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2163 IFB 19/20-01 Fountain Inspection and cleaningGY OF SXNFORD FINANCE DEPARTMENT PURCHASING DEP ARTMEN r TRANsmITTAL MEMORANDUM TO: City Cterk/Mayor R E: I R�) 19� a7) - c)\ � --, �r . i The item(s) noted below is/are attached and forwarded to your office for the following action(s): F-1 Development Order El Mayor's signature F-1 Final Plat (original Mylar's) R Recording ❑ Letter of Credit R Rendering ❑ Maintenance Bond 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: Fj Return originals to Purchasing- Department F] Return copies El Special Instructions: L-i,&� 130ja-d-zz4e,v- From SharePoint—Finance—Purcliasing—Forms - 2018.doc Date AGREEMENT BETWEEN THE CITY OF SANFORD AND FLORIDA WATER FEATURES, INC./IFB NUMBER: 19/20-01/FOUNTAIN INSPECTION AND CLEANING GOODS AND SERVICES THIS AGREEMENT (hereinafter the "Agreement") is made and entered into this 2- day of December 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 Florida Water Features, Inc., a Florida corporation, whose principal address is 1451 Seminola Boulevard, Casselberry, Florida 32707, (hereinafter referred to as "FWF"). The City and FWF may be collectively referenced herein as the "parties". WITNESSETH: IN CONSIDERATION of the mutual covenants, promises, and representations contained herein and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: Section 1. Recitals. The above statements are true and form a material part of this Agreement upon which the parties have relied. Section 2. Authority. Each party hereto represents to the other that it has undertaken all necessary actions to execute this Agreement, and that it has the legal authority to enter into this Agreement and to undertake all obligations imposed on it. The persons executing this Agreement for each party certify that they are authorized to bind the party fully to the terms of this Agreement. Section 3. Scope of Agreement; Direction of the Provision of Goods and Services. (a). This Agreement is for the provision of goods and services set forth in the attachments hereto and FWF agrees to accomplish the provision of goods and services specified in the attachments for the compensation set forth in those documents relating to the fountain inspection and cleaning goods and services and for such other goods and services as may be agreed upon by the parties as set forth in issued work/purchase orders.. (b). It is recognized that FWF shall provide goods and services as directed by the City. (c). The City's contact/project manager for all purposes under this Agreement shall be the following: Ms. Marisol Ordonez Purchasing Manager Finance -Purchasing Division 1111 o i�ti City of Sanford Post Office Box 1788 Sanford, Florida 32772 Phone: 407.688.5028 Section 4. Effective Date and Term of Agreement. This Agreement shall take effect on the date that this Agreement is fully executed by the parties hereto. This Agreement shall be in effect for a term of 1 year with the opportunity for additional 1 year renewal periods when in the best interest of the City. However, the total Agreement length, including all renewals, shall not exceed 5 years. The decision to renew or extend this Agreement shall be at the discretion of the City. FWF shall review the quality and status of the fountain inspection and cleaning goods and services delivered to the City with the City on a semi-annual basis. In any event, this Agreement shall remain in effect until the goods and services to be provided by FWF to the City under each work order have been fully provided in accordance with the requirements of the City; provided, however, that, the indemnification provisions and insurance provisions of the standard contractual terms and conditions referenced herein shall not terminate and the protections afforded to the City shall continue in effect subsequent to such goods and services being provided by FWF. No goods, services or actions have been provided prior to the execution of this Agreement that would entitle FWF for any compensation therefor. Section 5. Compensation. The parties agree to compensation as set forth in the attachments hereto, with the initial purchase of goods and services being in the amounts set forth in the attachments hereto and, subsequently, as may be agreed upon by the parties as set forth in issued work/purchase orders. Section 6. Standard Contractual Terms and Conditions. All "Standard Contractual Terms and Conditions", as provided on the City's website, apply to this Agreement. Such Terms and Conditions may be found at the City's website; which can be reached at: (https://www.sanfordfl.gov/departments/finance/purchasing/contract- terms-and conditions or www. SanfordFL.gov). The parties shall also be bound by the purchasing policies and procedures of the City as well as the controlling provisions of Florida law. Work orders shall be used, in accordance therewith, in the implementation of this Agreement to the extent deemed necessary by the City in its sole and absolute discretion. Section 7. FWF's Mandatory Compliance with Chapter 119, Florida Statutes, and Public Records Requests. (a). In order to comply with Section 119.0701, Florida Statutes, public records laws, FWF must: (1). Keep and maintain public records that ordinarily and necessarily would be required by the City in order to provide goods or perform services. 2 111 a .., (2). Provide the public with access to public records on the same terms and conditions that the City would provide the records and at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes, or as otherwise provided by law. (3). Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. (4). Meet all requirements for retaining public records and transfer, at no cost, to the City all public records in possession of FWF upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the City in a format that is compatible with the information technology systems of the City. (b). If FWF does not comply with a public records request, the City shall enforce the contract provisions in accordance with this Agreement. (c). Failure by FWF to grant such public access and comply with public records requests shall be grounds for immediate unilateral cancellation of this Agreement by the City. FWF shall promptly provide the City with a copy of any request to inspect or copy public records in possession of FWF and shall promptly provide the City with a copy of FWF's response to each such request. (d). IF THE CONTRACTOR/VENDOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S (VENDOR'S) DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (407) 688-5012, TRACI HOUCHIN, CMC, FCRM, CITY CLERK, CITY OF SANFORD, CITY HALL, 300 NORTH PARK AVENUE, SANFORD, FLORIDA 32771, TRACI.HOUCHIN@SANFORDFL.GOV. Section 8. Time is of the Essence. Time is hereby declared of the essence as to the lawful performance of all duties and obligations set forth in this Agreement. Section 9. Entire Agreement/Modification. This Agreement, together with all "Standard Contractual Terms and Conditions", as provided on the City's website and the attachments hereto (the documents relative to the procurement activity of the City leading to the award of this Agreement) constitute the entire integrated agreement between the City and FWF and supersedes and controls over any and all prior agreements, understandings, representations, correspondence and statements whether written or oral in connection therewith and all the terms and provisions contained herein constitute the full and complete agreement between the parties hereto to the date hereof. This Agreement may only be amended, supplemented or modified by a formal written amendment of equal dignity herewith. In the event that FWF issues a purchase order, memorandum, letter, or any other instrument addressing the goods or services, work, and materials to be provided and performed pursuant to this Agreement, it is hereby specifically agreed and understood that any such purchase order, memorandum, letter, or other instrument shall have no effect on this Agreement unless agreed to by the City, specifically and in writing in a document of equal dignity herewith, and any and all terms, provisions, and conditions contained therein, whether printed or written or referenced on a Web site or otherwise, shall in no way modify the covenants, terms, and provisions of this Agreement and shall have no force or effect thereon. Section 10. Severability. If any term, provision or condition contained in this Agreement shall, to any extent, be held invalid or unenforceable, the remainder of this Agreement, or the application of such term, provision or condition to persons or circumstances other than those in respect of which it is invalid or unenforceable, shall not be affected thereby, and each term, provision and condition of this Agreement shall be valid and enforceable to the fullest extent permitted by law when consistent with equity and the public interest. Section 11. Waiver. The failure of the City to insist in any instance upon the strict performance of any provision of this Agreement, or to exercise any right or privilege granted to the City hereunder shall not constitute or be construed as a waiver of any such provision or right and the same shall continue in force. Section 12. Captions. The section headings and captions of this Agreement are for convenience and reference only and in no way define, limit, describe the scope or intent of this Agreement or any part thereof, or in any way affect this Agreement or construe any provision of this Agreement. Section 13. Counterparts. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original, but all of which, taken together, shall constitute one and the same document. 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 41i�; 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 FWF, 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 FWF have executed this instrument for the purpose herein expressed and FWF represents and affirms that the signatories below have full and lawful authority to bind FWF in every respect. ATTEST. 6M akpym MoI ., Traci Houchin, CMC, FCRM City Clerk will I dl� , , K tlf`am L. Colbert, City -torney 9a )61)'r /.,1, 6 , D i /mil ATTEST/WITNESS: K1-- J.Anderson MPresident, Director CITY OF SANFORD FLORIDA WATER FEATURES, INC., a Florida corporation. By: 1'---_ Pamela nders n Presid nt, Direct l Dated:V-0 Z 511) r s.] City of Sanford I Finance Department I Purchasing Division MNFORD 300 N. Park Avenue 2"'' Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING 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 407.688.5028/50' )0 Fax 407.688,5021. in. 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. AWFFlA_ John P. Anderson j}'_ped Na-M—C of AF11XN_71_ Vice President Title _. STATE OF Florida COWry OF ._, __SeMinole____ The foregoing instrument was executed before me this 24th day of 0 d0ht1_P_AnderS0rL___as_ _Ctobe 20rl 9 by personally swore or affirmed that-FlOrida-Water-Features Inc who he/she is authorized to execute this document and thereby bind the 'Corp-0—ra-i—iori, and who is personally known to me OR has produced identification. NOWY Pubik. StMe of Fiorids Sta4ie Makley (stamp) MY 00"**Sim GG 207192 NOTARY PUBLIC. State of T: t I M 36 Exp"s 0411 SW22 WX 991 The City reserves the unilateral right 10 mortify the insurance requirements set forth at 011Y tittle daring the process of solicitation or subsequent thereto. PLEASE COMPLETE AND SUBMIT WITH YOUR lFB RESPONSE `21'Failure to submit this form may be grounds for disqualification of your submittal -%1 I -If M.111-101 S'IT r I City of Sanford I Finance Department I Purchasing Division lkNFORD' 300 N. Park Avenue 2n' Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 50301 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVI Attachment "C" Public Entity Crimes Statement SWORN STATEMENT UNDER SECTION 287.133(3) (a), FLORIDA STATUTES: THIS FORM MI THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER A. This sworn statement is submitted with Bid, or Contract Number IFB 19/20-01, titled Fountains -- Services. 9 BE SIGNED IN THS. and Cleaning B. This sworn statement is submitted by__Florl qq_Water Features Inc whose business address is I Name ofentity submitting sworn statement) -14,51-SemifidaB-vd--.Casselbefly—F-L-32.707,-.-,----,,--, and (if applicable) :its Federal Employer Identification Number (FEIN) is If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: C. My natne is John P. Anderson and my relationship to the above is [Pie Esc prink -Warne -o--f-ii—id—ivi—dual—sig—ni-i-ig—I -, DI understand that a "public entity crime" as defined in section 287.133(l)(g), Florida Statutes, means a violation of any state oi- federal law by a person with respect to and directly related to the transaction of business with any l . public entity in Florida or with an agency or political subdivision of any other state or with the United States, including, but not liniited 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(l) (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 I 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 ibe 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 oil 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. Fl. 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 (V) which statement applies], OT C111 City of Sanford I Finance Department I Purchasing Division SANFORD 300 N. Park Avenue 2°d Floor Suite 236 Sanford, Florida 32771 'N'AW Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVICES A/— 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. 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 iministrative Hearings, or a court of law having proper jurisdiction. The final order t i not place the person or affiliate on the convicted contractor lis s n. entered by the hearing officer or judge did t. [Please attach a copy of the final order.] The person or affiliate was placed oil 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.] 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, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "C", Public Entity Crimes Statement, is truthful and correct at the time of submission. I -A AF I NATUkL John P. Anderson Typed Name of AFFIANT Vice President Title STATE OF Florida COUNTY OF -Seminole--- The foregoing instrument was executed before me this 24th day of October -John-P-Ande.rson--,---_----as--Vi-ce�P--r-e-sj.clent-------, of -201_9-, by t?F-Featur who personally swore or affirmed that he/she is authorized to execute this orida- thereby b c 1 personally known to me OR has produced follcument vang t I innt and who is ------- as identification, --,v NoWy Pubtic ftlo of FWda Stade Makley MY Cwmissm GG 207192 (stamp) ; I/ Expires 04/1 S2= CW 1>1 TP -F-1() I NOTARY PUBLIC, State of PLEASE COMPLETE AND SUBMITWITH YOUR IFB RESPONSE "P'Failure to submit this form may be grounds for disqualification Of your st RE OF City of Sanford I Finance Department I Purchasing Division SANTO RD 300 N. Park Avenue 2"° Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 50301 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVIC ES Attachment I'D" Conflict of Interest Statement A. I am the of —YiqeF�M$iftnt with a local office in--ElQr :[d_a Weser Futures,Itc.lInsenTitlel lInsert Company Name] and principal office in Casselber __F B. The entity hereby submits an offer to 11713 19/20-01 Fountains Inspection and Cleaning Services. C. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its full knowledge. D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and time and that said above stated entity has no financial interest in other entities submitting a proposal for the work contemplated hereby. E. Neither the AFFIANT' nor the above named entity has directly or indirectly entered into any agreeinent,tpat-ticipated 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/DepartmentjOffice. 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., 1, the undersigned will imrn� ediately notify tile City in writing. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information formation as provided in Attachment flict of Interest Statement, is truthful and correct at the time of submission, ATURE Typed Name of AFFIANT Joh-"n-15'.---A--"n—de--r—so—n------- Title COUNTY OF Seminole STATE OF FLORIDA' On this_24thday of --Q-QtQber 20 19 before me, the undersigned Notary Public of the State of Florida, personally appeared Inhn P And rcznn 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 used ed lc as identification. (Notary Public in and for the County and4te Aforementioned) SEAL - My cornmission expires: PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE l' -Failure to submit this form may, be grounds for disqualification of your submittal - Mrof- City of Sanford I Finance Department I Purchasing Division S�NFORD 300 N. Palk Avenue 2nd Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVICES Attachment "Ell Drug -Free Workplace Certification When applicable, the drug-free certification form below must be signed and returned with the IFB response. In order to have a drug-free workplace program, a business shall: A. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, controlled substance is prohibited in the workplace and specifying the actions that will be taken violations of such prohibition. on, or use of a employees for 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 Linder bid, the employee will abide by the terms of the statement and will notifythe employer of 1 any conviction of. or plea of guilty or nolo contendere to, any violation of chapter 93 Florida a 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 I program if such is available in the employce,s community, by any employee who is so convicted, i F. Make a good faith effort to continue to maintain a drug-free workplace through implementation of the foregoing provisions. By the signature(s) below, /we the undersigned, as authorized signatory to commit the finri, certify that the information as provided u e in Attachment Ej 41r Workplace Certification, is truthful and correct at the time of submission, t Xru T FIANT URE Typed Name of AFFIANT STATE OF Florida COUNTY OF Seminole_ The foregoing instrument was executed before me this 24th day of oCtab�er—__ 20-1_g by -John-P--Ande=n--.-�.-----�as-Vice.P--resident-----of--F rida- a gr_Featuret-l_nC_.__7_ who � r t , authorized to execute this docournent Wandtt ereby bind t e Cor'poration., and who is personally swore or affirmed that he/she is 'er . =*jNot as identification. 5 F - /1) 1 Stier 0'j'_"jj j Notffy PubbC, Stere of Monda Stacie k%kley My Cwy"ti� GG 20L7192 (st NO R LIC, State of PLEASE COMPLETE AND SUBMIT WIT11 YOUR IFB RESPONSE — (if applicable) Y C' ANF ORD --i Fity of Sanford I Finance Department I Purchasing Division 300 N. Park Avenue 2"' Floor Suite 236 Sanford, Florida 32771 Phone- 407.688.5028 50301 Fax: or 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVICES Attachment "F" Bid Price Schedule and Acceptance of Bid Terms and Conditions Item location's Services Time 'Cost Annually L Coastline Park One (1) 3 -Tier Floating Lake Fountain Service Quarterly S $400.00 One (1) Pedestal Fountain Service Monthly $2,980.00 2. James Dunn Park One (1) 3 -Tier Floating Lake Fountain Service Quarterly $400.00 - Aerator Service Semi -Annual $206.00 3. Lake Corolla One (1) 3 -Tier Floating Lake Fountain Service Quarterly $400.00 - Aerator Service Semi -Annual $200.00 4. - Touhy Park One (1) Pedestal Fountain Service Monthly $2,500.00 5. - Magnolia Park One (1) Pedestal Fountain Service Monthly $2,980.00 TOTAL IFB PRI S $10,060.00 I/we, the undersigned, as authorized signatory to commit the firm, do hereby accept in total all the terms and conditions stipulated and referenced in this IFB document and do hereby agree that if a contract is offered or negotiated it will abide by the terms and conditions presented in the IFB document or as negotiated pursuant thereto. The undersigned, having familiarized him/herself with the terms of the IFB documents, local conditions, and the cost of the work at the place(s) where the work is to be done, hereby proposes and agrees to perform within the time stipulated, all work required in accordance with the scope of services and other documents including Addenda, if any, on file at the City of Sanford Purchasing Division for the price set forth herein in Attachment "F" Bid Price Schedule and Acceptance of Bid' Terms and Conditions. The signature(s) below are an acknowledgment of my/our full understanding and acceptance of all the terms and conditions set forth in this IFB document or as otherwise agre'd to between the parties in writing. q Bidder/Contractor Name: Florida Water Features, Inc. Mailing Address: 1451 Seminola Blvd. Casselberry, FL 32707 Telephone Number: 407-834-0621 ,kutho Vice President Fax Number: _407-_38,&Q821...... E-mail Address': John P. Anderson 10/2412019 Ciat_c­ '2 7 FEIN: 57-3577371 S`T,0" City of Sanford I Finance Department I Purchasing Division -�NFOIW 300 N. Park Avenue 2"d Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT I i TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVICES STATE OF FL COUNTY OF 5�-b- C ALiVAC'be7 The foregoing instrument was executed before me this 24th day of October 20 1.-9 _, by John P. Anderson President of Florida Water Features, Inc. who personally swore or affirmed that }le/she is authorized to execute --this -document -'-and —tl-iere-----'----' by bind the Corporation., and who is pe4sonajjy known to me OR has produced _ g as identification. 00 OY6 N(Aftoy PuW Ste* of FwwQ StSde Makley MY C*nVrd"i0n GG 207192 (stamp)Y% NOTARY PUBLI State of "-, Expims 0411 Sri= PLEASE COMPLETE AND SUBMIT WITH YOUR IFR RESPONSE `V-Failu're to submit this form may be grounds for disqualification of your submiital"I�' '2 0 S' City of Sanford I Finance Department I Purchasing Division .�NFORD 300 N. Park Avenue 2"d Floor Suite 236 Sanford, Florida 32771 4 A Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVI Attachment 111111 Organizational Information The Bidder must include a copy of their State Certificate of Good Stand in g/Articles of Incorporation, which lists the corporate officers. In addition to the aforementioned documents the Bidder/Bidder must include necessary information to verify the individual signing this proposal/bid and or any contract document has been authorized to bind the corporation. Examples include: A. A copy of the Articles of Incorporation listing the approved signatories of the corporation. B. A copy 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 com a check mark IV/ I Corporation Joint Venture State of Incorporation Principal Place of Business (Enter Address) Federal I.D. or Social Securitv Number TYPE OF ORGANIZATION next to a licable type) Partnership Sole Proprietorship Florida Non -Profit Other (Please specify) 1451 Seminola Blvd. Casselberry, FL 32707 59-3577371 By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the inform' ation as provided in Attachment "H", Organizational Information, is truthful and correct at the time of'submission, Bidder/Contractor Name- John P. Anderson / Florida Water Features, Inc. Mailing Address: 1451 Seminola Blvd. Casselberry, FL 32707 Telephone -um - 407-834-0621 Fax Number: 407-388-0621 contact@floridawa�.terfeatures.com E-mail Address: John P. Anderson FEIN: 59-357737�1 Telephone Auth ignatory Printed Name Vice President 10/24/2019 Date PLEASE COMPLETE AND SUBMITWJTI�j YOUR IFB RESPONSE -Failure to submit this form may be grounds for disqualification of your submittal's City of Sanford I Finance Department I Purchasing Division 6ANFORD 300 N. Park Avenue 2"' Floor Suite 236 Sanford, Florida 32771 J _"" N;' Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) ATERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVI Attachment "I" Proposed Schedule of Subcontractor Pnrti,-tnat;nn No Subcontracting (of any kind) will be utilized on this project Solicitation Number: IFB I Title: Fountains — Inspection and Cleaning Services Total Project Amount: Subcontractor Minority Code if applicable) Federal I D Company Name— Address Phone, Fax, Email Trade, Services or Materials portion to be subcontracted SDVBE — Service Disabled Veteran �tc PERCENTAGE TOTALS FOR SUBCONTRACTOR PARTICIPATIONF PERCENTAGE TOTALS FOR MINORITY SUBCONTRACTOR PARTICIPATION 1Yiinorit Code Code Description AA — African American Minority Code NA Code Description] Native American A — Asia W _'��_ornan 1.1 anic SDVBE — Service Disabled Veteran �tc t (%) of lar Value When applicable, the Bidder, 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, liwe, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment 11111, Proposed Schedule Of Subcontractor Participation, is truthful and correct at the time of submission. i Bidder/Con tractor Name: _ John P. Anderson /_ Florida Water Features, Inc. Mailing Address: 1451 Seminola Blvd. Casselberry, FL 32707 Te I eph:oneNu er: 4��07-388-0621 Fax Number: 407-388-0621 contac E-mail Address: FEIN: John P. Anderson or Winited-Nam", Aut Signatory -Vice President 10/24/2019 Fit Title Date PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE Failure to submit this form may be grounds for disqualification of your submittal- ns ubmittal- in J -1-1m City of Sanford I Finance Department I Purchasing Division S.t NFORD 300 N. Park Avenue 2 nd Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A,rERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVICES Attachment "J" COMPLIANCE WITH THE PUBLIC RECORDS LAW AFFIDAVIT i. If and when the City of Sanford transmits records to the Contractor/Vendor which are exempt from public disclosure, the ContractorNendor 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 isattached for the bidder/proposer's information. 1 II. Upon award recommendation or 30 days after opening, it is understood that all submittals shail become "public records" and shall be subject to public disclosure consistent with Chapter 119, Florida Stuntles, and Section 24(a), Article I of the Constitution of the State (?f 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 SLI611 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. Ry 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/BiddeCs 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. John P. Anderson / Florida Water Features, Inc. Proposer/Bidder /) Signature Representative (Affiant) Date John P. Anderson Vice President Printed or Typed Name and Title of Authorized Representative (Affiant) City of Sanford I Finance Department I Purchasing Division SAN -FORD 300 N. Park Avenue 2°d Floor Suite 236 Sanford, Florida 32771 'H!""N"-Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFS} A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVICES COUNTY OF ""UV V STATE OF FLORIDA On this 24th day of October 120 19 before me, the undersigned Notary Public of the State of r — Florida, -pe personally appeared 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 offic W sea]. Hc/She is Pqsonall known to me or has produced I as identification. 'A 6,f i"c (Notary Public in and for the County and ate Aforementioned) My commission expires: 5, -� 6 PLEASE COMPLETE AND SUBMITWITH YOUR IFB RESPONSE '��'Failure to submit this form may be grounds for disqualification of your submittal SCity of Sanford I Finance Department I Purchasing Division NTFORD 300 N. Park Avenue 2'd Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVICES - Attachment 11K11 CERTIFICATION OF NON -SEGREGATED FACILITIES FORM 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. i The Bidder further certifies that none of its employees are permitted to perform their servicedi 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 roomsI 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 ffict 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 proposedsubcontractors 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. John P. Anderson / Florida Water Features, Inc. Name of Bidden , S Kepresentative John P. Anderson Vice President Printed or Typed Name and Title of Authorized Representative 10/24/2019 Date PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE `LO'Failure to submit this form may be grounds for disqualification of your so AA 0 Si V nr City of Sanford I Finance Department I Purchasing -Division ORD 300 N. Park Avenue 2"`' Floor Suite 236 Sanford, Florida 32771 F�W,INICF -- Phone: 407.688.5028 or 5030 ( Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT -1 TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVICES Attachment "L" DISPUTES DISCLOSURE' FORM Answer the following questions by answering "YES" or "NO". If you answer "YES", space provided, please add a page(s) if additional space is needed. please explain in the t Has your firm, or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulation or any other regulatory agency or professional association within the last five (5) years? NO (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 busines's within the ]a-st five (5) years'? NO( Y/ 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? NO (Y/N1) 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 inisrepresentation or falsification of facts shall be cause for forfeiture of rights for further consideration of the project identified. Florida Water Features, Inc. Firm le% Signat Kepresentative John P. Anderson Vice President Printed or Typed Name and Title of Authorized Representative PT fR-P-Im 10/24/2019 Date PLEASE COMPLETE AND SUBMIT WITH YOU -11 1FB RESPONSE `'Failure to submit this form may be grounds for disqualification of your submitt il-W n: D..., --II City of Sanford I Finance DepartmentI Purchasing Division S,� NFORD 300 N. Park Avenue 2"' Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.688,5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVICES Attachment "M" Unauthorized (Illegal) Alien Workers The CITY will not intentionally award publicly -funded contracts to any contractor who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 11324a(e) Section 274A(e) of the Immigration and Xationall�, Act (INA). The CITY shall consider the employment by the; CONTRACTOR of unauthorized aliens, a violation of Section 274A(c) of the INA. Such violation by the CONT kACTOR of the employment provisions contained in Section 274A(e) of the ]NA shall be grounds for immediate t4mination of this Agreement by the CITY. f Bvexecuting this certification, the CONTRACTOR certifies that Florida Water Features, Inc. 'name of company) does not and will not during the performance ol'any contract resulting from gal alien workers or otherwise the solicitation Identified below employ illegal violate ilie provisions of the federal Immigration Reform and Control Act of 1986. 2. The Undersigned agrees to, upon request of the City, provide copies of Immigration Form 1-9 for each person associated with the above named company who has been or is present at the designated jobsite assoc iated 1with any work or project resulting from this solicitation. CONTRACTOR: -4 - Water Features, Inc. da Signature: Title: Vice Affix Corporate Seal COUNTY OF Seminole STATE OF FLORIDA Printed Name: John P. Anderson Date: 10/24/2019 On this 24th day of October 20 19 before me, the undersigned Notary Publip'! of the State of Florida, persoiiallyappeared_John P. Anderson within instrument, whose names) is/are subscribed to the and he/she/they acknowledge that fie! hel'they executed it. WITNESS try hand and official�seal. I 's ersanall kna�t to me or has procpwed i He/She is as identification. NA (Notary Public in and for the County and Stat4Aforementiotied) SEAL My commission expires: D42A��­..? 2. PLEASE COIMIPLETE AND SUBMIT WITH YOUR IFF RESPONSE qrFaiture to submit this form may be grounds for disqualification of your submit tA I'W PT W -F -In I A4 jr S)l_4 City of Sanford I Finance Department I Purchasing Division ,N'FORD 300 N. Park Avenue 2"' Floor Suite 236 Sanford, Florida 32771 ii%ANC*C Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVI Attachment "N" E -VERIFY COMPLIANCE AFFIDAVIT The Affiant identified below attests to the following: That the Contractor is currently in compliance with and throughout the term of the above identified project and will remain in compliance with Executive Order 11-02, issued by the Office of I the Governor, State of Florida, requi)ring the use of the Department of Homeland Security's Status Verification ("E -Verify') System to ensure that all employees , the Contract and the Contractor's subcontractors peribrilling work under the above -listed Contract are legally permitted to'"work in the United States. I 2. Each Contractor that performs work under the Project referenced above shall provide the City of Sanford;l Florida, a copy of the "Edit Company Profile" screen indicating enrollment in the E -Verify Program. 3. The Contractor will register and participate in the work status verification for all newly hired employees of the contractor and for all subcontractors performing work on the above -listed Contract, 1 4. The Contractor agrees to maintain records of its compliance with the verification requirements as outlind'd in this Affidavit I and, upon request of the any Authority having jurisdiction over the Project, including, but not limited to, the State of Florida, agrees to provide a copy of each such verification to that Authority, 5. That all persons assigned by the Contractor or its subcontractors to perform work under the above identified project will meet the employment eligibility requirements as established by the Federal Government and the govern ' Florida. mem, of the State of 6. That the Contractor understands and agrees that its failure to comply with the verification requirements asset forth herein or its failure to ensure that all employees and subcontracts performing work under the above identified project are legally authorized to work in the United States and the State of Florida constitute a breach of contract for which the City ofSanford may immediately terminate the Contract without notice and without penalty. Contractor further understands and agrees that in the event of such termination, the Contractor shall be liable to the City for any costs incurred by the Cit � as a result of the ContractoCs breach. y 7. That for the purposes of this Affidavit, the following definitions apply: "Employee" — Any person who is hired to perform work in the State of Florida. "Status Verification System" — the procedures developed under the Illegal Immigration Reform I and Immigration Responsibility Act of 1996, operated by the Department of Homeland Security and known as the "E-Verify,11'rogran)", or any successor electronic verification system that may replace the E -Verify Program. Florida Water Features, Inc. Contractor Signature ized Representative (Affiant) John P. Anderson Vice President Printed or Typed Name and Title of Authorized Representative _(Affiant) T) I TP -I,'- I() A -7 fflo Date C'* I City of Sanford I Finance Department I Purchasing Division NFOPZD 300 N. Park Avenue 2nd Floor Suite 236 Sanford, Florida 32771 °i Na' �,, ' T" E 'D, , , , 1 , "', ! `7 Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVI COUNTY OF STATE OF FLORIDA On this 24th —day of October-- '?o 19 before me, the undersigned Notary PuH lic of the State of Florida, personally appeared John P. Anderson whose name(s) islare ;subscribed to the within instrument, and he/she/they acknowledge that he/she/they executed it. WITNESS my hand and oflici4�1 seal. I-le/She is personally known to me or has produs as identification. WILIQ/ I VU (Notary Public in and for the ounty and State orementioned) ,SEAmission expires ,L My coin PLEASE COMPLETE AND SUBMIT WITH YOUR IFI3 RESPONSE 10"Failure to submit this form may be grounds for disqualification of your submittal - P1 111-F.101 Rov 0111411f' City of Sanford I Finance Department I Purchasing Division 'ANFORD 300 N. Park Avenue 2"d Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVI Attachment 11011 Americans With Disabilities Act Affidavit By executing this Certification, the undersigned CONTRACTOR certifies that the information herein contained is true and correct and that none of the Information supplied was for the purpose of defrauding the City of Sanford (CITY). The CONTRACTOR will not discriminate against any employee or applicant for employment because of physical or mental handicap in regard to any position for which the employee or applicant for employment I$ qualified. The CONTRACTOR agrees to comply with the rules, regulations and relevant orders issued pursuant to the Americans with Disabilities Act (AFA), 42 USC s. 12101 et seq. It is understood that III no event shall the CITY be held liable for the actions Or Omissions of the CONTRACTOR or any other party or parties to the Agreement for failure to comply with the ADA. The CONTRACTOR agrees to hold harmless and indemnify the CITY, its agents, officers or em' loyees from any and all claims, demands, debts, liabilities or causes of action of every kind or character, whether in law or equity, resulting from the CONTRACTOR's acts or omissions in cormection with the ADA. Florida Water Features, Inc. Contractor n 10/2412019 Signature t I 0rized Representative (Affiant) Date John P. Anderson Vice President Printed or Typed Name and Title of Authorized Representative (Affiant) COUNTY OF STATE OF FLORIDA On this day j� �i'20 before me, the undersigned Notary Public of the State of Florida, ,-jLersonaIlv a )eared �1 cj—tv'Z�'t 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. I-le/She is to me or has produced piss onaliyli 1, as identification. (Notary Public in and for t ---- lie County A--� State Aforementioned) SEAL My commission expires: PLEASE COMPLETE AND SUBMIT WITI-I YOUR IF13 RESPONSE flilure to submit this form may be grounds for disqualification of your submittal'w P1 W -F -Vii nn City of Sanford I Finance Department I Purchasing Division ORD 300 N. Park Avenue 2nd Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 INVITATION FOR BID (IFB) A TERM CONTRACT TITLE: FOUNTAINS- INSPECTION AND CLEANING SERVIi Attachment "P" References Bidder shall submit as a part of their bid response, a minimum of three (3) of the most significant projects simi which were performed within the last three (3) years. The contact person shall be someone who has person Bidder's performance for the specific requirements listed and is aware the City may be contacting them. "E0ject #1: Pro'ect Name: City of Sanford Basin Fountain Maintenance T e of Pro' -+11-11- -, -­ intain Rprvirp / Maij]tenenr Address: Magnolia Q-TouhyCoastline Pk , . e Contractin A enc /Client; _City of Sanford Contact - Name and Phone 4: R obet Beal 407.688.5000 0 0 Ext. ,�54 36ontact Email Address and Fax R0bert'Bea' sanfordfl. ov40 Start Date: g/2018 End Date: 7.688.5013Contra"tAmount49600.00 912019 Proeet42 Project Nan _ Heathrow HOA Fountain Maintenance in size and scope knowledge of the v e of Pro Service icelvla�inlenenc�e ----------- L Address: ��Hf=aXro , �F -Contracting Agency/Client: Sent a Management Contact Name and Phone 44: Deanna Simms 407-333-0884 Contact Email Address and Fax #:.. heathrow(cDCSBonfine.net 407-333-4166 Contract Amount: 28,088.001 Year Date: 11-1996 L �- [ End Date: Current "Eject 43: 7— I Project Name: Hunter's Creek [E -2e of I'ro'ectlService: Fountain Service -/M`a`in-te—ne-nce - - - - - - - - -------------------------- Address: 14101 Town Loop Boulevard Orlando, FL 32837 Contracting Agency/Client: ' Contact Name and Phone ". Anna Robertson 407-240-6000Q ©x144 Contact Ei LiaJi:1:A:d:(dress and Fax #: --- arobertson@hunterscreek.net 407-240-0183 Contract Amount: I Start Date: 1996 End Date- Current Project #4: Project Name: Tv�)e of ProiectlServirp- Contracting Age—ncLy/Client: Contact Name and Phone lik Contact Email Address andFax #: Contract Amount: -------- I Start Date: _Project Name: pr, Type of Project/Service: Address: End Date: Contracting Agency/Client: Contact Name and Phone 9: Contact Email Address and Fax i44: C Start Date: End Date: PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE ""Failure to submit this form may be grounds for disqualification of your submittal- I'mi-r-Inj U-fll I'll I FLORI-1 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C1 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFF BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if certificate 'holder DfSUB'o '0'd r is an ADDITIONAL INSURED, Pol lYmust s Us I hove ADDITIONAL I NSaURE ROGATION ISAl subject toth terms and end- 0,ofthe policy, certain policies may quln �n 'hIaco tod. not h WtothaI Fc-Wf Id- in . :ander Insurance Agency S. Orlando Ave., Suite 206 land, FL 32751 Inc. Ins Insurance Company DATE (MMfOD[YYYY) iTE HOLDER. THIS BY THE POLICIES R(S), AUTHORIZED or be endorsed. A statement on THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEB 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 BEEN REDUCED BY PAID CLAIMS W OAY H ---V, TYPE OF INSURANCE 3- ff-tsUBR ------ POLICY NUMBER POLICY EFF POLICY EXP----_------_ -j- -COMMi'MMIDn ERCIAL GENERAL LIABILITY Uh11 Is CLAIMS-MADEEACH 0 _L CCL�B.Rj(_Nqi-_ 21000'0 OCCUR 21SBARMS302 1021161201902!1612020 DAMAGETOREN'fE6----'-'--- D EXP Am one e,san) 10,01 GFN'L AGGREGATE LIMIT APPLIES PER _INJURY 2,000,01 _IV POLICY 2-1 A I JPEReT LNERAL ACGRL!j;L7K IS 4,000,01 LOG JML1131LE LIABILITY t ANYAUTO BAS56077322 OWNED 1 SCHEDULED 02/01/2019 02/0112020 AUTOS 0N!,y AUTOS I I At ONLY UMBRELLA LtAa OCCUR CLAIM EXCESS LIAR 121SBARM9302 02/16/2019102/16/2020 EEPT �ioN,�--i0000l T--T�ETE i i I YIN I �" iN I A 840-0023775-2019A 02101/2019102J01/2020 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schodela,may be attached if more space is required) rhe City of Sanford is Additional Insured for General and Automobile -lability. Umbrella to follow form. CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sanford THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN 300 N. Park Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Sanford, Fl- 32771 AUTHORIZED REPRESENTATIVE I ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION, All rights �rer reserved. The ACORD name and logo are registered marks of ACORD Farm W-9 i Request for Taxpayer I iI ivef-orrn to the Identification Number and CertifiGl cation req ' tev Do not sen to the IRS, -77 TV Wa Www WMI vo� � -7 --------- — - — ------- a-7 3 CII, -k apiirop,i Lixfut 'o., Thow �Msl b."a OW l)"op, MW M C Wwrm,,' w S 0""" El cs L! W."M ow C vW W ^my 0. 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SE-MIN01-A BIAD CASSEI..BI.-1'RRYI.T 3)7()1-3625 IS` IT DATE: Septen-ibei, 20, 2018 EXPIRATIONDATE: Scpte-,jt)cr3(),2()j,) TAX RECEIPT#' CI—ASS I FICATION FUTS Px fo-,\ 19-0010 11261 115.7o SFAIINOU COII�NTYFFFA ENSE CfYmxtv*-.,r,,� F0U\T,,'NINSAI.-f-'-,S & Sj-1jZ\,,tC,I:1 IMPOR I pt,-( 11" NIL SI BE POS'j h.]3 ( t^,pj( I 1111AAIJI FOR 1:1 M 41,1 IN } Ot R pl, N( !it SINES's,