The URL can be used to link to this page

2491 RFP 22/23-15 Homeowner Occupied Minor Home Repairs LMCC Specialty Contractors0;� CITNY i SAFORD FINANCE DEPARTMENT Tuesday, June 27, 2023 PURCHASING DEPARTMENT TRANSMITTAL MEMORANDUM To: City Clerk/Mayor RE: RFP 22/23-15 Homeowner Occupied Minor Home Repairs LMCC Specialty Contractors 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: Safe Keeping. G� Kai4z r 612712023 From Date TADept_forms\City Clerk Transmittal Memo - 2009.doc AGREEMENT BETWEEN THE CITY OF SANFORD AND L.M.C.C. SPECIALTY CONTRACTORS, INC.; RFP 22123-15 HOMEOWNER OCCUPIED MINOR HOME REPAIRS THIS AGREEMENT (hereinafter the "Agreement") is made and entered into this 47 day of , 2023, 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 L.M.C.C. Specialty Contractors, Inc., a Florida corporation, whose principal address is 119 South Pinehills Road, Orlando, Florida 32811 and whose mailing address is Post Office Box 681554, Orlando, Florida 32868-1554, (hereinafter referred to as "L.M.C.C."). The City and L.M.C.C. 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. 11I'a-,e Section 3. Scope of Agreement; Direction of the Provision of Goods and Services. (a). This Agreement is for the provision of goods and services set forth in the attachments hereto and L.M.C.C. agrees to accomplish the provision of goods and services specified in the attachments for the compensation set forth in those documents relating to the provision of the goods and services relating to homeowner occupied minor home repairs services as may be agreed upon by the parties as set forth in issued work/purchase orders. (b). It is recognized that L.M.C.C. 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: Marisol Ordonez Purchasing Manager City of Sanford, Purchasing Division City of Sanford Post Office Box 1788 Sanford, Florida 32772-1788 Phone: 407.688.5028 Section 4. Effective Date and Term of Agreement. This Agreement shall take effect on the date that this Agreement is fully executed by the parties hereto. This Agreement shall be in effect for a term of 1 year with the opportunity for 4 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. L.M.C.C. shall review the quality and status of the goods and 211 jc services relating to the provision of the goods and services relating to homeowner occupied minor home repairs services 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 L.M.C.C. to the City under each work order have been fully provided in accordance with the requirements of the City; provided, however, that, the indemnification provisions and insurance provisions of the standard contractual terms and conditions referenced herein shall not terminate and the protections afforded to the City shall continue in effect subsequent to such goods and services being provided by L.M.C.C.. No goods, services or actions have been provided prior to the execution of this Agreement that would entitle L.M.C.C. for any compensation therefor. Section 5. Compensation. The parties agree to compensation as set forth in the attachments hereto as implemented by means of work/purchase orders issued by the City. 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 on the City's website, which can be reached at: www.SanfordFL.gov. The parties shall also be bound by the purchasing policies and procedures of the City as well as the controlling provisions of Florida law. Work/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. L.M.C.C. shall be deemed to have undertaken its obligation to be fully informed of, and understand, all such provisions. 31i'11L` Section 7. L.M.C.C.'s Mandatory Compliance with Chapter 119, Florida Statutes, and Public Records Requests. (a). In order to comply with Section 119.070 1, Florida Statutes, public records laws, L.M.C.C. must: (1). Keep and maintain public records that ordinarily and necessarily would be required by the City in order to provide goods or perform services. (2). 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 L.M.C.C. 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 L.M.C.C. does not comply with a public records request, the City shall enforce the contract provisions in accordance with this Agreement. (c). Failure by L.M.C.C. to grant such public access and comply with public records requests shall be grounds for immediate unilateral cancellation of this Agreement by the City. L.M.C.C. shall promptly provide the City with a copy of any 411'a request to inspect or copy public records in possession of L.M.C.C. and shall promptly provide the City with a copy of L.M.C.C.'s response to each such request. (d). IF THE CONTRACTORIVENDOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S (VENDOR'S) DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, 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@SAN FORDFL.GOV. Section 8. Time is of the Essence. Time is hereby declared of the essence as to the lawful performance of all duties and obligations set forth in this Agreement. Section 9. Entire Agreement/Modification. This Agreement, together with all "Standard Contractual Terms and Conditions", as provided on the City's website and the attachments hereto (the documents relative to the procurement activity of the City leading to the award of this Agreement) constitute the entire integrated agreement between the City and 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 L.M.C.C. issues a purchase order, memorandum, letter, or any other instrument addressing the goods or services, work, and materials to be provided and performed pursuant to this Agreement, it is hereby specifically agreed and understood that any such purchase order, memorandum, letter, or other instrument shall have no effect on this Agreement unless 51 1).. 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. 61 1) Section 14. Binding Effect. This Agreement shall be binding upon and inure to the benefit of the successors in interest, transferees and assigns of the parties. Each party hereto represents to the other that it has undertaken all necessary actions to execute this Agreement, and that it has the legal authority to enter into this Agreement and to undertake all obligations imposed on it. The signatories hereof represent that they have the requisite and legal authority to execute this Agreement and bind the respective parties herein. Section 15. Remedies. The rights and remedies of the parties, provided for under this Agreement, are in addition to any other rights and remedies provided by law or otherwise necessary in the public interest. Section 16. Governing law, Venue and Interpretation. This Agreement is to be governed by the laws of the State of Florida. Venue for any legal proceeding 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 L.M.C.C., 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. Section 17. Conditions of Grants or Funding; ARPA Contingency; Pricing. L.M.C.C. shall afford most favored customer/nation pricing to the City and, to the extent necessary for the City to comply with controlling law or the conditions of grants (such as, but not limited to, the Community Development Block Grant 71P�,-- program) or funding from other governmental agencies or entities, agree to contract terms and conditions required from or by said grants or funding sources. L.M.C.C. agrees to perform consistent with those provisions of controlling law as if mandatory contractual provisions of grantor agencies or entities were a part of this Agreement. This Section shall be deemed to include, but not be limited to, the provisions of the American Rescue Plan Act to the extent that the provisions of that Federal law may apply to the provision of goods and services under the provisions of this Agreement. IN WITNESS WHEREOF, the City and L.M.C.C. have executed this instrument for the purpose herein expressed and L.M.C.C. represents and affirms that the signatories below have full and lawful authority to bind L.M.C.C. in every respect. SIGNATURE BLOCKS FOLLOW: ATTEST. L.M.C.C. SPECIALTY CONTRACTORS, INC., a Florida corporation. Witn ` s Signature L ndellj. Mims Printed Name: c�N�� 1'I�I G %- Sole Corporate Officer. Date:C.�a� 1,n o ATTEST.• L V �10ULMW OEM Traci Houchin, MMC, FCRM (PIR, I� City Clerk Approved as to form and legal sufficiency William L. Colbert City Attorney 81 I'd CITY OF SANFORD 0MV0 i, O Li•• Y.:. , ., EXHIBIT "B" INSURANCE REQUIREMENTS (1) L.M.C.C. shall obtain or possess and continuously maintain the following insurance coverage, from a company or companies, with a Best Rating of A- or better, authorized to do business in the State of Florida and in a form acceptable to the City and with only such terms and conditions as may be acceptable to the City unless the bid documents exclude or include certain types of insurance coverage or the level of coverage: (a) Workers Compensation/Employer Liability: L.M.C.C. shall provide Worker's Compensation for all employees. The limits will be statutory limits for Worker's Compensation insurance and $3,000,000 for Employer's Liability. (b) Comprehensive General Liability: L.M.C.C. shall provide coverage for all operations including, but not limited to, contractual, products, complete operations, and personal injury. Commercial General Liability is to include premises/operations liability, products and completed operations coverage, and independent vendor's liability or owner's and vendor's protective liability. The limits will not be less than $2,000,000 Combined Single Limit (CDL) or its equivalent. (c) Comprehensive Automobile Liability: L.M.C.C. shall provide complete coverage for owned and non -owned vehicles for limits not less than $2,000,000 CSL or its equivalent. (d) Professional Liability: L.M.C.C. shall provide coverage for all professional services performed. The limits will not be less than $2,000,000 CSL or its equivalent. (e) Sex Abuse Liability: L.M.C.C. shall provide coverage with limits not less than $1,000,000 CDL or its equivalent. (2) All insurance other than Workers Compensation to be maintained by L.M.C.C. shall specifically include the City as an additional insured. (3) For additional insurance requirements reference is made to the requirements shown in the "Standard Contractual Terms and Conditions," as provided on the City's website, which website can be reached and accessed, as well as said terms and conditions reviewed, at: www.SanfordFL.gov. 91i'a_. 4l�t FORA CITY COMMISSION MEMORANDUM 23.1 1 O.L JUNE 26, 2023 AGENDA WS_ RMx Item No." To: Honorable Mayor and Members of the City Commission PREPARED BY: Nicole Osburn, Comm. Relations & Neighborhood Eng SUBMITTED BY: Norton N. Bonaparte, Jr., ICMA-CM, City a SUBJECT: RFP 22/23-15 Homeowner Occupied Min Home Repa STRATEGIC PRIORITIES: ❑ Unify Downtown & the Waterfront ❑ Promote the City's Distinct Culture ❑ Update Regulatory Framework ❑ Redevelop and Revitalize Disadvantaged Communities SYNOPSIS: Approve the procurement to LMCC Specialty Contractors dba: Mims Construction and DSW Homes, LLC under RFP 22/23-15 for Homeowner Occupied Minor Home Repairs is requested. FISCAL/STAFFING STATEMENT: Funding for the procurement of the contractor, LMCC Specialty Contractors dba: Mims Construction and DSW Homes, LLC will come from The U.S. Department of Housing and Urban Development (HUD) for Program Years 2017 — 2020 (accrued balance of unspent funds for housing programs). To be more specific the funding breakdown as follows from PY 2017 $6,296; PY 2018 $11,539; PY 2019 $4,324 and from PY 2020 $237,598. BACKGROUND: The City processed a new solicitation RFP 22/23-15, Homeowner Occupied Minor Home Repairs and received five solicitations. After reviewing the vendors documentation only two were selected. LMCC Specialty Contractors dba: Mims Construction and DSW Homes, LLC., were the most responsive and quality bidders to complete the project. The purpose of the solicitation is to have multiple vendors to compete against each other for the projects. LEGAL REVIEW: The Assistant City Attorney has reviewed and has no legal objection with the procurement being implemented as proposed. The appropriate contracts will be processed upon action by the City Commission. RECOMMENDATION: City staff recommends that the City Commission approve the procurement to LMCC Specialty Contractors dba: Mims Construction and DSW Homes, LLC. under solicitation RFP 22/23-15 Homeowner Occupied Minor Home Repairs. SUGGESTED MOTION: "I move to approve the procurement to LMCC Specialty Contractors dba: Mims Construction and DSW Homes, LLC. under solicitation RFP 22/23-15 Homeowner Occupied Minor Home Repairs". Attachments: (1). RFP 22/23-15 Agreements. (2). Bid opening certification minutes, etc. (3). Solicitation Tabulation Sheet (4) LMCC Specialty Contractors dba: Mims Construction and DSW Homes, LLC. Solicitation is available in the City Clerk's Office. June 8, 2023 o4�ANFO� ��O • BID TABULATION SHEET Solicitation: RFP 22/23-15 Homeowner Occupied Minor Home Repairs Due Date: Thursday, June 1, 2023 at 2:00PM Local Time Bid Opening: City Commission Chambers The following bids were received: 1. DSW Homes, LLC 2. MGM Contracting Inc., a. (Non -Responsive) Incorrect Notarization 3. LMCC Specialty Contractors dba: Mims Construction 4. Orange Avenue a. (Non -Responsive) Incomplete Attachment F, N, and K. 5. Patriot Response Group, LLC (Non- Responsive) Incomplete Attachment "K" 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 1 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. Finance Department I Purchasing Division -300 N. Park Ave Sanford, FL 32771 Tel: 407.688.5000 Fax: 407.688.5021 Email: purchasimg(rt sanfortill.gov Jeff Triplett Art Woodruff Velma H. Williams Patrick Austin Patty Mahany Norton N. Bonaparte, Jr. Mayor District 1 District 2 District 3 District 4 City Manager City Hall, 2nd Floor • 300 North Park Avenue • Sanford, FL 32771-12.44 • PO Box 1788 • Sanford, FL 32772-1788 p. 407.688.5020 • f. 407.688.5021 • sanfordfl,gov Fonv oQ5 lot, �o � Jeff Triplett Art Woodruff Velma H. Williams Patrick Austin Patty Mahany Norton N. Bonaparte, Jr. Mayor District 1 District 2 District 3 District 4 City Manager City Hall, 2nd Floor • 300 North Park Avenue • Sanford, FL 32771-1244 • PO Box 1788 • Sanford, FL 32772-1788 p. 407.688.5020 • f. 407.688.5021 • sanfordfl.gov CITY OF SANFORD, FLORIDA - PURCHASING DIVISION SOLICITATION OPENING CERTIFICATION AND MINUTES (Section 255.0518, Florida Statutes) A. Solicitation Title Homeowner Occupied Minor Home Repairs Number RFP 22/23-15 Opening Date June 1, 2023 Time 2:OOPM Solicitation Documents Including Announcement of This Opening Are Available for Viewing or Downloading at www.mvvendorlink.cof Location of Opening: City Commission Chambers 1. On this date the opening of the solicitation response identified above is hereby verified and the public announcements recorded below regarding the solicitations received were duly made. It is noted that no other business was conducted, there were no discussions and no input was received from anyone in attending. There was no attendance record made. ❑ IFB- Announced the name of each bidder and the amount of their bid. ❑� RFP- Announced the name of each respondent. ❑ RFQ- Announced the name of each respondent. ❑If any submission was not opened and/or announced: check this item and indicate on tabulation below specific information as to why the submission was not opened or announced. ❑ All submissions were opened and read. The tabulation below reflects the information read. 2. Name of City Certification (1 x By; Certification (2) By: the bids: Marisol Ordonez, Purchasing Manager June 1, 2023 Marisol Ordonez, Purchasing Manager date printed name and title printed name and title 3. The public notice Ind`cat6d by § 286.0105 and 286.011 Florida Statutes is not required because no rule, resolution, or formal action has taken place or considered at this opening. Therefore, a verbatim record of the solicitation specifically identified above is not required if a person, in accordance with City of Sanford Policy Number 15., elects to file a protest or appeal an action associated with the identified solicitation. 4. Florida Statute 119.071: Sealed bids, proposals, or replies received by an agency pursuant to a competitive solicitation are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution until such time as the agency provides notice of an intended decision or until 30 days after opening the bids, proposals, or final replies, whichever is earlier. Note -Cit), of Samford Procurement Procedure 6-500 mandates that as applicable to an IFB: the nnune of each bidder and the specific amount of the hid will be shared at the opening; for an RFP or RFQ the nranre of each person or firm will be shared at the opening. (Florida Statures may he found at: http:lAvww.leg.shte fl.us/stutute�O Fa I WN MATAK, at.� . ---- Initial here if tabulation is attached in lieu of using the above tabulation or if additional pages are attached. It is noted that this is page one of _ pages.' ' Page 1 of 1 City Of Sanford Doc LMCC SPECIALTY CONTRACTORS DBA MEMS CONSTRUCTION REQUEST FOR PROPOSAL (RFP) HOMEOWNER OCCUPIED MINOR HOME REPAIRS TERM CONTRACT SOLICITATION NUMBER: RFP 22/23-15 "M1MS 05 -Z -,-2'3A10:38 RCVD FIRM QUALIFICATIONS AND EXPERIENCE IM s May 18, 2023 Letter of Transmittal City of Sanford 300 N. Park Avenue - #243 Sanford, Florida 32771 RE: RFP — HomeOwner Occupied Minor Home Repairs Minis Construction Company is a local Florida General Contractor and a certified M/WBE firm and has over 35 years of experience in residential and commercial construction projects. Working throughout Central Florida, Mims Construction brings a wealth of knowledge pertaining to our local and state building code requirements. Our utilization of qualified subcontractor and vendor base is local to the area and understands the need of best pricing, quality, and timing for a successful project. Mims Construction has Project Managers, Superintendents, and additional staff to complete multiple projects at the same time and has an on-call staff to support a variety of customer needs. Mims Construction has an outstanding EMR record for SAFETY including noise/ dust control, clean work sites and working in occupied spaces. Mims commitment extends beyond just being awarded a contract its about the end user — The Homeowner and the useful life of the product being installed. Mims Construction would like to thank the City off Sanford for the opportunity to submit a proposal for your Homeowner Occupied Minor Home Repairs RFP. Sincerely, ;J (Lynn Mims President Lynn@mimsconstruction.com C- 407-592-0707 Post Office Box 6815541 Orlando, Florida 32868-1554 Office 407.298.69361 Fax 407.290.1217 www. niimsconstruction.coni MIMSMay 18, 2023 Individuals and Qualifications along with resumes rylAN`>'--•fi'''1�N' V City of Sanford 300 N. Park Avenue - #243 Sanford, Florida 32771 nn ;r -.Ii:,, RE: RFP — HomeOwner Occupied Minor Home Repairs 1. Lynn Mims- President—Contact for P.O., Administration 2. Andre Collins — Project Manager — Inspection — Scheduling, Safety 3. Tim Mixon — Project Foreman — day to day operation of project 4. John Mcgee — Superintendent , Safety 5. Other Staff — Carpenters, Tile, Painting, Drywall, Millwork, etc Note: All calls will be directed to the main office number (407) 298-6936. Then will be forwarded to the appropriate individual Sincerely, nn -Mims t/ president Lynn@niirnsconstruction.com C-407-592-0707 Post Office Box 6815541 Orlando, Florida 32868-1554 Office 407.298.69361 Fax 407.290.1217 www.minisconstruction.com on owns 1VN%_P C r.14Si lr,TI..'f4 LYNN MIM5 ................................................_.........................................................._......._.............I..................................... .. • 30 ears — President Mims Construction Company C • Project Executive r- • M/WBE Coordinator • OSHA 30 -1 -four Certification _ Primavera p6 Certification Florida Licensed General Contractor: CGC 1525780 Executive Profile: Lynn has over 37 years of experience in the construction industry and 30 years as president and Owner of Mims Construction Company, a local SBE and M/WBE firm specializing in Construction Management, Concrete, Masonry and related construction services. Mims Construction success comes through developing strong relationships and building rapports with clients, architects, engineers, vendors and members of the project team. Mims Construction Company is supported by a staff of construction experts in various building systems including design -build, foundations, structural elevated slabs, mechanical, electrical, building envelope, site logistic and LEED certification. Mims Construction was named (2) times by the Palm Beach County School Board as Construction Manager of the year. As project director, Ms. Mims will work with the team on GMP development, manage bid packages / review, schedule development, value engineering and design / constructability reviews. During construction phase she will oversee weekly project meetings and will be responsible for cost and schedule control, subcontractor coordination and contract negotiation, timely RFI and shop drawing processing, safety, quality control, final closeout and the warranty program. PROJECT EXPERIENCE �/'�--' l i,.. ;!t'%!.'i' ,'+•!i"i't1tli7(' j;�t.'I'11�'lltt7l'l' .ic'�ll.li/ Palin Springs, Florida Owner: The School District of Palm Beach County $35,149,153.00 t• • '; 176,000 SF LEED Silver Certified C'Ai-d O T..11- K141,-. Ei-+.+onr•in •.. r. .i m 'ge1ilai ;' Palm Beach, Florida Owner: The School District of Palm Beach County CM @ Risk $21,757,526 �j 90,000 SF Page I of Z F-' MIMS kC: )N,Tif1)C71ON LYNN MIMS Westward Flcmentar\ School Clifford O. Ta\ for Kirklanc Flementary School kh,ewater I ligh School, Orlando, FI. Pahokee Elementary School, Pahokee, 1:1. Pahokee Middle School, Pahokee, Fl, Pahokee I li,_h School IStadium). Pahokee. FI. I.merald C'oVe Middle School. Wellin"ton. 1.1. Barton Elementary School. West Palm Beach, Fl Manatee Flcmentar� School, Palm Beach. FF. Glades Central Academy, Glades, IT Manisalco Flementan School, Tampa. IT Hunter'; G rccn ldemcntar�, School. Fampa, FL Waldcn Lake Ficinemar� school. Fampa. I L klarshall j-liddleSchool. Tampa. FL Boonc I lillh School, Orlando, F'F, South Chase Hemcntar\ School. Orlando. FI. Palmetto ldcimentar\ School, Orlando. I:1 I ockhart I lh--h School. Orlando. IT I ake Siler Eaementary School, Orlando, FL Jupiter diddle tichool 1l esl l ech Abor Ridge K-8 School, Orlando, FL Wheatly Elementary School, Orlando, FL 00.000 til S21.7i7.5_'(i 176.000 SF 535.149,1 53 438,765 SI $54,931.825 170.786 SF $5.223.068 150,1100 SF $29.287.124 $11.0-52.9431 191.000 SF S28.932,287 136.000 SF $26,782,308 62,780 SF $10.147.570 30,000 SF $7,219.451 15,200 SF $2?56.035 17.539 SF $2,607.096 19.2110 SI $2.401.045 15 200 SI $1,972,506 38.000 SF $30,000.000 15.110(1 Si.$ 10.0110.0011 28.000 Si- $8.01111,000 10.000 SF '2,0011,000 1 1.000 SI 51,500.000 12.0110 11 $1 . 406.920 98.840 SF $11,200,000 73,992 SF $12,000,000 Daae > of 2 Andre Collins, CGC1515197 Experience: Project Manager - Aims Construction 2018 -present Responsibilities: Established communications lines with owner, create and update project schedule, maintain budgets, buyout and write subcontractor contracts and change orders, monitor construction techniques, receive and submit submittals, process BFI's, ASI's, and proposal requests, conflicts resolution and establish and maintain all project logs. • Pinewood Elementary School $37,000.00 Orlando, FL • Wolf Lake Elementary School $36,000.00 Apopka, FL • Ridgewood Elementary School $24,000.00 Orlando, FL • Lakeville Elementary School $25,000.00 Apopka, FL • Piedmont Middle School $36.000.00 Apopka, Fl. • Horizon Middle School $80,000.00 Orlando • Winderntere Iligh School $104,000.00 Orlando, FL • Barton Elementary School $26.000,000.00 West Palm Beach, Ft. • West Boynton Eicmentary School—P $23,000,000.00 Boynton Beach, FL • Taylor Kirkland Elementary School—P $23,000,000.00 West Palm Beach, FL • Pahokee Stadium — P $10,000,000.00 Pahokee, FL • Pahokee Elcmcntary School 91, Bldg.—P $8,000,000.00 Pahokee, Fl. • Sally Port — OCPS, Orange County FL $397,401 Orlando, FL Camelot Elementary Three Pointc Elcmcntary Avalon Elementary Northlake Park Elementary (K-8) Dr. Phillips High School (9 Grade Center) �• Dynamics Group DG Incorporated Irish Hudnell .................... I................ _ ... ..................................................................................................................................... • Bachlors of Science Architectural Construction Engineering C Technology/Minor in Civil Engineering'fechnology �' • 8 years with Mims Construction Company • Project Assistant Superintendent �' • Quality Control and Quality Assurance Coordinator • OSHA 30 -Hour Certification 7 months with Dynamics Group Irish will assist the Superintendent in the day to day supervision of trades, ensuring adequate manpower, quality control assurance, daily logs, material testing, site security, safety, schedule adherence, completion and punch out. As QAC. Irish will verity approval of all construction materials prior to start of any work activity for quality compliances. Monitor all test reports. inspect all mock-ups for quality compliance. Review the Quality Control Log with the Superintendent. Irish will be responsible for the monthly warranty inspection and in addressing all warranty issues. PROJECT EXPERIENCE r LovEL L ELEME1►TIlRT Orlando, Florida Owner: Orange: County Public Schools Role: Assistant Superintendent Orlando, Florida Owner: Orange County Public Schools Role: Project Engineer JOHN MC:GFAE SUPERINTENDENT 4 40 years 1 VA W) 11 l I'll %11 N1` 17 years 11►t `. I MN Orlando, FI Army Core of Engineering Quality Control Certifications OSHA ?sr 1, � 11 MIMS Mr. McGee posses a wide range of construction experience. Provides strategic leadership to the construction department of Mims Construction and the supervision of 20 or more field personnel. Identifies innovative opportunities and ways that enhances the quality of, decreases the cost of and reduces the time to complete construction projects. Develop training programs for the improvement of all field personnel. Conduct weekly safety and tool box meeting. Has represented Mims Construction in the capacity of Safety Director to oversee the Safety Program that has resulted in ZERO accident in accordance to the OSHA 400 standard. Orlando (OIA) Intermodal Bridge Orlando, Florida Design Build Assistant Superintendent $$25 million New elevated tramway between the main terminal and New Airside'l"erminal Edgewater High School Orlando Florida Assistant Superintendent CM@Risk - $55 million 408,000 Square Feet Jefferson Street Parking Garages Orlando Florida Assistant Superintendent Design Build - $19.2 nil - 433, Space Park 7 -Story Cast - In Place Structure H Staff/Team Fxperien,_e Hotida (:, Bowl Starfitim Rt�nnvat.ion% JOHN M(1'GEE SUPERINTENDENT Review specifications and plans for bid ✓ constructions purposes Site plan and foundation plan analysis) ✓ structural detail review Assist with review of shop drawing ✓ Scope of `Mork development ( ✓ Field Operations, inspections, material ✓ procuretnent of concrete components Assist with scheduling ✓ Layout coordination - basic surveying ✓ Quality Control - Safety ✓ Measurement and computation of ✓ _quantities F H. Staff/Turn Experience Florida Citrus Bowl Stadium Renovations C�f, Fd l�'� Timothy Mixon f, • Alcorn State - Bachelor of Science Business Administration • Turner School of Construction — Construction Management; Business Development; Construction Contracting • Miami Dade College/Valencia College Dual Program 77 • 11 years of construction experience • 7 years with Mims Construction Company • OSHA 30 Certificate • CPR/First Aid Tim has assisted in scheduling and daily activities of work and taking necessary actions to assure that the project objectives of scheduling, quality, pricing, safety, and cleanliness are met and adhered to by subcontractors and vendors as well as jobsite personnel. Implement incremental project scheduling to ensure upcoming events are on track and are being proactively attended and met. Experienced in overseeing infrastructure. utility, road and asphalt installation, site preparation parking amenities, striping and signage as well as new construction of building, site concrete and masonry. Conducts pre -construction, progress and other project and staff meetings. Responsible for creating and maintaining Project Documents and Reports per construction activities. Experience in Word, Excel Prolog ('Tremble). BIM 360, Safety Net. 'Tim has overseen projects ranging from 5000 sq. Ft. to 150,000 sq. Pt. and S I NI to S200NI in building cost. Current Project Assignment -- Assistant Superintendent PROJECTEXPERIENCE. %%Neatly Elementary School - Orlando, FI_ 73,992 sl' $12,000,000 Enterprise BUildOUt Contiuning Contract 150,000 sfand up $25,000.00 and up Tampa International Airport Design Build 2.6mil sf $730,000,000.00 Lake Cherokee to Lake Davis 3 miles $550,000.00 Berth 2191'ampa Port Authority 60,000 sl' $479,000.00 Jacksonville Port Authority $525,000.00 City of Sanford I Finance Department I Purchasing Division Solicitation Number: 300 N. Park Avenue 2nd Floor Suite 236 Sanford. Florida 32771 Imp 22/23-15Num SANFORD -- - -- — Phone: 407.688.5028 or 51130 I F. 407.688.5021 REQUEST FOR PROPOSAL Due Date: 7'L101 CONTRACT May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS SECTION 00440 BIDDER QUALIFICATION AFFIDAVIT State the true, exact, correct and complete name of the company, partnership, corporation, trade or fictitious name under which the Bidder does business and the address of the place of business. ., c , m rflfc v 3 dix e -1 n..3l-rl i c n Name of Bidde 1 I S >- PY I Y -c 910( Y LT %, fin E rm►rn 0 ll✓i-� Address of Bidder Phone No. of Bidder Bidder E -Mail Address CuG� Bidder's Contractor's License No(s). 4� 1 S C-- (As issued by the Florida Dept. Of Business and Professional Regulation Construction Industry Licensing Board) The Bidder is (check one of the following): ( ) An Individual ( ) A Partnership (v�-A Corporation Principal Office Address: 1. If Bidder is a corporation, answer the following: Date of Incorporation: T� 114 4 - State of Incorporation: President's Name: �__, r,� 1. ;t•�t Vice President's Name: -A 2. If Bidder is an individual or a partnership, answer the following: Date of Organization: Name, Address and Ownership Units of all Partners: Cite of Sanford I finance Department I Purchasint; Division Solicitation Numbers 300 N. Park Avenue 2"' floor Suite 236 Sanford, Florida 32771 RFP 22/23-X5 Phone: 407.688.51128 or 50301 Fax: 407.688.5021 SANFORll -- - -- ---- - REQUEST FOR PROPOSAL Due Date: TERM CONTRACT May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS State whether general or limited partnership: 3. If Bidder is other than an individual, corporation or partnership, describe the organization and give the name and address of principals: 4. If Bidder is operation under a fictitious name, submit evidence of compliance with the Florida Fictitious Name Statute. Information attached: LYes N/A 5. How many years has the Bidder been in business as a Contractor under its present name? 6. Under what other former names has the Bidder operated? 7. How many years' experience in construction work has the Bidder had as a Prime Contractor? 5 _ y 12-.5 8. Please refer to and complete Attachment "J" — References. 9. Has the Bidder ever failed to complete any work awarded to it? If so, state when, where and why (attach additional sheets as necessary). 10. Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? If so, state name of individual, name of other organization, and reason therefore (attach additional sheets as necessary). N( 0 SAN I FORD i City of Sanford I Finance Department I Purchasing Division 300 N. Park .Avenue 2"" Floor Suite 236 Sanrord, Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 REQU EST FOR PROPOSAL TERM CONTRACT Solicitation Nunther:I RFP 22/23-15 Due Date: May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS STATE OF FLORIDA COUNTY OF I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared { } who is personally known to me or { . } who produced as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by by means of 1,1 physical presence or { online notarization on the day of 2023, 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 2023. (Notary Public in and for the County and State Aforementioned) NAKIA KELLY SEAL My commission expires: Commission M HH 7653!:5 PLEASE COMPLETE AND SUBMIT N Failure to submit this form may be grounds for -4itWi'"atib"ir ofj-dGF ubbmittal-w END OF SECTION City of Sanford I Finance Department I Purchasing Division Solicitation 300 N. Park Avenue Suite 243 2nd Floor, Sanford Florida 32771 Number: �� S:\NFtll.fl Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 RFP 2203.15 REQUEST FOR PROPOSALS (RFP) Doe Daw. Term Contract May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HO,1NIE REPAIRS ATTACHMENT "L" DISPUTES DISCLOSURE FORM Answer the following questions by answering "YES" or "NO". If you answer "YES", please explain In (lie space provided, please add a page(s) if additional space is needed. 1. Has your Linn, or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulation or any _Qther regulatory agency or prol'essional association within the last five (5) years:' Ny (Y, IZ% 2. Has you[' Grin, or any member of your firm, been declared in default, terminated or removed front a contract or job related to the services your firm provides in the regular course of business within the last live (5) years? 1,e-c- 3. `eG 3. Has your firm had filed against it or tiled any requests liar equitable adjustment, contract claims or litigation in the past five (5) years that is related to the services your tiro provides in the regular course ol'buSiness? N (Y/61)) Note: If yes, the explanation I11ust slate the nature of the request for equitable adjustment, contract claim or litigation, a brief description of the case, the outcome or Status of suit and the nlonetary amounts or extended contract time involved. I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation or falsification of facts shall be cause for forfeiture of rights for further consideration of the prgject identified. 11"tt- Firm Signatlwo Prin IS zed Representative or Typed Name and "Title ol'Awhorized Representative END OF SECTION 19 5 ) I I 1- e-1 SIMILAR PROJECTS City of Sanford ( Finance Department ( Purchasing Division Solicitation 300 N. Park Avenue Suite 243 2i1 Floor, Sanford Florida 32771 Number: 1N['OIZD Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 RFP 22/2315 REQUEST FOR PROPOSALS (RFP) Due Date: Term Contract May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS Attachment "J" References Bidder shall submit as a part of their hid response, a minimum of live (5) of the most significant pro jects similar in size and scope which were performed within the last three (3) years. The contact person shall be someone who has personal knowicdge of the Bidder's performance for the specific requirements listed and is aware the City may be contacting thein. Project #1: -Project Name: /c A-av64-- =h� z (� u.,�.� �',,e✓.�. fii�� Type of Project/Sen,ice: S . L . 6-7 . l L<<:; i ^t.� .,,�. l�1 1-4 47 --- - -- Address: �L Al . 2!�»� Contracting A gene /Client: Contact Name and Phone Contact Ismail Address and Fax #: Contract amount: _c ? r.% Start Date: `j 11, nand Date: %�c 2,0 z 2 - Project Project #2: Project Name: a•S ` e.g /-r C �rrr,S - �� i ✓�. f -e- Type of Proiect/Servicc: �,'n�i iY !'.�. t /- e. h'11��, , �r' -, I1...G, �� , i•.A-1/ !y<'•,Z. ._. Address: f Contracting Agenc /Clicnt: /�,� j fL"7G Contact Nantc amd Phone tf: =--I , / //c.�, y �' iG �'�S Contact Email Address and Fax #: /%'( //D/7 !tip / // -f� c f �r� �_. %.• (' +.�•, Contract Amount: G 'fZ' //<!• nv Start Date: I,p - G - End Date: 7 lJ�.n Project #3• Proieet Name: �'.�/l�i;e %� ,3� �l `.mac./2 - V ,, ,J G'<t.75 CY7J Type of Project/Service:�jnc ' i Address: Cry_ A/1.,, 'li Q.ok + l2` iC /lL� . , /1 rt.�� _ �' Contractin g A gene /Client: f / r -* ,s 1rcaS sz_ Contact Nanic and Phone #: r[ Contact Email Address Contract Amount: % G St. rt Date: ej 2vz / land Date: Project A: Project Name: 6-7 eeirS ;L Type of Project/Scnicee. :f7d..Yd Address: p `' %U, i� r 67 (i_, X'r Contracting Agency/Client: ,1c -S,7,, - Contact Nante and Phone #: 42r - . C c , j Contact Email Address and Fax tt: c , rtti r ,'' G- i� /Cc r L't'r • _ _ Contract Amount. (,� • aZ: Stare Daft End Date: L Z v L 3 Project #S• Project Name: V&14 i1 / S �C ; / / /!, + •//- > .J e' >NL�1� C , 7/ c-, 4� nL Type of Project/Service- 71, le, Address: ;S-?17AG t ,,V - e ftch/t. / u P + /Z c 4 t Contracting A +enc /Clien . PS 1�c / r = /i't� J , /r ` .f Contact Name and Phone #: c !) -2 '�- 3 7-cL .� �� s r Contact Email Address and Fax #: S, ne r /`/t u - G 91 3 / ;L - 3 -7-:5 _ Contract Amount:, 'Z rvU Ceo Start Date: ?ZC- (,Ti..� End Date: 4;' PLEASE COMPLETE AND SUBMIT WITH YOUR RFP RESPONSE' w'Failure to submit this form may be grounds for disqualification of your submittal'° 16 •I • PROJECT APPROACH May 15, 2023 Mims CONSTRUCTION Tab C MANAGEMENT CONCRETE PAASONHY Project Approach A. Firms Technical approach to the project: When notified of the Rfp request, will notify the appropriate subcontractors for site visit and pricing of the project. Awarding of the project Mims will notify the subs/vendor of award and schedule a pre -construction meeting to discuss the project and schedule of start dates and finish dates. B. Adequacy of resources, personnel, labor, and equipment: Mims Construction staff includes skilled laborers, carpenters, tile, drywall installers, concrete or masonry, Project Managers and Superintendents that are available to be on site and accessible to the site. Data base of vendors and subcontractors that can and will perform work. Equipment: Ladders, generators, scaffolding, tile cutters, drills, hand tools, wood saws and concrete saws, electrical cords, jackhammers, safety equipment, fans, vacuums, and PPE equipment, Vendors — Plumbing warehouse, Home Depot, White Cap, Lowes, ect. HVAC distributor, ect. C. Clear statement of the specific services and task to be performed: The work to be performed is home repairs to occupied premises. The scope can and will range from, plumbing, electrical, HVAC, roofing, interior finishes, insulation, interior trim, framing and drywall, painting, (floor covering) tile, carpet, carpentry. There may be some exterior repairs to windows, doors, painting, and ADA compliance. Mims staff has the expertise to perform multiple scopes as listed above. The carpenters - perform drywall installation, cabinets, tiles, carpet, doors, windows, exterior siding. Limited painting, concrete finishers, for ADA ramp and Masonry, Our data base of subcontractors (HVAC, plumbing, electrical, roofers have experience staffing to complete their scopes as defined in the RFP). D. Typical response time/or project implementation: Once awarded the project there will be a schedule meeting with the City to discuss project time line and with all subcontractors /vendors involved to discuss the schedule from start to finish and if there are any concerns or obstacles, they foresee that will impact the project from being completed on the schedule date. Mims understand time is of essence on the project and we aim to meet all schedule inspections to move the project forward to completion. Meet with occupied homeowners to discuss the project timeline and responsibility of the homeowner to have personal items removed from the area and stored out of work. Discuss if the homeowner will be occupying the home during construction and if there are any health issues — allergies or allergic reactions to any materials that may be used. If the house is asbestos/ Lead, mold, water damage this will impact how the removal and remedial action will take place. Discuss with homeowner the badging of all workers and subs. The safety and cleanliness of our work to be performed. Daily working hours of the project. E. Provide information regarding any proposed innovated concepts: In purchasing items/products we will utilize sustainability, and LEED products that are economically priced and suitable for the project. Lightning, Less water and Energy. Post Office Box 681554 1 Orlando, Florida 32868-1554 Office 407.298.69361 Fax 407,290.1217 �4MV.I111n1scollstl UL.tion.conl REQUIRED FORMS City of Sanford I Finance Department I Purchasing Division Solicitation 300 N. Park Avenue Suite 243 2"' Floor, Sanford Florida 32771 Nurdbee; h S ANFORD Phone: 407-688-5028, or 5030 1 Fax: 107-638-5021 . RFP 22/23_15 REQUEST FOR PROPOSALS RFP Due Date: Term Contract May 25, 20x3 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS Contract does Contract does Contract Exceeds not Exceed not Exceed $500,000, 180 days $500,000, 180 $25,000,30 COVER COVERAGE REQUIRED & unusual hazards days & no days & no exist unusual hazards unusual Level 3 exist- Level 2 hazards exist Level Employers Liability Employers Liability Employers $1,000,000 $500,000 Liability Workers' Compensation Each Accident Each Accident $500.000 'Certificates of exemption are not acceptable in lieu of workers 000 $500,000 Each Accident compensation insurance. Disease Disease Disease $500,000 $1.000,000 $500,000 Disease $500,000 Commercial General Liability shall include- Bodily injury liability. $1,000,000 Per $500.000 Per Property Damage liability: Personal Injury liability and $2.000,000 Per Occurrence Occurrence Advertising injury liability Coverages shall include: Premisesi Occurrence $2,000,000 $500,000 Operations: ProduclsiCompleted Operations: Contractual liability, $3,000,000 General General General Independent Contractors, Explosion; Collapse: Underground. Aggregate Aggregate Aggregate Coverage must be provided for sexual harassment, abuse and molestation. $500.000 $1,000,000 $1.000,000 Comprehensive Auto Liability. CSL. shall include "any auto or shall Combined Single Combined Single Combined include all of the following: owned, leased, hired, non -owned autos. and Lunn Limit Single Limit ch s eduled autos. I Professional Liability (when required) $1,000,000 $1,000,000 $1,000,000 Minimum Minimum Minimum Builder's Risk (when required) shall include theft, sinkholes, off site storage, transit, installation and equipment breakdown. Permission to 100% of completed 1001Y" of 100% of occupy shall be included and the policy shall be endorsed to cover the value of additions completed value of et completed interest of all parties, including the City of Sanford, all contractors and and structures additions and value of subcontractors. structures additions and structures $3,000,000 $1,000,000 $500,000 Aggregate: No per Aggregate. No per Aggregate: No Garage Keepers (when required) vehicle maximum vehicle maximum per vehicle preferred preferred maximum S1,000,000 referred $500,000 $3,000,000 Combined Single Combined Single Combined Garage Liability (when required) Limit Limit Single Limit $3,000,000 General $1,000,000 $500,000 Aggregate General General Aggregate A re ate Cyber Security -Error and Omission Insurance Coverage (Professional ,000 ,000 Liability) is to be included. Minimum of two years Extended Reporting Minim ,000 Minim$5.00 Minimum Minimum Minim$5,00 Minimum Period (ERP or Tail) coverage (when required). 'Umbrella Policy- (Follow form only) can supplement the underlying general and auto liability to reach the cover the amounts the City requires. ATTACHMENT "B" INSURANCE REQUIREMENTS OUTLINED BELOW APPLICABLE TO CONTRACTS FOR SERVICES WHEN THE CONTRACTOR PERFORMS ON OR OFF CITY PREMISES City of Sanford I Finance Department I Purchasing Division 3011 N. Park Avenue Suite 243 211" Floor, Sanford Florida 32771 �:� 1 E�C)1.ZD Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 - REQUEST FOR PROPOSALS (RFP) Term Contract TITLE: HOMEOWNER OCCUPIED [MINOR HOI\,IE REPAIRS I. It is noted that Professional Liability, builder's risk, garage keepers and garage liability is not required unless applicable conditions exist. If clarification is needed the CONTRACTOR must request clarification from the City of Sanford Purchasing Office. II. Vendor, Contractor, bidder shall provide, to the City of Sanford "City," prior to commencing any work, a Certificate of Insurance which verifies coverage in compliance with the requirements outlined below. Any work initiated without completion of this requirement shall be unauthorized and the City will not be responsible. III. The City reserves the right, as conditions warrant, to modify or increase insurance requirements outlined below as may be determined by the project, conditions and exposure. �- Certification Terms and Conditions IV. It is noted that the City has a contractual relationship with the named vendor, contractor or provider (collectively referred hereinafter as Contractor) applicable to a purchase order, work order, contract or other form of commitment by the City of Sanford, whether in writing or not and has no such contractual relationship with the Contractor's insurance carrier. Therefore, the onus is on the Contractor to insure that they have the insurance coverage specified by the City to meet all contractual obligations and expectations of the City. Further, as the Contractor's insurance coverage is a matter between the vendor and its insurance carrier, the City will turn to the Contractor for relief as a result of any damages or alleged damages for which the Contractor is responsible to indemnify and hold the City harmless. It is understood that the Contractor may satisfy relief to the City for such damages either directly or through its insurance coverage; exclusions by the insurance carrier notwithstanding, the City will expect relief from the Contractor. a. The insurance limits indicated above and otherwise referenced are minimum limits acceptable to the City. In addition, all contractor policies shall to be considered primary to City coverage and shall not contain co-insurance provisions. b. All policies, except for professional liability policies and workers compensation policies shall name the City of Sanford as Additional Insured. c. Professional Liability Coverage, when applicable, will be defined on a case by case basis. d. Umbrella Policy: In the event, the vendor carries Umbrella Policy the language shall state "Umbrella to Follow Form" to cover the underlying general and auto liability. e. In the event that the insurance coverage expires prior to the completion of the project, a renewal certificate shall be issued 30 days prior to said, expiration date. f. All limits are per occurrence and must include Bodily Injury and Property Damage. g. All policies must be written on occurrence form, not on claims made Form, except for Professional Liability. h. Self -Insured retentions shall not be allowed on any liability coverage. I. In the notification of cancellation: The City of Sanford shall be endorsed onto the policy as a cancellation notice recipient. Should any of the above-described 3 ACORb' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODtYYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 1/4/2023 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require all endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACt' NAM;: CertlfCate Department SIHLE INSURANCE GROUP, INC. PHONE —"— FAx^ IAcc, No'EXII; q07-869-5490 [mac, Not: 407-389 3580 P. O. BOX 160398 ALTAMONTE SPRINGS FL 32716 E-MAIL — _ _ADDRESS; Certificates 4QSihle.Com _ INSURERSAFFORGINGCOVERAGE NAIC0 E X OCCUR I _ ... ;LA;AIS :41D [_ INSURER A: Brid efield Employers Insurance Company 10701 INSURED MIAISCON'31 INSURERS: CIr1CIMati Companies 10677 L.M.C.C. Specially Contractors Inc. _ _ _ dba Mims Construction Co. INSURERC.. P.O. Box 681554 INSURERO: Orlando FL 32818 PER9DNaL a ADV INaUR r _' I - S /,000,000 INSURER E: $2,000,000 INSURER F. COVERAGES CERTIFICATE NUMBER: 151.1358495 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, —�— ----`- INSR .. _ -----�-- ----- ADOL SUER � �—� — I POLICY EFF POLICY EXP---��—_ LTR TYPE OF INSURANCE I POLICY NUMBER M OD/YYYY MM fY Y LIMITS S X COMMERCIAL GENERAL LIABILITY ENP 0542910 6128/2022 6%2812023 EACHOCCURRENCE _ 151,000,000 E X OCCUR I _ ... ;LA;AIS :41D [_ IUAMAG U N.Eb PREMISe'_S ;Ep nCCUtiVflCRf— I ;150.000 I _ _ _ � XXCu � h1EC E(P (An xle c•�rson ; S 10,000 PER9DNaL a ADV INaUR r _' I - S /,000,000 I •3E.N RAL AGGREGATE— $2,000,000 3EN'L AGGREGATE 1.0 APPL.EB PFR , PF^y PJLICY I.IE..T _ -i- I P ;)gyLrS COMo;OPAGU 52,000.000 B i AUTOMOSILELIABILITY i cNpOF.2 I, 22 t ''tt•"91NEDSINGLE'_MI' LCI: r�;x)gntl_.... }( l,AA)'Y AU T') i BODILY INJURY'Pnrayr;on) i — r OvvP:EO 3CHEOULED .AUTOSOIIL' --- AUTOS — �9JnILe IN:URY (Per y__ 4�•rrtI --- i - X HIRED X NOH-OVYNED PROPER IYOAMAG@ ... —, AUTOSO^IL'e .._ AUTOS ONLY pip ; ]1),000 n X I UMBRELLA LIAR X i Of:r.UH ENP 054291'.` 5126/2022 I 6128!2023 i EACH OCCURRENCE I --"--------- % S 5:000.000 ~ EXCESS LIAB (CLAIMS-\1ACE_ I I i AGGREGATE I $,000,OCD _ ' ..� DEO RETEN'ION $ WORKERS COMPENSATION 83056225 111!2023 1111202.3 X I'LI` • AND EMPLOYERS' LIABILITY YIN- i'• ilrt!- - ANYPROPRIE'OR'PART'.EREXEC4TIVE EL.EACH .ACCIDENT ; 1,000,000 OFFICER1h1EhIBERE:(CLJDEO'' � i N ' A'.. - _ —_ (Mandatory In NH) E L DISEASE - EA S%IPLOYL- _i i 1.000,000 ' If yes, duscnba under I "—' -- - --- - — DESCRIPTION OF OPEPAT ICNS below E.L. DISEASE - POLICY -IMIT i 1,000,000 8 Callydctdrr Equip -v-4 ENP 0542910 6t28t2022 612812023 ' .Asad 3 ..Rene/ Equip $200,000 I Onduclll•In i 5500 DESC RIP TION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO telt. Additional Ro marks Schetfula, may be anachod If morn =para Is raguned! " For Bid and/or Informational Purposes Only " For Information Purposes Only L;ANCtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /"I U I 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Z T City of Sanford I Finance Department Purchasing Division tit6licifa�inn 300 N. Park Avenue Suite 243 21" Floor, Sanford Florida 32771 Numlier: SANFORD Phone: 407-688-5028, or 5030 1 Fax. 407-688-5021 REQUEST FOR PROPOSALS RFP D Q � � latlC' iltlilj: Term Contract May 2S. 47021 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS policies of Sanford in accordance with the policy provisions. j. All insurers must have an A.M. rating of at least A -VII. k. It is the responsibility of the Prime CONTRACTOR to ensure that all sub -contractors retained by the Prime CONTRACTOR shall provide coverage as defined here in before and after and are the responsibility of said Prime CONTRACTOR in all respects. I. Any changes to the coverage requirements indicated above shall be approved by the City of Sanford, Risk Manager. m. Address of "Certificate Holder" is City of Sanford; 300 N. Park Avenue; Sanford, Florida 32771. n. All certificates of insurance, notices etc. must be provided to the above address. o. In the description of the certificate of insurance inlcude the solicitation number - and proiect name. 2 :]ter ,)c -(r i/ f- l -,:44s ad or Printed Name of Affiant STATE OF FLORIDA COUNTY OF _ f J rifle Nam2 of Company J of HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared (} who is personally known to me or { } who produced h! 1i as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by by means of { } physical presence or { } online notarization on the day of , 202_, 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 i day of 202. NAKIA KELLY is-Steto of Florida (Notary Public in and for the County and Sta -• " �a 0 HH 165365 ?n„ 4;1 My Com fission Expires ImW Au tict 22, 2026 SEAL My commission expires: The City reserves the unilateral right to modify the insurance requirements set forth at any time during the process of solicitation or subsequent thereto. 'Failure to submit this form may be grounds for disqualification of your submittal- Revised 12/22/2022 4 City of Sanford I Finance Department I Purchasing Division 300 N. Pa►•k Avenue Suite 243 21111 Floor, Sanford Florida 32771 � SAivr��lzl� Phone: 407-688-5028, or 5030 1 Fax: 107-688-5021 REQUEST FOR PROPOSALS (RFP) Term Contract "Solicitation Nluinbcm RFP 22123-15 Dui Dow May 15,10D TITLE: HOMEOWNER OCCUPIED NIINOR HOME REPAIRS ATTACHMENT "C" CONFLICT OF INTEREST STATEMENT -- � A. I am the 1 /L/ f -7 e-6"1 of l Ac' L' S1,1 <�; ll(';'L 7i f-i�i l (., r,s with a local office in [Insert Title] [Insert Company Name] and principal office in C�/< 1;: B. The entity hereby submits an offer to RFP 22/23-15 Homeowner Occupied Minor Home Repairs. C. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its full knowledge. D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and time and that said above stated entity has no financial interest in other entities submitting a proposal for the work contemplated hereby. E. Neither the AFFIANT nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion or collusive activity, or otherwise taken any action which in any way restricts or restraints the competitive nature of this solicitation, including but not limited to the prior discussion of terms, conditions, pricing, or other offer parameters required by this solicitation. F. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from participation in this solicitation or any contract to follow thereafter by any government entity. G. Neither the entity nor its affiliates, nor anyone associated with them, have any potential conflict of interest because and due to any other clients, contracts, or property interests in this solicitation or the resulting project. H. I hereby also certify that no member of the entity's ownership or management or staff has a vested interest in any City Division/Department/Office. I. 1 certify that no member of the entity's ownership or management is presently applying, actively seeking, or has been selected for an elected position within City of Sanford government. J. In the event that a conflict of interest is identified in the provision of services, I, the undersigned will immediately notify the City in writing. By the signature(s) below, Itwe, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "C", Conflict of Interest Statement, is truthful and correct at the time of submission. ,AFFIr VST SIGNATURF. -- -- C �! Name ol" AFFIANT ;- . _ ► -- "I"itlr 5 -- Cite of Sanford I Finance Department I Purchasing Division I suliel(atiun 300 N. Park Avenue Suite 243 2i° floor, Sanford Florida 32771 ` Nunibet-: SANl=01ZI) Phone: 407-688-5028. or 5030 1 Fax: 407-688-5021 RFI' 22123-15 REQUEST FOR PROPOSALS (RFP) Dine Date. Term Contract May 251, 202.3 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS STATE OF FLORIDA COUNTY OF 1 HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared ! ; '; �; �'- , �� i. , , { )- who is personally known to me or { ) who produced �� i t i _ i as identification and acknowledged -before me that s/he executed the same. Sworn and subscribed before me, by by means of { ) physical presence or (} online notarization on the i day of F, I 2023, 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 0 day of 2023. (Notary Public in and for the County and State Aforementioned) SEAL My commission expires: otary Public•Stato of Florida 1 = Cummission B HH 165365 =.' My Commission Ex iros PLEASE COMPLETE AND SUBMIT WI"IIZONvl t "Failure to submit this form may be grounds for disqualification o your st 6 0— SANI"01 I) City of Sanford I Finance Department I Purchasing Division 300 N. Park Avenue Suite 243 2 u Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5U30 i Fax: 407-688-55021 REQUEST FOR PROPOSALS (RFP) Term Contract TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS ATTACHMENT "D" NON -COLLUSION AFFIDAVIT The undersigned, by signing this document hereby certifies that the company named below hereby is or does: States that the entity named below and the individual signing this document has submitted the attached bid or proposal: 2. He is fully informed respecting the preparation and contents of the attached proposal and of all pertinent circumstances respecting such proposal; 3. Said bid or proposal is genuine and is not a collusive or sham bid or proposal; 4. Neither the said bidder or proposer nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other bidder, proposer, firm or person to submit a collusive or sham bid or proposal in connection with the Contract for which the attached bid or proposal has been submitted or to refrain from bidding or proposing in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communications or conference with any other bidder, proposer, firm or person to fix the price or prices in the attached bid or proposal or of any other bidder of proposer, or to fix any overhead, profit or cost element of the bid or proposal price or the bid or proposal price of any other bidder or proposer, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Sanford or any person interested in the proposed Contract. 5. The price or prices quoted in the attached bid or proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the bidder or proposer or any of its agents, representatives, owners, employees, or parties in interest, including the individual signing this document. /i h.�,�.fl,� /4L 1 a7 f L:)IA fizi '7� Bidder Y` Signature A Authorized Representative (Affiant) T ' Date Print_Od or Typed Name and Title of Authorized Representative (Affiant) STATE OF FLORIDA COUNTY OF L HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared 1 _ I 1 fl , , {•) who is personally known to me or { } who produced [Qj1 as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by 7 City of Sanford I Finance Department I Purchasing Division Solicitation 300 N. Nark Avenue Suite 243 2" Floor, Sanford Florida 32771 Number: �--- SANF-ORI) Phone: 407-685-5028, or 5030 1 Fax: 407-688-5021 RFP 22123-15 REQUEST FOR PROPOSALS (RFP) Due Date: Term Contract May 25, 2023 ,.,, TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS by means of {v) physical presence or { } online notarization on the I I day of 1;�� 2023, the said person did take an oath and was first duly sworn by me, on oath, said person, furth r, 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 2023. r official seal in the County and State last aforesaid this , I day of (Notary Public in and for the County and State Aforementioned) SEAL My commission expires: NAKIA KELLY P.1bl42 ale _' � i� = Commission tl HH 165365 MY Commission Expires August 22, 2025 END OF SECTION fs Citi' of Sanford Finance Department I Purchasing DivisionS(IIicittl(ion 300 N. Park Avenue Suite 243 2111 Moor, Sanford Florida 32771 Number: OPSANt ORI) Phone: 407-688-5028. or 5030 Fax: 107-688-5021 itI-C ZZ/23-15 REQUEST TOR PROPOSALS (RFP) plat Datco, Term Contract May 25t 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS ATTACHMENT "E" DRUG FREE WORKPLACE CERTIFICATION When applicable, the drug-free certification form below must be signed and returned with the IFB response. In order to have a drug-free workplace program, a business shall: A. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. B. Inform employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug- free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. C. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in the first paragraph. D. In the statement specified in the first paragraph, notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893, Florida Statutes, or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. E. Impose a sanction 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. F. Make a good faith effort to continue to maintain a drug-free workplace through implementation of the foregoing provisions. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that (fie information as provided in Attachment E, Drug -Free Workplace Certification, is truthful and correct at the time of submission. AFFIANT -SIGNATURE ) iLc: GC i t ; .Lf1 xy d-r�dme of AFFIANT Title 9 Cite of Sanford I Finance Department I Purchasing Division Solicitation .100 N. Park Avenue Suite 243 2111' Floor, Sanford Florida 32771 Nuinher: �:� N 1=(-1lZI ) Thune: 407-688-5028, or 5030 1 Fax: 407-688-51121 RFP 22/23.15 ��--� REQUEST FOR PROPOSALS (RFP) Due Date: Term Contract May 2S, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS STATE OF FLORIDA COUNTY OF HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared �i I i ; . 1,; �\ � , , , (L.1 who is personally known to me or { } who produced k i I as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by by means of { ) physical presence or { } online notarization on the i day of !', 2023, 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 I day of 2023. (Notary Public in and for the County and State Aforementioned) SEAL My commission expires:NAKIA KELLY - � "'•) - Commission N HH 165365 My Commission Expires August 22, 2025 PLEASE COMPLETE AND SUBMIT Will. licable) City of Sanford I Finance Department I Purchasing Division Solicitation 300 N. Park Avenue Suite 243 211" Floor, Sanford Florida 32771 Number: S`\NF'()ltl) Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 RPP 22123-15 Vic! REQUEST FOR PROPOSALS (RFP) Due Date.: Term Contract May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS ATTACHMENT "F" BID PRICE SCHEDULE AND ACCEPTANCE OF BID TERMS AND CONDITIONS Item Hourly Price 1. Electrician Hourly Rate s . 2. Roofer Hourly Rate 3 HVAC Technician Hourly $ vv Rate S . 4. Labor Worker Hourly Rate $ �Z 5. Plumbing $ ) �� 6 Equipment and Materials $ C percentage (%) off liwc. the undersigned, as authorized signatory to aanmit the firm, do hcrebv accept in total all the terms and conditions stipulared and r•ctcrenccd in this RI=P document and do hereby agree that if a contract is offered or negotiated it will abide by the terms and condition: presented in the RFP document oras negotiated pursuant thereto. The undersigned. having, Iamiliarized hintiderselt with the terms ol' the RFP documents. local condition.,, and the cast ol' the work at the place(s) %where the work i, to he done, hereby proposes and agrees to perliortn within the bane stipulated. all %work required in accordance with the scope of services and other documents including Addenda, if any, on file at the City of santbrd Purchasing Division f )r the price set turth herein in Attachment •'F" Bid Price Schedule and Acceptance of Bid Terms and Conditions. The signature(s) below are an acknowledgment of nnylour full understanding and acceptance of all the terms and conditions set berth in this RFP document or as otherwise agreed to between the parties in %writing. Bidder. -Contractor Name: Mailing Address: elcphone Number: I Fax Number: 1 i E-mail Address: f' It t i , 'Autlnur' ed Signatory - Printed Name - - — TitlerDa C f /, City of Sanford I Finance Department Purchasing Division 'Solicitation Number: SAN'F,ORD 300 N. Park Avenue 2"" Floor Suite 236 Sanford, Florida 32771 R P 22/23-15 __ ----Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 REQUFST FOR PROPOSAL n n t ue a e. TERM CONTRACT May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS �J Il ,7• Signature of Affiant pal r i HM►m `' �� 1 t I�C r,ik Ct I�'ccus �lt�� Typed lor Printed Name of Affiant Title Name of Company STATE OF FLORIDA COUNTY OF l 1 it 1 HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared (,) who is personally known to me or { ) who produced j\_ , i; as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by by means of ( ) physical presence or { ) online notarization on the day of j . , 2023, 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 1 day of 2023. (Notary Public in and for the County and State Aforementioned) SEAL My commission expires: NAKIA KELLY Notary Pub is-, tavi of Florula _ ,�•= Commission k 111A 165365 tvly l.ommission Ex; ir9s -,,gust 22 2025 City of Sanford I [',inance Department I Purchasing Division Solicitation 3011 N. Park Avenue Suite 243 211" Floor, Sanford Florida 32771 Number: Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 RFP 22/23-15 REQUEST FOR PROPOSALS (RFP) Due Date; Term Contract May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME RL'PAIRS STATE OF FLORIDA COUNTY OF ! , I , I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared i- , 1. l I's !, {;} who is personally known to me or ( ) who produced I\ , /' I as identification and acknowledged before me that S/he executed the same. Sworn and subscribed before me, by by means of ( } physical presence or ( ) online notarization on the day of I I , 2023, 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 i day of 2023. r (\ 1 (Notary ublic in and for the County and State Aforementioned) SEAL My commission expires: NAKIA KELLY Notary Public -State of Florida •i �•= Commission 0 HH 166366 My Commission Expires IXASE Cn111 I.E I•E AND St. 13 71'1' 111'1 II 1 Ol It ItP lfg"XR&SE August 22, 2025 Failure to submit this form may be grounds for disqualification of your submittal - 12 City of Sanford I Finance Department I Purchasing Division Solicitation 300 N. Park Avenue Suite 243 20" Floor, Samford Florida 32771 Number: 0— j Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 Rf P 2.2/2;-j5 REQUEST FOR PROPOSALS (RFP) Duce Date: Term Contract May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS Attachment 11G" Addendum Receipt Acknowledgement Certification 'I'hc undersigned acknowledges receipt of the rollowing addenda to the solicitation documents) (Give number and date ofeach): Addendum No. i \ddendum No. Addendum No. Addendum No. Addendum No. Dated: 5 12 12-% 2 7, Dated: 5 1 512 C L Dated: Dated: Dated: By the signaturc(s) below. I we. the undersigned. as authorized signatory to commit the firm. certify that the information as provided in Attachment "C", Addendum Receipt Acknowledgement Certification. is truthful and correct at the time of submission. Ridder/Contractor Name: ��{�_�_- cjt','& I G. �I t �1L ft- ngs Mailing Address: P, (7. P2 CV- 1L1 CIZ j -'Ire, 4,, dr-,- 4: I�Sy Telephone Number: V U_T .} "/S L ci 34Fax Nuntber:L/V 4 36 :4 4 tC I'. -mail Address: Z Baa wt L 1`- s 4n, t hu �t--Iliorlzed&gnatory ��.z ' t--=� ` a 1 i ( �, -C_ -- FEIN:S 1- - L/ yPrinted Tame (`IL.'Ca ctj t 3 1t �Zo2-3 Title Date PLEASE COQ-IPLE'I'E AND SUBMIT WITH YOUR RFP RESPONSE v'Failure to submit this form may be grounds for disqualification of your submittal"110 13 City of Sanford. I Finance Department I Purchasing Division 300 N. Park :Venue Suite 236. Sanfurd. Florida 32771 SANFORI) Phone: 407.088-5028 or 50311 Fax: 407-688-5021 1 Email: iurchasin ew+nuford0. HOMEOWNER OCCUPIED MINOR HOME REPAIR ADDENDUM #1 Respondents must acknowledge receipt of this Addendum by signing this form below and returning it to the Procurement Division prior to the hour and date specified for receipt of bids/proposals or by including this Addendum with your submittal. Failure to comply may result in disqualification of your response. Acknowledgment is hereby made of Addendum #1 to RFP 22/23-15 l lomeowner Occupied Minor l Ionic Repair. 1 N e S 1-4 c��li�, L,� fcfti� s/ 1k-�,cts �,Y��s) - I r,t" C- i\- '"L'�� c Narne of l�lrm/Company C-(-)1,? Cc? tact Email 4C Street Address Telephone Number Autho izcd Person Printed Manic i -AL1t110r1'. 'll Person Signature -- City, State, Zip Code `i L, --7---� 3C ----?-s t"�' - Fax Number Authorized Person Title Il Date ol'Slgnature City of Santirrd I Finance Department I Purchasing Division CC 300 N. Park Avenue Suite 236, Son ford, Florida 32771 SA lel FORD Phony 407-688-5028 or 5030 1 Fam 407-688-5021 F moil: ourchusingly sanfordn.wcv HOMEOWNER OCCUPIED MINOR HOME REPAIR ADDENDUM #2 Respondents must acknowledge receipt of this Addendum by signing this form below and returning it to the Procurement Division prior to the hour and date specified for receipt of bids/proposals or by including this Addendum with your submittal. Failure to comply may result in disqualification of your response. Acknowledgment is hereby made of Addendum #2 to RFP 22/23-15 1 lomcowner Occupied Minor I Lome Repair. kIL( (' e- Lfe' tt� �")O- �-� C-f,�V--j Name of Firm/ omC pang ' (t) 6 f zo)�, Street Address �4 X11 �� it:L1S L- h S I�'-t{(.;� •t. Cr�tii Conta t Email 1-`4'6/Li e'(et 3 J4 1 1 City, State, Zip Code Telephone Number Fax Number 44� IT Authoeized Person Printed Name Authorized Person Title J Authorikd Person Signature Date f Signature City of Sanford I Finance Department I Purchasing Division n3110 N. Park Avenue Suite 236, Sanford. Florida 32771 Phone: 4117-688 +`�—f! JANF`JRI7 -5028 or 5030 1 Fax: 407-68H-5021 I Email: purchnsingw sanfnrd(1.Ln% bra® HOMEOWNER OCCUPIED MINOR HOME REPAIR ADDENDUM #3 Respondents must acknowledge receipt of this Addendum by signing this form below and returning it to the Procurement Division prior to the hour and date specified for receipt of bids/proposals or by 111Clllding this Addendum with V0111- submittal. Failure to comply may result in disqualification oCVour response. Acknowledgment is hereby made of'Addendunl #3 to RFP 22/23-I5 Homeowner Occupied Minor Horne Repair. (X L %iCJZY"S ( 41 , ltsL{)�t�'� L 1111 Cr�' l-L�/US L<�i5F�2cG71'r �� .�cyi� Name o f F' •m/Comps ly Contact Ernail Street Address City. State, Ap Code Telephone Number Fax Number Authorized Person Printed Name Authorized Person Title Adtho ized Person Signature '-L) 26.2 3 Date or gignature State of Florida Department of State I certify from the records of this office that L.M.C.C. SPECIALTY CONTRACTORS, INC. is a corporation organized under the laws of the State of Florida, filed on April 30, 1997, effective April 25, 1997. The document number of this corporation is P97000038521. I further certify that said corporation has paid all fees due this office through December 31, 2023, that its most recent annual report/uniform business report was filed on February 7. 2023, and that its status is artier. I further- certify that said corporation has not tiled Articles of Dissolution. Given render nty hand and the Great Seal of the State of rlorida at Tallahassee, the Capital, this the Seventh dtg of rebrttat- 2023 Tracking Number: 478814593OCC SC octal y. Of tate To authenticate this certificate,visit the folloicing site,enter this number, and then follow the instructions displayed. haps://services.sunhiz.org/Filings/('ertificateofStatus/Certific.iteAuthentication 4126123, 2:13 PM sunbiz.org - Florida Department of State DIVISION OF CORPORATIONS rg �, �� fr f Previous on List Next on Lis l Return to List Fictitious Name Owner Search No Filing History 3trMnil Fictitious Name Detail Fictitious Name MIMS CONSTRUCTION COMPANY Filing Informatlon Registration Number G19000091188 Status ACTIVE Filed Date 0812312019 Expiration Date 1213112024 Current Owners 2 County MULTIPLE Total Pages 1 Events Filed NONE FEVEIN Number 59-3442318 Mailing Address P.O. BOX 681554 ORLANDO, FL 32868 Owner Information MIMS. LYNN 119 SOUTH PINEHILLS ROAD ORLANDO, FL 32811 FE11EIN Number: NONE Document Number: NONE MIMS, LYNN 119 SOUTH PINEHILLS ROAD ORLANDO, FL 32811 FEVEIN Number: NONE Document Number- NONE Document Images 081:':1.1019 - f rbuaus Name Filing View image in PDF format Previous on List Next on Lis l Return to List Fictmnus Name Owner Search No Fl ling History t Suilmit 0 SAN FORI) City of Sanford I Finance Department I Purchasing Division Solicitation Number; 300 N. Park Avenue 21" Floor Suite 236 Sanford, Florida 32771 Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 1 RFP 22/23-15 REQUEST FOR PROPOSAL TL RM CONTP-NCT Due Date: May 25, 2023 TI'T'LE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS 11. State the names, addresses and the type of business of all firms that are partially or wholly owned by the Bidder (attach additional sheets// as necessary):Ie cry, � 4 < I�opP,4, i t) C-rYC�.�Ii��`�'1 r �c�ST.�L� �L_C� C�v��l tz�_i1.. �.ctc /u._� L 1 (�, `'F? P1.= It 7 'k-t"y-f'Ato PC,► -,t -E• -e L C, joy-✓-e'l-1 Acts �-.nV esT07-x-# G✓bLLC, 12. What is the Bidder's bonding capacity? C -TU, ►i l; It,tJ�t �v1\cars `'L�c�-� 13. What amount of the Bidder's bonding capacity has been used as of the date of this bid? Z-C�,(-c= 14. State the name of the Surety Company which will be providing the Performance and Payment Bond, and name and address of the Agent: ��c-,. �- - 7�-�, , , til L.; 1 l • I> N e- �Spll ,�I L c u 1 { Z� N L� , « fir`s 1 C i) C-,2_. ,, /J -T - e. , -�IZt. t^-- 2 [z, S► die +��LrYi � � r. �j �L. ` 15. Has the Bidder been in disputes or litigations in the last five (5) years over construction projects which are completed or still pending for completion? If so, describe the nature of the disputes or litigations and state the Owner's Name, Address, Telephone, and amount of disputes or litigations (attach additional sheets as necessary). fV The Bidder acknowledges and understands that the information contained in response to this qualifications form shall be relied upon by the City in awarding the contract and such information is warranted by Bidder to be true. The discovery of any omission or misstatement that materially affects the Bidder's qualifications to perform under the contract shall cause the City to reject the bid or proposal, and if after the award to cancel and terminate the award and/or contract. Name of Bidddr -�/) 2 . - re of Authorized Representative (Affiant) Lq4t.r' t Printe6 or Typed Name and Title of Authorized Representative (Affiant) Cite of Sanford I Finance Department I Purchasing Division Solicitation 300 N. Park Avenue Suite 243 2°d Floor, Sanford Florida 32771 Number: Phone: 407-688-5028, or 5030 1 Fax: 107-688-5021 RFP 22/23-15 REQUEST FOR PROPOSALS (RFP) nuc Date; Term Contract May 2S, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS Attachment "H" Organizational Information The bidder must Include a copy of their State Certificate of Good Standing Articles of incorporation, which lists the corporate officers. (n addition to the aforementioned documents the Bidder/Bidder Hurst include necessary information to verify the individual signing this proposal,bid and or any contract document has been authorized to hind the corporation. Examples include: A. A copy of the Articles of Incorporation listing the approved signatories of the corporation. B. A copy ol'a resolution listing the members of slaffas authorized signatories liyr the company. C. A letter t om a corporate officer listing the members of staff that are authorized signatories fur the company. By the signature(%) below, 1 wc. the undersigned, as authorized signatory to commit the firm, certify that the information a> ince 1dCd in Attachment "H", Organizational Information, is truthful and correct at the time of submission. Bidder/Contractor Name: _��Li C L S IZc L"e-) s jr ►-1 Mailing Address: L , t� t �C t 5 itt �> /Z Icc. a , C ► f �.1 �` -3-J S' ( t Telephone Nuntber:4G� " � �J�' �' f ��' Au horn ed Signatory "Title fax Number:l-to,q ? r LA -mail Address:)-yitf t rz iL( s L, f tLJ_ct k C r Xt FEIN: _f q - Y f-1 Z y 1 Printed Name 57-// 7t, Z 3 Uate PLEASE CONIPI.F:TE. AND SUBi\IIT %11 111 YOUR l2FP RF.SPONSF -Failure to submit this form may he grounds for disqualification of }our submittal'w 14 TYPE OF ORGANIZATION (Please Mace a check nark (V) itCxt to applicable type) t,/ Corporation Partnership Non -Profit Joint V..nture State of Incorporation I- J Sole Proprietorship Other (Please specify) Principal Place of Business ( Enter Address) ! 7 ft & Federal I.D. or Social Security Number By the signature(%) below, 1 wc. the undersigned, as authorized signatory to commit the firm, certify that the information a> ince 1dCd in Attachment "H", Organizational Information, is truthful and correct at the time of submission. Bidder/Contractor Name: _��Li C L S IZc L"e-) s jr ►-1 Mailing Address: L , t� t �C t 5 itt �> /Z Icc. a , C ► f �.1 �` -3-J S' ( t Telephone Nuntber:4G� " � �J�' �' f ��' Au horn ed Signatory "Title fax Number:l-to,q ? r LA -mail Address:)-yitf t rz iL( s L, f tLJ_ct k C r Xt FEIN: _f q - Y f-1 Z y 1 Printed Name 57-// 7t, Z 3 Uate PLEASE CONIPI.F:TE. AND SUBi\IIT %11 111 YOUR l2FP RF.SPONSF -Failure to submit this form may he grounds for disqualification of }our submittal'w 14 Cite of Sanford I Finance Department I Purchasing Division Solicita(loll .3001N. Park Avenue Suite 243 2°d Floor, Sanford Florida 32771 Number: SANFORD Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 RFP 22/23-15 C; REQUEST FOR PROPOSALS (RFP) ae Date: Term Contract May 25, 20.23 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS Attachment "I" Proposed Schedule of Subcontractor Participation O No Subcontracting (of any kind) will be utilized on this project. Solicitation Number: RFI' 22/23-1 l'otal Project Amount: S Title: Homeowner Occupied (Minor Home Repairs Subcontractor Minority Code (if applicable) Company Name Address Phone, Fax, Email "Trade, Services or Materials portion to be subcontracted Percent (%) of Scope/Contract Federal ID Dollar Value ' S�� ,�►rs !�: 1l_LC.3�I..L`lS- xle'e I.cL'.`C.! L r' .'tr- - 2 ? 41 - 3 4-14 0 ['.S 7 ( CL. ., 'i-, r�rJ. -.3 oft.- 27- ( L to r;� +-; D a- � -} �L"L;, l'�•••`•i J --- - -� L, iG - E, Z.t t, CCS --1t.., (f y( C �',,, -3Z 1 - 23b - m' Y J"CCL,rLu��G 12 C 23q L) I -a5le?-0/te,,.f7c,1"1- nV4-i,Gz f-1 _3SC.,i -- I - PERCENTAGE TOTALS FOR SUBCONTRACTOR PARTICIPATION - -- PERCENTAGE TOTALS FOR MINORITY SUBCONTRACTOR PARTICIPATION When applicable, the Bidder, will enter into a fornnal agrcenient with the subcontractors identified herein for work listed in this schedule conditioned upon execution of a contract with the City. By the signature(s) below, Uwe, the undersigned, as authorized signatory to cotntnit the firm, certify that (lie inlortnatiun as provided in Attachment "1", Proposed Schedule of Subcontractor Participation, is tnitltful and correct at the time of submission_ Bidder/Contractor Name], Ito 4/Qr ,IS (It, IS ►y1.4[-_6r.;L, e -)I'.') Mailing Address: . (t _ i?k i4' t ��v-�c�.:c�c: C� �/_ S7 5�.. 1 f q- 'refepjione Number: Fax Numbe/r:(4Q 7 _' tea, `7Y61, E-mail Address: r(ctE FEIN::j ?L,I Auth i/.ed Signatory IJ Printed Name 'title Date PLEASE COMPLETE AND SUBMIT WITH YOUR RFP RESPONSE 0 -Failure to submit this form may be grounds for disqualification of your submittal'w 15 � � tr1tta,tt = 0 M S m m j rD N' N V) o v, �. n' D O M ` Z CA pZ o D C n O � �' Z O om o C -Ti cu o n Cn O 0 c D m O m — cn -� Z O m �o (1 = z m otn D rD ED Ln z Z to° 0- -1 K ODS 1 7 m a c Z O o nn nom, 1'rl m co N Z7 D X O 00 0 ""� s� � D� n� � m T o n �� RG%1 -n ; r �O c �nZ o= O�_v s v�N cm m �� m m0 O a o m z z tin D N_ 3 N o -, Z O 0 3 cu --1 :3 M. C: — 0 1'- rD m �' D o m o Z v C n C: .� O t m Z =� � j x � � r�J?I(t13j''• k fp m LALn'� o ro 0) 0 n' m m o �Z jLA D O m o m r- '11 r -'` N n LOS ° o p LA Zig i i -i 0 °R� pzo d m 0 Le)n' T C.Z) L4r) . ri r- 0-0 , , t... A Z 0 ra, � oo ) �, A m m CD �_ ' n �� O Ri m D ' �' �j Z (ii v= I i �- Ul N Z CD 0 oo 2. oLic z oo o p r �, r+ � � m -� M Q o m C o I � 0 Z f CL Co fax Collector Scott Randolph Local Business Tax Receipt 2022 EXPIRES 9/30/2023 5000 BUSINESS OFFICE $30.00 6 EMPLOYEES : 1801 CERT GEN CONTRACTO TOTAL TAX S60.00 L M C C SPECIALTY CONTRACTORS INC PREVIOUSLY PAID S60.00 TOTAL DUE S0.00 MIMS CONSTRUCTION CO P O BOX 681554 ORLANDO FL 32868 5303 OLD WINTER GARDEN RD U - ORLANDO. 32811 •: Orange County, Florida 5000-1200291 $30.00 1 EMPLOYEE PAID: $60.00 0099-01061624 7/26/2022 fax Collector Scott Randolph Local Business Tax Receipt Orange County, Florida his local Business Tax Receipt is in addition to and not in lieu of any other tax required by law or municipal ordinance. Businesses are subject to mgulation of zoning, health and other lawful authorities. This receipt is valid from October t through September 30 of receipt year. Delinquent penalty Is added October 1. 2022 EXPIRES 9/30/2023 5000-1200291 5000 BUSINESS OFFICE S30.00 6 EMPLOYEES : 1801 CERT GEN CONTRACTO $30.00 1 EMPLOYEE TOTAL TAX S60.00 PREVIOUSLY PAID 560.00 TOTAL DUE 50.00 5303 OLD WINTER GARDEN RD U -ORLANDO, 32811 PAID: $60.00 0099-01061624 7/2612022 L M C C SPECIALTY CONTRACTORS INC MIMS CONSTRUCTION CO P 0 BOX 681554 ORLANDO FL 32868 This receipt is official when validated by the Tax Collector. Orange County Code requires this local Business Tax Receipt to be displayed conspicuously at the plane of business in public view. It is subject to inspection by all duly authorized officers of the County. . k3rs ._ �. Enter your TIN In the appropriate box. The TIN provided must match the narne given on line 1 to avoid 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 I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose numbor to enter. li� Certification Under penalties of perjury, I certify that - 1 . hat: Social security number -IT or I Employer identification number I 1. The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be issued to roe); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S, person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above it 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 an your tax return. For real estate transactions, itern 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 are riot required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Signature of Here I U.S. person b- / / ]t-n�'.� _/ Date► 5/11/2023 General Ins'uetions W.9 Request for Taxpayer funds) Give Form Form (Rev. October 2018) Identification Number and Certification proceeds) to the requester. Do not Department of the Treasury related to Form W-9 and its instructions, such as legislation enacted transactions by brokers) Send to the IRS. rnal Rev Internal Ser. Ice ► Go to www.irs.gov/FormW9 for instructions and the latest information. • Form 1099-S (proceeds from real estate transactions) Purpose of Form • Form 1099-K (merchant card and third party network transactions) 1 Name (as shown on your income tax rc!urn). Name is required on this line: do not leave this line blank. • Form 1098 (home mortgage interest), 1098-E (student loan interest), information return with the IRS roust obtain your correct taxpayer LMCC Specialty Contractors identification number (TIN) which may be your social security number • Form 1099-C (canceled debt) 2 Business name/disregardod entity name. if different from above •Form 1099-A (acquisition or abandonment of secured property) (EIN), to report on an information return the amount paid to you, or other Mims Construction Company amount reportable on an information return. Examples of information H 3 Check appropriate box for federal tax classification of the person whose name is entered on One t. Check only one of the 4 Exemptions (codes apply only to cn rd following seven boxes. certain entities. not individuals; see °L p ❑ Individual/sole proprietor or 0 C Corporation ❑ S Corporacion ❑ Partnership ❑ TfUSVeSIata instructions on page 3): single -member LLC Exempt noyee code (if any) ❑ Limited liability company. Enter the tax classification (C -C corporation, S -S corporation, P=Partnership) ► FL o Note: Check the appropriate box in the line above for the tax classification of the single member owner. Do not check Exemption from FATCA reporting E in c LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is calla (rt any) a another LLC that is not disregarded from the owner for U,S, federal tax purposes. Otherwise, a single -member LLC that is disregarded trot" the owner should check the appropriate box for the tax classification of its owner. dOther (see instructions) ► nr ori r. maa,rwn.J _ w V. VAS, tCL 5 Address (numtxr, street, and apt. or suite no,) Sao Instructions. Requocter's name and address (optional) P.O. Box 681554 6 City, state, and ZIP code Orlando, Florida 32868-1554 7 List account number(s) here (optional) MOM Taxpayer Identification Number IN Enter your TIN In the appropriate box. The TIN provided must match the narne given on line 1 to avoid 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 I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose numbor to enter. li� Certification Under penalties of perjury, I certify that - 1 . hat: Social security number -IT or I Employer identification number I 1. The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be issued to roe); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S, person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above it 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 an your tax return. For real estate transactions, itern 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 are riot required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Signature of Here I U.S. person b- / / ]t-n�'.� _/ Date► 5/11/2023 General Ins'uetions • Form 1099 -DN (dividends, including those front stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise noted. . Form 1099-MISC (various types of income, prizes, awards. or gross proceeds) Future developments. For the latest information about developments • Form 1099-B (stock or mutual fund sales and certain other related to Form W-9 and its instructions, such as legislation enacted transactions by brokers) after they were published, go to www.irs.gov/FormW9. • Form 1099-S (proceeds from real estate transactions) Purpose of Form • Form 1099-K (merchant card and third party network transactions) An individual or entity (Form W-9 requester) who is required to file an • Form 1098 (home mortgage interest), 1098-E (student loan interest), information return with the IRS roust obtain your correct taxpayer 1098-T (tuition) identification number (TIN) which may be your social security number • Form 1099-C (canceled debt) (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number •Form 1099-A (acquisition or abandonment of secured property) (EIN), to report on an information return the amount paid to you, or other Use Form W-9 only if you are a U.S, person (including a resident amount reportable on an information return. Examples of information alien), to provide your correct TIN. returns include, but are not limited to, the following. It you do not return Form W-9 to the requester with a TIN, you might • Form 1099 -INT (interest earned or paid) be subject to backup withholding. See What is backup withholding, later. Cal. No. 10231X Form W-9 (Rev. 10-2019) City of Sanford I Finance Department I Purchasing Division 5ttlieilation 300 N. Park Avenue Suite 243 21d Floor, Sanford Florida 32771 Number: SA 'Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 RFP 22123-15 N U-0111) •� REQUEST FOR PROPOSALS (RFP) Due Aatc: Term Contract 'Nfay 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOINIE REPAIRS ATTACHMENT "M" CERTIFICATION OF NON -SEGREGATED FACILITIES FORM The Bidder certifies that no segregated facilities are maintained and will not be maintained during the execution of this contract at any of its establishments. The Bidder further certifies that none of its employees are permitted to perfonn their services at any location under the Bidder's control during the life ofthis contract where segregated facilities are maintained. The Bidder certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. As used in this certification, the term "segregated facilities" means any waiting rooms, work area, rest rooms and wash rooms, restaurants and other eating areas, lime clocks, locker rooms and other storage or dressing areas. parking lots, drinking fountains. recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or :u -e in tact segregated on the basis of race, creed, color or national origin, because of habit. local custom, or otherwise. The Bidder agrees that (except where it has obtained identical certification from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontract exceeding 510,000 and that it will retain such certifications in its files. L�tl t 5ifuC!w(bi (I!, , etc iUxs /�-(t.43 e(IL4e{il Name of Bidd c c "li Si;,mattire of Authorized ve 51 it be Printetl or Typed Name and Title of Authorized Representative END OF SECTION 20 City of Sanford I Finance Department I Purchasing Division 300 N. Park Avenue Suite 243 2111" Floor, Sanford Florida 32771 0- S:�NFt_ltttl 111onc: 407-688-5028. or 50301 Fax: 407-638-5021 REQUEST FOR PROPOSALS (R11P) Term Contract Suliclitation Number: Due A 't May 2S; 023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS ATTACHMENT "N" COMPLIANCE WITH THE PUBLIC RECORDS LAW AFFIDAVIT I. 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/proposer's information. II. Upon award recommendation or 30 days after opening, it is understood that all submittals shall become "public records" and shall be subject to public disclosure consistent with Chapter 119, Florida Statutes, and Section 24(a), Article 1 of the Constitution of the State of Florida, and other controlling law (collectively the "Public Records Laws"). If the City of Sanford (City) rejects all replies submitted in response to a competitive solicitation and provides notice of its intent to reissue the solicitation, the replies remain exempt from disclosure until the City provides a notice of intent to award or withdraws the reissued solicitation. If no award is made, responses are not exempt for longer than 12 months after the initial notice rejecting all responses. Proposers/Bidders must invoke the exemptions to disclosure provided by law as applicable to the response to the solicitation, must identify the data or other materials to be protected, and must state the reasons why such exclusion from public disclosure is necessary. The submission of a proposal authorizes release of your firm's credit data to the City. If a Proposer/Bidder submits information exempt from public disclosure, the Proposer/Bidder must specifically and in detail identify with specificity which pages/paragraphs of their bid/proposal package are exempt from the Public Records Laws. identifying the specific exemption under the Public Records Laws that applies to each. The protected information must be submitted to the City in a separate envelope marked accordingly. By submitting a response to this solicitation, the Proposer/Bidder agrees to defend, indemnify and hold the City harmless in the event the City litigates the public records status of the Proposer's/Bidder's documents this provision including the obligation to pay the 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. City of Sanford finance Department I Purchasing Division Solicillatiau 300 N. Park A%euue Suite 243 2"" Floor, Sanford Florida 32771 Number: Phone: 0X107-688-5028;- SANFORD, or 5(!30 � Fax: -107-688-5021 Itl' P 22/23y1$ REQUEST FOR PROPOSALS (RFP) Due Date: Term Contract May 25.2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS f �t C i ' (S5 Abo, mims CO3) u4t cln Proposer/Bidder Signa thorized Representative (Affiant) Da I. \JM-01 -01 tA 1, .n s Printed or Typed Name and Title of Authorized Representative (Affiant) STATE OF FLORIDA COUNTY OF I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared 1 l {t.} who is personally known to me or ( ) who produced I` I as identification and acknowledged before me that s/he executed i the same. Sworn and subscribed before me, by 1 i by means of {.t} physical presence or { } online notarization bn the day of 2023, 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 1,. day of i 2023. (Notary Public in and for the County and Sta 22 NAKIA KELLY L'ublic,State of Florida �6prp�dy�n p HH 165365 My Com ission Expires August 22, 2025 TAB E FEE SCHEDULE City of Sanford I Finance Department I Purchasing Division Solicitation 300 N. Park Avenue Suite 243 2'"' Floor, Sanford Florida 32771 N U nibe t': y y � Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 j��'p 22/73_1 j �ANFOLI) REQUEST FOR PROPOSALS (RFP) Due Date: Term Contract Hoy 25,12023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS ATTACHMENT "K" Florida Public Entity Crimes Statement SWORN STATEMENT UNDER SECTION 287.133(3) (a), FLORIDA STATUTES: THIS FORM MUST BE SIGNED IN THE PRESENCE OFA NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATIIS. A. This sworn statement is submitted with Ifid, or Contract Number RFP 22/23-15 Homeowner Oc-upied Minor home Repairs. lis 'I whose business address is 'r• Iq I(5 h rl01C"'C" , t't e- :PT tl and (il•applicahle) it's Federal Employer identification Number (FEIN) is (Ifthe entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: C. My name ictZell LL, et and nth relationship to the above is fILj)�cCo,J Pleme print name ol'inilkidual signtingI D. I understand that a "public entity crime" as defined in section 287.133111(0, Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity in Florida or xvith an agency or political subdivision of any other ,talc or with the United States, including, but not limited to, any bid or contract fur goods or services to be provided to any public entity or an agency or political subdivision and involving antitrust. fraud. ►heli, bribery. collusion. racketeering,. conspiracy. or material misrepresentation. h. 1 understand that "convicted" or "conviction" as defined in section 287.133(1) (b). Florida Statutes, means a linding ol'guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court ()free lid relating to charges brought by indictment or information after July 1. 1989, as it result of a jury verdict, non jury trial, or entry (.)fit plea of guilty or nolo contender;. F. I understand that "affiliate" as defined in section 287.133(1) (a). Florida Statutes, means: A predecessor or successor of a person convicted of public entity crime; or An entity under the control of any natural person %vho is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, member;, and agent.s who are active in the management ofan affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for lair market value under an inn's length agreement, shall be a prima Iacie case that one Pei -soil controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding thirty-six (36) months shall be considered an affiliate. G. I understand that it "person" as defined in section 287.13301 (e). Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or apl:lies to bid on contracts for the provision of Roods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, numbers, and agents who are active in management ofan entity. 11. Based on information and belief, the statement, which I have marked below, is true in relation to the entity submitting this sworn statement. IPlease indicate with a check mark (✓) which statement applics1. 17 City of Sanford ( Finance Department Purchasing Division 3011 N. Park Avenue Suite 243 2"' Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 1 Fax: 407-688-51121 0- REQUEST FOR PROPOSALS (RFP) Term Contract TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS X Neither the entity submitting this sworn slatentent, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who is active in the management of the entity. nor any affiliate of the entity have been convicted of a public cntity crime subsequent to .duly 1. 1980. __ .Hie entity submitting this sworn statement, or one or nwre of the officers, directors, l'\CCutiVeS. palmers, shareholders, employees, members, or agents who are active in the management of the entity. or an affiliate of the entity has been charged with and convicted ofa public entity crime subsequent to .1111y 1. 1959. AND [[lease indicate which additional statement applies]. There has been a proceeding concerning the conviction before a judge or hearing officer of lite State of Florida. Division of :'Administrative I Icarings, or it court of low having) proper jurisdiction. The final order entered by the hearing officer or judge did not place the person or affiliate on the convicted contractor list. [Please attach it copy of the final order.] The person or ,affiliate was placed on the convicted contractor list. 'There has been a subsequent proceeding hCf rrC a court of law having proper jurisdiction or a judge or hearing officer of the State of Florida, Division of Administative Hearings. The final order entered by the judge or hearing officer determined that is was in the public interest to remove the person or affiliate from lite convicted contractor list. IPlea,e attach a copy ofthe final order.I I'he person or affiliate has not been placed on any cumicted vendor list. [Please describe any action taken by or pending with the State of Florida. Department of Management Set? ices.] Liv lite signaturclsl hclou. file undersigned. as tunthorizcd signatory to commit the firm, certify that lite information as providctl in :Attachment "K". Public EntitN Crimes Statement. is truthful Lund correct at the time ofsubntission. � f;hf NT SIGN,ATt IRF • �, L'S I'epc' NLune of:1FI"IANT Talc STATE OF FLORIDA COUNTY OF I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared L j '- 1`" � , .. (,) who is personally known to me or ( ) who produced as idehtification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by t , ! ! !. ('s I ., , by means of Q physical presence or ( ) online notarization on the t day of f' i - 2023, 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 1, day of I`, , 2023. A )" ,. (Notary Public in and for the Counf� and State Afore PLEASF C0NIPLFTE AND SIt1Itl411'I' NN I I•II YOUIt RFP REST' . °'Failure to submit this form may he grounds for disqualification of your submittal'° lR City of Sanford I Finance Department Purchasing Division .Solieitatinn 300 N. Park Avenue Suite 243 211" floor, Sanford Florida 32771 Number: 502 688 407 Phone: --8, or 5030 i Fax: 407-688-5021 AA Sr>>iT�ORI) 0P 22/23-115 REQUEST FOR PROPOSALS (RFP) PpeDate; Term Contract 25, 2073 TITLE: HOMEOWNER OCCUPIED MINOR HOTNIE REPAIRS ATTACHMENT "O" 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. 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. 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 Contractor's 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. 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 City of Sanford I Finance Department I Purchasing Division 300 N. Park Avenue Suite 243 2" Floor, Sanford Florida 32771 SAiVI--()IlD Phone: 407-6811-5028, or 5030 1 Fax: 407-688-5021 REQUEST FOR PROPOSALS (RFP) Term Contract TITLE: HOMEOWNER OCCUPIED MINOR HONIE REPAIRS 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 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 "E -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. The undersigned signatory, under penalty of perjury, affirms that she/he has the plenary authority to bind the Contractor to the provisions hereof. L S Contractor Printed Na 1'.-5 d I)c,, 6-1- hnctafion r Signature 4f/Authorized Representative (Affiant) DAte I \1 (1 I'► I N� ► A`1'� Printed or Tvbed Name 0tv of Sanford Finance Department I Purchasing Di�lision So]ieitatiou 300 N. Park Avenue Suite 243 2"" Floor, Sanford Florida 32771 Number: SA N F'ORD Phone: 407-688-5028, or 50301 Fax: 407-688-5021 RFP 22123.,15 REQUEST FOR PROPOSALS (RFP)) Due Dart~: Term Contract Hav 25.2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS STATE OF FLORIDA i COUNTY OF 1 I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared -who is personally known to me or { }who produced I*; j A, a' identification and swore and acknowledged before me, under oathff that s/he executed the same. Sworn and subscribed before me, by L._V f I( I 1,0 j\, I � I + i by means of { j physical presence or { } online notarization on the ; 1 day of i . '. 2023, 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 contained herein all of which are true and correct. WITNESS my hand and official seal in the County and State last aforesaid this I ; day of 2023. NAKIA KELLY Notary Pubiic-State of Florid (Notary Public in and for the County and St ` `tel (��p{� a HH 16636b L`tlhtrttiGsion Expires SEAL August 22, 2025 My commission expi °-Failure to submit this form may be grounds for disqualification of your submittal'o END OF SECTION 25 City of Sanford I finance Department I Purchasing Division solicitation 301) N. Park Avenue Suile 233 2"" Floor, Sanford Florida 32771 Number: Phone: 407-688-51128 or 5030 1 lax: 407-688-5021 RFP 22/23-15 REQUEST FOR PROPOSALS (RFP) Due Datta: Term Contract May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS ATTACHMENT "P" 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 indemnify the CITY, its agents, officers or employees from any and all claims, demands, debts, liabilities or causes of action of every kind or character, whether in law or equity, resulting from the CONTRACTOR's acts or omissions in connection with the ADA. LM(T �,00lcdu �01)14YIGJUC5 dk.( MOO L)A)ar Contractor of Authorized Representative (Affiant) Date W,)dd MkmS Printed or typed Narne and Title of Authorized Representative (Affiant) 26 Cite of Sanford I Finance Department I Purchasing Division -- ,lolicitution - - 3011 N. Park Avenue Suite 243 21" Floor, Sanford Florida 32771 Number., Phone: 407-688-5028, or 5030 1 Fax: 4117-688-5021 RFP 22/23-15 �)_SANFOIti) REQUEST FOR PROPOSALS (RFP) Due Date: Term Contract May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS STATE OF FLORIDA COUNTY OF i HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared who is personally known to me or { } who produced i as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by I by means of {.} physical presence or { } online notarization on the day of 1 2023, 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 2023. (Notary Public in and for the County and State Aforementioned) ,4, NAKIA KELLY SEAL My commission expires: �,tNotary Public -State of Florida =u = fissionHH 165365 My Commission Expires August 22, 2025 PLEASE COMPUTE AND SUBMIT WITH YOUR RFP RESPONSE Failure to submit this form may be grounds for disqualification of your submittal"O END OF SECTION 27 0 SANI;OItI:) City of Sanford I Finance Department I Purchasing Division 300 N. Park A%,enue Suite 243 2" `' Floor, Sanford Florida 32771 Phone: 307-688-5028, or 5030 1 Fax: 407-688-55021 REQUEST FOR PROPOSALS (RFP) Term Contract TITLE: HOMEOWNER OCCUPIED MINOR HONIE REPAIRS ATTACHMENT "Q" PRIME CONTRACTOR CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION Lower Tier Covered Transactions (1) The prospective lower tier participant is certified by the local government, by submission of this document, that neither the prospective nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in the transaction by any Federal Department or Agency. (2) Have not within a three-year period preceding this certification been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal , State or local) transaction or contract under a public transaction; violation or Federal or State anti-trust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. (3) Have not within a three-year period preceding this certification had one or more public transaction (Federal, State or local) terminated for cause or default. (4) The local Government hereby certifies they have search the Excluded Party System List (EPSL) at https://www.epis.gov/epls/search.do to verify the named contractor is not on the (EPSL). LtOdd� Kuln5 Printed Name of Authorized Representative f Signa ur� e of Authorized Representative Sca I' Local Government (City/Town) Title LW'� Co)k4cr; ►I Name of Contractor , UC( 'I�I�ty15 Vf1j{_r( 4l6n Date kyp hIMUM10±� ULLUO'e-A Koo(- Project Number Project Name 1 N t'p t o END OF SECTION 28 01 S:A i\T FORI) C itv of Sanford ( Finance Department I Purchasing Division St)lieittttion — 300 N. Park Avenue Suite 243 211" Floor, Sanford Florida 32771 Number: Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 RFT 22/Ll-15 REQUEST FOR PROPOSALS (RFP) 0110 Ditte. Term Contract MISy 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOTME REPAIRS ATTACHMENT "R" SUB CONTRACTOR CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION Lower Tier Covered Transactions (1) The prospective lower tier participant is certified by the local government, by submission of this document, that neither the prospective nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in the transaction by any Federal Department or Agency. (2) Have not within a three-year period preceding this certification been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal , State or local) transaction or contract under a public transaction; violation or Federal or State anti-trust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. (3) Have not within a three-year period preceding this certification had one or rnore public transaction (Federal, State or local) terminated for cause or default. (4) The local Government hereby certifies they have search the Excluded Party System List (EPSL) at https://www.epls.gov/epls/search.do to verify the named contractor is not on the (EPSL). I 11A I n Printed kame of Authorized Representative IA Signature of/Authorized Representative Isa, OPLI, d Local Government (Cit}/town) �ff_51d f of - Title CSC}Gr.S � Name of ContractorobC� M1rY)� C1S�r UL�lCk� Date qA H 2 0 l J Project Number k11)t_UWVtC I✓� Cis CI M �� Project Name END OF SECTION 29 Cite of Sanford Finance Department Purchasing Division x 300 N. Park Avenue Suile 243 211" 1 lour, Sanford Florida 32771 Phone: 407-688-51128, or 5030 1 1 -ax: 407-688-5021 { REQUEST FOR PROPOSALS (RFP) Term Contract TITLE: HOMEOWNER OCCUPIED fMINOR HOME REPAIRS ATTACHMENT "S" UNAUTHORIZED (ILLEGAL) ALIEN WORKERS AFFIDAVIT The City of Sanford will not intentionally award publicly -funded contracts to any Contractor who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 1324a(e) Section 274A (e) of the Immigration and Nationally Act (INA). The City of Sanford shall consider the employment by the Contractor of unauthorized aliens, a violation of Section 274A (e) of the INA. Such violation by the Contractor of the employment provisions contained in Section 274A (e) of the INA shall be grounds for immediate termination of this Agreement by the City of Sanford. The Affiant identified below deposes and states that: The below identified Contractor does not and will not during the performance of any contract resulting from the solicitation identified below employ illegal alien workers or otherwise violate the provisions of the federal Immigration Reform and Control Act of 1986. 2. Upon request of the City, it will provide copies of Immigration Form 1-9 for each person associated with the above named company who has been or is present at the designated jobsite associated with any work or project resulting from this solicitation. L M C &C, Contractor f of Authorized Representative (Affiant) 11 T1't4'o Printed br Typed Name and Title of Authorized Representative (Affiant) STATE OF FLORIDA COUNTY OF ' 11 HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared I`, , {-3 who is personally known to me or { } who produced I\ as. identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by ` h [', 0 . by means of (,-p physical presence or { } online notarization on the day of i ,' , , 2023, 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 (`\ ,,' 2023, (Notary Public in and for the County and State NAKIA KELLY Notary Public•StatO of Florida HH 165365 e y Commission Expires August 22, 2025 PLEASE CONIPLETE AND SLIB117' WIT11 VOUR 111;11 Failure to submit this form may he grounds for disqualification of %our submittal i0 C'i(y of Sanford I Finance Department Purchasing Division :5i� stc Ai �t 300 N. Park Avenue Suite 243 2"" Floor, Sanford Florida 32771 � SAWN-,"]) Phone: 407-688-5028, or 5030 1 Fax: 407-688-5021 RE QUEST FOR PROPOSALS (RFP) ) Term Contract TITLE: HOMEOWNER OCCUPIED MINOR HOME R.L+'PAIRS ATTACHMENT "T" EQUAL EMPLOYMENT OPPORTUNITY 41 CODE OF FEDERAL REGULATIONS SECTION 60-1.4(b) FEDERALLY ASSISTED CONTRUCTION CONTRACTS (PRIME CONTRACTORS AND SUBCONTRACTORS) [Note: This certification is required by 41 Code of Federal Regulations Section 60-1.7(b) and is applicable to all federal or state assisted construction contracts and subcontracts with a price exceeding $10,000: this certification is to be included in all federal assisted construction contracts and subcontracts with a price exceeding $10,000 and in all solicitations for such contracts and subcontracts.] See 2 Code of Federal Regulations. Part 200, Appendix II(C). The use of the term "Contractor" herein shall mean the Prime Contractors or Subcontractor executing this document. The Contractor hereby agrees that it will incorporate or cause to be incorporate into any contract for construction work, or modification thereof, as defined in the regulations of the Secretary of Labor at 41 Code of Federal Regulations Chapter 60, which is paid for in whole or in part with funds obtained from the Federal Government or borrow on the credit of the federal government pursuant to a grant, contract, loan, insurance, or guarantee, or undertaken pursuant to any federal program involving such grant, contract, loan. insurance or guarantee, or any application or modification thereof approved by the Federal Government for a grant, contract, loan, insurance, or guarantee under which the Contractor itself participates in the construction work. During the performance of this contract, the contract agrees as follows: (1). The Contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin, The Contractor will take affirmative action to ensure the applicants are employed, and that employees are treated during employment without regard to their race, color, religion, sex, or national origin. Such action shall include, but not limited to the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising: layoff or termination: rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. (2). The Contractor will, in all solicitation or advertisement for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. (3). The Contractor will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an employee who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information, unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with the Contractor's legal duty to furnish information, 31 Cite of Sanford Finance Department I Purchasing Division 300 N. Park Avenue Suite 213 2"' Floor, Sanford Florida 32771 SANFORD Phone: 107-688-5028, or 5030 1 Pax: 07-688-5021 REQUEST FOR PROPOSALS (RFP) Term Contract TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS (4). The Contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. (5). The Contractor will comply with all provisions of Executive Order Numbers 11246 of September 24, 1965, and of the rules, regulations and relevant orders of the Secretary of Labor. (6). The Contractor will furnish all information and reports required by the Executive Order Number 11246 of September 24, 1965, and by rules, regulations and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by representative of the City of Sanford and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. (7). In the event of the Contractor's noncompliance with the nondiscrimination clauses of the contract or with any of the said rules, regulations, or orders, this contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contract or federally assisted construction contracts in accordance with procedures authorized in Executive Order Numbers 11246 of September 24, 1965, and such other sanctions may imposed and remedies invoked as provided in the Executive Order Numbers 11246 of September 24, 1965, or by rule, regulations or order of the Secretary of Labor, or as otherwise provided by law. (8). The Contractor will include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (8) in every subcontract or purchase order/work order (by whatever name) unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order Number 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The Contractor will take such action with respect to any subcontract or purchase order/work order (by whatever name) as the administering agency may direct as a means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request the United States to enter into such litigation to protect the interests of the United States. The Contractor further agrees that it will be bound by the above equal opportunity clause with respect to its own employment practices when it participates in federally assisted construction work: Provided, That if the Contractor so participating is a State or local government, the above equal opportunity clause is not applicable to any agency, instrumentality or subdivision of such government which does not participate in work on or under the contract. The Contractor agrees that it will assist and cooperate actively with the administering agency and the Secretary of Labor in obtaining the compliance of contractors and subcontractors with the equal opportunity clause and the rules, regulations, and relevant orders of the Secretary of Labor, that it will furnish the administering agency and the Secretary of Labor such information as they may require for the supervision of such compliance, and that it will otherwise assist the administering agency in the discharge of the agency's primary 3? City of Sanford I Finance Department I Purchasing Division Solicitation tick N !=O R > 301) N. Park :Avenue Suite 243 2111" Floor, Sanford Florida 32771 Phone: 407-688-5028, or 5030 1 Fax: 407-688-51121 Numbee: Rt, P 22/23-15 REQUEST FOR PROPOSALS (RFP) Due Date: Term Contract May 25, 202.1 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS responsibility for securing compliance. The Contractor further agrees that it will refrain from entering into any contract or contract modification subject to Executive Order Number 11246 of September 24, 1965, with a contractor debarred from, or who has not demonstrated eligibility for, Government contracts and federally assisted construction contracts pursuant to the cited Executive Orders and will carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors and subcontractors by the administering agency or the Secretary of Labor pursuant to Part II, Subpart D of Executive Order Number 1246 of September 24, 1965. In addition, the Contractor agrees that if it fails or refuses to comply with these undertakings, the administering agency may take any or all of the following actions, Cancel, terminate, or suspend in whole or in part this grant (contract, loan, insurance, guarantee); refrain from extending any further assistance to the Contractor under the program with respect to which the failure or refund occurred until satisfactory assurance of future compliance has been received from such Contractor; and refer the case to the Department of Justice for appropriate legal proceedings ��% I I ,1� (Signature of`Authorized Offibial of Contractor) Date LV nd (Name add Title of Authorized Official [Print or Type]) (Name of Prospective Construction Contractor or Subcontractor [Print or Type]) S Cc�QLc�lf (State of Incorporation or formation and type of entity [Print or Type]) 11 � .S Tult � k O E Number of Prospective Construction Contractor or Subcontractor [Print or Type]) (Address and Telephoffn,, Ie (Employer Identification Number of Prospective Construction Contractor or Subcontractor) -3 TAB F Cit of Sanford I Finance Department I Purchasing Division olieitatioii 300 N. Park Avenue Suite 243 20d Floor, Sanford Florida 32771 Number; t� Q SAN FORD Phone: 4117-688-5028, or 5030 1 Fax: 407-688-5021 RFP 22/23-15 REQUEST FOR PROPOSALS (RFP) Due Date: Term Contract May 25, 2023 TITLE: HOMEOWNER OCCUPIED MINOR HOME REPAIRS ATTACHMENT "V" STATE%*IF.NT OF INSPECTION Bidder's signature on this page indicates that the bidder has inspected the facility specified in the Request for Proposal for City of Sanford CDBG Properties (Various Homes) in Sanford, Florida 32771 and has fully reviewed and understands all work requirements at said location(s): ],._L . 1'.C(C , Prii' W Name of Authorized Person 44mIL re of Authorized Person II 7C) -z3 I );II 4Lk1 �/$ Z�G'_i I& [,177 /i��G/L'►i//��/�t<! x,S7• Name of Firm I! `/ `-� , �> 'ice. lc,.• l I S �� G �- Street Address City, State, Zip Code REMINDER: THIS FORM IS TO BE INCLUDED WITH YOUR SUBMITTAL. FAILURE TO SUBMIT ALONG WITH YOUR SUBMITTAL MAY BE CAUSE FOR DISQUALIFICATION. 37