900-Quality Vaults 10/02 CONTRACT
CITY OF SANFORD, FLORIDA
:
This contract entered into this ~ dayof 19~--~ 2002, by QualityVauitslnc.
hereinafter called the 'Contractor' and the City of Sanford hereinafter called the 'City."
WITNESSETH that the Contractor and the City, in consideration of the mutual covenants,
promises and agreements herein contained, agree as follows:
SCOPE OF THE CONTRACT: The Contractor shall provide the goeds/servicas to the City as set
forth in the Contract Documents required to pen~orm and complete the work/Project known as:
Opening & Closing of Graves at Sanford Municipal Cemetery.
THE CONTRACT DOCUMENTS, by this reference, SHALL CONSIST OF:
(1) This signed form for extension of contract 10-1-02 thru 9-30-03.
(2) Bid Number: IFB 01/02-03 which includes bonding and insurance requirements
(3) Change Ordem if and when they occur
(4) Applicable Pumhase orders
INDEMNIFICATION: The contractor agrees to indemnify, defend and hold harmless the City,
including its officers, agents, and employees, from any claim, damages and actions of any kind or
nature, whether at law or in equity, adsing from or caused by the use of any materials, goods,
equipment and/or services of any kind or nature furnished by the contractor, provided that such
liability is not attributable to the sole negligence of the City or failure to use the materials, goods,
or equipment and/or services in the manner already and permanently prescribed by the
contractor.
PAYMENT will be processed as provided by the contract documents.
CONTRACT ADMINISTRATOR: Howard Jeffde§, Mana~ter Parks & Grounds Maintenance
shall decide questions which may a~se as to the qualify and acceptability of matedals furnished,
work performed, rate of progress of work, interpretation of Drawings, Specifications and all
questions as to the acceptable fulfillment of the Contract on the part of the Contractor.
IN WITNESS WHEREOF, the pa[ties have caused this Contract to be duly executed intending to
be bound thereby.
CONTRACTOR:
DUE TO NO BIDS BEING RECEIVED, THIS SOLICITATION HAS BEEN
EXTENDED TO OPEN ON NOVEMBER 12, 2001 AT 2:00 P.M.
City of Sanford
P. O. Box 1788 · Sanford, Florida 32772 - 1788 · Telephaae (407) 330-5613 · Fax (407) 330-5666
INVITATION FOR BIDS
The City of Sanford, Florida will receive sealed bid(s) identified below until 2:00 PM,
OCTOBER 22, 2001, at which time or shortly thereatter they will be publicly opened and read
aloud in the City Commission Chambers, Room 117, 300 N. Park Avenue, Sanford, FL.
SOLICITATION NUMBER: IFB 01/02-03
OPENING AND CLOSING OF GRAVE SPACES-SANFORD MUNICIPAL CEMETARY
DATE ISSUED: October 2, 2001
Solicitation packages including specifications, terms, conditions, general instructions and bid
submission documents are now available and may be obtained, at no cost, in one of the following
ways:
1. Requesting in person or by telephone at the Purchasing Agent's Office:
F. William Smith, Purchasing Agent
City of Sanford
300 N. Park Avenue, Room 236 (P.O. Box 1788)
Sanford, FL 32771
Telephone: 407-330-5613
Facsimile: 407-330-5666
Email: smithb@ci.sanford.fl.us
2. Downloading at tbe City of Sanford's web site (www.ci.sanford.fl.us)
Persons with disabilities needing assistance to participate in any of these proceedings should
contact the Personnel Office ADA Coordinator at (407) 330-5626 forty-eight (48) hours in
advance oftbe meeting.
City of Sanford
F. William Smith
Purchasing Agent
October 3,2001
GENERAL BIDDING INSTRUCTIONS
PREPARATION OF BIDS
A. Bidders are expected to examine this Bid form, attached drawings,
specifications, if any, and all instructions. Failure to do so will be at the
Bidder's risk.
(1). Bidders are responsible to make all necessary investigations to inform
themselves thoroughly as to all difficulties involved in the completion of
all work required pursuant to the mandates and requirements of this bid
package. No plea of ignorance or difficulties that may hereafter exist, or
of conditions or difficulties that may be encountered in the execution of
the work pursuant to this bid package as a result of failure to make the
necessary examinations and investigation will be accepted as an excuse for
any failure or omission on the part of the successful bidder to fulfill, in
every detail, all of the requirements of the contract, nor will they be
accepted as a basis for any claims whatsoever for extra compensation or
for an extension of time.
Bo
All prices and negotiations must be in ink or typewritten. No erasure
permitted. Mistakes may be crossed out and corrections typed adjacent
and must be initialed and dated in ink by person signing quotation. All
bids/quotations/proposals must be signed with the firm name and by a
responsible officer or employee. Obligations assumed by such signature
must be fulfilled.
Each Bidder shall furnish the information required on the Bid Form and
each accompanying sheet thereof on which he makes an entry. Bids
submitted on any other format shall be disqnalifted.
Unit price for each unit bid shall be shown and such price shall include
packing, unless otherwise specified. Unit price will also include on-site
hardware and software set-up including all necessary cabling. A total
shall be entered in the amount column for each item bid. In case of
discrepancy between a unit price and extended price, the unit prices will
be presumed to be correct.
USE OF TRADE NAMES
Specifications used are intended to be open and non-restrictive. Except where indicated,
"NO SUBSTITUTES,"any reference to brand name or number shall not be construed as
restricting to that manufacturer, but is used as a minimum standard of quality. When no
reference or change is made on Bid by Bidder, it is understood that the specific brand
item named on Bid shall be furnished by Bidder. If Bidding on other than the make,
model, brand or number as shown, and offered as an equal, complete and catalog
reference must be clearly stated on Bid or attached letter. Any deviation between brand
offered and brand specified must also be clearly indicated.
DELIVERY
Time is of the essence in the performance of the contract, and failure to perform in
accordance with the delivery deadline(s) set forth in the specifications or any other
2
contract document shall constitute default. Unless a written extension is obta'med from
the City prior to the delivery deadline(s), there shall be no excuse for untimely
performance. The granting and duration of extensions shall be subject to the exclusive
discretion of the City.
The City may accept any item or group of items or any Bid, unless the Bidder qualifies
his Bid by specific limitations. The right is reserved by the City of Sanford to reject any
or all bids and to waive technicalities.
Bids cannot be altered or withdrawn after the stipulated opening date and time.
4
REMOVAL FROM BID LIST
If you do not quote, return the Bid Form and state reason. Otherwise, your name may be
removed from our mailing list.
TAXES
The City is exempt from state and local sales tax. The City of Sanford, Florida, has the
following tax exemption certificates assigned:
(a)
Certificate of Registry//59-6000425 for tax-free transactions under
Chapter 32, Internal Revenue Codes.
(b) Florida Sales & Use Tax Exemption Certificate #69-11-035140-54C
SUBMISSION OF BIDS
A. Bids and modifications thereof shall be enclosed in sealed envelopes, with
the Bid Form and other required forms, addressed to the office specified in
the Invitation For Bid, with the name and address oftbe Bidder, the date
and hour of opening, and the Invitation Number on the face of the
envelope. Bids received after the stated time and date will be returned to
the sender unopened. Facsimile or Telegraphic Bids will not be accepted.
The Bidder represents that the article(s) to be furnished under this Invitation For
Bid is (are) new and unused (unless specifically so stated) and that the quality has
not deteriorated so as to impair its usefulness.
DEFAULT
As a result of Bids received under this Invitation, the award of the Contract may be based, in whole or in
part, on delivery and specification factors. Accordingly, should the Bidder not meet the delivery
deadline(s) set forth in the specifications or should the Bidder fail to perform any of the other provisions of
the specifications and/or other Contract Documents, the City may declare the Bidder in default and
terminate the whole or any part of the Contract. Upon declaring the Bidder in default and terminating the
Contract in whole or in part, the City may procure and/or cause to be delivered the equipment, supplies or
materials specified, or any substitutions thereof, and the Bidder shall be liable to the City for any excess
costs resulting therefrom. In the event the Bidder has been declared in default ora portion of the Contract,
the Bidder shall continue the Cona'act to the extent not terminated under the provisions of this paragraph.
Where the Bidder fails to comply with any of the specifications, except for delivery deadline(s), the City
may, at its diseretion, provide the Bidder with written notification of its intention to terminate for default
unless prescribed deficiencies are corrected within a specified period of time. Such notification shall not
constitute a waiver of any of the City's rights and remedies hereunder.
10.
11.
PATENT INDEMNITY
Except as otherwise provided, the successful Bidder agrees to indemnify the City and its
officers, agents and employees against liability, including costs and expenses for
infringement upon any letters of patent of the United States arising out of the
performance of this Contract or out of the use or disposal by or for the account of the City
of supplies furnished or construction work performed hereunder.
DISCOUNTS
Trade and time payment discounts will be considered in arriving at new prices and in
making awards, except that discounts for payments within less th. an 30 days will not be
considered in evaluation of Bids. However, offered discounts will be taken for less than
30 days if payment is made within discount period.
12. CERTIFICATE OF INDEPENDENT PRICE DETERMINATION
13.
14.
By submission of this Bid, the Bidder certifies, and in the case of a Joint Bid, each party
thereto certifies as to its own organization, that in connection with this procurement:
The prices in this Bid have been arrived at independently, without consultation,
communication or agreement for the purpose of restricting competition, as to any
matter relating to such prices with any other Bidder or with any Competitor.
Unless otherwise required by law, the prices which have been quoted in this Bid
have not been knowingly disclosed by the Bidder and will not knowingly be
disclosed by the Bidder prior to opening, directly or indirectly to any other Bidder or
to any Competitor; and
C. No attempt has been made or will be made by the Bidder to induce any other person
or firm to submit a Bid for purpose of restricting competition.
D. Bidder warrants the prices set forth herein do not exceed the prices charged by the
Bidder under a Contract with the State of Florida Purchasing Division.
Bidder agrees that supplies/services furnished under this quotation, if awarded, shall
be covered by the most favorable commercial warranties. The Bidder gives to any
customer for such supplies/services and that rights and remedies provided herein are
in addition to and do not limit any rights offered to the City by any other provision of
the Bid award.
AWARD OF CONTRACT
The Contract, if awarded, will be awarded to that responsible Bidder whose Bid will be
most advantageous to the City, price and other factors considered. The City is to make
the determination.
Samples of items, if requested, must be furnished free of expense to the City and if not
called for within fil%en (15) days bom date of Bid Opening, same will be disposed of to
the best interest of the City.
15.
16.
17.
18.
19.
20.
Failure to observe any oftbe above instructions and conditions, may constitute grounds
for rejection of your Bid.
EXTENSION
The City reserves the option of extending the time period of the Contract(s) resulting
from this Solicitation, including all terms and conditions of the Bid Documents. Such
time extension(s) shall be by mutual agreement of both parties. Contract cannot exceed
36 months unless specifically approved by the City Commission. Extensions requiring
price increases must also be approved by the City Commission.
BID TABULATION
A copy of the Bid Tabulation will be available for your review in the Office of
Purchasing. Should you desire a copy, please enclose a self-addressed stamped envelope
labeled "Bid Tabulation" with your Bid and a copy will be provided as soon as available.
PAYMENT
No payment will be made for materials ordered without Purchase Order Authorization.
FREIGHT
Freight or any charges associated with the delivery of Bid product or service is to be
included in the Bid Prices and not listed as a separate item. All items Bid are F.O.B.
Sanford, point of delivery specified.
PUBLIC ENTITY CRIMES
In accordance with paragraph (2) (a) of Section 287.133, Florida Statutes, "A person or
affiliate who has been placed on the convicted vendor list following a conviction for a
public entity crime may not submit a bid on a contract to provide any goods or services to
a public entity, may not submit a bid on contract with a public entity for the construction
or repair of a public building or public work, may not submit bids on leases of real
property to a public entity, may not be awarded or perform work as a contractor, supplier,
subcontractor, or consultant under a contract with any public entity, and may not transact
business with any public entity in excess of the threshold amount provided in Section
287.017, for CATEGORY TWO for a period of 36 months from the date of being placed
on the convicted vendor list."
21. OTHER PUBLIC ENTITY USE OF CONTRACT PRICING RESULTING FROM THIS
22.
SOLICITATION
The successful Bidder(s) may, at her/his/their option, convey the same Contract Pricing
to other Public Entities under the same terms and conditions of the Contract(s) arising
from this Solicitation, thereby allowing interested Public Entities to piggyback said
Contract(s).
YEAR 2000 WARRANTY
Bidder guarantees that each hardware, software and firmware products delivered to the
City is "Year 2000 compliant" and will accurately process date/time data (including, but
not limited to, calculating, comparing, and sequencing) from, into, and between the
twentieth and twenty-first centuries, and the years 1999 and 2000 and leap year
calculations.
23.
24.
25.
27.
28.
DRUG-FREE WORKPLACE
If applicable, provide a statement concerning the Bidder's status as a Drug-Free Work
Place [DFW] (see Drag-Free Work Place Form following the Bid Form). Whenever two
(2) or more submittals are equal with respect to price, quality, and service are received by
the CITY for procurement of commodities or contractual services, a submittal received
l~om a business that completes the attached DFW form certifying that it is a DFW shall
be given preference in the award process.
SUMMARY OF LITIGATION
Provide a summary of any litigation, claim(s), or contract dispute(s) filed by or
against the Bidder in the past five (5) years which is related to the services that
Respondent provides in the regular course of business. The summary shall state the
nature of the litigation, claim, or contract dispute, a brief description of the case, the
outcome or projected outcome, and the monetary amounts involved (see Disputes
Disclosure Form following the Bid Form).
CONFLICT OF 1NTEREST STATEMENT
See Conflict of Interest Statement Form following the Bid Form.
QUESTIONS
Any Bidder who is in doubt as to the true meaning of any part of the Bidding Documents,
or finds a discrepancy or omission therein, may contact F. William Smith, Purchasing
Agent for an interpretation or correction. Said interpretation or correction shall be
provided to all plan-holders as an addendum to the request.
SCOPE OF WORK
Except for unusual circumstances, the Contractor will be given twenty-four (24) hours
marking ora specific gravesite by the City, the Contractor shall be shall be responsible
for the following actions:
· Contractor shall provide all necessary labor, materials, tools and equipment needed to
open/close graves.
· Contractor shall provide cribbing, grass borders, chapel tent, dropped lowering device and a
minimum often (10) chairs. Additional chairs will be provided on an "as needed" basis at no
additional cost to the City.
· Contractor shall be responsible for digging the space to depth necessary to provide eighteen
inches (18") of fill above the vault after gravesite is covered. No mounding of soil is
permitted. Size and depth of the space will be according to the regulations of the City.
· All Graves are to be dug by hand. Use of a backhoe or other mechanical equipment is
prohibited.
· Contractor shall be responsible for removing and repositioning any headstones, foot stones,
coping, comer markers, or plants necessary to prepare a gravesite for burial services.
· Should the Contractor have any questions or concerns about a specific gravesite or if in the
event Contractor should encounter underground utilities or tree roots while digging a grave
the Contractor shall immediately contact the designated City contact who will determine
what action to take.
Contractor shall be responsible for water and irrigation pipes, hose bibs, vaults, vault lids,
headstones, foot stones, coping, comer markers and plant materials, broken or damaged by
the Contractor's employees.
Contractor shall prepare the site for the installation of any vault depending upon the choice
of the funeral home and the requirements of the City. If the vault is fi.om a supplier other
than the Contractor, that supplier shall be responsible for the installation and sealing of the
vault. This process must be coordinated between the City, the Contractor and the supplier of
the vault regarding the time, date and any additional considerations necessary for the service.
The Contractor shall use a vault trailer to transport vault to the gravesite. Use of a track with
an "A" flame is prohibited.
· The Contractor must have burial space prepared and ready for interment by the scheduled
funeral service or a minimum of one hour before graveside services.
· Contractor shall discreetly stand by during each service to provide any assistance should a
mechanical device fail and to ensure expedient closing of the grave after the funeral.
· At the conclusion of each service the contractor shall leave the gravesite in a clean, safe and
acceptable manner. Under no circumstances, will open, unprotected graves be permitted.
After closing grave(s) the Contractor shall dispose of excess soil where designated by the
City.
· The Contractor shall ensure that the gravesite(s) are restored to its original condition within
twenty-four (24) hours. The Contractor shall be responsible to use utmost care in protecting
City property. In the event that the Contractor causes damages or unacceptable work, the
Contractor shall be required to provide any needed corrections at no cost to the City.
The Contractor shall be responsible to respond to all emergency calls regardless of time or
day. The Contractor shall provide the telephone numbers for at least two (2) representatives
to the City and is responsible that the information is kept current. If emergency repairs are
necessary to be provided by the City, the Contractor is not relieved of his/her obligation to
perform and shall reimburse the City for all such expenses incurred.
29.
BID PRICE
The bid prices shall remain firm during the period on contract. Also, unless otherwise
stated, the bid prices shall include all costs of labor, equipment and materials to furnish
the services specified herein.
30.
OTHER CHARGES
Should the need ever arise whereby a funeral home or other requester desires any other
services not stated in this bid, those charges shall be mutually agreed upon between the
Contractor and the requester.
31.
32.
CONTRACT PERIOD
The contract resulting fi.om this solicitation shall be a Term Contract for the time period
specified herein. During the specified time period, the Contractor will perform the
services as prescribed by the contract specifications. See above for contract extensions.
PAYMENT
City shall pay Contractor on a monthly basis upon receipt of an itemized statement
submitted on the last business day of each month. Services by the Contractor shall begin
upon receipt of a purchase order which will establish the end date.
All subcontractors must meet and satisfy the same guidelines/requirements as the
Contractor. Furthermore, whenever Contractor hires a subcontractor he must submit a
release of lien with his next monthly invoice.
Contractor shall secure any and all permits and licenses necessary for the performance of
this project. Prior to commencing work copies of these permits and licenses must be
furnished to the City of Sanford along with an insurance ee~ificate as proof of insurance
coverage required herein.
CITY F SANFORD, FLORIDA
9 OFFICE OF
~ PURCHASIN.G AGENT
P.O. BOX 1788 · 300 PARK AVE. SANFORD, FLORIDA 32772
407/330-5613
BILL TO:
FINANCE DEPT.
P.O. BOX 1788
SANFORD, FL 32772
..o..o.025932
25932
DATEIO/2¢/02
TO: SHIP TO:
~UALITY VAULTS , INC,
51 S BLUEFORD AVENUE
OCOEE, FL 34761
CITY OF .JiNFORD
908 W'. 6TH STRIgIgT
SANFOP~, FL 32771
VENDOR NO
63:2'7
DELIVER 8Y SHIP ViA F.O.B. TERMS
09/30/03
FREIGHT CONFIRM BY CONFIRM TO REQUISITION~ BY
BILL '?.?~ I TH
CONTR~,NUMBER ACCOUNT NO; 77 ~ PROJECT REQ, NO. REQ, DATE
001- 5051- 572.3~[- O0 25641 i0/21/02
1 1.0O EA 20000.0000 20000.00
OP~],/CLO~E ~F~,ILE~, FOR SAt~CAD
i~[~ICIPAL CEMETERY
FOR GRA%~ SPACES. APPEDVED TO
EXTE~D CONTRACT FOR
OP~N/CLOSIN OF G~VE SPACES FROM
BID IFB 01/02-03
CITY COmmISSION lO-l~--O2
SUB-TOTAL 20000.00
TOTAL 20000.00
CONDITIONS - READ CAREFULLY
1 Each shipment should be covered by a separate invoice
2 - The right is reserved to cancel this order if it is not filled within the
contract time.
3. The conditions of this order are not to be modified by any verbal
understanding
4. - Charges for boxing and cadage will not be allowed unless previously
agreed upon.
5. - If the price is stated in the order, material must not be billed at a higher pdce.
6~ - Acceptance of this order includes acceptance ol all terms, prices, deliver/
instructions, specifications and conditions stated.
IMPORTANT: Invoice and packages must bear this ORDER NUMBER
NOTE: SEE REVERSE SIDE FOR VENDOR INFORMATION PURCHASING
FLORIDA TAX EXEMPTION NO. 69-11-035140-54C
APPROVED
~'z:-''~, ,",~,, / ,':' ~'" ,~ .... ..,
/ ' ;~PURG~IA~/JNG AGENT_.~...~''"''''~
CITY MANAGER
BID FORM
SOLICITATION NUMBER: IFB 01/02-03
FOR: OPENING AND CLOSING OF GRAVE SPACES
OPENING DATE AND TIME: October 22, 2001 at 2:00 p.m.
Delivery Schedule:
Address:~~). ~O/( 2 ~OO0gCity: U~' ~-e2~e.i, State: ~/
(ty~ or print name)
NOTE: ~e City of S~ford will pay ~e Contr~tor on a money b~is u~n receipt of ~ im~zed statement
sub~tt~ on ~e I~t business day of each ~onth ~ ~r the pdcing pmvid~ wi~n ~i~ bid fora. AI~, ~is
bid fora sh~l con~n no other comments. Any other remar~ should ~ made on Bidder's
letterhead and attach~ to this form. Bidder must return B~ FO~, and other ~uir~
d~umen~tion, PAGES 9 T~H 13, with any other de~ils as may ~ r~u~. At the discretion
of the Purchasing Agent, bid{s) may ~ d~m~ non-res~nsive for faille to follow these
instructions. It is not~ ~at delivery of the bid to the co~t offi~, indicat~ ~low, is the
responsibility of the bidder.
MARK THE EXTERIOR OF ENVELOPE CONTAINING YOUR BID RESPONSE:
YOUR COMPANY NAME & ADDRESS AS THE RETURN ADDRESS
ADDRESS OR DELIVER TO:
F. William Smith, Purchasing Agent
City of Sanford
P.O. Box 1788 (300 N. Park Avenue, Room 236)
Sanford, FL 32772
IN LOWER LEFT CORNER OF ENVELOPE, PROVIDE THE FOLLOWING
"OPENING AND CLOSING OF GRAVE SPACES" IFB 01/02-03
"DUE 10/22/01 @ 2:00 PM"
THIS PORM MUST BE COMPLETED AND RETURNED WITH YOUR BID.
9
BID FORM
SOLICITATION NUMBER: IFB 01/02-03
FOR .' OPENING AND CLOSING OF GRAVE SPACES
OPENING DATE AND TIME: October 22, 2001 at 2:00 p.m.
Delivery Schedule:
Bid Submitt~d by; ~'~ ~~ ~ Title: E'~l'Je~ (typ~ or print name)
NOTE~ ~e City of S~ford will pay ~e Contractor on a monthly b~is u~n receipt of ~ itemized statement
submiRed on the I~t business day of each month ~ ~r ~e pricing provid~ wRhin this bid fo~. Also, ~his
bid fo~ shall contain no other comments. Any other remarks should be mad~ on Bidder's
letterhead and at~ch~ to this form. Bidder must return BID FORM, and other r~uir~
documentation. PAGES 9 T~U 13, with any other de.ils as may ~ r~uestcd, At ~c discretion
of the Purchasing Agen~ bid(s) may be deemed non-res~nsiv~ for fail~r~ to follow th~se
instructions, It is not~ that d~livery of the bid to the co~t office, in~icat~ below, is the
responsibility of the bidder.
MARK THE EXTERIOR OF ENVELOPE CONTAINING YOUR BID RESPONSE:
YOUR COMPANY NAME & ADDRESS AS THE RETURN ADDRESS
ADDRESS OR DELIVER TO:
F. William Smith, Purchasing Agent
City of Sanford
P.O. Box 1788 (300 N. Park Avenue, Room 236)
Sanford, FL 32772
IN LOWER LEFT CORNER OF ENVELOPE, PROVIDE THE FOLLOWING
"OPENING AND CLOSING OF GRAVE SPACES" IFB 01/02-03
"DUE 10/22/01 @ 2:00 PM"
THIS FORM MUST BE COMPLETED AND RETURNED WITH YO[JR BID
9
BID FORM
OPENING AND CLOSING
STANDARD GRAVE SPACE
WITH SET-UP
CITY OF SANFORD
OPENING/CLOSING OF GRAVE SPACES
SANFORD MUNICIPAL CEMETERY
IFB 01/02-3 /~, "f'"
WITHOUT SET-UP
CREMATION SPACE WITH SET-UP
MON. THRU-FsCffi~.
oq) .5", oo
SUN. & HOLIDAYS
c/2 5'. vo
wrmouT SEW-UP /o2 5-; oo
INFANT SPACE
(VAULT SIZE 20" x 58" & UNDER ONLY)
WITH SET-UP
WITHOUT SET-UP
Acknowledges Addendums:
Company: ~C&l/t I~V
Date Date
Date
/td21+/o,~/ $.-<-o. oo
This Form Must Be Completed and Returned with 3'our Bid.
10
INSURANCE REQUIREMENTS WHICH MUST BE MET
The CONTRACTOR bidder will be required to provide, to the Purchasing Agent, prior
to signing a contract and/or issuance of a Purchase Order for any work, a Certificate of
Insurance demonstrating that said bidder is carrying sufficient insurance at ~he
established coverages and limits set below.
Any exceptions to the insurance requirements and limits set below must be notated in
writing by the City of Sanford.
All policies am to be endorsed to include the City of Sanford as Additional Insured. In
the cancellation clause the number "30" shall be inserted into the blank space provided
prior to the words "days prior notice...". All contractor policies are to be considered
primary to City coverages and shall not contain co-insurance provisions.
Certificate of Insurance shall be reviewed for determination of adequate coverage by the
City.
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.
Unless otherwise specified it shall be the responsibility of the contractor to insure that all
subcontractors comply with the same insurance requirements spelled out in this section.
7. Insurance requirements:
Yes ~/ No
Yes ~] No
Yes ~] .No
Yes No
Yes "] No
Yes ~/ No
Yes x/ No
Yes No
Yes No
Yes '4 No
Yes No
Yes No
Yes No___
Workers' Compensation
__.Commercial General Liability
Comprehensive Auto Liability (shall
include "Any Auto")
.Builder's Risk (all risk for
construction cost of the project) *
__.Contractual Liability
__.Products and Completed Operations
__.Owners and Contractors Protective
__professional Liability
Excess Liahility
__.Other: XCU
Other:
Other:
Other:
Limit $Statutory
Limit $1,000,000
Limit $1,000,000
Limit $*
Limit SUnder Gen
Limit SUnder Gen
Limit SUnder Gen
Limit $ Under Gen
Limit ~_
Limit $ 1,000,000
Limit $
Limit $
Limit ~_
(NOTE: All limits are per occurrence and must include Bodily Injury and Property Damage. All policies will be
written on occurrence form and not on claims made form.)
11
Disputes Disclosu] e Form
Answer the following questions by placing an "X" after "YES" or "NO". If you
answer "YES", please explain in the space provided, or via attachment.
Has your firm, or any of its officers, received a reprimand of any nature or been suspended by
the Department of Professional Regulation or any other re. gulatory agency or professional
association within the last five (5) years? YES ~'~ NOD
Has your firm, or any member of your firm, been declared in default, terminated or removed
from a contract or job related to the services your firm provides in the regular course of business
within the last five (5) years?
Has your firm had filed against it or filed any requests for equitable adjustment, contract claims
or litigation in the past five (5) years that is related to the services your firm provides in the
regular course of business?
YES ~ NO '~ If yes, state the nature of the request for equitable
adjustment, contract claim or litigation, a brief description of the case, the outcome or status of
suit and the monetary amounts or extended contract time involved.
I hereby certify that all statements made are true and agree and understand that any
misstatement or misrepresentation or falsification of facts shall be cause for forfeiture of rights
for further consideration of this project:
Firm
Printed of Typed'Name
Project: IFB 01/02-03
Date
Officer Title
12
DRUG-FREE WORK PLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that
(Nam~ of Business)
Publish a statement notifying employees that the unlawful manufacture,
distribution, dispensing, possession, or use of a controlled substance is prohibited
in the workplace and specifying the actions that will be taken against employees
for violations of such prohibition.
Inform employees about the dangers of drag abuse in the workplace, the
business's policy of maintaining a drug-free workplace, any available drag
counseling, rehabilitation, and employee assistance programs, and the penalties
that may be imposed upon employees for drag abuse violations.
Give each employee engaged in providing the commodities or contractual
services that are proposed a copy of the statement specified in subsection (1).
In the statement specified in subsection (1), notify the employees that, as a
condition of working on the commodities or contractual services that are under
bid, the employee will abide by the terms of the statement and will notify the
employer of any conviction of, or plea of guilty or nolo contendere to, any
violation of Chapter 893 or of any controlled substance law of the United States
or any state, for a violation occurring in the workplace no later than five (5) days
after such conviction.
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.
Make a good faith effort to continue to maintain a drag-free workplace through
implementation of this section.
Bidder s Pr nted Name and Title
BID REQUEST NUMBER
As the person authorized to sign the statement, I certify that this firm complies fully with
the above requirements.
~Bidder's Signature
//-
DATE
01/02-03
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR BID.
14
CONFLICT OF INTEREST STATEMENT
STATE OF FLORIDA )
) ss
COUNTY OF (~/~/? ?/t~,~ )
p Before me,// the undersigned authority, personally, appeared
:'2;P~O- <-%,, ~-~-~oqzwqz~'"e , who was duly sworn, deposes, and states:
2. The above named entity is submitting an Expression of Interest for the City of Sanford project
described as: IFB 01102 - 03 - Opening and Closing of Grave Spaces
3. The Affiant has made diligent inquiry and provides the information contained in this Affidavit
based upon his own knowledge.
4. The Affiant states that only one submittal for the above project is being submitted and that the
above named entity has no financial interest in other entities submitting proposals for the same project.
5. Neither the Affiant nor the above named entity has directly or indirectly entered into any
agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive pricing in
connection with the entity's submittal for the above project. This statement restricts the discussion of pricing data
until the completion of negotiations and execution of the Agreement for this project.
6. Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or
otherwise ineligible from participating in contract lettings by any local, state, or federal agency.
7. Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of
interest due to any other clients, contracts, or property interests for this project.
8. I certify that no member of the entity's ownership, management, or staff has a vested interest in
any aspect of or Department of the City of Sanford.
9. I certify that no member of the entity's ownership or management is presently applying for an
employee position or actively seeking an elected position with City of Sanford.
I0. In the event that a conflict of interest is identified in the provision of services, I, on behalf of the
above named entity, will immediately notify the City of Sanford in writing.
DATED this 55)'~../j~ day of (7'2,oz'~ - 20 ,o /
:f,e.~.Typed Name of Affiant Title
day of Q-~ ·
Sworn to and subscribed before me this
Personally known V'/
OR Produced identification
(Type of identification)
Notary Public-
Mj~)~mmission expires
(Printed, typed or stamped commissioned name of'n~)tary public)
DONNA G. BUTLER
Notary Public, State of Florida
My Comm. Expires Nov. 8, 2004-
THIS FORI~q¥IErST ~ C¢-~0L~i2~ AND RETURNED WITH YOUR BID.
DONNA G. BUTLER
Notary Public, State of Florida
My Comm. k.x,~iros Nov. 8, 2004.
Comm. No. CC 980728
15