HomeMy WebLinkAboutITB Concrete Services1
INVITATION TO BID
ITB #22-01
CONCRETE SERVICES ON AN AS-NEEDED BASIS WITHIN
THE CITY OF SEBASTIAN
PUBLIC WORKS/STORMWATER DEPARTMENT
Contact Person
Don Wixon
Procurement/Contracts Manager
Phone: (772) 388 – 8231
Email: dwixon@cityofsebastian.org
EVENT DATE TIME
RELEASE DATE: Monday, November 1, 2021
-
PRE-BID MEETING
(Council Chambers) (NON-MANDATORY): Wednesday, November 10, 2021
10:00 AM, Local
Time
QUESTIONS (DEADLINE) DUE:
Tuesday, November 16, 2021
2:00 PM, Local
Time
ITB DUE/BID OPENING:
Tuesday, November 23, 2021
2:00 PM, Local
Time
PROPOSED SCHEDULE
RECOMMENDATION OF AWARD –
CITY COUNCIL MEETING Wednesday, December 15, 2021 6:00 PM, Local
Time
BID DELIVERY:
City of Sebastian City Hall OR DemandStar.com Only
1225 Main Street
Sebastian, Florida 32958
*Dates in this schedule occurring after the release date may be amended by the City.
The City reserves the right to delay or modify dates and will notify Bidders/Bidders of all changes.
It is the Bidder/Bidder’s responsibility to check for addenda associated with to this
solicitation.
In accordance with the Americans with Disabilities Act, any person who believes he or she has a disability
requiring the use of a special accommodation at the pre-bid conference or bid opening should contact the
City of Sebastian at 772-388-8231, at least five (5) days prior to the event to advise of his/her special
requirements.
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INVITATION TO BID
City of Sebastian seeks bids from licensed contractors for MISCELLANEOUS CONCRETE SERVICES,
ON AN AS-NEEDED BASIS WITHIN THE CITY OF SEBASTIAN. The Licensed Concrete Contractor
shall furnish all labor, materials, supervision, equipment, tools, transportation, supplies and expertise
necessary for providing services. This Invitation to Bid (ITB) and related documents are available for
download online at www.cityofsebastian.org (Current Bids) or DemandStar.com
A Non-Mandatory Pre-Bid Meeting will be held in the Council Chambers on Wednesday, November
10, 2021, at 10:00 AM., Local Time
The deadline to submit questions concerning this ITB will be Tuesday, November 16, 2021, at 2:00
PM., Local Time Any and all questions should be emailed ONLY to the Procurement/Contracts Manager
at dwixon@cityofsebastian.org All communication regarding this ITB shall be directed to the same point
of contact. Contact by a Bidder (or anyone representing a Bidder) regarding this ITB with the City Council
or a City employee/representative other than the point of contact listed above, shall be grounds for
disqualification.
ITB documents and any addenda may be obtained from sites listed above. It shall be the sole
responsibility of the Bidder to determine if any addenda have been issued prior to submitting a Bid.
All bids are due by Tuesday, November 23, 2021 at 2:00 PM., Local Time. Bidders have the option
to submit electronically via DemandStar.com, OR physically (in-person or mailed). In-person or mailed
submissions shall provide one (1) clearly marked original, one (1) copy and one (1) electronic copy on a
USB drive, marked with the Bidder’s name and address, ITB number and title with Solicitation Opening
date and time (lower left corner of envelope).
All physical, in-person submissions must be delivered or mailed to THE FOLLOWING:
City of Sebastian
ATTN: Procurement Division
1225 Main Street
Sebastian, Florida 32958
Late Bids will not be opened or announced. Bidders of late Bids have the option of picking up or paying
for the mailed return of the unopened Bid. If this option is not exercised within five (5) days of the
Solicitation Opening date, the late, unopened Bid will be disposed.
The City reserves the right to reject any and all Bids, or to accept any Bid or portion thereof
deemed to be at the sole discretion, of the City and to waive any non-substantial irregularities.
By: Don Wixon, Procurement/Contracts Manager
Advertised Date: Monday, November 1, 2021
The City of Sebastian supports Equal Opportunity Employment, Fair Housing, Drug Free
Workplace and Providing Handicapped Access.
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TABLE OF CONTENTS
INVITATION TO BID .................................................................................................................................... 2
TABLE OF CONTENTS ............................................................................................................................... 3
DEFINTIONS ................................................................................................................................................ 3
SECTION 1 – GENERAL INFORMATION ................................................................................................... 4
SECTION 2 – BID REQUIREMENTS .......................................................................................................... 5
SECTION 3 - INSTRUCTIONS TO BIDDERS ............................................................................................. 7
SECTION 4 – GENERAL CONDITIONS ..................................................................................................... 9
SECTION 5 - BIDDER QUALIFICATION QUESTIONNAIRE ................................................................... 19
SECTION 6 - TECHNICAL SPECIFICATIONS ......................................................................................... 22
SECTION 7 - BID PROPOSAL PRICE FORM .......................................................................................... 24
SECTION 8 – FORMS ................................................................................................................................ 26
BID SUBMISSION FORM & BID LABEL ............................................................................................... 26
CONTACT INFORMATION SHEET ...................................................................................................... 27
ADDENDA ACKNOWLEDGEMENT ...................................................................................................... 28
REFERENCE LIST ............................................................................................................................... 29
SUB-CONTRACTORS LIST .................................................................................................................. 30
BIDDER’S DISCLOSURE ..................................................................................................................... 31
DOCUMENT NOTIFICATION AFFIDAVIT ............................................................................................ 32
STATEMENT OF NO RESPONSE ........................................................................................................ 33
SOLICIATION INFORMATION FORM .................................................................................................. 34
DRUG-FREE WORKPLACE FORM ...................................................................................................... 35
PUBLIC ENTITIES CRIME FORM ................................................................................................. 36 - 39
SCRUTINIZED VENDOR CERTIFICATION FORM ....................................................................... 40 - 41
EXHIBIT A: SEBASTIAN CODE CHAPTER 90, ARTICLE III, DRIVEWAY CONSTRUCTION & REPAIR
EXHIBIT B: DOCUMENT NOTIFICATIONS AFFIDAVIT, REFERENCED ON FORM “G”
DEFINTIONS
Invitation to Bid (”ITB”): This Solicitation document, including any and all addenda.
Bid: Submission in response to this ITB.
Bidder: Person or Bidder submitting a Bid in response to this ITB, “pre-award”.
Contractor: Selected Bidder that is awarded a contract to provide the goods or services to the City, “post-
award”.
City: Refers to the City of Sebastian.
Contract or Agreement: Invitation to Bid, all addenda issued thereto, all affidavits, the signed agreement,
and all related documents that comprise the totality of the contract or agreement between the City and the
Contractor.
Responsible Bidder: Bidder that has the integrity, reliability and capability in all respects to perform in full
the contract requirement as stated in the ITB.
Responsive Bidder: Bidder whose Bid fully conforms in all material respects to the ITB and its entire
requirement, including form and substance.
Days: Refers to calendar days, unless otherwise stated.
Shall, Must & Will: Interpreted as mandatory language.
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1. SECTION 1 – GENERAL INFORMATION
1.1.1 SCOPE OF WORK
The scope of work shall be to form, pour and finish concrete driveways, sidewalks, or other
miscellaneous concrete projects on an as-needed basis. The scope of each individual project
may vary depending upon the work to be completed. Each project will have a work order
prepared by the City which will outline the work activity to be accomplished. In performance of
this contract, the Contractor shall be solely responsible and have control over the means,
methods, techniques, sequences, procedures, and coordination of all portions of the work under
the agreement unless the agreement document gives other specific instructions.
1.1.1 Permitting
Contractor is responsible for permit application and any associated fees for all required permits
from the City of Sebastian and Indian River County.
1.2 MINIMUM REQUIREMENTS
Bidders that do not meet the minimum requirements listed herein as determined by the City, at its
sole discretion, will be deemed non-responsive and not considered for award. All decisions made
by the City are final. All Bidders are required to attest in their Transmittal Letter that they meet the
following requirements:
1. Contractor must be licensed by the State of Florida as a General Contractor; and
2. Contractor shall be registered with the City of Sebastian Building Department; and
3. Contractor must adhere to provisions of Sebastian Code Chapter 90, Article III, Driveway
Construction and Repair and the FDOT Standard Specifications 2019 - 2020, or latest
version; and
4. Contractor must have a minimum of five (5) years’ experience with similar projects; and
5. Contractor must have an office within the state of Florida and maintain an office within the
state of Florida which shall be kept for a minimum of one (1) year to coincide with the
warranty requirement; and
6. Contractor must meet insurance requirements applicable to perform the services.
1.3 ESTIMATED BUDGET
Budget for this project is estimated to be $50,000.00 annually.
1.4 PROJECT COORDINATION
Contractor shall commit to participating in regularly scheduled (i.e. weekly or bi-weekly) project
coordination meetings with the awarded vendors project’s designated representative and City’s
Project Manager throughout the duration of the project and adhere to all CDC guidelines
concerning COVID-19.
END OF SECTION
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2. SECTION 2 – BID REQUIREMENTS
2.1 TRANSMITTAL LETTER
Bidder shall submit a letter of interest signed by an authorized representative to contractually
obligate and bind the Bidder. The Bidder or authorized representative is attesting that the
information provided is current and factual.
The letter shall include the following:
• Date
• Name and address of Bidder
• Name of Contact Person, telephone number and email address
• Confirmation of Bidder meeting all minimum requirements listed in Section 1.2
TAB #1 – BID FORM & SCHEDULE
2.2 BID FORM
Use the Bid Proposal Price Form to provide pricing for the Scope of Work (SOW) listed in
Section 1.1.
2.3 SCHEDULE
This is an annual contract schedule, and concrete services are on an as-needed basis within the
City of Sebastian.
TAB #2 – EXPERIENCE & REFERENCES
2.4 EXPERIENCE
Provide a list of projects completed by Bidder to demonstrate the Bidder’s experience with similar
projects in the State of Florida. Include pictures or notes to prove quality of work. Bidders can
describe their techniques, equipment and sequencing of their operations.
2.5 REFERENCES
Use Form D to list three (3) client references that can speak to the Bidder’s experience and
performance, within the last five (5) years. References from public sector clients are preferred.
NOTE: The City will send Reference Check Surveys via email to the references provided.
TAB #3 – INSURANCE & LICENSES
2.6 INSURANCE
A Certificate of Insurance (COI) is required in the Bid.
NOTE: All coverages shall name the City as “additional insured.”
The following insurance should be obtain and maintain, during the term of this agreement:
General Liability Insurance: Not less than $2,000,000 Combined Single Limit per each
occurrence.
Automobile Liability: Not less than $1,000,000 Combined Single Limit.
Worker’s Compensation: In accordance with Florida Statutes 440, maintain worker’s
compensation insurance to the extent required by law
for all their employees to be engaged in Work under this
contract.
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2.7 LICENSES
Bidder shall provide a copy of a State of Florida General Contractor license. Contractor must
be licensed by the State of Florida as a General Contractor. Contractor shall be registered
with the City of Sebastian Building Department;
TAB #4 – REQUIRED FORMS
2.8 FORMS
All Forms required by the ITB shall be fully executed by the Bidder and submitted. Refer to
Section 5.
END OF SECTION
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3. SECTION 3 - INSTRUCTIONS TO BIDDERS
3.1 CONE OF SILENCE
Potential Bidders shall not communicate in any way with City staff or the City Council other than
the primary contact listed herein. Cone of Silence shall be effective from the time of
advertisement until an award is made by the City Council. Such communication may result in
disqualification.
3.2 REQUIRED COPIES
One (1) clearly marked original, one (1) copy and one (1) electronic copy of the Bid shall be
submitted. Please refer to the Bid Checklist (Form A) for guidance on all requirements.
3.3 SEALED BIDS
Bids shall be enclosed in a sealed envelope which shall show (lower left corner) the Bidder’s
name and address, ITB number and title, along with the solicitation due date and time. The Bid
shall be submitted no later than the solicitation due date and time mentioned on the Invitation to
Bid. The City will not be responsible for opening any Bids that are not clearly marked. Bids
shall be handwritten or typed with (black or blue) ink. Any erasures or corrections must be
initialed by the Bidder in ink. Handwritten submissions must be legible.
3.4 BIDS NOT CONSIDERED
Bids not considered are late submissions, telegraphed, emailed or faxed Bids and Bids which do
not conform to the instructions contained in the Invitation to Bid. However, Bids may be withdrawn
by fax or email, provided that such notices are received 3 days prior to the solicitation due date
and time and confirmed by a telephone call.
3.5 LATE BIDS
Late Bids will not be opened. Bidders have the option of picking up or paying for the mailed
return of the unopened Bid. If this option is not exercised within five (5) days of the solicitation
due date, the late unopened Bid will be disposed.
3.6 SOLICITATION OPENING
Bidders are welcome to attend the solicitation opening; however, attendance is not mandatory.
Bids shall be opened and publicly announced on the date, time and location specified on the
Invitation to Bid, unless otherwise stated in the form of an addendum. Bids awarded will be
posted within five (5) business days to DemandStar and the City’s website
www.cityofsebastian.org, DemandStar.com.
3.7 ADDENDA
Addenda may be issued in response to any inquiry received by the Question/Answer deadline
date and time specified herein or to provide revisions, additions, deletions, clarification, etc.
Addenda shall become part of and have precedence over anything shown or described
otherwise. If not mentioned in the addenda, all other documents, specifications, drawings, terms
and conditions remain the same. It shall be the Bidder’s sole responsibility to ensure receipt
of all addenda and acknowledge all addenda issued by checking the City Website
www.cityofsebastian.org and DemandStar.com. Where there appears to be a conflict between
Solicitation and any addenda, the last addendum issued shall prevail.
3.8 REJECTION OF BIDS
The City reserves the right to reject any and all Bids, to waive any and all informalities not
involving price, time, or changes in the work, and to negotiate contract terms with the top ranked
Bidder, and the right to disregard all non-conforming, non-responsive, imbalanced, or conditional
Bids. More than one Bid from an individual, Bidder or association under same or different names,
will not be considered. Any or all Bids will be rejected if there is reason to believe that collusion
exists among the Bidders, and no participants in such collusion will be considered in future Bids.
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3.9 BID GUARANTEE
The Bidder shall warrant the unit prices, terms, and conditions quoted in the Bid will be for a
period of not less than ninety (90) days from the solicitation opening date. Such unit prices, terms
and conditions shall remain for the contract period.
3.10 CORRECTIONS, CANCELLATION, & WITHDRAWAL
Bidders may be asked to provide further information after the solicitation opening to determine the
responsibility of the vendor.
3.10.1. Waiver of Technicality: Information shall not be considered after the bid opening if it has
been specifically requested to be provided with the Bid as this becomes a matter of
responsiveness. The Bid shall be considered responsive if it substantially conforms to the
requirements of the ITB. The City may waive any informality, technicality, or
irregularity on any bid. A minor or non-substantive lack of conformity may be
considered a technicality or irregularity which may be waived by the City.
3.10.2. Mathematical Errors: Errors in extension of unit prices or in mathematical calculations
may be corrected. In cases of errors in mathematical computations, the unit prices shall
not be changed.
3.10.3. Cancellation or Postponement: The City may cancel or postpose the solicitation
opening or cancel the ITB in its entirety prior to award.
3.10.4 Withdrawal: Prior to any published bid opening date and time, a Bidder may withdraw
his or her Bid in writing. A fax or email is permitted for this purpose, provided it is
confirmed by a telephone call.
3.105 Amendments: Prior to the published Solicitation due date and time, a Bidder may
amend the Bid provided that it is in writing, in a sealed envelope, and identified, as
required in the invitation to bid.
3.11 ITB AWARD
The contract/agreement will be awarded to the lowest, most responsive and responsible Bidder
who’s Bid, conforming to the specifications and terms the City considers is most advantageous.
The Procurement/Contracts Manager shall issue a Notice of Award to the successful Bidder.
3.12 CONFIDENTIAL INFORMATION
Pursuant to Section 119.071, Florida Statutes, any financial statements that the City requires to
be submitted may be exempt from the Public Records Law. Therefore, any submitted financial
statements that the Bidder wishes to remain confidential shall be submitted in a sealed
opaque envelope and marked “Confidential Financial Statement Enclosed.” By submission
of a response to this ITB the Bidder agrees to indemnify and hold the City harmless should any
information marked as confidential knowingly or unknowingly be released as the result of a public
records request.
3.13 BID EXAMINATION
In accordance with Chapter 119, Florida Statutes, solicitation files will be made available for
public inspection at the time the City posts notice of its decision or intended decision concerning
contract awards, or thirty (30) days after the solicitation opening, whichever is earlier. Solicitation
files may be examined during normal working hours, by appointment only, by contacting the
Purchasing Division 772-388-8231.
END OF SECTION
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4. SECTION 4 – GENERAL CONDITIONS
4.1 CONFLICT OF INTEREST
Contract Award is subject to provisions of State Statutes and City Ordinances. All Bidders must
disclose any conflict of interest with their Bid, including the name of any employee, board member
or elected official(s) of the City of Sebastian; Further, all Bids must disclose the name of any City
employee or Council member, who owns, directly or indirectly, an interest of five percent (5%) or
more in the Bidder’s Bidder or any of its branches.
Should the successful Bidder permanently or temporarily hire any City employee or Council
member, who is, or has been, directly involved with the Bidder prior to or during performance of
the resulting contract, the Agreement shall be subject to immediate termination by the City.
4.2 QUESTIONS AND/OR REQUESTS FOR CLARIFICATION
Any questions and/or requests for clarification regarding this Solicitation shall be submitted in
writing to the Procurement/Contracts Manager via email at dwixon@cityofsebastian.org. Bidders
must clearly understand that the only official answer or position of the City will be the one issued
by the Procurement/Contracts Manager via an Addendum.
The Solicitation number and title shall be referenced on all correspondence, be sure to include
the page and paragraph number for each question in order to ensure that questions asked are
responded to correctly. All questions must be received no later than the time and date specified in
the timetable on the front page of this document. All responses to questions/clarifications will be
published in the form of an Addendum. NO QUESTIONS WILL BE RECEIVED VERBALLY OR
AFTER SAID DEADLINE. Addendum(s) will be made available on the City’s website
(www.cityofsebastian.org) and DemandStar (http://www.demandstar.com) and it is the Bidder’s
sole responsibility to assure receipt of all (if any) Addenda.
4.3 WAIVER OF IRREGULARITIES
The City may waive minor informalities or irregularities in Bids received where such is merely a
matter of form and not substance, and the correction or waiver of which is not prejudicial to other
Bidders. Minor irregularities are defined as those that will not have an adverse effect on the City's
interest and will not affect the price or terms of the submission by giving a Bidder an advantage or
benefit not enjoyed by other Bidders.
4.3.1. In no event will any such decision by the City be deemed to be a waiving of the
required criteria for the requested services.
4.3.2. The Contractor who is selected for the Project will be required to fully comply with the
Project criteria, regardless that a waiver was made.
4.3.3. Bidders shall identify separately all innovative aspects as such in the technical
Solicitation. Innovation should be limited to Bidders means and methods, approach to
Project, use of new products, and new uses for established products.
4.4 DELETION OR MODIFICATION OF SERVICES
The City reserves the right to delete or modify any portion of the contracted services at any time
without cause, and if such right is exercised by the City, the total costs shall be reduced at the
same ratio as the estimated costs of the Services.
4.5 AVAILABILITY OF FUNDS
The obligations of the City of Sebastian under this award are subject to the availability of funds
lawfully appropriated for its purpose by the City Council of the City of Sebastian.
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4.6 SUSPENSION AND DEBARMENT
City of Sebastian will not make award to parties listed on the government-wide exclusions in the
System for Award Management (SAM).
4.7 CITY COUNCIL MEETINGS
The awarded Bidder must be available to attend City Council meetings, when required. The
awarded Bidder must be prepared to answer any questions and/or provide a presentation if
requested by Council and/or authorized by City representative(s).
4.8 NOTICE TO PROCEED
The Contractor shall not commence any Work, nor enter a Worksite, until a written Notice to
Proceed (NTP) directing the awarded Bidder to proceed with the Work has been issued by the
City; unless the Contractor is directed in writing to perform emergency work that may be required
in accordance with the provisions included elsewhere in this ITB and resulting Contract.
4.9 PAYMENT – FLORIDA PROMPT PAYMENT ACT
Payment shall be made in accordance with Section 218, Part VII of the Florida Statutes.
4.10 SALES TAX
Although the City of Sebastian is exempt from Federal and State Sales and Use taxes,
Contractors or Vendors doing business with the City are not exempted from paying said taxes to
their supplier for goods or services purchased to fulfill the contractual obligations with the City,
nor shall any Contractor or Vendor be authorized to use the City’s Tax Exemption Number in
securing such materials.
4.11 TERMINATION FOR CAUSE OR CONVENIENCE
The agreement resulting from this ITB can be terminated immediately for cause if Contractor is
found to have failed to perform services in a manner satisfactory to the City; or for convenience
upon thirty (30) days’ written notice to the Bidder. In the event of either termination, the Bidder
shall be compensated for all services performed to the City’s satisfaction to that point in time. The
City shall be sole judge of non-performance.
4.12 CO-OPERATIVE PURCHASING
It is the intent of the Invitation to Bid to secure goods or services to be used by the City of
Sebastian. However, by virtue of bidding, the Bidder accepts the right of other Government
Entities to “piggyback” purchase from this Bid by mutual consent and where applicable by law.
Any such purchase shall be separate and apart from the City of Sebastian, and said City
assumes no liability for such action.
4.13 DISCRIMINATION
The Bidder shall not practice or condone personnel or supplier discrimination of any nature
whatsoever, in any manner proscribed by Federal or State of Florida laws and regulations. The
City of Sebastian will not knowingly do business with vendors, Bidders, or contractors who
discriminate on those protected by state and federal law. Through the course of providing
services to the City, Contractors shall affirmatively comply with all applicable provisions of Title VI
of the Civil Rights Act of 1964, the Civil Rights Restoration Act of 1987 and the Florida Civil
Rights Act of 1992, as well as all other applicable regulations, guidelines and standards. Any
person who believes their rights have been violated should report such discrimination to the City.
4.14 SCRUTINIZED VENDOR CERTIFICATION
Bidder certifies that it is not listed on (a) the Scrutinized Companies that Boycott Israel List,
created pursuant to Section 215.4725, Florida Statues, or is engaged in a boycott of Israel; (b)
the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with
Activities in the Iran Petroleum Energy Sector List, created pursuant to Section 215.473, Florida
Statutes; or (c) is engaged in business operations in Cuba or Syria. Bidder further understands
and accepts that any contract issued as a result of this Solicitation shall be subject to Section
287.135, Florida Statutes, and subject to immediate termination by the City in the event there is
any misrepresentation or false certification on the part of Bidder.
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4.15 E-VERIFY
In accordance with State of Florida, Office of the Governor, Executive Order 11-116 (superseding
Executive Order 11-02; Certification of Employment Status), in the event performance of this
Agreement is or will be funded using state or federal funds, the Contractor must comply with the
Employment Eligibility Verification Program developed by the federal government to verify the
eligibility of individuals to work in the United States and 48 CFR 52.222-54 (as amended) is
incorporated herein by reference. The Contractor shall (1) enroll in the U.S. Department of
Homeland Security’s E-Verify system, (2) utilize E-Verify to verify the employment eligibility of all
new employees hired during the term of the Contract (3) utilize E-Verify to verify the employment
eligibility of all employees assigned to the Contract; and (4) shall expressly require any
subcontractors performing work or providing services pursuant to the Contract to likewise utilize
E-Verify to verify the employment eligibility of all new employees hired by the subcontractor
during the Contract term. Information on registration for and use of the E-Verify system can be
obtained at the U.S. Department of Homeland Security website: http://www/dhs.gov/E-Verify.
4.16 PUBLIC RECORDS
Section 119.01 F.S., The Public Records Law, provides that municipal records shall at all times
be open for personal inspection by any person. Information and materials received by the City in
connection with all BIDDER's responses shall be deemed to be public records subject to public
inspection upon award, recommendation for award, or thirty (30) days after the bid opening,
whichever occurs first. However, certain exemptions to the public records law are statutorily
provided for in Section 119.07, F.S. Therefore, if the Bidder believes any of the information
contained in his or her response is exempt from the Public Records Law, the Bidder must in his or
her response specifically identify the material which is deemed to be exempt and cite the legal
authority for the exemption, otherwise, the City will treat all materials received as public records.
IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER
119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO THIS CONTRACT, CONTACT JEANETTE WILLIAMS, THE
CUSTODIAN OF PUBLIC RECORDS AT 772-388-8215 / EMAIL
jwilliams@cityofsebastian.org CITY OF SEBASTAIN, 1225 MAIN STREET, SEBASTIAN,
FLORIDA 32958.
4.17 PROTEST PROCEDURE
Any Bidder/Proposer who is aggrieved in connection with a competitive selection process may
protest to the Procurement/Contracts Manager. The protest shall be submitted in writing within
three (3) calendar days after the Bidder/Proposer knows or should have known of the facts
giving rise to the protest. If the protest is not resolved by mutual agreement or if the protestor
disagrees with the decision of the Procurement/Contracts Manager, the protestor may appeal the
decision to the City Manager and/or City Council, within seven (7) calendar days of initial
decision.
Stay of Procurement – In the event of a timely and properly filed protest, the
Procurement/Contracts Manager shall not proceed further with the solicitation or award until all
administrative remedies have been exhausted, or until the City Manager or City Council, as
appropriate, makes a determination on the record that the award of a contract is necessary to
protect substantial interests of the City.
4.18 LOCAL VENDOR PREFERENCE
Effective October 14, 2009, City of Sebastian adopted a local vendor preference reference,
Ordinance No. 09-13 as set forth below:
Sec. 2-11. Local Vendor Preference Policy
(a). Definitions.
(1) Local business means the vendor has:
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a) A valid business tax receipt issued by the City of Sebastian, or by Indian River
County, at the time a bid or Bid is submitted, and
b) A physical address located within the local area, in an area zoned for the conduct of
such business, from which the vendor is operating a significant portion of its
business, and at which it maintains full-time employees.
(2) Nonlocal business means any vendor that does not meet the definition of a business
within the local area.
(b) Establishment as local area business. To establish that a vendor is a local area business a
vendor shall provide written documentation of compliance with the definitions for each such
local business as defined in subsection (1) herein, at the time of submitting a bid or Bid. Post
office boxes are not verifiable and shall not be used for the purpose of establishing the
required physical business address. A vendor that misrepresents the local area status of its
Bidder in a Bid or bid submittal to the city will lose the privilege to claim local preference
status for a period of two years.
(c) Local preference in purchasing and contracting. The City of Sebastian shall give preference
to local area businesses in the purchase of commodities, person property, general services,
personal property, professional services, and the purchase of or contract for construction or
renovation of public works or other public improvements by means of competitive bid. The
city shall give such preference to local area businesses in the following manner:
(1) Competitive bid. Each formal competitive bid solicitation shall clearly identify how the
price order of the bids received will be evaluated and determined.
When a qualified and responsive nonlocal business submits the lowest price bid, and the
lowest bid submitted by a qualified and responsive local area business is within five
percent of the lowest bid, then the lowest bidding local area business shall have the
opportunity to submit an offer to match the price submitted by the lowest nonlocal area
business bidder.
Within five working days after the posting of the qualified and responsive bids, any local
area business that has submitted a qualified and responsive bid within five (5) percent of
the lowest bid by a nonlocal area business, and that wants the opportunity to match the
lowest bid, shall submit a written offer to match the lowest bid. If the lowest local area
business submits an offer that matches the lowest bid submitted, then the award shall be
made to such local business.
If the lowest local area business bidder declines or is unable to match the lowest bids,
then the option to do so moves to the next qualified and responsive local area business if
its bid is within five percent of the lowest bids, and it is a qualified and responsive bidder.
If the lowest bid is submitted by a qualified and responsive local area business, there is
no local vendor preference.
If a local area business accepts the opportunity to match the lowest bid of a nonlocal area
business and that bid is based on unit price bid items and estimated quantities, then the
unit prices for all bid items shall be reduced in proportion to the reduction in the local area
business’s total bid amount required to match the lowest total bid.
(2) Ties. In the event of any tie in the final bid price between a qualified and responsive local
area business, and a nonlocal area business, a contract award, or the first opportunity to
negotiate, as applicable, shall be made to the local area business. In the event of any
two businesses located within the City of Sebastian, or two businesses located within the
greater local area, the local vendor with the greatest number of full-time employees
working in the City of Sebastian or the greater local area respectively shall be awarded
the contract or receive the first opportunity to negotiate as applicable.
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(d) Exception to local vendor preference policy. The local preference policy set forth herein shall
not apply to any of the following purchases or contracts:
(1) Goods or services provided under a cooperative purchasing agreement or piggyback
agreement; or
(2) Purchases or contract which are funded, in whole or part, by a governmental entity and
the laws, regulations, or policies governing such funding prohibit application of that
preference; or
(3) Purchases made or contracts let under emergency or noncompetitive situations, or for
litigation related legal services, as described in the City’s purchasing policies; or
(4) Purchases or contracts with an estimated cost of $5,000.00 or less; or
(5) Purchases or contracts where the difference between the amount of the low bid
submitted by a qualified and responsive nonlocal area business and the lowest bid
submitted by a qualified and responsive local area business is greater than $25,000.00;
or
(6) Where all bids are rejected.
(e) Waiver of the application for local vendor preference policy. Any request for the waiver of
local preference to any particular purchase or contract must be heard by the City Council
prior to advertising the bid. The City Council, as the awarding authority, may approve the
waiver of local preference upon review and at its discretion.
(f) Comparison and review of qualifications. The preferences established herein no way prohibit
the right of the City of Sebastian to compare and review the quality of materials proposed for
purchase, and to compare and review the qualifications, character, responsibility and fitness
of all persons, Bidders or corporations submitting bids or Bids. Furthermore, the local
preference established herein shall not prohibit the city from giving any other preference
permitted by law in addition to the local preference contained herein.
(g) Administration of local preference policy. This policy shall apply to all departments, functions
and funds under the governance of the City of Sebastian, unless subsection (d) applies.
(h) Dispute resolution. Any dispute arising under the provision of this section shall first be
presented to the City Manager for determination. The decision of the City Manager shall be
appealable to the City Council, and the decision of the City Council shall be final and binding
on all parties.
4.1 COUNCIL MEETING
Contractor must attend City Council meetings when required. Contractor must be prepared to
answer any questions and/or provide a presentation if requested by Council and/or authorized by
the City representative. The recommended Bidder has the option to attend City Council meeting
for approval of award. Date and time of this meeting will be publicly released.
4.2 INDEMNIFICATION/HOLD HARMLESS
The Contractor shall indemnify and hold the City harmless from any and all personal injury or
property damage claims, liabilities, losses or causes of action which may arise out of the use and
occupancy of the property by the Contractor, its family, associates, contractors, agents,
employees, customers and attendees. Nothing in this agreement shall be construed as the City
waiving its immunity pursuant to §768.28, et seq., Florida Statutes, or any other sovereign or
governmental immunity. The selected Proposer shall pay all claims and losses in connection
therewith, and shall investigate and defend all claims, suits, or actions of any kind or nature in the
name of the City, where applicable, including appellate proceedings, and shall pay all costs,
judgments, and attorney’s fees which may be incurred thereon. The selected Proposer expressly
understands and agrees that any insurance protection required by this contract agreement or
otherwise provided by the selected Proposer shall in no way limit the responsibility to indemnify,
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keep and save harmless, and defend the City or its officers, employees, agents, and
instrumentalities as herein provided.
4.3 METHOD OF PAYMENT
4.3.1 Florida Prompt Payment Act
Payment shall be made in accordance with Section 218, Part VII of the Florida Statutes.
4.3.2 Invoicing
The City shall provide partial payments for Work completed by the Contractor during
various phases of the Work assignment in accordance with the unit pricing provided in their
bid submittal subject to an agreement maximum or not to exceed amount.
The Contractor shall provide fully documented invoices, which indicates the listed basic
information. It shall be understood that such invoices shall not be authorized for payment
until work is inspected by the respective City representative and payment is approved.
All invoices shall contain the following basic information:
4.3.2.1. CONTRACTOR INFORMATION: • The name of the business organization as specified on the Contract between
City and Contractor • Date of invoice • Invoice number • Contractor’s Federal Identification Number on file with the State
4.3.2.2. CITY INFORMATION:
• City Purchase Order Number
4.3.2.3. PRICING INFORMATION:
• As stipulated on the “Bid Proposal Price Form” • Applicable discounts
4.3.2.4. GOODS OR SERVICES PROVIDED PER CONTRACT:
• Description
• Quantity
4.3.2.5. DELIVERY INFORMATION:
• Delivery terms set forth within the City Purchase Order • Location and date of delivery of goods, Services or property
Failure to submit invoices in the prescribed manner will delay payment.
The City will pay the contract price minus any liquidated damages, back charges and/or other
damages to the Contractor upon final completion and acceptance.
4.4 AVAILABILITY OF FUNDS
The obligations of the City of Sebastian under this award are subject to the availability of funds
lawfully appropriated for its purpose by the City Council of the City of Sebastian and or State or
Federal appropriations.
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4.5 LIQUIDATED DAMAGES
The City shall be entitled to liquidated damages in the amount of One Hundred Dollars
($100.00) per day for every day that the Contractor is late in completing the work
requirements for each Work Order as stipulated in the agreement, and bidding documents.
Said damages shall be deducted by the City from monies due to Contractor.
4.6 SITE INSPECTION AND DUE DILLIGENCE
Bidders are required to visit the project site and become familiar with any conditions which may
affect the work to be done or affect the equipment, materials and labor required to successfully
complete the project, prior to submitting their bid. Moreover, Bidders are also obligated to
carefully examine the project specifications and exercise due diligence regarding any and all pre-
existing conditions at the project site which may in any manner affect the work to be performed
under the Contract. No additional allowances shall be made due to the Bidder’s lack of
knowledge of the project requirements and site conditions.
The Contractor shall be responsible for inspecting and documenting the pre-existing conditions of
the project site. Any damage to public and/or private property resulting either directly or indirectly
from the execution of the project by the Contractor shall be repaired or replaced at the sole
expense of the Contractor in a manner acceptable to the City. Such properties may include, but is
not limited to, roads, driveways, sod, walls, underground utilities, trees, landscaping, etc. Prior to the commencement of Work, the Contractor shall submit to the appropriate City staff
photographs and/or video recordings of any pre-existing damage to the roadways, driveways,
tree trunks or limbs, approaches, sod, facilities, utilities and ancillary improvements located at the
project site and/or any surrounding areas to be accessed and/or utilized by the Contractor.
Failure to properly document such pre-existing conditions and to submit said documentation as
required, may render the Contractor liable to repair any such damage at no expense to the City.
4.7 FAILURE TO PERFORM
In the event that the Contractor fails to commence work on the project on a timely manner or if
the Contractor proceeds to work on the project in an inappropriate or protracted manner, the City
may notify the Contractor to cease and desist all work on the project. If so, the City may pursue
any and all remedies available to it including, but not limited to, requesting that the surety
complete the work, calling on the next lowest responsive and responsible Bidder to finish the
work or advertising for bids and award a new contract for the uncompleted work and charge any
additional costs incurred by the City, regardless of the course of action chosen by the City, to the
originally awarded Contractor.
4.8 WORK ACCEPTANCE
This Project will be inspected by an authorized representative of the City. This inspection shall be
performed to determine acceptance of Work, appropriate invoicing, and warranty conditions.
4.9 PROTECTION
The Contractor shall be solely responsible for pedestrian and/or vehicular safety and guidance
within the work site and shall provide the necessary warning devices, barricades and ground
personnel needed to give safety, protection and warning to persons and vehicular traffic within
the area (i.e. Maintenance of Traffic). All safety devices must have suitable and sufficient lighting
for the prevention of accidents and must meet the minimum standards mandated by Federal,
State and local laws and regulations during all times until the project is completed and accepted
by the City.
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4.10 ACCIDENT PREVENTION AND BARRICADES
All Contractors performing Services under Contract shall conform to all relevant OSHA, State and
City regulations during the course of such effort. Any fines levied by the above mentioned
authorities for failure to comply with these requirements shall be borne solely by the Contractor.
Barricades shall be provided by the Contractor, at their expense, when Work is performed in
areas traversed by persons, or when deemed necessary by the City Project Manager.
Contractor shall assume full responsibility for any damage to any mangroves, land or areas or to
the owner or occupant of any contiguous land, areas, or property resulting from the performance
of Services.
Contractor shall cause a minimum of inconvenience to the public and to local business activities
and shall ensure that the public roadways and any improvements in the vicinity of the work site
remain open to the public, whenever it doesn’t pose a safety and/or health hazard.
Contractor shall maintain suitable and sufficient guards, barriers and lighting for the prevention of
accidents. The Contractor shall comply with all applicable minimum safety standards required by
local, County, State and Federal regulations.
4.11 HOURS OF WORK & EMPLOYEE CONDUCT
The Contractor may only perform work during the hours of 7:00 AM to 7:00 PM Monday-Friday
and 8:00 AM to 5:00 PM Saturday-Sunday, excluding holidays.
The Contractor shall ensure that all personnel assigned to work on this project on their behalf
must be dressed appropriately and clean at all times. Any person who is present on the job site
on behalf of the Contractor must be provided and display on their clothing proper identification at
all times.
All employees of the awarded Contractor shall be considered to be sole employees of the
contactor at all times under the Contractor’s sole direction and not an employee or agent of the
City of Sebastian. Moreover, the Contractor shall be solely responsible for the conduct and
behavior of all persons working on their behalf on this project and the City may require the
Contractor to remove any person it deems careless, incompetent, insubordinate or otherwise
objectionable and whose presence on City property is not in the best interest of the City.
The Contractor shall have an “On Duty” supervisor present at the job site who speaks and reads
English at all times throughout the course of the project.
4.12 CLEAN UP
All unusable materials and debris shall be disposed of in an appropriate manner. Upon final
completion, the Contractor shall thoroughly clean up all areas where Work was done as mutually
agreed upon with the City’s department requesting services.
Contractor shall at all times, during the performance of Services, keep the Worksite free and clear
of all rubbish and debris. Any material or waste generated by Contractor or its employees, agents
and Subcontractors shall be removed and disposed of by the Contractor at its expense, to the
satisfaction of the City.
In the event Contractor fails to remove all rubbish, debris, materials and waste from the Worksite,
the City may employ labor and equipment necessary to clear the site and charge Contractor for
the City’s cost incurred cleaning the site.
Contractor shall restore in an acceptable manner or replace all property, both public and private,
which has been displaced or damaged by the Contractor during the execution of the work.
Contractor shall leave the Worksite unobstructed and in a neat and presentable condition. The
term “property” shall include, but is not limited to, roads, sidewalks, curbs, driveways, walls,
fences, landscaping, awnings, utilities, footings and drainage structures.
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4.13 EXCEPTIONS TO SPECIFICATIONS
Exceptions to the specifications shall be listed on the Bid Form and shall reference the section.
4.14 FEDERAL AND STATE REGULATIONS
The Contractor shall comply with the latest edition of the Florida Building Code and all other
applicable Federal, State and local rules and regulations that apply to the execution and
satisfactory completion of the project.
4.15 LABOR, MATERIALS AND EQUIPMENT SHALL BE SUPPLIED BY CONTRACTOR
Unless otherwise provided in this Solicitation the Contractor shall furnish the following, including
but not limited to, all labor, material, equipment, barricading, adequate supervision, and
coordination for satisfactory Contract performance. When not specifically identified in the
technical specifications, such materials and equipment shall be of a suitable type and grade for
the purpose stated in this Solicitation. All materials, Services, workmanship, and equipment shall
be subject to the inspection and approval of the City’s Project Manager.
4.16 SUBCONTRACTORS AND EMPLOYEES
The Bidder is required to identify any and all Subcontractors and/or suppliers that will be used in
the performance of the proposed Contract and to clearly identify in their submission the
percentages of Work to be performed by their subcontractors.
4.17 WAIVER OF IRREGULARITIES
The City may waive minor informalities or irregularities in Bids received where such is merely a
matter of form and not substance, and the correction or waiver of which is not prejudicial to other
Bidder. Minor irregularities are defined as those that will not have an adverse effect on the City's
interest and will not affect the price of the Bids by giving a Bidder an advantage or benefit not
enjoyed by other Bidders.
4.17.1 In no event will any such elections by the City be deemed to be a waiving of the Project
criteria.
4.17.2 The Contractor who is selected for the Project will be required to fully comply with the
Project criteria for the Price Bid, regardless that the Solicitation may have been based on a
variation from the Project criteria.
4.17.3 The Contractor shall identify separately all innovative aspects as such in the technical
Solicitation. Innovation should be limited to Bidder’s means and methods, approach to
Project, use of new products, and new uses for established products.
4.18 CO-OPERATIVE PURCHASING
It is the intent of the Invitation to Bid to secure goods or services to be used by the City of
Sebastian. However, by virtue of bidding, the Contractor accepts the right of other Government
Entities to “piggyback” purchase from this ITB by mutual consent. Any such purchase shall be
separate and apart from the City of Sebastian, and said City assumes no liability for such action.
4.19 DISCRIMINATION
The Contractor shall not practice or condone personnel or supplier discrimination of any nature
whatsoever, in any manner proscribed by Federal or State of Florida laws and regulations.
4.20 PUBLIC RECORDS
Section 119.01 F.S., The Public Records Law, provides that municipal records shall at all times
be open for personal inspection by any person. Information and materials received by the City in
connection with all Bidder's responses shall be deemed to be public records subject to public
inspection upon award, recommendation for award, or thirty (30) days after the bid opening,
whichever occurs first. However, certain exemptions to the public records law are statutorily
provided for in Section 119.07, F.S. Therefore, if the Bidder believes any of the information
contained in his or her response is exempt from the Public Records Law, the Bidder must
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in his or her response specifically identify the material which is deemed to be exempt and
cite the legal authority for the exemption, otherwise, the City will treat all materials
received as public records.
4.21 SCRUTINIZED COMPANIES LISTS
Contractor certifies that it is not listed on (a) the Scrutinized Companies that Boycott Israel List,
created pursuant to Section 215.4725, Florida Statues, or is engaged in a boycott of Israel; (b)
the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with
Activities in the Iran Petroleum Energy Sector List, created pursuant to Section 215.473, Florida
Statutes; or (c) is engaged in business operations in Cuba or Syria. Contractor further
understands and accepts that any contract issued as a result of this bid shall be subject to
Section 287.135, Florida Statutes, and subject to immediate termination by the Clerk in the
event there is any misrepresentation or false certification on the part of Contractor.
4.22 TERMINATION OF CONTRACT WITH OR WITHOUT CAUSE
The City reserves the right to suspend or terminate the agreement with or without cause provided
at least five (5) days written notice of such termination given to the Contractor.
END OF SECTION
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BIDDER QUALIFICATION QUESTIONNAIRE
SECTION 5
Name of Bidder (Printed):_______________________________________________________________
Name of Bidder (Written):_______________________________________________________________
General Contractor’s License # ________________________________________________ __________
( ) An Individual
( ) A Partnership
( ) A Corporation
Federal Identification #________________________________________________________________
Principal Office Address:_______________________________________________________________
(1) How many years has your organization been in business as a contractor under your
present name?
(2) How many years’ experience in road, utility, and concrete construction work has your
organization had as a contractor?
As a Subcontractor?
(3) List below the requested information concerning projects your organization has
completed in the last five (5) years for the type of work required in this project. (Use
additional sheets if necessary). Include the type of work similar to the work included in
this contract if possible. Please list Name of Project, Dollar, Amount of Project, Completion
Date, Name Address, E-Mail Address, and Telephone Number of the Owner.
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(4) Have you ever failed to complete any work awarded to you? If so, where and why?
(5) Has any officer or partner of your organization ever been an officer or partner of some
other organization that failed to complete a concrete construction contract? If so, state name of
individual, name of other organization, and reason therefore.
(6) Has any officer or partner of your organization ever failed to complete any concrete construction
contract handled in his own name? If so, state name of individual, name of owner and
reason therefore.
(7) Give below any information which would indicate the size and capacity of your
organization, including number of employees, equipment owned by your organization,
etc., which are available for utilization on this Contract.
(8) What is your bonding capacity?
(9) What amount of your bonding capacity has been used as of the date of this bid?
(10) How many applications for performance and payment bonds have you made
in the last three (3) years?
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(11) How many of these applications were not approved?
(12) Have any claims been filed against your surety bond company in the last five (5) years? If
so, describe the nature of the claims and give the names of the surety companies, dates of
each claim, identifying numbers of each claim, amounts of each claim, and the status of
each claim. (Use additional sheets if necessary.)
(13) Has your company 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. (Use additional sheets if necessary.)
A. The undersigned, do hereby declare that the foregoing statements are true and correct, all as of
the date hereinafter set forth, and that those examining this document have my permission to
contact any or all of those parties listed in this questionnaire. Incorrect or misleading statements
in this questionnaire shall be grounds for a determination of non- responsibility with respect to
such contractor.
(SIGNATURE OF BIDDER)_____________________________________________________________
(TYPE OR PRINT COMPANY NAME)_____________________________________________________
(TYPE OR PRINT ADDRESS)___________________________________________________________
END OF SECTION
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Technical Specifications
Annual Concrete Work Contract
SECTION 6
1. Scope of Work
The scope of this specification is to form, pour and finish concrete driveways, sidewalks, or other
miscellaneous concrete projects on an as needed basis. The scope of each individual project may
vary depending upon the work to be completed. Each project will have a work order prepared by
the City which will outline the work activity to be accomplished. In performance of this contract
the Contractor shall be solely responsible and have control over the means, methods, techniques,
sequences, procedures, and coordination of all portions of the work under the agreement unless
the agreement document gives other specific instructions.
2. Related Documents
Sebastian Code Chapter 90 Article III. Driveway Construction and Repair and the FDOT
Standard Specifications 2019 – 2020, or the latest edition.
3. Special Terms and Conditions
a. Contractor shall protect his work from the elements, traffic and pedestrians.
b. Contractor shall warranty all labor and materials for a period of one (1) year.
c. Each project will be planned in a manner minimizing disturbance and inconvenience
to property owners and the City.
d. Inspections. The City may inspect at any time during the project construction. The
Contractor shall notify the City 48 hours prior to the concrete pour and at completion
of the project.
e. Final Payment. Final payment shall be made in accordance with the signed agreement
once all punch list items have been cleared.
4. Detailed Specifications
a. Description: The Contractor shall form, pour and finish the concrete driveway and or
sidewalk or other miscellaneous concrete projects (minimum 4” thick or as requested
by the Department) in accordance with the provisions of this specification and
according to details shown on plans when supplied with the work order.
b. Materials: The concrete placed shall conform to the Florida Department of
Transportation Standard Specifications for Road and Bridge Construction, 2019 - 2020,
or the latest edition, Sections 345: for Class I concrete 3000 psi (minimum 28 day
breaking
strength in accordance with ASHTO T-023) with polypropylene fiber mesh (1-l/2bs/CY)
thoroughly and uniformly mixed throughout.
c. Preparation: (Form and Pour) The subgrade shall be finished graded by contractor or
the city and compacted (95%) of the maximum density as determined by AASHTO T-99,
prior to having any form work placed on it. The Contractor shall erect metal or wooden
forms on lop of a prepared subgrade. All forms shall be set true to line and grade, and
held rigidly in position to resist the pressure of poured concrete without springing. They
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shall be straight and free from
warps and bends,
d. Expansion joints: Asphaltic felt expansion joints, (MOT current procedures are required
with type II barricades and signage on all driveway and sidewalk closures). A" wide by 3-
1/2” deep are to be placed at specified intervals. They shall be rigidly held in place during
the placement of concrete.
e. Contraction Joints: Contraction joints shall be saw cut with a concrete saw using a
carbide or diamond tip blade. Each joint shall be approximately l/8”-3/16” wide by
1” to 1 'A” deep. Joints shall be saw cut within 24 hours following placement of the
concrete. Contraction joints shall be saw cut at specified intervals or 15’ depending
upon application.
f. All concrete shall be installed in accordance with FDOT 2019 – 2020, or the latest
edition.
g. Driveways will be a minimum of 4” thick with a 6” thick footer, 1 foot wide at the
edge of road pavement. Driveways will vary in width and length.
END OF SECTION
24
BID PROPOSAL PRICE FORM
SECTION 7
After having examined all specifications, Contract/Agreement Documents, and other documents relative
to the Invitation to Bid, I, the undersigned, hereby propose to perform everything required to be performed
in strict conformity with the requirements of these documents, and to provide and furnish all the
equipment, labor, and materials necessary to provide annual concrete work meeting or exceeding the
specifications as set forth herein for the unit prices as stated below. The price quoted below includes any
addenda which may be issued. If there is any item you wish not to bid on please write “NO BID” in
the Price per Square Yard column. Quantity of work shall be based upon each individual purchase order
from the City.
ANNUAL CONCRETE WORK AS DESCRIBED
Concrete Quantity
Percentage of Concrete Price
Charged for Contractor’s Work
Example, How To Bid XX SY 5%
Concrete saw and Removal (4") 1- 60 SY
Concrete saw and Removal (4") 61 -100 SY
Concrete saw and Removal (4") 101 < SY
Concrete Removal and replace W/Fiber(4")* 1- 60 SY
Concrete Removal and replace W/Fiber(4")* 61-100 SY
Concrete Removal and replace W/Fiber(4")* 101< SY
Concrete W/Fiber(4")* 1-60 SY
Concrete W/Fiber(4")* 61-100 SY
Concrete W/Fiber(4")* 101< SY
Concrete saw and Removal (6") 1-60 SY
Concrete saw and Removal (6") 61-100 SY
Concrete saw and Removal (6") 101< SY
Concrete Removal and replace W/Fiber(6")* 1-60 SY
Concrete Removal and replace W/Fiber(6")* 61-100 SY
Concrete Removal and replace W/Fiber(6")* 101< SY
Concrete W/Fiber(6")* 1-60 SY
Concrete W/Fiber(6")* 61-100 SY
Concrete W/Fiber(6")* 101< SY
MISC Concrete* 1-5 CY
MISC Concrete* 5.5-10 CY
MISC Concrete* 10.5-15 CY
MISC Concrete* 15.5-20 CY
MISC Concrete* 20< CY
Driveway Culvert Replacement (8" ADS") 1 LF
Driveway Culvert Replacement (10" ADS") 1 LF
Driveway Culvert Replacement (12" ADS") 1 LF
Driveway Culvert Replacement (15" ADS") 1 LF
Driveway Culvert Replacement (18" ADS") 1 LF
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*All concrete is poured and formed in place, and finished Per FDOT Standard Specifications
2019 – 2020, or latest version.
By the signature affixed below, the contractor agrees that this bid is made without any other
understanding, agreement, or connection with any person, corporation, or firm submitting a bid
for the same purpose, and that the bid is in all respects fair and without collusion or fraud. If
awarded this bid, I agree to execute/enter into said agreement within (15) consecutive calendar
days’ notice by the City, and agree to all the terms and conditions of all documents stated
herein, with the city of Sebastian, for the above stipulated price.
This bid is a cost-plus contract where the contractor is paid for the actual cost of the
Concrete plus a flat percentage fee for the job. The additional flat percentage fee is
intended to cover the contractor's expense for providing and installing the concrete. An
example is where the contractor is paid for the actual cost of the Concrete plus the
percentage as designated in the contractor’s bid.
Due to the fact this bid is a Cost per Square Yard plus percentage (%,) tickets verifying
quantities and actual costs of the concrete shall be verified by the designated city
representative before contractor’s invoice will be paid.
Miscellaneous Concrete is defined as follows: flowable fill for a pipe crossing, filling in
holes around under-ground drainage pipes, small pothole areas, and pad repairs.
The quantity of work shall be based upon each individual purchase order from the City
Shall determine the SY price and percentage (%)
Firm Name:________________________________________________________________________
Firm Address:_____________________________________________________________________
Authorized Signature:_________________________________________________Title:_____________
Printed Name:____________________________________________________Date:____________
Office Phone::_______________________________Cell Phone:___________________________
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END OF SECTION
SECTION 8 – FORMS “FORM A”
BID SUBMISSION CHECKLIST & MAILING LABEL
Please use the following checklist as a reference document to confirm all requirements are met in your
ITB submission. This checklist must be submitted as part of the Bid submission. Please be advised
that this checklist should not be interpreted as a comprehensive list of all information required by this
solicitation from prospective Bidders. It simply serves as a guide for the most significant documents to be
included in the bid submission and should be enhanced as deemed necessary. It is solely the bidder’s
responsibility to read and understand all requirements and adhere to all issued addenda.
REQUIREMENTS ARE AS FOLLOWS: ______ _________ (Office, check if received):
-Bid Submission Checklist and Mailing Label ___________________________________(Form A):
-One (1) original copy of the bid package (bearing original signatures):________________________
-One (1) copy of the bid package:_______________________________________________________
-One (1) Electronic copy of bid package (USB):____________________________________________
-Bid Proposal Price Form (2 pages):_____________________________________________________
-Contact Information Form____________________________________________________(Form B):
-Addenda Acknowledgement Form _____________________________________________(Form C):
-Reference List Form ________________________________________________________(Form D):
-Sub-Contractors List ________________________________________________________(Form E):
-Bidder’s Disclosure_________________________________________________________ (Form F):
-Document Notification Affidavit _______________________________________________(Form G):
-Statement of NO Response__________________________________________________ (Form H):
-Solicitation Information Form _________________________________________________(Form I):
-Drug-Free Workplace ________________________________________________________(Form J):
-Public Entities Crimes _______________________________________________(4 pages) (Form K):
-Scrutinized Vendor Certification _______________________________________(2 pages) (Form L):
Clearly mark the following on the outside of the sealed bid (i n lower left corner of envelope):
Bidder’s Name:
Bidder’s
Address:
Bid #:
ITB #22-01
Bid Title:
Concrete Services On An As-Needed
Bid Opening: Tuesday, November 23, 2021 at 2:00 PM, Local Time
IMPORTANT: Failure to submit the requested copies or complete and submit the required forms may
result in submittal being deemed non-responsive and removed from consideration.
27
CONTACT INFORMATION FORM “FORM B”
Failure to fully complete and submit this Information Sheet may result in rejection of the submittal
DUE DATE: Bids due on or before 2:00 PM at
City of Sebastian
ATTN: Procurement
1225 Main Street
Sebastian, Florida 32958
Tuesday, November 23, 2021 @ 2:00
PM. Local Time
Check Addenda for any revised opening dates
before submitting your Bid. Bid(s) received, after
the date and time stated above, will not be
opened.
ITB NO.:
#22-01
RELEASE
DATE:
Monday,
November 1,
2021
CONTACT:
Don Wixon
Procurement/Contracts
Manager
(772) 388-8231
dwixon@cityofsebastian
.org
ITB TITLE:
CONCRETE SERVICES ON AN AS NEDED BASIS
WITHIN THE CITY OF SEBASTIAN
Bidder’s Name and “Doing Business As”, if applicable:
Federal Tax Identification Number:
Address:
City: State: Zip
Code:
Telephone No: Fax No:
E-Mail Address of Authorized Representative:
I certify that I have carefully examined the ITB document and associated documents, including Addenda,
accompanying or made a part of this solicitation. I further certify that all information contained in this bid/Bid is
truthful to the best of my knowledge and belief and that I am duly authorized to submit this bid/Bid on behalf of
the Bidder names above and that the Bidder is ready, willing, and able to perform if awarded.
In compliance with this solicitation, and subject to all conditions herein, I hereby propose and agree to furnish
the goods and /or services specified in the ITB at the prices or rates in my bid/Bid and prices will remain Bidder
for a period of ninety (90) days in order to allow the City adequate time to evaluate the bid/Bids
__________________________________________________________________
Signature of Authorized Representative (Manual)
__________________________________________________________________
Name of Authorized Representative (Typed or Printed)
__________________________________________________________________
Title
The City reserves the right to reject any and all Bids, or to accept any Bid or portion thereof deemed to be in
the best interest of the City, and to waive any non-substantial irregularities.
28
ADDENDA ACKNOWLEDGEMENT “FORM C”
Bidder’s Name: Phone #:
ITB Title:
Concrete Services on an as-Needed Basis
within The City of Sebastian
ITB #:
22-01
Bidder shall indicate below all Addenda received. Acknowledgement confirms receipt and understanding of
issued Addenda. Bidder understands that failure to acknowledge any addenda issued may cause their Bid to
be considered non-responsive. To confirm the number of addenda (if any), Bidder may contact the
Procurement Division at (772) 388-8231.
ADDENDDUM # DATE RECEIVED
1
2
3
4
5
6
7
No Addenda was received in connection to this solicitation.
Print Preparer’s Name: Title:
Signature:
Date:
Failure to fully complete, sign and submit this Form may result in rejection of the submittal
29
REFERENCE LIST “FORM D”
Bidder’s Name:
List a minimum of three (3) client references that can speak to the Bidder’s experience and
performance, within the last five (5) years. The City will send Reference Check Surveys via email to the
references provided.
Reference #1
Company Name:
Location (City, State):
Contact Person:
Contact Number:
Email Address:
Dates of Service:
Services Provided:
Reference #2
Company Name:
Location (City, State):
Contact Person:
Contact Number:
Email Address:
Dates of Service:
Services Provided:
Reference #3
Company Name:
Location (City, State):
Contact Person:
Contact Number:
Email Address:
Dates of Service:
Services Provided:
Failure to fully complete and submit this List may result in rejection of the submittal
30
SUB-CONTRACTORS LIST “FORM E”
Bidder’s Name: Phone #:
ITB Title:
Concrete Services on an as-Needed Basis within
The City of Sebastian
ITB #:
22-01
NOTE: List all sub-contractors you invited to bid on this project, whether they were selected or not. If sub-
Contractors will not be used on this agreement, check the box below. Form must be submitted with your
Bid. Use additional sheets if necessary.
The City reserves the right to reject any Bids if the Bidder names sub-Contractors who have previously failed in
the proper performance of an award, or failed to deliver on time contracts of a similar nature, or who is not in a
position to perform under this award. The City reserves the right to inspect all facilities of any sub-Contractor in
order to make a determination as to the foregoing.
Company
Name Work To Be
Performed
Contact
Person
Telephone
Number
1.
2.
3.
4.
5.
6.
I affirm that sub-contractor(s) will not be used to complete projects under this agreement.
Print Preparer’s Name: Title:
Signature:
Date:
Failure to fully complete, sign and submit this Form may result in rejection of the submittal
31
BIDDER’S DISCLOSURE “FORM F”
The undersigned certifies under oath the truth and correctness of all statements and all answers to
questions made hereinafter. Additional sheets may be attached if required.
Bidder’s Name:
Address:
Contact Person:
Title:
Phone No.:
Email Address:
Federal Identification No.:
This Business is: ( ) An Individual ( ) A Partnership ( ) A Corporation
(1) Has your Bidder or any of its officers, received a reprimand of any nature or been suspended by the
Department of Professional Regulations or any other regulatory agency or professional association within
the last five (5) years? YES NO
(2) Has your Bidder, or any member of your Bidder, been declared in default, terminated or removed from a
contract or job related to the services your Bidder provides in the regular course of business within the last
five (5) years? YES NO
(3) Has your Bidder had against it or filed any request for equitable adjustment, contract claims, bid protest, or
litigation in the past five (5) years that is related to the services your Bidder provides in the regular course of
business? YES NO
(4) Describe each affiliation or business relationship with an employee, board member, elected official(s) or an
immediate family member of any such person of the City of Sebastian. If none, write NONE.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
(5) Describe ANY other affiliation or business relationship that may cause a conflict of interest. If none, write
NONE.
____________________________________________________________________________________________
_____________________________________________________________________________________________
If yes, state the nature of the request for equitable adjustment, contract claim, litigation, or protest, and state a brief
description of the case, the outcome or status of the suit and the monetary amounts or extended contract time involved.
**********************************************************************************************************************************************
I hereby certify that all statements made are true and I agree and understand that any misstatement or misrepresentation or
falsification of facts shall be cause for forfeiture of rights for further consideration of this Bid for the City of Sebastian.
Signature Date
Failure to fully complete, sign and submit this Disclosure may result in rejection of the submittal
32
DOCUMENT NOTIFICATION AFFIDAVIT “FORM G”
STATE OF ____________________
COUNTY OF __________________
I, acknowledge that I have legal authorization
(Printed Name)
to contractually bind _________,
(Company Name)
I acknowledge that as part of my response to this solicitation I have read and reviewed copies of the following
documents/notifications, attached:
• Conflict of Interest Disclosure, Exhibit B
• Drug-Free Workplace Provisions, Form J
• Public Entity Crimes Notification, Form K
• Non-Collusive Affidavit, Exhibit B
• Immigration Laws Notification, Exhibit B
• Scrutinized Vendor Certification, Form L
• No Lobbying Notification, Exhibit B
• Debarment and Suspension Certification, Exhibit B
I hereby swear or affirm that I have read and that I understand and accept all the requirements and regulations
imposed by the above-referenced documents and that I acknowledge and accept that the above-referenced
documents and all terms and conditions contained therein are included in the response to this solicitation.
Signature Date
The foregoing Affidavit was subscribed and sworn to before me this _____ day of
_________________________, 2021, by __________________________________ who is personally known
to me or who has produced _______________ as identification and who did take an oath.
Notary Public Name:
Notary Public Signature:
Notary Commission Expiration: __________________
Failure to fully complete, sign and submit this Affidavit may result in rejection of the submit
[Notary Seal]
33
STATEMENT OF NO RESPONSE “FORM H”
If your Bidder is does not intend on submitting a Bid, please complete and return this form prior to the
Solicitation Opening date shown herein. Return by email (dwixon@cityofsebastian.org) or by mail to:
CITY OF SEBASTIAN
ATTN: PROCUREMENT
1225 MAIN STREET
SEBASTIAN, FLORIDA 32958
Company Name:
Company Address:
Phone Number:
We are not responding to ITB #22-01 Concrete Services on an as-Needed Basis within The City of
Sebastian for the following reason(s) (mark all that applies):
Do not offer the good(s) or service(s) required
Our schedule would not permit us to perform responsibly
Unable to meet specifications/scope of services
Unable to meet minimum requirements
Insufficient time allowed for preparation of response
Project/Budget too small
Specifications unclear – too vague, rigid, etc. (please explain below)
Other (please specify below)
REMARKS
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________
_____________________________
Signature
_____________________________
Print Name / Title
_____________________________
Date
34
SOLICIATION INFORMATION FORM “FORM I”
Please submit this form to assist us in learning more about how our solicitation opportunities are most
often found.
Company’s Name:
Company Address:
Phone No:
Please tell us how you found out this Invitation to Bid was released/available (mark all that applies):
Indian River Press Journal (TC Palm)
DemandStar/Onvia
City of Sebastian Web Site
Other (please specify below)
35
DRUG-FREE WORKPLACE FORM “FORM J”
The undersigned Contractor, in accordance with Florida Statute 287.087 hereby certifies that
____________________________________________________ does:
Bidder’s Name
1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the workplace and specifying the
actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug free workplace, any available drug counseling, rehabilitation, employee
assistance programs and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are under
bid a copy of the statement specified in Paragraph 1.
4. In the statement specified in Paragraph 1, notify the employees that, as a condition of working on
the commodities or contractual services that 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 1893 or of any controlled substance law of the United States or any
state, for a violation occurring in the workplace no later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, by any employee who is
so convicted.
6. Make a good faith effort to continue to maintain a drug free workplace through implementation of
Paragraph 1 through 5.
As the person authorized to sign this statement, I certify that this firm complies fully with the
above requirements.
Signature
________________________
Print Name
_____________________
Date
_____________________________
Failure to sign and submit this Drug-Free Workplace Form may result in rejection of the Bid.
36
PUBLIC ENTITY CRIMES FORM “FORM K”
Page 1 of 4
Any person submitting a quote, bid, or proposal in response to this invitation or Agreement, must
execute the enclosed form sworn statement under section 287.133(3)(a), FLORIDA STATUTES, ON
PUBLIC ENTITY CRIMES, including proper check(s), in the space(s) provided, and enclose it with his
quote, bid, or proposal. If you are submitting a quote, bid or proposal on behalf of dealers or suppliers
who will ship commodities and receive payment from the resulting Agreement, it is your responsibility to
see that copy(ies) of the form are executed by them and are included with your quote, bid, or proposal.
Corrections to the form will not be allowed after the quote, bid, or proposal opening time and date.
Failure to complete this form in every detail and submit it with your quote, bid, or proposal may result in
immediate disqualification of your bid or proposal.
The 1989 Florida Legislature passed Senate Bill 458 creating Sections 287.132 - 133, Florida
Statutes, effective July 1, 1989. Section 287.132(3)(d), Florida Statutes, requires the Florida Department
of General Services to maintain and make available to other political entities a "convicted vendor" list
consisting of persons and affiliates who are disqualified from public and purchasing process because they
have been found guilty of a public entity crime. A public entity crime is described by Section 287.133,
Florida Statutes, as 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 with an agency or political subdivision of
any other state or with the United States, including, but not limited to, any bid or Agreement for goods or
services to be provided to any public entity or with an agency or political subdivision and involving
antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.
By law no public entity shall accept any bid from, award any Agreement to, or transact any
business in excess of the threshold amount provided in Section 287.017, Florida Statutes, for category
two (currently $10,000) with any person or affiliate on the convicted vendor list for a period of 36 months
from the date that person or affiliate was placed on the convicted vendor list unless that person or affiliate
has been removed from the list pursuant to Section 287.133(3)(f), Florida Statutes.
Therefore, effective October 1, 1990, prior to entering into an Agreement (formal Agreement or
purchase order) in excess of the threshold amount of $10,000 to provide goods or services to THE CITY
OF SEBASTIAN, a person shall file a sworn statement with the Contract/Agreement officer or Purchasing
Director, as applicable. The attached statement or affidavit will be the form to be utilized and must be
properly signed in the presence of a notary public or other officer authorized to administer oaths and
properly executed.
THE INCLUSION OF THE SWORN STATEMENT OR AFFIDAVIT SHALL BE SUBMITTED
CONCURRENTLY WITH YOUR QUOTE OR BID DOCUMENTS. NON-INCLUSION OF THIS
DOCUMENT MAY NECESSITATE REJECTION OF YOUR QUOTE OR BID.
SWORN STATEMENT UNDER SECTION 287.133(3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
37
PUBLIC ENTITY CRIMES FORM “FORM K”
Page 2 of 4
THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER
AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted with Bid, Proposal or Agreement No. ITB 22-01 for THE CITY
OF SEBASTIAN.
3. This sworn statement is submitted by
4. (name of entity submitting sworn statement) whose business address is ___________________
5. and (if applicable) its Federal Employer Identification (FEIN) is____________________
(If the entity has no FEIN, include the Social Security
Number of the individual signing this sworn statement:
3. My name is _________________________________________ (please print name of individual
signing) and my relationship to the entity named above is
___________________________________________________________________.
4. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), 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 or with an agency or political subdivision of any
other state or with the United States, including, but not limited to, any bid or Agreement for goods
or services to be provided to any public entity or an agency or political subdivision of any other
state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering,
conspiracy, or material misrepresentation.
5. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida
Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an
adjudication of guilt, in any federal or state trial court of record relating to charges brought by
indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a
plea of guilty or nolo contendere.
6. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means:
(1) A predecessor or successor of a person convicted of a public entity crime; or
(2) An entity under the control of any natural person who 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, members, and agents who are active in the management of an 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 fair market value under an arm's
length agreement, shall be a prima facie case that one person 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 36 months shall be considered an affiliate.
38
PUBLIC ENTITY CRIMES FORM “FORM K”
Page 3 of 4
7. I understand that a "person" as defined in Paragraph 287.133(1)(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 Agreement and which bids or applies to bid on Agreements for
the provision of goods 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, members, and agents who are active in
management of an entity.
8. Based on information and belief, the statement which I have marked below is true in relation to
the entity submitting this sworn statement. (Please indicate which statement applies.)
_____ Neither the entity submitting this sworn statement, nor any officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in management of the
entity, nor any affiliate of the entity have been charged with and convicted of a public entity crime
subsequent to July 1, 1989.
_____ The entity submitting this sworn statement, or one or more of the officers, directors,
executives, partners, shareholders, employees, members or agents who are active in
management of the entity, or an affiliate of the entity has been charged with and convicted of a
public entity crime subsequent to July 1, 1989, AND (Please indicate which additional statement
applies.)
_____ There has been a proceeding concerning the conviction before a hearing officer of the
State of Florida, Division of Administrative Hearings. The final order entered by the hearing
officer did not place the person or affiliate on the convicted vendor list. (Please attach a copy of
the final order.)
_____ The person or affiliate was placed on the convicted vendor list. There has been a
subsequent proceeding before a hearing officer of the State of Florida, Division of Administrative
Hearings. The final order entered by the hearing officer determined that it was in the public
interest to remove the person or affiliate from the convicted vendor list. (Please attach a copy of
the final order.)
_____ The person or affiliate has not been placed on the convicted vendor list. (Please describe
any action taken by or pending with the Department of General Services.)
39
PUBLIC ENTITY CRIMES FORM “FORM K”
Page 4 of 4
Sign: ________________________________
Print Name: __________________________
Date: ________________________________
STATE OF FLORIDA
COUNTY OF __________________
The foregoing instrument was acknowledged before me this _____ day of ______________, _______ by
__________________________________, _________________________ (title) on behalf of
____________________ (name of partnership), a partnership. He/she is personally known to me or has
produced _____________________ as identification and did ( ) did not ( ) take an oath.
Name:
My Commission Expires:
Commission Number:
Failure to fully complete, sign and submit this Public Entity Crimes Form may result in rejection of
the Bid.
40
SCRUTINIZED VENDOR CERTIFICATION “FORM L”
Page 1 of 2
CERTIFICATION PURSUANT TO FLORIDA STATUTE § 287.135
I, on behalf of ,
(Printed Name) (Company Name)
certify that, does not:
(Company Name)
1. Participate in a boycott of Israel; and
2. Is not on the Scrutinized Companies that Boycott Israel List; and
3. Is not on the Scrutinized Companies with Activities in Sudan List; and
4. Is not on the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List; and
5. Has not engaged in business operations in Syria.
Submitting a false certification shall be deemed a material breach of contract. The City of Sebastian shall
provide notice, in writing, to the Contractor of the City’s determination concerning the false certification.
The Contractor shall have ninety (90) days following the receipt of the notice to respond in writing and
demonstrate that the determination of false certification was made in error. If the Contractor does not
demonstrate that the City’s determination of false certification was made in error then the City shall have
the right to terminate the contract and seek civil remedies pursuant to Florida Statute § 287.135.
Section 287.135, Florida Statutes, prohibits state agencies and departments, and local government
entities from: 1) Contracting with companies for goods or services in any amount if at the time of bidding
on, submitting a proposal for, or entering into or renewing a contract if the company is on the Scrutinized
Companies that Boycott Israel List, created pursuant to Section 215.4725, F.S. or is engaged in a boycott
of Israel; and 2) Contracting with companies, for goods or services over $1,000,000.00 that are on
either the Scrutinized Companies with activities in the Iran Petroleum Energy Sector list, created pursuant
to s. 215.473, or are engaged in business operations in Syria.
Failure to fully complete, sign and submit this Certification may result in rejection of the Bid.
41
SCRUTINIZED VENDOR CERTIFICATION “FORM L”
Page 2 of 2
As the person authorized to sign on behalf of the Contractor, I hereby certify that the company identified
above in the section entitled "Contractor Name" does not participate in any boycott of Israel, is not listed
on the Scrutinized Companies that Boycott Israel List, is not listed on either the Scrutinized Companies
with activities in the Iran Petroleum Energy Sector List, and is not engaged in business operations in
Syria. I understand that pursuant to section 287.135, Florida Statutes, the submission of a false
certification may subject the company to civil penalties, attorney's fees, and/or costs. I further understand
that any contract with the Council for goods or services may be terminated at the option of the Council if
the company is found to have submitted a false certification or has been placed on the Scrutinized
Companies with Activities in Sudan list or the Scrutinized Companies with Activities in the Iran Petroleum
Energy Sector List.
Company name
Signature
Print name
Title
Date
Failure to fully complete, sign and submit this Certification may result in rejection of the Bid.