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2193 IRQ 19/20-166 After Hours Answering Services UtilitiesThe item(s) noted below is/are attached and forwarded to your office for the following action(s): ❑ Development Order ❑ Mayor's signature ❑ Final Plat (original mylars) ❑ Recording ❑ Letter of Credit ❑ Rendering ❑ Maintenance Bond ® Safe keeping (Vault) ❑ Ordinance ❑ Deputy City Manager ❑ Performance Bond ❑ Payment Bond ❑ Resolution ❑ City Manager Signature ❑ ❑ City Clerk Attest/Signature ❑ City Attorney/Signature Once completed, please: ❑ Return originals to Purchasing- Department ❑ Return copies El Special Instructions: Awarded to McGhee and Associates Liv (3ojaoUzgw 2/24/2020 From Date SharePoint_Finance_Purchasing_Forms - 2018.doc FINANCE DEPARTMENT February 6, 2020 Contract/Agreement Name: IRFQ 19/20-116 After -Hours Answering Services Approval: LI/Plurchasing Manager Date M= Financk Director Date City Attorney Date AGREEMENT BETWEEN CITY OF SANFORD AND MCGHEE AND ASSOCIATES, LLCIIRFQ NUMBER 19/20-116; AFTER-HOURS ANSWERING SERVICES THIS AGREEMENT (hereinafter the "Agreement") is made and entered into this day of February 2020, 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 McGhee And Associates, LLC, a Kansas limited liability company, authorized to conduct business in the State of Florida, whose principal address is 4424 Grande Bluffs Lane, Manhattan, Kansas 66503, (hereinafter referred to as "McGhee"). The City and McGhee 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 Services. (a). This Agreement is for the provision of services set forth in the attachments hereto and McGhee agrees to accomplish the provision of services specified in the attachments for the compensation set forth in those documents relating to after-hours answering services and for such other services as may be agreed upon by the parties as set forth in issued work/purchase orders. (b). It is recognized that McGhee shall provide services as directed by the City. (c). The City's contact/project manager for all purposes under this Agreement shall be the following: Purchasing Manager Finance -Purchasing Division City of Sanford Post Office Box 1788 iii-21ge Sanford, Florida 32772-1788 Phone: 407-688- 5028 Email: Marisol.ordonez@sanfordfl.gov Section 4. Effective Date and Term of Agreement. This Agreement shall take effect on the date that this Agreement is fully executed by the parties hereto. This Agreement shall be in effect for a term of 1 year with the opportunity for additional 1 -year renewal periods when in the best interest of the City in its sole discretion. However, the total length of this Agreement, including all renewals, shall not exceed 5 years. The decision to renew or extend this Agreement shall be at the discretion of the City. McGhee shall review the quality and status of the services pertaining to the performance of after-hours answering services with the City on an annual basis at which time(s) the City may terminate this Agreement is its sole and absolute discretion. In any event, this Agreement shall remain in effect until the services to be provided by McGhee 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 services being provided by McGhee. No goods, services or actions have been provided prior to the execution of this Agreement that would entitle McGhee for any compensation therefor. Section 5. Compensation. The parties agree to compensation as set forth in the attachments hereto, with the initial purchase of 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. McGhee'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, McGhee 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 1 P i g _ (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 McGhee 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 McGhee does not comply with a public records request, the City shall enforce the contract provisions in accordance with this Agreement. (c). Failure by McGhee to grant such public access and comply with public records requests shall be grounds for immediate unilateral cancellation of this Agreement by the City. McGhee shall promptly provide the City with a copy of any request to inspect or copy public records in possession of McGhee and shall promptly provide the City with a copy of McGhee's response to each such request. (d). IF THE CONTRACTORIVENDOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S (VENDOR'S) DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (407) 688-5012, TRACI HOUCHIN, CMC, FCRM, CITY CLERK, CITY OF SANFORD, CITY HALL, 300 NORTH PARK AVENUE, SANFORD, FLORIDA 32771, TRACI.HOUCH IN@SAN FORDFL.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 McGhee 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 31i' )2e written amendment of equal dignity herewith. In the event that McGhee 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 4111age 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 McGhee, 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 McGhee have executed this instrument for the purpose herein expressed and McGhee represents and affirms that the signatories below have full and lawful authority to bind McGhee in every respect. ATTEST. CITY OF SANFORD Traci Houchin, CMC, CRM C-1 lett 9- City Clerk Ma 1� v, e. 0 43 Approved as to form and legal sufficiency. William L. Colbert, City Attorney ATTEST/WITNESS: MCGHEE AND ASSOCIATES, LLC, a Kansas limited liability company, authorized to conduct business in the State of Florida. B- i �/ Witness 1 Signature Kimerlyy McGhe ,Sole Manager Witness # 1 Printed Name; -7-.,(-,, o, -Aq Coo ie- Dated: ktnes,slp SjgWature Witne4s42 Printed Name; 511'age BIDDER INFORMATION: DUE DATE., Tuesday, .January 14,2020at 2:00 P. M. Local Time Name of Firm-Mccabee .... Xyl .... City of Sanford Purchasing Division Address:�HZ4 ... 6-raMe.—D -f S Contact Person: Lindsey Bojadzijev, Purchasing Analyst ..... ...... Address: 300 N. Park Avenue Suite 243 City, State, Zip: Sanford. Florida 32771 Address: .......... .......... ........ .................................. ........ Phone Number: 407.688.5030, or ext. 5028 Fax Number: 407,688.5021 City/State/Zip Code:f ......sErnail: PW-chasing@ sanbidfl.gov For Div./Dept./Office: Bill Marcous, Utility Support Supervisor Contact Person:.6,WXd-(,j ..... Mcb-Ae-e ............. Delivery Address: 300 N. Park Ave 611 Sanford, Florida 32771 Phone Number: ........ S.5 ......... ..... C) . ..... a I bI.O.C5 ISSUED DATE: 'Tuesday, December 31, 2019 Fax Number:]....:`. BIDDER'S PRINTED NAM BIDDER'S SIGNATURE.-C**.V Title: ..... C, .......................................................................... Date: ..... V'J ... 3../ ................................................................. IPLEASE RETURN BY DUE DATE AND TIME VIA FAX, MAIL OR EMAIL TO CONTACT PERSON STATED ABOVE. 1. Intent. The intent of this solicitation is to select a Successful Bidder for the provision of answering after hour calls for the City's various departments. 2. Deliverables and Scone of Services. The SLICUSSffil Bidder shall provide all necessary material, goods, labor, and etcetera; a) Services will be provided as "after-hours" operating outside of the City's normal business day. Services may also be provided 24/7, including City closures for inclement ,,weather, weekends, emerg holidays and emergency assistance with C, no additional fees. only 24/7 on weekends and holidays. Services are after normal business hours (workdays). b) Prepare a set up for services, including but not limited to preparing a scripture for after hour services. c) Services include one phone number (toll-free); i. This number can be listed or advertised directly, or existing lines can be forwarded to it. ii. Unlimited lines forwarded to call forwarding number (DID line). d) All call recording will be stored for five (5) years from the date of tile call. c) A daily summary of messages from the previous, day by email or fax. f) Have all option for English or Spanish speaking representative, if needed by customer, g) Need a contact to provide information updates (NOT FINANCIAL). In order to receive information from tile city/ customer service out reach. Vendor to provide a specific representative for the City's account so, if a City employee has a question about a voicemail or phone number that was left in a voicemail the City employee has someone they regularly talk to. This representative will be able to update the script to notify Customers of any information pertaining to the Utilities Customer Set -vice. Changes that may be needed to the City's account at the City's request. h) Proper training to City staff. i) Any additional service that are not included in this bid must be approved by the City Representative. j) Prepare a Set Lip for services, including but not limited to preparing a scripture for after hour services. Time Performance: After issuance of the purchase order by the City, the Successful Bidder shall update the appropriate City representative providing a tentative delivery schedule and proJect commencement date. Re, 1)3(201t, City of Sanford I Finance Department I Purchasing Division 300 N. Park Avenue, Sanford, Florida 32771 AL, CITY (IF Phone: 407.688.5028, or extension 5030 1 Fax: 407.688.5021 FORM FO INFORMAL REQUEST FOR QUOTE FLOMDA IRFQ IRFQ-19i 116 AFTER HOURS ANSWERING SERVICES BIDDER INFORMATION: DUE DATE., Tuesday, .January 14,2020at 2:00 P. M. Local Time Name of Firm-Mccabee .... Xyl .... City of Sanford Purchasing Division Address:�HZ4 ... 6-raMe.—D -f S Contact Person: Lindsey Bojadzijev, Purchasing Analyst ..... ...... Address: 300 N. Park Avenue Suite 243 City, State, Zip: Sanford. Florida 32771 Address: .......... .......... ........ .................................. ........ Phone Number: 407.688.5030, or ext. 5028 Fax Number: 407,688.5021 City/State/Zip Code:f ......sErnail: PW-chasing@ sanbidfl.gov For Div./Dept./Office: Bill Marcous, Utility Support Supervisor Contact Person:.6,WXd-(,j ..... Mcb-Ae-e ............. Delivery Address: 300 N. Park Ave 611 Sanford, Florida 32771 Phone Number: ........ S.5 ......... ..... C) . ..... a I bI.O.C5 ISSUED DATE: 'Tuesday, December 31, 2019 Fax Number:]....:`. BIDDER'S PRINTED NAM BIDDER'S SIGNATURE.-C**.V Title: ..... C, .......................................................................... Date: ..... V'J ... 3../ ................................................................. IPLEASE RETURN BY DUE DATE AND TIME VIA FAX, MAIL OR EMAIL TO CONTACT PERSON STATED ABOVE. 1. Intent. The intent of this solicitation is to select a Successful Bidder for the provision of answering after hour calls for the City's various departments. 2. Deliverables and Scone of Services. The SLICUSSffil Bidder shall provide all necessary material, goods, labor, and etcetera; a) Services will be provided as "after-hours" operating outside of the City's normal business day. Services may also be provided 24/7, including City closures for inclement ,,weather, weekends, emerg holidays and emergency assistance with C, no additional fees. only 24/7 on weekends and holidays. Services are after normal business hours (workdays). b) Prepare a set up for services, including but not limited to preparing a scripture for after hour services. c) Services include one phone number (toll-free); i. This number can be listed or advertised directly, or existing lines can be forwarded to it. ii. Unlimited lines forwarded to call forwarding number (DID line). d) All call recording will be stored for five (5) years from the date of tile call. c) A daily summary of messages from the previous, day by email or fax. f) Have all option for English or Spanish speaking representative, if needed by customer, g) Need a contact to provide information updates (NOT FINANCIAL). In order to receive information from tile city/ customer service out reach. Vendor to provide a specific representative for the City's account so, if a City employee has a question about a voicemail or phone number that was left in a voicemail the City employee has someone they regularly talk to. This representative will be able to update the script to notify Customers of any information pertaining to the Utilities Customer Set -vice. Changes that may be needed to the City's account at the City's request. h) Proper training to City staff. i) Any additional service that are not included in this bid must be approved by the City Representative. j) Prepare a Set Lip for services, including but not limited to preparing a scripture for after hour services. Time Performance: After issuance of the purchase order by the City, the Successful Bidder shall update the appropriate City representative providing a tentative delivery schedule and proJect commencement date. Re, 1)3(201t, City Responsibility: e) Provide all information needed for Set—tip ofafter-hours services, 6) Provide contact information for a City employee Beth Dwyer in cooc in emergency arises 407-688-5102; Bizubcth.dwyer@uunfbrdD.gov c) City Hall hour ofoperation 8minMonday — Thursday 7:3Uann-5:]Opm, Friday's O:0Oun'—|:O0pm.closed Saturday and Sunday. Obligations uythe Successful Bidder: I\iaunderstood that the successful Bidder shall provide and pay for all labor, tools, materials, permits, equipment, transportation, supervision, and any and all other iterns or services. of any type whatsoever, which are necessary to fitilly complete and deliver the goods/se ry ices requested by the City, and shall not'have the authority to create, or cause to be filed, any liens for labor and/or materials on, or against, the City, or any property owned by the City. Such lien, attachment, nroncumbvuncu, until it is rnmovmd' shall preclude any and allc!uimo ordemunda for any payment expected by virtue of this proJect. The successful Bidder will ensure that all of its employees, agents, sub- contractors, representatives, vo|uoteem, and dhe like, fully comply with all of the tonnu and conditions set herein, when providing set -vices for tile City in accordance herewith. Thusuucauafu! Bidder shall be solely responsible for the meonu, methods, techniques. sequences, safety programs, and procedures necessary to properly and fully complete the work set forth intile Scope ofServices. The Successful Bidder shall use appropriate tools and/or equipment which are in good repair and proper working order, so as to enable the successful Bidder to complete the serviecs required hereby. Public Emergencies: It is hereby made u pail of this hid that before, during, and after public emergency, disaster, hurricane, tornado. flood, or other acts of God, City of Sanford shall require a "'First Priority" for goods and services. It is vital and imperative that the health, safety, and welfare of the citizens of Sanford are protected fi-orn any emergency Situation that threatens public health and safety asdc1crmincdbythe City. The Bidder agrees 0oruut/se||/|eaneall goods audservices to the City orgnvecnm*nm| eudbeo on u '^fioi priority*' basis. The City expects to pay contractual prices for all products and/or services under the awarded Agreement in the event of a disaster, emergency, hurricane, tornado, flood, or other -acts of God. Should the Bidder provide the City with products and/or services, not under the awarded Agreement, the City expects to pay a fair and reasonable price for all products and/or services rendered or contracted in the event of a disaster, emo,gency,hurricane, tornado, flood, orother acts ofGod. The City shall select the lowest quote that is most responsive to the needs of the City as Outlined herein. The bidder's price response shall be accompanied by a detailed description of tile required service to be offered. 3. Price Submittal. Ioaccordance with tile tenns,conditions. and specifications, Vvve, osuodhmizcdi - uWrytocmnmit the firm, do hereby accept in total all the tcnos and conditions Stipulated and referenced in this |RP0 document and hamhv submit the following prices for IRFQ-19/20-116, After Hours Answering Services, as follows: P�F Description Plan A 2500 Plan B 3000 Extended Price 1. Set-up Charge (Onctime Fee) 0 /0 2. Price to include usage rate and amount of included minutes. If" I it �3/ rM (q s i 315-01 3. Overage — after the included minutes 6 4. Voicemail and Automated minutes 5. Use additional paper to complete Informal Request for Quote, if inore than one plan. m"2 22am REMINDER: THIS FORM IS TO BE INCLUDED WITH YOUR SUBMITTAL. FAILURE TO SUBMIT ALONG WITH YOUR SUBMITTAL MAY BE CAUSE FOR DISQUALIFICATION. THE REMAINDER OF THIS PAGE LEFT INTENTIONALLY BLANK Rev. 2,22 2018 Item The additional documents must be provided with the Informal Request for Quote 1. Include a copy of your Certificate of Liability Insurance (C01) with your quote submittal? 2. Complete and include Attachment "A — J" 3. Include a copy of your Florida State License and W9 a. The City will not consider alternates to the items listed above. If alternates are offered. the City will have the sole and unilateral right to refect the alternate and purchase from the vendor providing compliant items. Delivery time will be a factor in the evaluation ofthis IRFQ. b. All prices quoted shall remain firm for a period ol'one Qj year with two ( I ) year options to renew not to exceed rive (5) years contract after award of this IRFQ. c. The vendor will be on a probationary period for 90 days after the start date. d. Unit Price Accuracy: Please check [lie stated unit prices before submitting your quote; as no change in prices shall be allowed after the due date and time. All prices and notations must be in ink or typewritten. In eases of extended price irregularities. the unit price shall prevail. Please note that the City reserves the right to cladry and correct extended price amount errors. c. The city olSanfiord is exempt from Sales Tax. Certificate No, 85.8012621681 C-8. f, If you are offiLring pricing which is based on other entity or agency solicitation pricing. clearly state SO and include it copy of the applicable Solicitation with yoursubmittal. g. Please read all terms and conditions. complete the requested information, and sign in the space provided on page 1. Critical Data: a. Please return your quote submittal via fax, mail or email to the requesting Division/Departmenti0frice as outlined on page 1: by no later than the due date and time Outlined oil page I or as revised thereof via written addenda. b. Please email questions regarding this quotation only to the requesting Division!Department/Oftice. Any interpretations, clarifications. Or changes made will be in the form ofwritten addenda issued by requesting Division/Dopa rtmen 1/0 Mice. c, Pursuant to Section 2.2 of the City or Sanford Purchasing Policy. lobbying is strictly prohibited. d. Please note that all documents Sent to the City as part of this IRFQ are considered a Public Record: as prescribed by Chapter 119. Florida Statutes. c. Bidder must submit a cop), of their Certificate of Insurance with their quote. f. Any order resulting from this IRFQ shall be subject to the attached General Terms and Conditions and all applicable laws, policies. and procedures. REMINDER: THIS FORM IS TO BE INCLUDED WITH YOUR SUBMITTAL. FAILURE TO SUBMIT ALONG WITH YOUR SUBMITTAL MAY BE CAUSE FOR DISQUALIFICATION. THE REMAINDER OF THIS PAGE LEFT INTENTIONALLY BLANK Rev. 2,22 2018 Attachment "Ell COMPLIANCE WITH THE PUBLIC RECORDS LAW AFFIDAVIT i If and when the City of Sanford transmits rcumda to the Contractor/Vendor which are exempt bom public disclosure, the CunUactor8/eodor shxU execute un of Receipt of Exempt Public Records and Agreement to Safeguard" which will be provided with the oxcmpu records. A uump|e fbnn is attached for thu bidder/proposer's information. II. Upon award recommendation or 30 6uvy after Opening, k is understood that all submittals ohuU buumnc "public records" and shall be vohioCt to Public disclosure consistent with Chapter 119, fYmidx J)u/utex and Section 24(u) Article I of the Co/m//o//iom ql'the State mrfYorida, and other controlling law (collectively tile "Public Records Laws"). If the City of Sanford (City) re.jects all replies submitted in response to a competitive solicitation and provides notice of its intent to reissue dle ao|iukutou dxe replies remain cxonpx bnm disclosure until the City provides o notice of intent to award orwithdraws the reissued solicitation. [[noaward ismade, responses are not exempt for longer than 12 months after the initial notice re.jecting all responses. Proposers/Bidders must invoke the nscmpiiOna to disclosure provided by |mx is applicable to the response to dbo solicitation, most idau1ip, the data urother materio|a to ba protected, and moot state the reasons Why uuch uzclooioo Rom public disclosure ianecessary. The submission ufo proposal anihorizcs release ofyour firm'acredit data to tile City. \[uProposer/Bidder mu6mity information oxmnptfrom public disclosure, theProposer/Bidder musc specificallyanJ in detail identify with specificity which pxues6mragmphonftheir 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 numtbcsubmitted iotile City inaseparate envelope marked accordingly. By submitting u response to this solicitation, the kNex agrees to defend, indemnify and hold the City hunn|eas in the event the City litigates the public records status of the Pnoponer'm8Bidder'm documents this provision including the obligation to pay the full legal costs oftile City including, but not |imi<od to, attorney's feax, cmurtcoom, and any and all other charges, regardless ofvvha1level oftrial orappeal. Proposer/Bidder )�_�� _ ��`�°� / �� Signature of Authorized RelVesentative (Affiant) Date Printed or Typed Nantt and Title of"ALIthorized Representative (Affiant) ,nrnm City of Sanford Finance Department Purelhasing Division 300 N. Park Avenue 211 Floor Suite 236 Sanford, Florida 32771 Phone: 407,688,5028 or 5030 1 Fax: 407.688.5021 INFORMAL REQUEST FOR QUOTE TERM CONTRACT TITLE: AFTER HOURS ANSWERING SERVICES Attachment "Ell COMPLIANCE WITH THE PUBLIC RECORDS LAW AFFIDAVIT i If and when the City of Sanford transmits rcumda to the Contractor/Vendor which are exempt bom public disclosure, the CunUactor8/eodor shxU execute un of Receipt of Exempt Public Records and Agreement to Safeguard" which will be provided with the oxcmpu records. A uump|e fbnn is attached for thu bidder/proposer's information. II. Upon award recommendation or 30 6uvy after Opening, k is understood that all submittals ohuU buumnc "public records" and shall be vohioCt to Public disclosure consistent with Chapter 119, fYmidx J)u/utex and Section 24(u) Article I of the Co/m//o//iom ql'the State mrfYorida, and other controlling law (collectively tile "Public Records Laws"). If the City of Sanford (City) re.jects all replies submitted in response to a competitive solicitation and provides notice of its intent to reissue dle ao|iukutou dxe replies remain cxonpx bnm disclosure until the City provides o notice of intent to award orwithdraws the reissued solicitation. [[noaward ismade, responses are not exempt for longer than 12 months after the initial notice re.jecting all responses. Proposers/Bidders must invoke the nscmpiiOna to disclosure provided by |mx is applicable to the response to dbo solicitation, most idau1ip, the data urother materio|a to ba protected, and moot state the reasons Why uuch uzclooioo Rom public disclosure ianecessary. The submission ufo proposal anihorizcs release ofyour firm'acredit data to tile City. \[uProposer/Bidder mu6mity information oxmnptfrom public disclosure, theProposer/Bidder musc specificallyanJ in detail identify with specificity which pxues6mragmphonftheir 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 numtbcsubmitted iotile City inaseparate envelope marked accordingly. By submitting u response to this solicitation, the kNex agrees to defend, indemnify and hold the City hunn|eas in the event the City litigates the public records status of the Pnoponer'm8Bidder'm documents this provision including the obligation to pay the full legal costs oftile City including, but not |imi<od to, attorney's feax, cmurtcoom, and any and all other charges, regardless ofvvha1level oftrial orappeal. Proposer/Bidder )�_�� _ ��`�°� / �� Signature of Authorized RelVesentative (Affiant) Date Printed or Typed Nantt and Title of"ALIthorized Representative (Affiant) ,nrnm Attachment "F" 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 establislu-nents. 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 C:� 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. I McGhee- and AaLcia,�e& LLC Name of Bidder M Signature bf Authorized R(�resentative Date Printed or Typed Nalile and "Title of Authorized Representative PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE `O'Failure to submit this form may be grounds for disqualification of your submittal"1�1 City of Sanford I Finance Department I Purchasing Division 300 N. Park Avenue 2" Flow- Suite 236 Sanford, Florida 32771 Nilin _ Is;, �ORD Phone: 407.688.5028 or 5030 Fax: 407.688.5021 INFORMAL REQUEST FOR QUOTE X TERM CONTRACT TITLE: AFTER HOURS ANSWERING SERVICES Attachment "F" 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 establislu-nents. 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 C:� 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. I McGhee- and AaLcia,�e& LLC Name of Bidder M Signature bf Authorized R(�resentative Date Printed or Typed Nalile and "Title of Authorized Representative PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE `O'Failure to submit this form may be grounds for disqualification of your submittal"1�1 Attachment "G" DISPUTES DISCLOSURE FORM 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. Has your firm, or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Reg dation 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 r i es your firm provides in the regular course of business within the last five (5) years? (Y/N) 3. Has your firm had filed against it or filed any requests for equitable ad.justi-nent, contract claims or litigation in the pa, ` ve (5) years that is related to the services your firm provides in the regular Course of business? 1J (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. QLAha (,Ina kSDCA * LA41,S LLc Firm Signature df Authorized IW- presentative Date Printed or TypedAame and Title of Authorized Representative PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE �Failurc to submit this form may be grounds for disqualification of your submittal IR 14) 19/711-1 If. City of Sanford I Finance Department I Purchasing Division 300 N. Park Avenue 2"1 Floor Suite 236 Sanford, Florida 32771 er CITY OF S 0-w Plione: 407.688.5028 or 5030 1 Fax: 407.688.5021 I" INFORMAL REQUEST FOR QUOTE TERM CONTRACT TITLE: AFTER HOURS ANSWERING SERVICES Attachment "G" DISPUTES DISCLOSURE FORM 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. Has your firm, or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Reg dation 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 r i es your firm provides in the regular course of business within the last five (5) years? (Y/N) 3. Has your firm had filed against it or filed any requests for equitable ad.justi-nent, contract claims or litigation in the pa, ` ve (5) years that is related to the services your firm provides in the regular Course of business? 1J (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. QLAha (,Ina kSDCA * LA41,S LLc Firm Signature df Authorized IW- presentative Date Printed or TypedAame and Title of Authorized Representative PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE �Failurc to submit this form may be grounds for disqualification of your submittal IR 14) 19/711-1 If. Attachment "J" 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 Addendum No. Addendum No. Addendum No. Addendum No. Dated: 1 —15 Dated: Dated: Dated: Dated: By the signature(s) below. I/We, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachinent "K", Addendum Receipt Acknowledgement Certification, is trUffiffil and correct at the time of submission. I 't N Bidder/Contractor Narne:U C s t) eg 1 a4 Mailing Address:&I %w L4 T jaflf L i 0611 - . 0, . A -7 Y5— 7 4 6AP5 E-mail Address: - u Telephone NL1111ber:--795ZFaxNL1jnber 3 KiMbPfj1A-Mf�9 FEIN: '-4&—C9W64 -6,0e -/AutAoUzed�igtAiat Printe^anie TitleED — � , i '5 Date PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE '2'Failure to submit this form may be grounds for disqualification of your submittal -a,' TR ro 1912.0 -lir. 11) City of Sanford Finance Department Purchasing Division 0 10 300 N. Park Avenue 2"' Floor Suite 236 Sanford, Florida 32771 . ... .. .. H AN"FORD Phone: 407.688,5028 or 5030 1 Fax: 407.688.5021 INFORMAL REQUEST FOR QUOTE TERM CONTRACT TITLE: AFTER HOURS ANSWERING SERVICES Attachment "J" 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 Addendum No. Addendum No. Addendum No. Addendum No. Dated: 1 —15 Dated: Dated: Dated: Dated: By the signature(s) below. I/We, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachinent "K", Addendum Receipt Acknowledgement Certification, is trUffiffil and correct at the time of submission. I 't N Bidder/Contractor Narne:U C s t) eg 1 a4 Mailing Address:&I %w L4 T jaflf L i 0611 - . 0, . A -7 Y5— 7 4 6AP5 E-mail Address: - u Telephone NL1111ber:--795ZFaxNL1jnber 3 KiMbPfj1A-Mf�9 FEIN: '-4&—C9W64 -6,0e -/AutAoUzed�igtAiat Printe^anie TitleED — � , i '5 Date PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE '2'Failure to submit this form may be grounds for disqualification of your submittal -a,' TR ro 1912.0 -lir. 11) DATE: ,January 7. 2020 TO: All Bidders/Proposers FROM: Lindsey B2j#zijev City of Sanford Purchasing Division SUBJECT- IRFQ 19/20-116 After Hours Answering Service I ADDENDUM #1 This addendum is issued to provide additional information, clarification, corrections, additions, deletions and/or answers to questions concerning the above referenced solicitation. All information provided in this addendum is incorporated into the solicitation document as set forth therein. All other parts of the solicitation have been maintained as originally distributed. This addendum supersedes any verbal and/or other instructions given to any bidder/proposer qualified to respond pursuant to the requirements set forth in the solicitation document. I. DUE DATE This Addendum does not change the solicitation due date. As such, the solicitation response is due no later than Tuesday, January 14, 2020 at 2:00 p.m. Local Time. 11. QUESTIONS AND ANSWERS (Q&A) The City has received the following question(s) concerning the solicitation: Q 1. How much is the current vendor charging per month? A1. Around $1,500 Q2. Please share the actual number of calls received each month over the past year? A2. January — 1,507 February — 1.300 March — 1,161 April — 932 May — 1,248 June -1,029 July — 1,503 August — 1,240 September — 1,156 October — 968 November— 1,056 December — 752 Q3. \kThat percentage of calls are Spanish bilingual? A3. Around 5% Q4. Our company is based out of Kansas however, we are also registered in the State of Florida. I 11(jK-11-/ I L 1 Rev. 11/2016 City of Sanford I Finance Department I Purchasing Division SANFORD 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-,5028 or 5030 1 Fax: 407-688-50211 Email: j2urchasing(&sanfordfl.gov ADDENDUM After Hours Answering Services # DATE: ,January 7. 2020 TO: All Bidders/Proposers FROM: Lindsey B2j#zijev City of Sanford Purchasing Division SUBJECT- IRFQ 19/20-116 After Hours Answering Service I ADDENDUM #1 This addendum is issued to provide additional information, clarification, corrections, additions, deletions and/or answers to questions concerning the above referenced solicitation. All information provided in this addendum is incorporated into the solicitation document as set forth therein. All other parts of the solicitation have been maintained as originally distributed. This addendum supersedes any verbal and/or other instructions given to any bidder/proposer qualified to respond pursuant to the requirements set forth in the solicitation document. I. DUE DATE This Addendum does not change the solicitation due date. As such, the solicitation response is due no later than Tuesday, January 14, 2020 at 2:00 p.m. Local Time. 11. QUESTIONS AND ANSWERS (Q&A) The City has received the following question(s) concerning the solicitation: Q 1. How much is the current vendor charging per month? A1. Around $1,500 Q2. Please share the actual number of calls received each month over the past year? A2. January — 1,507 February — 1.300 March — 1,161 April — 932 May — 1,248 June -1,029 July — 1,503 August — 1,240 September — 1,156 October — 968 November— 1,056 December — 752 Q3. \kThat percentage of calls are Spanish bilingual? A3. Around 5% Q4. Our company is based out of Kansas however, we are also registered in the State of Florida. I 11(jK-11-/ I L 1 Rev. 11/2016 noticed that the documents that require a notary list that the notary must be a Florida notary. Can I get this notarized in Kansas? A4. As long as you are registered in the State of Florida to do business then it is okay Q5. What is the anticipated contract start date? A5. Depends in review= of documentation, estimated for March Q6. In reference to Plan A 2500 and Plan B 3000, does this rnean Plan A to include 2500 minutes and Plan B to include 3000 minutes? A6. Yes it does 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 \,our response. Acknowledgment is hereby made of Addendum # I to IRFQ 19/20-116 After Hours Answering Service. , II "now nim I�Dnllts UC - &Ab&I(le) Name of Firm/Company Contact EmIiiI j 1424 Lnes ma 0�C'a Street Address City, State, Zip Code - 7T96--3EO--- '-79G--141,o-bLQ3 Telephone Number Fax Number I � w— h��' I IV M C& he -e Authorized Person Printed Name Autlh'iori Persoi Signature M Authorized Person Title 1--13 --O Date of Signature I k) [\-I -4 14 2 Rev. 11/2016 City of Sanford I Finance Department I Purchasing Division SA7NFORD 300 N. ParkAvenueSuite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-M21 I Email: ADDENDUM After Hours Answering Services noticed that the documents that require a notary list that the notary must be a Florida notary. Can I get this notarized in Kansas? A4. As long as you are registered in the State of Florida to do business then it is okay Q5. What is the anticipated contract start date? A5. Depends in review= of documentation, estimated for March Q6. In reference to Plan A 2500 and Plan B 3000, does this rnean Plan A to include 2500 minutes and Plan B to include 3000 minutes? A6. Yes it does 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 \,our response. Acknowledgment is hereby made of Addendum # I to IRFQ 19/20-116 After Hours Answering Service. , II "now nim I�Dnllts UC - &Ab&I(le) Name of Firm/Company Contact EmIiiI j 1424 Lnes ma 0�C'a Street Address City, State, Zip Code - 7T96--3EO--- '-79G--141,o-bLQ3 Telephone Number Fax Number I � w— h��' I IV M C& he -e Authorized Person Printed Name Autlh'iori Persoi Signature M Authorized Person Title 1--13 --O Date of Signature I k) [\-I -4 14 2 Rev. 11/2016 ATTACHMENT "A" PRICE PROPOSAL IRFQ-19/20-11,6 AFTER HOURS ANSWERING SERVICES 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 IRFQ document and do hereby agree that if contract is offered or negotiated it will abide by the terms and conditions presented in the IRFQ document or as negotiated P1.11-SUant thereto. The undersigned, having familiarized hirn/herscif with the terms of the IRFQ 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 requirement and technical specifications and other documents including Addenda, if any, on file at the City of Sanford Purchasing Division for the price set forth herein in Attachment "A" Offer to Purchase and Acceptance of Request for Quote Terms and Conditions. The signature(s) below is an acknowledgment of my/our full understanding and acceptance of all the terms and conditions set forth in this IRFQ document or as otherwise agreed to between the pat -ties in writing. Bidder/Contractor Name: A s- b ci t ll-& LtC. LP MwoIKS) �ailing Address: ohahnn 0503 Telephone Number.- Fax Number: E-mail Address: tMb'edia W'lf 4 r" [f? 1;1 U4 f ('6 14 tO FEIN: L J4 (V&K�l Aluthori)ed Sirnla&Vy' Printed Name Q -6 - Title A' STATE OFA COUNTY OF i I �a 0 Date The foregoing instrument was executed before me this C3 day of .— 1 20 ; M "'e' A1 C 61 �'� L(ct' _L0, by Zl . as C C- C, of MC6�4'rc ekn'� LL -C who personally swore or affinned that he/she is authorized to execute this document and thereby bind the Corporation, and who is personally known to me OR has produced Jr;jv,,'2 as identification. 1 wwal, TMWLANDONPODUR My Ap*&Mt 800 Uatch ik 20 NOTARY rl)13LIC. State of , 5c, s- (stanip) P PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE `71"Failure to submit this form may be grounds for disqualification of your submittal REMINDER: THIS FORM IS TO BE INCLUDED WITH YOUR SUBMITTAL. FAILURE TO SUBMIT ALONG WITH YOUR SUBMITTAL MAY BE CAUSE FOR DISQUALIFICATION. Rev. ?.??..01 h ctrtr°r FORDis41 City of Sanford I Finance Department I Purchasing Division�� 300 N. Park Avenue 2n' Floor Suite 236 Sanford, Florida 32771 Phone: 407.6€38.5028 or 5030 � Fax: 407.688.5021 �� INFORMAL REQUEST FOR QUOTE TERM CONTRACT TITLE: AFTER HOURS ANSWERING SERVICES L- - Attachment "D" Conflict of Interest Statement A. Iain the of C) with a local office in r` �� {' �i Lcc [insert Title] [insert Company Name) and principal office in �".f: B. The entity hereby submits an offer to IR 4/20-125 Financing of Police Vehicles. 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. FI. 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. I. I 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. .1. In the event that a conflict of interest is identified in the provision of services, 1, the undersigned will immediately notify the City in writing. By the signature(s) below, i/we, the undersigned, as authorized signatory to commit the firrn, certify that the information as provided in Attachment "D", Conflict of Interest Statement, is truthful and correct at the time of submission. AFFIANT SI13NATURE Typed Name of AFFIANT Title _. COUNTY OFZ1� STATE OF,I MA L- Q S On this 13 day of Tii?,n u tt rr �+ 20 2 6 before me, the undersigned Notary Public of the State of Florida, personally appeared;,.t,'t� Pv MrCmtx.e whose name(s) is/are subscribed to the within instrument, and he/she/they acknowledge that helshe/they executed it. WITNESS my hand and official seal. He/She is personally known to tile or has produced 5-r q.k r.cl �,V.z ` c e , s -+c as identification. SEAL rRrt) igen-tib (Notary Public hdrid for the County and State Aforementioned) ?Nl37 POLE WAPAVk*wt l t ttiard► 48, 2tt i My commission expires: M �t h1 t', `Z c`Z 3 PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE 'Failure to submit this form may be grounds for disqualification of vour submittal— My OF : City of Sanford I Finance Department I Purchasing Division 300 N. Park Avenue 21111 Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 50301 Fax: 407.688.5021 INFORMAL REQUEST FOR QUOTE TERM CONTRACT TITLE: AFTER HOURS ANSWERING SERVICES Attachment "C" NON COLLUSION AFFIDAVIT The undersigned, by signing this document hereby certifies that the company named below hereby is or does: 1. States that the entity named below and the individual signing this document has submitted the attached bid or proposal: 2. He is fully informed respecting the preparation and contents of the attached proposal and of all pertinent circumstances respecting such proposal; 3. Said bid or proposal is genuine and is not a collusive or sham bid or proposal; 4. Neither the said bidder or proposer nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant. has in any way colluded, conspired, connived or agreed, directly or indirectly with any other bidder, proposer, firm or person to submit a collusive or sham bid or proposal in connection with the Contract for which the attached bid or proposal has been submitted or to refrain from bidding or proposing in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communications or conference with any other bidder, proposer, firm or person to fix the price or prices in the attached bid or proposal or of any other bidder of proposer, or to fix any overhead, profit or cost element of the bid or proposal price or the bid or proposal price of any other bidder or proposer, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Sanford or any person interested in the proposed Contract. 5. The price or prices quoted in the attached bid or proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the bidder or proposer or any of its agents, representatives, owners, employees, or parties in interest, including the individual signing this document. e6 -e f r u i Bidder Signature�tAuthorized Reprr entative (Affiant) Date Printed or Typed ,Nanie and Title of Authorized Representative (Affiant) COUNTY OF tC ti f' -f STATE OF glAgU,14A Ka rNs / S On this 13 day of 'TCn UpIr to 20 2 0 before me, the undersigned Notary Public of the State of Florida, personally appeared_It t ly th c G, �� whose name(s) islare subscribed to the within instrument, and helshe/they acknowledge that he/she/they executed it. WITNESS my hand and official seal. He/She is personally known to me or has produced 3-u- ak e- D r i -j c C.,' 4Ce_.j rte as identification. (Notary Publi in and for the County and State Aforementioned) 7110THYIJIIDtN130012 Y 4 : ABC70 . SEAL My commission expires: r"! uta C k 4;: 'L c 3 ±'�.;�MyAwdr&WA a*" Mmvh 18,2023 PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE ,2'Failure to submit this form may be grounds for disqualification of your submittal's tR rn mno_i i r. crnr OF •'�. �. � City of Sanford ( Finance Department I Purchasing Division 300 N. Park Avenue 2"' Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5428 or 5034 1 Fax: 407.688.5421 � INFORMAL REQUEST FOR QUOTE TERM CONTRACT TITLE: AFTER HOURS ANSWERING SERVICES - 41--,' 1 A/"A-�'� f AFFIANT 5 kGNATURE (,, Typed Name of AFRANT ' ��111—f �L M COUNTY OF tl P -e"' STATE OF IVAAc,,,jS On this day of t �3 JOdnL4 0,ry 20 2 d , before me, the undersigned Notary Public of the State of Florida, personally appeared V- tm), y e A ijxc e_ whose name(s) is/are subscribed to the within instrument, and he/sheithey acknowledge that he/she/they executed it. WITNESS my hand and official seal. He/She is personally known to me or has produced —r ekA e d r ty'-? j L ' ��_S•� as identification. (Notary Public ii- d for the County and State Aforementioned) *?«o rr ; MyAppo1nb fl POOLEE VW '-� SEAL My commission expires: A4 0'— c i' 8,2 3 O�t11hill, 2Mi The Cite reserves the unilateral right to nlociil , the insurance requirentents set.forth at uny time r/uring lire process of solicitation or subsequent thereto. PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE `'Failure to submit this form may be grounds for disqualification of your submitta' 117M 19/70_116 tlrrc+� SkRFORD Cit,, of Sanford j Finance Department I Purchasing Division 300 N. Park Avenue 2"a Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5428 or 5030 Fax: 407.688.5021��' INFORMAL REQUEST FOR QUOTE TERM CONTRACT " �s TITLE: AFTER HOURS ANSWERING SERVICES COUNTY OF Q 1 -P-'y STATE OF H -,C . ,ka rj On this 13 day of J 0,n'Aer j , 20 '2 0 before me, the undersigned Notary Public of the State of Florida, personally appeared tom_ M C G, t'-' t .chose name(s) is/are subscribed to the within instrument, and he/she/they acknokv ledge that he/she/they executed it. WI'fNESS my hand and official seal. Ne/She is personally known to me or has prodluc`e�d_ `rt e Q r,V�er 's ! '^r zi I:e as identification. (Notary Njbhc in id for the Countv and State Aforementioned) t TN07MYEANDONPOOM SEAL My commission expires: t k I -qG'2 *' s PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE 'v'Failure to submit this form may be grounds for disqualification of your submittal'ql IRM IQMLI If '7 Attachment "I" 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 is 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 sect. It is understood that in 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 employees 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 connection with the ADA. Contractor Syiggnatur of Authorized epresentative (Affiant) Date Printed or Typed' lame and Title of Authorized Representative (Affiant) COUNTY OF i► STATE OF+Lft M ( ' On this 13 day of u 20 2 G , before me, the undersigned Notary Public of the State of Florida, personally appeared_ �� ► ,,'6 es 1,t .M f-6ikik whose name(s) is/are subscribed to the within 'instrument, and helshe/they acknowledge that he/she/they executed it. WITNESS my hand and official seal. lie/She is personally known to me or has produced S t Q g ar j gr'r 1 `r , >k , as identification. r tl LAN" POOLS( tary Public in and for the County and State Aforementioned) 04 '20 commission expires: . L 2-C 3 PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE Failure to submit this form may be grounds for disqualification of your submittal`' i City of Sanford (Finance Department (P'urchasing Division �'� � ��►� ��` 300 N. Park Avenue 2"1 Floor Suite 23G Sanford, Florida 32771 Phone: A07.688,5028 or 5030 � Fat: A07.688.5021 SANFORD muna 0 INFORMAL REQUEST FOR QUOTE TERM CONTRACT TITLE: AFTER HOURS ANSWERING SERVICES Attachment "I" 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 is 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 sect. It is understood that in 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 employees 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 connection with the ADA. Contractor Syiggnatur of Authorized epresentative (Affiant) Date Printed or Typed' lame and Title of Authorized Representative (Affiant) COUNTY OF i► STATE OF+Lft M ( ' On this 13 day of u 20 2 G , before me, the undersigned Notary Public of the State of Florida, personally appeared_ �� ► ,,'6 es 1,t .M f-6ikik whose name(s) is/are subscribed to the within 'instrument, and helshe/they acknowledge that he/she/they executed it. WITNESS my hand and official seal. lie/She is personally known to me or has produced S t Q g ar j gr'r 1 `r , >k , as identification. r tl LAN" POOLS( tary Public in and for the County and State Aforementioned) 04 '20 commission expires: . L 2-C 3 PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE Failure to submit this form may be grounds for disqualification of your submittal`' i City of Sanford (Finance Department (P'urchasing Division �'� � ��►� ��` 300 N. Park Avenue 2"1 Floor Suite 23G Sanford, Florida 32771 Phone: A07.688,5028 or 5030 � Fat: A07.688.5021 SANFORD muna 0 INFORMAL REQUEST FOR QUOTE TERM CONTRACT TITLE: AFTER HOURS CW RNMa City of Sanford I Finance Department I Purchasing DivisionOry 300 N. Park Avenue 2"d Floor Suite 236 Sanford Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.588,5021 �� ti INFORMAL REQUEST FOR QUOTE TERM CONTRACT , TITLE: AFTER HOURS ANSWERING SERVICES Attachment "H" Drug -Free Workplace Certification When applicable, the drug-free certification form below must be signed and returned with the IRFQ 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 oil, 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 drub -free workplace through implementation of the foregoing provisions. By the signature(s) below, i/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Atta It hent H, Drug -Free or a e e t' ication, is truthful and correct at the time of submission. AFFIAIZ GN. T R " PA IAA Typed Name of AFFIANT Title COUNTY OF K I!') STATE OF411.4 B rj6 j& (fin this 1 3 day of Trc„u ar:�t20 20 before me, the undersigned Notary Public of the State of Florida, personally appeared ; m -irk' �4 /tit, G; x c c whose name(s) is/are subscribed to the within instrument, and he/she/they acknowledge that helshe/they executed it. WITNESS my hand and official sea[. He/She is personally known to me or has produced S=t u_i_� dl- i v er's s -e , as identification. TWW P0ot,E (Notary Public Kand for the County and State Aforementioned)An't t3 R-7 m" SEAL, My commission expires: elAO�-c' h I PLEASE COMPLETE AND SUBMIT WiTH YOUR IRFQ RESPONSE 'Failure to submit this form may he grounds for disqualification of your submittal`s i n rf 1 t @11Ai-i if. 1 /1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) r11 /13/ ngn 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 SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER CONTACT NUTMEG INS AGENCY INC/PHS POLICY EXP M PHONE (888)925-3137 (A/c, No, Ext): FAX (888)443-6112 (AIC. No): 76210775 The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# EACH OCCURRENCE $1,000,000 INSURED INSURER A: Twin City Fire Insurance Company 29459 McGhee and Associates LLc INSURER 8: 4424 GRANDE BLFS INSURER c; MANHATTAN KS 66503-2481 INSURER D X General Liability INSURER E : INSURER F: COVERAGES CERTIFICATF NIIMRFR• RFVIRInM NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER Wy POLICY NUMBER POLICY EFF POLICY EXP M LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED -- $1,000,000 PREMISES Ea occurrence X General Liability MED EXP (Any one person) $10,000 A X 76 SBU BF9463 0911912019 09/19/2020 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑ PRO- D LOC JECT PRODUCTS - COMPIOP AGG $2,000,000 OTHER; AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) HIRED NON -OWNED I PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAI,MS- MADE AGGREGATE ED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY 'STATUTE I ER E.L. EACH ACCIDENT ANY YIN PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N/ A E.L. DISEASE -EA EMPLOYEE (Mandatory In NH) It yes, describe under E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below A EMPLOYMENT PRACTICES LIABILITY I I 76 SBU BF9463 I 09/99/2019 09!1912020 I I Each Claim Limit $10,000 Aggregate Limit $10,000 DESCRIP77ON OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached N more space is required) Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. City of Sanford SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 300 North Park Avenue BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Sanford FL 32771 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �Gt9� } Of ACORD 25 (2016103) @ 1988-2015 ACORD CORPORATION- All rights reserved. The ACORD name and logo are registered marks of ACORD Enter your TIN in the appropriate box. The'nN provided must match the name given an line 1 to avoid W-9 Request for Taxpayer Give Form to the Form (Rev. October 2018) Identification Number and Certification requester. Do not Department of the Treasury entities, it is your employer identification number (EIN). If you do not have a number, see How to get a send to the IRS. Internal Revenue Service P- Go to wwwJrs.gov1F*rmW9 for instructions and the latest information. I Name (as shown on your income tax, return). Name is required op this fine; do not leave this line blank. or KCIGOPP 616A Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and EE--pk>y:,jr Tidentification number 2 Business name/disregarded entity name, if different from above Cl) C) 3 Check appropriate box for federal tax classification of the person whose name is entered online 11- Check only one of the 4 Exemptions (codes apply only to M cu following seven boxes. certain entities, not individuals; see CL C a El Individuallsole proprietor or 0 C Corporation Xs Corporation ❑partnership E]Trst/ostate instructions on page 3): 0 single -member LLC Exempt payee code (if any) co Z' Limited liability Company. Enter the tax Classification (C=C corporation, S=S corporation, PnPartnership) b - I o 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 to C LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the I -1-C is LLC code if any) o another that is not disregarded from the owner for U.S. federal tax purposes. Otherwice, a single -member LLC that Is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) J� wp!k's the U.S4 5 Address (number, street, and apt. or suite no. See instruc tons. ra (I and address (optional) 19-M Certification 6 City, state, and ZIP code all ah hQl fl to 6� G. 0 7 List account number(s) here (optional) JIM Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The'nN provided must match the name given an line 1 to avoid Social security number However, for a backup withholding. For individuals, this is generally your social security number late later. resident alien, sole proprietor, or disregarded entity, see the instructions for Part 1, later. For other —M entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and EE--pk>y:,jr Tidentification number Number To Give the Requester for guidelines on whose number to enter. i MCI 19-M Certification 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 anddividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of securpd property, canceitation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, Vu are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sign sign7j, . of.. '1,:� 7\ , "/ Here I U.S. /6 J Date 01 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.govIFormW9. 12 �#' - �-' =# a 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 (-nN)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 1099-5 (proceeds from real estate transactions) • Form 1099-K (merchant card and third party nehvork 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 refum 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. 10-2018) r. i- EN I certify from the records of this office that MOGHEE AND A-SSOCIATES, LLC, is a Kansas limited liability company authorized to transact business in the State of Florida, qualified on September 5, 2019. The document number of this limited liability company is M19000008564. I further certify that said limited liability company has Paid all fees due this office through December 31, 2019, and its status is active. I further certify that said limited liability company has not filed a Certificate of Withdrawal. CIVE022 (01-11) Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Sixth day of September, 2019 .Ga* .dee Secy etary , ofState