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2032 RFQ 17/18-33 OLCo452y:FORp - �4FINANCE DEPARTMENT Thursday, December 20, 2018 TO: City Clerk/Mayo ISE: C C_V-,\ f:N r fvc C -Q The item(s) noted below is/are attached and forwarded to your office for the following action(s): ❑ Development Order ❑ Mayor's signature ❑ Final Plat (original mylars) ❑ . Recording ❑ Letter of Credit ❑ Rendering ❑ Maintenance Bond Cg� Safe keeping (Vault) ❑ Ordinance ❑ Deputy City Manager ❑ Performance Bond ❑ Payment Bond ❑ Resolution ❑ City Manager Signature ❑ ❑ City Clerk Attest/Signature ❑ City Attorney/Signature Once completed, please: ❑ Return originals to Purchasing- Department ❑ Return copies Special Instructions: Liv� 13ojao(zi4ev- From SharePoint_Finance_Purchasing_Forms - 2018.doc Z$ 1Gt Date AGREEMENT BY AND BETWEEN THE CITY OF SANFORD AND OHLSON LAVOIE CORPORATION D/B/A OHLSON LAVOIE COLLABORATIVE FOR SOLICITATION NUMBER: RFQ 17/18-33 THIS AGREEMENT (hereinafter the "Agreement") is made and entered into this 08 day of January, 2019, 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 OHLSON LAVOIE CORPORATION, doing business as OHLSON LAVOIE COLLABORATIVE, a Colorado corporation, (hereinafter referred to as the "CONSULTANT") whose address is 1401 Zuni Street; Suite 102; Denver, Colorado 80204. The CITY and the CONSULTANT 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. This Agreement is for the services as set forth in RFQ 17/18-33 which include the procurement solicitation documents, the responses thereto from the CONSULTANT (all of which are incorporated herein as if fully set forth herein verbatim) and it is recognized that the CONSULTANT 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 within the amount of compensation to be paid to the CONSULTANT. In general, services shall be provided as needed by the City to support of various projects of the CITY, essential services needed by the CITY and to enhance the facilities of the CITY. 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 and shall be renewed annually unless the CITY notifies the CONSULTANT 30 days prior to the annual renewal date that it desires to terminate this Agreement; provided, however, that this Agreement shall terminate after 5 years and shall not be renewed beyond that date and the parties shall be subject to any additional procurement activities of the CITY. However, 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 the CONSULTANT. No services have commenced prior to the execution of this Agreement that would entitle the CONSULTANT for any compensation therefor. Section 5. Compensation. The parties agree to compensation as set forth in each purchase order issued by the CITY. Section 6. Standard Contractual Terms and Conditions; Notices. All "Standard Contractual Terms and Conditions", as provided on the City of Sanford's website, apply to this Agreement. Such Terms and Conditions may be found at the City's website (www.SanfordFL.gov) and may be modified by the CITY from time -to - time. The parties shall also be bound by the purchasing policies and procedures of the CITY as well as the controlling provisions of Florida law. The addresses to be used for notices under this Agreement shall be as set forth above. Section 7. The Consultant's Mandatory Compliance with Chapter 119, Florida Statutes, and Public Records Requests. In order to comply with Section 119.0701, Florida Statutes, public records laws, the CONSULTANT must: (a). Keep and maintain public records that ordinarily and necessarily would be required by the CITY in order to perform the service. (b). 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. (c). Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. (d). Meet all requirements for retaining public records and transfer, at no cost, to the CITY all public records in possession of the CONSULTANT 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. (e). If the CONSULTANT does not comply with a public records request, the CITY shall enforce the contract provisions in accordance with this Agreement. (f). Failure by the CONSULTANT to grant such public access and comply with public records requests shall be grounds for immediate unilateral cancellation of this 2 1 P a ge Agreement by the CITY. The CONSULTANT shall promptly provide the CITY with a copy of any request to inspect or copy public records in possession of the CONSULTANT and shall promptly provide the CITY with a copy of the CONSULTANT's response to each such request. (g). IF THE CONSULTANT HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONSULTANT'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (407) 688-5012, TRACI HOUCHIN, CITY CLERK, CMC, FCRM, CITY OF SANFORD, CITY HALL, 300 NORTH PARK AVENUE, SANFORD, FLORIDA 32771, TRACIMOUCH IN @SANFORD FL.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 of Sanford's website, and including, without limitation, the exhibits hereto, constitutes the entire integrated agreement between the CITY and the CONSULTANT 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. 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 the CONSULTANT, 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 THE CONSULTANT have executed this instrument for the purpose herein expressed. Attest., Traci Houchin, CMC, F Approved as to form and Legality: MI 4," WOR City CI 0 S THE CITY OF SANF City Attorney o 011 SIGNATURE BLOCK FOLLOWS: 4 1 P a e Attest: Donaldo Visani Secretary THE CONSULTANT 5 1 P D A - Letter of Transmitta July 31, 2018 Marisol Ordonez, Purchasing Manager City of Sanford Purchasing Division 300 N. Park Avenue, Suite 243, 2nd Floor Sanford, Florida 32771 purchasing@sanfordfl.gov RE: RFQ 17/18-33 Professional Consulting Services Dear Marisol and Selection Committee Members: Thank you for the opportunity to submit our team's qualifications for the City of Sanford Professional Consulting Services Contract. We are excited for the chance to serve the City and it is important that your go -to architect is a firm you can trust, with the experience in design and public input that you need - Ohlson Lavoie Collaborative (OLC) is that team! Our firm is fully prepared to tackle every challenge that will arise during our service period. We are committed to outstanding project management, creative design solutions, and adherence to project budget always. We have completed community engagement and public input as part of many of our municipal projects. We utilize innovative, yet time -tested, methods to gather resident feedback and data that we evaluate and translate into our study outcomes and design work. We have assembled a team who is committed to achieving project excellence, and who has the nec- essary relevant project experience to help create seamless project execution. We understand the importance of supporting minority enterprises and have included information for two M/WBE engineering firms that we work with: Alers Engineering Group, LLC (MBE) and TAGS Engineering (WBE). Alternatively, with our national and international experience which requires working with many different consultants, we are open to working with the City's preferred consultants. OLC is known for our responsiveness, accuracy, cost control and schedule management for projects of every size and scope. We work as advocates to ensure that our clients receive the best in ser- vice and outcome every time. We hope to demonstrate this experience and commitment to you in person, following this successful submittal. Thank you for your time and consideration - I look forward to hearing from you soon. Sincerely, Maged Elsheikh, Principal -in -Charge OLC (Ohlson Lavoie Collaborative) 2295 S. Hiawassee Road, Suite 310 Orlando, Florida 32835 P: 407.992.0470 E: melsheikh@olcdesigns.com B - Experience of Key Personnel OLC (Ohlson Lavoie Collaborative) IS a forward -thinking, full-service architectural, interior design and aquatic design firm. Started in Denver in 1961, OLC also has offices in Orlando, Tokyo and Cairo. We have a broad and deep portfolio of local, national and international projects. Our experience and areas of practice include: athletic, fitness, recreation, wellness, hospitality, resort, aquatic, healthcare, community buildings, feasibility studies, parks and recreation, wellness, education, commercial and retail. WE BELIEVE IN THE BLANK SLATE: Our design process is enriched by a client -centered attitude, a commitment to creativity and a collaborative spirit. We believe each project is unique and requires a thorough understanding of its parameters. We don't often use cookie -cutters, but when we do, it's for cookies, not buildings. WE DESIGN BEAUTIFUL BUILDINGS THAT WORK: We partner clients' business goals and strategic insights with our aesthetic vision, deep experience, and problem -solving skills to create superior outcomes. Value -conscious, client -centered, custom - fitted design is a strategic investment for every owner. We apply principles of smart design to honor that investment and to produce measurable returns. We use BIM and provide LEED services. WEARS UPTO SPE EDANDQUICK: Ourexperienced, dedicated and talented staff coordinate with clients, associated design and consulting firms, contractors and internally to provide superior, speed -to -market results. We listen carefully; communicate early and often; deliver quick turnarounds; and address issues head-on. Our focus is to drive the project through the straightest course possible, get to the finish line and to have all involved in the project be proud of their success. We make it our business to be up-to-date on local, state and international aquatic design standards and guidelines. Our objective is to stay abreast of industry trends, health and safety issues as to provide the finest possible end product for you. Maged ElsheikhEIAPAGER Maged has over 30 years of architectural experience in a wide variety of project types including universities, mosques, hospitality and resorts, office buildings, malls, athletic/fitness facilities, and high-rise housing. Working in Dubai, UAE for over 11 years, Maged acquired extensive insight into the relationship between architecture and Middle Eastern culture. He designed several high profile projects and dealt directly with members of the ruling family. Working for OLC, Maged opened the Cairo office in 1999 and served as OLC's Middle East Director until his move to the United States in 2014. He is now the Director of International Projects for the firm, working from the Orlando, Florida office to develop hospitality and healthcare projects across the globe. Sam E1sheikh,,,,N,,R, LEED@ AP SENIOR PRINCIPAL/CEO I PROJECT DESIGNER Sam Elsheikh is the Principal -in -Charge for OLC's Orlando, Florida office. He has over 29 years of experience in planning and designing a wide variety of project types including resorts, recreation & athletic facilities and medically - based wellness centers throughout the United States. Sam manages projects in the southern and eastern United States, to which he has applied his expertise in architectural design and a keen understanding of construction management. Sam brings a detailed level of attention to projects small or large, remodeled or new, simple or complex. Along with managing architectural projects, Sam acts as OLC's CFO. In this role, he promotes fiscal responsibility to ensure the firm's success. Commencing with establishing the Cairo, Egypt office, to formulating the company's ESOP, Mr. Elsheikh has also been instrumental in creating the company's IT network system and its continued oversight. Brenda Amsberry PRINCIPAL I SENIOR INTERIOR DESIGNER As an Interior Designer, Brenda's goal is to work closely with clients to create unique and inspired design solutions, while establishing and adhering to design and budget parameters. Brenda's is committed to create environments which stimulate, Booth, and entertain. Projects have included all service levels and types of hotels including: resorts, franchises, boutique, limited service and gaming. Food service projects have included franchise food chains, independent restaurants and bars, and higher education food venues. Brenda's design process has included custom lighting, artwork, furnishings, carpet patterns, murals and signage specific for each project and location. Her design expertise is evident in the attention to detail, creative problem solving and fresh approach to all projects. C - Ability to Service the City and use of Sub -Contractors or Other Firms Ohlson Lavoie Collaborative works with many subconsultants/subcontractors throughout Florida and across the United States. We are submitting our qualifications for consideration for architectural services and have provided information for two M/WBE consultants: TAGS Engineering for Mechanical and Plumbing Engineering and Alers Engineering for Electrical Engineering. Brief information regarding their firms can be found below. D - GSA Form SF -330, Part I, Sections A, B, C, D, and E Information requested follows this section. E - Litigation Ohlson Lavoie collaborative does not have any past or pending litigation or disputes relating to the work described herein that our firm has been involved with in the last five years. F - Financial Information See attached letter following this section. . J ELECTRICAL ENGINEERING Alers Engineering Group, LLC is an MBE certified Electricar Engineering Consulting Company that provides electrical enggineering services. Alers has a large projectportfolio with extensive experience in designing MEP/FP systems for offices, schools, mixed-use facilities, welllness centers, arenas, convention centers, public facilities, residential buildings, warehouses and museums. Alers is a State of Florida, Orange County, and City of Orlando Minority Business Enterprise. Lws MECHANICAL ENGINEERING TAGS Engineers is a WBE firm with over 35+ years of combined experience in designing MEP/ FP systems for offices, schools, mixed-use facilities, hotels, restaurants retail, worship centers, assisted living facilities, wellness centers, arenas, convention centers warehouses industrial projects, high rises, ppu�blic facilities, residential buildings and museums. We are licensed in Florida, Texas, Virginia, Virgin Islands, Illinois, Georgia and Pennsylvania. f ARCHITECT - ENGINEER QUALIFICATIONS PART I - CONTRACT -SPECIFIC QUALIFICATIONS A. CONTRACT INFORMATION 1. TITLE AND LOCATION (City and State) Professional Consulting Services 2. PUBLIC NOTICE DATE 3. SOLICITATION OR PROJECT NUMBER 06/29/2018 RFQ 17/18-33 B. ARCHITECT -ENGINEER POINT OF CONTACT 4. NAME AND TITLE Maged Elsheikh, Principal-in-Charge/Project Manager 5. NAME OF FIRM Ohlson Lavoie Collaborative 6. TELEPHONE NUMBER 7. FAX NUMBER 8. E-MAILADDRESS 407-992-0470 1407-992-0474 iselsheikh(a)-olcdesiqns.com C. PROPOSED TEAM (Complete this section for the prime contractor and all key subcontractors.) D. ORGANIZATIONAL CHART OF PROPOSED TEAM Q (Attached) AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 330 (REV. 8/2016) (Check) 74", 9. FIRM NAME 10. ADDRESS 11. ROLE IN THIS CONTRACT Ohlson Lavoie Collaborative 2295 S. Hiawassee Road, Suite 310 Architectural Design Orlando, Florida 32835 Parks and Recreation Facilities a. ✓ Z CHECK IF BRANCH OFFICE b. ❑ CHECK IF BRANCH OFFICE C. ❑ CHECK IF BRANCH OFFICE d. ❑ CHECK IF BRANCH OFFICE e. ❑ CHECK IF BRANCH OFFICE f. ❑ CHECK IF BRANCH OFFICE D. ORGANIZATIONAL CHART OF PROPOSED TEAM Q (Attached) AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 330 (REV. 8/2016) SUBCONSUTANTS E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 12. NAME 13. ROLE IN THIS CONTRACT 14, YEARS EXPERIENCE a. TOTAL b. WITH CURRENT FIRM Maged Elsheikh, Senior Principal Principal-in-Charge/Project Manager 33 19 15. FIRM NAME AND LOCATION (City and State) Ohlson Lavoie Collaborative (OLC), Orlando, Florida 16. EDUCATION (DEGREE AND SPECIALIZATION) 17. CURRENT PROFESSIONAL REGISTRATION (STATEAND DISCIPLINE) Bachelor of Architecture, Alexandria University, Egypt I Egyptian Syndicate of Engineers, Egypt 18. OTHE N/A 19. RELEVANT PROJECTS STANDARD FORM 330 (REV. 3/2013) PAGE 2 S (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (Ifapplicable) Robert Taylor Community Center, Sarasota, Florida Ph. 1-2008; Phase 11-20111 2011 (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE 0 Check if project performed with current firm a' Role: Project Manager I Cost: $10.7114 i Size. 45,000sf I Description: Master planning and full architectural design services for a new recreation cente featuring a gymnasium, indoor running track, group exercise rooms, open cardio and fitness area, circuit and free weights and full service and family locker rooms. Several multi-purpose rooms include a community stageltheatrelcafeteria, community rooms, kids' zone and teen wing. This communis center also features an outdoor 2 -lane lap pool: leisure pool with zero -depth entry and single flume water slide. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (Ifapplicable) Oviedo YMCA Remodel, Oviedo, Florida 2016 2018 I (3) BRIEF DESCRIPTION (Bnefscope, size, cost, etc.) AND SPECIFIC ROLE 0 Check if project performed with current firm b Role. Production ManagerlProduction Architect I Cost. $3.2M ( Size: 15.700sf I Description: The final design included repurposing the majority of the first floor to provide a functioning, well-designed and attractive facility. In addition to relocating the spin room and teen room, and remodeling the administrative spaces: the project also includes enlarged and spacious locker rooms for men's, women's and family changing. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED Palm Beach Gardens New Tennis Clubhouse and Existing Clubhouse PROFESSIONAL SERVICES CONSTRUCTION (Ifapplicable) Remodel. Palm Beach Gardens, Florida 2017 2018 I (3) BRIEF DESCRIPTION (Bnefscope, size, cost, etc.) AND SPECIFIC ROLE E] Check if project performed with current firm C. Role: Architect of RecordlDesign Architectvinterior Designer i Cost: $3.5M i Size: 11.000sf I Description. OLC is designing and building a new Tenni: Center Clubhouse for the City of Palm Beach Gardens. It's a premier community public tennis facility. It has 18 hydro -grid clay courts_ Year-round programming is offered for all ages and abilities_ The center is host to many LISTA tournaments: as well as the Palin Beach County Women`s Tennis Associate League. (1) TITLE AND LOCATION (Cityand State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (Ifapplicable) Sailfish Splash Park, Stuart. Florida 2010 2012 d (3) BRIEF DESCRIPTION (Briefscope, size, cost, etc.) AND SPECIFIC ROLE n Check if project performed with current firm Role: Design Criteria ArchitectlProgram and Operational Consultant I Cost: $10M i Size: N/A escnption: One area of this facility is for competitive swimming and the other designated for an aquatic park. The family aquatic park features a zero depth entry pool with play structure and water spray features, benches and shade structures. in addition to the leisure pool, an 11-f , ,wide 750 linear feet lazy river with a landscaped island featuring a connecting bridge and seating space. There is a pool house ,with men's, vomens and family changing facilities, food service and multi-purpose room (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (if applicable) Wesley Chapel Wellness Center; Wesley Chapel, Florida 2011 2013 I (3) BRIEF DESCRIPTION (Bdefscope, size, cost etc.) AND SPECIFIC ROLE FX -1 Check if projeVerformed with current firm e. Role. ,"architect of RecordlAquatic Designer•( Cost, $3g 5M I Size. 44,800sij Description. This r�hess, health an fitness center is located on the fi,si floor and entire second floor of the Alesley Chapel Medical Center MOB. The first floor includes medical office space, cafe, express lockers. childcan locker rooms. 25 meter 4 -lane lap pool and harm -water therapy pool. The second floor includes a !valkljog track surrounding open fitness. conferenc rooms, physical therapylclinical space, and hvc group exercise studios are located adjacent to the track. STANDARD FORM 330 (REV. 3/2013) PAGE 2 S E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 12. NAME 13. ROLE IN THIS CONTRACT 14. YEARS EXPERIENCE a. TOTAL b. WITH CURRENT FIRM Sam Elsheikh, NCARB, LEED AP Project Designer 31 25 15. FIRM NAME AND LOCATION (City and State) Ohlson Lavoie Collaborative, Orlando, Florida 16. EDUCATION (Degree and Specialization) 17. CURRENT PROFESSIONAL REGISTRATION (State and Discipline) MBA, MIS, University of Colorado Florida Licensed Architect - AR92932 Master of Construction Science and Management, Clemson University Bachelor of Architecture, Alexandria University, Egypt 18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.) LEED Accredited Professional (USGBC) Licensed Architect: Florida, Colorado, Massachusetts, Louisiana, Georgia, NCARB Certified Architect, Louisiana Pennsylvania, New Jersey, Delaware Licensed General Contractor, Florida 19. RELEVANT PROJECTS STANDARD FORM 330 (REV. 8/2016) PAGE 2 (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (ifapplicable) Robert Taylor Community Center, Sarasota, Florida Ph. 1-2008; Phase II -2011 I 2011 (3) BRIEF DESCRIPTION (Briefscope, size, cost, etc.) AND SPECIFIC ROLE Q Check if project performed with current firm e. Role: Production Manager/Production Architectl Cost. $10.7M1 Size: 45,000sf l Description: Master planning and full architectural design servicesfor anew recreation center featuring a gymnasium, indoor running track, group exercise rooms, open cardio and fitness area, circuit and free weights and full service and family locker rooms. Several multi-purpose rooms include a community stage/theatr%afeteria, community rooms, kids' zone and teen wing. This community center also features an outdoor 2 -lane lap pool, leisure pool with zero -depth entry and single flume water slide. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (!f applicable) Oviedo YMCA Remodel, Oviedo, Florida 2016 I 2018 (3) BRIEF DESCRIPTION (Briefscope, size, cost, etc.) AND SPECIFIC ROLE [7 Check if project performed with current firm b. Role: Production Manager/Production Architect l Cost• $3.2M l Size: 15,700sf l Description: The final design included repurposing the majority of thefirstfloor to provide a functioning, well-designed and attractive facility. In addition to relocating the spin room and teen room, and remodeling the administrative spaces, the project also includes enlarged and spacious locker rooms for men's, women's and family changing. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED Palm Beach Gardens New Tennis Clubhouse and Existing Clubhouse PROFESSIONAL SERVICES CONSTRUCTION (ifapplicable) Remodel, Palm Beach Gardens, Florida 2017 2018 I (3) BRIEF DESCRIPTION (Briefscope, size, cost, etc.) AND SPECIFIC ROLE 0 Check if project performed with current firm C. Role: Architect of Record/Design Architect/interior Designer l Cost. $3.5M l Size: 11,000sf l Description: OLC is designing and building a new Tennis Center Clubhouse for the City of Palm Beach Gardens. it's a premier community public tennis facility. It has 18 hydra -grid clay courts. Year-round programming is offered for all ages and abilities. The center is host to many USTA tournaments, as well as the Palm Beach County Women's Tennis Associate League. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (Ifapplicable) Sailfish Splash Park, Stuart, Florida 2010 2012 (3) BRIEF DESCRIPTION (Briefscope, size, cost, etc.) AND SPECIFIC ROLE 0 Check if project performed with current firm d. Role: Design Criteria Architect/Program and Operational Consultant l Cost. $1 OM l Size: N/A l Description: One area of this facility is for competitive swimming and the other designated for an aquatic park The family aquatic park features a zero depth entry pool with play structure and water spray features, benches and shade structures. In addition to the leisure pool, an 11 ft wide 7501inearfeet lazy river with a landscaped island featuring a connecting bridge and seating space. There is a pool house with men's, women's and family changing facilities, food service and multi-purpose rooms. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (Ifapplicable) Wesley Chapel Wellness Center, Wesley Chapel, Florida 2011 2013 (3) BRIEF DESCRIPTION (Bdefscope, size, cost, etc.) AND SPECIFIC ROLE QCheck if project performed with current firm e. Role: Architect of Record/Aquatic Designer/ Cost: $3SM / Size. 4, ,800sfj Description: This wellness, health and fitness center is located on the firstfioorand entire secondfloor of the Wesley Chapel Medical Center MOB. The first floor includes medical office space, cafe, express lockers, childcare, locker rooms, 25meter 4 -lane lap pool and warm -water therapy pool. The second floor includes a walk/jog track surrounding open fitness, conference rooms, physical therapy/clinical space, and two group exercise studios are located adjacent to the track. STANDARD FORM 330 (REV. 8/2016) PAGE 2 E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each kev person. ) 12. NAME 13. ROLE IN THIS CONTRACT 14. YEARS EXPERIENCE a. TOTAL b. WITH CURRENT FIRM David Sprague, Senior Design Principal QA/QC 34 25 15. FIRM NAME AND LOCATION (City and State) Ohlson Lavoie Collaborative (OLC), Denver, Colorado 16. EDUCATION (DEGREE AND SPECIALIZATION) Bachelor of Arts - Design, Cum Laude, Minnesota University 18. OTHE N/A 17. CURRENT PROFESSIONAL REGISTRATION (STATE AND DISCIPLINE) Licensed Architect - Colorado 19. RELEVANT PROJECTS STANDARD FORM 330 (REV. 312013) PAGE 2 (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) Widefield Community Recreation Center, Fountain, Colorado 2016 a' (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE a Check if project performed with current firm Pole: Feasibility Study Lead I Cost: $24 million I Size: 75.000 sfl Description: Whenever 5 parties join in a study to assess the potential a regional facility would bring to a diverse audience, compromise is needed for a successful outcome. This feasibility study balanced the operations, programmatic needs, location, and design for a facility that would fill the current void in regional recreational services, and provide the ability to expand to satisfy the need for generations to come. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (if applicable Estes Valley Community Recreation Center, Estes Park, Colorado 2016 2018 I b- (3) (Brier scope, size, cost, etc.) 0 Check if project performed with current firm Role: Principal-in-Charge/Lead Design Architect I Cost: ,822 million I Size: 63,000 sf i Description: New 63,000sf, $22M community center which includes senior space and extensive multi-purpose/meeting rooms with a commercial kitchen, arts studio, group exercise rooms, gymnasium, computer/resource area, fitness spaces and locker rooms. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED Campbell County Recreation Center, Gillette, Wyoming PROFESSIONAL SERVICES CONSTRUCTION (Ifapplicable) 2006 2010 C. (3) BRIEF DESCRIPTION (Briefscope, size, cost, etc.) AND SPECIFIC ROLE � Check if project performed with current firm Role: Principal-in-Charge/Lead Design Architect I Cost: $51.9 M Size: 189,000 sf Descripti New 2 -level recreation center/multi-purpose facility with fieidhouse, competitive track venue with spectator seating for 2500, gymnasiums, locker rooms, community center, indoor 6 -lane 25 -yard lap pool, jumping tower, underwater benches, co-ed whirlpool, an indoor leisure pool with zero -depth entry and many play features. This unique facility combines a full-service recreation center with a multi -use competitive sports and training facility and an extensive indoor aquatics program. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (lfapplicable) The Trails Recreation Center, Laramie, Wyoming 2002 2004 d (3) BRIEF DESCRIPTION (Briefscope, size, cost, etc.) AND SPECIFIC ROLE Fx Check if project performed with current firm Pole: Principal-in-Charge/Lead Design Architect I Cost: $15.2 M I Size: 78,000 sf I Description`New $15.2M, 78,000sf community center which includes a 9, 000sf fitness floor, 30 -ft. climbing wall and other components including a child watch/art center, three group exercise rooms, lap pool, party room, full-size gymnasium and track. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONALSERVICES CONSTRUCTION (lfapplicabie) Buena Vista Community Center Feasibility Study, Buena Vista, Colorado 2015 e. (3) BRIEF DESCRIPTION (Brietscope, size, cost etc.) AND SPECIFIC ROLE iii Check if proiect performed vAth current firm Role. Feasibility Study Lead I Cost $13.1 M I Size: 50,800 sf I Description: Feasibility study fo creation cen er which included Community Survey, Governance Recommendation, Programming, Budget, Design (two sites), and Operational Analysis. STANDARD FORM 330 (REV. 312013) PAGE 2 E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 1Z. NAME 13. KULE IN I HIS GUN I KAU 1 14. YEARS EXPERIENCE a. TOTAL b. WITH CURRENT FIRM Brenda Amsberry, Senior Interior Designer, Principal Lead Interior Designer 33 4 15. FIRM NAME AND LOCATION (City and State) Ohlson Lavoie Collaborative (OLC), Denver, Colorado 16. EDUCATION (DEGREE AND SPECIALIZATION) 17. CURRENT PROFESSIONAL REGISTRATION (STATE AND DISCIPLINE) Bachelor of Arts, Colorado State University N/A Interior Environmental Design, minor in Industrial Construction Management 18. OTHER P N/A (Publications, Organizations, Training, Awards, etc.) 19. RELEVANT PROJECTS STANDARD FORM 330 (REV. 312013) PAGE 2 (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICE1 CONSTRUCTION (Ifapplicable) Paradice Island Waterpark at Pioneer Park, Commerce City, Colorado 2013 2015 (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE D Check if project performed with current firm a' ,Role: Interior Designer 1 Cost: $72 million i Size: 44.800 sf i Description: This outdoor pool project expands the recreational opportunities at Pioneer Park. Along Ulith a rlew bathhouse and concession area, there is a zero -depth entry children's pool for toddlers: a large zero -depth entry pool for families with an aquatic pay structure, two sliders with a plunge pool that merges into a lazy river and lap pool, as well as plenty of shade umbrellas and grassy areas. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONALSERVICES CONSTRUCTION (Ifapplicable) Colorado Golf Club Pool and Bath House, Parker, Colorado 2015 2015 (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE Check if project performed with current firm b• Role. Interior Designer i Cost: $2.5 million i Size. N/A 1 Description: A new pool and Bath house or this prestigious country club in Parker Colorado, Several pools include a family leisure pool with an attached whirlpool, a children's play pool with rock features. and a si'ngie flume slide with a plunge pool. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED Palm Beach Gardens New Tennis Clubhouse and Existing Clubhouse PROFESSIONAL SERVICES CONSTRUCTION (Ifapplicable) Remodel, Palm Beach Gardens, Florida 2017 2018 I (3) BRIEF DESCRIPTION (Briefscope, size, cost, etc.) AND SPECIFIC ROLE f71 Check if project performed with current firm C. Role. Interior- Designer I Cosi, $3.5M 1 Size: 111000sf i Description: CLC is designing and buij5 g a new Tennis Center Clubhouse for the City of Palm Beach Gardens. It's a prernier community public tennis facility. it has 18 hydro -grid clay courts. Year-round programming is offered for all ages and abilities. The center is host to many LISTA tournaments, as well as the Patin Beach County 'Alanen's Tennis Associate League. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (Ifapplicable) Newtown Athletic Club, Newtown, Pennsylvania 1999 -present ongoing Expansions d• (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE ❑X Check if project performed with current firm Role: interior Designer I Cost: $10 million I Size: N/A I Description: Newtown Athletic Club began as a small racquetball and fitness center, but has expanded into a nationally recognized full-service family athletic club. The main athletic club features a recent 12.000 sq. R. open fitness addition, plus a complete remodel of the salon, spa. children's area and locker rooms. An outdoor pool complex was added in 2013 and expansions to locker rooms and group exercise studios are underway. (1) TITLE AND LOCATION (City and State) (2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (Ifapplicable) Dexter Wellness Center, Dexter, Missouri 2911 2013 (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE1;} Check if project performed with current firm e. Role: interior Designer I Cost $10 million I Saze: 48.460 sf i Description: The wellness center, ores spacious fitness floor and exercise studios, cardio and strength training machines, walking and running track, lap svrimming pool. warm water therapy pool. gym with basketball court, indoor cycling; yoga and Pilates studios, massage rooms, locker rooms with showers and sauna. child care area and Grab -N -Go Cafe. STANDARD FORM 330 (REV. 312013) PAGE 2 Rn5T8ANK 370 17TH STREET DENVER, COLORADO 80202 303-623-2000 July 19,2U1Q Oh|sonLavoie Corporation I4O1Zuni StApt 1O2 Denver [O8O2O4 To whom it may concern: This letter is to confirm that OhIson Lavoie Corporation has a banking relationship at FirstBank. The/ have been customers since December of 2012 and keep average balances around $208,000.00 on deposit. |naddition totheir balances, their account isingood standing and does not have any overdrafts. If you have any questions, please contact me by phone at (303)595-2402 or by fax at (303)595-2434. Caitlyn Flanagan Branch Manager —Denver Market A - GSA Form SF -330, Part 1, Section F, G, and H B - Unique Awards recieved or accomplishments made. (See quotes) d in 3 5 0 JTR I ES MUNICIPAL PROJECTS F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'S 20. EXAMPLE PROJECT KEY QUALIFICATIONS FOR THIS CONTRACT NUMBER (Present as many projects as requested by the agency, or 10 projects, if not specified. 1 Complete one Section F for each project.) 21. TITLE AND LOCATION (City and State) 22. YEAR COMPLETED Palm Beach Gardens Tennis Center Club House, PROFESSIONAL SERVICES CONSTRUCTION (If applicable) Palm Beach Gardens, Florida 2017 2018 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME 1c. POINT OF CONTACT TELEPHONE NUMBER Citv of Palm Beach Gardens I Anqela Brown 561.804.7010 24, BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) OLC recently completed the design and permitting for a new Tennis Center Club House for the City of Palm Beach Gardens. It's a premier community tennis facility. It has 18 hydro -grid clay courts. Year round programming is offered for all ages and abilities. The center is host to many USTA tournaments, as well as the Palm Beach County Women's Tennis Association League. Size: 11,000 sf Cost: $3.5 M 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT STANDARD FORM 330 (REV. 8/2016) PAGE 3 (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE a. OLC Orlando, Florida Architect of Record, Design Architect, Interior Designer (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE C. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. STANDARD FORM 330 (REV. 8/2016) PAGE 3 F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'S 20. EXAMPLE PROJECT KEY QUALIFICATIONS FOR THIS CONTRACT NUMBER (Present as many projects as requested by the agency, or 10 projects, if not specified. 2 Complete one Section F for each project.) 21. TITLE AND LOCATION (City and State) 22. YEAR COMPLETED Lake Nona Wellness & Medical Office Building Conceptual Planning, PROFESSIONAL SERVICES I CONSTRUCTION (If applicable) Lake Nona, Florida 2017 TBD 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER Inteqrated Wellness Partners I Jim Ellis 330.762.9102x502 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The community of Lake Nona is a model that is redefining the parameters of better living through better health. The proposed Health and Wellness Center will be the crown jewel of the lifestyle approach when the dream becomes reality. OLC has had the honor to be asked to present our vision of everything this cornerstone project can be. OCL is working with Integrated Wellness Partners and Tavistock Group. OLC is also working with TAGS Engineering (WBE) on this project. "Integrated Wellness Partners is excited to be working with OLC+DW, the top wellness architect in the nation, as we bring a new era of health and well-being to the Lake Nona community." - Jim Ellis, Executive Vice President and Managing Director Size: TBD Cost: TBD 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT STANDARD FORM 330 (REV. 8/2016) PAGE 3 (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE a OLC Orlando, Florida Design Architect (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE C. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. STANDARD FORM 330 (REV. 8/2016) PAGE 3 F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'S 20. EXAMPLE PROJECT KEY QUALIFICATIONS FOR THIS CONTRACT NUMBER (Present as many projects as requested by the agency, or 10 projects, if not specified. 3 Complete one Section F for each project.) 21. TITLE AND LOCATION (City and State) 22. YEAR COMPLETED Estes Valley Community Recreation Center, Estes Park, Colorado PROFESSIONAL SERVICES CONSTRUCTION(Ifapplicable) 2015 2017 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME 1c. POINT OF CONTACT TELEPHONE NUMBER Estes Vallev Rec & Parks District Tom Carosello 970.586.8191 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) In February 2016, OLC commenced work on a new and exciting design for Estes Valley that the community had attempted to build for over 40 years. There had been a concept design in place for voter approval. When OLC took on the design assignment, we generated a plan that was almost 10% more efficient in its ability to accommodate program areas. This allowed the District to enlarge activity areas such as the gymnasium and fitness areas, while reducing the overall square footage. What this means is more programming capacity for less money. The feature areas include extensive multi- purpose/meeting rooms with a commercial kitchen, arts studio, group exercise rooms, gymnasium, computer/resource area, fitness spaces and locker rooms. Size: 63,000 sf Cost: $20 M 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT STANDARD FORM 330 (REV. 8/2016) PAGE 3 (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE a. OLC Denver, Colorado Architect of Record (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE C. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. STANDARD FORM 330 (REV. 8/2016) PAGE 3 r. MAAIVIrLM rMUJCI. 10 WNIUM MrO I ILLUA I MA I M rKVYVJtL) I CAM -J 20. EXAMPLE PROJECT KEY QUALIFICATIONS FOR THIS CONTRACT NUMBER (Present as many projects as requested by the agency, or 10 projects, if not specified. 4 Complete one Section F for each project.) 21. TITLE AND LOCATION (City and State) 22. YEAR COMPLETED Newtown Athletic Club, Newtown, Pennsylvania PROFESSIONAL SERVICES CONSTRUCTION (If applicable) 2008 In Progress 'r��tiar�ij�il�L�xi6�r�i ►] a �T_�tiLilr a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER Newtown Athletic Club I Jim Worthinqton 1 216.968.0600 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) Newtown Athletic Club began as a small racquetball and fitness center, but has expanded into a nationally recognized full- service family athletic club. The main club features a recent 12,000 sf open fitness addition, plus a complete remodel of the salon, spa, children's areas and locker rooms. An outdoor pool complex was added in 2013 and more expansions are underway. Size: N/A Cost: $8 M 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT STANDARD FORM 330 (REV. 8/2016) PAGE 3 (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE a. OLC Orlando, Florida Architect of Record, Aquatic Designer, Interior Designer (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE C. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. STANDARD FORM 330 (REV. 8/2016) PAGE 3 F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'S 20. EXAMPLE PROJECT KEY QUALIFICATIONS FOR THIS CONTRACT NUMBER (Present as many projects as requested by the agency, or 10 projects, if not specified. 5 Complete one Section F for each project.) 21. TITLE AND LOCATION (City and State) 22. YEAR COMPLETED Oviedo YMCA Remodel, Oviedo, Florida PROFESSIONAL SERVICES I CONSTRUCTION (If applicable) 2016 2018 a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER YMCA of Central Florida I Nicole Micheli 1 407.896.9220 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The YMCA of Central Florida engaged OLC to transform their Oviedo facility, which was aging and suffering from a dysfunctional arrangement of spaces and very small uninviting locker rooms. The final design includes repurposing the majority of the first floor to provide a functioning, well designed, attractive facility. Upgrading the lobby provides for a great first impression as you walk into the facility, signaling that you are entering a high class, high energy space, followed by a wide open, easy to manage and access child development area. In addition to relocating the spin and teen rooms, and remodeling the administrative spaces, the project includes enlarged and spacious locker rooms for men, women and family changing. Size: 15,700 sf Cost: $3.2 M 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT STANDARD FORM 330 (REV. 8/2016) PAGE 3 (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE a. OLC Orlando, Florida Architect of Record, Interior Designer (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE C. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. STANDARD FORM 330 (REV. 8/2016) PAGE 3 F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'S 20. EXAMPLE PROJECT KEY QUALIFICATIONS FOR THIS CONTRACT NUMBER (Present as many projects as requested by the agency, or 10 projects, if not specified. 6 Complete one Section F for each project.) Starbucks, Orlando, Florida 22. YEAR COMPLETED PROFESSIONAL SERVICES I CONSTRUCTION (If applicable) 2017 in Proaress 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER Starbucks Corporation Mike Halima, Owner's Representative 407.948.2419 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) This 2,200 sf stand-alone retail project was a build -to -suit for Starbucks Corporation. The building is on an out parcel lot of a large shopping center on John Young Parkway in Orlando. The project includes a renovation of the existing parking lot, landscaping and utilities. OLC used innovative materials and finishes to be in line with Starbucks' high standards. OLC is working with TAGS Engineering (WBE) on this project. "OLC had given us the best value for our money, we would certainly work with them again and again. - Mike Halima, Owner Size: 2,200 sf Cost: $880,000 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT STANDARD FORM 330 (REV. 8/2016) PAGE 3 (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE a. OLC Orlando, Florida Architect of Record (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE C. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. STANDARD FORM 330 (REV. 8/2016) PAGE 3 F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'S 20, EXAMPLE PROJECT KEY QUALIFICATIONS FOR THIS CONTRACT NUMBER (Present as many projects as requested by the agency, or 10 projects, if not specified. 7 Complete one Section F for each project.) 21. TITLE AND LOCATION (City and State) 22. YEAR COMPLETED Robert L. Taylor Community Center, Sarasota, Florida PROFESSIONAL SERVICES I CONSTRUCTION (If applicable) 2008 2011 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME C. POINT OF CONTACT TELEPHONE NUMBER Citv of Sarasota, Florida I Todd Kucharski 941.954.4198 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) Master planning and full architectural design services for a new recreation center featuring a gymnasium, climbing wall, indoor running track, group exercise rooms, open cardio and fitness area, circuit and free weights, full-service locker rooms and family locker rooms. Several multi-purpose rooms include a community state/theatre, community rooms, children's and teen wing, senior center, cafe, and the Florida Center for Physical, Occupational and Speech Therapy. This community center also features an outdoor aquatic facility with a 6 -lane, 25 -yard competition pool, leisure pool with zero -depth entry, lazy river, single flume body water slide, plunge pool spray arches and geysers. OLC services included feasibility, public input, programming, architecture, interior design, aquatic engineering, LEED administration and full construction administration. Size: 45,000 sf Cost: $10.7 M � ��✓'�� a�/� �/�i��'� � "� i/ �� dill �l/�� Y�/ � , 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT STANDARD FORM 330 (REV. 8/2016) PAGE 3 (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE a. OLC Orlando, Florida Architect of Record, Aquatic Designer, Interior Designer (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE C. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. STANDARD FORM 330 (REV. 8/2016) PAGE 3 F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'S 20. EXAMPLE PROJECT KEY QUALIFICATIONS FOR THIS CONTRACT NUMBER (Present as many projects as requested by the agency, or 10 projects, if not specified. 8 Complete one Section F for each project.) 21. TITLE AND LOCATION (City and State) 22. YEAR COMPLETED Wesley Chapel Wellness Center, Wesley Chapel, Florida PROFESSIONAL SERVICES CONSTRUCTION (if applicable) 2011 2013 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME C. POINT OF CONTACT TELEPHONE NUMBER IBIS Enterprises I Donna Jarmusz 919.533.6536 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) This 44,800 sf wellness, health and fitness center is located on most of the first floor and the entire second floor of the Wesley Chapel Medical Center Medical Office Building. the first floor of the facility includes the medical office space, as well as dual entrances for patients and members, cafe, express lockers, child care, locker rooms, 25 -meter, 4-1ane lap pool and warm -water therapy pool. On the second floor, a walk/jog track surrounds open fitness, conference rooms, physical therapy/clinical space, while two group exercise studios are located adjacent to the track. Size: 44,800 sf Cost: $5.5 M 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT STANDARD FORM 330 (REV. 8/2016) PAGE 3 (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE a. OLC Orlando, Florida Architect of Record, Aquatic Designer (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE C. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. STANDARD FORM 330 (REV. 8/2016) PAGE 3 1-. tRAMF'Lt f'KUJt:U I a WMIUM 1315 I ILLUb I KA I t VKUVUJtU I tAM'S 20. EXAMPLE PROJECT KEY QUALIFICATIONS FOR THIS CONTRACT NUMBER (Present as many projects as requested by the agency, or 10 projects, if not specified. 9 Complete one Section F for each project.) 21. TITLE AND LOCATION (City and State) 122. YEAR COMPLETED Paradice Island Water Park at Pioneer Park, Commerce City, Colorado PROFESSIONAL SERVICES I CONSTRUCTION (If applicable) 2013 2015 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER City of Commerce Citv I Carolvn Keith 1 303.289.3691 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) This outdoor pool project expands the recreational opportunities at Pioneer Park. Along with a new bathhouse and concession area, there is a zero -depth entry children's pool for toddlers; a larger zero -depth entry pool for families with an aquatic play structure; two slides with a plunge pool that merges into a lazy river and lap pool; as well as plenty of shade umbrellas and grassy areas. Size: N/A Cost: $7.2 M 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT STANDARD FORM 330 (REV. 8/2016) PAGE 3 (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE a OLC Denver, Colorado Architect of Record, Aquatic Designer (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE C. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. STANDARD FORM 330 (REV. 8/2016) PAGE 3 F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM'S 20. EXAMPLE PROJECT KEY QUALIFICATIONS FOR THIS CONTRACT NUMBER (Present as many projects as requested by the agency, or 10 projects, if not specified. 10 Complete one Section F for each project.) 21. TITLE AND LOCATION (City and State) 22. YEAR COMPLETED Sailfish Splash Water Park, Stuart, Florida PROFESSIONAL SERVICES I CONSTRUCTION (If applicable) 2010 2012 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME 1c. POINT OF CONTACT TELEPHONE NUMBER Martin Countv Randall Saumier 772.288.5932 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The facility has two distinct areas: one area allocated to competitive swimming and the second area designated for family aquatic park. The competitive swim area serves as a swimming hub for the county and includes a 50 -meter lap pool with a 25 -yard cross lap swimming pool and a diving well. The competitive swim area accommodates 900 spectators with room to add rentable bleachers. The family aquatic park features a 6,000 sf zero -depth entry pool with large themed play structure and several interactive water spray features, benches and shade structures. In addition to the leisure pool, an 11 -foot wide, 750 linear feet lazy river with a large landscaped island that features a connecting bridge and ample seating space. Connected to the lazy river is a slide plunge with slide tower that serves two slides. The facility is served by a pool house that includes men's, women's, and family changing rooms, food and beverage service, multi-purpose rooms, party rooms and administration/support spaces. Size: N/A Cost: $10 M 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT STANDARD FORM 330 (REV. 8/2016) PAGE 3 (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE a. OLC Orlando, Florida Design Criteria Architect, Program/Operational Consultant (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE C. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. STANDARD FORM 330 (REV. 8/2016) PAGE 3 G. KEY PERSONNEL PARTICIPATION IN EXAMPLE PROJECTS 26. NAMES OF KEY PERSONNEL (From Section E, Block 12) 27. ROLE IN THIS CONTRACT (From Section E, Block 13) 28. EXAMPLE PROJECTS LISTED IN SECTION F (Fill in "Example Projects Key" section below before completing table. Place 'X" under project key number for participation in same or similar role.) 1 2 3 4 5 6 7 8 9 10 Maged Elsheikh Principal-in-Charge/Project Manager X X Newtown Athletic Club X X X X X Sailfish Splash Water Park X Sam Elsheikh Project Designer X X X X X X X X David Sprague QA/QC X X Brenda Amsberry Senior Interior Designer X X X 29. EXAMPLE PROJECTS KEY gUMBER TITLE OF EXAMPLE PROJECT From Section F NUMBER TITLE OF EXAMPLE PROJECT From Section F 1 Palm Beach Gardens Tennis Center Club House 6 Starbucks 2 Lake Nona Wellness and Medical Office Building 7 Robert L. Taylor Community Center 3 Estes Valley Community Recreation Center a Wesley Chapel Wellness Center 4 Newtown Athletic Club 9 Paradice Island Water Park at Pioneer Park 5 Oviedo YMCA Remodel 10 Sailfish Splash Water Park 51ANDAKU FUKM 33U (KFV. 612U1b) PAGE 4 H. ADDITIONAL INFORMATION 30. PROVIDE ANY ADDITIONAL INFORMATION REQUESTED BY THE AGENCY. ATTACH ADDITIONAL SHEETS AS NEEDED. By now almost all architects in the commercial design arena incorporate Building Information Modeling (BIM) to produce virtual models of their designs. They use BIM, in part, to communicate their design intent and to facilitate building system coordination. Though BIM is a great tool and very helpful in demonstrating the exterior design as well as large interior spaces, it falls short in illustrating the flow, feel and connectivity of building interiors. The next leap forward in the building design industry is to VIRTUALLY step into that model and experience the spaces, flow and examine any hidden conflicts as if the building is already built. That is where the emerging application of Virtual Reality (VR) shines. We can provide VR as an additional service if the budget allows. Designing within virtual reality is the next step in the Architecture profession, with the advancement of technology it allows architects to fundamentally rethink how we create spaces and places. Virtual reality allows architects and their clients to step DIGITALLY directly into the project and intuitively build spaces around them in real-world scale. Once the BIM Model is built; the Project could be instantaneously published to a VR App. Any team member with a modern smart phone and a VR headset can view and experience the design, while others can view what the presenter sees on the screen. This not only facilitates much faster Design and approval, but it is also very handy when you stick your head above the virtual ceiling and start looking and resolving these costly mis-coordinated situations where ducts run through beams. Additionally, the BIM model can be linked in real-time to a VR program with all updated DESIGN WORK instantaneously appearing on the VR. THIS ALLOWS team members anywhere, either in the room or the comfort of their offices thru virtual meeting tools, TO observe the changes on the screen. VR is a great tool in evaluating different design options or the feel of the spaces with different colors/ materials or even replacing a window with a larger one. OLC+DW is on the cutting edge of using VR for architecture design and anticipate increased adaptation of this technology not only as a design tool, but also as a communication tool, a marketing tool, a fundraising tool, and a quality control tool. We will be happy to lead the team in TAKING full advantage of VR to enhance the QUALITY of the final building design. I. AUTHORIZED REPRESENTATIVE The foregoing is a statement of facts. 31. SIGNATURE 32. DATE r: 07/27/2018 33. NAME AND TITLE Maged Elsheikh STANDARD FORM 330 (REV. 8/2016) PAGE 5 A - Technical Approach to the Projects Though each project is unique, OLC would implement this general approach overall and individually adapt to each On -Call Project as appropriate: 1. Designate OLC's project manager and primary contact. This person would be the liaison to OLC with the City of Sanford's designated project manager for each project. 2. Define contractual and communication protocols and methods prior to start. 3. Designate a hierarchy of OLC personnel overall and for each project, including email, telephone, and cell phone contact. 4. Establish early -on project parameters and methodologies required for a streamlined process. 5. Implement the FOUR SYSTEMS (see below) 6. Provide accurate and predictable cost modeling and design response. 7. Interact with utility companies, city agencies/ departments, and other governmental agencies to ensure regulatory compliance. B. Communicate regulatory and code requirements and interpretations. 9. Incorporate comments and receive sign -off prior to each stage of the contract. 10. Document and communicate thoroughly for an accurate record and understanding. 11. Close-out procedures In addition to the On -Call project goals and objectives listed above—augmented as needed based on individual project requirements—OLC implements the following FOUR SYSTEMS into all its projects. The criteria required to achieve each one are established at the beginning of the project. 1 . Understand the Projects (UP) OLC will provide the City of Sanford with Architectural Design Services. OLC will tailor our services based on the specific On -Call Project and it's unique requirements based on a careful understanding of what the project requires. A list of some of the On -Call services that OLC could provide follows. Overall Objectives for the A/E consultant: • Resource for technical expertise. • Ability to work on a wide variety of limited scope, short- term projects. • Ability to bring on other consulting engineers and disciplines (SMEP, Civil, Landscape, etc.) 2. Quality Control (QC) We start QC from the beginning of the project, not just at the end of a phase. The goal is to minimize impact on cost, schedule, but to also improve the design. Major steps: • Establish QC Criteria early and compare to current status. Bi -weekly QC status update and report on QC milestones. • Perform QC on all documents before submitting them. • Transparent communication and project updates. • Establish a review and response period at the end of each phase. • Be open to criticism and to new ideas, but research thoroughly. 3. Cost Management (CM) Not only is staying on budget our mantra, we truly believe in maximizing value for each dollar spent. Major steps: • Create an efficient plan that will maximize the programming capability within the least amount of square footage — smaller size equals smaller cost. • Implement durable and cost effective materials for long term ease of maintenance. • Conduct the majority of needed value engineering in the early design phase when it is most effective. • Create a "soft line" package in collaboration with the City to serve as an outline design development record and for the construction documents. • Implement OLC's rigorous quality control to minimize potential change orders. • Carefully evaluate change order request throughout construction administration for viability and propose alternate "no cost" solutions. 4. Schedule Management (SM) From project kick-off through construction administration, OLC will lead the process in an effective and proactive way to assure the schedule is met. Major steps: • Listen to and understand project time requirements. • Publish master schedule to all stakeholders. • Accountability on schedule items, but allow for flexibility when all parties agree. • Quickly document decisions (words and drawings) and ask for confirmation. • Establish and update internal schedule and track with GC's schedule. • Utilize BIM 3D modeling early to establish phasing requirements. • Answer bid questions in a timely manner. • Proactive response to GC questions. Rapid turnaround of RFI's and submittals. B - Adequacy of Resources OLC has 34 employees across 4 offices and three countries. We pull from all resources for on-call contract assignments. However, Maged Elsheikh, Sam Elsheikh and Brenda Amsberry will be your core team throughout the contract. You will always have the same main point of contact. C - Specific Services/Tasks Example of Services that may be required: • Building Analysis • New building • Remodel buildings • Tenant finish • Estimating services • Construction Project oversight Examples of OLC On -Call Services: • As -built documentation of existing facilities • Regulatory & Building code analysis and compliance • ADA compliance: audits, report, and implementation • New, remodel or alteration projects • Exterior and interior upgrades • Investigation, analysis, design recommendations of • Building envelope • Water infiltration, roof and site drainage • Structural conditions or failures • Other building failures or unknown conditions • Construction cost estimating (budgeting or detailed) • Aquatic and pool (analysis and design) • Athletic and recreation (analysis and design) D - Typical Response Time/Schedule OLC has 34 employees across 4 offices and three countries. We pull from all resources for on call contract assignments. E - Innovative Concepts By now almost all architects in the commercial design arena incorporate Building Information Modeling (BIM) to produce virtual models of their designs. The next leap forward in the building design industry is to VIRTUALLY step into that model and experience the spaces, flow and examine any hidden conflicts as if the building is already built. That is where the emerging application of Virtual Reality (VR) shines. Designing within virtual reality is the next step in the Architecture profession, with the advancement of technology it allows architects to fundamentally rethink how we create spaces and places. Virtual reality allows architects and their clients to step DIGITALLY directly into the project and intuitively build spaces around them in real-world scale. Once the BIM Model is built; the Project could be instantaneously published to a VR App. Any team member with a modern smart phone and a VR headset can view and experience the design, while others can view what the presenter sees on the screen. This not only facilitates much faster Design and approval, but it is also very handy when you stick your head above the virtual ceiling and start looking and resolving these costly mis-coordinated situations where ducts run through beams. Additionally, the BIM model can be linked in real-time to a VR program with all updated DESIGN WORK instantaneously appearing on the VR. THIS ALLOWS team members anywhere, either in the room or the comfort of their offices through virtual meeting tools, TO observe the changes on the screen. VR is a great tool in evaluating different design options or the feel of the spaces with different colors/ materials or even replacing a window with a larger one. OLC is on the cutting edge of using VR for architecture design and anticipate increased adaptation of this technology not only as a design tool, but also as a communication tool, a marketing tool, a fundraising tool, and a quality control tool. We will be happy to provide VR as an additional service as the budget allows. Requested items A -K follow this tab. A - Insurance Certificates B - Conflict of Interest (Attachment C) C - Non-Collusion/Lobbying Certification (Attachment D) D - Drug Free Workplace Certification (Attachment E) E - Acceptance of RFQ Terms and Conditions (Attachment F) F - Addenda Acknowledgment (Attachment G) G - Corporate Standing and Authorized Signatories (Attachment H and Cert of Good Standing) H - Local Business Tax Receipt I - Proof of Licenses/Certification J - W-9 Form K - GSA SF330 Part 11 1, . ® A� �CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED 12/1/2017 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(ies) 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). PRODUCERONTACT NAME: Austin Nikel Taggart and Associates, Inc ._ (A//cC.No,_Ext): (303)442-1484 (A/C, No): (303)442-8822 1680 38th Street, Suite 110 E-MAIL anikel@taggartinsurance.com ADDRESS: P. 0. BOX 147 INSURER(S) AFFORDING COVERAGE NAIC # Boulder CO 80306 INSURERA:Sentinel Insurance Co., Ltd 11000 INSURED INSURER B:Hart ford Ins. Co. of the Midwest 37478 Ohlson Lavoie Corporation INSURER C:Evans ton Insurance Company _ 35378 616 E Speer Blvd INSURER D: GENERAL AGGREGATE.._ S INSURER E: _ Denver CO 80203 1 INSURER F: /+Al/C�A/+CC (`CQTICII"ATC AIi IAAQ GQ• -1 "/- 1 }I M..rG FIM1/1\II IAL mi lmmi w - 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. EXP INSR TYPE OF INSURANCE ADDL SUBR. POLICY NUMBER MM/DDY/YYYY MM DDEFF -PLICYYYYY LTR LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 11000,000 �. DAMAGE TO RENTED 1,000,000 A CLAIMS -MADE X OCCUR : PREMISES .(Ea occurrence) S 34SEAPQ9046 10/31/2017 10/31/2018',. MED EXP (Any one person) '.. S 10,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE.._ S 2,000,000 PRO- X POLICY JECT LOC PRODUCTS - COMP/OP AGG 2,000,000S OTHER: Non -owned S 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident)__ 1,000,000 ANY AUTO BODILY INJURY (Per person) S A _ _ _...._ _._.. ALL OWNED '. SCHEDULED 34SBAPQ9046 ' 10/31/2017'. 10/31/2018 BODILY INJURY (Per accident) $ AUTOS AUTOS —.NON --OWNED - X X PROPERTY DAMAGE S HIRED AUTOS ! AUTOS :. (Per accident).. X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S _ 51000,000 A EXCESS. UAB _. CLAIMS -MADE". AGGREGATE. S _ 5,000,000 DED RETENTIONS 10,000 34SBAPQ9046 '10/31/2017.10/31/2018 S WORKERS COMPENSATION X PER TH- STATUTE ER AND EMPLOYERS' LIABILITY YIN __ ANY PROPRIETOR/PARTNER/EXECUTIVE E. L. EACH ACCIDENT S 11000,000 OFFICER/MEMBER EXCLUDED? NIA. B (Mandatory in NH) 34WECBR6724 6/1/2017 6/1/2018 - E.L. DISEASE - EA EMPLOYEE S 1,000,000 If Yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000, 000 ,EACH WRONGFUL ACT $5,000,000 C 'ERRORS & OMISSIONS ''. IMKLV7PL0002890 11/1/2017 11/1/2018 (DEDUCTIBLE $50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) For Information Purposes Only 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 3ustin Nikel/BEH - — © 1988-2014 ACORD CORPORA KION. All rignts reservea ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) Attnrhmpnt "R" 1ncnranrP RPmtirPments II City of Sanford I Finance Department I Purchasing Solicitation pp��j7 ��-'r1 �y^^ ^gp'.,'�yD Division 300 N. Park Avenue Suite 243 2`11 Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 Fax: 407-688-5021 Xurnber: i � ��5 -33 CONSULTANTS COMPETITIVE NEGOTIATION .ACT (CCNA) Term Contract »luly 31, 2(Dl TITLE: PROF'ESSIONA.L, CONSULTING SERVICES Attnrhmpnt "R" 1ncnranrP RPmtirPments II Contract Exceeds Contract does not Exceed Contract does not Excee COVERAGE REQUIRED $500,000, 180 days and $500,000, 180 days and $25,000, 30 days and no unusual hazards exist no unusual hazards exist unusual hazards exist Workers' Compensation Employers Liability Employers Liability Employers Liability $1,000,000.00 $500,000.00 $500,000.00 *Certificates of'exemption are 1701 Each Accident Each Accident Each Accident acceptable in lieu of workers $1,000,000.00 $500,000.00 $500,000.00 compensation insurance Disease Disease Disease $1,000,000.00 $500,000.00 $500,000.00 Commercial General Liability shall include- Bodily Injured Liability $3,000,000.00 Per $1,000,000.00 Per $500,000.00 Per and Advertising Injuring Liability Occurrence Occurrence Occurrence Coverages shall include: Premises/ Operations; Products/Completed $3,000,000.00 General $1,000,000.00 General $500,000.00 General Operations; Contractual Liability; Aggregate Aggregate Aggregate Independent Contractors, Explosion; Collapse; Underground. When required by the City, coverage must be provided for Sexual HarC7sslnent, Abuse and Alolestati ori. Comprehensive Auto Liability, $ 1,000,000 Combined $ 1,000,000 Combined $ 500,000 Per Occurrence CSL, shall include "any auto" or Single Limit Single Limit shall include all of the following: $ 1,000,000 General $ 500,000 General owned, leased, hired, 17077 -owned $ 1,000,000 General Aggregate Aggregate autos, and scheduled autos. Aggregate 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 include theft, sinkholes, off site 100% of completed 100% of completed 1.00% of completed storage, transit, installation and value of additions value of additions value of additions equipment breakdown. Permission and structure and structure and structure 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: Garage Keepers (tiMen required) No per vehicle No per vehicle maximum No per vehicle maximum maximum preferred preferred preferred $3,000,000 Combined $1,000,000 Combined $500,000 Combined Garage Liability (ivhen required) Single Limit Single Limit Single Limit $3,000,000 General $1,000,000 General $500,000 General Aggreg Aggregate Aggregate 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 a� 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. i. 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 39 City of Sanford I Finance Department I Purchasing Solicitation Invision "Number: , rSANFORD 300 N. Park Avenue Suite 243 2"`' Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 I IF'Q 17/18-33 _ _ CONSULTANTS COMPETITIVE � Due bate: NEGOTIATION ACT (CCNA) .July 31, 2018 Term Contract TITLE: PROFESSIONAL CONSULTING 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 a� 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. i. 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 39 Sanford, Risk Manager. 1. Address of "Certificate Holder" is City of Sanford; P 0 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. AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT CEO Title STATE OF COUNTY OF The foregoing instrument was executed before me this1(a day of "i 201;, by Robert McDonald as CEO of Ohlson Lavoie Corporation 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 as identification. JODI DENISE ROSS Notary Public State of Colorado NOTARY PUBLIC, State of (stamp) Notary ID # 20164048343 My Commission Ex ires 12.222020 The City reserves the unilateral right to modify the insurance requirements set forth at am tune 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 submittal`s 40 City of Sanford I Finance (Department I Purchasing Solicitation SANFORD (Division 300 N. Park Avenue Suite 243 2nd Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 N Iumber: RFQ 17/18- 3 CONSULTANTS COMPETITIVE NEGOTIATION ACT (CCNA) (Due late: July 311, 2018 Term Contract TITLE: PROFESSIONAL CONSULTING SERVICES Sanford, Risk Manager. 1. Address of "Certificate Holder" is City of Sanford; P 0 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. AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT CEO Title STATE OF COUNTY OF The foregoing instrument was executed before me this1(a day of "i 201;, by Robert McDonald as CEO of Ohlson Lavoie Corporation 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 as identification. JODI DENISE ROSS Notary Public State of Colorado NOTARY PUBLIC, State of (stamp) Notary ID # 20164048343 My Commission Ex ires 12.222020 The City reserves the unilateral right to modify the insurance requirements set forth at am tune 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 submittal`s 40 Attachment "C" Conflict of Interest Statement A. I am the CEO of Olnlson Lavoie Corporation with a local office in [Insert Title] [insert Company Name] Orlando, Florida and principal office in Denver. Colorado B. The entity hereby submits a proposal/offer to RFQ 17/18-33, titled Professional Consulting Services- CCNA. 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/Department/Office. 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(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "C", Conflict of Interest Statement, is truthful and correct at the time of submission. r. AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT TiitEtlle STATE OF tom. G,:J COUNTY OF The foregoing instrument was executed before me this C day of ..i i..,. (--<- 20 C 6 , by Robert McDonald as CEO of Ohlson Lavoie Corporation 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 as identification. JODi DENISE ROSS ... Notary Publla State of Colorado NOi 'VARY PUBLIC State of t Notary ID # 20164048343 (stamp) M Commission Expires 12-22-202D EASE COMPLETE AND SUBMIT WITH YOUR RFC RESPONSE 13"Failure to submit this form may be grounds for disqualification of your submittal-'1�1 41 City of Sanford I Finance Department I Purchasing Soliitaiiol SANFORD Divisiont 300 N. Park Avenue Suite 243 2" d Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 tuber» RFQ 17/18-3311 CONSiJLTANTS COMPETITIVE NEGOTIATION ACT (CCNA) 'Perm Contract Due 'Date:. Aptly 3,1, 2018 TITLE: PROFESSIONAL CONSULTING SERVICES Attachment "C" Conflict of Interest Statement A. I am the CEO of Olnlson Lavoie Corporation with a local office in [Insert Title] [insert Company Name] Orlando, Florida and principal office in Denver. Colorado B. The entity hereby submits a proposal/offer to RFQ 17/18-33, titled Professional Consulting Services- CCNA. 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/Department/Office. 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(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "C", Conflict of Interest Statement, is truthful and correct at the time of submission. r. AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT TiitEtlle STATE OF tom. G,:J COUNTY OF The foregoing instrument was executed before me this C day of ..i i..,. (--<- 20 C 6 , by Robert McDonald as CEO of Ohlson Lavoie Corporation 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 as identification. JODi DENISE ROSS ... Notary Publla State of Colorado NOi 'VARY PUBLIC State of t Notary ID # 20164048343 (stamp) M Commission Expires 12-22-202D EASE COMPLETE AND SUBMIT WITH YOUR RFC RESPONSE 13"Failure to submit this form may be grounds for disqualification of your submittal-'1�1 41 Attachment "D" Non-Collusion/Lobbying Certification A. This sworn statement is submitted with Proposal, ITN. or Contract Number RFQ 17/18-33, titled Professional Consulting Services- CCNA. B. This sworn statement is submitted by Ohlson Lavoie Corporation whose business address is [Name of entity submitting, sworn statement] 2295 S. Hiawassee Road, Suite 310, Orlando, Florida 32835 and (if applicable') it's Federal Employer Identification Number (FEIN) is 254 -VO /4.) i Number of the individual signing this sworn statement: C. My name is Robert McDonald [Please print name of individual signing.] (If the entity has no FEIN, include the Social Security and my relationship to the above is CEO D. NON -COLLUSION PROVISION CERTIFICATION. The undersigned hereby certifies, to the best of his or her knowledge and belief, that on behalf of the person, firm, association, or corporation submitting the bid certifying that such person, firm, association, or corporation has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action, in restraint of free competitive bidding in connection with the submitted bid. Failure to submit the executed statement as part of the bidding documents will make the bid nonresponsive and not eligible for award consideration. E. LOBBYING CERTIFICATION. The undersigned hereby certifies, to the best of his or her knowledge and belief, that: 1. No City appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence either directly or indirectly an officer or employee of the City, City Council Member of Congress in connection with the awarding of any City Contract. 2. If any funds other than City appropriated funds have been paid or will be paid to any person for influencing or attempting to influence a member of City Council or an officer or employee of the City in connection with this contract, the undersigned shall complete and submit Standard Form -L "Disclosure Form to Report Lobbying', in accordance with its instructions. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "D", Non-Collusion/Lobbying Certification, is truthful and correct at the time of submission. a AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT CEO Title STATE OF COUNTY OF The foregoing instrument was executed before me this =QI,,, day of (..%... 20 4 by Robert McDonald as CEO of Ohlson Lavoie Corporations) 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 I Pzuittcr ntification. J0Q Notary Pubile State of Colorado )�C�.. Notary ID # 20164048343 ARY PUBLIC, State of (�. ,.t (stamp) My Commission Expires 92-22-2020 FUEA,!1E COME= UBMIT WITH YOUR RFQ RESPONSE 170" Failure to submit this form may be grounds for disqualification of your submittal'' 42 City of Sanford I Finance Department I Purchasing Solicitatitri SANFORD Division 300 N. Park Avenue Suite 243 2""' Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 (uabe: RF 1711 - ; , -1-CONSULTANTS COMP°E'TI'TIVE NEGOTIATION ACT(CCVA) Term Contract July 8 ly 31g ue Date:'' ,� 1)1 'T'I'TLE: PROFESSIONAL CONSULTING SERVICES Attachment "D" Non-Collusion/Lobbying Certification A. This sworn statement is submitted with Proposal, ITN. or Contract Number RFQ 17/18-33, titled Professional Consulting Services- CCNA. B. This sworn statement is submitted by Ohlson Lavoie Corporation whose business address is [Name of entity submitting, sworn statement] 2295 S. Hiawassee Road, Suite 310, Orlando, Florida 32835 and (if applicable') it's Federal Employer Identification Number (FEIN) is 254 -VO /4.) i Number of the individual signing this sworn statement: C. My name is Robert McDonald [Please print name of individual signing.] (If the entity has no FEIN, include the Social Security and my relationship to the above is CEO D. NON -COLLUSION PROVISION CERTIFICATION. The undersigned hereby certifies, to the best of his or her knowledge and belief, that on behalf of the person, firm, association, or corporation submitting the bid certifying that such person, firm, association, or corporation has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action, in restraint of free competitive bidding in connection with the submitted bid. Failure to submit the executed statement as part of the bidding documents will make the bid nonresponsive and not eligible for award consideration. E. LOBBYING CERTIFICATION. The undersigned hereby certifies, to the best of his or her knowledge and belief, that: 1. No City appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence either directly or indirectly an officer or employee of the City, City Council Member of Congress in connection with the awarding of any City Contract. 2. If any funds other than City appropriated funds have been paid or will be paid to any person for influencing or attempting to influence a member of City Council or an officer or employee of the City in connection with this contract, the undersigned shall complete and submit Standard Form -L "Disclosure Form to Report Lobbying', in accordance with its instructions. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "D", Non-Collusion/Lobbying Certification, is truthful and correct at the time of submission. a AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT CEO Title STATE OF COUNTY OF The foregoing instrument was executed before me this =QI,,, day of (..%... 20 4 by Robert McDonald as CEO of Ohlson Lavoie Corporations) 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 I Pzuittcr ntification. J0Q Notary Pubile State of Colorado )�C�.. Notary ID # 20164048343 ARY PUBLIC, State of (�. ,.t (stamp) My Commission Expires 92-22-2020 FUEA,!1E COME= UBMIT WITH YOUR RFQ RESPONSE 170" Failure to submit this form may be grounds for disqualification of your submittal'' 42 Attachment "E" Drug -Free Workplace Certification When applicable, the drus free certification form below must be signed and returned with the RFQ 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 for 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 nolo 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 signatures) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment E", Dru4 a -Free Workplace Certification, is truthful and correct at the time of submission. AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT CEO Title STATE OF �� C.,i i,,1 G! COUNTY OF-c.,..�a��s�..r'� The foregoing instrument was executed before me this day of t , ,(, F 20 V by Robert McDonald as CEO of Ohlson Lavoie Corporation who personally swore or to this document and thereby bind the Corporation, and who is personally known to me OR h aao_ �as id ntifcation. f Colorado 20164048343 Sx 6iree 12.22-2020 1(IOTARY PUBLIC, State of( r;,5(stamp) PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE — (if applicable) 43 City of Sanford I Finance Department I Purchasing 4olictation Division I"tltrtlaer» �p SAN.T0, RD 300 N. Park Avenue Suite 243 2"" Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 Fax: 407-688-5021 � Q � ✓/I - � CONSULTANTS COMPETITIVE NEGOTIATION ACT (CCNA) Term Contract Diie late: Duly 31,201 TITLE: PROFESSIONAL CONSULTING SERVICES Attachment "E" Drug -Free Workplace Certification When applicable, the drus free certification form below must be signed and returned with the RFQ 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 for 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 nolo 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 signatures) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment E", Dru4 a -Free Workplace Certification, is truthful and correct at the time of submission. AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT CEO Title STATE OF �� C.,i i,,1 G! COUNTY OF-c.,..�a��s�..r'� The foregoing instrument was executed before me this day of t , ,(, F 20 V by Robert McDonald as CEO of Ohlson Lavoie Corporation who personally swore or to this document and thereby bind the Corporation, and who is personally known to me OR h aao_ �as id ntifcation. f Colorado 20164048343 Sx 6iree 12.22-2020 1(IOTARY PUBLIC, State of( r;,5(stamp) PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE — (if applicable) 43 Attachment "F" Acceptance of Proposal Terms and Conditions 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 RFQ document and do hereby agree that if a contract is offered or negotiated it will abide by the terms and conditions presented in the RFQ document or as negotiated pursuant thereto. The signatures) below in Attachment "F" Acceptance of Proposal Terms and Conditions are an acknowledgment of my/our full understanding and acceptance of all the terms and conditions set forth in this RFQ document or as otherwise agreed to between the parties in writing. Proposer/Contractor Name: Ohlson Lavoie Corporation Mailing Address: 2295 S. Hiawassee Road, Suite 310, Orlando, Florida 32935 Telephone Number: 407.992.0470 Fax Number: 407.992.0474 Authorized Signatory CEO Title STATE OF,C'..l,/` COUNTY OF Vic. ,,.. •, M _>.w. Robert McDonald Printed Name Date E-mail Address: i'mcdonald(r"7i�,oicdesigns.com FEIN: 84-0674977 The foregoing instrument was executed before me this ( day of C_.._) UV�'L_ . 20W , by Robert McDonald as CEO of Ohlson Lavoie Corporatidh 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 as identification. JODI DENISE ROSS Notary Public State of Colorado NgIARY PUBLIC, State of -=--- (stamp) Notary ID 9# 20164048343 My Commission Expires 12-22-2020 PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE Failure to submit this form may be grounds for disqualification of your submittal`F11 0 City of Sanford I Finance Department I Purchasing Solliclifationt SANFORD Division 300 N. Park Avenue Suite 243 2`1 Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 1 Far: 407-688-5021 Number F 1 7/18-33 CONSULTANTS COMPETITIVE NEGOTIATION ACT (CCNA) Term Contract Due Date - ,Icily 31, 201 TITLE: PROFESSI®NAL CONSULTING SERVICES Attachment "F" Acceptance of Proposal Terms and Conditions 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 RFQ document and do hereby agree that if a contract is offered or negotiated it will abide by the terms and conditions presented in the RFQ document or as negotiated pursuant thereto. The signatures) below in Attachment "F" Acceptance of Proposal Terms and Conditions are an acknowledgment of my/our full understanding and acceptance of all the terms and conditions set forth in this RFQ document or as otherwise agreed to between the parties in writing. Proposer/Contractor Name: Ohlson Lavoie Corporation Mailing Address: 2295 S. Hiawassee Road, Suite 310, Orlando, Florida 32935 Telephone Number: 407.992.0470 Fax Number: 407.992.0474 Authorized Signatory CEO Title STATE OF,C'..l,/` COUNTY OF Vic. ,,.. •, M _>.w. Robert McDonald Printed Name Date E-mail Address: i'mcdonald(r"7i�,oicdesigns.com FEIN: 84-0674977 The foregoing instrument was executed before me this ( day of C_.._) UV�'L_ . 20W , by Robert McDonald as CEO of Ohlson Lavoie Corporatidh 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 as identification. JODI DENISE ROSS Notary Public State of Colorado NgIARY PUBLIC, State of -=--- (stamp) Notary ID 9# 20164048343 My Commission Expires 12-22-2020 PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE Failure to submit this form may be grounds for disqualification of your submittal`F11 0 Attachment "G" Addendum Receipt Acknowledgement Certification The undersigned acknowledges receipt of the following addenda to the solicitation document(s) (Give number and date of each): Addendum No. I City of Sanford I Finance Department I Purchasing Solicitation „SANFORD Division 300 N. Park Avenue Suite 243 2°`1 Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 Fax: 407-688-5021 ,Number: l+°FQ I i/1 -;33 CONSULTANTS COMPETITIVE NEGOTIATION ACT (CCNA) Term Contract 1p g®ue Date: ,.R1�yF 1, ddyyyyL�f & _. TITLE: PROFESSIONAL CONSULTING SERVICES Attachment "G" Addendum Receipt Acknowledgement Certification The undersigned acknowledges receipt of the following addenda to the solicitation document(s) (Give number and date of each): Addendum No. I Dated: July 5, 2018 Addendum No. 2 Dated: July 11, 2018 Addendum No. 3 Dated: July 20, 2018 Addendum No. Dated: Addendum No. Dated: By the signature(s) below, 1/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. Proposer/Contractor Name: Ohlson Lavoie Corporation Mailing Address: 2295 S. Hiawassee Road, Suite 310, Orlando, Florida 32835 Telephone Number: 407.992.0470 Fax Number: 407.992.0474 E-mail Address: rmcdonald@olcdesigns.com Robert McDonald Authorized Signatory Printed Name CEO Title bate FEIN: 84-0674977 PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE `Failure to submit this form may be grounds for disqualification of your submittal' 45 i FINANCE DEPARTMENT DATE: June 5. 2018 TO: All Bidders/Proposers City of Sanford I Finance Department Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-50211 Email: IFB 17/18-33 PROFESSIONAL CONSULTING SERVICES (CCN FROM: MarisolOrdonez City of Sanford Purchasing Division SUBJECT: IFB 17/18-33 Professional Consulting Services- (CCNA) ( ADDENDUM #1 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: Q1. Would you be hiring architect as a prime consultant to manage all disciplines or is the City going to hire each discipline separately? Al. The City reserves the right to hire approved CCNA vendors for different task associated with the same project. Q2. Is there a pre -proposal meeting associated with the above referenced RFQ? A2. No. Q3. Section 1.04 Minimum Requirements States that the City is seeking to establish and or update Master Contracts for the acquisition of Professional Consulting Services. If a consultant currently has an existing continuing contract with the City of Sanford will that consultant be required to submit a proposal to have the Master Contract updated? A3. No. Q4. On page 7 of RFQ 17/18-33, it states that we have to be certified by the City first as a qualified pursuant". How do we become pre -certified? A4. Please read Section 2, sub section (b) number 6 read the following (a) and (b) will define qualified vendors. Q5. For the RFQ 17/18-33 Professional Consulting Services, should proposers' responses follow the order as outlined on page 9 (Section 2, D. Submission Deliverables, 1) or as outlined beginning on page 16 (Section 5, 5.02 through 5.07)? A5. Please follow page 16 Section S. Page 9 Section 2, D. Submission Deliverables Sub Section 1, FINANCE DEPARTMENT City of Sanford I Finance Department Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-5021 Email: IFB 17/18-33 PROFESSIONAL CONSULTING SERVICES (CCNA ADDENDUM #1 A through F included in Tab A, Firms Qualifications and Experience; and G through L include in Tab "F" Additional Information. 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. Acknowledgment is hereby made of Addendum #1 to IFB 17/18-33 Professional Consulting Services- (CCNA) Ohlson Lavoie Collaborative Name of Firm/Company 2295 S. Hiawassee Road, Suite 310 Street Address 407.992.0470 Telephone Number Maged Elsheikh Authorized Person Printed Name 1-911— Authorized Person Signature 2 melsheikh@olcdesigns.com Contact Email Orlando, Florida 32835 City, State, Zip Code 407.992.0474 Fax Number Senior Principal Authorized Person Title July 27, 2018 Date of Signature FINANCE DEPARTMENT DATE: June 11 2018 TO: All Bidders/Proposers City of Sanford ( Finance Department Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-50211 Email: RFQ 17/18-33 PROFESSIONAL CONSULTING SERVICES (CCN) FROM: MarisolOrdonez City of Sanford Purchasing Division SUBJECT: RFQ 17/18-33 Professional Consulting Services- (CCNA) I ADDENDUM #2 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: Q1. How can we submit for multiple disciplines? Does the City wish to see separate proposal for each discipline or may we combine into one? Al. Combine into one. Q2. There seems to be a typo on the page count of the overall proposal and certain tabs. May you confirm how many pages each section is to contain/how many pages the overall proposal is to be? A2. Overall 50 pages. Q3. Are we to sign and submit Attachment F? A3. Yes. Attachment F has been revised for your use, must be executed and submitted with the proposal. Q4. On page 7 of RFQ 17/18-33, it states that we have to be certified by the City first as a qualified pursuant". How do we become pre -certified? A4. Please read Section 2, sub section (b) number 6 read the following (a) and (b) will define qualified vendors, also based on the committee's evaluation of proposals. Q5. Can you define soil for me? And if we qualify more than service do we have to submit a proposal for each services? A5. Soil Testing, Geologists, Laboratory, Engineering Services etc. If you have more than one field please include in the proposal where it's required on Section 5 of the proposal. Q6. Would the City of Sanford be able to provide the list of firms who currently have a Master Contract for architectural, engineering and surveying and mapping services? A6. A list of contractors will be provided separately. 1 FINANCE DEPARTMENT City of Sanford I Finance Department Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-50211 Email: RFQ 17/18-33 PROFESSIONAL CONSULTING SERVICES (CCNA Q7. Are there pre -certification forms that I need to complete prior to submitting our response, or do I just submit our qualifications for the project? If there are precert forms, can you direct me to them? I'm not finding them on your website. AT No additional documents to process for pre -certification. The committee will evaluate each proposal based on the qualifications. II. CLARIFICATIONS: a. This proposal is a Request for Qualification RFQ 17/18-33 please note Addendum #1 was posted as an IFB 17/18-33 correction is RFQ 17/18-33 Professional Consulting Services- CCNA. b. Attachment "F" has been revised please complete and process with the proposal. c. The evaluation scoring system Section 5.06 Fee Schedule Tab "E" has been revised to read as Additional Information. d. GSA Form SF -330 has been broken down in sections, please follow Section 5 for instructions. 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. Acknowledgment is hereby made of Addendum #2 to RFQ 17/18-33 Professional Consulting Services- (CCNA) Ohlson Lavoie Collaborative Name of Firm/Company 2295 S. Hiawassee Road, Suite 310 Street Address 407.992.0470 Telephone Number Maged Elsheikh Authorized Person Printed Name Authorized Person Signature 2 melsheikh@olcdesigns.com Contact Email Orlando, Florida 32835 City, State, Zip Code 407.992.0474 Fax Number Senior Principal Authorized Person Title July 27, 2018 Date of Signature City of Sanford I Finance Department Purchasing Division MY OF 300 N. Park Avenue Suite 236, Sanford, Florida 32771 ADDENDUM ANFCXRD Phone: 407-688-5028 or 50301 1,ax: 407-688-5021 1 Email: ILIJL01�1-1111-a —y"'For d #3 f MANCE DEPARTMENT RFQ 17/18-33 PROFESSIONAL CONSULTING SERN710ES (CCNA) DATE: Julv 20. 2018 TO: All Bidders/Proposers FROM: Marlsol Ordoflez City of Sanford Purchasing Division SUBJECT: RFQ 17/18-33 Professional Consulting Services- (CCNA) I ADDENDUM #3 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. 1. QUESTIONS AND ANSWERS (Q&A) The City has received the following question(s) concerning the solicitation: Q1. Request for Clarification- is the letter of interest limited to 2 pages (5.02A) or 3 pages (2.01 D.1. a)? Al. 2 pages per section 5.02A only. C, Q2. Request for Clarification- Are the total number of pages limited to 50 pages (3.07) or 30 pages (5.02A)? A2. This answer was posted on Addendum #2, 50 page count is not including the attachments or the letter of interest. Q3. Request for Clarification- is the standard tbrin 330 to be included as attachment, or should the entire response be formatted as an SF330? If it is to be included as an attachment, will it be included in the page Count. C, A3. SF 330 is part of the 50 page count read Section 5 for instructions. Z=1 Q4. Can you please share who is on the selection committee? A4. No, the City has not selected the committee members. Q5. Are the SF330 forms included in the 50 page count limit? A5. Yes. Q6. Can the SF330 Part E forms be used for 5.02 Experience of Key Personnel? A6. Yes. Included in Tab "A" (read addendum #1 question #5). Q7. Are the required florins- Tab D included in the 50 page count limit? AT No. The attachinents are not pail of the 50 page count. 0 cify OF SA.NF(,,.')RD MAN( E DEPARTMENT City of Sanford I Finance Department Purchasing Division 300 N. Park Amme Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-5021 1 Email: li,!Illl anti 9 1f,11111,11 11:1 QS. Could you please share who are the incumbents with current contract with the City 1'or these services? AS. See addendum #2 a master contract list has been provided. Q9. Are submitters encouraged to also include specialty sub -consultants services to their tear for the z:1 submittals, or would those services be provided Under separate City contracts on a project specific basis? A9. Attachment 11K" Proposed Schedule of Subcontractor Participation, please execute and process will the proposal. Q 10. Section 2.01 A states that "It is noted there are a iminber oftlisciplines listed in which related services ivill not be needed or itse(I b * v Me Citta al a level iv1iic-h predicates the iiee(1.10'1' establishment of Master Contract. Therefore, since preparbig a response requires time (170 e/WVIfirns are ivelcome and encouraged to contact act the Pitichasimn Men ager of the City at 407.688.5028 for guidance or information re'(1,arcling alyVicabili(), oftheirfirm 's sii)eciah)(s) to the needs of the Cit)'. " Can the City please confirm whether a Master Contract will be needed or used Im- the following listed disciplines: storm -water, environmental, and solid waste? A10. Yes, please process your proposal if you are interested in providing the above services. QI 1. If applicable in consideration of the answer to the previous question, can the City provide budget z:1 iril'orniation and/or capital project plans for projects expected for the Storm -water, Environmental and Solid Waste categories? A.1 I Please click on the link to review the proposed budget for FY 2019 litti)://NVWW.Salifor(Ifl.,(-�o\//CIL,I)ai-tiiieiits/linaiice/bLid!,et-int'oi-iii,itioji/2019-bLl(l,(-rCt Q 13. Request for Clarification - Do the insurance certificate and business tax receipt go under Tab A (3.08A) or Tab D (5.05 A and H)? A 13. Per Section 3.08 states your current valid certificate Of insurance and local tax receipt should go under Tab A- The City Attachment "B" Insurance Requirement form should be place in Tab D per Section 5.05. Q14 Request for Clarification - Is the Standard Form 330 to be included as an attachment, or should the entire response be formatted as an SF330? If it is to be included as an attachment, will it be included in the page count'? A14. Yes, included in the page count. Read Section 5 fir instructions. Q15. 1 read addendum Q3 & A3; however, I'd like to verify if our contract does or does not require us to resubmit for this RFQ? A1.5. If you have an existing contract with the City you do not have to resubmit. However, if the contract has an expiration date and has not been renewed recommendations are to resubmit a proposal. Q 16. If we will be proposing for more than one service and the City wishes that we combine those l disciplines into one proposal, could the City outline how that proposal should be organized? Z_1� City of Sanford I Finance Department Purchasing Division Y OF 300N. Park Amitie Suite 236, Sanford, Florida 32771 ��, ��.7 �� ago �,;��ISI Phone: 407-688-5028 or 50301 Fax: 407-088-5021 1 Email: ADDENDUM C)''R rdi-in.A s.LIf o'd".,u)—\ #3 F"NVOICE DEPARTMENI RFQ 17/18-33 PROFESSIONAL CONSULTING SERVICES (CCNA) A 16. Please use Tab "F" Additional Information to add the additional disciplines. Q 17. Could you confirm that resumes and project description will only be required in SF -330 section I and nowhere else in the proposal? , A17. Yes, however, insert in Tab "A" per Section S. 11. CLARIFICATIONS: a. Attachment "K" (new attachment) Proposed Schedule of Subcontractors Participation has been provided, please review and executed and process with the proposal. b. Read Section 5 for special instructions on SF 330 form. 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 z:' Addendum with your submittal. Failure to comply may result in disqualification of your response. Acknowledgment is hereby made of Addendum #3 to RFQ 17/18-33 Professional Consulting Services- (CCNA) I ZD Ohlson Lavoie Collaborative Name of Firm/Company 2295 S. Hiawassee Road, Suite 310 Street Address 407.992.0470 Telephone Number Maged Elsheikh Authorized Pei -son Printed Name Authorized Person Signature I 3 nielshelkh 0(yolcdesi(yi1s.corn Contact Email Orlando, Florida 32835 City, State, Zip Code 407.992.0474 Fax Number Senior Principal Authorized Person Title July 27, 2018 Date of Signature City of Sanford I Finance Department Purchasing Division ANr CITY OF 300 N. Park Avenue Suite 236, Sanford, Florida 32771 ADDENDUM S,;04F(_J"RDPhone: 407-688-5028 or 5030 1 Fax: 407-688-5021 Email: w•chasin sanfordt7. ov #3 FINANCE DEPARTMENT RFQ 17/18-33 PROFESSIONAL CONSULTING SERVICES (CCNA) Attachment "K" PranncPrl Crherinle of Rnhrantrartnr Partirinatinn ❑ No Subcontracting (of any kind) will be utilized on this project. Solicitation Number: RFQ 17/18-33 Title: Professional Consulting Services (CCNA) Total Project Amount: $ 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 W TAGS Engineering Sanford, FL 32771, 407-463-9568 Tugee. AgsakLtagscngr.com Mechanical Electrical Plumbing (MEP) TFID Alers Engineering 1295Pirna Street Oviedo, FL 32765, 407-721-1146 Mechanical Electrical PERCENTAGE TOTALS FOR SUBCONTRACTOR PARTICIPATION PERCENTAGE TOTALS FOR MINORITY SUBCONTRACTOR PARTICIPATION When applicable, the Proposer, will enter into a formal agreement with the subcontractors identified herein for work listed in this schedule conditioned upon execution of a contract with the City. By the signature(s) below, Uwe, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "K", Proposed Schedule of Subcontractor Participation, is truthful and correct at the time of submission. Proposer/Contractor Name: nhlson r avoir Collaborative Mailing Address: 2295 S Hiawaecee Road, Suite _ 310 Orlando FI i?835 Telephone Number: 407-9m-0470 Fax Number: 407-992-0474 E-mail Address: ,nelslieikh(a QlcdesiLns com .,•�/ Maged Fleheikh FEIN: 840674977 Authorized Signatory Printed Name Senior Principal Title Date PLEASE COMPLETE AND SUBMIT WITH YOUR RFP RESPONSE IP'Failure to submit this form may be grounds for disqualification of your submittal"' 4 FINANCE DEPARTMENT DATE: July 26, 2018 TO: All Bidders/Proposers City of Sanford I Finance Department Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-5021 Email: RFQ 17/18-33 PROFESSIONAL CONSULTING SERVICES (CCNA FROM: MarisolOrdonez City of Sanford Purchasing Division SUBJECT: RFQ 17/18-33 Professional Consulting Services- (CCNA) I ADDENDUM #4 ADDENDUM #4 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 (O&A) The City has received the following question(s) concerning the solicitation: Q1. Disputes Disclosure Form- Section 00452, Florida Statutes on Public Entity Crimes Section 00435-3, Certificate of Non -Segregated Facilities Section 00450, Compliance with the Public Record Law Section 00438, Al. Please include the additional documents in Tab "D" with the attachments. Q2. Tab `D" F Addendum Receipt Form acknowledges receipt of all addenda. Should we also include copies of each Addenda signed. A2. Yes, each addendum must be included and executed as acknowledging addendums, include in Tab «D» Q3. Please provide Clarification: Per Section 5.02 D "Financial Information", an official letter from the proposer's financial institution detailing the financial status of the proposer is required. Is this letter to be obtained from the proposer's Bank? If so, what sort of information would qualify as "detailing the financial status"? A3. SF 330 is part of the 50 page count read Section S for instructions. A3. Yes, the financial letter from the institutional bank stating the vendor is in good standing order and/or no delinquent accounts etc., (see sample page three (3) below); • t µ City of Sanford I Finance Department Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-50211 Email: RFQ 17/18-33 PROFESSIONAL CONSULTING SERVICES (CCNA ADDENDUM #4 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. Acknowledgment is hereby made of Addendum #4 to REQ 17/18-33 Professional Consulting Services- (CCNA) Ohlson Lavoie Collaborative Name of Firm/Company 2295 S. Hiawassee Road, Suite 310, Orlando, FL 32835 Street Address 407.992.0470 Telephone Number Maged Elsheikh Authorized Person Printed Name Authorized Person Signature 2 melsheikh@olcdesigns.com Contact Email City, State, Zip Code 407.992.0474 Fax Number Senior Principal Authorized Person Title July 27, 2018 Date of Signature City of Sanford ( Finance Department Purchasing Division CITY OF 300 N. Park Avenue Suite 236, Sanford, Florida 32771 ADDENDUM SkNFORDPhone: 407-688-5028 or 5030 1 Fax: 407-688-50211 Email: lurchasin ra,sanfordfl. ov #4 FINANCE DEPARTMENT RFQ 17/18-33 PROFESSIONAL CONSULTING SERVICES (CCNA) Bank Date: Bank Reference Letter Format (Sample) To, State Administration of Industrial & Commerce, We are hereby confirm that (company name) is a valued customer of our bank. Our relations has been entirely satisfactory. We consider the client to be respectable. This information is given in strict confidence and without any responsibility, howsoever arising, on the part of the Bank or its officers. Yours faithfully, Print name of officer: Authorized Signature Bank The letter should be 1. In its original format 2. Singed by a responsible member of the bank 3. Bank letterhead 4. Name, address, fax and telephone number of the institutional bank Wording of bank reference letter must be mentioned things like: good standing, satisfactory, or respectable etcetera. Attachment "H" Organizational Information The proposer must include a copy of their State Certificate of Good Standing/Articles of Incorporation, which lists the corporate officers. In addition to the aforementioned documents the Bidder/Proposer 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 of a 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 'Solicitation �,, � SANFORD Division 300 N. Park Avenue Suite 243 201 Floor, Sanford Florida 32771FQ Phone: 407-688-5028, or 5030 Far: 407-688-5021 Number: 7/- CONSULTANTS COMPETITIVE NEGOTIATION ACT (CCNA) Term Contract � Due e IlDate: July 31,,2018 TITLE: PROFESSIONAL CONSULTING SERVICES Attachment "H" Organizational Information The proposer must include a copy of their State Certificate of Good Standing/Articles of Incorporation, which lists the corporate officers. In addition to the aforementioned documents the Bidder/Proposer 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 of a 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. Proposer/Contractor Name: Olnlson Lavoie Corporation Mailing Address: 2295 S. Hiawassee Road, Suite 310, Orlando, Florida 32835 Telephone Number: 407.992.0470 Fax Number: 407.992.0474 E-mail Address: rmedonald@olcdesigns.com �. Robert McDonald 84-0674977 FEIN: Authorized Signatory Printed Name CEO Title Date PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE 11i"Failure to submit this form may be grounds for disqualification of your submittal 46 TYPE OF ORGANIZATION (Please place a check mark (✓) next to app licable type) X Corporation Partnership Non -Profit Joint Venture Sole Proprietorship Other (Please specify) State of Incorporation Colorado Principal Place of Business (Enter Address) 1401 Zuni Street, Suite 102, Denver, CO 80204 Federal I.D. or Social Security Number 84-0674977 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. Proposer/Contractor Name: Olnlson Lavoie Corporation Mailing Address: 2295 S. Hiawassee Road, Suite 310, Orlando, Florida 32835 Telephone Number: 407.992.0470 Fax Number: 407.992.0474 E-mail Address: rmedonald@olcdesigns.com �. Robert McDonald 84-0674977 FEIN: Authorized Signatory Printed Name CEO Title Date PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE 11i"Failure to submit this form may be grounds for disqualification of your submittal 46 State of Florida Department of State I certify from the records of this office that OHLSON LAVOIE CORPORATION is a Colorado corporation authorized to transact business in the State of Florida, qualified on June 13, 2005. The document number of this corporation is F05000003577. I further certify that said corporation has paid all fees due this office through December 31, 2017, that its most recent annual report/uniform business report was filed on January 18, 2017, and that its status is active. I further certify that said corporation has not filed a Certificate of Withdrawal. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Twenty-fourth day of July, 2018 t Tracking Number: CU0265059660 To authenticate this certificate,visit the following site,enter this number, and then follow the instructions displayed. https://services.su n biz.org[Filings/CertificateOfstatus/CertificateAuthentication ' / c"'Onsent to Action to OhIson Lavoie Co oration Pursuant to t e Colorado Corporation Code, the undersigned officer(s) of OhIson Lavoie Corporation, as authorized by its Board of Directors at its annual meeting on February2nd and 3rd, 2018, take the following action effective January 1, 2018. 1RESOLVED: A. Robert McDonald is elected to the position of CEO of OhIson Lavoie Corporation. B. The CEO, whose correct signature sample is below, is authorized to act on behalf OhIson Lavoie Corporation and all its subsidiaries or dba entities for the purpose of executing any contract or authorizing any action onits behalf. C. This resolution isineffect until revoked byconsent ofthe Board ofDirectors. Signature Sample: Robert McDonald Hervey R. Lavoie Pre,5Went DateDan Potter, Vice President Date 02/05/18 Sam Elsheikh, Treasurer Date O2/05MO wr= UV40�- 02/05/18 Attachment "I" References Proposer shall submit as a part of the Proposal package, a minimum of five (5) of the most significant projects which were performed within the last three (3') years. Additional references may be provided as set forth below. Project #1 Project Name: Piedmont Wellness Center Type of Project/Service: Architect Address: Atlanta, Georgia Contracting Agency/Client: Piedmont Wellness Contact Name and Phone #: Jennifer Hopper, Director of Employee Wellness, 404.605.1969 Contact Email Address and Fax #: jennifer.hopper@piedmont.org Contract Amount: N/A Date Work Performed:2006 Project #2- Project Name: Colorado Golf Club Pool and Bath House Type of Project/Service: Architectural Design Services Address: Parker, Colorado Contracting Agency/Client: Colorado Golf Club Contact Name and Phone #: Leslie Buttorff Contact Email Address and Fax #: es ie_2a,ya ioo.com Contract Amount: $2.5 M Date Work Performed: - Pro'ect #3: Project Name: Widefield Community Recreation Center Feasibility Study Type of Project/Service: Feasibility Services Address: Fountain, Colorado Contracting Agency/Client: Widefield SchoolDistrict 3 Contact Name and Phone #: Ben Valdez, 719391.3515 Contact Email Address and Fax #: valdezb@wsd3.org Contract Amount: $24 M Date Work Performed: - U I Pro'ect #4• Project Name: Campbell County Recreation Center Type of Project/Service: Architectural, Feasibility and Aquatic Design Services Address: Gillette, Wyoming Contracting Agency/Client: Campbell County Park District Contact Name and Phone #: Rick Mansur, 307.682.7406 Contact Email Address and Fax #: rwm77@ccgov.net Contract Amount: $51.9 M Date Work Performed: 2006-2010 Project #5• Project Name: West River Community Center Type of Project/Service: Architect of Record Address: Dickinson, North Dakota Contracting Agency/Client: Dickinson Parks and Recreation Contact Name and Phone #: lames Kramer, 701.456.2074 Contact Email Address and Fax #: jkramer@dickinsonparks.org Contract Amount: $34.7 M Date Work Performed: 2004-2014 PLEASE -- PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE 'Failure to submit this form may be grounds for disqualification of your submittal`' 47 City of Sanford I Finance Department I Purchasing Solicitation Division 300 N. Park Avenue Suite 243 2"d Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 Fax: 407-688-5021 dumber: F 17/1 8-33 _ _ CONSULTANTS COMPETITIVE NEGOTIATION ACT (CC°�A) 'Perm Contract _ m Due Date': .l�,ly 1, rel TITLE: PROFESSIONAL CONSULTING SERVICES Attachment "I" References Proposer shall submit as a part of the Proposal package, a minimum of five (5) of the most significant projects which were performed within the last three (3') years. Additional references may be provided as set forth below. Project #1 Project Name: Piedmont Wellness Center Type of Project/Service: Architect Address: Atlanta, Georgia Contracting Agency/Client: Piedmont Wellness Contact Name and Phone #: Jennifer Hopper, Director of Employee Wellness, 404.605.1969 Contact Email Address and Fax #: jennifer.hopper@piedmont.org Contract Amount: N/A Date Work Performed:2006 Project #2- Project Name: Colorado Golf Club Pool and Bath House Type of Project/Service: Architectural Design Services Address: Parker, Colorado Contracting Agency/Client: Colorado Golf Club Contact Name and Phone #: Leslie Buttorff Contact Email Address and Fax #: es ie_2a,ya ioo.com Contract Amount: $2.5 M Date Work Performed: - Pro'ect #3: Project Name: Widefield Community Recreation Center Feasibility Study Type of Project/Service: Feasibility Services Address: Fountain, Colorado Contracting Agency/Client: Widefield SchoolDistrict 3 Contact Name and Phone #: Ben Valdez, 719391.3515 Contact Email Address and Fax #: valdezb@wsd3.org Contract Amount: $24 M Date Work Performed: - U I Pro'ect #4• Project Name: Campbell County Recreation Center Type of Project/Service: Architectural, Feasibility and Aquatic Design Services Address: Gillette, Wyoming Contracting Agency/Client: Campbell County Park District Contact Name and Phone #: Rick Mansur, 307.682.7406 Contact Email Address and Fax #: rwm77@ccgov.net Contract Amount: $51.9 M Date Work Performed: 2006-2010 Project #5• Project Name: West River Community Center Type of Project/Service: Architect of Record Address: Dickinson, North Dakota Contracting Agency/Client: Dickinson Parks and Recreation Contact Name and Phone #: lames Kramer, 701.456.2074 Contact Email Address and Fax #: jkramer@dickinsonparks.org Contract Amount: $34.7 M Date Work Performed: 2004-2014 PLEASE -- PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE 'Failure to submit this form may be grounds for disqualification of your submittal`' 47 STATE OF FLORIDA IT DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BOARD OF ARCHITECTURE & INTERIOR DESIGN (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 ELSHEIKH, SAMEH M 2295 S. HIAWASSEE RD, SUITE 310 ORLANDO FL 32835 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICK SCOTT, GOVERNOR AR92932 %%%/�✓/,/:%i//,%iai //iii STATE OF FL,QRIDA DEPARTNT OF BUSINESS AND PR OFE I y b�ULATION AR92932 `�,12/08/2016 ARCHITECT xid AG ��' �rord ELSHEIKH, SA9,Wf,, 111, IS LICENSED under the provisions of Ch. -181 FS. Fc cx�trar�o��ast� s2e rola ��zaopeau�, DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BOARD OF ARCHITECTURE & INTERIOR DESIGN The ARCHITECT Named below IS LICENSED Under the provisions of Chapter 481 FS Expiration date, FEB 28, 2019 ELSHEIKH, SAMEH M 2295 S. HIAWASSEE RE SUITE 310 ORLANDO �Pt ISSUED; 12/08/2016 DISPLAY AS REQUIRED BY LAW ------------ «" • L1612080000727 `^ [ STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BOARD OF ARCHITECTURE & INTERIOR DESIGN (850) 487-1395 WE 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 i OHLS0N LAVO|EC{}RPOR/T|ON | / OHLSONLAVO|ECOLLABORATIVE ` � 2295 SOUTH H|/AWA8GEEROAO SUITE 310 ` | ORLANDO FL32835 � Congratulations! With this license you ( ` ( ( become one of the nearly ' one million Floridians licensed by the Department of Business and Professional Regulation. "= professionals and ~~~^~~~~~'~^v~ ` �menmn��m uo ._- ._..-_----__` / restaurants, and they keep Florida's economy strong. Z P k &F I ION� Every d work hn thewedobm�neaa�order ( tnserve you better. For information about our services, please |oOo�oxwmw.m OoridaUoenee.com. There find more ( intormationabout our divisions and the regulations that impact you subscribe tndepartment newsletters and |aam more about V( the Department's initiatives.00 ( Our mission at thaDepartment i License Efficiently, Regulate ` Fairly. vvaconstantly strive toserve you better anthat you can ( sewn your customers. Thank you for doing business in Florida, - and congratulations onyour new license! (- ` DETACH HERE ( RICK SCOTT, GOVERNOR MAT|LDEMILLER, INTERIM SECRETARY ( STATE OF FLORIDA _ DEPARTMENT OF, BUSINESS AND,PRQFESSIONAL REGULATION BOARD OF AF�q,/ ThE�'ARCHITECT,CORPQR ION, AT ' [ ( ` L i ISSUED: 02/22/2017 DISPLAY AGREQUIRED BYLAW ScQ u702220001168 (_ WM9 Request for Taxpayer Give Form to the Form Identification Number and Certification requester. Do not (Rev. November 2017) of the Treasury send to the IRS. Internal Revenue Servment ice ► Go to wwwJrs.gov1FormW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Ohlson Lavoie Corporation 2 Business name/disregarded entity name, if different from above `') 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to ca following seven boxes. certain entities, not individuals; see CL instructions on page 3): p ❑ Individuallsole proprietor or ElC Corporation 2 S Corporation ❑ Partnership ElTrust/estate M single -member LLC Exempt payee code (d any) Z, v ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► o 2 Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting in 'C = 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 (if an y) CL another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. d ❑ Other (see instructions) ► (Applies to accounts m infaixd outside the U.S.) rn 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) n 1401 Zuni St., Ste 102 6 City, state, and ZIP code Denver CO 80204 7 List account numbers) here (optional) 13 Mg Taxpayer Identification Number (TIN) 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, fora resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For otherUIT nT _ ID _ entities. it is vour emolover identification number (EIN). If you do not have a number. see How to pet 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 guidelines on whose number to enter. �j—j j—(—I)— E7Cle(f7f0©�]FI�F] 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 (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 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. Certification 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 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 of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), 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 Part II, later. %jetil II of I , v 1 fn /- it December 1 2017 Here U.S. personn IN,,� i7f" Date ► r General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormIN9. 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 (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return 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 or 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-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-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 if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 11-2017) 1. SOLICITATION NUMBER (Ifany) ARCHITECT -ENGINEER QUALIFICATIONS RFQ 17/18-33 PART II - GENERAL QUALIFICATIONS (If a firm has branch offices. complete for each specific branch office seekina work.) 2a. FIRM (or Branch Office) NAME Ohlson Lavoie Collaborative (OLC) 3. YEAR ESTABLISHED 1961 p 1 4. UNIQUE ENTITY IDENTIFIER 07-576-9778 2b. STREET 2295 S. Hiawassee Road, Suite 310 5. OWNERSHIP a. TYPE Corporation 2c. CITY Orlando 2d. STATE FL p 12e. ZIP CODE 32835 b. SMALL BUSINESS STATUS N/A 6a. POINT OF CONTACT NAME AND TITLE Maged Elsheikh, Principal-in-Charge/Project Manager 7. NAME OF FIRM (If Block 2a is a Branch Office) jOhIson Lavoie Corporation 6b. TELEPHONE NUMBER 407.992.0470 6c. E-MAIL ADDRESS imelsheikh@olcdesigns.com 8a. FORMER FIRM NAME(S) (1fany) 8b. YEAR ESTABLISHED 8c. UNIQUE ENTITY IDENTIFIER D07 Dining, Clubs, Restaurants 2. $100,000 to less than $250,000 Other Employees 9. EMPLOYEES BY DISCIPLINE 10. PROFILE OF FIRM'S EXPERIENCE AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS a. Function Code b. Discipline • Number of Employees (1) FIRM (2) BRANCH a. Profile Code b. Experience c R lndex Number see below 02 Administrative 5 C11 Community Facilitiees En 06 Architect 11 2 D07 Dining, Clubs, Restaurants 2. $100,000 to less than $250,000 08 CADD Technician 4 H09 Hospital, Medical Wellness $10 million to less than $25 million 37 Interior Designer 2 1 105 1 Interior Design, Space Planning 5. $1 million to less than $2 million 48 Project Manager 1 1 R04 I Recreational Facilities The foregoing is a statement of facts. S12 I Swimmino Pools 3,3 Other Employees Total 23 1 2 11. ANNUAL AVERAGE PROFESSIONAL PROFESSIONAL SERVICES REVENUE INDEX NUMBER SERVICES REVENUES OF FIRM FOR LAST 3 YEARS 1. Less than $100,000 6. $2 million to less than $5 million (Insert revenue index number shown at right) 2. $100,000 to less than $250,000 7. $5 million to less than $10 million a. Federal Work on 3. $250,000 to less than $500,000 8. $10 million to less than $25 million b. Non -Federal Work 4. $500,000 to less than $1 million 9. $25 million to less than $50 million c. Total Work 5. $1 million to less than $2 million 10. $50 million or greater 12. AUTHORIZED REPRESENTATIVE The foregoing is a statement of facts. a. SIGNATURE b. DATE 107/27/2018 c. NAME AND TITLE Maged Elsheikh, Principal-in-Charge/Project Manager STANDARD FORM 330 (REV. 8/2016) PAGE 6 Section 00435-3 Florida Public Entity Crimes Statement SWORN STATEMENT LiNDER 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 RFQ 17/18-33, Consultants Competitive Negotiation Act (CCNA) Professional Consulting Services. B. This sworn statement is submitted by Ohlson Lavoie Corporation whose business address is [Name of entity submitting sworn statement] 2295 S. Hiawassee Road, Suite 310, Orlando, Florida 33835 and (if applicable) it's Federal Employer identification Number (FEIN) is ZS4-U6/4yi Number of the individual signing this sworn statement: C. My name is Robert McDonald [Please print name of individual signing] (If the entity has no FEIN, include the Social Security and my relationship to the above is CEO D. I understand that a "public entity crime" as defined in section 287.133(1)(8), 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 understand 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 after July 1, 1989, as a result of a jury verdict, non jury trial, or entry of a plea of guilty or nolo contenders. F. I understand that "affiliate" as defined in section 287.133(1) (a), Florida Statutes, means: I . 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 who 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. H. 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]. Rev 03/2018 City of Sanford I Finance Department I Purchasing Division %;;%"9►% 300 N. Park Avenue Suite 236 Sanford Florida 32771 Phone: 407-688-5028 or 5030 Fax: 407-688-5021SANFORD CONSULTANTS COMPETITIVE NEGOTIATION ACT (CCNA) Term Contract TITLE: PROFESSIONAL CONSULTING SERVICES Section 00435-3 Florida Public Entity Crimes Statement SWORN STATEMENT LiNDER 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 RFQ 17/18-33, Consultants Competitive Negotiation Act (CCNA) Professional Consulting Services. B. This sworn statement is submitted by Ohlson Lavoie Corporation whose business address is [Name of entity submitting sworn statement] 2295 S. Hiawassee Road, Suite 310, Orlando, Florida 33835 and (if applicable) it's Federal Employer identification Number (FEIN) is ZS4-U6/4yi Number of the individual signing this sworn statement: C. My name is Robert McDonald [Please print name of individual signing] (If the entity has no FEIN, include the Social Security and my relationship to the above is CEO D. I understand that a "public entity crime" as defined in section 287.133(1)(8), 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 understand 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 after July 1, 1989, as a result of a jury verdict, non jury trial, or entry of a plea of guilty or nolo contenders. F. I understand that "affiliate" as defined in section 287.133(1) (a), Florida Statutes, means: I . 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 who 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. H. 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]. Rev 03/2018 X Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, 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. X The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or 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]. X 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.] Y 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 entered 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.] Y 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, Public Entity Crimes Statement Section 00453-3, is truthful and correct at the time of submission. AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT CEO Title STATE OF [rE. COUNTY OF The foregoing instrument was aseCEOted before Robert McDonald personally swore or affirmed that he/she personally known to me OR has produced JODI DENISE ROSS Notary Pubilc State of Colorado Notary ID # 20164048343 I(7- ARY PUBLIC, State of C`,c:;u •m, _ (stamp) My Commission Expires 12.22.2020 is authorized to me this day of (= 1. ..w , 20, by of Oh son Lavoie Corporatio who execute this document and thereby bind the Corporation, and who is as identification. PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE Failure to submit this form may be grounds for disqualification of your submittal' 7 Rev 03/2018 City of Sanford I Finance Department ( Purchasing Division _ 300 N. Park Avenue Suite 236, Sanford, Florida 32771 407-688-5021 SANFORD Phone: 407-688-5028 or 5030 1 Fax: //i/F CONSULTANTS COMPETITIVE NEGOTIATION ACT (CCNA) Term Contract TITLE: PROFESSIONAL CONSULTING SERVICES X Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, 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. X The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or 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]. X 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.] Y 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 entered 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.] Y 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, Public Entity Crimes Statement Section 00453-3, is truthful and correct at the time of submission. AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT CEO Title STATE OF [rE. COUNTY OF The foregoing instrument was aseCEOted before Robert McDonald personally swore or affirmed that he/she personally known to me OR has produced JODI DENISE ROSS Notary Pubilc State of Colorado Notary ID # 20164048343 I(7- ARY PUBLIC, State of C`,c:;u •m, _ (stamp) My Commission Expires 12.22.2020 is authorized to me this day of (= 1. ..w , 20, by of Oh son Lavoie Corporatio who execute this document and thereby bind the Corporation, and who is as identification. PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE Failure to submit this form may be grounds for disqualification of your submittal' 7 Rev 03/2018 Project Name: Professional Consulting Services -Consultants Competitive Negotiation Act SCC NA) Solicitation No.: RFQ 17/18-33 Due July 31, 2018 @ 2:00 PM SECTION 00438 COMPLIANCE WITH THE PUBLIC RECORDS LAW AFFIDAVIT 1. If and when the City of Sanford transmits records to the Contractor/Vendor which are exempt from public disclosure, the Contractor/Vendor shall execute an "Acknowledgement of Receipt of Exempt Public Records and Agreement to Safeguard" which will be provided with the exempt records. A sample form is attached for the bidder/proposer's information. II. Upon award recommendation or 30 days after opening, it is understood that all submittals shall become "public records" and shall be subject to public disclosure consistent with Chapter 119, Florida Statutes, and Section 24(a), Article 1 of the Constitution of the State of Florida, and other controlling law (collectively the "Public Records Laws"). If the City of Sanford (City) rejects all replies submitted in response to a competitive solicitation and provides notice of its intent to reissue the solicitation, the replies remain exempt from disclosure until the City provides a notice of intent to award or withdraws the reissued solicitation. If no award is made, responses are not exempt for longer than 12 months after the initial notice rejecting all responses. Proposers/Bidders must invoke the exemptions to disclosure provided by law as applicable to the response to the solicitation, must identify the data or other materials to be protected, and must state the reasons why such exclusion from public disclosure is necessary. The submission of a proposal authorizes release of your firm's credit data to the City. If a Proposer/Bidder submits information exempt from public disclosure, the Proposer/Bidder must specifically and in detail identify with specificity which pages/paragraphs of their bid/proposal package are exempt from the Public Records Laws, identifying the specific exemption under the Public Records Laws that applies to each. The protected information must be submitted to the City in a separate envelope marked accordingly. By submitting a response to this solicitation, the Proposer/Bidder agrees to defend, indemnify and hold the City harmless in the event the City litigates the public records status of the Proposer's/Bidder's documents this provision including the obligation to pay the full legal costs of the City including, but not limited to, attorney's fees, court costs, and any and all other charges, regardless of what level of trial or appeal. 00438-1 Project Name: Professional Consulting Services -Consultants Competitive Negotiation Act (CCNA) Solicitation No.: RFQ 17/18-33 Due July 31, 2018 @ 2:00 PIVI OhIson Lavoie Corporation Proposer/Bidder Signature ofAu6prized Representative (Affiant) Date Maged Elsheikh, Senior Principal Printed or Typed Name and Title of Authorized Representative (Affiant) COUNTY OF C Q - STATE OF FLORIDA On this day of, 20, before me, the undersigned Notary Public of the State of Florida, personally appeared Mon<,,d MaP44,r F )Sl-fikI4 whose name(s) is/are subscribed to the within instrument, and he/she/they acknowledge that he/she/they executed it. WITNESS my hand and official seal. He/she is personally known to me or has produced, as identification. F L " t- � 0 (Notary Public in and for the Oounty and State Aforementioned) SEAL My commission expires: p,, t4otay PublIC "I0S10 I IcndA Rosemarie A9 "Jy COMM155toll GG 7,07(y6l p1r Exes 04112)2022 00438-2 END OF SECTION PLEASE COMPLETE AND SUBMIT WITH YOUR IFI3 RESPONSE 13"Fallure to submit this form may be grounds for disqualification of your submiftal' SECTION 00450 The Bidder certifies that no segregated facilities are maintained and will not be maintained during the execution of this contract at any of its establishments. The Bidder further certifies that none of its employees are permitted to perform their services at any location under the Bidder's control during the life of this contract where segregated facilities are maintained. The Bidder certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. As used in this certification, the term "segregated facilities" means any waiting rooms, work area, rest rooms and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color or national origin, because of habit, local custom, or otherwise. The Bidder agrees that (except where it has obtained identical certification from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontract exceeding $10,000 and that it will retain such certifications in its files. Ohlson Lavoie Corporation Name of Bidder Signature of Authorized Representative Date Robert McDonald, CEO Printed or Typed Name and Title of Authorized Representative END OF SECTION RFQ 17/18-33 CCNA- Professional Consulting Services Due July 31, 2018 at 2:OOPM 00450-1 CERTIFICATION OF NON -SEGREGATED FACILITIES FORM ( E +' Z 3' _. SECTION 00452 � s s -T'1 Answer the following questions by answering "YES" or "NO". If you answer "YES", please explain in the space provided, please add a page(s) if additional space is needed. 1. Has your firm, or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulation or any other regulatory agency or professional association within the last five (5) years? N (Y/N) 2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years? N (Y/N) 3. Has your firm had filed against it or filed any requests for equitable adjustment, contract claims or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business? (Y/N) Note: If yes, the explanation must state the nature of the request for equitable adjustment, contract claim or litigation, a brief description of the case, the outcome or status of suit and the monetary amounts or extended contract time involved. I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation or falsification of facts shall be cause for forfeiture of rights for further consideration of the project identified. Ohlson Lavoie Corporation Signature of Authorized Representative date Robert McDonald, CEO Printed or Typed Name and Title of Authorized Representative END OF SECTION RFQ 17/18-33 CCNA-Professional Consulting Services Due July 31, 2018 at 2:OOPM 00452-1 4V CERTIFICATION OF NON -SEGREGATED FACILITIES FORM Respondent Business Information Affidavit 1. State the true, exact, correct and complete name of the company, _sole proprietorship, _partnership, _LLC, Xcorporation, _trade or fictitious name under which you do business and the address of the principal place of business: Ohlson Lavoie Corporation dba Ohlson Lavoie Collaborative 7295 S. Hiawassee Road, Suite 310, Orlando, Florida 33835 The correct name of the Company is: Olilson Lavoie Corporation a. FEI/EIN Number 84-0674977 b. Trade Mark Name 2. If offeror is a corporation or LLC, answer the following: a. Date of Incorporation June 7, 1974 b. State of Incorporation Colorado c. Chief Executive Officer — Name and Title Robert McDonald d. Vice President Name Dana Potter e. Secretary's Name Donaldo Visani f. Treasurers Name Sam Elsheikh g. Name and address of Florida Resident Agent Ohlson Lavoie Collaborative, 2395 S. Hiawassee Road, Suite 310, Orlando, Florida 32835 3. If offeror is an individual proprietorship or partnership, answer the following: a. Date of Organization b. Name, Address and Ownership Units of all Partners c. State whether general or limited partnership 4. If Offeror is other than a sole proprietorship, corporation or partnership, describe the organization and give the name and address of the principals. 5. If Offeror or company is an operation under a fictitious name, submit evidence of compliance with Florida Name Statute. 6. How many years has your organization been in business under is present business name? 37 years 7. Indicate registration, license number or certificate numbers for the businesses or professions which are subject of the Proposal/Bid. Please attach certificate of competency and state registration. Architect Corporation AA26003144 8. Complete Attachment "J" Reference form and submit with the Proposal as reference. City of Sanford I Finance Department I Purchasing Division%, 300 N. Park Avenue Suite 236 Sanford Florida 32771IN % / 9 SANFORD Phone: 407-688-5028 or 5030 1 Fax: 407-688-5021 CONSULTANTS CO19/IPE'I'I'I'IVE NEGOTIATION ACT (CCNA) TERM CONTRACT TI'TLE: PROFESSIONAL CONSULTING SERVICES Respondent Business Information Affidavit 1. State the true, exact, correct and complete name of the company, _sole proprietorship, _partnership, _LLC, Xcorporation, _trade or fictitious name under which you do business and the address of the principal place of business: Ohlson Lavoie Corporation dba Ohlson Lavoie Collaborative 7295 S. Hiawassee Road, Suite 310, Orlando, Florida 33835 The correct name of the Company is: Olilson Lavoie Corporation a. FEI/EIN Number 84-0674977 b. Trade Mark Name 2. If offeror is a corporation or LLC, answer the following: a. Date of Incorporation June 7, 1974 b. State of Incorporation Colorado c. Chief Executive Officer — Name and Title Robert McDonald d. Vice President Name Dana Potter e. Secretary's Name Donaldo Visani f. Treasurers Name Sam Elsheikh g. Name and address of Florida Resident Agent Ohlson Lavoie Collaborative, 2395 S. Hiawassee Road, Suite 310, Orlando, Florida 32835 3. If offeror is an individual proprietorship or partnership, answer the following: a. Date of Organization b. Name, Address and Ownership Units of all Partners c. State whether general or limited partnership 4. If Offeror is other than a sole proprietorship, corporation or partnership, describe the organization and give the name and address of the principals. 5. If Offeror or company is an operation under a fictitious name, submit evidence of compliance with Florida Name Statute. 6. How many years has your organization been in business under is present business name? 37 years 7. Indicate registration, license number or certificate numbers for the businesses or professions which are subject of the Proposal/Bid. Please attach certificate of competency and state registration. Architect Corporation AA26003144 8. Complete Attachment "J" Reference form and submit with the Proposal as reference. THE OFFEROR ACKNOWLEDGES AND UNDERSTANDS THAT THE INFORMATION CONTAINED IN RESPONSE TO THIS QUALIFICATIONS STATEMENT SHALL BE RELIED UPON BY THE CITY IN AWARDING THE CONTRACT AND SUCH INFORMATION IS WARRANTED BY OFFEROR TO BE TRUE. THE DISCOVERY OF ANY OMISSION OR MISSTATEMENT THAT MATERIALLY AFFECTS THE OFFEROR -S QUALIFICATIONS TO PERFORM UNDER THE CONTRACT SHALL CAUSE THE CITY TO REJECT THE BID OR PROPOSAL, AND IF AFTER THE AWARD TO CANCEL AND TERMINATETHE AWARD AND/OR CONTRACT. AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT CEO Title STATE OF COUNTY OF The foregoing instrument was executed before me this J day of C�1\A-Q-t— 20 by as of 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 as identification. JODI DENISE hub . NO�TARY PUBLIC, State of Notary Public (stamp) State of Colorado Notary ID # 201 Aires 64048343 My Commission Exp_1-2---22-20.-20 PLEASE COMPLETE AND SUBMIT WITH YOUR RFP RESPONSE '�Y'Failure to submit this form may be grounds for disqualification of your submittal City of Sanford I Finance Department I Purchasing Division NI 300 N. Park Avenue Suite 236, Sanford, Florida 32771 SANFORD (D Phone: 407-688-5028 or 5030 1 Fax: 407-688-5021 131; CONSULTANTS COMPETITIVE NEGOTIATION ACT (CCNA) TERM CONTRACT ........................ TITLE: PROFESSIONAL CONSULTING SERVICES THE OFFEROR ACKNOWLEDGES AND UNDERSTANDS THAT THE INFORMATION CONTAINED IN RESPONSE TO THIS QUALIFICATIONS STATEMENT SHALL BE RELIED UPON BY THE CITY IN AWARDING THE CONTRACT AND SUCH INFORMATION IS WARRANTED BY OFFEROR TO BE TRUE. THE DISCOVERY OF ANY OMISSION OR MISSTATEMENT THAT MATERIALLY AFFECTS THE OFFEROR -S QUALIFICATIONS TO PERFORM UNDER THE CONTRACT SHALL CAUSE THE CITY TO REJECT THE BID OR PROPOSAL, AND IF AFTER THE AWARD TO CANCEL AND TERMINATETHE AWARD AND/OR CONTRACT. AFFIANT SIGNATURE Robert McDonald Typed Name of AFFIANT CEO Title STATE OF COUNTY OF The foregoing instrument was executed before me this J day of C�1\A-Q-t— 20 by as of 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 as identification. JODI DENISE hub . NO�TARY PUBLIC, State of Notary Public (stamp) State of Colorado Notary ID # 201 Aires 64048343 My Commission Exp_1-2---22-20.-20 PLEASE COMPLETE AND SUBMIT WITH YOUR RFP RESPONSE '�Y'Failure to submit this form may be grounds for disqualification of your submittal