/05/2018 03:52PM 4073238000 MARTINS COLLISION. PAGE 03/13
Item I Description
1. 1 AUTO PAINTING
2. 1 BODY REPAIRS
3. 1 TOTAL QUOTE PRICE
Rate
UU
ivy- kou r
Additionally, please respond to the ;following questions by placing a check mark (✓) on the appropriate answer:
Item Question Response Response
YE NO
r2. 1. Did you include a copy of your Certificate of Liability Insurance (COI) with your
note submittal?
Include a copy of your Florida State License and W9
3. 1 Included a copy of the Business
a. The City will not consider alternates to the items listed above. If alternates are off red, the City will have the sole and unilateral right to
reject the alternate and purchase from vendor providing compliant items. Delivery time will be a factor in the evaluation of this IRFQ.
b. All prices quoted shall remain firm for period of one W year with a (3) year contractafter award of this IRFQ_
c. Unit Price Accuracy: please check the stated unit prices before submitting your uoe; as no change in prices shall be allowed after the
due date and time. All prices and notations must be in ink or typewritten. In of extended price irregularities, unit price shall
rp evail. Please note that the City reserves the right to clarify and correct extended rice amount effors.
d_ City of Sanford is exempt from Sales Tax. Certificate No. 85-801262168IC-8.
e. If you are offering pricing which is based on other entity or agency solicitation prici g, clearly state so and include a copy of the applicable
solicitation with your submittal.
f Please read all terms and conditions, complete the requested information, and sign In the space provided on page I -
If not submitting a quotation, plem indicate "NO BID" and return this form.
Critical Data:
a. Please return your quote submittal via fax, mail or email to the requesting Division Dcpartment/Otftce as outlined on page 1; by no later
than the due date and time outlined on page I or as revised thereof via written adde�tda.
b. Please email questions regarding this quotation only to the requesting Division/Department/Office. Any interpretations, clarifications, or
changes made will be in the form of written addenda issued by requesting DivisionDepartment/0ffice.
c. Pursuant to Section 2.2 of the City of Sanford Purchasing policy, lobbying is strictl y prohibited.
d. Please note that all documents sent to the City as part of this IRFQ are considered o Public Record; as prescribed by Chapter 119, Florida
Statutes.
e. Bidder must subunit a copy of their Certificate of Insurance with their quote,
f. Any order resulting from this IRFQ shall be subject to the attached General Term and Conditions and all applicable laws, policies and
Rev.
10/05/2018 03:52PM 4073238000 MARTINS COLLISION PAGE 04/13
ATTACHMENT "A" PRICE PROP(
IRFQ-1$/19-119, AUTO PAINT & BODY
I/we, the undersigned, as authorized signatory to commit the firm, do t
conditions stipulated and referenced in this IRFQ document and do her(
negotiated it will abide by the terms and conditions presented in the IRF
thereto. The undersigned, having familiarized him/herself with the
conditions, and the cost of the work at the place(s) where the work is to
to perform within the time stipulated, all work required in accordanc
specifications and other documents including Addenda, if any, on file at
for the price set forth herein in Attachment "A" Offer to Purchase and
Quote Terms and Conditions. The signature(s) below are an acknorr
and acceptance of all the terms and conditions set forth in this IRFQ
between the parties in writi
AFFIANT SIGNATURE ----
Typed Name of AFFIANT
Title
STATE OF ,'" L
COUNTYOF
The foregping instrument was executed before me this '.3 nd
i C(. itis; i t t1 as (; lA i\c of
who personally swore or affirmed that he/she is authorized to execute this d+
and who is personally known to me OR has produced
JACQUELINE STALLWORTB
(stamp) MY COMMISSION R FF192230
EXPIpES: laauasY 29, 20{9
NOTARY PUBLIC, State of
PLEASE COMPLETE AND SUBMIT WITH YOUR
®'Failure to subpart this Moran may be grounds for disci
RS
;reby accept in total all the terms and
)y agree that if a contract is offered or
document or as negotiated pursuant
arms of the IRFQ documents, local
ae done, hereby proposes and agrees
with the requirement and technical
ie City of Sanford Purchasing Division
kcceptance of Informal Request for
edgment of my/our full understanding
document or as otherwise agreed to
ment and thereby
identification,
2q t ;3' by
the Corporation,
RESPONSE
a of your submittat"10
10/05/2018 03:52PM 4073238000 MARTINS COLLISION. PAGE 05/13
Roy.
10/05/2018 03:52PM 4073238000 MARTINS COLLISION
GENERAL TERMS AND CONDITIONS - READ CAREFULLY
Questions relating to this Request for Quotation must be directed to the City of
Sanford, Purchasing Division, herein alter referred to as "City", at 407.688.5028
or ext. 5030.
RESERVED RIGHTS OF THE CITY
The City reserves the right to unilaterally cancel this Request for Quotation, at its
sole discretion.
WRITTEN COMMUNICATIONS
The terns and conditions of this Request for Quotation shall not to be modified
verbally. All communication shall be in writing.
APPLICABLE LICENSING
The Vendor, at its sole expense, shall obtain all required federal, state, and local
licenses, occupational and otherwise, required to successfully provide the
goods/services set forth herein.
QUALITY
All materials or services furnished on this order must be as specified and subject to
City inspection within a reasonable time after delivery at destination. Variations
in materials or services from those specified in this order must not be made without
prior written authority from the Procurement Administrator. Material rejected will
be returned and shall be done so at the vendor's sole risk and expense.
QUANTITY/PRICE
The quantity of materials ordered or the prices specified must not be exceeded
without wrincrt authority being first obtained from the Purchasing Division.
INDEMNITY
The Vendor hereby agrees to indemnify and save harmless the City, its officers,
agents and employees from and against any and all liability, claims, demands,
damages, fines, fees, expenses, penalties, suits, proceedings, actions, and cost of
actions, including attorney's fees for trial and on appeal, of any kind and nature
arising or growing out of or in any way connected with the performance of this
Agreement whether by act or omission of the Vendor, its agents, servants,
employees, or others, or because of or due to the were existence of this Agreement
between the parties.
PATENT/COPYRIGHT HOLD HARMLESS
The Vendor shall pay all royalties and assume all costs arising from the use of any
invention, design, process, materials, equipment, product or device which is the
subject of patent rights or copyrights. Vendor shall, at it's own expense, hold
harmless and defend the City against any claim, suit or proceeding brought against
the City which is based upon, claim, whether rightful or otherwise, that the goods
or services, or any part thereof, furnished larder this Purchase Order, constitute an
infringement of any patent or copyright of the United States. The vendor shall pay
all damages and costs awarded against the City.
PACKING
If awarded a purchase order or Agreement, all invoices and package lists must
clearly be marked with shipper's name, address and Purchase Order Number.
Charges are not allowed for boxing, crating or special deliveries unless previously
agreed upon in writing.
DELIVERY
All materials must be shipped F.O.B. Destination. The City will not pay freight or
expense charges, except by previous agreement In the event of the C ity agreeing
to F.O.B. Shipping Point, the Vendor must PREPAY SHIPPING CHARGES AND
ADD TO INVOICE. Delivery must be effected within the time stated on Purchase
Order, The City reserves the right to cancel this order and purchase elsewhere if
the Vendor fails to meet the delivery rate specified on Purchase Order. Deliveries
Shall be made between 6:30AM and 5:OOPM on regular working days unless
otherwise stated, Transport deliveries must be unloaded and ready for inspection
prior to 4:30PK In case of default by the Vendor, the City may procure the articles
or services covered by this order from other sources and hold the Vendor
responsible for any additional cost occasioned thereby.
MATERIAL SAFETY DATA SHEET
As necessary, the Vendor agrees to furnish the City with a current Material Safety
Data Sheet (MSDS) on or before delivery of each and every hazardous chemical or
substance purchased which is classified as toxic under Chapter 422, Florida
Statutes. Appropriate labels and MSDS's shall be provided for all shipments. Send
a copy of the MSDS's and other pertinent data to the City Purchasing Division and
include same with product delivery.
OSHA REQUIREMENT
The Vendor hereby guarantees the City that alt materials, supplies, and equipment
as listed on the resulting Purchase Order shall meet the requirements, specifications
and standards as provided underthe U.S. Department of Labor Occupational Safety
and Health Act of 1970, as from time to time amended and in force at data hereof.
COMPLIANCE WITH LAWS, GUIDELINES, REGULATIONS
The Vendor, at its sc
decisions, orders, ai
governments, as well
officers, which are t.
following the award.
AWARD
The City reserves th
technicalities and to i
interest of the City.
PAGE 06/13
expense shalt comply with all taws, ordinances, judicial
regulations of federal, state, county and municipal
s their respective departments, commissions, boards, and
effect at the time of award or are adopted at any time
right to reject any or all parts of this solicitation, waive
vend to most responsive, responsible bidder, as in the best
Failure of a Vendor flat is awarded a Purchase Order to deliver according to the
Purchase Order or to comply with any of the terms and conditions therein may
disqualify the Vendor from receiving future orders.
PAYMENT TERMS
Payment terms are n9t 30 days upon delivery and acceptance. The City pays in
accordance with the Tmpt Payment Act Section 218.70, Florida Statutes.
APPLICABLE LAW, VENUE AND JURY TRIAL
The laws of the State f Florida shall govern all aspects of this order. In the event
it is necessary for eit r patty to initiate legal action regarding this order, venue
shall lie in Seminole County, Florida. The patties hereby waive their right to trial
by jury in any action, proceeding or claim, arising out of this order, which may be
brought by either oft c parties hereto.
AUDITING, RECO IkDS AND INSPECTIONS
The Vendor shall ke books, records, and accounts of all activities, related to this
order, in eompliancc with generally accepted accounting procedures. If required,
books, records, and accounts related to the performance of this order shall be open
to inspection during regular business hours by an authorized representative of the
City and shall be tet hied by the Vendor, for a period of three (3) years after
termination or compl tion of the services or until the full City audit is complete,
whichever comes first. The City shall retain the right to audit the books during the
three-year ratenGion trod. All books, records, and accounts related to the
performance of this or shall be subject to the applicable provisions of the Florida
Public Records Act, c�iapter 119, Florida Statutes. The City also has the right to
conduct an audit witf, in sixty (60) days from the effective date of this order to
determine whether the Vendor has the ability to fulfill its contractual obligations to
the satisfaction of the City. The City has the right to terminate this order based
upon the findings in this audit without regard to any notice requirement for
termination
i
WARRANTY
The Vendor agrees t4 provide a full warranty to the City for all materials and
services which it prov es hereunder for one full year following the date of delivery
or completion of services. In the event that the Vendor is called to yerforrn
warranty work, the V ndor will be responsible for all costs incurred in repairing
the areas under warrartty. 'If it is determined that new problem areas have appeared
which were not areas 'epaired by the Vendor under the Scope of Services set forth
herein, the City will b responsible for the costs incurred in repairing the new areas.
The manufacturer's tiv�rranty on materials received and installed shall extend for
the lull warranty period.
INSURANCE
The vendor shall hav gat a minimum the insurance limits listed hereunder; however
the City reserves the nilateral and sole right to modify said limits when the type
of product or services uestcd merit a modification of the insurance limits listed
herein. The Vendor shall submit a copy of their Certificate of Liability Insurance
with their quote submittal.
GENERAL LIABOY: $1,000,000.00
PROFESSIONAL LIABILITY: $1,000,000.00 (only if professional services are to
be provided) I
VEHICLE INSURANiCE: $1,000,000.00 Combined Property & Bodily Injury
WORKER'S COMPEPSATION: $1,000,000.00
PRODUCTS L1ABIL Y: $1,000,000.00 (only if a product is being provided)
Upon award, the Vendor shall name City of Sanford as a Certificate Holder and/or
as additional insured and shall maintain the coverage limits set fbrth during the
entire term of performjng services under this award.
NOTJE: ANY AND TlALL SPECIAL CONDITIONS ATTACHED HERETO
WHICH VARY ERQM T14ESE GENERAL CONDITIONS SHALL HAVE
PRECEDENCE. II
Issued by: FinanceMbrebaslog Divislos
Sanford, 4orida
IRFQ 18/19-119 AUTO PAINT & BODY REPAIRS
Rev.
10/05/2018 03:52PM 4073238000 MARTINS COLLISION PAGE 07/13
INSURANCE REQUIREMENTS
INSURANCE REQUIREMENTS OUTLINED BELOW APPLIC
SERVICES WHEN THE CONTRACTOR PERFORMS ON
Outline of Requl
LE TO CONTRACTS FOR
OFF CITY PREMISES
Contradt
Contract does
Contract does
Exceed
not Exceed
not Exceed
$500,000, pso
$500,000,180
$25,000, 30 days
days ao
days and no
and no unusual
unusual hazards
unusual
hazards exist
exist
hazards exist
Employers Li
bility
Employers
Employers
Workers' Compensation $1,000,000
Liability
$500,000
Liability
$500,000
Each Accide
`Certificates of exemption are not -acceptable in lieu of workers $1,000,000
t
Each Accident
$500,000
Each Accident
$ 500,000
compensation insurance Disease (
Disease
Disease
$ 1,000,000 I
1
$500,000
$ 500,000
Commercial General Liability shall include -Bodily injury liability'
i
$ 3,000,000
er
$1,000,000
$ 500,000 Per
Property Damage liability,, Personal Injury liability and
Occurrence
Per Occurrence
Occurrence
Advertising injury liability Coverages shall include: Premised
$ ;
$ 1,000,000
$ 500,000
Operations; Products/Completed Operations; Contractual liability
e000
General
General
General
Independent Contractors, Explosion; Collapse; Underground.
Aggregate
Aggregate
Aggregate
When required by the City, coverage must be provided for sexual
harassment abuse and molestation
$ 1,000,000
$ 1,000,000
$ 500,000 Per
Comprehensive Auto Liability, CSL, shall include "any auto" or
Combined Siegle
Limit
Combined
Single Limit
Occurrence
$ 0
shall include all of the following: owned, leased, hied, non -owned
$1,000,000
$1,000,000
Gennera! eral
autos, and scheduled autos.
General i
General
Aggregate
Aggregate !
Aggregate
$ 1,000,000
$ 1,000,000
$ 1,000,000
Professional Liability (when required)
Minimum
Minimum
Minimum
Builder's Risk (when required) shall include theft, sinkholes, off
100% of
100°l0 of
100% of
site storage, transit, installation and equipment breakdown.
completed v
lue
et
completed
completed value
Permission to occupy shall be included and the policy shall be
of additions and
value
of additions and
endorsed to cover the interest of all parties, including the City of
structures
additions and
structures
Sanford, all contractors and subcontractors
i
structures
$3,000,000
i
$1,000,000
$500,000
Aggregate: No
per
Aggregate: No
Aggregate: No per
Garage Keepers (when required)
vehicle maxi
um
per vehicle
vehicle maximum
preferred
maximum
preferred
referred
$3,000,000
j
$1,000,000
$500,000
Combined Si
gle
Combined
Combined Single
Garage Liability (when required)
Limit
$3,000,000
I
Single Limit
$1,000,000
Limit
$500,000 General
General
General -
Aggregate
Aggregate
Aggre ate
1 of 3 Insurance Requirements
10/05/2018 03:52PM 4073238000 MARTINS COLLISION
I. It is noted that Professional Liability, builder's risk,
liability is not required unless applicable conditions E
the CONTRACTOR must request clarification
Purchasing Office.
II. Vendor, Contractor, bidder shall provide, to the Ci
commencing any work, a Certificate of Insuranc
compliance with the requirements outlined below.
completion of this requirement shall be unauth
be responsible.
III. The City reserves the right, as conditions war
insurance requirements outlined below as may b
conditions and exposure.
➢ Certification Terms and Con
IV. It is noted that the City has a contractual retationr
contractor or provider (collectively referred hereina
to a purchase order, work order, contract or other fo
of Sanford, whether in writing or not and has no
with the Contractor's insurance carrier. Therefore, �I
to insure that they have the insurance coverage sp44
contractual obligations and expectations of the Cityll
insurance coverage is a matter between the vendor)
City will turn to the Contractor for relief as a rest l
damages for which the Contractor is responsible tc
harmless. It is understood that the Contractor mai
such damages either directly or through its insural
the insurance carrier notwithstanding, the City j
Contractor.
a. The insurance limits indicated above and i
minimum limits acceptable to the City. .
shall to be considered primary to City S
contain co-insurance provisions.
b. All policies, except for professional liability'
compensation policies shalt name the Citi
Insured.
c. Professional Liability Coverage, when a
a case by case basis.
d. In the event that the insurance coverage E
completion of the project, a renewal cern
days prior to said, expiration date.
e. All limits are per occurrence and must i
Property Damage.
f. All policies must be written on occurre,
made Form, except for Professional Liabil
g. Self -Insured retentions shall be allowed
h. In the notification of cancellation: The
endorsed onto the policy as a cancella
Should any of the above described pol
accordance with the policy provisions.
i. All insurers must have an A.M. rating of
2 of 3 Insurance Requirements
PAGE 08/13
garage keepers and garage
xist. If clarification is needed
from the City of Sanford
y of Sanford "City," prior to
which verifies coverage in
Any work initiated without
)rized and the City will not
nt, to modify or increase
determined by the project,
ons
hip with the named vendor,
:er as Contractor) applicable
m of commitment by the City
>uch contractual relationship
ie onus is on the Contractor
:cified by the City to meet all
Further, as the Contractor's
and its insurance carrier, the
of any damages or alleged
indemnify and hold the City
r satisfy relief to the City for
ice coverage; exclusions by
will expect relief from the
rwise referenced are
, all contractor policies
,rase and shall not
policies and workers
of Sanford as Additional
le, will be defined on
prior to the
shall be issued 30
Bodily Injury and
form, not on claims
,n any liability coverage.
ity of Sanford shall be
on notice recipient.
:ies of Sanford in
least A -VII.
10/05/2018 03:52PM 4073238000 MARTINS COLLISION PAGE 09/13
j, It is the responsibility of the Prime CONTI
sub -contractors retained by the Prime CC
coverage as defined here -in before and a
of said Prime CONTRACTOR in all respe
k. Any changes to the coverage requiremen
approved by the City of Sanford, Risk Ma
1. Address of "Certificate Molder" is City of
N_ Park Avenue); Sanford, Florida 32771;
Manager; Phone 407.688.5028/5030 Fax
m. All certificates of insurance, notices etc. n
address.
n. In the description of the certificate of insu.
solid tiqh number and project name.
AFFIAN NATUR
Typed Name of AFFIANT
Title
STATE OF
COUNTY OF
,TOR to ensure that all
RACTOR shall provide
and are the responsibility
> indicated above shall be
ager.
anford; P O Box 1788 (300
Mtention Purchasing
1.07.688.5021.
.ist be provided to the above
nce please also add the
instrumgnt was executed before me this '3 day; of
l�1X1n N . I r
, who personally swore or affirmed that he/she is
and thereby bind the Corporation, and who is personally
as identification.
nw
N�JT R1rPU
(stamp) JACQUELINE STALLWORTH
My COMMISSION # PF192230
EXPIRES: January 28.2019
The City reserves the unilateral right to modify the insurance
�V'Fallure to submit this form may be grounds for
3 of 3 Insurance Requirements
ed to execute this document
to me OR has produced
of
set forth at any time.
of your submittal '910
10/05/2018 03:52PM 4073238000 MARTINS COLLISION, PAGE 10/13
-9
Request for Taxpayer
Give Form to the
Identification number and Ceriffication
requesteir. Do not
Rev. November Q017)
,epamnent of the Treasury
sand to the IRS.
Memel Revenue Service
i Go to vww Jrs.gov/FormW9 for instructions and the
latest information.
1 Name (as shown on your Income tax return). Name is required on this One; do not leave this line bunk.
Martin's Collision Center 1 Inc.
2 Business name/disregarded entity name, If different from above
Martin's Collision Center
i
c°
3 Check appropriate box for federal tax classification of the person whose name Is entered on line 1.
Chack only one of the
4 Exemptions (oodes apply onlyto
�+
following seven boxes,
certain entities, not Individuals; sae
Ch.
o
❑ tnd'rvidual/sole proprietor or ❑ C Corporation Q S Corporation ❑ Partnership
❑ TrusVestats
instructions on page 3);
o
singia-member LLC
Exempt payee code (d any)
CL
CL 0
❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=P
srship)1►
U
o
NotLe Check the appropriate box in the line above for the tax ciassification of the singis-member
owner. Do not check
Exemption from FATCA reporting
LLC if the LLC is classified as a stngle-member LLC that is disregarded from the owner unless
$
the owner of the LLC Is
LLC
code '�
d o
another LLC that is not disregarded from the owe for U.S. federal t8x purposes. Otherwise,
is disregarded from the owner should check the appropriate box for the tax classification of its
single -member that
owner.
❑ Other (sae instructions) ►
CAW%s W aoam r n2hWn2d0urskre me us!
rn
5 Address (number. street. arks apt. or suite no.) See instructions.
I
Requester's name and address (optional
2540 S. Myrtle Ave.
d®mn
6 City, state, and ZIP code
Sanford, Fl. 32773
I
7 List accwnt number(s) here (optional
•
Taxpayer Identification Number MN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
Social severity number
backup withholding. For individuals, or ds, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part 1, later. For other
entities. it is vour emolover identification number (EIN). if you do not have a number, see How 6 qet 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 Employer identification number
Number To Give the Requester for guidelines on whose number to enter. i
i 4 6 -141 1 1 3 1 9 1 5 1 9 1 5
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or) am waitinil 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 (IRS) 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 I am..
no longer subject to backup withholding; and i
3. 1 am a U.S. citizen or other U.S. person (defined below); and i
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification insvuctiona You must erose out ftem.2 above if you have been nQtined by the ifi5 ttjat you are currently subject to backup withholding because
you have failed 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 ata
property, cancellation of debt, contributions to an individual retirement arrangement ORA), and generally, payments
other than interest and dlvtdands, you are not required o sign t e certification, but you must provide your correct TIN. See the instructions for Part 11, later.
Sign 8i9n7tii+rct of
i
Here U.S. person P � ('U ki I Oste ►
3
General Instructions • Form 1099 -up (dividends, including those from stocks or mutual
funds) .
Section references are to the Internal Revenue Code unless otherwise - Form 1099-M`sc (various types of Income, prizes, awards, or gross
noted' proceeds)
Future developments. For the latest Information about developments • Form 1099-8 stock or mutual fund sales and certain other
related to Form W-9 and Its Instructions, such as legislation enacted transactions by brokers)
after they were published, go to www.Jrs.gov1FormW9• . Form 1099-S (proceeds from real estate transactions)
Purpose of Forret • Form 1099-K merchant card and third party network transactions)
An individual or entity (Form W-9 requester) who is required to file an ' Form 1098 (hme mortgage interest), 1098-E (student loan interest),
Information return with the IRS must obtain your correct taxpayer 1098-T (tuition)
identification number (TIN) which may be your social security number • Form 1099-C (canceled debt)
(SSN), individual taxpayer identification number OTIN), adoptlon - Form 1099-A acquisition or abandonment of secured property)
taxpayer Identification number (ATIN), or employer identification number Use Form W--� only M you are a U.S. parson (including a resident
(EIN), to report on an information return the amount paid to you, or other alien), to provide your correct Tia.
amount reportable on an information return. Examples of Information
returns include, but are not limited to, the following. It you do not Jetum Form W-8 to the requester with a TIN, you might
• Form 1099 -INT (interest earned or paid) be subject to bickup withholding. See What is backup withholding,
later.
i
Cat. No. 10231X I FWm W -g (Rev. 114017)
10/05/2018 03:52PM 4073238000MARTINS COLLISION PAGE 11/13
... ........ . ......
State of Florida
Department of Agriculture and Consumer �ervices Registration No.: MV89880
Division of Consumer Services, .. I 1 1. . .. —
Division . ...... ---, — Issue Date: December 27, 2017
2005 Apalachee Pkwy
I Expiration Date: December 17, 2019
Tallahassee, Florida 32399-6500
POST CERTIFICATE Motor Vehicle Repair
CONSPICUOUSLY Registration Certificat
Chapter 559, Florida Statutes
GOOD ONLY FOR THE LOCATION LISTEI
MARTINS COLLISION CENTER
2540 S MYRTLE AVE
SANFORD, FL 32773-5160
This is to certify that die Motor Vehicle Repair Shop whose name and address are shown above has re
rrtechaoics, l=btucians. and helpers) as requited by s, 559.904 F.S. and is authorized to perform Motc
MARTINS COLLISION CENTER
2540 S MYRTLE AVE
SANFORD, FL 32773
DAVID MARTIN (OFFICER)
HEIDI MARTIN (OFFICER)
BELOW
ADAM H. PUTNAM
COMMISSIONER OF AGRICULTURE
and paid the prescribed fee (based on the declared number of
: Repairs at the location shown above.
"i C
;-I A
—A
VALID THROUGH 09130/19
Receipt #:10432018081528634 Amount Paid: $ 49.50
Account #:187796
REGULATED
License # - MV89880
SANFORD CITY LICENSE REQUIRED"
Date Paid, 08/15/2018
.......... ........
10/05/2018 03:52PM 4073238000
A& CITY OF
11
ORD
FLORIDA
LOCAL
MARTINS COLLISION PAGE 12/13
CITY OF SANFORD
Building Division
P0 Box 1788 Sanford, EL 32772-1788
11 —
• -194 4:11
VALID THROUGH SEPTEMBER 30,
tax only, ,It does not pery
MARTINS COLLISION CENTER
2540 MYRTLE AVE
Receipt
classification
SANFORD Fl. 32773
Number
IM
"2 :.
This receipt is a local business
violate any existing zoning 'or regulatory laws of the state
the local business taxpayer to
county, nor does it exempt the Pr4
0026569
-Y Total
it
.00 80.00
.00 100.00
D
business taxpayer from any other license or permits required by law.
Issue Date: August gr 2018 Control Number:
Business Location: 2540 MYRTLE AVE
ORIGINAL TAX
RECEIPT MUST BE DISPLA
ON PREMISES
Receipt
Receipt
classification
Number
Amount
�i�
1Z3006
0003828$
REPAIRSHOP/AUTO 6-10 80.00
EMPLOYEES
00038289
FIRFINS 100.00
FFlakINSPECTIONS
0
SEMINOLE COUNTY TAX RECEIPT R
ORIGINAL TAX
RECEIPT MUST BE DISPLA
ON PREMISES
10/05/2018 03:52PM 4073238000 MARTINS COLLISION
PAGE 13/13
CERTIFICATE OF GARAGE INSURANCE bATEIM)A7DDMYYj
10/05f2018
THIS CERTIFICATE IS ISSUE13 AS A MATTER OF INFORMATION ONLY AND CONFERS NO OGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER TIME COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT SME'EN T14E ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPOR ANT: If the certificate holder ie an ADDITIONAL INSURED, the polley(ies) must have l 001710 NAL INSURED provisions or be endorsed.
It SUBROGATION IS WAIVED, subject to the wrms and conditions of the policy, cartain gotic may require an endorsement. A ststament on
this certincafn does not confer rights to the certificate, holder In lieu of such sndorsemant s .
PROOLICER ACT
Tony Russi Insurance Agency, Inc. PTTD E EXIJ407J322.9206 fAx
2576 S. French Avenue ItIfO ion russ'sitTsurance-corn _
Sanford FL 32773 INSURER S F co PRArp NAIC d
Southern wn®rs Insurance Company^_
INSURED B : _
Martina Collision Center 1, Inc. INSUWR C.-
2640
•2540 S. Myrtle Ave. SURER o -
Sanford FL 32773 1N&VRFR E
-INSURER
---- IoCU14tf1A1 li.
--v s a.,, •�+vr-v
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TH
INDICATED. NOTTMTHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OROTHER
CERTIFICA'T'E MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED 8Y THE POLICIES D
EXCLUSIONS AND CONDITIONS QF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
INSURED NAMED ABOVE FOR THE POLICY PERIOD
DOCUMENT WITH RESPECT TO WHtCH THIS
ISCRIFIED HEREIN IS SUBJECT TO ALL THE TERMS,
tAIMS.
"ML
TYPE OF INSURANCE
DO
B Vn
POLICY
POU ICY EFF
P
LiOY EXP
UMI S
A
GARAGE LIABILITY HIRED AUTOS
ANY AUTOX NON VAItED
ovweo IN GARAGED
AUTOS ONLY BUSINESS
X Broadened Cove a
x
49.683-642-01
42(2312017
1
3/2418OTWR
AUTO ONLY (E& essJgeni)
EAACCIDENT a 000.090
A O L
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A
GARAGE I(EEPERS UAWLITY
X LEGAL LIA9SLITY
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X
i
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12123/2017
I
1212312018
;(
OTIC P� LOC
SPECT IED LOC
1 S00 QOa
X COLLISION Loc
1 500 000.
PRIMARY EXCESS
LOC
COMMERCIAL GENE"t. LUW[LniY
EACR O RENCE S 1,000,000
oaMAgE TO RRt= D - 300x000
P An one Lwn s 10 000
A
X iaAWS•MA F L.^ j OCCUR
X Hired & Non -Owned Auto
X
134782-72107185
12/23(2017
12(23/2018
I Liability
PERBOwv- A U WJL Y 11,000-000
PLIES PER:
GEN L AGGREGATE LIMIT APPLIES
GENERAL AGGREGATE 2 000 000
I
O YS . COh9PlOP AGO 5 2,000 000
X POLICY D PR 1— I LOC
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OTHERS
e
UMBRELLA LtAa
OCCUR
EACti OCCURRENCE S
AGGREGATE S _
EXCES$ LEAN
CLAIMS, tYAaE
R NT
$
I
MJORE(EI* COMPENSAVON
P R I FR
M
E.L. EAC>3 AGC E T S
AND EMPLOYEM51 UASSI.ITY
ANY PROPRif TORPPAR7N£R/EXBCUTIVE
OFFTCEPjMEM8ER EXCLUDED? y (_y
tMandalM In NIA)
N t A
i
tS� SL • EA EMPLOYE
E.L.DISEAS -POS ,Y LIMIT S
IR, os. descl 6a \ c,der
CSL $1,000,000.
A
Business Auto
i
49-683.642-00
12/23/2017
1
23/2018
Cornp/Collision Dad. S500.0ed,
PIF' $40,000 no dad.
REMARKS (ACORD 181, Additional Rodma}kS Sched\vlo,"be grNehod M mote ¢pace le rOquUad)
Certificate Holder is named as additional Insured
i
I
5;`f
ACORD 30 (2016/03) The ACORD name and logo are registered AC D
City of Sanford Building Department
SHOULD ANY OF 4
THE EXPIRATION
ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE
PATE THEREOF, NOTICE V A L BE DELlIVERED IN
300 N Park Ave
ACCORDANCE IMT1111HE
PWCY PROVISIONS.
Sanford, FL 32771
AUTMORMD RAPRESeNT
5;`f
ACORD 30 (2016/03) The ACORD name and logo are registered AC D
All
October 23, 2018
Contract/Agreement Name: IRFQ 18/19-119 Auto Paint and Body Repairs (3)
contractors were awarded. The PO's are less than
$50,000 does not need CC approval.
1. DBG, Ltd. Co.
2. Sanford Paint and Body Inc
3. Martins Collision Center
Approval:
ilid"
Finan&4 Director
Date
Date
12< Attorney / Date