2339 IRFQ 20/21-104 Sign Shop Materials - Osburn Sign IncW— Nr
NCE DEPARTMENT —
Tuesday, May 11, 2021
1111! !!!Eiii! 1 11!11
I
Development Order
Final Plat (original mylars)
Letter of Credit
Maintenance Bond
Ordinance
Performance Bond
Resolution
Once completed, please:
Z Return originals to Purchasing- Department
F-1 Return copies
El
Mayor's signature
F-1 Deputy City Manager
F-1 Payment Bond
F-1 City Manager Signature
❑ City Clerk Attest/Signature
F-1 City Attorney/Signature
Special Instructions: The city process an informal solicitation and was awarded to Osburn
Signs, Inc., less than 50k a year. Does not require city commission approval.
From bate
TADept_fbrms\City Clerk Transmittal Memo - 2009.doc
C5
AGREEMENT BETWEEN CITY OF SANFORD AND OSBURN SIGNS, INC.
IRFQ 20/21-104; SIGN SHOP MATERIALS
THIS AGREEMENT (hereinafter the "Agreement") is made and entered into this
day of 2021, by and between the City of Sanford, Florida, a Florida
municipality, (hereinafter referred to as the "City"), whose mailing address is 300 North
Park Avenue, Sanford, Florida 32771, and Osburn Signs, Inc., an Ohio corporation,
formerly operating under the name of Osburn Associates, Inc., whose principal
corporate address is 9383 State Road 93 North, Logan, Ohio 43138 and whose mailing
address is Post Office Box 912, Logan, Ohio 43138 (hereinafter referred to as "Osburn
Signs"). The City and Osburn Signs may be collectively referenced herein as the
"parties".
WITNESSETH:
IN CONSIDERATION of the mutual covenants, promises, and representations
contained herein and other good and valuable consideration, the receipt and sufficiency
of which is hereby acknowledged, the parties hereto agree as follows:
Section 1. Recitals. The above statements are true and form a material
part of this Agreement upon which the parties have relied.
Section 2. Authority. Each party hereto represents to the other that it has
undertaken all necessary actions to execute this Agreement, and that it has the legal
authority to enter into this Agreement and to undertake all obligations imposed on it.
The persons executing this Agreement for each party certify that they are authorized to
bind the party fully to the terms of this Agreement.
Section 3. Scope of Agreement; Direction of the Provision of Goods and
services.
(a). This Agreement is for the provision of sign shop materials as set forth in
the provisions of the City's solicitation by means of an invitation for bid (IFB) (City
Solicitation Number: IRFQ 20/21-104) and the documents relating thereto, which are the
only attachments hereto and Osburn Signs agrees to accomplish the provision of goods
and services specified in the said attachments for the compensation set forth in those
documents relating the provision of ozone related services as set forth in the
attachments and as may be agreed upon by the parties as set forth in issued purchase
orders.
(b). It is recognized that Osburn Signs shall provide goods and services as
directed by the City.
(c). The City's contact/project manager for all purposes under this Agreement
shall be the following:
I I Pa ge
Marisol Ordofiez
Purchasing Manager
Finance -Purchasing Division
City of Sanford
Post Office Box 1788
Sanford, Florida 32772-1788
Phone: 407-688- 5028
Email: Marisol.ordonez@sanfordfl.gov
Section 4. Effective Date and Term of Agreement. This Agreement
shall take effect on the date that this Agreement is fully executed by the parties hereto.
Further, this Agreement shall be in effect for a term of 1 year with the opportunity for
additional 1 -year renewal periods when in the best interest of the City in its sole
discretion. However, the total length of this Agreement, including all renewals, shall not
exceed 5 years. The decision to renew or extend this Agreement shall be at the
discretion of the City. Osburn Signs shall review the quality and status of the goods and
services pertaining to the provision of sign shop materials with the City on an annual
basis at which time(s) the City may terminate this Agreement is its sole and absolute
discretion. In any event, this Agreement shall remain in effect until the goods and
services to be provided by Osburn Signs to the City under each purchase order have
been fully provided in accordance with the requirements of the City; provided, however,
that, the indemnification provisions and insurance provisions of the standard contractual
terms and conditions referenced herein shall not terminate and the protections afforded
to the City shall continue in effect subsequent to such goods and services being
provided by Osburn Signs. No goods, services or actions have been provided prior to
the execution of this Agreement that would entitle Osburn Signs for any compensation
therefor.
Section S. Compensation. The parties agree to compensation as set forth
in the attachments hereto, with the initial purchase of goods and services being in the
amounts set forth in the attachments hereto and, subsequently, as may be agreed upon
by the parties as set forth in issued purchase orders.
Section 6. Standard Contractual Terms and Conditions, All "Standard
Contractual Terms and Conditions", as provided on the City's website, apply to this
Agreement. Such Terms and Conditions may be found at the City's website; which can
be reached at: (hftps://www.sanfordfl.gov/departments/finance/purchasing/contract-
terms-and-conditions or www. Sanford FL. gov). The parties shall also be bound by the
purchasing policies and procedures of the City as well as the controlling provisions of
Florida law. Purchase orders shall be used, in accordance therewith, in the
implementation of this Agreement to the extent deemed necessary by the City in its sole
and absolute discretion. If Osburn Signs has any issues relative to accessing the City's
Web site, it is the obligation of Osburn Signs to immediately notify the City and
expressly inquire as to any matter that may be at issue.
2 1 P a ge
Section 7. Osburn Signs' Mandatory Compliance with Chapter 119,
Florida Statutes, and Public Records Requests.
(a). In order to comply with Section 119.0701, Florida Statutes, public records
laws, OSBURN SIGNS, must:
(1). Keep and maintain public records that ordinarily and necessarily would be
required by the City in order to provide goods and services.
(2). Provide the public with access to public records on the same terms and
conditions that the City would provide the records and at a cost that does not exceed
the cost provided in Chapter 119, Florida Statutes, or as otherwise provided by law.
(3). Ensure that public records that are exempt or confidential and exempt
from public records disclosure requirements are not disclosed except as authorized by
law.
(4). Meet all requirements for retaining public records and transfer, at no cost,
to the City all public records in possession of Osburn Signs, upon termination of the
contract and destroy any duplicate public records that are exempt or confidential and
exempt from public records disclosure requirements. All records stored electronically
must be provided to the City in a format that is compatible with the information
technology systems of the City.
(b). If Osburn Signs, does not comply with a public records request, the City
shall enforce the contract provisions in accordance with this Agreement.
(c). Failure by Osburn Signs to grant such public access and comply with
public records requests shall be grounds for immediate unilateral cancellation of this
Agreement by the City. Osburn Signs shall promptly provide the City with a copy of any
request to inspect or copy public records in possession of Osburn Signs and shall
promptly provide the City with a copy of Osburn Signs' response to each such request.
(d). IF THE CONTRACTORIVENDOR HAS QUESTIONS
REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA
STATUTES, TO THE CONTRACTOR'S (VENDOR'S) DUTY TO
PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT,
CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (407) 688-5012,
TRACI HOUCHIN, MMC, FCRM, CITY CLERK, CITY OF SANFORD,
CITY HALL, 300 NORTH PARK AVENUE, SANFORD, FLORIDA 32771,
TRACI.HOUCHIN t@SANFORDFL.GOV.
Section 8. Time is of the Essence. Time is hereby declared of the essence
as to the lawful performance of all duties and obligations set forth in this Agreement.
Section 9. Entire Ag reeme nt/Mod ifi cation. This Agreement, together
with all "Standard Contractual Terms and Conditions", as provided on the City's website
and the attachments hereto (the documents relative to the procurement activity of the
City leading to the award of this Agreement) constitute the entire integrated agreement
between the City and Osburn Signs and supersedes and controls over any and all prior
agreements, understandings, representations, correspondence and statements whether
written or oral in connection therewith and all the terms and provisions contained herein
constitute the full and complete agreement between the parties hereto to the date
hereof. This Agreement may only be amended, supplemented or modified by a formal
written amendment of equal dignity herewith. In the event that Osburn Signs issues a
purchase order, memorandum, letter, or any other instrument addressing the goods and
sevices and materials to be provided and performed pursuant to this Agreement, it is
hereby specifically agreed and understood that any such purchase order,
memorandum, letter, or other instrument shall have no effect on this Agreement unless
agreed to by the City, specifically and in writing in a document of equal dignity herewith,
and any and all terms, provisions, and conditions contained therein, whether printed or
written or referenced on a Web site or otherwise, shall in no way modify the covenants,
terms, and provisions of this Agreement and shall have no force or effect thereon.
Section 10. Severability. If any term, provision or condition contained in
this Agreement shall, to any extent, be held invalid or unenforceable, the remainder of
this Agreement, or the application of such term, provision or condition to persons or
circumstances other than those in respect of which it is invalid or unenforceable, shall
not be affected thereby, and each term, provision and condition of this Agreement shall
be valid and enforceable to the fullest extent permitted by law when consistent with
equity and the public interest.
Section 11. Waiver. The failure of the City to insist in any instance upon
the strict performance of any provision of this Agreement, or to exercise any right or
privilege granted to the City hereunder shall not constitute or be construed as a waiver
of any such provision or right and the same shall continue in force.
Section 12. Captions. The section headings and captions of this Agreement
are for convenience and reference only and in no way define, limit, describe the scope
or intent of this Agreement or any part thereof, or in any way affect this Agreement or
construe any provision of this Agreement.
Section 13. Counterparts. This Agreement may be executed in any
number of counterparts, each of which shall be deemed an original, but all of which,
taken together, shall constitute one and the same document.
Section 14. Binding Effect. This Agreement shall be binding upon and
inure to the benefit of the successors in interest, transferees and assigns of the parties.
4 1 Pa ge
Each party hereto represents to the other that it has undertaken all necessary actions to
execute this Agreement, and that it has the legal authority to enter into this Agreement
and to undertake all obligations imposed on it. The signatories hereof represent that
they have the requisite and legal authority to execute this Agreement and bind the
respective parties herein.
Section 15. Remedies. The rights and remedies of the parties, provided for
under this Agreement, are in addition to any other rights and remedies provided by law
or otherwise necessary in the public interest.
Section 16. Governing law, Venue and Interpretation. This Agreement is
to be governed by the laws of the State of Florida. Venue for any legal proceeding
related to this Agreement shall be in the Eighteenth Judicial Circuit Court in and for
Seminole County, Florida. This Agreement is the result of bona fide arms length
negotiations between the City and Osburn Signs, and all parties have contributed
substantially and materially to the preparation of the Agreement. Accordingly, this
Agreement shall not be construed or interpreted more strictly against any one party.
than, against any other party and all provisions shall be applied to fulfill the public
interest.
IN WITNESS WHEREOF, the City and Osburn Signs have executed this
instrument for the purpose herein expressed and Osburn Signs represents and affirms
that the signatories below have full and lawful authority to bind Osburn Signs in every
respect.
ATTEST. CITY OF ANFOR
Traci Houchin, MMC, FCRM Art Woodruff, ruff, Mayor
City Clerk Fol?./, te: 2�11
Approved as to form and
legal sufficiency.
Zl�
1Veff, lty—At—G�n y
ADDI IONAL SIGNATURE BLOCK FOLLOWS:
5 1 f I ,, i �, e
ATTESTIWITNESSES:
OSBURN SIGNS, INC., an Ohio
corporation, formerly operating under
the name of Osburn Associates, Inc.
/74*14 4--t— — By.
Mark Osburn Jesburn
Vice President/Secretary
Chairman/President/Secretary
Dated: Za I
61 P ag e
Z:�
'A- 4' `'`
A^
sn sLUu!;i r3
City of Sanford I Finance Department E Purchasing Division
300 N. Park Avenue, Sanford, Florida 32771
Phone: 407.688.5028 or extension 5030 1 Fax: 407.688.50210
RM
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iRFQ
INFORMAL REQUEST FOR QUOTE
IRFQ-20/21-104
SIGN SHOP MATERIALS
BIDDER, INFORMATION.
Nana of Firm; .............
Address:140.0 ...:..•' !°. cS?'`, /i ' ...................................
Address: .......................................................................................
City/State/Zip Cod/re: .►rr JCG e'"!t It
Contact Person: tfl!!�9P�....�'�sv�......................
Phone Number; .?..'. $.! t .................................
Fax Number qo) . s. ^.. &t o t Gv!....................................
DUE DATE: Tuesday, March 23, 2021 at 2:00 P. M. Local
Time
City of Sanford Purchasing
Divi ion
Contact Person:
Marisol Ordoilez, Purchasing Manager
Address:
300 N. Park Avenue Suite 243
City, State, Zip:
5anford. Florida 32771
Phone Number:
407.688.5028. or est. 5030
Fax Number:
407.688.5021
Email:urchasing�t-&w-dordfl.
wy
For Div./Dept./Office:
Ricky Johnson
Delivery Address:
Sanford Sign Shop
Public Works Complex
800 Fulton Ave
Sanford. Florida 32771
Email: E/C'n'�i ..''',4�'.4?,S+vo4,s ISSUED DATE: Tuesday, March 9, � �-
/ Question Decline: Tuesday cj�o2�''`��
BIDDER'S PRINTED NAME; t.tfif'71.f.!:!'..,.'�".!�''�`` BIDDER'S SIGNATURE:.. 7.....
Title:.{cdm/;I7........................................................./
Date:. , r .•f ,�".� d ..................................................................
LEASE RETURN BY DUE DATE AND TIME VIA FAX MAIL OR EMAIL TO CONTACT PERSON STATED ABOVE.
1. Intent. The intent of this solicitation is to select a successful Bidder for the provision of acquiring aluminium blanks
and sign materials for the City's sign shop as needed,
2 Deliverables and Scope of Services. The successful Bidder shall provide all necessart- material, goods, labor, etcetera
to
1) Alum Blank 30" x 30" DIA .080
2) Alum Blank 24" x 30" VREC .080
3) Alum Blank 24" x 24" DIA .080
4) Alum Blank 24" x 24" SQ .080
5) Alum Blank 18" x 18" SQ .080
6) Alum Blank 12" x 18" VREC .080
7) Alum Blank 18" x 12" RREC .080
8) Alum Blank 18" x 24" VREC .080
9) Alum Blank 24" x 18" HREC .080
10) Alum Blank 36" x 9" HREC, .063, HREC + VREC HOLES, 3/8" AND 1/," FROM EDGES
11) Alum Blank 24" x 6" HREC, .063 HREC + VREC HOLES 3/8" AND 1/2" FROM EDGES
12) Alum Blank 12" x 6" HREC, .063 HREC + VREC HOLES 3/8" AND 1/2" FROM EDGES
13) Sign (111.1) 30 X 30, .080, R NA, STOP, TYPE, IV, REVR/W
14) Sign (RI -1) 30 X 30, .080, R NA, STOP, TYPE, IV, REVRIW
15) Post 8' X 2 # Galy U Channel
16) Post 10' x 2 # Galy U Channel
17) Post 12' x 2# Galv U Channel
18) 14" x 8'/d" Metro Wing Bracket for Use with 6" Street Signs
19) Street Name Twist Bracket 9" HDG Steel
20) R1-130" OCT HIP RSA STOP
21) R1-136" OCT HIP RSA STOP
22) 8'— 2 GALV POST TAPERED
23) 10'— 2 GALV POST TAPERED
PUR-F•302 I Rev. 03%2018
24) 12'— 2 GALV POST TAPERED
25) VS — IC CANTILEVER BRACKET
26) VS — TWIST 24 FOR 9" BLADES
27) 24- LENGTH AFTER TWIST
28) 080 X 30" DIA
29) 080 X 24 X 30 RECT
30) 080 X 24- DIA
31) 080 X 24- SQ
32) 080 X 18- DIA,
33) 080 X 18- SQ
34) 080 X 12 X 18 RECT
35) 080 X 18 X 24 RECT
36) 080 X 24 X 18 RECT
37) 063 X 9 X 36 RECT
38) 063 X 9 X 30 RECT
39) 063 X 9 X 24 RECT
40) 063 X 6 X 24 RECT
41) 063 X 6 X 12 RECT
Statement of Inspection: N/A - All bidders are hereby required to conduct a site inspection to familiarize them with the
City's sign shop to personally inspect the various areas and conditions associated with this project. All bidders must
include with their submittal Attachment "A". Statement of Inspection with your bid submittal.
Existing Material Removal: N/A- The successful Bidder shall be responsible for the safe removal, hauling and
appropriate disposal of existing material removed as a result of this project. Before any removal is to take place, the
successful Bidder shall coordinate with the assigned City representative to ensure this activity does not interfere with any
other events or projects in progress at the facility as applicable.
Delivery and Set -Up: Delivery shall be made to Public Works, Sign Shop located at the Public Works Complex, 800
Fulton Ave, Sanford FL 32771, between the hours of 7:30 A.M. and 4:30 P.M. Monday through Tbursay. The successful
Bidder shall be responsible for coordinating the delivery of all goods/services in a timely manner.
Partial deliveries or deliveries on any other date and time shall not be allowed unless written authorization has been
obtained from the appropriate City authorized representative, The City shall not pay for any storage charges, Cash on
Delivery (C.O.D.) shipments, or packaging or drayage charges. The successful Bidder shall be responsible for all risk of
loss, any damage and/or stolen materials and equipment while in transit to the Public Works Sign Shop, Public Works
Complex,
Delivery and Time Performance: PLQiect completion shall be attained no later than 60 ds from the date a pkirchge
order has been issued by the Citv to the successful Bidder, At approximately 10 days after issuance of the purchase order
by the City, the successful Bidder shall update the appropriate City representative providing a tentative delivery schedule
and project commencement date.
This delivery schedule shall be further updated wrenty-four (24) hours prior to actual delivery to ensure the facility is
accessible and ready to receive delivery. Any costs associated with deliveries not properly coordinated with the appropriate
City representative shall be borne by the successful Bidder,
Permitting: N/A- The successful Bidder shall be solely responsible for all pertinent permits required as well as adhering,
meeting and or exceeding all local, state, and national building codes.
City Responsibility: The City shall be responsible for:
a. Provide a designated set-up area for the successful Bidder to deliver all necessary materials and equipment
required for this project between the hours of 7:30 A.M. and 4:3 )0 P.M., Monday through Thursday,
b. Provide access to the work area-,
Obligations of the Successful Bidder: It is understood that the successful Bidder shall provide and pay for all labor,
tools, materials, permits, equipment, transportation, supervision, and any and all other items or services, of an), type
whatsoever, which are necessary to fully complete and deliver the goods/services requested by the City, and shall not have
the authority to create, or cause to be filed, any liens for labor and/or materials on, or against, the City, or any property
owned by the City. Such lien, attachment, or encumbrance, until it is removed, shall preclude any and all 'claims or demands
for any payment expected by virtue of this project. The successful Bidder will ensure that all of its employees, agents,
sub -contractors, representatives, volunteers, and the like, fully complN� with all of the terms and conditions set herein, when
providing services for the City in accordance herewith. The successful Bidder shall be solely responsible for the means,
methods, techniques, sequences. safety programs, and procedures necessary to properly and fully complete the work set
forth in the Scope of Services. The successful Bidder shall use appropriate tools and/or equipment which are in good repair
and proper working order, so as to enable the successful Bidder to complete the services required hereby.
Clean -Up: N/A- The successful Bidder shall be responsible for the removal, hauling, and legal disposal of all debris
generated as a result of performing the services for this tum -key solution on a daily basis- including up to, but not be limited
to all existing equipment removed, all packaging materials, crating, cardboard, protective packaging, liners, plastic,
etcetera. Any dumpsters located within Public Works Sign Shop, Public Works Complex shall not be used by the
successful Bidder. The successful Bidder shall broom clean the premises at the end of each day and upon completion of
delivery, installation and, set-up.
Punch List: N/A- The designated City representative and the successfiil Bidder shall perform an inspection of all items
delivered and project completion by the successful Bidder. In the event any deficiencies are identified, a punch list shall
be created to outline all deficiencies discovered. After the punch list is issued to the successful Bidder., the successful
Bidder shall have Public Works Sign Shop, Public Works Complex to respond and correct all items listed on the punch
list. In the event an item must be replaced, an expected delivery date for said item shall be given to the City. Similarly, in
the event an area must be redone, an expected completion date shall be given to the City. Final acceptance and subsequent
invoice processing shall not be done by the City until all items on the punch list have been completed
Public Emergencies: It is hereby made a part of this bid that before, during, and after a public emergency, disaster,
hurricane, tornado, flood, or other acts of God, City of Sanford shall require a "First Priority" for goods and services. It is
vital and imperative that the health, safety, and -welfare of the citizens of Sanford are protected from any emergency
situation that threatens public health and safety as determined by the City. The Bidder agrees to rent/sell/lease all goods
and services to the Citv or governmental entities on a "first priority" basis. The City expects to pay contractual prices for
all products and/or services under the awarded Agreement in the event of a disaster, emergency, hurricane. tomado, flood,
or other acts of God. Should the Bidder provide the City with products and/or services not under the awarded Agreement,
the City expects to pay a fair and reasonable price for all products and/or services rendered or contracted in the event of a
disaster, emergencN1, hurricane, tornado, flood, or other acts of God.
The City shall select the lowest quote that is most responsive to the needs of the City as outlined herein. The bidder's price
response shall be accompanied by a detailed description of the requirement service to be offered.
3. Price Submittal. In accordance with the terms, conditions and specifications, I/we. as authorized signatory to commit
the firm, do hereby accept in total all the terms and conditions stipulated and referenced' in this IRFQ document and hereby
submit the following prices for IRFQ-20121-104, SIGN SHOP MATERIAL, as follows:
Item
11
DescriptionI I I
EACH
1.
Alum Blank 30" x 30" DIA .080
2.
Alum Blank 24" x 30" VREC.080
3.
Alum Blank 24" x 24" DIA .080
4.
Alum Blank 24" x 24" SQ .080
5.
Alum Blank 18" x 18" SQ .080
6.
Alum Blank 12" x 18" VREC .080
7.
Alum Blank 18" x 12" HREC .080
8.
Alum Blank 18" x 24" VREC .080
9.
Alum Blank 24" x 18" HREC .080
10.
Alum Blank 36" x 9" HREC, .063, HREC + VREC HOLES, 3/8"
AND 1/2" FROM EDGES
61 ?v>
11.
Alum Blank 24" x 6" HREC, .063 HREC + VREC HOLES 3/8"
AND'/Z" FROM EDGES
12.
Alum Blank 12" x 6" HREC, .063 HREC + VREC HOLES 3/8"
AND'/Z" FROM EDGES
13.
Sign (RI -1) 30 X 30, .080, R NA, STOP, TYPE, IV, REVR/W
14.
Sign R NA, STOP, TYPE, IV, REVRfW
94x 34-
15.
Post 8'X 2 # Galv U Channel
16.
Post 10'x 2 # Ga1v U Channel
17.
Post 12' x 2# Ga1v U Channel
18.
14" x 8'/4" Metro Wing Bracket for Use with 6" Street Signs
19.
Street Name Twist Bracket 9" HDG Steel
6.767
20.
RI -1 30" OCT HIP RSA STOP
21.
RI -1 36" OCT HIP RSA STOP
22.
8'— 2 GALV POST TAPERED,
23.
10'— 2 GALV POST TAPERED
24.
12'— 2 GALV POST TAPERED,
2S.
[I
VVSS
VS— IC CANTILEVER BRACKET
26.
VS — TWIST 24 FOR 9" BLADES
G..*7�`
27.
24" LENGTH AFTER TWIST
28.
080 X 30" DIA
29.
080 X 24 X 30 RECT
30.
080 X 24" SQ
31.
080 X 24"DIA
32.
080 X 18" DIA
33.
080 X 18" SQ
34.
080 X 12 X 18 RECT
35.
080 X 18 X 24 RECT
36.
080 X 24 X 18 RECT
37.
063 X 9 X 36 RECT
38,
063 X 9 X 30 RECT
2
39.
063 X 9 X 24 RECT
40.
063 X 6 X 24 RECT
41.
063 X 6 X 12 RECT
l.a
42.
Freight/Shipping Charge (if applicable)
clt, cle •�
42.
TOTAL QUOTE PRICE
$
4 / %!'c^
THE FOLLOWING FORMS MUST BE COMPLETED AND INCLUDE
WITH THE INFORMAL QUOTE,
1. Attachment
2. Include a copy- of your Florida State License and W9.
a. The City will not consider alternates to the items listed above. If alternates are offered, the City will have the sole and unilateral right to
reject the alternate and purchase from vendor providing compliant items. Deliven• time will be a factor in lite evaluation of this IRFQ.
b. All prices quoted shall remain firm for duration of the contract with a (1) year contract with the option to renew for (1) additional year,
not to exceed (5) years after award of this IRFQ.
c. Unit Price Accuracy: Please check the stated unit prices before submitting your quote, as no chance in prices shall be allowed after the
due date and time. All prices and notations must be in ink or typewritten. In cases of extended price irregularities, unit Price shall
V, na. Please note that die City reserves the right to clarify and correct extended price amount errors.
d. City of Sanford is exempt from Sales Tax. Certificate No. 85-801262168IC-8.
e. If you are offering pricing which is based on other entity or agency solicitation pricing, clearly state so and include a copy of the applicable
solicitation r-,ith your submittal.
f. Please read all terns and conditions, complete the requested information, and sign hi the space provided on page 1.
g. If not submitting, a quotation, lease indicate "NO BID" acid return this form.
Critical Data:
a. Please return your quote submittal via fay:, mail or email to the requesting Division/Departnient/Ofiice as outlined on page 1; by no later
than the due date and time outlined on page 1 or as revised thereof via mitten addenda.
b. Please afield questions regarding this quotation only to the requesting Division/Departnient/Office. Any interpretations, clarifications, or
changes made kill be in, the form of "Titten addenda issued by requesting Division/Deparunent/Office.
e. Pursuant to Section 2.2 of the City of Sanford Purchasing Policy, lobbying is strictly prohibited.
d. Please note that all documents sent to the City as part of this IRFQ are considered a Public Record; as prescribed by Chapter 119, Florida
Statutes.
e. Bidder must submit a copy of their Certificate of Insurance with their quote.
f. Any order resulting from this IRFQ shall be subiect to the attached General Terms and Conditions and all applicable laws, policies and
rocedures,
PLEASE COMPLETE AND SUBMIT
Failure to submit this form may be grounds for disqualification of your submittal
I certify from the records of this office that OSBURN ASSOCIATES, INC. doing
business in Florida as OSBURN SIGNS, INC., is a corporation organized under
the laws of Ohio, authorized to transact business in the State of Florida, quafified
on December 3, 2010.
UZZIMSM
I further certify that said corporation has paid all fees due this office through
December 31, 2010, and its status is active.
I further certify that said corporation has not filed a Certificate of Withdrawal.
CR2E022 (01.507)
Given under my hand and the
Great Seat of the State of Florida
at Tallahassee, the Capital, this the
Sixth day of December, 2010
'Dauui K. Roberls
,Secretary qj*State
Form
W1111111119
Request for Taxpayer
(Rev. October 2018)
Identification Number and Certification
Give Form to the
Department of the Treasury
requester. Do not
Internal Revenue Sam"
Ili- Go to wWwJrs.gov1FbrmW,9 for Instructions and the latest information.
send to the IRS.
i Name (as shown on your income —tax return). Name is required on this tine: do not leave this line blank.
Osborot Arx'pei4eew'
2 Business name/disregarded entity name, it different from above
mm
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the
following seven boxes.
4 Exemptions (codes apply only to
CL
certain entities, not individuals: see
❑ Individwalisole proprietor or 0 C Corporation 19/S Corporation ❑ Partnership ❑
instruct*ns on page 3):
TrusVm
eate
single -member LLC
❑ UnrRed liability company. Enter the tax classification (C=C corporation, S=S
Exempt payee code (it any)
corporation, P=Partnersnip) 0,
Note. Check the appropriate box in the line above for the tax classification of the single -member owner. 00 not check
LLC it the LLC is classified as a single -member LLC that is disregarded from the
Exemption from FATCA reporting
owner unless the owner of the LLC is
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC C that
code (if any)
is disregarded from the Owner should Check the appropriate box for the tax classification of its owner.
❑ Other (see instructions) 10 -
per, street, and apt. or suite no.) See instructions, Requester's name and address (optional)
u uq, state, and ZIP code
4 41,?
7 List account number(s) rere (optiow
Tax payer Identification Number (TIN)
Enter your TIN in the appropriate box, The TIN provided must Match the name given on line I to avoid S
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien. sole proprietor, or disregarded entity, see the instructions for Part 1, later, For otherF
entities, it is your employer identification number (EIN). If you do not have a number. see Now to get a L
77N, later.
or
Note. If the account is in more than one name, see the instructions for line 1. Also see What Name and 1E:1
Number To Give the Requester for guidelines on whose number to enter.
Ulm
Under penalties of perjury. I certify that:
number
� 010
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me): and
2.1 am not subject to backup wrthholding because: (a) I arm exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding-, and
3. 1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and dividends, you, a!,:aru*Y''red to'sign'the IertificaticioJigit you must provide your correct TIN. Seethe instructions for Part 11, later.
Sign Signature of
Here I U.S. person
General lni§`trmotions -"-
Section references are to the Intepriai Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to mvwJrs.gov1FdrmVV9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your social security number
(SSN), individual taxpayer identification number (ITIN), adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
* Form 1099 -INT (interest earned or paid)
Date 0, 3
'Zc7"1
* Form 1099 -DIV (dividends, including those from stocks or mutual
funds)
6 Form 1099-MISC (various types of income, prizes. awards, or gross
proceeds)
* Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might
be subject to backup withholding. See What is backup withholding.
later.
Cat. No. 10231X Form W-9 (Rev. 10-2018)
ATTACHMENT "A" PRICE PROPOSAL
IRFQ-20/21-104, Sign Shop Materials
I/we, the undersigned, as authorized signatory to commit the firm, do hereby accept in total all the terms and conditions stipulated and
referenced in this IRFQ document and do hereby agree that if a contract is offered or negotiated it will abide by the terms and conditions
presented in the IRFQ document or as negotiated pursuant thereto. The undersigned, hating familiarized hirn/herself with the terms
of the IRFQ documents, local conditions, and the cost of the work at the place(s) where the work is to be done, hereby proposes and
agrees to perform within the time stipulated, all work required in accordance with the requirement and technical specifications and
other documents including Addenda, if any, on file at the City of Sanford Purchasing Division for the price set forth herein in
Attachment "A" Offer to Purchase and Acceptance of Request for Quote Terms and Conditions. The signature(s) below are an
acknowledgment of my/our full understanding and acceptance of all the terms and conditions set forth in this IRFQ document or as
otherwise agreed to between the parties in writing.
Bidder/Contractor Name: O `r.+ As!2e°e�^lrg' ,zwe-
Mailing Address: A-0. RoX 4)1a L C9 dA7p,y 4V3lZ'R
Telephone Number:V ✓h,S'�3-.?3Fat Number: /r7 � a" t�drm E -ma s`"<�"��'t�.��tire�.s.�"�rw
ze Signato
Title
STATE OF'*G,4 .%
COUNTY OF
tkawt/-,.- mewelv4r
Printed Name
6ate
I HERESY CERTIFY that on this day, before mg, an officer duly authorized to administer oaths and
take acknowledgments, personally appearedri 'die~ °°'°'` ._ {who is personally known to
me or { } who produced as identification and acknowledged before me that
s/he executed t e same. Sworn and subscribed before me, by _ r�i- ��P,
by means of {4 physical presence or { } online notarization on the _L_ day of M 'r-ft20 X the said person
did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read the
foregoing and that the statements and allegations contained herein are true and correct.
WITNESS my hand and official seal in the County and State last aforesaid this day of .'rno"r* 20V.:2 c
(Notary Public in and for the County and State Aforementioned)
SEAL My commission expires:"
PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
Failure to submit this form may be grounds for disqu
bmittal
MELINDA THOMPSON
Notary Public, State of Ohio
My Commission Expires
February i2, 2023
GENERAL TER -NIS AND CONDITIONS - READ CAREFULLY
Questions relining to fliis Request for Quotation must be directed to the City of
Sanford, Purchasing Division. herein after referred to as "Cit)", at 407.688.5028
or ext. 5030.
RESERVED RIGHTS OF THE CITY
The City reserves the riQbt to w1ilateraliy cancel this Request for Quotation, at its
sole discretion,
AAMTTEN COMMUNICATIONS
The terms and conditions of this Request for Quotation shall not to be modified
verbally. All communication shall be in writing.
APPLICABLE LICENSING
The Vendor, at its sole expense, shall obtain all required federal, state, and local
licenses, occupational and ofliemvise. required to successfully provide the
goodsiservices set forth herein.
QUALITY
All materials or services flimished on this order must be as specified and subject to
City inspection within a reasonable time after delivery at destination. Variations
in materials or services from those specified in this order must not be made without
prior written authwin . from the ProcuremenrAdministrator. N-faterial rejected will
be returned and shall be done so at the vendor's sole risk and expense.
QUANTITY/PRICE
The quantity of materials ordered or the prices specified must not be exceeded
without written authority being first obtained from the Purchasing Division.
INDENENNITY
The Vendor hereby agrees to indertmify and save harmless the City, its officers,
agents and employees front and against any . mid all liability. claims, demands,
damages, fines, fees, expenses, penalties, suits, proceedings, actions, and cost of
actions, including attorney's fees for trial and on appeal, of any kind and nature
arising or grooving out of or in any way connected with the performance of this
Agreement whether by act or omission of the Vendor, its agents, servants,
employees, or others, or because of or due to the mere existence of this Agreement
between the parries,
PATENT/COPYRIGHT HOLD I-L41RMLESS
The Vendor shall pay all royalties and assume all costs arising from the use of any
invention, design, process, materials, equipment, product or device tkhicb is the
subject of patent rights or copyrights. Vendor shall. at it's own em.>-.nse, hold
harmless and defend the City against arty claim. suit or proceeding brought against
the City Nvhich is based upon claim. whether rightful or otherwise, that the goods
or services, or any part thereof, furnished tinder this Purchase Order, constitute an
infringement of any patent or copyright of the United States, The Vendor shall pay
all damages and costs awarded against the City
PACKING
If awarded a purchase order or Agreenient, all invoices and package lists must
clearly be marked with shippar*s name, address and Purchase Order Number.
Charges are not allowed for boxing. crating or special deliveries unless previously
agreed upon in writing,
DELIVERY
All materials mustbeshipped F.O.B. Destination. The City will not pay freight or
expense charges, ev.eptb,,- previous agreement. In the event of the City agreeing
toF.O.B. Shipping Point, the Vendor must PREPAY SHIPPING CHARGES AND
ADD TO INVOICE. Delivery must be affected within the time, stated on Purchase
Order. The City reserves die tight to cancel this order and purchase elsewhere if
the Vendor fails to meet the delivery date specified on Purchase Order, Deliveries
shall be made between 7:00AXI and 4:30P\f on regular working days unless
otherwise stated. Transport deliveries must be unloaded and ready for inspection
prior to 4:30P\I. In case of default by die Vendor. the City may procure the articles
or services covered by this order from other sources and hold the Vendor
responsible for any additional cost occasioned thereby.
MATERIAL SAFETY DATA SHEET
As necessary. the Vendor agrees to furnish the City with a current I.Vlatenial Safety
Data Sheet (NISDS) on or before delivery of each and everylia7ardous chemical or
substance purchased which is classified as toxic under' Chapter 422, Florida
Statutes. Appropriate labels and \ISDS's shall be provided for all shipments. Send
a copy offlie.\ISDS 's and other pertinent data to the City Purchasing Division and
include same with product deliver.
OSHA REQUIREMENT
The Vendor hereby guarantees the City that all materials, supplies, and equipment
as listed on time resulting Purchase Order shall meet the requirements, specifications
and standards as provided rider the U.S. Departine-rit ofLaborOccupational Safety
and Health Act of 1970, as from time to tine amended and in force at data hereof.
COMPLIANCE WITH LAWS, GUIDELINES, REGULATION'S
The Vendor, at its sole expense shall comp(' with all laws, ordinances, judicial
decisions, orders, and regulations of federal, state, county and municipal
governments, as well as their respective departments. commissions, boards, and
officers, iviiich are in effect at tile time of award or are adopted at any time
following the award,
ANN'ARD
The City reserves The right to reject any or all parts of this solicitation, waive
technicalities and to award to most responsive— responsible bidder, as in die best
interest of the City.
Failure of a Vendor that is awarded a Purchase Order to deliver according to the
Purchase Order or to comply will) any of the Terms and conditions therein may
disqualify the Vendor front receiving future orders.
PAY TENT TERMS
Payment terms are net 30 days upon delivery and acceptance. The City pays in
accordance with the Prompt Pa%nient Act — Section 218,70, Florida Statutes.
APPLICABLE LAW, VENUE AND JT,-RY TRIAL
The laws of the State of Florida shall govern all aspects of this order. In the event
it is necessary for either party to initiate legal action regarding this order, venue
shall lie in Seminole County. Florida, The parties hereby waive their fight to trial
by jury in any action, proceeding or claim. arising out of this order, which may be
brought by either of the parties hereto.
AUDITING, RECORDS AND INSPECTIONS
The Vendor shall keep books, records. and accounts of all activities, related to this
order, in compliance with generally accepted accounting procedures. If required,
books, records, and accounts related to the performance of this order shall be open
to inspection during regular business hours by im authorized representative of the
City and shall be retained by the Vendor, for a period of flirce (3) years after
termination or completion of the services or imfil the fill City audit is complete,
whichever comes first. the City shall retain the right to audit the books during the
three-year retention period. All books. records. and accounts related to the
performance of this order shall be subject to the applicable provisions of the Florida
Public Records Act, chapter 119, Florida Statutes. The Cityalso has the right to
conduct an audit withinsixty (60) days front the effective date of this order to
determine whether the Vendor has the ability to fulfill its contractual obligations to
the satisfaction of the Cit-. The City has the right to terminate this order based
upon the findings in this audit without regard to any notice requirement for
termination.
WARRANTY
The Vendor agrees to provide a full warranty to the City for all materials and
services which it provides hereunder for one fuil year following the date of delivery
or completion of services. In the event that die Vendor is called to perform
warranty work. the Vendor will be responsible for all costs incurred in repairing
the areas under warranty. If it is detennined that new problem areas have appeared
which were not areas repaired by the Vendor wider the Scope of Services set forth
herein, the City will be responsible for the costs incurred in repairing the new areas,
The manufacturer's warranty on materials received and installed shall extend for
the full warranty period.
INSURANCE
The Vendor shall have at a minimum the insurance limits listed hereunder; however
the City reserves the unilateral and sole ripalit to modify said limitstviten the type
of product or services requested merit a modification of the insurance limits listed
herein. The Vendor shall submit a copy of their Certificate of Liability Insurance
with their quote submittal,
GENERAL LIABILITY: S1,000.000.00
PROFESSIONAL LIABILITY: S 1.000.000.00 (only if professional services are to
be provided)
VEHICLE INSURA-NCE: 51.000.000.00 Combined Property & Bodily Injury
WORKER'S C0.14PE\SAT1ON: 51,000.000.00
PRODUCTS LIABILITY: 5I.000.000.00 (Daily if a product is being provided)
Upon award, the Vendor shall name City of Sanford as a Certificate Holder and/or
as additional insured and shall maintain the coverage limits set forth during the
entire term of performing services under this award.
NOTE: A -NY -VND, ALI, SPECIAL CONDITIONS ATTACHED HERETO
WHICH VARY FRONI THESE GENERAL CONDITIONS SHALL HAVE
PRECEDENCE,
Issued by: Finance/Ptu-chashil; Division
Sanford. Florida
IRFQ 2 012 1-10 4
Sign Shop Materiah,
Due Date: Nlarch23,2021
Exhibit "B"
Statement of "No Bid Submittal"
If you do not intend to submit on this requirement, please complete and return this form prior to date shown for receipt of proposals to:
City of Sanford.. Purchasing Division. 300 N. Park Avenue 2n' Floor Suite 236, Sanford., Florida 32771.
I/WE HAVE DECLINED TO SUBMIT A BID FOR IRFQ 20/21-104 Sign Shop Materials - for the following reason(s): [Please place
a check mark (V) next to the reason(s) as applicable]
Company Name:
Mailing Address:
Telephone Number:
Authorized Signatory
Title
IRFQ 20/2) -104 Sign Shop Materials
Fax Number:
Printed Name
Date
E-mail Address:
FEIN:
City of Sanford I Finance Department I Purchasing
Division
300 N. Park- Avenue 2nd Floor Suite 236 Sanford, Florida 32771
Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021
Solicitation
Number:
IRFQ 20/21-104
INFORMAL REQUEST FOR QUOTE (IRFQ)
Due Date:
TERM CONTRACT
March XX, 2021
TITLE: SIGN SHOP MATERIALS
Exhibit "B"
Statement of "No Bid Submittal"
If you do not intend to submit on this requirement, please complete and return this form prior to date shown for receipt of proposals to:
City of Sanford.. Purchasing Division. 300 N. Park Avenue 2n' Floor Suite 236, Sanford., Florida 32771.
I/WE HAVE DECLINED TO SUBMIT A BID FOR IRFQ 20/21-104 Sign Shop Materials - for the following reason(s): [Please place
a check mark (V) next to the reason(s) as applicable]
Company Name:
Mailing Address:
Telephone Number:
Authorized Signatory
Title
IRFQ 20/2) -104 Sign Shop Materials
Fax Number:
Printed Name
Date
E-mail Address:
FEIN:
Attachment "C"
Conflict of Interest Statement
A. lamthe of 8i alta; S_A-Sen4 with a local office inAS,64,r-? 2;;w.
[Insert itlel Insert Company Name]
and principal office in I-Qsft 0H
B. The entity hereby submits an offer to IRFQ 20/20-104 Sign Shop Materials,
C. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its M
knowledge.
D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and
time and that said above stated entity has no financial interest in other entities submitting a proposal for the work
contemplated hereby.
E. Neither the AFFIANT nor the above named entity has directly or indirectly entered into any agreement, participated in any
collusion or collusive activitv, or otherwise taken any action which in any way restricts or restraints the competitive nature of
this solicitation, including but not limited to the prior discussion of terms, conditions, pricing, or other offer parameters
required by this solicitation,
F. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from
participation in this solicitation or any contract to follow thereafter by any government entity.
G. Neither the entity nor its affiliates, nor anyone associated with them, have any potential conflict of interest because and due to
any other clients, contracts. or property interests in this solicitation or the resulting project.
H. I hereby also certify that no member of the entity's ownership or management or st.dT has a vested interest in any City
Division/Department/Office.
I. I certiA- that no member of the entity's ownership or management is presently applying, actively seeking, or has been
selected for an elected position within City of Sanford government.
J. In the event that a conflict of interest is identified in the provision of services. I. the undersigned AN -ill immediately notify the
City in writing.
By the signature(s) below. Uwe.. the undersigned, as authorized signatory to commit the firm, certiA. that the information as provided
in Attachrqenr_�Z", C-onflit—t—o--L'Intcrt&LSfatement, is truthful and correct at the time of submission.
:rr7
Typed Name of AFFIANT
W, I
IRFQ 20/21-104 Sign Shop Materials
City of Sanford I Finance Department I Purchasing
Solicitation
Division
300 N. Park Avenue 2nd Floor Suite 236 Sanford, Florida 32771
Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021
Number:
IRFQ 20/21-104
INFORMAL REQUEST FOR QUOTE (IRFQ)
Due Date:
TERM CONTRACT
March XX, 2021
TITLE: SIGN SHOP MATERIALS
Attachment "C"
Conflict of Interest Statement
A. lamthe of 8i alta; S_A-Sen4 with a local office inAS,64,r-? 2;;w.
[Insert itlel Insert Company Name]
and principal office in I-Qsft 0H
B. The entity hereby submits an offer to IRFQ 20/20-104 Sign Shop Materials,
C. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its M
knowledge.
D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and
time and that said above stated entity has no financial interest in other entities submitting a proposal for the work
contemplated hereby.
E. Neither the AFFIANT nor the above named entity has directly or indirectly entered into any agreement, participated in any
collusion or collusive activitv, or otherwise taken any action which in any way restricts or restraints the competitive nature of
this solicitation, including but not limited to the prior discussion of terms, conditions, pricing, or other offer parameters
required by this solicitation,
F. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from
participation in this solicitation or any contract to follow thereafter by any government entity.
G. Neither the entity nor its affiliates, nor anyone associated with them, have any potential conflict of interest because and due to
any other clients, contracts. or property interests in this solicitation or the resulting project.
H. I hereby also certify that no member of the entity's ownership or management or st.dT has a vested interest in any City
Division/Department/Office.
I. I certiA- that no member of the entity's ownership or management is presently applying, actively seeking, or has been
selected for an elected position within City of Sanford government.
J. In the event that a conflict of interest is identified in the provision of services. I. the undersigned AN -ill immediately notify the
City in writing.
By the signature(s) below. Uwe.. the undersigned, as authorized signatory to commit the firm, certiA. that the information as provided
in Attachrqenr_�Z", C-onflit—t—o--L'Intcrt&LSfatement, is truthful and correct at the time of submission.
:rr7
Typed Name of AFFIANT
W, I
IRFQ 20/21-104 Sign Shop Materials
STATE OF t 041'
COUNTY OF &40-ckr35
I HEREBY CERTIFY that on this day, before V, an officer duly a LJthor!;ed to administer oaths and
take acknowledgments, personally appeared f" 7774aWsyA� _{,(who is personally known to
me or () who produced as identification and acknowledged before me that
s/he executed t e same. Sworn and subscribed beforeme, by a
r4 7-rr-4-vw,*g
by rr executed
presence or online notarization on the 115101 day of
-A ow," 2W, the said person
did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read
the foregoing and that the statements and allegations contained herein are true and correct.
WITNESS my hand and official seal in the County and State last aforesaid this W"day of Agr,01 . ............. . . 2076..21
- VZ4;;04r-
(Notary Public in and for thgdounty and State Aforementioned)
SEAL My commission expires: Ix -/.a
PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
**Failure to submit this form may be grounds for disqualification of your submittal -0
IRFQ 20/21-104 Sip Shop NNIatetials
MELINDA THOMPSON
Notary Public, State of Ohio
My Commission Expires
February 12, 2023
City of Sanford I Finance Department I Purchasing
Solicitation
Division
300 N. Park Avenue 2"" Floor Suite 236 Sanford, Florida 32771
Number:
Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021
IRFQ 20/21-104
INFORMAL REQUEST FOR QUOTE (IRFQ)
Due Date:
TERM CONTRACT
March XX, 2021
TITLE: SIGN SHOP MATERIALS
STATE OF t 041'
COUNTY OF &40-ckr35
I HEREBY CERTIFY that on this day, before V, an officer duly a LJthor!;ed to administer oaths and
take acknowledgments, personally appeared f" 7774aWsyA� _{,(who is personally known to
me or () who produced as identification and acknowledged before me that
s/he executed t e same. Sworn and subscribed beforeme, by a
r4 7-rr-4-vw,*g
by rr executed
presence or online notarization on the 115101 day of
-A ow," 2W, the said person
did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read
the foregoing and that the statements and allegations contained herein are true and correct.
WITNESS my hand and official seal in the County and State last aforesaid this W"day of Agr,01 . ............. . . 2076..21
- VZ4;;04r-
(Notary Public in and for thgdounty and State Aforementioned)
SEAL My commission expires: Ix -/.a
PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
**Failure to submit this form may be grounds for disqualification of your submittal -0
IRFQ 20/21-104 Sip Shop NNIatetials
MELINDA THOMPSON
Notary Public, State of Ohio
My Commission Expires
February 12, 2023
Attachment I'D"
1. If and when the City of Sanford transmits records to the ContractorNendor which are exempt from public
disclosure, the ContractorNendor shall execute an "Acknowledgement of Receipt of Exempt Public Records and
Agreement to Safeguard" which will be provided with the exempt records. A sample form is attached for the
bidder/proposers information.
11. Upon award recommendation or 30 days after opening, it is understood that all submittals shall become "public
records" and shall be subject to public disclosure consistent with Chapter 119, Florida Statutes, and Section 24(a), Article
I of the Constitution of the State of Florida, and other controlling law (collectively the "Public Records Laws"). If the
City of Sanford (City) rejects all replies submitted in response to a competitive solicitation and provides notice of its
intent to reissue the solicitation, the replies remain exempt from disclosure until the City provides a notice of intent to
award or withdraws the reissued solicitation. If no award is made, responses are not exempt for longer than 12 months
after the initial notice rejecting all responses.
Proposers/Bidders must invoke the exemptions to disclosure provided by law as applicable to the response to the
solicitation, must identif- the data or other materials to be protected, and must state the reasons why such exclusion from
public disclosure is necessary. The submission of a proposal authorizes release of your firm's credit data to the City.
If a Proposer/Bidder submits information exempt from public disclosure, the Proposcaidder must specifically and in
detail identif%, with specificity- which pages/paragraphs of their bid/proposal package are exempt from the Public Records
specificLaws, identifi-ing the specific exemption under the Public Records Laws that applies to each. The protected information
must be submitted to the City in a separate envelope marked accordingly.
By submitting a response to this solicitation, the Proposer/Bidder agrees to defend, indemnifil and hold the City harmless
in the event the City litigates theP ublic records status of the Proposer's/Bidder's documents this provision including the
obligation to pay the full legal costs of the City including, but not limited to, attorney's fees, court costs, and any and all
other charges, regardless of what level of trial or appeal.
(Affiant) Date
Printed or Typed Name and Title of Authorized Representative (Affiant)
IRrQ 20/21-104 Sign Shop Materials
City of Sanford I Finance Department I Purchasing
Solicitation
Division
300 N. Park Avenue 2nd Floor Suite 236 Sanford, Florida 32771
Number:
Phone: 407.688.5028 or 50301 Fax: 407.688.5021
IRFQ 20/21-104
INFORMAL REQUEST FOR QUOTE (IRF()
Due Date:
TERM CONTRACT
March XX, 2021
TITLE: SIGN SHOP MATERIALS
Attachment I'D"
1. If and when the City of Sanford transmits records to the ContractorNendor which are exempt from public
disclosure, the ContractorNendor shall execute an "Acknowledgement of Receipt of Exempt Public Records and
Agreement to Safeguard" which will be provided with the exempt records. A sample form is attached for the
bidder/proposers information.
11. Upon award recommendation or 30 days after opening, it is understood that all submittals shall become "public
records" and shall be subject to public disclosure consistent with Chapter 119, Florida Statutes, and Section 24(a), Article
I of the Constitution of the State of Florida, and other controlling law (collectively the "Public Records Laws"). If the
City of Sanford (City) rejects all replies submitted in response to a competitive solicitation and provides notice of its
intent to reissue the solicitation, the replies remain exempt from disclosure until the City provides a notice of intent to
award or withdraws the reissued solicitation. If no award is made, responses are not exempt for longer than 12 months
after the initial notice rejecting all responses.
Proposers/Bidders must invoke the exemptions to disclosure provided by law as applicable to the response to the
solicitation, must identif- the data or other materials to be protected, and must state the reasons why such exclusion from
public disclosure is necessary. The submission of a proposal authorizes release of your firm's credit data to the City.
If a Proposer/Bidder submits information exempt from public disclosure, the Proposcaidder must specifically and in
detail identif%, with specificity- which pages/paragraphs of their bid/proposal package are exempt from the Public Records
specificLaws, identifi-ing the specific exemption under the Public Records Laws that applies to each. The protected information
must be submitted to the City in a separate envelope marked accordingly.
By submitting a response to this solicitation, the Proposer/Bidder agrees to defend, indemnifil and hold the City harmless
in the event the City litigates theP ublic records status of the Proposer's/Bidder's documents this provision including the
obligation to pay the full legal costs of the City including, but not limited to, attorney's fees, court costs, and any and all
other charges, regardless of what level of trial or appeal.
(Affiant) Date
Printed or Typed Name and Title of Authorized Representative (Affiant)
IRrQ 20/21-104 Sign Shop Materials
City of Sanford I Finance Department ( Purchasing
Division
300 N. Park Avenue 2nd Floor Suite 236 Sanford, Florida 32771
s Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021
INFORMAL REQUEST FOR QUOTE (IRFQ)
TERM CONTRACT
TITLE: SIGN SHOP MATERIALS
STATE OF - - ,►
COUNTY
Solicitation
Number:
IRFQ 20/21-104
Due Date:
March XX, 2021
I HEREBY CERTIFY that on this day, before me, an officer duly authori ed to administer oaths and
take acknowledgments, personally appeared 21-64 1* who is personally known to
me or {} who produced as identification and acknowledged before me that
s/he executed t same. Sworn and subscribed before me, by cjr'0 Pljrr�r
r "qeta✓4-f
by means of ¢l physics( presence or { }online notarization on the day of &ogee^ 20W, the said person
did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read
the foregoing and that the statements and allegations contained herein are true and correct.
WITNESS my hand and official seal in the County and State last aforesaid thisAday of tnoseA 20';21
(Notary Public in and for the County and State Aforementioned)
SEAL- My commission expires:
PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
'*`Failure to submit this form may be grounds for disqualification of your submittal"v
` r
$'' r MELINDA THOMPSON
c%taryPublic, State of ohlo
MY Commission Expires
February 12, 2023
11try GUIG 1-1u9 �iignn z5hop Materials
I I Ak;H ENT "Eii
E -VERIFY COMPLIANCE AFFIDAVIT
The Affiant identified below attests and agrees to the following:
That the Contractor is currently in compliance with and throughout the term of the above identified
project and will remain in compliance with all controlling law requiring the use of the Department of
Homeland Security's Status Verification ('E -Verify") System to ensure that all employees of the
Contractor and the Contractor's subcontractors performing work under the above -listed Contract are
legally permitted to work in the United States,
2. Each Contractor that performs work under the Project referenced above shall provide the City of
Sanford, Florida, a copy of the "Edit Company Profile" screen and any other information required by the
City proving, to the satisfaction of the City, enrollment in the E -Verify Program and compliance with
controlling law.
3. The Contractor will register and participate in the work status verification for all newly hired employees
of the Contractor and for all subcontractors performing work on the above-named Contract,
4. The Contractor agrees to maintain records of its compliance with the verification requirements as
outlined in this Affidavit and, upon request of the any authority having jurisdiction over the Project,
including, but not limited to, the United States government and the State of Florida, as well as any and
all law enforcement agencies of whatever jurisdiction, type of nature, and to provide a copy of each
such verification to that authority as well as the City.
5. That all persons assigned by the Contractor or its subcontractors to perform work under the above
identified Project will meet the employment eligibility requirements as established by the Federal
Government and the government of the State of Florida.
6. That the Contractor understands and agrees that its failure to comply with the verification requirements
as set forth herein or its failure to ensure that all employees and subcontracts performing work under
the above -identified Project are legally authorized to work in the United States and the State of Florida
constitute a breach of contract for which the City may immediately terminate the Contract with the City
without notice and without penalty. The Contractor further understands and agrees that in the event of
such termination, the Contractor shall be liable to the City for any and all costs incurred by the City, in
any context whatsoever, as a result of the Contractors breach,
7. The Contractor shall obtain and maintain current affidavits providing proof, to the satisfaction of the
City, that each subcontractor has complied with the requirements set forth herein and all controlling law.
8. Specifically, with regard to employment eligibility, the Contractor recognizes and agrees that, upon
entering a Contract with the City (to include, but not be limited to, the provision of goods or services
under a City purchase order or work order), that the Contractor is obligated to comply with the
provisions of Section 448,095, Florida Statutes, entitled "Employment Eligibility", which obligation
includes, but is not limited to, utilization of the E -Verify System to verify the work authorization status of
all newly hired employees, and requiring all subcontractors to provide an affidavit attesting that the
subcontractor does not employ, contract with, or subcontract with, an unauthorized alien. Failure of the
Contractor to comply will lead to termination of the Contract with the City, or if a subcontractor
IRFQ 20/21-104 Sign Shop Materials,
City of Sanford I Finance Department I Purchasing
Division
Solicitation
300 N. Park Avenue 2nd Floor Suite 236 Sanford, Florida 32771
Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021
Number:
IRFQ 20/21-104
INFORMAL REQUEST FOR QUOTE (IRFQ)
Due Date:
TERM CONTRACT
March XX, 2021
TITLE: SIGN SHOP MATERIALS
I I Ak;H ENT "Eii
E -VERIFY COMPLIANCE AFFIDAVIT
The Affiant identified below attests and agrees to the following:
That the Contractor is currently in compliance with and throughout the term of the above identified
project and will remain in compliance with all controlling law requiring the use of the Department of
Homeland Security's Status Verification ('E -Verify") System to ensure that all employees of the
Contractor and the Contractor's subcontractors performing work under the above -listed Contract are
legally permitted to work in the United States,
2. Each Contractor that performs work under the Project referenced above shall provide the City of
Sanford, Florida, a copy of the "Edit Company Profile" screen and any other information required by the
City proving, to the satisfaction of the City, enrollment in the E -Verify Program and compliance with
controlling law.
3. The Contractor will register and participate in the work status verification for all newly hired employees
of the Contractor and for all subcontractors performing work on the above-named Contract,
4. The Contractor agrees to maintain records of its compliance with the verification requirements as
outlined in this Affidavit and, upon request of the any authority having jurisdiction over the Project,
including, but not limited to, the United States government and the State of Florida, as well as any and
all law enforcement agencies of whatever jurisdiction, type of nature, and to provide a copy of each
such verification to that authority as well as the City.
5. That all persons assigned by the Contractor or its subcontractors to perform work under the above
identified Project will meet the employment eligibility requirements as established by the Federal
Government and the government of the State of Florida.
6. That the Contractor understands and agrees that its failure to comply with the verification requirements
as set forth herein or its failure to ensure that all employees and subcontracts performing work under
the above -identified Project are legally authorized to work in the United States and the State of Florida
constitute a breach of contract for which the City may immediately terminate the Contract with the City
without notice and without penalty. The Contractor further understands and agrees that in the event of
such termination, the Contractor shall be liable to the City for any and all costs incurred by the City, in
any context whatsoever, as a result of the Contractors breach,
7. The Contractor shall obtain and maintain current affidavits providing proof, to the satisfaction of the
City, that each subcontractor has complied with the requirements set forth herein and all controlling law.
8. Specifically, with regard to employment eligibility, the Contractor recognizes and agrees that, upon
entering a Contract with the City (to include, but not be limited to, the provision of goods or services
under a City purchase order or work order), that the Contractor is obligated to comply with the
provisions of Section 448,095, Florida Statutes, entitled "Employment Eligibility", which obligation
includes, but is not limited to, utilization of the E -Verify System to verify the work authorization status of
all newly hired employees, and requiring all subcontractors to provide an affidavit attesting that the
subcontractor does not employ, contract with, or subcontract with, an unauthorized alien. Failure of the
Contractor to comply will lead to termination of the Contract with the City, or if a subcontractor
IRFQ 20/21-104 Sign Shop Materials,
City of Sanford I Finance Department I Purchasing
Division Solicitation
300 N. Park Avenue 2-1 Floor Suite 236 Sanford, Florida 32771 Number:
Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 Q 20/21-104
INFORMAL REQUEST FOR QUOTE (IRFQ) Due Date:
TERM CONTRACT March XX, 2021
TITLE. SIGN SHOP MATERIALS
knowingly violates the statute, the Contractor must immediately terminate their subcontract with the
subcontractor. Any challenge to termination under this provision must be filed in the Circuit Court no
later than 20 calendar days after the date of termination. If the Contract with the City is terminated for a
violation of the statute by the Contractor, the Contractor may not be awarded a public contract for a
period of 1 year after the date of termination and the City will advise any person desiring to be advised
of such termination and make such termination a public record available under controlling law for
inspection and copying and otherwise available as the City determines in its sole discretion.
9. That for the purposes of this Affidavit, the following definitions apply:
"Employee" —Any person who is hired to perform work in the State of Florida.
"Status Verification System" — The procedures developed under the Illegal Immigration Reform and
Immigration Responsibility Act of 1996, as amended, implemented by the United Stated Department of
Homeland Security, or its successor or associated agency, and known as the "-Verify Program", or
any successor electronic verification system that may replace the E -Verify program.
"Subcontractor"— Any person or entity, whether a subvendor/subcontractor/subconsultant, by whatever
name or type or description, assisting the Contractor in the performance of the Contract with the City,
10. The obligations set forth herein are continuing in nature, type, effect and scope.
11. The undersigned signatory, under penalty of perjury, affirms that she/he has the plenary authority to
bind the Contractor to the provisions hereof.
presentative (Affiant)
Printed or Typed Name
COUNTY OF ,i"YC�:'R,'n
Date
I HEREBY CERTIFY that on this day, before me, an officer duly auth rized to administer oaths and
take acknowledgments, personally appeared e -40•4's' 7Zrm{who is personally known to me
or { ) who produced as identification and swore and acknowledged before me,
under o th, that s/he executed the same. Sworn and� ubscribed before me, by
by means of {physical presence or { }online
notarization on the day of w. -car , 2021, the said person did take an oath and was first duly
sworn by me, on oath, said person, further, deposing and saying that s/her has read the foregoing and that the
statements contained herein all of which are true and correct,
a z 4v 4 1' L — ng ii onop ma[enals
IRFQ 20/21-104 Sign Shop Materials
300 N. Park Avenue 2"d
Floor Suite 236 Sanford, Florida 32771
Phone: 407.688.5028 or 5030 1 Fax: 407.688,5021 IRFQ 20/21-104
INFORMAL REQUEST FOR QUOTE (IRFQ) Due Date:
L TERM CONTRACT March XX, 2021
1 TITLE: SIGN SHOP MATERIALS
WITNESS my hand and official seal in the County and State last aforesaid this day of M^Ieh
2021
(Notary Public in and for the County and State Aforementioned)
SEAL
My commission expires:
w,Failure to submit this form may be grounds for disqualification of your submittalo
END OF SECTION
IAI'S '!
_ el
"
.e
MELINDA 11-iOMPSON
Notary Public, State of Ohio
My Commission ExWes
Februaly 92, 2023
City of Sanford I Finance Department I Purchasing Solicitation
Division Number:
300 N. Park Avenue 2"d
Floor Suite 236 Sanford, Florida 32771
Phone: 407.688.5028 or 5030 1 Fax: 407.688,5021 IRFQ 20/21-104
INFORMAL REQUEST FOR QUOTE (IRFQ) Due Date:
L TERM CONTRACT March XX, 2021
1 TITLE: SIGN SHOP MATERIALS
WITNESS my hand and official seal in the County and State last aforesaid this day of M^Ieh
2021
(Notary Public in and for the County and State Aforementioned)
SEAL
My commission expires:
w,Failure to submit this form may be grounds for disqualification of your submittalo
END OF SECTION
IAI'S '!
_ el
"
.e
MELINDA 11-iOMPSON
Notary Public, State of Ohio
My Commission ExWes
Februaly 92, 2023
City of Sanford I Finance Department I Purchasing Solicitation
Division Number:
Attachment "F"
Americans With Disabilities Act Affidavit
By executing this Certification, the undersigned CONTRACTOR certifies that the information herein contained is true
and correct and that none of the information supplied was for the purpose of defrauding the City of Sanford (CITY).
The CONTRACTOR will not discriminate against any employee or applicant for employment because of physical or
mental handicap in regard to any position for which the employee or applicant for employment is qualified. The
CONTRACTOR agrees to comply with the rules, regulations and relevant orders issued pursuant to the Americans with
Disabilities Act (AFA), 42 USC s. 12101 et seq. It is understood that in no event shall the CITY be held liable for the
actions or omissions of the CONTRACTOR or any other party or parties to the Agreement for failure to comply with the
ADA. The CONTRACTOR agrees to hold harmless and indemnif}, the CITY, its agents, officers or employees from any
and all claims, demands, debts, liabilities or causes of action of every kind or character, whether in law or equity, resulting
from the CONTRACTOR's acts or omissions in connection with the ADA.
Printed or Typed Name and Title 6f Authorized Representative (Affiant)
STATE OF F6GRfDA 044A0
COUNTY OF Z&4h/**j
I HEREBY CERTIFY that on this day, before me an offi er duly authorized to administer oaths and
take acknowledgments, personally appeared Wwho is personally known to
me or {) who produced as identifigation and acknowledged before me that
s/he executedtpe same. Sworn and subscribed before me, by J&0,141f4le :
by means of f4 physical presence or { } online notarization on the 181'" day of 20 , the said person
did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read
the foregoing and that the statements and allegations contained herein are true and correct.
WITNESS my hand and official seat in the County and State last aforesaid this 11fkday of19t reh 207 W-21
_
11Z4 � Q I A$
(Notary Public in and for the County and St
MELINDA THOMPSON
SEAL IiO - 42 -12 1?
My commission expires,
NOW Public, state of Ohio
My Corritnissim Expires
PLEASE COMPLETE AND SUBMIT WITH YO
Feb;M 12,2023
IrFailure to submit this form may be grounds for disqualify`mittalO
IRFQ 20/21-104 Sign Shop MauTials
City of Sanford I Finance Department I Purchasing
Division
Solicitation
300 N. Park Avenue 201 Floor Suite 236 Sanford, Florida 32771
Phone: 407.688.5028. or 5030 1 Fax: 407.688.5021
Number:
MFQ 20/21-104
INFORMAL REQUEST FOR QUOTE (IRFQ)
Due Date:
TERM CONTRACT
March XX, 2021
TITLE: SIGN SHOP MATERIALS
Attachment "F"
Americans With Disabilities Act Affidavit
By executing this Certification, the undersigned CONTRACTOR certifies that the information herein contained is true
and correct and that none of the information supplied was for the purpose of defrauding the City of Sanford (CITY).
The CONTRACTOR will not discriminate against any employee or applicant for employment because of physical or
mental handicap in regard to any position for which the employee or applicant for employment is qualified. The
CONTRACTOR agrees to comply with the rules, regulations and relevant orders issued pursuant to the Americans with
Disabilities Act (AFA), 42 USC s. 12101 et seq. It is understood that in no event shall the CITY be held liable for the
actions or omissions of the CONTRACTOR or any other party or parties to the Agreement for failure to comply with the
ADA. The CONTRACTOR agrees to hold harmless and indemnif}, the CITY, its agents, officers or employees from any
and all claims, demands, debts, liabilities or causes of action of every kind or character, whether in law or equity, resulting
from the CONTRACTOR's acts or omissions in connection with the ADA.
Printed or Typed Name and Title 6f Authorized Representative (Affiant)
STATE OF F6GRfDA 044A0
COUNTY OF Z&4h/**j
I HEREBY CERTIFY that on this day, before me an offi er duly authorized to administer oaths and
take acknowledgments, personally appeared Wwho is personally known to
me or {) who produced as identifigation and acknowledged before me that
s/he executedtpe same. Sworn and subscribed before me, by J&0,141f4le :
by means of f4 physical presence or { } online notarization on the 181'" day of 20 , the said person
did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read
the foregoing and that the statements and allegations contained herein are true and correct.
WITNESS my hand and official seat in the County and State last aforesaid this 11fkday of19t reh 207 W-21
_
11Z4 � Q I A$
(Notary Public in and for the County and St
MELINDA THOMPSON
SEAL IiO - 42 -12 1?
My commission expires,
NOW Public, state of Ohio
My Corritnissim Expires
PLEASE COMPLETE AND SUBMIT WITH YO
Feb;M 12,2023
IrFailure to submit this form may be grounds for disqualify`mittalO
IRFQ 20/21-104 Sign Shop MauTials
Attachment "G11
Addendum Receipt Acknowledgement Certification
The undersigned acknov,-ledges receipt of the following addenda to the solicitation document(s) (Give number and date of each):
Addendum No.
Addendum No.
Addendum No
Addendum No.
Addendum No.
Dated:
Dated:
Dated:
Dated:
Dated:
By the signatwe(s) below. Uwe, the undersigned, as authorized signatory to commit the firm. certiA- that the information as provided
in Attachment "G1', Addendum Receipt Acknowledgement Certification, is truthful and correct at the time of submission.
Bidder/Contractor Name: 4'�-Sbw-4 As-ce--A�4-11X Zle-
Mailing Address: ALI. Aox 91;2 /—.Oj4a 01-1 .q3138
Telephone Number: 6N*V3-81q 17 Fax Number nyo)395-1940140 E-niii Address:,
V
Title
Printed Name
*Date
PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
Failure to submit this form may be grounds for disqualification of your submittalov
IRFQ 20/21-104 Sign Sliop Materials
City of Sanford I Finance Department I Purchasing
Solicitation
Division
300 N. Park Avenue 201 Floor Suite 236 Sanford, Florida 32771
Number:
Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021
IRFQ 20/21-104
INFORMAL REQUEST FOR QUOTE (IRFQ)
Due Date:
TERM CONTRACT
March XX, 2021
TITLE: SIGN SHOP MATERIALS
Attachment "G11
Addendum Receipt Acknowledgement Certification
The undersigned acknov,-ledges receipt of the following addenda to the solicitation document(s) (Give number and date of each):
Addendum No.
Addendum No.
Addendum No
Addendum No.
Addendum No.
Dated:
Dated:
Dated:
Dated:
Dated:
By the signatwe(s) below. Uwe, the undersigned, as authorized signatory to commit the firm. certiA- that the information as provided
in Attachment "G1', Addendum Receipt Acknowledgement Certification, is truthful and correct at the time of submission.
Bidder/Contractor Name: 4'�-Sbw-4 As-ce--A�4-11X Zle-
Mailing Address: ALI. Aox 91;2 /—.Oj4a 01-1 .q3138
Telephone Number: 6N*V3-81q 17 Fax Number nyo)395-1940140 E-niii Address:,
V
Title
Printed Name
*Date
PLEASE COMPLETE AND SUBMIT WITH YOUR IRFQ RESPONSE
Failure to submit this form may be grounds for disqualification of your submittalov
IRFQ 20/21-104 Sign Sliop Materials