The URL can be used to link to this page

2229 PBA 19/20-55 Heavy Equipment Parts & LaborCITY Of - i ,�, FINANCERD DEPARTMENT MMICHNSING DEPARTMENT TRANSWITAL MEMORANDUM Ii..� rt`M1„4 u Tom City Clerk/Mayor : PBA 19/20-55 Heavy Equipment Parts and Labor The item(s) noted below is/are attached and forwarded to your office for the following action(s): ❑ Development Order — Mayor's signature ❑ Final Plat (original mylars) ❑ Recording ❑ Letter of Credit ❑ Rendering ❑ Maintenance Bond 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: under 50k does not need to go to commission. Piggybacking Orange County award, set to expire June 1St but Orange County plans on extension Li.N,o�yQy f3ajad�z.yew From SliarePoint_Finance_Purchasing_Forms - 2018.doc Date 1-9i 1N 2020 Bell Rentals & Sales, Inc. Piggyback Contract (PBA 19/20-55) Relating To Heavy Equipment Parts And Labor The City of Sanford ("City") enters this "Piggyback" Contract with Bell Rentals & Sales, Inc., a Florida corporation, (hereinafter referred to as the "Vendor"), whose principal address is 2500 Sheffield Avenue, Orlando, Florida 32806 and whose mailing address is 5028 South Orange Avenue, Orlando, Florida 32809, under the terms and conditions hereinafter provided. The City and the Vendor agree as follows: (1). The Purchasing Policy for the City of Sanford allows for "piggybacking" contracts. Pursuant to this procedure, the City is allowed to piggyback an existing government contract, and there is no need to obtain formal or informal quotations, proposals or bids. The parties agree that the Vendor has entered a contract with the Government of Orange County, Florida, said contract being identified as the "Contract Y15 -1048A" for "Heavy Equipment Parts And Labor", as may have been amended from time -to -time, in order for the Vendor to provide an array of heavy equipment parts and labor and related goods and services to the City as the City may deem desirable under the provisions of this Contract (the original contract being referred to herein as the "original government contract"). (2). The original government contract documents are incorporated herein by reference and is attached as Exhibit "A" to this Contract. All of the terms and conditions set out in the original government contract are fully binding on the parties and said terms and conditions are incorporated herein; provided, however, that the City will negotiate and enter work orders/purchase orders with the Vendor in accordance with City policies and procedures for particular goods and services. All pricing shall be F.O.B., City Hall, City of Sanford with most favored nation pricing. I (3). Notwithstanding the requirement that the original government contract is fully binding on the parties, the parties have agreed to modify certain technical provisions of the original government contract as applied to this Contract between the Vendor and the City, as follows: (a). Time Period ("Term") of this Contract: (state N/A if this is not applicable). N/A. Notwithstanding any provisions, however, this Contract shall not be operative for a period of time exceeding 5 years. (b). Insurance Requirements of this Contract: N/A. (c). Any other provisions of the original government contract that will be modified: (state N/A if this is not applicable). N/A. (d). Address change for the City: Notwithstanding the address and contact information for the government entity as set out in the original government contract, the Vendor agrees that he/she/it shall send notices, invoices and shall conduct all business with the City to the attention of City Manager, at: City of Sanford, 300 North Park Avenue; Sanford, Florida 32771. The City Manager's designated representative for this Contract is: Ms. Marisol Ordohez Purchasing Manager Finance -Purchasing Division City of Sanford Post Office Box 1788 Sanford, Florida 32772 Phone: 407.688.5028 E-mail address: Marisol.Ordonez@Sanfordfl.gov (e). Notwithstanding anything in the original government contract to the contrary, the venue of any dispute will be in Seminole County, Florida. Litigation between the parties arising out of this Contract shall be in Seminole County, Florida in the Court N of appropriate jurisdiction. The law of Florida shall control any dispute between the parties arising out of or related to this Contract, the performance thereof or any products or services delivered pursuant to such Contract. (f). Notwithstanding any other provision in the original government contract to the contrary, there shall be no arbitration with respect to any dispute between the parties arising out of this Contract. Dispute resolution shall be through voluntary and non-binding mediation, negotiation or litigation in the court of appropriate jurisdiction in Seminole County, Florida, with the parties bearing the costs of their own legal fees with respect to any dispute resolution, including litigation. (g). All the goods and services to be provided or performed shall be in conformance with commonly accepted industry and professional codes and standards, standards of the City, and the laws of any Federal, State or local regulatory agency. (h). 76 "l#' Mae= -110 -W MMT , -'I- 'AMC11YAJI U., a ITFAMMUO iniel 11 i, IF I ii�;q n L7111 � 11 3 (11). In order to comply with Section 119.0701, Florida Statutes, public records laws, the Vendor must: (A). Keep and maintain public records that ordinarily and necessarily would be required by the City in order to perform the service. (B). Provide the public with access to public records on the same terms and conditions that the City would provide the records and at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes, or as otherwise provided by law. (C). Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. (D). Meet all requirements for retaining public records and transfer, at no cost, to the City all public records in possession of the Vendor 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. (111). If the Vendor does not comply with a public records request, the City shall enforce the contract provisions in accordance with this Agreement. (IV). Failure by the Vendor to grant such public access and comply with public records requests shall be grounds for immediate unilateral cancellation of this Agreement by the City. The Vendor shall promptly provide the City with a copy of any request to inspect or copy public records in possession of the Vendor and shall promptly provide the City with a copy of the Vendor's response to each such request. M (i). All other provisions in the original government contract are fully binding on the parties and will represent the agreement between the City and the Vendor. Entered the date last set forth below or, in the event that the Vendor fails to date, the date of execution by the City. Attest: A Myrtle M. Bell Secretary/Treasurer/Director Attest: &Vj,!k9k�N—,C-'MoRW Traci Houchin, City Clerk, CMC, FORM Approved as to form and legal William L. -Colbert City Abrrne' - AC -4 Bell Rentals & Sale , Inc., a Florida corporatio By: Charlie B. Bell President Date: - )- 0, 2-(J 2 - City Of Sa By: Jeff 'r 'i '�P` '�R .'"� r cy. 5 r AMENDMENT NUMBER 2 CONTRACT Y15 -1048A, HEAVY EQUIPMENT PARTS AND LABOR Effective date: June 2, 2019 1. The referenced contract is hereby renewed as follows: From: June 2, 2019 through June 1, 2020. All other specifications, terms and conditions, prices and percentage discounts remain unchanged. BELL RENTALS & SALES, INC. Signature I ---- - 6h14'e' Printedfryped Name - Title -2-3' -.2-4) ij- Date ORANGE COUNTY FLORIDA BOARD OF COUNTY COMMISSIONERS Melisa Vergara. CPPB Sr. Purchasing Agent I Ias1 I I Date AMENDMENT NUMBER 1 CONTRACT Y15 -1048A, HEAVY EQUIPMENT PARTS AND LABOR Effective date: June 2, 2018 The referenced contract is hereby renewed as follows: From: June 2, 2018 through June 1, 2019. All other specifications, terms and conditions, prices and percentage discounts remain unchanged. BELL RENTALS & SALES, INC. Signature 4/ ,j�{Iie t. fl ez-L Printed/Typed Name &--5 Title Date ORANGE COUNTY FLORIDA BOARD OF COUNTY COMMISSIONERS Melisa Vergara, CPPB W. # t=- hasing Auer X(q116 Date G'QNT, RNMENT F 1, () R 1 1) A PURC,11ASING AND CONITRAC,PS DIVISION JCI M. RICIiARI)SON, CPPO, CFCM, Maiiager 400 E. South Sfxect, 2nd Floor . Reply To: Post Office Box 1393 ® Orlwido, Florida 32801-1393 407-836-5635 m Fax: 407-836-5899 - http://iv�Niv.ocfl.ilet TERM CONTRACT NOX15-1048A Heavy Equipment Parts and Labor Lots 4, 23 and 29 TO: Bell Rentals & Sales, Inc. 5028 S. Orange Ave. Orlando, FL 32809 This is to inform you that the Orange County Board of County Commissioners hereby enters into a term contract subject to the following: TERMS AND CONDITIONS Acceptance: This contract is our acceptance of your offer in response to our Invitation for Bids No. Y15 -1048 -JS, Heavy Equipment Parts and Labor — TERM CONTRACT, and is subject to all terms and conditions therein. 2. Term of Contract: A. This is a term contract for the time period specified in the referenced Invitation for Bids, for the products/services covered by this contract. The County is not obligated to purchase any minimum amount of products or services, unless otherwise stipulated in the Invitation for Bids. B. This contract is effective June 2, 2015, and shall remain in effect through June 1, 2018. The estimated contract award for this period is $1,863,600.00. C. This contract may be renewed upon mutual agreement as provided in the Invitation for Bids. Any amendments to this contract must be in writing and signed by both parties. Such amendment(s) must be signed by the representative of the Orange County Procurement Division to be valid, binding, and enforceable. D. This contract may be cancelled or terminated as provided for in the Invitation for Bids. 3. Ordering against Contract: A. Unless otherwise specified in the Invitation for Bids, the County will place orders by issuance of a numbered Delivery Order against this contract. Each Delivery Order will specify the quantity, description and location for deWery. B. The obligations of Orange County under this contract are subject to need and availability of funds lawfully appropriated for its purpose by the Board of County Commissioners. Revised (11/16/12) Page 1 of 2 4. Taxes: The County has the following tax exemption certificates assigned. A. Certificate of Registry No. 59-70-004K for tax free transactions under Chapter 32, Internal Revenue Code; B. Florida Sales and Use Tax Exemption Certificate No. 85-8012622266C-0. 5. Invoicing: A. invoices must be submitted, in duplicate, referencing this contract number and the Delivery Order to: Orange County Fleet Management Division 4400 S. Vineland Road Orlando, FL 32811 Phone 407-836-8210 Orange County Solid Waste Division 5901 Young Pine Road Orlando, FL 32829 Phone 407-836-6610 Public Works Department Fiscal Administrative Services 4200 S. John Young Parkway, 2nd Floor Orlando, FL 32839-9205 Phone 407-836-7721 Utilities Department Administration 9150 Curry Ford Road, 3rd Floor Orlando, FL 32825 Phone 407-836-7264 In the event additional County Departments or other public entities utilize this contract, invoices are to be sent directly to the Department or entity placing the order. B. Invoices against this contract are authorized only at the prices stated in your bid response, unless otherwise provided in the Invitation for Bids. 6. All requirements contained in any addenda to the solicitation for this procurement are part of and hereby incorporated into this contract. BOARD OF COUNTY COMMISSIONERS ORANGE COUNTY, FLORIDA BY: D -q � FO s E. Scheff Jr., C.P.M.PB, FCPA Procurement Division Revised (11/16/12) Page 2 of 2 ui LLI 6s W 64 6S 60 40 V3 649, co X rme a) " W C) C) cu :3 0 to U - a. 6 C a. as to a) cc a C:) 0 CO ti c '2 04- Q 0- CU cn 0 Lij < U) x c W <1 a) (n 0 x 0 b UJI ro V Ic 10 a a) -H -H .,j -1 .,4 LU IV (n Q 0 C6 CD 04- -0 0 Z T7 N< cu o 0 < IN > 0 CL (Y) X oil ca 0 CD 0 0 U-0 (D 0 01 pivii v in in W0 LU Ef ui LLI 6s W 64 6S 60 40 V3 649, co X rme 4) C) C) cu :3 to U - a. 6 C a. as 0 0 cc a C:) 0 CL c 0- 6 V) 0- CU cn to > Lij < U) x c W <1 (n 0 b "a ro V Ic 10 -r-4 -H -H .,j -1 .,4 LU IV (n Q C6 CD Z T7 N< (D 0 < 0 = 0 CL (n C W— oil 0 0 0 CD 0 0 U-0 (D 0 01 6ek in in W0 LU c ui LLI 6s W 64 6S 60 40 V3 649, co X rme X x m co x cex) 2 w (D NCL N CL C:, 0 CD 0 r I W < w Lij < U) x c W <1 (n 0 0 -7CD U. co 0 co CD LU IV (n Q C6 CD Z T7 N< (D 0 < 0 = 0 CL (n C W— CY 4.; 6 Lo a M CD U-0 (D 0 0 0r WO 6ek in in W0 LU c O 0 CD a) 0 W ::3 0 in a 0 L Q E j5 a) a) -a cu cn m 0 00 0 0 CL 0- 0 CL cn cn �.o c 3 JOR :)1 cn m 0 0 0 21 0 D -S -M cu -j m m = c Z m = =3C) m a- -j -0 Eco n 0 a) 0 cn m co LL CV cn E > 0 61 2 CL C: -j a) 0 cei 4 0 m 0.0 c t0 E td CL 0 a) 0 U) > Cj 0— co CL 0 0 E a) 61 X x m co x cex) 2 w (D NCL N CL C:, 0 CD 0 r I W < w <I 64 CD N 0 cn m a. m C) C) cu :3 c < a) 6 C c < c as 0 0 cc a C:) a a) 6 V) w -j CU cn 0 CD U') U) ui 69� 0 U 0 .cn j5 in a) m cu O 0 CD CL a) a) a) 0 0 0. cn cn cn m 0 0 0 21 0 a -M cu -j m m = =3C) m a- -j -0 0 0 co LL CV E 0 61 -j .2 z N cei 4 CD N 0 cn m a. (D E m Z C: m CL E 0 0 UJI 6CV Wl vV en: V:f a) L) Q) 69 Lul a_ TI .0 .Q 10 .Q ami X, 0 ami xi c 0 0 0 xi C14 1 M 1 (D E m Z C: m CL E 0 0 UJI 6CV Wl vV en: V:f 6ct wl 69 Lul 643, 6? ce) x m COx ) cex ) CO) Cf) XX CV) 0 .2 i— IL aria wC: w <1 x a w w <1 76 12 < W C) 00 < 0 M W ci 0 (1) 0 a a a) 0 q t3 M U) 0 fl- 4-; M U) (n 0 U") 0 U') LO m cn C) It m (n C� LO w :)I 611� W DI W DI 64 W DI 0 NO 0 Q 0) m (D M CLco CJ L 20- 2 CL .2 70) D 60* 6P* 60 &- CL M. 64 CL CL CL CL 0 0 cn cn LD 0 9 CD 42 m o -r E 0 0 cc 21 0 ch co U- m m m Cl) c'qlF— 0 E 61 E 61 z cj ci z c� (D E m Z C: m CL E 0 0 81 1 81 1 1 1 1 81 1 00 0- LLJ a_ LU 09 CL a. LUIJI "a rc � a "a "a a "a o 0) -0 4) Q) (D V) x -0 ce) x ce) x -0 "0 CO X a 0 c 0 0 0 °G 4) we r. 0 0 0 0 X1 x 154' w E Qi z ca 0- E 0 0 LLJ v% LU 09 c LUIJI ui 6e: � V) x Cf) x ce) x ce) x x CO X 0 —i 0. Q ALL (Da. c CD C) Q o C: W x ls� 2 ItAl w <1 LU <1 LLJ 6s Lij 76 0 E2 0 C) iCl W < C; C) c < 4) 0 c -C 0 m (D < <c 0 0) C) T- j cn co(A • rn W o m V) LLI DI � w DI uj Ol � W -,I � -0 c a) �o c "a I IQ 0.5 0 ca ai .tb ca j5 CD m m C C y c a] Q- 0 p 0- 6. 0-21 :3) 61). �, 61). d JOR D, � 4) 4) d) CL CL CL CL 0 0 m cc :3 :w cc -j r- Q m CL CL 0 0 m m C) w iTL co m E 2 0 E 6 2 I z C_j c6 -il — Z ,- N w E Qi z ca 0- E 0 0 (U E m Z >S C m 0- E 0 0 C4 Im m IL CD V Q) U (1) L) 0 0 W U 0 c 0 0 CD C) a 0 CL CL 0 Ll 0 0 0 0 10 10 v "C C") C� a C� C) 0 W 'o 0 0 'D 0 00 cy) r_ 0 r_ 0 0 ov)�, 0 c c in a N -T cV X1 I I w 60G, W'D 60o., 6-" 6..*, w W 64% 6ckr 0� 60 6 6 CII) X or) x (Y) x ce) x x (Y) x CV) x cr) X co 0 0 4) (D 0 0 IL C> 0 A.) 0 0 C) 0 C%0 4 (D its (D'a 0 'ja (a 'a (1) r c= Q r 0 Ln c=) 0) r x c UJ <1 6o W <1 W W fti w < to w < to 69 =3 CA (n to V1 < 0 I_- 0 J_- w < < 0 0 L) m CT (D 0 a) U) V) ILO lq:r .; M cl) En 0 U') 0 to LO CNI M LO CV .,j m (n 0 0 0 0 U') V— w =) tri. LLJ D t�- CNI W 6gi W Lo N � M 0 c m m cn c: 0 L) 0 C) C> m 0 o o C> as m 2 CL CL(131 2 0- CLL C> C) C) Q-Jo- 00 00 00 v), (D U a CL m M CL cn m U) m m (9 0 0 0) :3 0 0 2) m m m U m m m C CD 0 C m 0 m m C.) C/) m co LL fl- t— oo E 1�- E 0 i 4) 6 = ZI cNi (-i V, -j 0 61 z (U E m Z >S C m 0- E 0 0 C4 Im m IL a) (1) Q 10 V X CV) x X cn x Ce) CL ce) x a. (L "D 0 0 "a a 0 0 0 0 a) 0 CU o 0 0 0 'a 0 "0 4 C a a (D (D (D X x I x UJI 61 UJI 600 69 63 69 LUUJ UJI vF} 69 !ilo F. X CV) x X cn x Ce) ce) x 0 0 a CD 0 0 x c x c x c x c w <1 0!3, UJ <1 03, to:). UJ 69uj < 6+3 CO — RS C) ci m 0 7EC:) C) 16 < CD C)0 C 0 w C=; < 0 6< CY a) CY C:) CY m 0) 0) T- tg m w 0CD LO CD to 0 U) M C) �z M m to 0 C) ui :D ui LU 01 w:D. � "a � 'a C: 4) (U 0 Q j5 (D CLC_ Q. a) J�5 0- 0 5) ILC (D (D Z CL 0 0 0 m m E E0 CL N (U CL m U CD Li =i 0 to E O Z v C\i !ilo F. U eq co x co x CL x co x m CL CL 10 V "0 10 0 (D V 0 0(D c c o o C) U x x x CL x (L < Lul 6p, Uji UJ 6c* UJ 6or 6.) 61) eq co x co x x co x co x m xcn 0 0 C) U CL (L < 0- .0 0- a) co0 -0 a) M = 0 r W C) C M C) C) 0 x a �<' LLI 6,> uj < 69 uj <1 tog; uj <1 te: te: (A! C) ca C) C) Rs o m E a < q C a) < 0 (1) C5 C) r- C (1) < E2 =3 =3 0 0 (a 0 CY CY 0 t3 0 r- 0 j m cn (4) C) 0 to U) to T— lz m cn en C) 0 0 LO N Lu 6,0 uj ol UJ :)l 609, UJ D U-) ce) a 4) —'a c (1) = &;= 0 = s 0 �CRo j5 cu m 0 C) C) 0 EL 2(Dm tt D tfr CL �2 V3� 69� 61;** W CL cn CL U) 0 to m L cn CL RS U) m to m E 0 0 0 cn ca 4) z m m m CL 0 C: �a m 0 "a 0 U- C 0 LL E 61E a) 0 0 0) 6 i = z C� _j = Z1 N cli UJ <1 6q, Li <1 6F)- 0 0 X >1 V) x 0 C) m (D(1) ce) X ce) x cv) x r C) C x a: < 0 0 < a CL LL 0 IL < vs U*) "D Ul) 0 "D -Z "a 10 10 ca co CD W n v3 W= C14 W= tn3 W= Q) (D ,r< a r c 0 c LU <1 W¢ W 0 6P." W 0 (D 0 0 x T, �j S� r. V 0 1 r. I LLJI ui 0 cn 69.4 Lul 6!) uj 61).l m UJ <1 6q, Li <1 6F)- 0 0 X >1 V) x 0 C) m (D(1) ce) X ce) x cv) x r C) C x a: < 0 0 < a 0 C:) < vs U*) Ul) 0 b.: (a ri) (n a r rj) ca co CD W n v3 W= C14 W= tn3 W= Q) (D ,r< a r c 0 c LU <1 W¢ W W 6P." UJ <1 6q, Li <1 6F)- 0 0 X >1 V) x 0 C) m (D(1) 0 (D r C) C x a: < 0 UJ <1 6q, Li <1 6F)- ca 4J go 0 E m Z >1 C: m Cl. E 0 0 Im 0 0 L C) m (D(1) 0 0 C) 0 < 0 0 < a < C:) < vs U*) Ul) 0 b.: (a ri) (n a r rj) ca co CD W n v3 W= C14 W= tn3 W= C 4) T, e- 0 cn m (D cn tm (D m N 4) m IL I 1 0- 2 0- 2 CL — (L) &- CL o E 6;* (03, 6I)r 0) " E N CL CL CO) CL V) co m N m 0 ( ca m 0 0 0) 0 m m m CL 0 :3 CL 0 m V), V C/) LL U) T- V- I-- E E 0 C; zj V -: C� C6 4 0 -1 ,,_D cil — Z 1: CV ca 4J go 0 E m Z >1 C: m Cl. E 0 0 Im U a) a_ 0 - QS Qi rt CL Ce a. in C: c ,a -0 a X X x a) x X (Y) x CY) x a) a) �j 0 c 0 0 0 0 X x1 1 9 I I Wl tfl, WI u!3,' vV 6;V 6c3 (D 0) a_ 0 - QS Qi rt in C: c a) 0 0 X X x x x X r4 0 G 0) E m Z C ca CL E 0 0 I in co X x x x X (Y) x CY) x 0 O CL CL <C ori IL r C:r r XC: X r- LLJ <1 W<1 Lli <1 W<1 7a "ia < < E2 M < (1) Q 0 c < 41) 0 .-; 0 C� .; m 0 0 m a) a .; (a C� U') t3 .; M C) U) cn LLJ DI cr) to 0 0 uj D C) (D Cl t- to co) W UJ DI f— cn (A LLJ C) — _0 c (U cavi 0 0 0 M) w L(VS j3 US (nL mto U to Q c(i: a)(L W a. jam- am - ea CL 5 6F, 0 0) CL CL m U) U CL U) U) m WL m U) m ,D m x 0 0 2) 0 1 6 0 m -0 -j m m cts U(1) m M y) M 0 -j �o c CL 0 U.)j m 0) C/3 U- -- co co .r " EE O0 a) z 61 = V-: N M 0 -JI cu 61 � z r csi r4 0 G 0) E m Z C ca CL E 0 0 I l a r-4 w po I (L Q- Q- CL 0 0 rw 0 r_ 0 0 0 04 0 - C, 0 0 wl 6f� W 6% 60. wi 1� W 6�i 69 >k r- co m X ce) x m x Cf) x x x �.m I-- 0 0 cl EL 0 0 x x c w <1 661, w <1 w "Fa 0 :3 0 (=; :3 3 CD C) C:0 C O 0 O 0 U cc (:5 0 a C: < a L6 0 CD 0 0 m U) 0) LO U) m to w 0 U) 0 In U")m (Y) to 0) U') t- *j m U) to 0 uj =3 69 W D oo CV w DI 60 w Di Lb "a W 0 C.) o r -A 0) m * m 4� 8 0 C) 0 ui 0 (D 2 a- Q- 0 CL CL 60. 69 69 (D L CL Q C: 69l c .0 "0 0 _0 w 0 "0 ' 0(D Wa) 0) a) 0. to CL w CL 0 U) 0- 0 cn w 0 0 0) O 0 (D O t1 JT C: 0 m Cl) ULCf) E E 0-i 0 6 1 0 = Z Nc"i li Z1 r N l a r-4 w po I acs 4) tm to a. a_ a. ri X wi 00 X -r4 -H 0 0 0 (1) x "0 r4 0 (D 0 c acs 4) tm to a. X x X co x cm I-- 0 0 ca �y til 0 CD J= X 0 0 0 0 a LLJ <1 te, a LIJ <1 69: 64, UJ <1 to w¢ c LLJ < da) C) c W < 0 0 m c a C) C Y c <(D a < 0 4-; M ED (j) U) U) -1 C) 0 Lo m U) U) 0 U') 4-i m U) (1) ui :3 6ek LU LLJ D tF)- UJ D Lb _-a a 4) 4- �o C W 0 Ae j5 a) U) CO o C> C) a) 0) m 20- CL f L JOR a 40- 0 C.) CL CL CL cu m O 0 m 2) 0 m m m m m E CL 0 "D C.) 0 CL 0 0 y r- Cl) M Ft Mi C cn N E O I.- 0 E 61 N Mz .0 r GV acs 4) tm to a. (D ui W Ct) X ce) X x CYI) X CV) a. CL Iz 0 10 0 (D 0 0 0 a. a. Q .0 m a. CL (D x (D r UJI tft UJI te) 61). UJI ER LUI v* 0) E w Z C: m CL E 0 0 ui Ct) X ce) X x CYI) X CV) N 0 0 (D W co a. a. Q .0 m a. CL (D r a) r C 0 r xE UJ <1 6n� UJ tq, UJ <1 64.� x c W <1 (� C) C) < (D(D < 0 < C3 < a to ,j 0 0 r - W CN V) U) UJ LO 04 LIJ :)I 3 W 04 U") C (D a (D 0 0 Q 0 d) a) co m C) a 4) cts 0-40- to a. J0- 69 (D (D (D CL(D m 0 m m m (D 0 0 C' N iN E 61 (D 1-- 0 E 0 = z C', 11 = Z61 0) E w Z C: m CL E 0 0 (D E m Z C N 0. E 0 0 C3 c CL a. 0 0 c CL a. C� 0 C; 0 0 V ra a 10 10 10 r4 c c 0 0 .o 0 (D cr) cy Wl 0 Ol 0 0 0 0 X x m X 0 - ol V. r. P LLJ Uj 64g, 6,13� 64 uj 6-1- X uj 6-* V)! tO!)! 6S' (h V) >% It X Cv) x c1r)MCY) x x m x cv) x N x I-- 0 0 CD 9 a) (D C) a- 0 0 o A) m " CL 9 C) a 9 0 9 0 A2 a. .9 a- W m m Q) r 0 �t W C C14 M C14 V) c C) a X c I'C: a W <1 6S' W <1 (n: to tn� <1 64! <1 W W C) 0 RS 0 RS t6 9 (1) C) C) W 0 0 Q m a) 0 Cl 4) -0 0 0 0 M < C; < < t:7 C:) C a 4-;(U 0 C) 0 LO C) Lf) 0 CN LLJ 0 t4 LLJ D W Di (A UJ DI (o0 co C (D 0 00 0 .10 C.) a) W C3 () 4) U C) CO) 0 cu m t0 :3 L (5 a) cn c r_ CD O cuLA cli < CC 0 0 0 CC 4j (D m U) a- 2 a. LLJ (D L - a. awo owo 00 4) C) CD 0 40-1 -j � � 6ca a. 10- D 6ek 6ek to 4) CD (L) c 0 CL CA CL U) CL 0 CL CL 0 (1) m 0) WL lcn LL 0 fi-� 0 W 0) LD 0 0 21 0 .0 .0 m cu -0 m -j -0 m m a U) UJ t1 0 U a :3 c N c CX 0 CL U- F liti M. m (n U- F— N NE 0 61 0 261 il z N C6 4 -j — Z 04 m 'At (D E m Z C N 0. E 0 0 C3 (D E m Z CL E 0 0 9 W a) d) d) .9 9 .9 a. CL a. CL "a q; "D"a 10 a FU a) Q H (1) -H -H -H -A 0 0 P W 4- 0 0 0 d 0 0 0 0 ci x T x x x wi 6cl� wi UJ t� EH 64:311 E!3 X x x x 0 0 co U a. via. 00- a) C: 0 4) 0 C) 0 F- x c x c Wc w <1 to LLJ <1 w w 6-. 643 to 0 C) 4) 0 0 to <W C� < a C� < a r- as Lo U) to N *j m (n (1) C) Q m (0) En 0 04 li m (j) (f) 0 0 C) 0 w -11 toi. w -)I W DI 64 Lij DI c 4) 0 0 0 u W .c tau ca w a- (1) MI 0 Qa- h- CL 0 :!::! 0 C) 0 0-40- D 0 to to 61), 0 d) CD U) m CO m w 0 0 L m-0 M C) m -0 0 n 0 zs m Cl 0 -0 — L) CL m '5 0 (n . LD LL -E: E 1 E O (D 0 61 = Z N _j —2 z c� ci 4 (D E m Z CL E 0 0 9 W1 V); WI tp.-* vi tov vV W1 to U tov t6 pi 6. >% A a- Aco IL CV)m X x CL (Y) x CL ct) x V x "t rij V IV 10 10 IV I-- O 4) L1 A n 0 0 c 0 0 0 0 0 0 4) (D 151< r. CL r. r. X1 xi ¢ IL Cj tea. I a I W1 V); WI tp.-* vi tov vV W1 to wi tov t6 pi >% A Aco CV)m X x m x (Y) x N ct) x x N 1�- I-- 0 0 (D CL ACL ¢ IL Cj tea. m m ( r a) C W C: (D W <1 6q: W <1 64)" 6g3, 69! X C w <1 to x c w <1 60r)! d) ci 0 C (D 2 C CD < p c; C < a) V .j M U) cr .z CU 0 0 m 4) a j m C) 0 CT cu 0 J= (1) U) W ::)I N 6c" cn (n UJ ::)j 0 th 0 U') U) U) U) W ::) r N(:) W = Lo 0 ID cn ca 0i 4) .0m C vi c t! (1) mi 2 a. C) CL 'E c C) 0 CD Cal 2 CL 01 CL 0 4) L- c L .02 W C L .02 CL cn CL U) mto 0 m U) L - - (D o -0 m cc m 0 -j -j =3 u (n m 0 CL CL 0 0 LL'C/) .(D U- I-- m .Sl cn Cl) C4 E 61 [-- 0 61 N M 19t —i z cli N. (D a (1) o o (1) (D U a_ 10 c 0) e Q c a 00 o 0 0 0 XC x LLJI LLil ui w cle) X ce) x Xor) x ce) x x 0 C) 9 @0 tL3 0 to C) (DLL c> ALL 4) e- :3 c :3 C: C) a C) x a x a UJ W< Lij <1 ERLLJ <1 te: 6-" fio: 0 C) 0 c 0C) c 0 0 < C:) < < .j cts 0) (b C) co M 0 (A 0 0 ,; m U) cn 0 m ..; M Cl) cn 0 0 UJ te, ui =)I W :31 6% LLJ :)I a (D C.) ~OCll c ami 0 to 0 U) A2 -M N Ca (1) (01 (L C 41) m 2 (L a CD a 02 'n li 40- 1 L 6s 03 -a YI CL CL CL U) cn w to cu w m (n 0 0 0 CU 0) .0 m 0 w -0 m -0 m 75 0 E 0 m Ch C CO p F- CO LL N co I-- E I-- E 0 61 0 J1 A —1 .2 z C� -i z 4 N. tU ca cn 14 ca pq W 4) C-1) X c1r) x ce) x CV) x Ce) x ce) x CL CL a. "a 'o a 'o ro 'a 0 4) d) va W 0 '0 '0 (1) 0 (D d) 0 (1) 0 0 0 0 <E x Q 0- x -0 c@ UJI v* UJI 60g), 69t LIJ 6-r LUI ter te, to-:� 613, tU ca cn 14 ca pq C-1) X c1r) x ce) x CV) x Ce) x ce) x V) 0 0 CD d) CD a.0) CL <E 4) a. Q 0- -0 c@ -0 -@ '0 —M rQ O ~ Oc 0 0 C) w 6e* C) to C) C) < cu C) C) C) < 0 CD < CD 0 (1) < m 0 :3Q 0 m C7 0 0 CT cy r- -C Q ; m co W C) Lf) Z m (1) C/) 0 m U) U) C14 z m 0 0 CD 0 C) C) U") w ::)I W :)I W= 6e* W D (o V- � 'a c (1) c 4- W'0 = E 0 0 = �s 0 0) tCi 0) L) 4) m 2 CL a m IL a. = 0 021 0 0 C) 0 40-1 6-* al Z) tq (on, wl, _0 ami 0- C4)L Q rL 4) rL W (A U) (1) cn w (j) U) m (n cts L: L: a) m 0 m m 0 .0 fiS 0 Q - j m 0 0 tfi cu CL 0 -6 Q. > iz c*l Ezip 0 E 61 ci i z � C6 'i tU ca cn 14 ca pq LLJ 6c* Lli (D Lij (1) W 6c+ 64 to} ui 0- CL a_ m 10 �4 10 -H co X -4 c X 0 c xi 0 0 c I xi 0 C I vi 0 0 I 0 I LLJ 6c* Lli Lij W 6c+ 64 to} ui m x co X X x x X 0 (D Q- L) 13 -0 -R C: :3M 0 xr 0 0= 4) 0 0 x c w <1 W r- x a Lli <1 x c LLI <1 64! 60! 40)" da c 4) C) 0 c c (1) =3= 0 0 Q m < 0 0 < 0 < CY C� C) 4) U) U) -11 T- T- W 6g)- W WDI F33 DI acs 0o C) co j5 U) U) to CY) m C6 m (1) C13 a m CL C c (D 0 -JO- 60", CL 61% 64% 6C + 4) ami (D 0 E W U) U)rn(1) to m L w m m U) cts &Z 0 I - 0 6: 0 6 m m m E CL 0 0 > 0 L) a MI CL) > m M 0 > to cu U- F- cq 0 E o 61 I-- 0 E 6 J = z -i = z r-: CV oi 4 1 0 PO to 0 E m z E 0 U w CL (D (1) (1) V vi U .0 X (L) Q) 4) A 'pIc .9 0c d) 0 cu a) 0 0 0 CL I I x x I 1 (D CL -0 Wl vc)� W— W— 619, 0 E m z E 0 U w CL vi vi vi vi X d) a) CL CL (D CL -0 (D CIL -0 c x C x r_ x C: Lli Q ER LLJ x C Q to UJ c: 6,3� W c ME C) C) C) 0 C (1) 0 0 (=; C� C d-) 1 C cy 0 0 C) < 0 C) < CT jC\ Lt) C) f j ol C) C) W 7), 64)� LiJ to wLLJ � 'a C (D V 0 0 L) A 0 4) U) cl -C tB cr) (D ui u o c Cl a '02 60 c L 102 CL M V) 0 (n m V.0 =3 0 U) L) -0 0 0 M cu CL a 0 m Cf) Lo CIO 0 E 61 0 E o)z J z CN 0 E m z E 0 U w CL 4) 'E m z CL E 0 0 I Cf) Ce) cf x x C) C; Ct LO C cr) 00 cl 6s 4) 'E m z CL E 0 0 I Cf) Ce) cf x x x) cl -ra w 0 E 0 m = E 0 E < C < r_ < < - L- < m 0 < CU 5 C) �j —1 0 0) (n 0 Lu 0 E w n L6 64 0 0 w n 1: ol, ui -i 4) 'E m z CL E 0 0 I uj E E m CL a. CL U) Cl 0 U) c c m CL < .20 'n uj -il -j ry 4) 'E m z CL E 0 0 I FIO 00 C14 CD Ln Rs, 0 tii to 10 N .0 E C w C 0 .0 CL 0 C 0 12 Ll (D 0 Q T4 - -i Ln co C) 9 a) 0 (D a U- 0 N 0 o" 0 =.o (D X U) sw El0 m 0 CL E < W E < CL 0 > 4) 0m F E ui r- 72 0 0 LL .0 0 0 M c 0 A— 0 MFL 0 qui= W E 000 C: 0 a 0 C 16 L 4) 0 0 C: 0 0 (D c z 0 tti m T Lo E4) CL 0 m L- m = 8> 0 CL 0 I rn m� -0 m 0 cts x UJ L- 4-- d) C: a) m 'm CD E E r 0 4) 0 -0 LL 0 0 < =.N Q- 0 L- E 0 0 (U c O .2 0 a C 0 m m A ctl 0 (*, > c — 0) LL D MW (3) ELLa :3 o o 0 0 M 0 woo 0 1 W cn (D E C -2 0) 0 C C (D 0 0 Of C: Co 0-0 -45 ID 0 az 0 0 0.2 4) Z 4) &- 0 Cl 15 E r = & (D (D C: W 4) 0 `civ CL > > E o CL Zi ai 6 Company Name: Bell Rental& & Sales, Inc. NOTE: COMPANY NAME MUST MATCH LEGAL NAME ASSIGNED TO TIN NUMBER. CURRENT W9 MUST BE SUBMITTED WITH BID. TIN#: 59-1229836 D -U -N -S@ # 04-709-3711 5028 S. Orange Ave. Orlando (Street No. or P.O. Box Number) (Street Name) (City) Orange (County) Contact Person: Florida (State) Charlie Bell 32809 (Zip Code) Phone Number: Fax Number: 407-851-19112, 407-851-1999 Email Address: charlie69@cfl.rr.com Emergency Contact Person: EMERGENCY CONTACT Charlie Bell Telephone Number: 407-851-1992 Residence Telephone Number: Cell Phone Number: 407-832-8938 Email: charlie69@cfl.rr.c The Bidder shall acknowledge receipt of any addenda issued to this solicitation by completing the blocks below or by completion of the applicable information on the addendum and returning it not later than the date and time for receipt of the bid. Failure to acknowledge an addendum that has a material impact on this solicitation may negatively impact the responsiveness of your bid. Material impacts include but are not limited to changes to specifications, scope of work/services, delivery time, performance period, quantities, bonds, letters of credit, insurance, or qualifications. Addendum No. —, Date Addendum No._, Date Addendurn No. , Date Addendum No. , Date AUTHORIZED SIGNATORIES/NEGOTIATORS The Bidder represents that the following principals are authorized to sign bids, negotiate and/or sign contracts and related documents to which the bidder will be duly bound. Principal is defined as an employee, officer or other technical or professional in a position capable of substantially influencing the development or outcome of an activity required to perform the covered transaction. Name Title Telephone Number/Email Charlie Bell President 407-851-1992 charlie69@cfl.rr.com A4 (Signature) President (Title) Bell Rentals & Sales, Inc. (Name of Business) 4Z22/15 (Date) The Bidder shall complete and submit the following information with the bid: UT= • Sole Proprietorship Partnership Non -Profit Joint Venture xx Corporation State of Incorporation: Florida Principal Place of Business (Florida Statute Chapter 607): Orlando, Orange, Florida City/County/State THE PRINCIPAL PLACE OF BUSINESS SHALL BE THE ADDRESS OF THE BIDDER'S PRINCIPAL OFFICE AS IDENTIFIED BY THE FLORIDA DIVISION OF CORPORATIONS. Federal I.D. number is 59-1229836 The undersigned Bidder, in accordance with Florida Statute 287.087 hereby certifies that -A-Rentals-&- Sales, lnr. does: Name of Business 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. 2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, employee assistance programs and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in Paragraph 1. 4. In the statement specified in Paragraph 1, 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 Florida Statute 893 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. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of Paragraphs I thru 5. As the person authorized to sign this statement, I certify that this firm complies fully with above requirements. SWdei's Signature 4/22/15 Date 0 Z P V Q LL z O U W D LL O w D 0 w v CO N m ct Q P 1 tp T cO z m O F- a) N 0 m cn 0 c 0 C: O O .&- U � O C Cm m CL L- cn O o O m 0 0.0 c =;c N aD C7 0 y m c � � N c Q N N N cn 2 Q Q C -O O © � CQ�.} 000 ca 5 a � � O U 0 'S O O 4) m a- F- d a �o Q i aQi Ci R c 0 0 0 � 0 E z ai E m z c tCf CL E O U To whom it may concern; M Date; 04/24/15 This letter is to confirm that Bell Rental and Sales Inc. is an authorized Dealer, Distributor and/or Representative of the Manufacturer of Massey Ferguson and Challenger Equipment owned by ACCO Corporation for the right to bid. Doug Amey Field Parts Manager AGoCO Paiis Division Tel: +1630-561-0864 Fax: +1 866-953-2997 Cell: +1630-561-0864 521 Courtlea Cove Avenue Winter Garden, Florida 34787 USA gow-arneynaacowmCorn facebook.cornIAGCOgom twilter.cornIAG voutube.corrIAGCOom WENRIU11719 ACCO 199hN09, hL VS Telephone: 630.879.,3300 Fax: 630.879.2319 \mr,,vw.agcoparts,,igco,co(,p.coi,i 0330M To Whom It May Concern: BUSH HOG, Inc. 2601 GrOnAverujo Sekm Alabama 36703 Telephone (334) $74-2700 www,bushhog.corn This is to confirm that Bell Rentals & Sales, Inc. is an authorized Bush Hog dealer and is in good standing with Bush Hog, Inc. Sir y, Tojtn�Lhese VP Sales April 24, 2015 RO. Box 70 Englefeld, SaBicatchawan, Canada SOK I NO Tel: 30&287-3715 Fax: 306-287-3355 Toll -Free: 1-800404-6044 E-mail: infb@schulte.ca Web. www.schulte.ca products and parts in the State of Florida. Respectfully, Hal Carnago E�� ii April 24, 2015 RO. Box 70 Englefeld, SaBicatchawan, Canada SOK I NO Tel: 30&287-3715 Fax: 306-287-3355 Toll -Free: 1-800404-6044 E-mail: infb@schulte.ca Web. www.schulte.ca products and parts in the State of Florida. Respectfully, Hal Carnago E�� Issue Date: April 7, 2015 INVITATION FORBIDS #Y15 -1048 -JS NOTICE IS HEREBY GIVEN that the Board of County Commissioners of Orange County, Florida, henceforth referred to as the County is accepting sealed bids for: "(910 11 NEX" Sealed bid offers in an original and three (3) copies for furnishing the above will be accepted up to 2:00 PM (local time), Thursday, April 23, 2015, in the Procurement Division, Internal Operations Centre 11, 400 E. South Street, 2nd Floor, Orlando, FL 32801. Copies of the bid documents may be obtained from the Orange County Procurement Division at the above address. Copies may be requested by phoning (407) 836-5635 or by download from the Internet at: hiip —.,(? :cft Johnny M. Richardson, CPPD, CFCM Manager, Procurement Division NOTICE TO BIDDERS To ensure that your bid is responsive, you are urged to request clarification or guidance on any issues involving this solicitation before submission of your response. Your point - of -contact for this solicitation is Jim Schell, Senior Purchasing Agent at jim.Schell@f c Lne j2__j. TABLE OF CONTENTS DESCRIPTION PAGE GENERAL TERMS AND CONDITIONS 2-14 SPECIAL TERMS AND CONDITIONS 15-27 SPECIFICATIONS 28 BID RESPONSE FORM 29-48 EMERGENCY CONTACTS 49 ACKNOWLEDGEMENT OF ADDENDA 49 AUTHORIZED SIGNATORIES/NEGOTIATORS 50 REFERENCES 51-52 DRUG-FREE WORKPLACE FORM SCHEDULE OF SUBCONTRACTING FORM CONFLICT/NON-CONFLICT OF INTEREST FORM &VERIFICATION CERTIFICATION RELATIONSHIP DISCLOSURE FORM RELATIONSHIP DISCLOSURE FORM - FREQUENTLY ASKED QUESTIONS (FAQ) ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT EXPENDITURE REPORT- FREQUENTLY ASKED QUESTIONS (FAQ) AGENT AUTHORIZATION FORM EXHIBIT A - LEASED EMPLOYEE AFFIDAVIT EXHIBIT B - COMMERCIAL GENERAL LIABILITY EXHIBIT C - COMMERCIAL GENERAL LIABILITY EXHIBIT D - WORKERS COMPENSATION & EMPLOYEES LIABILITY INSURANCE POLICY EXHIBIT E - WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US I if GENERAL TERMS AND CONDITIONS GENERAL INFORMATION These specifications constitute the complete set of requirements and bid forms. The bid response page(s), and all forms listed on the bid response page(s) shall be completed, signed, and sealed in an envelope bearing the bid number on the outside and mailed or presented to the Procurement Division on or before the specified time and date. Failure to comply with the preceding requirements shall result in the rejection of the bid. Bids submitted by e-mail, telephone or fax shall not be accepted. An e- mailed or a faxed bid shall be rejected as non-responsive regardless of where it is received. It is the sole responsibility of the Bidder to ensure that their bid reaches the Procurement Division. All bids, unless otherwise specified, must be delivered to the following address no later than the time and date specified in the solicitation: Procurement Division Internal Operations Centre 11 400 E. South Street, 2nd Floor Orlando, FL 32801 Bidders are cautioned that they are responsible for delivery to the specific location cited above. Therefore, if your bid is delivered by an express mail carrier or by any other means, it is your responsibility to ensure delivery to the above address. This office will not be responsible for deliveries made to any place other than the specified address. The County shall not be responsible for delays caused by any occurrence. The time/date stamp clock located in the Procurement Division shall serve as the official authority to determine lateness of any bid. The bid time shall be scrupulously observed. Under no circumstances shall bids delivered after the time specified be considered. Late bids will be returned to the Bidder unopened. The decision to refuse to consider a bid that was received beyond the date/time established in the solicitation shall not be the basis for a protest pursuant to the Orange County Code (Procurement Ordinance). All bids must be typewritten or filled in with pen and ink, and must be signed in ink by an officer or employee having authority to bind the company or firm. Errors, corrections, or changes on any document must be initialed by the signatory of the bid. Bidders shall not be allowed to modify their bids after the opening time and date. Bid files may be examined during normal working hours, thirty (30) days after bid opening or upon recommendation for award, whichever occurs first. Bidders desiring to view these documents are urged to schedule an appointment. Page 2 For information concerning this bid, please contact the Procurement Division at the address listed above or by calling 407-836-5635. Please specify the bid number for which you are inquiring. All questions or concerns regarding this Invitation for Bids shall be submitted by email to Jim.Schell@ocfl.net, no later than 5:00 PM Wednesday, April 15, 2015 to the attention of Jim Schell, Procurement Division, referencing the IFB number. When required the Procurement Division shall issue an addendum to the Invitation for Bids. The addendum shall be available on the Internet for access by potential Bidders. Bidders are instructed not to contact the initiating division directly. No oral interpretation of this Invitation for Bids shall be considered binding. The County shall be bound by information and statements only when such statements are written and executed under the authority of the Manager, Procurement Division. This provision exists solely for the convenience and administrative efficiency of Orange County. No Bidder or other third party gains any rights by virtue of this provision or the application thereof, nor shall any Bidder or third party have any standing to sue or cause of action arising there from. 3. PRICE/DELIVERY Price(s) bid must be the price(s) for new goods, unless otherwise specified. Any bids containing modifying or "escalator" clauses will not be considered unless specifically requested in the bid specifications. "Acceptance" as herein used means the acceptance by Orange County after the Manager, Procurement Division or authorized agent has, by inspection or test of such items, determined that they fully comply with specifications. Deliveries resulting from this bid are to be performed during the normal working hours of the County. Time is of the essence and the Contractor's delivery date must be specified and adhered to. Should the Contractor, to whom the order or contract is awarded, fail to deliver on or before the stated date, the County reserves the right to CANCEL the order or contract and make the purchase elsewhere, and the Contractor shall be required to compensate the County for the difference in price paid for the alternate goods. The Contractor shall be responsible for making any and all claims against carriers for missing or damage goods. Partial shipments will be acceptable unless otherwise stated. The County is exempt from Federal and State Sales and Use Taxes for tangible personal property (Certificate of Registry for tax transactions under Chapter 32, Internal Revenue Code and Florida Sales/Use Tax Exemption Certificate). The Manager, Procurement Division will sign an exemption certificate submitted by the Contractor. Page 3 Contractors doing business with the County shall not be exempted from paying sales tax to their suppliers for materials to fulfill contractual obligations with the County, nor shall any Contractor be authorized to use the County's Tax Exemption Number in securing such materials. 5. ACCEPTANCE/REJECTIONICANCELLATION The County reserves the right to accept or to reject any or all bids and to make the award to that bidder who, in the opinion of the County, will be in the best interest of and/or the most advantageous to the County. The County also reserves the right to reject the bid of any bidder who has previously failed in the proper performance of an award or to deliver on time contracts of a similar nature or who, in the County's opinion, is not in a position to perform properly under this award. The County reserves the right to inspect all facilities of bidders in order to make a determination as to the foregoing. The County reserves the right to waive any irregularities and technicalities and may, at its discretion, request a re- bid. Award will be made to the lowest responsive and responsible bidder as determined by the County. The County reserves the right, and the Manager, Procurement Division has absolute and sole discretion, to cancel a solicitation at any time prior to approval of the award by the Board of County Commissioners when such approval is required. The decision to cancel a solicitation cannot be the basis for a protest pursuant to the Orange County Code. 6. BRAND NAME OR EQUALS/DEVIATIONS Unless otherwise specified, the mention of a particular manufacturer's brand name or number in the specifications does not imply that this particular good is the only one that will be considered for purchase. This reference is intended solely to designate the type or quality of good that will be acceptable. Equal offers will be considered and must include descriptive literature and/or specifications. Failure to provide descriptive literature and/or specifications with equal offers will result in the disqualification of the bid. The determination as to whether any alternate good or service is or is not equal shall be made solely by the County and such determination shall be final and binding upon all bidders. The County reserves the right to request and review additional information to make such a determination. Although the County provides for the consideration of alternate bids, it reserves the right to make an award in the best interest of the County. Award may not necessarily be given to the lowest bid offered. The Bidder shall be responsible for reading very carefully, and understanding completely, the requirements and the specifications of the items bid upon. Unless the bid is in response to a "Brand Name or Equal" requirement, deviations from the specifications will only be considered if requested in writing prior to the date and time specified for receipt of bids. Page 4 Deviations, if accepted, will be specifically addressed in writing via an addendum to this Invitation for Bids. Any goods or services that are not in compliance with the specifications will not be accepted. Where more than one item is listed, any items not bid upon shall be indicated as "NO BID". 8. CONFLICT OF INTEREST The award is subject to provisions of applicable State Statutes and County Ordinances. All bidders must disclose with their bid the name of any officer, director, or agent who is also an employee of Orange County. Further, all bidders must disclose the name of any County employee who owns, directly or indirectly, an interest of ten percent (10%) or more in the Bidder's firm or any of its branches. Should the Contractor permanently or temporarily hire any County employee who is, or has been, directly involved with the Contractor prior to or during performance of the resulting contract, the contract shall be subject to immediate termination by the County. 9. LEGAL REQUIREMENTS All applicable Federal and State laws and County ordinances, that in any manner affect the items covered herein apply. Lack of knowledge by the Bidder shall in no way be a cause for relief from responsibility. A. Contractors doing business with the County are prohibited from discriminating against any employees, applicant, or client because of race, religion, color, disability, national origin, gender, or age with regard to but not limited to the following: employment practices, rates of pay or other compensation methods, and training selection. B. Minority/Women Business Enterprises (M/WBE) indicates a business entity of which 51% or more is owned and operated by a minority. In this instance, minority group members are citizens of the United States or lawfully admitted permanent residents who are Black, Hispanic, Women, Native American, Asian -Pacific, Asian -Indian. Businesses wishing to participate in the County procurement process as an M/WBE are required to complete a certification application to attain recognition as such. You may contact the Procurement Division or the Business Development Division for information and assistance. 10. UNIFORM COMMERCIAL CODE The Uniform Commercial Code (Florida Statutes, Chapter 672) shall prevail as the basis for contractual obligations between the Contractor and the County for any terms and conditions not specifically stated in this Invitation for Bids. Page 5 11. MISTAKES In the event of extension error(s), the unit price will prevail and the Bidder's total offer will be corrected accordingly. In the event of addition errors, the extended totals will prevail and the Bidder's total will be corrected accordingly. Bidders must check their bid where applicable. Failure to do so will be at the Bidder's risk. Bids having erasures or corrections must be initialed in ink by the Bidder. 12. AVAILABILITY OF FUNDS The obligations of the County under this award are subject to the availability of funds lawfully appropriated for its purpose by the State of Florida and the Orange County Board of County Commissioners, or other specified funding source for this procurement. 13. EEO STATEMENT It is hereby declared that equal opportunity and nondiscrimination shall be the County's policy intended to assure equal opportunities to every person, regardless of race, religion, sex, sexual orientation and gender expression/identity, color, age, disability or national origin, in securing or holding employment in a field of work or labor for which the person is qualified, as provided by Section 17-314 of the Orange County Code and the County Administrative Regulations. Further, the Contractor shall abide by the following provisions: A. The Contractor shall represent that the Contractor has adopted and maintains a policy of nondiscrimination as defined by applicable County ordinance throughout the term of this contract. B. The Contractor shall allow reasonable access to all business and employment records for the purpose of ascertaining compliance with the non-discrimination provision of the contract. The provisions of the prime contract shall be incorporate by the Contractor into the contracts of any applicable subcontractors. 14. BID TABULATION AND RESULTS Bid tabulations shall be available thirty (30) days after opening on the Orange County website at: h1,./LqpplocfLnetior i q2A)i4s1b ldresu Its/res u Its. asr2. or upon notice of intended action, whichever is' sooner. All bids must be submitted on the County's standard Bid Response Form. Bids on Bidder's quotation forms shall not be accepted. Page 6 In the event this Invitation for Bids is to acquire personal property and the lowest responsive and responsible bid submitted in response to this Invitation for Bids, is by a bidder whose principal place of business is in a state other than Florida and such state or political subdivision thereof grants a preference for the purchase of personal property to a person whose principal place of business is in said state, then Orange County Florida may award a preference to the lowest responsive and responsible bidder having a principal place of business within the State of Florida. Such preference shall be equal to the preference granted by the state in which the lowest responsive and responsible bidder has its principal place of business. This section shall not apply to transportation projects in which Federal aid funds are used. Any bidder whose principal place of business is outside the State of Florida must accompany any written bid documents with a written opinion of an attorney at law licensed to practice law in that foreign state, as to the preferences, if any or none, granted by the law of that state to its own business entities whose principal places of business are in that foreign state in the letting of any or all public contracts. Reference Florida Statutes 287.084. 17. RECIPROCAL PREFERENCE In the event the lowest responsive and responsible bid submitted in response to any Invitation for Bids is by a bidder whose principal place of business is in a county other than Orange County, and such county grants a bid preference for purchases to a bidder whose principal place of business is in such a county, then Orange County may award a preference to the next lowest responsive and responsible bidder having a principal place of business within Orange County Florida. Such preference shall be equal to the preference granted by the county in which the lowest responsive and responsible bidder has its principal place of business. The recommended award will be posted for review by interested parties at the Procurement Division and at: LL.'/!ap .2gfi...LietL qq I t � as . _pa_ _ Q[MeB1d,,s/Award.sRec/.def_ _ _L1 prior to submission through the appropriate approval process and will remain posted for a period of five (5) full business days. Orange County Lobbyist Regulations General Information tai 2. A lobbying blackout period shall commence upon issuance of the solicitation until the Board selects the Contractor. For procurements that do not require Board approval, the blackout period commences upon solicitation issuance and concludes upon contract award. Page 7 The Board of County Commissioners may void any contract where the County Mayor, one or more County Commissioners, or a County staff person has been lobbied in violation of the black -out period restrictions of Ordinance No. 2002-15. Orange County Protest Procedures tin//yv w.(, r n ec~ ngt fl.g [Ven rS i c / Ed r ro Proce ag Failure to file a protest with the Manager, Procurement Division by 5:00 PM on the fifth full business day after posting, shall constitute a waiver of bid protest proceedings. 19. BID AND RELATED COSTS By submission of a bid, the Bidder agrees that any and all costs associated with the preparation of the bid will be the sole responsibility of the Bidder. The Bidder also agrees that the County shall bear no responsibility for any costs associated with the preparation of the bid including but not limited to any administrative or judicial proceedings resulting from the solicitation process. 20. CONTRACTUAL AGREEMENT This Invitation for Bids shall be included and incorporated in the final contract or purchase order. The order of contract precedence will be the contract (purchase order), bid document, and response. Any and all legal actions associated with this Invitation for Bids and/or the resultant contract (purchase order) shall be governed by the laws of the State of Florida. Venue for any litigation involving this contract shall be the Ninth Circuit Court in and for Orange County, Florida. 21. PUBLIC ENTITY CRIME Section 287.133(3)(d), Florida Statutes, provides that the Florida Department of Management Services shall maintain a list of the names and addresses of those who have been disqualified from participating in the public contracting process under this section. htt J/v d„ m .n loan laacom//bUs1ne s o rad:icons// t te_ L4 I gsl I / Ll for inTo_ r lon/convil iof o a al is vendor lists/convicted vendor list A person or affiliate who has been placed on The Convicted Vendor list following a conviction for a public entity crime shall not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, shall not submit bids on leases of real property to a public entity, shall not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with a public entity, and shall not transact business with any public entity in excess of the threshold amount provided in Florida Statute Section 287.017, for CATEGORY TWO for a period of thirty-six (36) months from the date of being placed on The Convicted Vendor List. Page 8 The Drug -Free Workplace Form is attached and shall be completed and submitted with your bid. 23. SUBCONTRACTING Bidders subcontracting any portion of the work shall state name and address of subcontractor and the name of the person to be contacted on the attached "Schedule of Subcontractors Form". Bidder shall complete the Conflict of Interest Form attached hereto and submit it with their bid. 25. ETHICS COMPLIANCE The following forms are included in this solicitation and shall be completed and submitted as indicated below: A. Orange County Specific Project Expenditure Report -The purpose of this form is to document any expenses incurred by a lobbyist for the purposes described in Section 2-351, Orange County Code. This form shall be completed and submitted with all bid responses to an Orange County solicitation. Any questions concerning this form shall be addressed to the purchasing agent identified in the applicable solicitation. B. Relationship Disclosure Form — The purpose of this form is to document any relationships between a bidder to an Orange County solicitation and the Mayor or any other member of the Orange County Board of County Commissioners. This form shall be completed and submitted with the applicable bid to an Orange County solicitation. No contract award shall be made unless these forms have been completed and submitted with the bid. Any questions concerning these forms shall be addressed to the purchasing agent identified in this solicitation. Also, a listing of the most frequently asked questions concerning these forms is attached to each for your information. The bid must be mailed or hand delivered in a sealed envelope to: ORANGE COUNTY PROCUREMENT DIVISION Internal Operations Centre 11 400 E. South Street, 2nd Floor Orlando, Florida 32801 Bidders must indicate on the sealed envelope the following: A. Invitation for Bids Number B. Hour and Date of Opening C. Name of Bidder Bids received after the time, date, and/or at the location specified, due to failure to identify the envelope with the above information shall be rejected. 27. COPIES Copies of documents, records, materials, and/or reproductions requests will be charged in accordance with Orange County's fee schedule. Copyrighted materials may be inspected, but cannot be copied or reproduced per Federal law. 28. PROPRIETARY/RESTRICTIVE SPECIFICATIONS If a prospective bidder considers the specification contained herein to be proprietary or restrictive in nature, thus potentially resulting in reduced competition, they are urged to contact the Procurement Division 2rig to bid opening. Specifications which are unrelated to performance will be considered for deletion via addendum to this Invitation for Bids. 29. ASSISTANCE WITH SPECIFICATIONS Any prospective bidder who assisted the County in developing or writing the specifications contained herein are requested to so note such on the bid response page. 30. PAYMENT TERMS/DISCOUNTS The County's payment terms are in accordance with Florida Statute 218, Local Government Prompt Payment Act. Cash discounts for prompt payment shall not be considered in determining the lowest net cost for bid evaluation purposes. 31. PATENTS AND ROYALTIES Unless otherwise provided, the Contractor shall be solely responsible for obtaining the right to use any patented or copyrighted materials in the performance of the contract resulting from this Invitation for Bids. The Contractor, without exception, shall indemnify and save harmless the County and its employees from liability of any nature or kind, including cost and expenses for or on account of any copyrighted, patented, or unpatented invention, process, or article manufactured or supplied by the Contractor. In the event of any claim against the County of copyright or patent infringement, the County shall promptly provide written notification to the Contractor. If such a claim is made, the Contractor shall use its best efforts to promptly purchase for the County any infringing products or services or procure a license, at no cost to the County, which will allow continued use of the service or product. Page 10 32. 33. 34. If none of the alternatives are reasonably available, the County agrees to return the article on request to the Contractor and receive reimbursement, if any, as may be determined by a court of competent jurisdiction. EURT45mgm To the fullest extent permitted by law, the Contractor shall defend, indemnify, and hold harmless the County, its officials, agents, and employees from and against any and all claims, suits, judgments, demands, liabilities, damages, cost and expenses including attorney's fees of any kind or nature whatsoever arising directly or indirectly out of or caused in whole or in part by any act or omission of the Contractor or its subcontractors, anyone directly or indirectly employed by them, or anyone for whose acts any of them may be liable; excepting those acts or omissions arising out of the sole negligence of the County. It is the Bidder's responsibility to become familiar with and fully informed regarding the terms, conditions and specifications of this Invitation for Bids. Lack of understanding and/or misinterpretation of any portions of this Invitation for Bids shall not be cause for withdrawal of your bid after opening or for subsequent protest of award. Bidder's must contact the Procurement Division, at the phone number on the bid cover sheet RE[q[ to bid opening, should clarification be required. Modification or alteration of the documents contained in the solicitation or contract shall only be valid if mutually agreed to in writing by the Bidder and the County. By submission of this bid, the Bidder certifies, and in the case of a joint bid each party thereto certifies as to its own organization, that in connection with this procurement: A. The prices in this bid have been arrived at independently, without consultation, collusion, communication, or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor. B. Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the Bidder and will not knowingly be disclosed by the Bidder prior to opening, directly or indirectly to any other Bidder or to any competitor; and, C. No attempt has been made or shall be made by the Bidder to induce any other person or bidder to submit or not to submit a bid for the purpose of restricting competition. Page 11 35. SUCCESSORS AND ASSIGNS The County and the Contractor each binds itself and its partners, successors, executors, administrators, and assigns to the other party of this Contract and to the partners, successors, executors, administrators, and assigns of such other party, in respect to all covenants of this Contract. Except as above, neither the County nor the Contractor shall assign, sublet, convey or transfer its interest in this Contract without the written consent of the other. Nothing herein shall be construed as creating any personal liability on the part of any officer or agent of the County which may be a party hereto, nor shall it be construed as giving any rights or benefits hereunder to anyone other than the County and the Contractor. 36. PRICING/AUDIT The Contractor shall establish and maintain a reasonable accounting system, which enables ready identification of Contractor's cost of goods and use of funds. Such accounting system shall also include adequate records and documents to justify all prices for all items invoiced as well as all charges, expenses and costs incurred in providing the goods for at least five (5) years after completion of this contract. The County or its designee shall have access to such books, records, subcontract(s), financial operations, and documents of the Contractor or its subcontractors, as required to comply with this section for the purpose of inspection or audit anytime during normal business hours at the Contractor's place of business. This right to audit shall include the Contractor's subcontractors used to procure goods under the contract with the County. Contractor shall ensure the County has these same rights with subcontractors and suppliers. 37. EMPLOYEES OF THE CONTRACTOR All work under this contract shall be performed in a professional and skillful manner. The County may require, in writing, that the Contractor, remove from this contract any employee the County deems incompetent, careless, or otherwise objectionable. 38. TOBACCO FREE CAMPUS All Orange County operations under the Board of County Commissioners shall be tobacco free. This policy shall apply to parking lots, parks, break areas and worksites. It is also applicable to Contractors and their personnel during contract performance on County owned property. Tobacco is defined as tobacco products including, but not limited to, cigars, cigarettes, e -cigarettes, pipes, chewing tobacco and snuff. Failure to abide by this policy may result in civil penalties levied under Chapter 386, Florida Statutes and/or contract enforcement remedies. Page 12 39. CONTRACT CLAIMS "Claim" as used in this provision means a written demand or written assertion by one of the contracting parties seeking as a matter of right, the payment of a certain sum of money, the adjustment or interpretation of contract terms, or other relief arising under or relating to this contract. Claims made by a Contractor against the County, relating to a particular contract shall be submitted to the Manager, Procurement Division in writing clearly labeled "Contract Claim" requesting a final decision. The Contractor also shall provide with the claim a certification as follows: "I certify that the claim is made in good faith; that the supporting data are accurate and complete to the best of my knowledge and belief; that the amount requested accurately reflects the contract adjustment for which the Contractor believes the County is liable; and that I am duly authorized to certify the claim on behalf of the Contractor." Failure to document a claim in this manner shall render the claim null and void. No claim shall be accepted after final payment of the contract. The decision of the Manager, Procurement Division shall be issued in writing and furnished to the Contractor. The decision shall state the reasons for the decision reached. The Manager, Procurement Division shall render the final decision within sixty (60) days after receipt of Contractor's written request for a final decision. The Manager, Procurement Division decision shall be final and conclusive. The Contractor shall proceed diligently with performance of this contract pending final resolution of any request for relief, claim, appeal or action arising under the contract and shall comply with any final decision rendered by the Manager, Procurement Division. 40. VERIFICATION OF EMPLOYMENT STATUS Prior to the employment of any person under this contract, the Contractor shall utilize the U.S. Department of Homeland Security's E -Verify system to verify the employment eligibility of all new employees hired by the Contractor during the contract term, and an express requirement that Contractors include in such subcontracts the requirement that subcontractors performing work or providing services pursuant to the state contract utilize the E -Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract term. For more information on this process, please refer to United States Citizenship and Immigration Service site at: http-.//wvw Lgl : rt )L/site/uscis. Only those employees determined eligible to work within the United States shall be employed under this contract. By submission of a bid in response to this solicitation, the Contractor affirms that all employees in the above categories shall undergo e -verification before placement on this contract. The Contractor shall commit to comply with this Page 13 requirement by completing the E -Verification certification, attached to this solicitation. 41. CONFIDENTIAL INFORMATION In accordance with Chapter 119 of the Florida Statutes (Public Records Law), and except as many be provided by other applicable State or Federal Law, all proposers should be aware that Invitation for Bids and the responses thereto are in the public domain. Bidders must identify specifically any information contained in their response which they consider confidential and/or proprietary and which they believe to be exempt from disclosure, citing specifically the applicable exempting law. If a Bidder fails to cite the applicable exempting law, we will treat the information as public. Page 14 This bid shall be awarded to a responsible, responsive bidder, qualified by experience to provide the work specified. The Bidder shall submit the following information with the bid: A. List and brief description of similar work satisfactorily completed with location, dates of contract, names, addresses, email addresses and telephone numbers of owners by completing the attached reference sheets. B. Confirmation from the manufacturer that the bidder is an authorized dealer, distributor and/or representative of the manufacturer for the manufacturer(s) being bid. Failure to submit the above requested information may be cause for rejection of your bid. The determination on whether a bidder is responsible or not shall be at the sole discretion of the County. Although the County may request the submission of a minimum number of contracts similar to the requirements of this solicitation with certain minimum dimensions, quantities, dollar values, etc., the County's determination of a bidder's responsibility shall not be solely based on the number of similar procurements the bidder provides but the entirety of the bidder's qualifications. Bid offer shall be evaluated by the submitted percent discount off the most recently published manufactures price list. 2009� Award shall be made on an "All -or -None Total Estimated Bid" to the responsive and responsible Bidder submitting the highest percent discount as described in Special Terms and Conditions 3. Bid Evaluation. 00092 &___w A. Parts will be ordered by original equipment manufacturer part number (OEM) or the approved equivalent number. If ordered by OEM number, any necessary cross over to the vendor part number will be the responsibility of the vendor. B. Substitutions of items, brands etc., will be acceptable only upon prior written approval of the County representative. Page 15 C. Parts bid shall comply with applicable requirements and standards of the Occupational Safety and Health Act and applicable Florida Codes. 5. RETURN OF PARTS A. The vendor shall accept any part returned by Orange County within sixty (60) calendar days from the date of acceptance. A nominal re -stocking fee may be charged to the County if the return of the part is due to an ordering error of the County. B. All parts returned to the vendor will be in a resale condition. 6. LICENSES AND PERMITS Prior to furnishing the requested product(s), it shall be the responsibility of the Contractor to obtain, at no additional cost to Orange County, any and all licenses and permits required to complete all contractual requirements. These licenses and permits shall be readily available for review by the Manager, Procurement Division or authorized designee. A bid shall constitute an irrevocable offer for a period of ninety (90) days from the bid opening date or until the date of award. In the event that an award is not made by the County within ninety (90) days from the bid opening date, the Bidder may withdraw their bid or provide a written extension of their bid. The F.O.B. point will be a destination within Orange County. The bid shall include all costs of packaging, transporting, delivery and unloading. This shall include inside delivery if requested to the designated point within Orange County. 9. DELIVERY Delivery time is of the essence in the award of this Invitation for Bid. Delivery shall be as follows: A. Replenishment of Stock Items: These items shall be received no later than three (3) calendar days After Receipt of Order (ARO) and shall be delivered F.O.B. Destination. Shipping charges shall be borne by the vendor. The vendor shall provide delivery of parts if they offer delivery as a normal function of their daily activities. Should delivery not be available, the County will make every effort to pick up ordered parts. B. Emergency Items: These items shall be received no later than one (1) calendar day After Receipt of Order (ARO). The County will pay any additional shipping charge necessary to ship parts on an emergency basis (parts requiring next day delivery) when the vendor has been given prior approval by a representative of the ordering Division. Page 16 Bids submitted which fail to meet this requirement shall be cause for rejection. Failure of the awarded vendor to meet this delivery requirement shall result in default and immediate termination of the release order or contract. It is hereby understood and mutually agreed to by and between parties hereto that the time of delivery is an essential condition of this contract. 10. TERMINATION A. Termination for Default: The County may, by written notice to the Contractor terminate this contract for default in whole or in part (delivery orders, if applicable) if the Contractor fails to: 1 Provide goods or services that comply with the specifications herein or fails to meet the County's performance standards 2. Deliver the goods or to perform the services within the time specified in this contract or any extension. 3. Make progress so as to endanger performance of this contract 4. Perform any of the other provisions of this contract. Prior to termination for default, the County shall provide adequate written notice to the Contractor through the Manager, Procurement Division, affording the opportunity to cure the deficiencies or to submit a specific plan to resolve the deficiencies within ten (10) calendar days (or the period specified in the notice) after receipt of the notice. Failure to adequately cure the deficiency shall result in termination action. Such termination may also result in suspension or debarment of the Contractor in accordance with the County's Procurement Ordinance. The Contractor and its sureties (if any) shall be liable for any damage to the County resulting from the Contractor's default of the contract. This liability includes any increased costs incurred by the County in completing contract performance. i� iff liM In the event of termination by the County for any cause, the Contractor shall have, in no event, any claim against the County for lost profits or compensation for lost opportunities. After a receipt of a Termination Notice and except as otherwise directed by the County the Contractor shall: Stop work on the date and to the extent specified. 2. Terminate and settle all orders and subcontracts relating to the performance of the terminated work 3. Transfer all work in process, completed work, and other materials related to the terminated work as directed by the County. 4. Continue and complete all parts of that work that have not been terminated. If the Contractor's failure to perform the contract arises from causes beyond the control and without the fault or negligence of the Contractor the contract shall not be terminated for default. Examples of such causes include (1) acts of God or the public enemy, (2) acts of a government in its sovereign capacity, (3) fires, (4) floods, (5) epidemics, (6) strikes and (7) unusually severe weather. B. Termination for Convenience: The County, by written notice, may terminate this contract, in whole or in part, when it is in the County's interest. If this contract is terminated, the County shall be liable only for goods or services delivered and accepted. The County Notice of Termination shall provide the Contractor thirty (30) calendar days prior notice before it becomes effective. A termination for convenience may apply to individual delivery orders, purchase orders or to the contract in its entirety. AS SPECIFIED All goods delivered shall meet the specifications herein. Goods delivered not as specified shall be returned at no expense by Orange County. The County may return, for full credit, any unused goods received which fail to meet the County's performance standards. Replacement goods meeting specifications shall be submitted within a reasonable time after rejection of the non -conforming goods. By submission of a bid in response to this solicitation, the Bidder certifies that all material, equipment, etc., contained in their bid meets all OSHA requirements. Page 18 Bidder further certifies that if they are the awarded Contractor, and the material, equipment, etc., delivered is subsequently found to be deficient in any OSHA requirements in effect on date of delivery, all costs necessary to bring the material, equipment, etc., into compliance with the aforementioned requirements shall be borne by the Contractor. 13. CODES AND REGULATIONS The Contractor shall strictly comply with all Federal, State and local codes and regulations. a j 0 0 2 ME M --j Partial payments for the value of goods received and accepted may be requested by the submission of a properly executed invoice, with supporting documents if required. Payment shall be made in accordance with Florida Statute 218, Local Government Prompt Payment Act. Payment for accepted equipment/goods/services shall be accomplished by submission of an invoice, in duplicate, to: Orange County Fleet Management Division 4400 S. Vineland Road Orlando, FL 32811 Phone 407-836-8210 Orange County Solid Waste Division 5901 Young Pine Road Orlando, FL 32829 Phone 407-836-6610 Public Works Department Fiscal Administrative Services 4200 S. John Young Parkway, 2nd Floor Orlando, FL 32839-9205 Phone 407-836-7721 Utilities Department Administration 9150 Curry Ford Road, 3rd Floor Orlando, FL 32825 Phone 407-836-7264 In the event additional County Departments or other public entities utilize this contract, invoices are to be sent directly to the Department or entity placing the order. I= 15. WARRANTY The awarded vendor shall fully warrant all parts furnished hereunder against defect in materials and/or workmanship for ninety (90) days from date of installation by Orange County the vendor's repair shop or vendor's field service personnel. Should any defect in materials or workmanship, except ordinary wear and tear, appear during the above stated warranty period, the vendor shall repair or replace same at no cost to the County, immediately upon written notice from the Manger, Purchasing and Contracts Division or his designated representative. The vendor must be able to, and shall, honor all of the manufacturer's warranties and guarantees. Contractor shall be responsible for the prompt removal of all debris which is a result of this contractual service. 17. SAFETY AND PROTECTION OF PROPERTY The Contractor shall at all times: A. Initiate, maintain and supervise all safety precautions and programs in connection with its services or performance of its operations under this contract. B. Take all reasonable precautions to prevent injury to employees, including County employees and all other persons affected by their operations. C. Take all reasonable precautions to prevent damage or loss to property of Orange County, or of other Contractors, consultants or agencies and shall be held responsible for replacing or repairing any such loss or damage. D. Comply with all ordinances, rules, regulations, standards and lawful orders from authority bearing on the safety of persons or property or their protection from damage, injury or loss. This includes but is not limited to: a Occupational Safety and Health Act (OSHA) o National Institute for Occupational Safety & Health (NIOSH) o National Fire Protection Association (NFPA) o American Society of Heating, Refrigeration & Air -Conditioning Engineers (ASHRAE) E. The Contractor shall also comply with the guidelines set forth in the Orange County Safety & Health Manual. The manual can be accessed online at the address listed below: -fan// w.r r n! ec i2t f`l,net[ �dora r�vl f r nga o rrt S f y nd alth nuaU s Page 20 Vendor agrees to maintain on a primary basis and at its sole expense, at all times throughout the duration of this contract the following types of insurance coverage with limits and on forms (including endorsements) as described herein. These requirements, as well as the County's review or acceptance of insurance maintained by Vendor is not intended to and shall not in any manner limit or qualify the liabilities assumed by Vendor under this contract. Vendor is required to maintain any coverage required by federal and state workers' compensation or financial responsibility laws including but not limited to Chapter 324 and 440, Florida Statutes, as may be amended from time to time. The Vendor shall require and ensure that each of its sub-Vendors providing services hereunder (if any) procures and maintains until the completion of their respective services, insurance of the types and to the limits specified herein. Insurance carriers providing coverage required herein must be licensed to conduct business in the State of Florida and must possess a current A.M. Best's Financial Strength Rating of A- Class Vill or better. (Note: State licenses can be checked via www.flair. coral cm-�� ra s archl and A.M. Best Ratings are available at w�lvw...arnbest.CQr j Required Coverage for all Vendors: Commercial General Liability - The Vendor shall maintain coverage issued on the most recent version of the ISO form as filed for use in Florida or its equivalent, with a limit of liability of not less than $500,000 per occurrence. Vendor further agrees coverage shall not contain any endorsement(s) excluding or limiting Product/Completed Operations, Contractual Liability, or Separation of Insureds. The General Aggregate limit shall either apply separately to this contract or shall be at least twice the required occurrence limit. Required Endorsements: Additional Insured- CG 20 26 or CG 20 10/CG 20 37 or their equivalents. Note: CG 20 10 must be accompanied by CG 20 37 to include products/completed operations Waiver of Transfer of Rights of Recovery- CG 24 04 or its equivalent. Note: If blanket endorsements are being submitted please include the entire endorsement and the applicable policy number. Page 21 Required Coverage for Vendors who come onto County property: Business Automobile Liability - The Vendor shall maintain coverage for all owned; non -owned and hired vehicles issued on the most recent version of the ISO form as filed for use in Florida or its equivalent, with limits of not less than $500,000 (five hundred thousand dollars) per accident. In the event the Vendor does not own automobiles the Vendor shall maintain coverage for hired and non -owned auto liability, which may be satisfied by way of endorsement to the Commercial General Liability policy or separate Business Auto Liability policy. Workers' Compensation - The Vendor shall maintain coverage for its employees with statutory workers' compensation limits, and no less than $100,000 each incident of bodily injury or disease for Employers' Liability. Elective exemptions as defined in Florida Statute 440 will be considered on a case-by-case basis. Any Vendor using an employee leasing company shall complete the Leased Employee Affidavit. Required Endorsements: M Waiver of Subrogation- WC 00 03 13 or its equivalent Pollution Liability- with a limit of not less than $1,000,000 per occurrence/claim When a self-insured retention or deductible exceeds $100,000 the County reserves the right to request a copy of Vendor most recent annual report or audited financial statement. For policies written on a "Claims -Made" basis the Vendor agrees to maintain a retroactive date prior to or equal to the effective date of this contract. In the event the policy is canceled, non -renewed, switched to occurrence form, or any other event which triggers the right to purchase a Supplemental Extended Reporting Period (SERP) during the life of this contract the Vendor agrees to purchase the SERP with a minimum reporting period of not less than two years. Purchase of the SERP shall not relieve the Vendor of the obligation to provide replacement coverage. By entering into this contract Vendor agrees to provide a waiver of subrogation or a waiver of transfer of rights of recovery, in favor of the County for the workers' compensation and general liability policies as required herein. When required by the insurer or should a policy condition not permit the Vendor to enter into a pre -loss agreement to waive subrogation without an endorsement, then Vendor agrees to notify the insurer and request the policy be endorsed with a Waiver of Subrogation or a Waiver of Transfer of Rights of Recovery Against Others endorsement. Page 22 Prior to execution and commencement of any operations/services provided under this contract the Vendor shall provide the County with current certificates of insurance evidencing all required coverage. In addition to the certificate(s) of insurance the Vendor shall also provide endorsements for each policy as specified above. All specific policy endorsements shall be in the name of the Orange County Board of County Commissioners. For continuing service contracts renewal certificates shall be submitted immediately upon request by either the County or the County's contracted certificate compliance management firm. The certificates shall clearly indicate that the Vendor has obtained insurance of the type, amount and classification as required for strict compliance with this insurance section. Vendor shall notify the County not less than thirty (30) business days (ten business days for non- payment of premium) of any material change in or cancellation/non-renewal of insurance coverage. The Vendor shall provide evidence of replacement coverage to maintain compliance with the aforementioned insurance requirements to the County or its certificate management representative five (5) business days prior to the effective date of the replacement policy (ies). The certificate holder shall read: Orange County Board of County Commissioners c/o Procurement Division 400 E. South Street, 2nd Floor Orlando, Florida 32801 19. CONTRACT TERWRIENEWAL A. The contract resulting from this Invitation for Bids shall commence effective upon issuance of a term contract by the County and extend for a period of three (3) years. The contract may be renewed for two (2) additional one (1) year periods, upon mutual agreement of both parties. If any such renewal results in changes in the terms and conditions, such changes shall be reduced to writing as an amendment to this contract and such amendment shall be executed by both parties. Renewal of the contract shall be subject to appropriation of funds by the Board of County Commissioners. B. The initiating County department(s) shall issue delivery/purchase orders against the term contract on an "as needed" basis. C. If the quantity of a unit priced item in this contract is an estimated quantity and the actual quantities ordered are more than 50% above the estimated quantity, the County shall enter into negotiations with the Contractor for a lower unit price which shall be incorporated into the contract. Failure of the Contractor to agree to a reduced unit price may result in the termination of the contract and re -solicitation of the requirement. Page 23 D. Any order issued during the effective period of this contract, but not completed within that period, shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and the County's rights and obligations with respect to that order to the extent as if the order were completed during the contract performance period. PRICE ESCALATION/DE-ESCALATION (CPI) The County may allow a price escalation provision, for labor only, within this award. The original contract prices for labor only, shall be firm for the first year. A price escalation/de-escalation will be considered at 1 -year intervals thereafter, provided the Contractor notifies the County, in writing, of the pending price escalation/de-escalation a minimum of sixty (60) days prior to the contract renewal date. Price adjustments shall be based on the latest version of the Consumers Price Index (CPI -U) for All Urban Consumers, All Items, U.S. City Average, non -seasonal, as published by the U.S. Department of Labor, Bureau of Labor Statistics. This information is available atwww.bf �601SMV- Price adjustment shall be calculated by applying the simple percentage model to the CPI data. This method is defined as subtracting the base period index value (at the time of initial award) from the index value at time of calculation (latest version of the CPI published as of the date of request for price adjustment), divided by the base period index value to identify percentage of change, then multiplying the percentage of change by 100 to identify the percentage change. Formula is as follows: Current Index — Base Index / Base Index = % of Change % of Change x 100 = Percentage Change CPW Calculation Example: CPI for current period 232.945 Less CPI for base period 229.815 Equals index point change 3.130 Divided by base period CPI 229.815 Equals 0.0136 Result multiplied by 100 0.0136 x 100 Equals percent change 1.4% Page 24 A price increase may be requested only at each time interval specified above, using the methodology outlined in this section. To request a price increase, Contractor shall submit a letter stating the percentage amount of the requested increase and adjusted price to the Orange County Procurement Division. The letter shall include the complete calculation utilizing the formula above, and a copy of the CPI -U index table used in the calculation. The maximum allowable increase shall not exceed 4%, unless authorized by the Manager, Procurement Division. If approved, the price adjustment shall become effective on the contract renewal date. All price adjustments must be accepted by the Manager, Procurement Division and shall be memorialized by written amendment to this contract. No retroactive contract price adjustments will be allowed. Should the CPI -U for All Urban Consumers, All Items, U.S City Average, as published by the U.S. Department of Labor, Bureau of Labor Statistics decrease during the term of the contract, or any renewals, the Contractor shall notify the Orange County Procurement Division of price decreases in the method outlined above. If approved, the price adjustment shall become effective on the contract renewal date. If the Contractor fails to pass the decrease on to the County, the County reserves the right to place the Contractor in default, cancel the award, and remove the Contractor from the County Vendor List for a period of time deemed suitable by the County. In the event of this occurrence, the County further reserves the right to utilize any options as stated herein. 21. USE OF CONTRACT BY OTHER GOVERNMENT AGENCIES At the option of the Contractor, the use of the contract resulting from this solicitation may be extended to other governmental agencies, including the State of Florida, its agencies, political subdivisions, counties, and cities. Each governmental agency allowed by the Contractor to use this contract shall do so independent of any other governmental entity. Each agency shall be responsible for its own purchases and shall be liable only for goods or services ordered, received and accepted. No agency receives any liability by virtue of this bid and subsequent contract award. Fa+4111111111111111-411waS4d:404-ki 3 In accordance with the Minority Women Owned Business Enterprise (MWBE) Ordinance, award of a contract resulting from this Invitation for Bids may be made to the lowest responsive and responsible Orange County certified MWBE bidder provided that the bid does not exceed the overall lowest responsive and responsible bidder by the following percentages for the bid amounts listed: A. 8% - Bids Up To $100,000 B. 7% - Bids Greater Than $100,000 to $500,000 C. 6% - Bids Greater Than $500,000 to $750,000 D. 5% - Bids Greater Than $750,000 to $2,000,000 E. 4% - Bids Greater Than $2,000,000 to $5,000,000 F. 3% - Bids Greater Than $5,000,000 Page 25 In accordance with the Service Disabled Veteran Business Ordinance, award of a contract resulting from this Invitation for Bids may be made to the lowest responsive and responsible registered Service Disabled Veteran bidder provided that the bid does not exceed the overall lowest responsive and responsible bidder by the following percentages for the bid amounts listed: A. 8% - Bids Up To $100,000 B. 7% - Bids Greater Than $100,000 to $500,000 C. 6% - Bids Greater Than $500,000 to $750,000 D. 5% - Bids Greater Than $750,000 to $2,000,000 E. 4% - Bids Greater Than $2,000,000 to $5,000,000 F. 3% - Bids Greater Than $5,000,000 In the event of a tie between an MMBE and an SDV with all else being equal, the award shall be made to the firm with the lowest business net worth. 23. METHOD OF ORDERING The County shall issue Delivery (Purchase) Orders against the contract on an as needed basis for the goods and/or services listed on the Bid Response Form. 24. CONDITIONS FOR EMERGENCY/HURRICANE OR DISASTER - TERM CONTRACTS It is hereby made a part of this Invitation for Bids that before, during and after a public emergency, disaster, hurricane, flood, or other acts of God that Orange County shall require a "first priority" basis for goods and services. It is vital and imperative that the majority of citizens are protected from any emergency situation which threatens public health and safety, as determined by the County. Contractor agrees to rent/sell/lease all goods and services to the County or other governmental entities as opposed to a private citizen, on a first priority basis. The County expects to pay contractual prices for all goods or services required during an emergency situation. Contractor shall furnish a twenty-four (24) hour phone number in the event of such an emergency. 25. REFERENCES A contact person shall be someone who has personal knowledge of the Bidder's performance for the specific requirement listed. Contact person shall have been informed that they are being used as a reference and that the County may be contacting them. More than one person can be listed but all shall have knowledge of the project. The reference shall be the owner or a representative of the owner. Contractors who provided services under the referenced project (contract) shall not be accepted as references. DO NOT list principals or officers who shall not be able to answer specific questions regarding the project. Failure of references listed to respond to the County's inquiries may negatively impact the responsibility of the Bidder. Page 26 26. REQUIREMENTS CONTRACT This is a Requirements Contract and the County's intent is to order from the Contractor all of the goods or services specified in the contract's price schedule that are required to be purchased by the County. If the County urgently requires delivery of goods or services before the earliest date that delivery may be required under this contract, and if the contractor will not accept an order providing for accelerated delivery, the County may acquire the goods or services from another source. The County's requirements in this contract are estimated and there is no commitment by the County to order any specified amount. If the estimated quantities are not achieved, this shall not be the basis for an equitable adjustment. If the Manager, Procurement Division determines that the Contractor's performance is less than satisfactory, the County may order the goods or services from other sources until the deficient performance has been cured or the contract terminated. Page 27 SPECIFICATIONS 1. Parts percentage discount shall be a discount from the manufacturers most recently published list price. 2. Labor hours consist of shop labor hours and field labor hours as indicated. 3. Any shop supplies and/or environmental fees required to complete maintenance or repairs and which are not parts shall be charged at no more than 4% of the total invoice, excluding the trip charge if applicable, and shall not exceed $150.00 per invoice. 4. Oils and lubricants are defined as parts and shall be subject to the parts discount. 5. Field labor shall be subject to a trip charge during a maintenance or repair job. A trip charge shall not be invoiced for a field repair diagnosis. The trip charge shall cover all travel mileage and travel labor time and no additional charges for travel mileage or travel labor shall be paid. The trip charge shall be a single charge for travel to and from the maintenance or repair site and one trip charge is permitted per vendor vehicle per day. (D a) L- a) a) cn -C 0) CD a) < 0 0 cu CY C) C;s s a) m cn U) 6 LO cu U) cn LL 0 LO CL W D a) to W D a) a) Eft C: C: Co co d CL -a -a 2 Q. c wl tf3 wi co - � a) 40 0 Co w l U'J' I a) 0 04— M 0 Cc a) _0 > CY) x ce) X c 0 C A) I 8 - a E CL a) a) :3 0 cn U- a) (D _0 n CL cn C: a) a) -0 a) 0 CL a) r C: (D C 4- cn W < ui ca 2 0 '? CL C) U. 0 Fn C:) -j5 W =3 C: CD =3to c Z T- C13 -C cn a) < C) C: < 0 CL U) .41.1;co (D (n Lo Ir- ..; CU In U) -C C:) C) co 4t W D W D w co Q (n a)AE! a) CL in c a) =3 cn 0 o (n a) =3 0 EL 0) 0 a co — C: L- C a) co CL C 0 40— 2 n l 4- L- c: a) a) &- n 02 E DI 0 ca 0 ca CL:t-_ C.0 cu E 00 a) cc a) > ocn U " a) co 4— a) 0 co '"0 -Cco Q m (n cn 0 E 0.0 -0 c cc m CL 0 C: Co a) < > 0 CD 0to CL 0 O E 0 (n 0 _j := z N (D C) C3 a) cn -C 0) CD a) < 0 0 cu CY C) C;s s a) m cn U) 6 LO cu U) cn LL 0 LO CL W D LO W D Eft C: wl tf3 wi � � e� 40 U5 C6 C6 X x Cf) CYx ) CYx) 2 a) a) L- 0- Q C a) C: a) C: x c c W< w <1 cu C) C3 cu cn -C 0) CD a) < 0 0 cu CY C) C;s s a) m cn U) 6 LO cu U) cn C) 0 0 LO V) W D LO W D Eft C: C L 40- PCF—ft (D (D cn co (n (n cn (n co ca .0 0 0 0) .0 L- m m ca Q. 0 75 clli cyi 4 a) E m Z >1 C: co Q. E 0 I— L— co -C Q) - CL C: (D (D cn co (n (n cn (n co ca .0 0 0 0) .0 L- m m ca Q. 0 75 clli cyi 4 a) E m Z >1 C: co Q. E 0 a) a) vi vi vi a) (1) ui us CY) X cr) x CY) x cy') x CII) x co X 0 0 c c (1) (1)m a) (D x a) ca x x I Wi He. wi ea 69- 61). 6c)- Wl 6co- W 6q u)p W E m Z tSS E 0 91 tm m 0. ui vi vi vi ui us CY) X cr) x CY) x cy') x CII) x co X 0 0 (1) (1)m (D a) ca a- CL CL -Fu a) (D C: (D C: c cCU =3 (D x c x 'I W <1 w w <1 w < 69 Eli V4 61). 76 D "ffi :0 P 76 0 C) 75- c 0 c (D 0 0 cu c a C; Cl c C: a) 0 < C; (=� CY -C (1) <a) C7 CY .�j CU U) (D 0 fl- CU (n U) 0 LO C) LO LO CU U) 0 It CU 0 W D 6e, W Z) W V9, W 0.5 C.) ) a -C q U) 0 cC) 0 cu a U) 0) co (1) caU) 0) (1) cu CL a) M Q- C.) CL 0 CL CL CL c tq 70 C5 0 0 0. a) 0.CL a) CL a) C0 cn U) U) (0 (D U) co M ca U) cu 0 0 0) 0 0 co co o co c as E CL 0 75 =3 cn CL 0 ml 0 Cl) U- .2� co =3 E E 0 O 0) cil 0 a) cil = Z T- N M -i = Z W E m Z tSS E 0 91 tm m 0. 0 E m z cc QL E 0 U CL 70 _0 (D _0 (D _0 _0 (D xx 1 x wl V9- wi 64 619- 6R (21!)-1 Wl 6e. Wi 6c V> ui 6 6 6 co X CY) x CY) x ce) x LO co x m x w F- 0 0 a) a) (D a)1 CL Q va- Q- -0 70 O — C a) c C==3 X< w w¢ < l ta w X V.). 0 (n W C) 0 co C (n C: C: 0 0 C 0 O 0 0 0 cu C: c 0 C5 C) a C: 0 0 < a < cy a) < U C� < (n to W LO m (n 0 le- cn W :) w W w _0 a) -0 a) 0 U 0 0 C.) U) C-) a) a m a) .(/) a) cn 0) m a) (n 0) cu cu ui 0 5 a) ca u. a- CL a) CL 6q 6LL :D 6e� a) A) a) a) O. a) 0- a) CL a) O. fn U) En (n U) M (1) M co cu U) cc 0 0 0) 0 Q cu cu cu 42 z cu CL —0 cu 4— m 0- cu 0 z C: cu cu 0 —C to U- F- :CE: U to E E 0 6 a= ) 0 0) (5 -i Z1 cl� Cc+54 -1 = z1 C\l 0 E m z cc QL E 0 U U a) a) .0 a) .0 Q- CL 0- CL a) a) a) a) 70 C _0 c a) a) a) x x x W 69 w-1 6091 �} W W E Cf? C,e) X CY) x CY) x CY) x c1r) x CY) x ce) x CIO x co 0 0 a) a) Q) _0 (3) CL a) 0- a)CL -0 -0 -a .ate c: 0 a) W <1 61-11 wx <C: cf3 0 w <1 60 w <1 eo� �, C) O c c as C) (:::I C: a) =3 0 :3 0 C-) co a) C) C) < a) 0 0 C.) m < C7 C) < CY -C a) C7 (:5 C, -C (2) M to U) V) lqt to (n (n 0 LO C) LO LO N .j Cc to U) LO CN j Co cn (D C) 0 0 0 LO w "n Efl W D t- C14 w D 6pi- w Lo C\j -a _0 c a) 8-0 0 C) 0 a) a) u) 0 a) cn 0) C -C a) Ucu co B (D a) '(6 C: r- .0 i- C LCL a) m a- (3) CO 0 CL CL ea vq� a) IL a) a) a) a) a) a) CL U) 0) a 0- U) CL a) CL CL cn (n cu U) cn co U) cu ca (/) U) (D U) m LLL 0 0 a) 0 0 a) 2) L) 'a ca m co co CO co ca 4- co 0 T co 0 Z .2' U U) U - E61 0 a) 0 a) z T- C14 M -i = Z N c a) E m Z C N CL E 0 N O E co Z cu CL E 0 a- IL n m x x x x Wl 6� wl 609� (A. 61), 69- Wi 6F3 wl 6c). 619- vi 6 6 6 (6 ui CY) X x x x x (Y) x 0 0 co �o a_ Q vCL _0 IL a) -Fu a) -0 CD C =3 a) C: c a) C: C =3 CD r C: a) C: X c -C EE: "5� x r - w <1 69! w <1 to C�} vD., w <1 V w< V� 0 0 0 =3 0 cn =3 C) 0 E2 C: c a) 0 0 c c a)o 0 0 V cu C: c 0 O 0 c: c =3 0 < a 0 < a -C 0 < < ..-; CU cn (n m T- .-; Co cn (n 0 0 0 LO LO Co 0 w C) T- ,.; M 0 W C) W V=J. W D co W =)I ug- W= 0 0 *—Q 0 U) -C 0 a) cn 0 0 .— GI ui n CL _0 CL a) cz to m fD - 0 17 0 0 -0 U m 0 75 O. (D 0 U) UL 0 in E E O N c5 l 0 4) = z c� (Y5 .4 11 := Z CN O E co Z cu CL E 0 (D E m Z co CL E 0 0 IL CL CL CL 1 X I x I I W") Wl t� 69r Wl 6c, Wl 6,9- 61) ER vi C6 ui (6 co x CY) x co CY) x m x CY) X V - F- 0 0 im in (D -0 -0 cu C cu c X r- ;r< E '5� E W w < w < w <1 w <1 C) 76 q OL —M -a C) C) co U) 0 0 C: 0 < 0 c c 0 < 6 C) c c a) < U) L- 0 m a) a a C� 0 �z M 0 z M Q') 4z C) LO to W v), W DI C� w =)I T- 6LO (n w 0 C) co CN c =3 0- 0'5 0 0 0 0 U) 0 a) Q) cn a) 0) m a) m U5 c .0 a) C: 0- 40- a) E3 _0 a) a) co CLof (n cn (n ca 0 -F0 E 0 S_: 0 0)a) Z m 72 0 CL 0 cu 0 CL 0 75 .9� U- U)U) C-41 U- r r E E 0 0 61 0 a) 61 .j = z N -i = Z N (D E m Z co CL E 0 0 a) E ca Z C: to CL E 0 LO a) Q (1) (1) (2) n i7 t: i3C C ID wl 6� Wl e3 t� U), 64 W ve" X Wl � � ui CY) CY) CY) cor x CY) (Y) x O 0 a)CL -0 L- (2) (1 -0a -0 a-ffi — "aco (D (1) C: W'I <C 6"" w <Cl x c w <1 U w <1 to� C) cc C) co :3 c C C; C) 0 0t6 0 C; a a 0 4j M LO -j Co C) 0 LO ,j m C� 4-; m Lr) U) V) w Z) r co U) W LO N 0 r rU) U) w n U') 09- U) U) w c: 4) 0.5 0-0 A a cn ca 0) co 0) ca m ui a) 0 4- a) cc 0 - CL o a - CL 'o A) !t:-_ (D U) U) m cn co 0 0 0) 0 -0 co m a "D cu 0 0- 0 co > .0- F- co co C/) 0 E 0 0 (D i = Z T- N ce) -j = Z1 N a) E ca Z C: to CL E 0 LO 601 to 0 LJ a) E m Z >N C: E 0 0 ui a) a) V LO X x CY) x co x (Y) x CL Cf) x CY) x a) 0 c a) a) C13 a) a) wo 6e: w 6e, � 6n, Wi (0:).- wl tf} 601 to 0 LJ a) E m Z >N C: E 0 0 ui LO X x CY) x co x (Y) x Cf) x CY) x 0 a) a) C13 a) a) -a CL 'a CL CL a) -0-a a) a) a a) C: a) c a) C: a) C: W <C: W <C: I U� to� W c w <1 W— Q1ER O C) C) :3 c OO cn toC) c a) < 8) (D 0 0 0 < a 0 0 m " C, M C:) �; Co -C 4) .; Co LO CoC/) n(1) W D. CY) 64 to W 0 (D C) I- LO U) U) W D tl- W C) a-0) 0.5 -0 0.5 o a) (.) 0) to cl U) co a) cc 0) co c a) co a) L- p CL L- a) c /ha) a) a) -5 Q a) CL cn a) CL CL a) (1) a) a U) co to CO (n cc U) m .0 < m co L. 0 L: 0 6 0) a) L: 0 co ca cu 0 a) ca m 4- 0 U) -j -j 42 -j c L- a) CL 0 _0 CL 0 cul 0) C/) U- .2- F- E E 01 (D 61 0 a) 6 -j = Z c� c?i 4 I = Z T-: 601 to 0 LJ a) E m Z >N C: E 0 0 61D. 0 E ca Z ca 0- E 0 L) r- (D (D 4) 0 LL n a) 4- x i x x W w W (Y) X (Y) x CY) x (Y) x (Y) x CO x 0 (1) a) 7on -a (D -0 tt3 (3) t6 C 43 C C: ~ c C: C: x c x c x c x c WQ w <1 Ge! 6-" w <1 61 w <1 6-} O 7B C) CD cu cc 0 m a a) C)0 0 0 co a Q) 00 a) co z < L O w D Lo 4- -a � -a 0) o a) h-- 0 0 cn co (n a) U) U) a) a) cn m cu -C to U co (, a)n c-) CU d c ca a) IL 2 2n a) n 'o CD _0 cn c0- CL (n CL C Ncn (n 0 co co co con co M ca 0 0 co -j cu cu cu to ca -i cu CL le O - 0 cu 751 co U- co U) E E 0 OJ a) 61 0 0) 61 = z N cli -j := z C\j 61D. 0 E ca Z ca 0- E 0 L) r- a) E m Z C: m CL E 0 co m a. U n CL LL _0 C c a) a) a) x x x x Wi 6q Wl � 649- 61)- 6q UJI cy!" Wi 6n. � vi as c CY) X CY) x CY) x co x CY) x CY) x C14 0 0 a) a) 00 as a) lL _0 _0 CL a- -a Coc O cocu 0 a)c C a) C X c x cx c X c W <1 6e, w <1 6-}, 6,)-, V w Q Ef3 w Q 61!� =3 C) :3 i i 0 :3 C: 0 C: 0 0 0 m a) 0 cn < C� CY a) < CY c:L < CY 0 �j M 0 m C) CD LO CU CD ,j M cn (n CIO U) cn LO C) U) m (n U) C) W 69 UJ Z)l W :31 W :Dl u-) c: 0 -0 C: a) 0 0 0 a) T a U a) W a co co a) cn to a) U to a) c a) co m CL y.a La- CL A) a) A) E3 'U h-- u a) CL a) C a) Q. a) a CD (n (n (nL a) =3 15 0 .0 0 M 0 mc En m cu 0 m 4- C: m0 E CL m 0 0 E co -0o v C/) .(D L.L > U) C141 0i a) 61 0 a) 61 = z C\i C6 4 j = Z N a) E m Z C: m CL E 0 co m a. a) E m Z >1 C: cciU.E 0 0 I V a) 0 (1) a) CL A CL _0 _0 IDI IDI wl 6n. UJI e� to X UJ Efi x LU I 6} 64 ui (Y) X CY) X CY) x CY) x CN I-- 0 0 a) a) (D a) ca a) IL Q a) (L a) CL -0 -a —M 0 c a) C Z (DC x a w <1 60!� x c W <1 x c w <1 w¢ CD C) tt3 0 C) tLf c c < (1) C) a) U) =3 a) 0 < a) U) :3 0 CY CY 0 CY -C (i) U) Lij :D CN 69. to W U') C\l tp to W:) T- 69- to cn W=) LO N 4--0 c (1) "'0 a) 0.5 -0 0 0a) (1) a u a)L) D m F) co . co C) (n U) a) co 0) co ui (3) cu C6 a) •L CL CD m OL a) mS a_ 2CL 4- a) L C a) d- C: a) a) (D (D CL (n CL cn (n 0 () 0 0 a) U) N J U) C%q E l 0i a) 61 o 0) 6 A = Z -i = a) E m Z >1 C: cciU.E 0 0 I vi ui ui vi ca C.) CL CY) CY) ce) CY) 04 X x x x Q. CL =3 C: I-- _0 0 x cl x cl I -j I w < oq� W < 6,9, 619, 6s). U) cu C C U) co U) cu -FuCD :3 Co 'M L- (2 X 0 x 0 =3 0 (p CTJ W C) W 0 (1) L- (13 vi ui ui vi ca CL CY) CY) ce) CY) 04 X x x x Q. CL =3 C: I-- CL 0 x cl x cl I -j ,me u n w -1 1 cl I I I D- 40- Z) vc,, 09. Q!)- "0 ca CL CL CY) CY XCY) CY) QLL - x x) Q. CL =3 C: CL 0 x cl x cl I I I w < oq� W < 6,9, 619, 6s). U) cu C C: U) co U) cu -FuCD :3 Co 'M L- (2 c c 0 C: 0 =3 0 (p CTJ < C7 C) < JU 0 (1) L- (13 �; ca 0 co C) CD LO a— (n U) w :D et to U) W C) 0 CN CL 0 W ::)l (,-J- W DI (o CO CL 0 _0 — c cu 0 C.) E- C) (1) cl U- :5; -C CO Uj F - 0 (n M E cu 0 E 0) 0 a) 61 Q) co 0 �) u n w -1 1 cl I I I D- 40- Z) vc,, 09. Q!)- W "0 ca CL CL CY) CY XCY) CY) QLL - x x) Q. CL :3 CL 0 U)U) Cl —j -0 6� _0 ec� 619, U:). U) cu C C: U) co U) cu -FuCD :3 6 'M L- (2 c 0 X =3 U- C13 CTJ W W 0 co L- (13 W "0 ca CL CL CY) CY XCY) CY) x x x) Q. CL :3 CL 0 U)U) Cl —j W a) E cu z >N C: m CL E 0 0 "0 ca CL CL 4- Q. CL :3 CL 0 U)U) Cl W X Cl 6� ec� 619, U:). U) cu U) co U) cu -FuCD :3 6 -6 0 L- (2 c 0 0) =3 U- C13 CTJ Q0 < 0 co L- (13 M a) cc C) 0 LO a— U) (n LO x U) 0 0 CN CL 0 W ::)l (,-J- W DI (o CO CL 0 _0 — CL E- CO U- :5; CO U- F - C/) M E (D E 0) 0 a) 61 0 a) 61 J = z T- Nm -i = Z Un N m It a) E cu z >N C: m CL E 0 0 "0 4- Q. CL CL 0 U)U) (n C/) (n :3 U) C13 U) cu U) co U) cu 2) LL 0 -6 0 0) (2 L 0 0 0) U- C13 CTJ co m L- (13 cca o 4- a) -j -j -C C) a— -j -j -C :3 CL 0 _0 CL =3 c N a CL 0 _0 — CL E- CO U- :5; CO U- F - C4 E E 0 a) 61 0 a) 61 J = z T- Nm -i = Z N m It a) E cu z >N C: m CL E 0 0 a) E cu Z >1 C cu a - E 0 Il EL CL n 'M 1 W es. w tf3 6q W Wl t�> 6q (;Fj- 6R XCY) (Y) x CN m x CY) x m x CN P- 0 (D Q- -0 Q) IL 0) 0- n (D co C: G a) C a) C: (1) C x c w <1 to � C:l w < to� C: w <1 eo wx <cl Q v>, ug., m C) -C a) < 00 < a) C: < ci C) 0 c < a) 0 0 (1) a (::� CY -C CY a -C C) .j CU U) C/) U') C\l (10 U) 0 C) M cl) C) CN CU cn C) 0 C) 0 W Di 64 W Di W =)I W :)I 4--oc a) _0 � 0 o 0 C-) Q a) a 0 (1) cn cl cn cri to 0) m C -C cu CL a_ C.) EL CL a) CL CL a) CL a) a (D U) U) cu w cu 0O 2) .0 cu 0 C) -0 M -0 cu cu M 0 -0 c CL 0 :3 cu CL 0 -0 — CL 5; U) U m 15 1 r0 U) .0) Ly L CM c'q I-- E E 0 a) 1 0 a) i = z6 c\i -i = Z61 C4� C6 4 a) E cu Z >1 C cu a - E 0 a) E m Z C: m CL E 0 0 a) vi vi vi a) (1) 0i U 0 co co X c1r) x (Y) x (Y) x C14 Q- n CY) x C14 Q- CL O 0 as X x x Wi 6q, wi 60- 60, 61)- (7q- wl to: wl 6q 6q a) E m Z C: m CL E 0 0 ui vi vi vi 0i ui co co X c1r) x (Y) x (Y) x C14 or) x CY) x C14 O 0 as _0CL -0 CL Q a) CL CL -0— (o C: C: 0) =3 X Cl w X < Cl w w <1 eo� x c w < 1 6-.., C> C>O C:) 76 c 4a) C) c ii L) c a) C) c; c C: a) U) < < 0 0 m < 0 Co LO -C (1) Co 0 M (1) :Dl (1) U) W Z)l Lo 0 U-) LO U) U) W=) cq En W::) Ow LO 0 0 0 0 0 U) L) C) C/) U) ca 0) cc ca ui s. C s. C) CL 0 UCL _0 a) -?-I LD �o �o a) CL CL CL U) to (n U) M U) ca (1) co U) co 0 -0 0 0) L - 0 m 0 co -i .0 -i cu co -C J 0 (1) CL 0 _0 CL 0) CL 0 r 0 CC W z LL r ()O > C /) C*4 CN E l E 0 a) 61 0 a) 6l i :t:� z C\l co Nt j = Z1 a) E m Z C: m CL E 0 0 Owl Q) E m Z m CL E 0 0 C6 >1 CIO X CY) x C%l LL ce) x CL CY) x CY) x CL r) Q7 tll a� CU Ck X W 6e: W(I) W .0 Owl Q) E m Z m CL E 0 0 C6 >1 CIO X CY) x C%l ce) x CY) x CY) x ce) x 0 Ck .0 CL CL Q ACL ACL ca ca F - -a _0 cu= (D C: =3 a) (1) C: :3 (3) C: c WEPr w X Ci x WQ X Cl w < 6.1EftO , 0 "Fu U) 76 C> O -ffi U) (j) -C c a) 0 c C) 0 0 a) C, C, C� < C7 -C .,j cu 0) U) C) (D m (i) (j) C) 0 Co U) M 0 c'7 Co (D N C) C) 0 LO LO CN W:) WD WD vq- W :)I 0 (n Cl j5D (n cu (1) U) 0)(0 0) cc cu ui U cu to CL 'o CL Q (D (D co co to cu (n co 0 0O CD -0 ca -0 m mo m L- 4- 4- -1 -1 0- E CL _0 U- tV m E F- E O 0) 0 a) = z c_� —0i = z N cyi Owl Q) E m Z m CL E 0 0 a) E m Z co a E 0 0 (1) U (D 0 (1) 0 a) _0 _0 W a) a)l X1 X x 1 1 x I I wl s� wl 61�� ff3 W e� LU 69. tog- 6pi. ui CY) X CY) x CO) CY) x CY) x CY) x CY) x 0 0 a) m a) a) 00 a)a) a) 0- cu cu 0 a) c a) = c c a) a a) F- x c W Q wx Q Efl x c w x c w <1 6,)" en! (0, C)cn CD C: ci CD c: 0 c O c 0 0 cu < C) CU to �j CU w co C) C) CU cn U') .6 -;to to (n C) 0 0 0 LO W �U) w D w D W -1 0 0 -0 0 0 8-0 0 a) 0 a) U) (a U) C6 cm a) cu cm (/3a) co to a) C if a) CL a) m 0 CL LLL N a) :D 6p, a) CL O 69: ug-, _0 a) "a a) 'a a) En U) (n co L co co co cu a) 0 0 0 0) co 0 cu ca cu 0Z C:l 0 Q. v m cm P co cq cu 0 U) U- M M E E 0 a) 0 a) 61i = Z V- C-� -j = T- N m 't a) E m Z co a E 0 0 619- a) E m Z cc a - E 0 0 LO Iq (D tti CL C) C-1 CY) X CII) x A CY) x ce) x ce) x CII) x 0 x x 1 x x " (D a- Wl 6c} W(,) 6f} 61i wl eq, wl Eft tf3 619- a) E m Z cc a - E 0 0 LO Iq (D tti CL C-1 CY) X CII) x CY) x ce) x ce) x CII) x 0 A " (D a- < (1) CL a) Q, t0 0 CCf 0 -a -Fu -0— c W <1 w <'I w <1 W, <'IEft Ef} -Fa C) 0C/) 70- =3 76 :3 0 9 L- U) L- C C c a) C; 0 c c c (1) 0 0 c c a) :3 0 =3U 0 CO < a 0 < 0 U < a -C a) U) (/) T- .6i cn C) (1) U) T- (n (n 0 LO 0 0 LO UJ ::)1 6,:)- WLO w -ni 6q w ::)I _0 0 a) 0 0 a) a) C) co a) En cu a) cu a) N Q. (2) m rtrtcc C-) CL ai Ell (U O a) a)a) a CL CL C/) Cl) cn co co cu =3 0 0 0 a) co ca ca co 4- =3 E -j CL 0 -i CL -j C co a) 0 C co > 0 0 Z .2- L- > U) > U) LL - F— M E (2) 61 0 0) = z N -i = z N ci 4 619- a) E m Z cc a - E 0 0 LO Iq (D tti CL a) vi a) C6 a) a) >1 Le) 4- cle) x cu cr) x x W <I to, U, < Cl 1 Cl 0 L) 0- M A IL IL F— c aA _0 _0 0 -0 0 _0 a) cli T— :3 4- c 0 Wx c <1 0 W x cl < t3 0 -0 a O _0 w m J "Fu C) C) q 1 Le) 4- cle) x cu cr) x x W <I to, U, < Cl 1 Cl 0 L) 0 A 0 0 F— c aA O 0 Q R3 0 cu C: cli T— :3 4- c 0 Wx c <1 69.W W x cl < 0 -0 O w m J "Fu C) C) q < u 0 00 4j m 0 j M C/) (D W :)I T- 6s. (n U) W D C) Lb o m 0 ck E U) E 0 a) (1) CO 0 a) of i = Z cu to C-� -i = Z T- c (1) to Q. CL IL Q E D v), C/) x (Y) xCY) (DLG a) to 4- cu x W - CO) m E E 0 a) 0 a) of i = Z T- C-� -i = Z T- m a) E m Z ro CL E 0 0 w CL P, I'm c c c o C; -Fo 0 "Fu 0 E:3 E C5 Ld cli m T- c< 611). � 6rk c c c 0 0 -Fo 0 "Fu 0 E:3 E E c < C) c< < c L- < coa C) c <m 0 c < ca C) c E -5 o -5 (n 0 W Ml 0 66- 4 in w 0 Ld 6e. � U) w r) � w 110 0) E co Z cu CL E 0 0 r- .2 as > c E W "0 C: cc > 2 U) CL A? 0 CL a 4., m CL &- 0 0 C - 0 V C: c 0 -a L- C - Q 4- 0 U) cu co M E I = (n 0N cry W -Ij U- w 110 0) E co Z cu CL E 0 0 r- 11 cu CL PAI mI. F- 4- 0 m F- I E a) M 4) a- 4- LL cu U) 0 0 LZ a) 4- L- c z 0 lw 0 :n 0 "1 0 0 0 0) 75 X 4) (D E 4— 2- 0 EN m 75 0.2 4- -00 a) M m 0) CL 0 O 42 0 0 of ry O 70 a) E ui o 0 L- LL 0 1 0C 4— 0 4— 0 0 MC 0 0 > , -;-- (D 0 0 U) cn — (D E 0 0 0 Q. a) E oo c D) a) Ca cz cn 0 :3 -0 tII E A) (D > a) 0 O 0� I 0 M W X cu W a) 0 a) 0 :03 U) LL = o E N�a) w ao a) 0 v- C: C 0 (D Q C a) .— L- C: .0 .0F— 4— 0- 0 U) 40) 0 E 0= E ca U34— U - E 0 0 0 m F CD U) 0 tCf 0) ca 0 C: C (D 0 0 0) a z CU 0-0 (D C: 0 -2 m 0 -C (n 0 0 -0 c -0 a 0 rr 0 a) cn 0 U) E r) m Q 00 b I THE FOLLOWING SECTION MUST BE COMPLETED BY ALL BIDDERS: Company Name: NOTE: COMPANY NAME MUST MATCH LEGAL NAME ASSIGNED TO TIN NUMBER. CURRENT W9 MUST BE SUBMITTED WITH BID. TIN#: (Street No. or P.O. Box Number) (County) (State) Contact Person: 19, 0=1 23,11yin, OTM Email Address: Emergency Contact Person: Telephone Number: D -U -N -S@ # (Street Name) (City) Fax Number: EMERGENCY CONTACT Residence Telephone Number: (Zip Code) Cell Phone Number: Email: The Bidder shall acknowledge receipt of any addenda issued to this solicitation by completing the blocks below or by completion of the applicable information on the addendum and returning it not later than the date and time for receipt of the bid. Failure to acknowledge an addendum that has a material impact on this solicitation may negatively impact the responsiveness of your bid. Material impacts include but are not limited to changes to specifications, scope of work/services, delivery time, performance period, quantities, bonds, letters of credit, insurance, or qualifications. Addendum No. , Date Addendum No. , Date Page 49 Addendum No.-, Date, Addendum No.-, Date, AUTHORIZED SIGNATORIES/NEGOTIATORS The Bidder represents that the following principals are authorized to sign bids, negotiate and/or sign contracts and related documents to which the bidder will be duly bound. Principal is defined as an employee officer or other technical or professional in a position capable of substantially influencing the development or outcome of an activity required to perform the covered transaction. Name Title Telephone Number/Email (Signature) (Date) (Title) (Name of Business) The Bidder shall complete and submit the following information with the bid: Type of Organization Sole Proprietorship Joint Venture State of Incorporation: Partnership Corporation Principal Place of Business (Florida Statute Chapter 607): O ST11119M City/County/State MIN] 114.043:20.1 USIA 1113FAll 901 k, K-01 mice] R MOIRM I M " 0 am Federal I.D. number is REFERENCES List three (3) customers during the past ten (10) years for which you provided, goods or services similar to those specified in the solicitation in the spaces provided below. Provide the owner's name, contact person, address, email address, telephone number, and date services were performed, as described. 1. Company Name: Owner's Name: Description of goods or services provided: Contract Amount: Start and End Date of Contract: Contact Person: Address: Telephone Number: Email Address: 2. Company Name: Owner's Name: Description of goods or services provided: Contract Amount: Start and End Date of Contract: Contact Person: Address: Telephone Number: Page 51 Email Address: 3. Company Name: Owner's Name: Description of goods or services provided: Contract Amount: Start and End Date of Contract: Contact Person: Address: Telephone Number: Email Address: Page 52 The undersigned Bidder, in accordance with Florida Statute 287.087 hereby certifies that does: Name of Business 1. 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. 2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, employee assistance programs and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in Paragraph 1. 4. In the statement specified in Paragraph 1, 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 Florida Statute 893 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. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of Paragraphs I thru 5. As the person authorized to sign this statement, I certify that this firm complies fully with above requirements. Bidder's Signature Date ao et Lh O z m LL Ire, 0 0 ca U) E a) tB CL Cl) (1) as 0 c $D (1) 4- 9) n :2 cu 0 c 'Z= 0 C: 0.9 r cu 0 E - a) C: 0 C (D (D0 a) (n CU *(D a a) CL < M 0 2-0,00 00 .6 0 (L 0 (D L 0- E soyr ,t ". 0 (D (D CL CL (D 0 0 0) E m z ai E m z co CL E 0 0 CONFLICT/NON-CONFLICT OF INTEREST STATEMENT CHECK ONE To the best of our knowledge, the undersigned bidder has no potential conflict of interest due to any other clients, contracts, or property interest for this project. Ko The undersigned bidder, by attachment to this form, submits information which may be a potential conflict of interest due to other clients, contracts, or property interest for this project. LITIGATION STATEMENT CHECK ONE The undersigned bidder has had no litigation and/or judgments entered against it by any local, state or federal entity and has had no litigation and/or judgments entered against such entities during the past ten (10) years. The undersigned bidder, BY ATTACHMENT TO THIS FORM, submits a summary and disposition of individual cases of litigation and/or judgments entered by or against any local, state or federal entity, by any state or federal court, during the past ten (10) years. COMPANY NAME AUTHORIZED SIGNATURE NAME (PRINT OR TYPE) TITLE Failure to check the appropriate blocks above may result in disqualification of your bid. Likewise, failure to provide documentation of a possible conflict of interest, or a summary of past litigation and/or judgments, may result in disqualification of your bid. E VERIFICATION CERTIFICATION Contract No.Y15-1048-JS I hereby certify that I will utilize the U.S. Department of Homeland Security's E -Verify system in accordance with the terms governing the use of the system to confirm the employment eligibility of the individuals classified below. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duties shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida statutes. All persons, including subcontractors and their workforce, who will perform work under Contract No.Y15-1048-JS, Heavy Equipment Parts and Labor, within the state of Florida. NAME OF CONTRACTOR: ADDRESS OF CONTRACTOR: AUTHORIZED SIGNATURE: TITLE: j For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed by the Bidder and shall be submitted to the Procurement Division by the Bidder. In the event any information provided on this form should change, the Bidder must file an amended form on or before the date the item is considered by the appropriate board or body. VMM ffin�; • • e r�� Legal Name of Bidder: Business Address (Street/P.O. Box, City and Zip Code): Business Phone: Facsimile: 6 Z i Y. I- 6 0 1 1 A, 1 0 . I A . . [FAX$ [Q #IV I If 141 [•j M r4l Name of Bidder's Authorized Agent: Business Address (Street/P.O. Box, City and Zip Code): Business Phone: Facsimile: IS THE BIDDER A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO YES NO IS THE BIDDER OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded "YES" to any of the above questions, please state with whom and explain the relationship. (Use additional sheets of paper if necessary) Page 2 I hereby certify that information provided in this relationship disclosure form is true and correct based on my knowledge and belief. If any of this information changes, I further acknowledge and agree to amend this relationship disclosure form prior to any meeting at which the above -referenced project is scheduled to be heard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Signature of Bidder Date Printed Name and Title of Person completing this form: STATE OF COUNTY OF I certify that the foregoing instrument was acknowledged before me this day of , 20 by _ personally known to me or has produced. identification and did/did not take an oath. He/she is as Witness my hand and official seal in the county and state stated above on the day of , in the year Signature of Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or veracity of the information provided herein. Page 3 FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE RELATIONSHIP DISCLOSURE FORM Updated 6-28-11 WHAT IS THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (form OC CE 2D and form OC CE 2P) is a form created pursuant to the County's Local Code of Ethics, codified at Article X111 of Chapter 2 of the Orange County Code, to ensure that all development -related items and procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the County Mayor or any member of the Board of County Commissioners (BCC). The form will be a part of the backup information for the applicant's item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development -related items, and form OC CE 2P is used only for procurement -related items. The applicant needs to complete and file the form that is applicable to his/her case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the owner of record, contract purchaser, or authorized agent. Form OC CE 2P should be completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on the form is true and correct. WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, if any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC. In particular, the applicant needs to disclose whether any of the following relationships exist: (1) the applicant is a business associate of the Mayor or any member of the BCC; (2) any person involved with the approval of the item has a beneficial interest in the outcome of the matter and is a business associate of the Mayor or any member of the BCC; (3) the applicant is a relative of the Mayor or any member of the BCC; or (4) the Mayor or any member of the BCC is an employee of the applicant. (See Section 2-454, Orange County Code.) HOW ARE THE KEY RELEVANT TERMS DEFINED? Applicant means, for purposes of a development -related project, the owner, and, if applicable, the contract purchaser or owner's authorized agent. Applicant means, for purposes of a procurement item, the bidder, offeror, quoter, respondent, and, if applicable, the authorized agent of the bidder, offeror, quoter, or respondent. Business associate means any person or entity engaged in or carrying on a business enterprise with a public officer, public employee, or candidate as a partner, joint venture, corporate shareholder where the shares of such corporation are not listed on any national or regional stock exchange, or co-owner of property. In addition, the term Page 1 includes any person or entity engaged in or carrying on a business enterprise, or otherwise engaging in common investment, with a public officer, public employee, or candidate as a partner, member, shareholder, owner, co-owner, joint venture partner, or other investor, whether directly or indirectly, whether through a Business Entity or through interlocking Parent Entities, Subsidiary Entities, or other business or investment scheme, structure, or venture of any nature. (See Section 112.312(4), Florida Statutes, and Section 2-452(b), Orange County Code.) Employee means any person who receives remuneration from an employer for the performance of any work or service while engaged in any employment under any appointment or contract for hire or apprenticeship, express or implied, oral or written, whether lawfully or unlawfully employed, and includes, but is not limited to, aliens and minors. (See Section 440.02(15), Florida Statutes.) Relative means an individual who is related to a public officer or employee as father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in- law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, great grandparent, grandchild, great grandchild, step grandparent, step great grandparent, step grandchild, step great grandchild, person who is engaged to be married to the public officer or employee or who otherwise holds himself or herself out as or is generally known as the person whom the public officer or employee intends to marry or with whom the public officer or employee intends to form a household, or any other natural person having the same legal residence as the public officer or employee. (See Section 112,312(21), Florida Statutes.) DOES THE RELATIONSHIP DISCLOSURE FORM NEED TO BE UPDATED IF INFORMATION CHANGES? Yes. It remains a continuing obligation of the applicant to update this form whenever any of the information provided on the initial form changes. WHERE DO THE RELATIONSHIP DISCLOSURE FORM AND ANY SUBSEQUENT UPDATES NEED TO BE FILED? For a development -related item, the Relationship Disclosure Form and any update need to be filed with the County Department or County Division where the applicant filed the application. For a procurement item, the Relationship Disclosure Form and any update need to be filed with the Procurement Division. WHEN DO THE RELATIONSHIP DISCLOSURE FORM AND ANY UPDATES NEED TO BE FILED? In most cases, the initial form needs to be filed when the applicant files the initial development -related project application or initial procurement -related forms. However, with respect to a procurement item, a response to a bid will not be deemed unresponsive if this form is not included in the initial packet submitted to the Procurement Division. If changes are made after the initial filing, the final, cumulative Relationship Disclosure Form needs to be filed with the appropriate County Department or County Division processing the application not less than seven (7) days prior to the scheduled BCC agenda date so that it may be incorporated into the BCC agenda packet. When the matter is a discussion agenda item or is the subject of a public hearing, and an update has not been made at least 7 days prior to BCC meeting date or is not included in the Page 2 BCC agenda packet, the applicant is obligated to verbally present such update to the BCC when the agenda item is heard or the public hearing is held. When the matter is a consent agenda item and an update has not been made at least 7 days prior to the BCC meeting or the update is not included in the BCC agenda packet, the item will be pulled from the consent agenda to be considered at a future meeting. WHO WILL REVIEW THE INFORMATION DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM AND ANY UPDATES? The information disclosed on this form and any updates will be a public record as defined by Chapter 119, Florida Statutes, and may therefore be inspected by any interested person. Also, the information will be made available to the Mayor and the BCC members. This form and any updates will accompany the information for the applicant's project or item. However, for development -related items, if an applicant discloses the existence of one or more of the relationships described above and the matter would normally receive final consideration by the Concurrency Review Committee or the Development Review Committee, the matter will be directed to the BCC for final consideration and action following committee review. CONCLUSION: We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney's Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. Page 3 ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal's authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: 4M Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal's Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No� 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: eContributions or expenditures reported pursuant to chapter 106, Florida Statutes; eFederal election law, campaign -related personal services provided without compensation by individuals volunteering their time; *Any other contribution or expenditure made by or to a political party; eAny other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or eProfessional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above -referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Name of Party Description of Activity Amount Paid Expenditure Incurring Expenditure TOTAL EXPENDED THIS 1 1 1 REPORT Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her ofi•Icial duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of L) Principal or n Principal's Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF COUNTY OF I certify that the foregoing instrument was acknowledged before me this day of 20 by He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , in the year Signature of Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or veracity of the information provided herein. Page 3 FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal's lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.) WHO NEEDS TO FILE THE SPR? The principal or his/her authorized agent needs to complete and sign the SPR and warrant that the information provided on the SPR is true and correct. A principal that is a governmental entity does not need to file an SPR. HOW ARE THE KEY RELEVANT TERMS DEFINED? Expenditure means "a payment, distribution, loan, advance, reimbursement, deposit, or anything of value made by a lobbyist or principal for the purpose of lobbying. This may include public relations expenditures (including but not limited to petitions, flyers, purchase of media time, cost of print and distribution of publications) but does not include contributions or expenditures reported pursuant to Chapter 106, Florida Statutes, or federal election law, campaign -related personal services provided without compensation by individuals volunteering their time, any other contribution or expenditure made by or to a political party, or any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4)." (See Section 112.3215, Florida Statutes.) Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying are not deemed to be "expenditures." (See Section 2-354, Orange County Code.) Lobbying means seeking "to encourage the approval, disapproval, adoption, repeal, rescission, passage, defeat or modification of any ordinance, resolution, agreement, development permit, other type of permit, franchise, vendor, Contractor, contractor, recommendation, decision or other foreseeable action of the [BCC]," and "include[s] all communications, regardless of whether initiated by the lobbyist or by the person being lobbied, and regardless of whether oral, written or electronic." (See Section 2-351, Orange County Code.) Furthermore, lobbying means communicating "directly with the County Mayor, with any other member of the [BCC], or with any member of a procurement committee." (See Section 2-351, Orange County Code.) Lobbying also Page 1 means communicating "indirectly with the County Mayor or any other member of the [BCC]" by communicating with any staff member of the Mayor or any member of the BCC, the county administrator, any deputy or assistant county administrator, the county attorney, any county department director, or any county division manager. (See Section 2-351, Orange County Code.) Lobbying does not include the act of appearing before a Sunshine Committee, such as the Development Review Committee or the Roadway Agreement Committee other than the BCC. Principal means "the person, partnership, joint venture, trust, association, corporation, governmental entity or other entity which has contracted for, employed, retained, or otherwise engaged the services of a lobbyist." Principal may also include a person, partnership, joint venture, trust, association, corporation, limited liability corporation, or other entity where it or its employees do not qualify as a lobbyist under the definition set forth in Section 2-351 of the Orange County Code but do perform lobbying activities on behalf of a business in which it has a personal interest. DOES THE SPR NEED TO BE UPDATED IF INFORMATION CHANGES? Yes. It remains a continuing obligation of the principal or his/her authorized agent to update the SPR whenever any of the information provided on the initial form changes. WHERE DO THE SPR AND ANY UPDATES NEED TO BE FILED? The SPR needs to be filed with the County Department or County Division processing the application or matter. If and when an additional expenditure is incurred subsequent to the initial filing of the SPR, an amended SPR needs to be filed with the County Department or County Division where the original application, including the initial SPR, was filed. WHEN DO THE SPR AND ANY UPDATES NEED TO BE FILED? In most cases, the initial SPR needs to be filed with the other application forms. The SPR and any update must be filed with the appropriate County Department or County Division not less than seven (7) days prior to the BCC hearing date so that they may be incorporated into the BCC agenda packet. (See Section 2-354(b), Orange County Code.) When the matter is a discussion agenda item or is the subject of a public hearing, and any additional expenditure occurs less than 7 days prior to BCC meeting date or updated information is not included in the BCC agenda packet, the principal or his/her authorized agent is obligated to verbally present the updated information to the BCC when the agenda item is heard or the public hearing is held. When the matter is a consent agenda item and an update has not been made at least 7 days prior to the BCC meeting or the update is not included in the BCC agenda packet, the item will be pulled from the consent agenda to be considered at a future meeting. WHO WILL BE MADE AWARE OF THE INFORMATION DISCLOSED ON THE SPR AND ANY UPDATES? The information disclosed on the SPR and any updates will be a public record as defined by Chapter 119, Florida Statutes, and therefore may be inspected by any interested person. Also, the information will be made available to the Mayor and the BCC members. This information will accompany the other information for the principal's project or item. CONCLUSION: We hope you find this FAQ useful to your understanding of the SPR. Please be informed that in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance governing specific project expenditure reports, the ordinance controls. Also, please be informed that the County Attorney's Office is not permitted to render legal advice to a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the principal, his/her authorized agent or an outside party has any questions, he/she is encouraged to contact his/her own legal counsel. Page 3 I/We, (Print Bidder name) Do hereby authorize (print agent's name), to act as my/our agent to execute any petitions or other documents necessary to affect the CONTRACT approval PROCESS more specifically described as follows, (11713 NUMBER AND TITLE) , and to appear on my/our behalf before any administrative or legislative body in the county considering this CONTRACT and to act in all respects as our agent in matters pertaining TO THIS CONTRACT. Signature of Bidder STATE OF COUNTY OF Date I certify that the foregoing instrument was acknowledged day of 20 by personally known to me or has produced identification and did/did not take an oath. before me this He/she is as Witness my hand and official seal in the county and state stated above on the day of in the year Signature of Notary Public Notary Public for the State (Notary Seal) of My Commission Expires: 5N.Wff -U W LEASED EMPLOYEE AFFIDAVIT I affirm that an employee leasing company provides my workers' compensation coverage. I further understand that my contract with the employee leasing company limits my workers' compensation coverage to enrolled worksite employees only. My leasing arrangement does not cover un -enrolled worksite employees, independent contractors, uninsured sub -contractors or casual labor exposure. I hereby certify that 100% of my workers are covered as worksite employees with the employee leasing company. I certify that I do not hire any casual or uninsured labor outside the employee leasing arrangement. I agree to notify the County in the event that I have any workers not covered by the employee leasing workers' compensation policy. In the event that I have any workers not subject to the employee leasing arrangement, I agree to obtain a separate workers' compensation policy to cover these workers. I further agree to provide the County with a certificate of insurance providing proof of workers' compensation coverage prior to these workers entering any County jobsite. I further agree to notify the County if my employee leasing arrangement terminates with the employee leasing company and I understand that I am required to furnish proof of replacement workers' compensation coverage prior to the termination of the employee leasing arrangement. I certify that I have workers' compensation coverage for all of my workers through the employee leasing arrangement specified below: Name of Employee Leasing Company: Workers' Compensation Carrier: A.M. Best Rating of Carrier: Inception Date of Leasing Arrangement: I further agree to notify the County in the event that I switch employee -leasing companies. I recognize that I have an obligation to supply an updated workers' compensation certificate to the County that documents the change of carder. Name of Contractor: Signature of Owner/Officer: Title: Date: 1 i� 4C' ROP ML -- CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW! THIS CERTIFICATE Of INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED. the policy(ies) must be endorsed. If SUBROGATION IS WAIVED. subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not canter rights to the certificate holder in lieu of such endorsement(s). 1. PRODUCER Name of Agent or Broker Street Address City, State, Zip MPCT pp� E%0: AQMF21- INSURFM4SI AFFORDWO COVERAGE HAM S— 1Ntt0RERA- "MU RED 2. Name of Insured Street Address City, State, Zip WZURER 8 � 144 Ra. 3. INIURER D' 041WkERF: INSURER F: THIS IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED EELOW I -AVE SEEN I31CLBO TO THE INSURED NAMED ABOVE FOR THE ROLICY PERIOD INDICATED. NCTWMKGTANDING ANY REOUTREMENT, TERM OR CON091ON OF ANY CONTRACT OR OTHER DOCUMENT VATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PER7AW, THE NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. FXCLU,AONS AND CONDITIONS Of SUCH POLICIES UMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. t1v nPE OF MURAWS AU7@NW&=0 REPREtrEWATRIE MNUMBER AW -2-M =am, Lmrs GENERAL LIASMny Vlo14 OCOLMIWXE t 3 coh%eRmAL c&NERAL Lvau-, Y 4. 5. 6. 7. FXP W*, me penmh $ -M-ED FER7010LIADV IIOURY 0 ENt AZ 0 REC&TE 1.1117r APPL'ES PER: PRODUCTS - CIWP9OP AGO 5 .7 ..U.. r-I.—.,,T 0 LVI AUTONOBUXUARILITT NULE U1,19T ANY ALTO 9. scmy NJURY (Per P=0 90MLY NJURY (Fer xwe'* I ALL OA10ED cHEDULED AUTOS ALT, NS HFM AU7, OSA1,FC45 PROPOM DAWLE neer me arna —w—u- H EAL"4 OCCURRENCE fr AGGRMCA7M S 1 UAB rL&1A54MC1E Dso I I R---MMCN$ YIN 11r 1,TA,, I Ion, ER EL. EAC.N Ar-OMENT S F-L.C1tSF-',SE-FAE?JPL0YEE I Ium�zbery in N141 [:] WA EL. cMEASE-P0UC-Y0Arr i ffldm desrbe mw DESORPTION OF OPERA -, ONS tt�— Orange County Government is additionally insured on the General Liability Policy. A waiver of subrogation applies in favor of Orange County Government, its agents, employees, and officials on the Workers Compensation Policy. U 9 nclo rANr;:l I ATInN 13, Orange County Board of County Commissioners SHOULD A14Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE UJnRATIOU DATE THEREOF. NOTICE WILL BE DELYVERED IN Procurement Division ACCORDANCE WITH THE POLICY PROM*US. 400 E. South Street AU7@NW&=0 REPREtrEWATRIE Orlando, Florida 32801 1 14. 1 1 Q ISSS-201 0 ACORD CORPORATION- All nghts reservecL ACORD 25 (201010,5) The ACORD name and logo are registered marks of ACORD ORANGE COUNTY CERTIFICATE OF INSURANCE REVIEW GUIDE 1. PRODUCER: Agent's name and address must be shown along vaith contact name phone, fax, and email address. Z. INSURED: Legal name and address of the entity entering into the contract or agreement 3. INSURERS AFFORDING COVERAGE & MAIC #: Name of the insurance company that is insuring the line of coverage. The INSURER and applicable letter will be used throughout the certificate to indicate the lines of coverage placed with a particular insurance company. A letter must be shown in the INSUR L TR section for each coverage line listed on the certificate_ 4. ADDL INSR: Signifies whether coverage includes additional insured status. Very few agent-, use this section. Additional insured status is usually discussed in the Description of Operations/Locations/Vehicles, section. 5. SUBR WV'D: Signifies that a waiver of subrogation is in valid for each line of coverage as indicated. 6.POUCYNUMBER: A policy number should be listed for each line of coverage for which commercial insurance is being provided. 7. POLICY EFFECTIVE/EXPIRATJON DATES: Effective and expiration dates should fall within the time frame of the inception of the contract or agreement. &LIMITS: As required in the written agreement. The general aggregate should beat least tvwqce the per occurrence limit for all continuing service contracts. If the aggregate limit applies separately then the PROJECT box should be marked_ 9. AUTOMOBILE LIABILITY: The ANY AUTO box is preferable however-, some organizations do not own vehicles so the other boxes may be marked. 10, WORKERS' COMPENSATION- Look closely to see if any proprietor, partner, or execut'ive officer is excluded. if so, please contact Risk Management for waiver approval. The WC STATUTORY LIMITS box must be selected. 11. OTHER: This section is used for other coverage such as professional liability and employee dishonesty. The same rules apply with regards to policry numbers, effective and expiration dates and limit,,. 12, DESCRIPTION OF OPERATIONS/LO,CATIONSIVEHICLES: This section typically contains any special or qualifying language such as additional insured status, or waivers of subrogation- If additional space is needed an ACORD 101 should be attached. Please note that these certificates are for information only and do not confer any rights upon the certificate holder- This is why we also ask for the specific policy language or endorsement specifying that these provisions are in place. 13, CERTIFICATE HOLDER- Orange County Board of County Commissioners should be listed as the certificate holder. individual departments and divisions should not be listed as the primary certificate holder. 14. AUTHORIZED REPRESENTATIVE. This section should contain the signature of the person authorized to issue the certificate on behalf of the insurance company. COI Review Guide Revised 0712014 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY i• It iffish,, a This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) The following are additional insured under the Professional Liability section of this policy (already included under the GL by form #86571). YOUR MEDICAL DIRECTORS AND ADMINISTRATORS, INCLUDING PROFESSIONAL PERSONS, BUT ONLY WHILE ACTING WITHIN THE SCOPE OF THEIR DUTIES FOR THE NAMED INSURED AS MEDICAL DIRECTORS AND ADMINISTRATORS; AN INDEPENDENT CONTRACTOR IS AN INSURED ONLY FOR THE CONDUCT OF YOUR BUSINESS AND SOLELY WHILE PERFORMING SERVICES FOR A CLIENT OF THE NAMED INSURED, BUT SOLELY WITHIN THE SCOPE OF SERVICES CONTEMPLATED BY THE NAMED INSURED; STUDENTS IN TRAINING WHILE PREFORMING DUTIES AS INSTRUCTED BY THE NAMED INSURED; ANY ENTITY YOU ARE REQUIRED IN A WRITTEN CONTRACT (HEREINAFTER CALLED ADDITIONAL INSURED) TO NAME AS AN INSURED IS AN INSURED BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR PREMISES OR OPERATIONS: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily Injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of you ongoing operations; or B. In connection with your premises owned by or rented to you. EXHIBIT C POLICY NUMBER: COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED — DESIGNATED PERSON OR ORGANIZATION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) ORANGE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: PROCUREMENT DIVISION 400 E. SOUTH STREET, 2nd FLOOR ORLANDO, FL 32801 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily Injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of you ongoing operations; or B. In connection with your premises owned by or rented to you. WORKERS COMPENSTION AND EMPLOYEES LIABILITY INSURANCE POLICY WC 00 03 13 2ND Reprint Effective April 1, 1984 Advisory WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Name of Person or Organization: ORANGE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: PROCUREMENT DIVISION 400 E. SOUTH STREET, 2nd FLOOR ORLANDO, FL 32801 ©1983 National Council on Compensation Insurance, Inc. @NCCI Holdings, Inc. POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 24 0410 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ORANGE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: PROCUREMENT DIVISION 400 E. SOUTH STREET, 2nd FLOOR ORLANDO, FL 32801 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right to recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "Products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above.