2219 IRFQ 19/20-127R City of Sanford and Greener Grounds LLCY OF
pSXNF0RD
FINANCE DEPARTMENT
The item(s) noted below is/are attached and forwarded to your office for the following action(s):
❑
Development Order
L
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:
y Return originals to Purchasing- Department
❑ Return copies
Special Instructions: Lowest bidder, doesn't need to go to Commission
L i,i w 13ojaybzZ4&-
From
SharePoint_Finance_Purchasing_Forms - 2018.doc
�.� 5 � -2-02(D
Date
AGREEMENT BETWEEN CITY OF SANFORD AND GREENER GROUNDS LLC FOR
IRFQ 19/20-1278 (FERTILIZE, HERBICIDE AND PEST CONTROL SERVICES)
THIS AGREEMENT (hereinafter the "Agreement") is made and entered 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 Greener Grounds LLC, a Florida limited liability company, whose principal address
is 224 Sterling Rose Court, Apopka, Florida 32703, and whose mailing address is ,
(hereinafter referred to as "GG"). The City and GG 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 GG agrees to accomplish the timely provision of services specified in the
attachments for the compensation set forth herein relating the provision of the City's
health insurance and wellness study program as well as providing such other services
during the life of this Agreement as may be agreed upon by the parties as set forth in
issued purchase/work orders. With regard to the initial services, GG shall also provide
an additional 90 days of question and answer services to the City relative to the
services initially provided to the City.
(b). It is recognized that GG 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:
Marisol Ordohez
Purchasing Manager
Finance -Purchasing Division
Each party hereto represents to the other that it has undertaken all necessary actions to
execute this Agreement, and that it has the legal authority to enter into this Agreement
and to undertake all obligations imposed on it. The signatories hereof represent that
they have the requisite and legal authority to execute this Agreement and bind the
respective parties herein.
Section 15. Remedies. The rights and remedies of the parties, provided for
under this Agreement, are in addition to any other rights and remedies provided by law
or otherwise necessary in the public interest.
Section 16. Governing law, Venue and Interpretation. This Agreement is
to be governed by the laws of the State of Florida. Venue for any legal proceeding
related to this Agreement shall be in the Eighteenth Judicial Circuit Court in and for
Seminole County, Florida. This Agreement is the result of bona fide arms length
negotiations between the City and GG, 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 GG have executed this instrument for the
purpose herein expressed and GG represents and affirms that the signatories below
have full and lawful authority to bind GG in every respect. Entered the dateast set forth
below or, in the event that the Vendor fails to date, the date of execL e City.
Mha��M
0
Traci Houchin, CMC,
City Clerk
Approved as to form and
legal sufficiency.
Y, /
ADDITIONAL SIGNATURE BLOCK F
51 ,,
ATTEST. -
Printed Name:
Signature of Witness # 2
Printed Name:
GREENER GROUNDS LLC, a Florida
limited liability company.
Jd,rp6s L. Kirkland, III
Sole Manager/Member
Dated:
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ATTACHMENT "A" PRICE PROPOSAL
IRFQ 19/20-127R, FERTILIZED, HERBICIDE AND PEST CONTROL 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 a contract is offered or negotiated it will abide by the terms and
conditions presented in the IRFQ document or as ncgotiated pursuant thereto. The undersigned, having familiarized him/herself 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 the Informal Request for Quote 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 IRFQ document or as otherwise agreed to between the parties in writing.
Bidder/Contractor Name: Greener Grounds LLC.
Mailing Address: P.O. Box 2445 Apopka, F7.32704
Number: 407-4234435
Signatory
Owner
Title
STATE OF F kO" ' A CA
COUNTY OF C)i (a VA 5r.X—
Fax Number: E-mail Address: oftim@491"DenergrOunds.com
om
James L. Wrkland Jr.
Printed Name
February 24, 2020
Date
FEIN: 46-20135321
The foregoing rostrum t was executed before me this7-4 day of 20 2) by
1L1U A .� � as (7w\,\t' of 1-2ek who
personally swore or affirmed that he/she is authorized to execute this document and thereby bind the Corporation, and who is
personally known to me OR has produced as identification.
E11111111-7
MARIE PAUL
Notary Public -State of Florida NOTAI{y IC, State of u+�1 Commission a GG 330616
(s�l�) My Comm. Expires May 8, 2023
PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
tv'Failure to submit this form may be grounds for disqualification of your submittaI"10
INFORMAL. REQUEST FOR QUOTE
LRFQ 1#124.1Z7R Fea t allwHe bl" wd Poi Can"
Due Fdw*Rry 24.2424 at 2:44 C.M. Lord Time
II
Item
Location
Services
Time
Bi-Monthly
Annual Cost
Cost
Five (5) Sylvester
$ 22.65'
135.90
1.
First Street 1 Street and Elm
Palms
81-
Avenue
Monthly
Fourteen (14)
$ 63.42
$ 380.52
2.
Oak Avenue- W.11 Street to W. 3rd
Sylvester Palms
BI-
Street
Monthly
Four (4) Canary
$18.12
$108.72
3.
North Shore-End of N. Palmetto
Island Date
BI-
Avenue
Palms
Monthly
Four (4)
18.12
$108.72
4.
Riverwalk Phase H- In front of the
Sylvester Palms
B1_
Hospital
Monthly
Twenty Four
$
108.72
$ 652.32
(24) Medjool
BI-
5.
N. Palmetto Avenue-300 Block of
Palms
Monthly
North Palmetto Avenue
11,6 �
$ 58.50
$ 348
are
Monthly
Feet
Twenty (20)
$
90.60
$
543.60
Medjooi Palms
Bl-
6.
Veterans Memorial Park
Monthly
Sod Area-15,721
$ 78.50
$ 471
Square Feet
Bi-
monthly
Three (3)
Bl-
$13.59
$ 81.54
Sylvester Palms
Monthly
7.
Orlando Drive- Park Drive to Airport
Boulevard
Nineteen (19)
BI-
$ 86.07
$
516.42
Foxtail Palms
Monthly
Sod Area-24,471
BI-
$122.50
$ 735
Square Feet
Monthly
8.
FreightlShipping Charge
if a licable
g,
TOTAL QUOTE PRICE
$ 680.79
$ 4081.74
Additionally, the following forms must be included (fully executed) to be consider a responsive bidder;
Item
✓ Checklist
1.
Include a copy of your Certificate of Liability Insurance (CDI) with your quote submittal (proof of insurance)
and complete Section 00618 Insurance Requirements.
2.
Complete and include Attachment "A' Price Proposal
3.
Complete and include Attachment "B", Statement of Inspection (if required)
4. 1
Complete and include Attachments "C-H'
5. I Include a copy of your Florida State License and W9
INFORMAL REQUEST FOR QUOTE
1RFQ t9129 -127R Fett!}zaRba Kvbk1& and Pee Coatro!
Dae February 24, 2628 at 2:90 PAL LAW nmo
ATTACHMENT "B"
STATEMENT OF INSPECTION
IRFQ 19/20-127R Fertilization, Herbicide and Pest Control Services
Bidder's signature on this page indicates that the bidder has inspected the facilities specified in the Informal Request for
Quote as set in Section 2 of the Informal Request for Quote; and has fully reviewed and understands all work
requirements at said location(s):
James L. Kirkland Jr.
Printed Name of Authorized Person
of Authorized Person
February 24, 2020
Date
Greener Grounds LLC.
Name ofFirm
224 Sterling Rose Ct.
Street Address
Apopka, Fl. 32703
City, State, Zip Code
�31)"JOINW-AlklKlej WIT Nullsf t 11 tall kxIll-m " I'l LOF4-4 I Lfjc�
MFORMALPEQUMPOR QUOTE
12
WQ IM -IM F*rtR=do&-]ffft*1d& and Feut Coubd
Dw Ptbnwy U. 2028 at 2.00 PJvL Lcd Time
If you do not intend to submit on this requirement, please complete and return this form prior to date shown for receipt of proposals to:
City of Sanford, Purchasing Division, 300 N. Park Avenue 2' Floor Suite 236, Sanford, Florida 32771.
IIWE 14AVE DECLINED TO SUBMIT A BID FOR IRFQ 19t20 -127R titled Fertilized, Herbicide & Pest Control Services- for the
following reason(s): [Please place a check mark (v) next to the reason(s) as applicable)
REMARKS:
Company Name: Greener Grounds LLC.
Mailing Address: P.O. Box 2445 Apopka, Fl. 32704
Telephone Number: 407-429-4435 Fax Number: __ E-mail Address: office@4greenergrounds.com
ME=
Title
James L. Kirkland Jr. FEIN: 46-2085321
Printed Name
February 24, 2020
Date
City of Sanford I Finance Department I Purchasing
Solicitation
Division
Number:
SEtry of
300 N. Park Avenue 21 Floor Suite 236 Sanford, Florida 32771
Phone: 407.688-5028 5030 Fax: 407.688.5021
IRFQ 19/20-1278
kk�RD
or 1
INFORMAL REQUEST FOR QUOTE (IRFQ)
Due Date:
TERM CONTRACT
February 24, 2020
TITLE: FERTILIZE, HERBICIDE, & PEST CONTROL SERVICES
If you do not intend to submit on this requirement, please complete and return this form prior to date shown for receipt of proposals to:
City of Sanford, Purchasing Division, 300 N. Park Avenue 2' Floor Suite 236, Sanford, Florida 32771.
IIWE 14AVE DECLINED TO SUBMIT A BID FOR IRFQ 19t20 -127R titled Fertilized, Herbicide & Pest Control Services- for the
following reason(s): [Please place a check mark (v) next to the reason(s) as applicable)
REMARKS:
Company Name: Greener Grounds LLC.
Mailing Address: P.O. Box 2445 Apopka, Fl. 32704
Telephone Number: 407-429-4435 Fax Number: __ E-mail Address: office@4greenergrounds.com
ME=
Title
James L. Kirkland Jr. FEIN: 46-2085321
Printed Name
February 24, 2020
Date
Attachment "D"
Conflict of Interest Statement
A. I am the of with a local office in
[Insert Title] [Insert Company No=]
and principal office in
B. The entity hereby submits an offer to IRFQ 19/20-127 titled Fertilized, Herbicide and Pest Control Services.
C. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its full
knowledge.
D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and
time and that said above stated entity has no financial interest in other entities submitting a proposal for the work
contemplated hereby.
E. Neither the AFFIANT nor the above named entity has directly or indirectly entered into any agreement, participated in any
collusion or collusive activity, or otherwise taken any action which in any way restricts or restraints the competitive nature of
this solicitation, including but not limited to the prior discussion of terms, conditions, pricing, or other offer parameters
required by this solicitation.
F. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from
participation in this solicitation or any contract to follow thereafter by any government entity.
G. Neither the entity nor its affiliates, nor anyone associated with them, have any potential conflict of interest because and due to
any other clients, contracts, or property interests in this solicitation or the resulting project.
H. I hereby also certify that no member of the entity's ownership or management or staff has a vested interest in any City
Division/Department/Office.
I. 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 immediately notify the
City in writing.
By the signature(s) below, 1hv hey undersigned, as authorized signatory to commit the firm, certify that the information as provided
in -Attachment "D", Conffct of Interest.,Statement. is truthful and correct at the time of submission.
AFT!,,J, SIGN TUC
Typed Name of AFFIANT
Title v,
COUNTY DF
STATE OF FLORIDA
On this day of - -�-'CA)f, WX v 20 before me, the undersigned Notary Public of the State of
Florida, personally appeared ---3�2—,1At-*.Sf 1C� t/0- whose name(s) is/are subscribed to the
within instrument. and be/she/they acknowledge that he/shelthey executed it. WITNESS my band and official sea]. He/She is
personally known tome or has produced as identification.
MARIE PAUL (N lxub,64n`�q'��d-c-thf County and State Aforementioned)
Nota, y P blic -sate of Florida
�a
Commission a GG 33061
ommission expires:
My Comm, Expires may 81 2
SE COMPLETE AND SUBMIT WITh YOUR IRFQ RESPONSE
qw, I
13Failure to submit this form may be grounds for disqualification of your submittal-
City of Sanford I Finance Department I Purchasing
Solicitation
Division
Number:
clitym
300 N. Park Avenue 20d Floor Suite 236 Sanford, Florida 32771
IRFQ 19/20-12711
sxjq�Dl
Phone; 407.688.5028 or 50301 Fax: 407.688.5021
INFORMAL "QUEST FOR QUOTE (IRFQ)
Due Date:
TERM CONTRACT
February 24, 2020
TITLE: FERTILIZE, HERBICIDE, & PEST CONTROL SERVICES
Attachment "D"
Conflict of Interest Statement
A. I am the of with a local office in
[Insert Title] [Insert Company No=]
and principal office in
B. The entity hereby submits an offer to IRFQ 19/20-127 titled Fertilized, Herbicide and Pest Control Services.
C. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its full
knowledge.
D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and
time and that said above stated entity has no financial interest in other entities submitting a proposal for the work
contemplated hereby.
E. Neither the AFFIANT nor the above named entity has directly or indirectly entered into any agreement, participated in any
collusion or collusive activity, or otherwise taken any action which in any way restricts or restraints the competitive nature of
this solicitation, including but not limited to the prior discussion of terms, conditions, pricing, or other offer parameters
required by this solicitation.
F. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from
participation in this solicitation or any contract to follow thereafter by any government entity.
G. Neither the entity nor its affiliates, nor anyone associated with them, have any potential conflict of interest because and due to
any other clients, contracts, or property interests in this solicitation or the resulting project.
H. I hereby also certify that no member of the entity's ownership or management or staff has a vested interest in any City
Division/Department/Office.
I. 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 immediately notify the
City in writing.
By the signature(s) below, 1hv hey undersigned, as authorized signatory to commit the firm, certify that the information as provided
in -Attachment "D", Conffct of Interest.,Statement. is truthful and correct at the time of submission.
AFT!,,J, SIGN TUC
Typed Name of AFFIANT
Title v,
COUNTY DF
STATE OF FLORIDA
On this day of - -�-'CA)f, WX v 20 before me, the undersigned Notary Public of the State of
Florida, personally appeared ---3�2—,1At-*.Sf 1C� t/0- whose name(s) is/are subscribed to the
within instrument. and be/she/they acknowledge that he/shelthey executed it. WITNESS my band and official sea]. He/She is
personally known tome or has produced as identification.
MARIE PAUL (N lxub,64n`�q'��d-c-thf County and State Aforementioned)
Nota, y P blic -sate of Florida
�a
Commission a GG 33061
ommission expires:
My Comm, Expires may 81 2
SE COMPLETE AND SUBMIT WITh YOUR IRFQ RESPONSE
qw, I
13Failure to submit this form may be grounds for disqualification of your submittal-
Aftachment "E"
1. If and when the City of Sanford transmits records to the ContractorNendor 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 is attached for the
bidder/proposcr's information.
II. Upon award recommendation or 30 days after opening, it is understood that all submittals shall become "public
records" and shall be subject to public disclosure consistent with Chapter 119, Florida Statutes, and Section 24(a), Article
I of the Constitution of the State of Florida, and other controlling law (collectively the "Public Records Laws"). If the
City of Sanford (City) rejects all replies submitted in response to a competitive solicitation and provides notice of its
intent to reissue the solicitation, the replies remain exempt from disclosure until the City provides a notice of intent to
award or withdraws the reissued solicitation. If no award is made, responses are not exempt for longer than 12 months
after the initial notice rejecting all responses.
Proposers/Bidders must invoke the exemptions to disclosure provided by law as applicable to the response to the
solicitation, must identify the data or other materials to be protected, and must state the reasons why such exclusion from
public disclosure is necessary, The submission of a proposal authorizes release of your firm's credit data to the City.
If a Proposer/Bidder submits information exempt from public disclosure, the Proposer/Bidder must specifically and in
detail identify with specificity which pages/paragraphs of their bid/proposal package are exempt from the Public Records
Laws, identifying the specific exemption under the Public Records Laws that applies to each. The protected information
must be submitted to the City in a separate envelope marked accordingly.
By submitting a response to this solicitation, the Proposer/Bidder agrees to defend, indemnify and hold the City harmless
in the event the City litigates the public records status of the Proposer's/Bidder's documents this provision including the
obligation to pay the ftill 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.
I
y M, =-*Tf*M TA* 0 W"
WHIM
of Authorized RepresentaKe (Affiant)
James L. Kirkland Jr.
Printed or Typed Name and Title of Authorized Representative (Affiant)
I
City of Sanford I Finance Department I Purchasing
Solicitation
Division
Number:
CITY Of
S
300 N. Park Avenue 2" Floor Suite 236 Sanford, Florida 32771
Phone: 407. .5028 or 5030 1 Fax: 407.688.5021
IRFQ 19/20-1278
Wo M WOMIAW
INFORMAL REQUEST FOR QUOTE {I Q)
TERM CONTRACT
Due Date:
February 24, 2020
TITLE: FERTILIZE, HERBICIDEq & PEST CONTROL SERVICES
Aftachment "E"
1. If and when the City of Sanford transmits records to the ContractorNendor 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 is attached for the
bidder/proposcr's information.
II. Upon award recommendation or 30 days after opening, it is understood that all submittals shall become "public
records" and shall be subject to public disclosure consistent with Chapter 119, Florida Statutes, and Section 24(a), Article
I of the Constitution of the State of Florida, and other controlling law (collectively the "Public Records Laws"). If the
City of Sanford (City) rejects all replies submitted in response to a competitive solicitation and provides notice of its
intent to reissue the solicitation, the replies remain exempt from disclosure until the City provides a notice of intent to
award or withdraws the reissued solicitation. If no award is made, responses are not exempt for longer than 12 months
after the initial notice rejecting all responses.
Proposers/Bidders must invoke the exemptions to disclosure provided by law as applicable to the response to the
solicitation, must identify the data or other materials to be protected, and must state the reasons why such exclusion from
public disclosure is necessary, The submission of a proposal authorizes release of your firm's credit data to the City.
If a Proposer/Bidder submits information exempt from public disclosure, the Proposer/Bidder must specifically and in
detail identify with specificity which pages/paragraphs of their bid/proposal package are exempt from the Public Records
Laws, identifying the specific exemption under the Public Records Laws that applies to each. The protected information
must be submitted to the City in a separate envelope marked accordingly.
By submitting a response to this solicitation, the Proposer/Bidder agrees to defend, indemnify and hold the City harmless
in the event the City litigates the public records status of the Proposer's/Bidder's documents this provision including the
obligation to pay the ftill 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.
I
y M, =-*Tf*M TA* 0 W"
WHIM
of Authorized RepresentaKe (Affiant)
James L. Kirkland Jr.
Printed or Typed Name and Title of Authorized Representative (Affiant)
I
U"Cit
SXRMRD
City of Sanford I Finance Department I Purchasing
Division
300 N. Park Avenue 2"a Floor Suite 236 Sanford, Florida 32771
Phone: 407. .5028 or 50301 Fax. 407.688.5021
Solicitation
Number:
IRFQ 19120-127R
INFORMAL REQUEST FOR QUOTE (IRFQ)
Due Date:
TERM CONTRACT
February 24, 2020
TITLE: FERTILIZE, HERBICIDE, & PEST CONTROL SERVICES
COUNTYOF 0V'aL6>L'
STATE OF FLORIDA
On this 24th day of February
20 20 before me, the undersigned Notary Public of the State of
Florida, personally appeared James L Kirkland Jr, 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 as identification,
MARIE PAUL (No for the County and State Aforementioned)
Notary Public - State of 7�
Commission 0 GG 330W FloridaTcnmission expires:
My Comm, Expires May 8, 2023
PLEASE COMPLETE AND SUBMIT WITH YOUR TRFQ RESPONSE
"P'FaHure to submit this form may be grounds for disqualification of your submittal'w
11
Attachment "F"
E -VERIFY COMPLIANCE AFFIDAVIT
The Affiant identified below attests to the following:
1 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 the Governor, State of Florida, requiring the use of the
Department of Homeland Security's Status Verification ("E -Verify') System to ensure that all employees of the Contract and
the Contractor's subcontractors performing work under the above -listed Contract are legally permitted to work in the United
States.
2. Each Contractor that performs work under the Project referenced above shall provide the City of Sanford, 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 -fisted Contract.
4. The Contractor agrees to maintain records of its compliance with the verification requirements as outlined in this Affidavit
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 government of the State of
Florida.
That the Contractor understands and agrees that its failure to comply with the verification requirements as set 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 of Sanford
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 City as aresult of the
Contractor's breach.
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 and Immigration
Responsibility Act of 1996, operated by the Department of Homeland Security and known as the "E -Verify Program", or any
successor electronic verification system that may replace the E -Verify Program.
5
City of Sanford I Finance Department I Purchasing
Solicitation
ca
Division
300 N. Park Avenue 2" Floor Suite 236 Sanford, Florida 32771
Phone: 407.688.5028 or 50301 Fax: 407.688.5021
Number:
IRFQ 19/20-1278
INFORMAL REQUEST FOR QUOTE (I Q)
TERM CONTRACT
Due Date:
February 24, 2020
TITLE: FERTILIZE, HERBICIDE, & PEST CONTROL SERVICES
Attachment "F"
E -VERIFY COMPLIANCE AFFIDAVIT
The Affiant identified below attests to the following:
1 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 the Governor, State of Florida, requiring the use of the
Department of Homeland Security's Status Verification ("E -Verify') System to ensure that all employees of the Contract and
the Contractor's subcontractors performing work under the above -listed Contract are legally permitted to work in the United
States.
2. Each Contractor that performs work under the Project referenced above shall provide the City of Sanford, 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 -fisted Contract.
4. The Contractor agrees to maintain records of its compliance with the verification requirements as outlined in this Affidavit
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 government of the State of
Florida.
That the Contractor understands and agrees that its failure to comply with the verification requirements as set 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 of Sanford
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 City as aresult of the
Contractor's breach.
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 and Immigration
Responsibility Act of 1996, operated by the Department of Homeland Security and known as the "E -Verify Program", or any
successor electronic verification system that may replace the E -Verify Program.
5
Greener Grounds LLC.
February 24, 2020
of Authorized Representative ( iant) Date
James L. Kirkland Jr.
Printed or Typed Name and Title of Authorized Representative (Affiant)
COUNTY OF Df - - ---
STATE OF FLORIDA
On this '47—� day of V,( --k -/ 4 , 20 before me, the undersigned Notary Public of the State of
Florida. personally appeared (A � " whose name(s) is/are subscribed to the
within instrument, and helshe/they acknowled e that be/she/they executed it. WITNESS my hand and official seal. Be/She is
personally known to me or has produce as identification.
(Not Xbl!-,i for the County and State Aforementioned)
MARIE PAUL res: V\
My mmission expi
Notary Public - State of Florida
Commission 9 GG 330616
My Comm. Expires May 8, 2023
IWWWWW P.ImAnE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
QFailure to submit this form may be grounds for disqualification of your submittai'w
2
City of Sanford I Finance Department Purchasing
Solicitation
Division
Number:
CITY(*
S
300 N. Pqrk Avenue 2*d Floor Suite 236 Sanford, Florida 32771
Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 _
IRFQ 19/20-1278
INFORMAL "QUEST FOR QUOTE (I Q)
TERM CONTRACT
Due Date:
February 24, 2020
TITLE: FERTILIZE, HERBICIDE, & PEST CONTROL SERVICES
Greener Grounds LLC.
February 24, 2020
of Authorized Representative ( iant) Date
James L. Kirkland Jr.
Printed or Typed Name and Title of Authorized Representative (Affiant)
COUNTY OF Df - - ---
STATE OF FLORIDA
On this '47—� day of V,( --k -/ 4 , 20 before me, the undersigned Notary Public of the State of
Florida. personally appeared (A � " whose name(s) is/are subscribed to the
within instrument, and helshe/they acknowled e that be/she/they executed it. WITNESS my hand and official seal. Be/She is
personally known to me or has produce as identification.
(Not Xbl!-,i for the County and State Aforementioned)
MARIE PAUL res: V\
My mmission expi
Notary Public - State of Florida
Commission 9 GG 330616
My Comm. Expires May 8, 2023
IWWWWW P.ImAnE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
QFailure to submit this form may be grounds for disqualification of your submittai'w
2
Attachment "G"
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. 12 101 el seq. 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.
Greener Grounds LLC.
_771" I - I)i February 24, 2020
"azure of Authorized Representative (Afflant) Date
James L. Kirkland Jr. Owner
Printed or Typed Name and Title of Authorized Representative (Affiant}
COUNTY OF DO C\
ST,A,TE OF FLORIDA
120 '2
On this day of V- C \-)v s.. ,t f ' - 0 before me, the undersigned Notary Public of the State of Florida.
personally appeared 3Lk 1--, L- V -N,( V- - k ,!whose name(s) islare subscribed to the within instrument, and
he/she/they acknowledge that he/she/they executed it. WITNESS my hand and official seal. He/She is personally known
to me or has produced i L- 0 L-1 _, as identification.
(Notary
d for the County and State Aforementioned)
Publi
7
SEAL My commission expires:
MARIE PAUL
Notary Public - State of Florida
Commission A GG 330616
My Comm. Expires May 8, 2023
PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
Failure to submit this form may be grounds for disqualification of your submittal'w
7
City of Sanford I Finance Department I Purchasing
Solicitation
Division
Number:
EITY Of
sxi4�iEl
300 N. Park Avenue 2*d Floor Suite 236 Sanford, Florida 32771
Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021
IRFQ 19/20-127R
INFORMAL REQUEST FOR QUOTE (IRFQ)
TERM CONTRACT
Due Date:
February 24, 2020
TITLE: FERTILIZE, HERBICIDE, & PEST CONTROL SERVICES
Attachment "G"
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. 12 101 el seq. 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.
Greener Grounds LLC.
_771" I - I)i February 24, 2020
"azure of Authorized Representative (Afflant) Date
James L. Kirkland Jr. Owner
Printed or Typed Name and Title of Authorized Representative (Affiant}
COUNTY OF DO C\
ST,A,TE OF FLORIDA
120 '2
On this day of V- C \-)v s.. ,t f ' - 0 before me, the undersigned Notary Public of the State of Florida.
personally appeared 3Lk 1--, L- V -N,( V- - k ,!whose name(s) islare subscribed to the within instrument, and
he/she/they acknowledge that he/she/they executed it. WITNESS my hand and official seal. He/She is personally known
to me or has produced i L- 0 L-1 _, as identification.
(Notary
d for the County and State Aforementioned)
Publi
7
SEAL My commission expires:
MARIE PAUL
Notary Public - State of Florida
Commission A GG 330616
My Comm. Expires May 8, 2023
PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
Failure to submit this form may be grounds for disqualification of your submittal'w
7
Attachment "ri"
Addendum Receipt Acknowledgement Certification
The undersigned acknowledges receipt of the following addenda to the solicitation documents) (Give number and date of each):
Addendum No. Dated:
Addendum No. Dated:
Addendum No. Dated:
Addendum No. Dated:
Addendum No. Dated:
By the signature(s) below, 11we. the undersigned, as authorized signatory to commit the firm, certify that the information as provided
in Attachment "It", Addendum Receipt Acknowledgement Certification, is truthful and correct at the time of submission.
Bidder/Contractor Name: Greener Grounds LLC.
Mailing Address: P.O. Box 2445 Apopka, Fl. 32704
Telephone Number: 407-429-4435 Fax Number:
Owner
Title
9=
James L. Kirkland Jr.
Printed Name
February 24, 2020
Date
J7 -&ajjAj;d - - office@4greenergrounds.coll
FEIN: 46-2085321
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 I Finance Department ( Purchasing
Solicitation
Division
Number:
EITYOF
skq�rl
300 N. Park Avenue 28d Floor Suite 236 Sanford, Florida 3277t
Phone: 407.688.5028 or 5030 1 Fax: 407.688-15021
IRFQ 19/20-1278
INFORMAL REQUEST FOR QUOTE (IRFQ)
Due Date:
TERM CONTRACT
February 24, 2020
TITLE: FERTILIZE, HIERBICIDE, & PEST CONTROL SERVICES
Attachment "ri"
Addendum Receipt Acknowledgement Certification
The undersigned acknowledges receipt of the following addenda to the solicitation documents) (Give number and date of each):
Addendum No. Dated:
Addendum No. Dated:
Addendum No. Dated:
Addendum No. Dated:
Addendum No. Dated:
By the signature(s) below, 11we. the undersigned, as authorized signatory to commit the firm, certify that the information as provided
in Attachment "It", Addendum Receipt Acknowledgement Certification, is truthful and correct at the time of submission.
Bidder/Contractor Name: Greener Grounds LLC.
Mailing Address: P.O. Box 2445 Apopka, Fl. 32704
Telephone Number: 407-429-4435 Fax Number:
Owner
Title
9=
James L. Kirkland Jr.
Printed Name
February 24, 2020
Date
J7 -&ajjAj;d - - office@4greenergrounds.coll
FEIN: 46-2085321
PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
'''Failure to submit this form may be grounds for disqualification of your submittal"'
I
It. Any changes to the coverage requirements indicated above shall be approved by
the City of Sanford, Risk Manager.
1. Address of "Certificate Holder is City of Sanford; P 0 Box 1788 (300 N. Park
Avenue); Sanford, Florida 32771.
m. All certificates of insurance, notices etc. must be provided to the above address.
n. In the description of the certificate of insurance please also add the solicitation
number and project name.
James L 10ricland Jr.
Typed Name of AFFIANT
Title
STATE OF C1 T
COUNTY OF 0 v6L,-kc�4
instrument
>,( "-x
executed before me this day of
( as 0VJ 1-% e V, of &Y" n if-(-
-, who personally swore or affirmed that he/she is authorized to execute this document and the
and who is personally known to me OR has produced 'CL D as identification.
T—
NAME PAU'
Notary Public
p)
S141"O Flwid,
Commission 0 GG 330646
023
(Stam
my Comm. Expires MAY 11, 2023
a W''IW 1111111 a
V :J 4� by
M=11= - . 6
The City reserves the unilateral right to modify the insurance requirements set forth at any time.
PLEASE COMPLETE AND SUBMIT
``Failure to submit this form may be grounds for disqualification of your subn*Ulw'O
INFORMAL REQUEST FOR QUOTE
HtW S 12 F"WadowHabicW MW NO Cwft*l
DVemm" 2.4, 24" *1 2:W PhL tAMd MM
10
I. W-9
(Rev, October 2018)
of theT
first Sara
i Nam (as sthoven on your
James L Kirkland 14
tl
Request for Taxpayer Give Fonm to the
IdentMcation Number and Certification reqwster. Do not
send to the IRS.
1W Go to
to tax raw
Vii
for imatructiom and the latest intformation.
2 - Susan ear nam disregarded entity name, if different from above
Greener Grounds LLC.
3 Check, nls; see appropruas box for federal tax classification Of the person whose name is entered on line 1. Check only orte of the 4 Exemptions (00d- apply Only 10
certain entitiesot Individua
following seven boxer. instructions on page 3):
1ndikkvrk, VWw or 0 c corporation 0 s Corporation El Panneehip 0 TrusVestate
sing LLC Exempt M- code (if -A
❑ Limited hability company. Enter the tax classification (C=C CaP=tKn S=S ccrlpor�ateon, P-Parmership) I -
Note. Check the appropriate box in the kine above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting
LLC it the LLC Is classified as a single -member LLC that is disregarded from ft owner unless the owner of the LLC is code (4 any)
another LLC that is net disregarded from the owner for U.S. fedwal tax purposes. Otherwise, a single -member LLC that
is disregarded from the owner should check the appropriate box for the tax classification of its owner,
❑ Other (am Instructions) W,
5 Ad&m (number, street, and apt. or suite no.) See instructions. Rewester's rutme and address (opliortaill
224 Sterling Rose Ct,
6 City. state, and ZIP code
Apopka, Florida 32703
17 List account number(s) here (optlonA
• Tax�pgiyer IderMficabon Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line I to avoid
backup withholding. For Individuals, this Is generally your social security number (SSN). However, for a
resident alien, sote proprietor, or disregarded entity, see the instructions for Part 1, later. For other -M _TM
entities, it is your employer identification number (EIN). If you do not have a number, see Now to get a
TIN, later. or
Note: It the account is in more than one name, see the instructions for line 1. Also see What Name and I EftVannumi—
Number To Give U -se Requester for guidelines on whose number to enter. 4 6 J 2 0 8�5
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 the form (if any) indicating that I am exempt from FATCA reporting is correct.
Certiftation insinwitiom You must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup withholding bemuse
you have failed to report all Interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt. contributions to an individual retirement arrangement (IRA?, and generally, payments
other than int ends, you are not required to sign the cerM*on, but you must provide your correct TIN. See the Instructions for Part 11, later,
�E=
Section references are to the Internal Revenue Gode, 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-1rsgov1FormVVV.
Purpose of Form
An individual or entity (Form W-9 requester) who is requited to file an
information return with the IRS must obtain your correct taxpayer
identification number MN) which may be your social security number
(SSN), Individual taxpayer Identification number (MN), 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, lncWhg those from stocks or mutual
funds)
a Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
- Form 1099-8 (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-5 (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (rxxT* mortgage interesQ, 1 M -E (student loan interest),
1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (Including a resident
alien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TCN, you might
be sukect to backup withholding. See What Is backup withholding,
Crater.
Gat No, 10231X Form W-9 (Rev. 10-2018)
c+� CERTIFICATE OF LIABILITY INSURANCE
DATE(eMIDDlYYYYI
2/24/2020
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: It the centt8cate hoider to an ADDITIONAL. INSURED, the poltvAles) must hews ADDITIONAL INSURED provisions or be endorsed.
N SUBROGATION IS WAIVED, subject to the terms and conditions of the potley, certain pokies may r eyulrs an endorsement A statement on
this cerriflcate do" not confer rights to the certIftsts holder In Neu of such endo ST.
PRODUCER
COBBLESTONE FINANCIAL GROUP
PO Box 2245wc@cobfin.com
Apopka, FL 32704
NAME: Janet Crossfield
(407}889-9555 x.(407)889-5084
Atm
1 AFFORDING cavEawe Nace
INSURER A:Covington Speaialty Inafence Company
INSURED Greener Grounds LLC
224 Sterling Rose Ct
Apopka, FL 32703
rN..",,National General
INSURER C:
INSURER 0:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICCATED. 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 POL rAES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAN) CLAIMS.
"M
LTR
TYPE OF INSURANCE
AWL
SUOR
POLICY NUMBER
LIMITS
X COMMERCIAL GENEKAL UA84.nY
EACH OCCURRENCE $ 5o0 p 000
CLAIMS -MADE® OCCUR
IWIO ESarunence S 100,000
«'°°r'I s 5,000
A
VBA690168 00
4/20/194/20/20eEDE7Wt
PERSONA.aADVIAM $ 500,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE s 1,000,000
X POLICY ❑ JECT (_,..j LOC
PRODUCTS -COMPIOPAGG S 1,000,000
$
OTHER:
AUTOMOBILELW&rrY
$ 100,000
BODILY NAM (Per Person) S
$
ANYA:UTO
OWNED SCHEDULED
AUTOS ONLYAUTOS
HIRED NON -OWNED
AUTOS ONLY AU TOS ONLY
2005033704 05
/06/207/06/20ROCKY
INdNNRY(Par =6dent) $
Per $
COMP-COLL $ 500-500
UMBRELLA UAB
OCCUR
EACH OCCURRENCE $
AGGREGATE i_
EXCESS UAB
CLAVAS AAAOE
DED I I RETENTIONS
s
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY YIN
ANY PR T0PJPAR ❑
OFFICOWMEMSER e,Cternem
Nra
8TATUTE ER
E.L EACH ACCIDENT $
E.L DISEASE - EA EMPLOYE $
OANWO y kr Me
DESCOuntier
TC' N OF OPERATIONS below
E.L. DISEASE - POLICY LRMT S
DESCRIPTION OF OPERATIONS/ LOCATIONS 1 VEHICLES (ACORD 101. Additional Remarks Sdw&k maybe ellb&te f Wawa apace is r*Wked)
1999 Ford F450 SUPER DITTY
VIN: 1FDXF46FOXEC13829
2019 FORD F250 SUPER DUTY
VIN: 1 FT7W2B62PMD 14 82 9
IRFQ-19/20-127R
Fertilize, Herbicide, and Past Control Servies
The City Of Sanford
P.O. Box 1788 ( 300
Sanford, FL 32771
Additional Insured
ACORD25(2016M3)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
N. Park Ave ) I ACCORDANCE WITH THE POLICY PROVISIONS.
01988-2015 ACORD
The ACORD name and Togo are registered marks of ACORD
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