HomeMy WebLinkAbout2017 ContractFORM OF AGREEMENT
DEBRIS REMOVAL AND DISPOSAL
THIS AGREEMENT made and entered into on the 4th day of April , 2017 by and
between Ceres Environmental Services, Inc., 6968 Professional Parkway East, Sarasota,
FL 34240, the Contractor, and the CITY OF SEBASTIAN, a municipal corporation organized
and existing under the laws of the State of Florida and located in Indian River County, Florida,
hereinafter called the City.
WITNESSETH:
That the Contractor and the City, for the consideration hereinafter named, agree as follows:
Article 1. SCOPE OF WORK - The Contractor shall perform all the work as described for
the City of Sebastian, Florida, and shall do everything required by this Agreement
and any other Contract Documents, including without limitation, the Request for
Qualifications and Exhibit "A" Scope Exhibit "B" Addendum and Exhibit "C"
Price forms and Equipment Hourly Rate form.
Article 2. COMMENCEMENT AND COMPLETION - The Contractor shall commence work
as soon as practical after the City has issued a notice to proceed before or after
a storm event, as described in the Notice to Proceed, and shall continuously pursue
the work seven (7) days per week during daylight hours until debris work has
been completed and closed.
Article 3. The City shall pay the Contractor for all work included and completed in
accordance with this Agreement, based on the items of work set forth in the
Contractor's Proposal Price Form and the Contractor's hourly rate schedule for
any force account. The Contractor's price at the time of delivery of services will
be a) the price set forth on the Proposal Price Form; and b) when not delineated
on the Proposal Price Form, the latest price based on the FEMA price rate
structure applicable to the date of Notice to Proceed.
Article 4. PROGRESS PAYMENTS - The City will make progress payments, calculated
based on the number of units of work, as described in the Proposal Price Form,
which the Contractor has submitted with the payment invoice, all supporting
documents such as summary of load and tree trimming tickets. The City shall
make such progress payments on or about the 10th of each month for the
previous month's work.
Progress Payments: OWNER shall make progress payments on account of the
Contract Price on the basis of CONTRACTOR's Applications for Payment at
intervals not less than once each month during performance of the Work as
provided below. Ninety percent (90%) of Work completed (with the balance being
retainage); and Eighty percent (80%) of cost of materials and equipment not
incorporated in the Work but stored on the Project site (with the balance being
retainage).
Final Payment: Upon final completion and acceptance of the Work, City shall pay
the remainder of the Contract Price including any retainage as recommended by
City Contract Administrator.
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Ten percent (10%) of the amount due and payable to the Contractor will be
retained from each progress payment, to ensure that the Contractor completes
all work under this Agreement and complies with all obligations hereunder.
The Project Manager will certify all requests for progress payments before
presenting them to the City Engineer for review and then submitting an original
progress payment to the City's Administrative Services Department for payment.
If the contractor is authorized to assist the City in the initial 70 hours of "Push"
operation, the contractor will bill based on the unit cost of equipment which
includes all operator and labor and any incidentals.
Article 5. CONTRACT PERIOD — This Agreement shall be binding on the parties for a
period of two years from the executed date of the contract by both parties unless
terminated earlier in accordance with its term. The City by written notice, may
extend the terms of this Agreement for up to two (2) additional terms of twenty
four (24) months each on the same terms and conditions.
Article 6. ACCEPTANCE AND FINAL PAYMENT — Upon receipt of written notice that the
Work is ready for final close-out and acceptance, the Project Manager will
promptly make such inspection to determine the project is closed. When the
Project Manager finds the work acceptable under the terms of the Work Order
and Agreement, the Project Manager will promptly issue a final certificate, over
Project Manager's signature, stating that the Work provided for in the Work Order
has been completed, acceptance is recommended and the amount due to the
Contractor will be paid by the City.
Before issuance of the final certificate, the Contractor shall submit evidence
satisfactory to the City that all payrolls, material bills and other expenses and
indebtedness connected with the Work have been paid. A Waiver of Lien form
signed by a duly authorized officer of any subcontractor is required and must
accompany the request for final payment. The making and acceptance of the
final payment shall constitute a waiver of all claims by the Contractor and the
City, other than any claims the City may have arising from unsettled liens or from
faulty work appearing after final payment. The City may withhold from final
payment such amounts as may be described elsewhere herein.
Article 7. INDEMNIFICATION AND INSURANCE - The Contractor shall indemnify and
hold the City and its officials and employees harmless, and procure and maintain
the insurance specified in the General Instructions accompanying this Agreement
contained herein; and to the extent required in said paragraphs, require any and
all subcontractors to do the same.
GENERAL INDEMNIFICATION - For other and additional good and valuable
consideration, the receipt and sufficiency of which is hereby acknowledged, the
Contractor shall and does hereby indemnify, hold harmless and defend the City
of Sebastian, its officers, agents, officials, representatives and employees
against any and all liability, loss, cost, damages, expenses, claim or actions, or
whatever type, including but not limited to attorney's fees and suit costs, for trial
and appeal which the City of Sebastian, its officers, officials, agents, official
representatives or employees or any other person(s) or business entity(ies) who
may hereafter sustain, incur or be required to pay, arising wholly or in part due to
any act or omission of Contractor, its agent(s), vendors, sub-Contractor(s),
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representatives, servants, or employees in the execution, performance or
nonperformance or failure to adequately perform Contractor's obligations
pursuant to this contract.
Article 8. GUARANTEES - The Contractor shall guarantee work completed as described
herein, the equipment, articles, devices and materials furnished or installed,
against any and all failure in proper use and operation for a period of one (1) year
from the date of final acceptance of the Work completed under this Agreement.
The Contractor shall also guarantee as described herein, warranties from
manufacturers for each article and piece of equipment furnished or installed, so
that the manufacturer's warranty fully covers the equipment from date of
shipment to Contractor through the period of one (1) year after date of final
acceptance of the work completed under this Agreement.
Article 9. LIQUIDATED DAMAGES - The parties, recognizing that time is of the essence
and that it would be impossible to determine the City's damages in the event that
Contractor fails to complete the work required under a Work Order by the
completion date described herein, hereby agree that the Contractor shall pay as
liquidated damages, and not as a penalty, the sum of $300 for each calendar day
beyond the Completion Date that Contractor fails to complete the work. The
parties further agree that the City may withhold such liquidated damages from
any payment due the Contractor.
Article 9. TERMINATION OF CONTRACT—
A. The occurrence of any of the following shall constitute a default by Contractor
and shall provide the City with a right to terminate this Agreement in
accordance with this Article, in addition to pursing any other remedies which
the City may have under this Agreement or under law:
1. If Contractor improperly performs work or violates any provisions of the
Contract Documents;
2. If Contractor neglects or refuses to correct defective work or replace defective
parts or equipment, as directed by the City Engineer;
3. If Contractor's work is being unnecessarily delayed and is not finished within
the prescribed time;
4. If Contractor assigns this Agreement or any monies accruing hereon;
5. If Contractor abandons the work, files for bankruptcy, makes a general
assignment for the benefit of creditors, or if a trustee or receiver is appointed
for Contractor.
B. The City shall notify Contractor in writing of the grounds for default and
provide Contractor with ten (10) calendar days to cure the default;
C. If the Contractor fails to correct or cure the default within the time provided,
City may terminate this Agreement by notifying Contractor in writing. Upon
receiving such notification, Contactor shall immediately cease all Work and
shall vacate any site occupied by it; provided, however, that the City may
authorize Contractor to restore any work site.
D. The Contractor shall be liable for any new cost incurred by the City in
soliciting bids or proposals for letting a new contract, and the difference
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between the cost of completing the new contract and cost of completing this
Agreement together with any court costs and attorney's fees associated with
any lawsuit undertaken by the City to enforce its rights herein,
E. TERMINATION FOR CONVENIENCE — The City may at any time and for any
reason terminate Contractor's services and work for City's convenience.
Upon receipt of written notice of such termination Contractor shall, unless the
notice directs otherwise, immediately discontinue the Work and immediately
cease ordering of any materials, labor, equipment, facilities, or supplies in
connection with performance under this Agreement. Upon such termination
Contractor shall be entitled to payment only as follows:
a. The actual cost of the work completed in conformity with this
Agreement.
b. Such other costs actually incurred by Contractor as are permitted
under this Agreement.
Article 11. PUBLIC RECORDS COMPLIANCE -
A. The City of Sebastian is a public agency subject to Chapter 119 Florida
Statutes. The Contractor shall comply with Florida's Public Records Law.
Specifically, the Contractor shall:
i. Keep and maintain public records that ordinarily and necessarily would be
required by the City to order to perform the service.
ii. Provide the public with access to public records on the same terms and
conditions that the City would provide the records and at a cost that does
not exceed the cost provided in Chapter 119 or as otherwise provided by
law.
iii. Ensure that public records that are exempt or confidential and exempt
from public records disclosure requirements are not disclosed except as
authorized by law.
iv. Meeting all requirements for retaining public record and transfer, at no
cost to the city all public record in possession of the Contractor upon
termination of the Agreement and destroy any duplicate public records
that are exempt or confidential and exempt from public records disclosure
requirements. All records stored electronically must be provided to the
City in a format that is compatible with the Information Technology
System of the City.
B. Failure of the Contractor to comply with these requirements shall be a breach
of this Agreement.
Article 12. CONTRACTOR'S REPRESENTATIONS - In order to induce the City to enter into
this Contract, Contractor makes the following representations:
A. Contractor has familiarized himself with the nature and extent of the
obligations under this Agreement. Contractor has familiarized himself with
the work site, locality, approved DMS locations and all local conditions
and laws and regulations that in any manner may affect its costs,
progress, or performance.
B. Contractor has carefully studied, or will carefully study, all reports of
explorations and tests of subsurface conditions of the approved DMS
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locations which are identified or provided in this Agreement and accepts
the accuracy of any technical data contained in such reports and
drawings, upon which Contractor is entitled to rely.
C. Contractor has obtained and carefully studied (or assumes responsibility
for obtaining and carefully studying) all such examinations, investigations,
explorations, tests, reports, and studies (in addition to those referred to in
Sub -Paragraph B. above) pertaining to the subsurface or physical
conditions at or contiguous to the site or otherwise affecting performance,
as Contractor considers necessary for the performance at the Contract
Price and in accordance with the other terms and conditions of this
Agreement.
D. Contractor has correlated the results of all such observations,
examinations, investigations, explorations, tests, reports, and studies with
the terms and conditions of the Contract Documents.
E. At the time of entering into this Agreement, Contractor has given the City
written notice of any conflicts, errors, and discrepancies that Contractor
has discovered in the Contract Documents and the resolution thereof by
the City is acceptable to the Contractor.
Contractor warrants that it is satisfied with the information presented
which enabled its to prepare its bid.
Article 13. CONTRACT UNIT PRICES - The unit prices contained in the Proposal Price
Form are incorporated herein, and made a part of this Agreement as the Contract
Unit Price Schedule, as follows in Exhibit C — Pricing Form and Equipment
Hourly Rate Form.
Article 14. PUBLIC RECORDS FORM
Contract Name: Professional Services For Disaster Debris Removal and Disposal
In accordance with the requirements of Chapter 119 Florida statutes, as amended, the
contract between the City of Sebastian and the Contractor shall require the contractor to:
a) Comply with the public records law of the State of Florida, as the same may be
amended from time to time.
b) Keep and maintain public records that ordinarily and necessarily would be
required by the City in order to perform services, and
C) Provide the public with access to public records on the same terms and
conditions that the City would provide the records and at a cost that does not exceed the cost
provided in this chapter or as otherwise provided by law, and
e) Meet all requirements of retaining public records and transfer, at no cost, to the
City all public records in possession of the contractor upon termination of the contact and
destroy any duplicate public records that are exempt or confidential and exempt from public
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records disclosure requirements. All records stored electronically must be provided to the City in
a format that is compatible with the information technology systems of the City.
f) IF 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 THE CUSTODIAN OF
PUBLIC RECORDS AT 1-772-388-8212 / E-MAIL JWILLIAMS@CITYOFSEBASTIAN.ORG
CITY OF SEBASTIAN, 1225 MAIN STREET SEBASTIAN, FLORIDA.
AUTHORIZED SIGNATURE:
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TITLE:
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IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed, the
day and year first above written.
IN WITNESS WHEREOF, the parties hereto have executed this agreement the date and year
first written above.
TEST: pp��
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J anette-Williarns, MMC
ity 0erk
(SEAL)-
Appr9ved-as to Form and Content for
Relia e by -the -City of Sebastian Only
Robert A. Ginsburg, City Attorney
THE CITY OF EBASTIAN
By: u--,
Name: Joseph Cofffin
title: City Manager
Signed, sealed and delivered in the presence of:
NAME:
Contractor Signature
bP A.euS
Print Name
WITNESS:
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W^w,, al M. Hanscom
° Notary Public
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records disclosure requirements. All records stored electronically must be provided to the City in
a format that is compatible with the information technology systems of the City.
0 IF 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 THE CUSTODIAN OF
PUBLIC RECORDS AT 1-772-388-8212 / E-MAIL JWILLIAMS@CITYOFSEBASTIAN.ORG
CITY OF SEBASTIAN, 1225 MIN STREET SEBASTIAN, FLORIDA.
AUTHORIZED SIGNATURE: szDATE:
PRINT F � TITLE: t Q
J
IN WITNESS WHEREOF, the parties hereto have caused these presents to -be executed, the
day and year first above written.
IN WITNESS WHEREOF, the parties hereto have executed this agreement the date and year
first written above.
ATTEST:
Jeanette Wiiliams, MMC
City Clerk
(SEAL)
Approved as to Form and Content for
Reliance by the City of Sebastian Only
Robert A. Ginsburg, City Attorney
THE CITY OF SEBASTIAN
By:
Name: Joseph Griffin
title: City Manager
--------------------------------------- CONTRACTOR --_---------------- -------
Signed, sealed and delivered in the presence of.
WITNESS:
NAME: By:
Contractor Signature
Print Name Print Name
Exhibit A
Scope of Services
Disaster Recovery Contractors are sought to support the City of Sebastian in the management
of debris resulting from but not limited to catastrophic storm events such as tornadoes and
hurricanes. The Contractor shall provide all required services to clear and remove any and all
"eligible" debris (See Exhibit B for definition of "eligible" debris) primarily from public right-of-way
on City streets. Work will include the following:
♦ Examine debris to determine whether or not debris is eligible
♦ Load the debris onto certified dump trucks
♦ Haul the debris to approved staging area, dumpsite or landfill
Process debris including sorting, grinding, mulching, or burning
• Establish and operate temporary debris staging and processing sites
♦ Provide for a temporary tower to view debris within trucks
♦ Provide project management services
♦ Haul and dispose of reduced debris to permitted disposal site
• Respond and repair damages resulting from Contractor's work
♦ Keep accurate records and provide copies to County if requested.
♦ Assist the City in FEMA or FWHA reporting and reimbursement efforts
The Contractor shall comply with all provisions contained in Appendix A Page FA -15
The City intends to award a contract to one Primary Contractor and one Secondary Contractor.
City does prefer a local contractor (Indian River County) to provide this debris hauling and
removal service to due experience learned in 2016 Hurricane Matthew debris removal
operation. City does not require haul trucks to have self-contained grabbing claw to pick-up
debris.
EXPENSESINCURRED
This solicitation does not commit the City to pay any costs incurred in the preparation and
submission of an offer in any form or to produce or contract for said services.
CITY PROJECT ADMINISTRATION
All firms are hereby placed on notice that the City has designated the City of Sebastian City
Engineer, as the liaison for this project.
RESPONDENT'S RESPONSIBILITY
Before submitting a proposal, each firm shall make all investigations and examinations
necessary to learn the conditions and requirements that may influence the performance of the
services requested and the contract. Failure to make such investigations and examinations
shall not relieve successful Contractor(s) from the obligations to comply, in every detail, with all
the provisions and requirements of the awarded contract nor shall it be a basis for any claim
whatsoever for alteration in any condition of the awarded contract.
Scope of Work
COOPERATION/COORDINATION
The OWNER and its authorized representatives shall be permitted access at every facility or
property for the inspection of all work.
Work by OWNER: The City hereby reserves the right to perform activities in the area
where work is being done under this contract with its own forces.
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Work by Other CONTRACTORS: The City hereby reserves the right to permit other
CONTRACTORS to work within the area, which is the site of the work under this
contract.
Coordination: CONTRACTOR shall afford OWNER and other CONTRACTORS
reasonable opportunity for the introduction and storage of their equipment, materials and
the execution of their work concurrently, and shall properly coordinate its work with theirs
in the best interest of the City.
COMMENCEMENT OF WORK
The work shall commence immediately upon receipt of a Notice to Proceed. A mandatory kick-
off meeting will be held with the contractor to review hauling and logistic and to issue the NTP.
The Contractor shall mobilize within 72 hours of receiving Notice to Proceed.
PAYMENT AND PERFORMANCE BONDS
Contractor shall provide the City with a Payment and Performance Bonds in the amount of
$1,000,000 or 100% of the contract value, whichever is greater, within three (3) calendar days
of a written Notice to Proceed (NTP) by City. Once activated, the Payment and Performance
Bond shall be in force for a period of not less than one (1) year from the date of original
execution by the Bond Surety. Bonds shall be executed by the Contractor and surety company
authorized to do business in the State of Florida with an A.M. Best rating of "A-" (Excellent) or
better, which bond shall be conditioned upon the successful completion of all work, labor,
services, materials to be provided and furnished, and the payment of all subcontractors,
materials and laborers. If the value of the contracted work increases, the Contractor shall be
required to provide an updated Public Construction Bond in an amount equal to the new value.
DEFECTIVE EQUIPMENT
All equipment furnished or work performed, when not in accordance with the intent of these
Specifications, shall be rejected and shall be removed immediately and replaced by suitable and
satisfactory equipment. Failure to reject any defective work or equipment will not prevent later
rejection when such a defect is discovered and shall not relieve the CONTRACTOR of his
obligation to fulfill his contract even though such work and equipment have been previously
inspected by the OWNER and accepted; it shall not obligate the OWNER to final acceptance
nor shall it prevent the OWNER in any time subsequent from recovering damages from work
actually shown to be defective within a one (1) year period after the final acceptance.
If the CONTRACTOR fails to remove any defective work or equipment, the OWNER shall have
the right to stop work and remedy the cause at the expense of the CONTRACTOR.
If the OWNER deems it expedient to accept minor imperfect work, the OWNER shall have the
right to retain such work and an equitable deduction shall be made in the Contract price.
DAMAGE TO ROADWAYS, RIGHTS-OF-WAY AND PRIVATE PROPERTY
Until final acceptance of the work by the OWNER, it shall be under the charge and care of the
CONTRACTOR and he shall take every necessary precaution against injury or damage to
property by the action of the elements, or from any other cause whatsoever. The
CONTRACTOR shall rebuild, repair, restore and make good, at his own expense, damages to
any portion of properties before its completion and acceptance.
Final Cleanup, before the contract is considered complete, all rubbish and unused material due
to, or connected with, the work must be removed and all premises, rights -of -ways, and lands left
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in a condition satisfactory to the OWNER. All property, public or private, disturbed or damaged,
during the execution of the work shall be restored to its former condition. Final payment will be
withheld until such work is accomplished.
SAFETY AND PROTECTION
The CONTRACTOR shall furnish and install all necessary equipment and facilities for the
protection of the workers and the safety of the public and shall carry on this work in a manner
best calculated to avoid injury to the public or to the workers.
Protection of Adjacent Property and Utilities: The CONTRACTOR shall conduct his work in such
a manner as to avoid damage to adjacent private or public property and shall immediately repair
or pay for any damage incurred through his operations. The CONTRACTOR shall take
cognizance of all existing utilities and he shall operate with due care in the vicinity of such
utilities and shall immediately repair or have repaired at no additional costs to the OWNER any
breakage or damage caused by his operation. Should the OWNER be required to make such
repairs, the cost of such repairs shall be deducted from the contract price.
CONTRACT PERIOD
This Contract shall be binding on the parties for a period of twenty four (24) consecutive months
from the date of this Contract by both parties unless terminated earlier in accordance with its
terms. The City may extend the term of this Contract for up to three (3) additional terms of
twenty four (24) months each on the same terms and conditions.
REQUIRED NOTIFICATIONS
The Contractor shall notify the City immediately upon any change in ownership or financial
condition of the company. The City reserves the right to terminate any contract entered into
between the City and an awarded Contractor if in the City's sole and absolute judgment
changes to the company's ownership or financial condition renders the Contractor unable to
perform the scope of services sought under this contract.
The Contractor shall disclose future contractual obligation within the State of Florida or other
Counties or Municipalities throughout the term of the contract and provide reasonable
assurance that such obligations will not preclude the Contractor from meeting its obligations
under this Contract.
ADJUSTMENTS TO RATES
Price adjustments will be made on an annual basis after the first 12 -month term based on the
consumer price index (CPI). Unit prices shall be adjusted upward or downward annually to
reflect changes in the CPI for all urban consumers for the South. Should the CPI be
discontinued or substantially modified, an alternate index shall be chosen by mutual agreement
of the Contractor and the City. Prior to each 12 -month contract renewal, the unit contract prices
shall be adjusted to reflect the increase or decrease in the CPI for the immediately preceding
twelve (12) month period of December to December. The Contractor shall notify the City in
writing of increases that are based on the CPI, as provided in this section, no less than thirty
(30) days prior to their implementation.
PAYMENT PROCEDURES
Progress Payments: OWNER shall make progress payments on account of the Contract Price
on the basis of CONTRACTOR's Applications for Payment at intervals not less than once each
month during performance of the Work as provided below.
1. Ninety percent (90%) of Work completed (with the balance being retainage); and
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2. Eighty percent (80%) of cost of materials and equipment not incorporated in the Work
but stored on the Project site (with the balance being retainage).
Final Payment: Upon final completion and acceptance of the Work, OWNER shall pay the
remainder of the Contract Price including any retainage as recommended by City Contract
Administrator.
ITIuIf H&W—M_1106 ;l
The City shall appoint a contract administrator for this contract with the authority to issue
Notices to Proceed for Federal and State Public Assistance categories of work. All Notices to
Proceed shall include a complete and comprehensive Scope of Work. The Contractor shall not
initiate work if there is not a Scope of Work provided with the Notice to Proceed.
AVAILABILITY OF FUNDS
This Contract is for goods and services related to disaster response and recovery operations.
Activation of this Contract will occur in anticipation of Federal and State Public Assistance
funding.
Specific Work Tasks
The qualified firm(s) will develop and present the scope of services, meeting the City needs.
The work to be undertaken includes, but is not limited to the following:
DEBRIS REMOVAL
Emergency Roadway Clearance – Removal of debris from the primary transportation routes as
directed by the City. In this role the contractor will perform an emergency "PUSH" within the
initial 70 hours after the storm event to allow emergency vehicles to traverse the roadways.
The City will determine route priorities for this push operation. Additionally, in preparation for
an imminent hurricane strike, contractor crews may be asked to stage outside the strike area. In
this case, contractors are to provide the emergency push into the City. The City will designate
roadway priorities for this push.
The contractor will also provide the required equipment and manpower to handle the "first pass"
of all City Street as part of this contract after a storm event. The Pass operation will require the
load tickets.
Debris Removal from Public Property – Removal of debris from public rightsEofEway will be the
responsibility of the contractor. The contractor shall remove debris beyond public
rightsEofr-way as necessary to abate imminent and/or significant threats to the public health
and safety of the community. These areas may include vacant public lands, operational
facilities, utility facilities and other land owned by the City. It may be necessary to make several
trips through a neighborhood as debris is moved to the ROW. In this case the loads will need to
be documented separately, per the instructions of the City.
Debris Removal from Private Property – Removal of debris beyond public rightsEofEway as
necessary to abate imminent and/or significant threats to the public health and safety of the
community Should an imminent threat to life, safety, and health to the general public be present
on private property, the Contractor, as directed by the City, will accomplish the removal of debris
from private property, to include private roadways.
Eligible ROW Construction and Demolition (C&D) or Municipal Solid Waste (MSW) Debris
Removal E Work consists of the collection and transportation of Eligible C&D or MSW debris on
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the Public ROW or private property to a City approved TDSR site or City designated final
disposal site.
Eligible Demolition, Removal and Transportation of Structures E Work consists of the demolition
of structures on public property or private property, as directed by the City, obtaining necessary
permits and hauling the resulting debris to a City designated final disposal site.
Removal of Eligible Hazardous Trees and Limbs E Work consists of removing Eligible
hazardous trees and limbs and placing them on the safest possible location on the City ROW for
collection under the terms and conditions of Element 1, Eligible ROW Vegetative Debris
Removal.
Eligible Household Hazardous Waste (HHW) Removal, Transport and Disposal - Work will
consists of removal, transportation and disposal of Eligible household hazardous waste.
Eligible Abandoned Vehicle/Vessel Removal G Work consists of removal of Eligible Abandoned
Vehicles in areas identified and approved by the City and subsequently transported to a City
approved staging area.
White Goods — The Contractor may expect to encounter white goods available for disposal.
White goods will constitute household appliances as defined in the Florida Administrative Code.
The Contractor will dispose of all white goods encountered in accordance with applicable
Federal, State and local laws.
Eligible EEwaste Item Removal — Work consists of the recovery and disposal (or recycling) of
televisions, computers, computer monitors, etc. unless otherwise specified in writing by the City.
Eligible Dead Animal Carcasses — Work consists of the recovery and disposal of dead animal
carcasses.
Hazardous Tree Stumps — The Contractor shall remove all stumps that are determined to be
hazardous to public access and as directed by the City. Stumps shall be hauled to DMS where
they shall be inspected and categorized by size. GPS X and Y coordinates are required for
reimbursement by FEMA.
Fill Dirt — The Contractor shall place compacted fill dirt in ruts created by equipment, holes
created by removal of hazardous stumps and other areas that pose a hazard to public access
upon direction of the City.
Canals, Streams and Conservation Areas — The Contractor shall coordinate with the appropriate
local, state, or federal agencies with jurisdictional authority to remove debris in natural or
manmade waterways.
DEBRIS PROCESSING:
Temporary Debris Staging and Reduction Site (TDSRS) — The Debris Monitoring Team, as
assigned by the City, will determine the minimum number of sites required for each storm event.
The City will designate the TDSRS to be activated.
The City has two pre -approved DMS locations at the Sebastian Municipal Airport These two
sites will be activated in event of an approach storm and the City will obtained the approval
letters from the DEP to open these Debris Management Site (DMS) at the Sebastian Airport.
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Preparation, maintenance and operation of the DMS facilities are entirely the Contractor's
responsibility.
Preparation and maintenance of facilities shall include maintenance of the DMS approach and
interior road(s) for the entire period of debris hauling, including provision of rock for any roads
that require stabilization for ingress and egress. Each facility shall include a roofed inspection
tower sufficient for a minimum of three (3) inspectors for the inspection of all incoming and
exiting loads. The contractor will be responsible for obtaining any required permits, which shall
be paid at cost by the City. At the City's discretion, owned rights of way or other entity owned
property could be provided for temporary storage of debris.
DMS Debris Removal Operations Plan and Environmental Protection Plan — This plan is to
address site setup, preEuse activities, postEuse activities and operational activities. The plans
will also include pre and post video and other checklists to assure proper management of the
site. Once the debris management site is selected for use, the CONTRACTOR will provide a
Site Management Plan. Three (3) copies of the plan are required. The plan shall be drawn to a
scale of 1" = 50' and address following functions:
♦ Access to the DMS site
♦ Site preparation Eclearing, erosion control, grading and pushing piles to maintain access
♦ Traffic control procedures, if needed
♦ Safety
• Segregation of debris
♦ Location of ash disposal area, hazardous material containment area, contractor work
area, and inspection tower
♦ Location of incineration operations, grinding operation. Burning operations will not be
permitted
♦ Location of existing structures or sensitive areas requiring protection
♦ Restoration of site
All debris operation shall be processed in accordance with local, State and Federal law,
standards and regulations and will comply with FEMA Public Assistance program for Federal
Funding. Processing shall include, but is not limited to, reduction by grinding and/or incineration
when approved by the City. Prior to reduction, all debris shall be segregated between
vegetative debris, construction and demolition debris, recyclable debris, white goods and
hazardous waste.
Generated Hazardous Waste Abatement — Abatement of hazardous waste identified by the City
is to be disposed of in accordance with all applicable Federal, State, and local laws, standards
and regulations.
Debris Disposal — Disposal of all eligible debris, reduced debris, ash residue and other products
of the debris management process is to be in accordance with all applicable Federal, State, and
local laws, standards and regulations. The Contractor shall be responsible for paying all landfill
tipping fees and provide all required documentation to the City needed to receive eligible
reimbursement through FEMA Public Assistance Program and any State requirements for
matching fund for such fees.
Assist the City and Debris Monitoring Staff in the following:
♦ Monitoring multiple contractors and multiple trucks delivering materials to the DMS.
FA -12
♦ Verify that each truck that delivers to the DMS matches its manifest load ticket — truck
and maximum capacity will be measured, certified and then labels placed on each truck
showing capacity.
♦ Make sure load is properly secured for transport.
♦ Photograph of each loaded truck bed and attach photograph to truck's manifest ticket or
link with digital photographic records, as applicable.
♦ Review trucks manifest and observe the truck bed to confirm that the truck was loaded
to capacity or as described on manifest ticket, and completely empty on departure.
♦ Maintain manifest tickets in an organized manner for proper record review and storage.
♦ Initial load tickets before permitting truck to leave the DMS checkEin area to empty its
load.
♦ Document location of origin of debris.
♦ Troubleshoot questions and problems at the DMS and identify issues that could impact
eligibility for cost reimbursements.
♦ Remain in contact with the central office/staging operation command center.
♦ Perform other duties as directed by City personnel, e.g. conduct final inspections and
issue closeout reports.
DOCUMENTATION AND RECORDS:
Storm debris shall be subject to inspection by the City. Inspections will be to insure compliance
with the contract and applicable local, State and Federal laws and any requirements per FEMA
Public Assistance Program for Federal Funds. The Contractor will, at all times, provide the City
access to all work sites and disposal areas. The Contractor and Debris Monitoring Personnel
will have in place at the DMS personnel to verify and maintain records regarding the contents
and cubic yards of the vehicles entering and leaving the DMS. The Debris Monitoring
Personnel will coordinate data collection and information management systems, including but
not limited to:
♦ Truck certification and labels for all certified trucks
♦ Prepare detailed estimates and submit to FDEM, FHWA and FEMA for use in Project
Worksheet preparation.
♦ Implement and maintain a disaster debris management system linking load ticket and
DMS information, including reconciliation and photographic documentation processes.
♦ Provide daily, weekly or other periodic reports for City managers and the Debris
Monitoring Consultant, noting work progress and efficiency, current/revised estimates,
project completion and other schedule forecasts/updates.
♦ The Contractor shall provide all requested information to the Debris Monitoring
Personnel that is necessary for proper documentation. City staff shall review all
documentation prior to submittal. The Contractor will work closely with the FDEM, FEMA
and other applicable State and Federal agencies to ensure that eligible debris collection
and data documenting appropriately address concerns of the likely reimbursement
agencies. The Debris Monitoring Consultant will coordinate this work.
♦ Discrepancies in what is required of the Contractor must immediately be brought to the
attention of the Debris Management Team.
Documentation and Recovery Process — The Contractor will provide the following assistance in
addition to debris removal:
♦ Recovery process documentation — create recovery process documentation plan
♦ Maintain documentation of recovery process
♦ Provide written and oral status reports as requested to City Debris Monitoring Personnel
♦ Review documentation for accuracy and quantity
♦ Assist in preparation of claim documentation.
FA -13
DMS Site Reclamation — Site reclamation shall be accomplished in accordance with all Federal,
State and local laws, standards and regulations. Site reclamations shall be accomplished in
accordance with the Contractor's Debris Removal Operations Plan and Environmental
Protection Plan, as approved by the City.
Work Areas — The City will establish and approve all areas that the Contractor will be allowed to
work. These include Right of Way, public land, private properties/accesses and DMS. The
Contractor will remove all eligible debris and leave the site from which the debris was removed
in a clean and neat condition. Fill dirt, reEvegetation and grading may be required to achieve
the desired condition.
Working Hours— All activity associated with gathering and loading of eligible debris shall be
performed during visible daylight hours only unless otherwise authorized by the City. Hauling of
eligible debris to the DMS will be allowed during visible daylight hours only between dawn and
dusk unless otherwise authorized by the City. The Contractor may work during these hours
seven (7) days per week including holidays. It is understood between the parties that at the
DMS, debris reduction may take place twentyCfour (24) hours, seven (7) days per week if the
Contractor deems it necessary to meet the work demand, subject to City approval. The City
approval shall consider safety and impacts to surrounding land uses such as occupied
residential areas. The Contractor shall be responsible for obtaining sites to stage equipment,
such as trucks, while not in use. The Contractor shall comply with Sections 103 and 107 of the
Contract Work Hours and Safety Standards Act (40 U.S.C. 327-330) as supplemented by
Department of Labor regulations (29 CFR Part 5).
Priority of Work Areas — The City will establish and approve all areas that the Contractor will be
allowed to work. Daily and/or weekly scheduled meetings will be held to determine approved
work areas. The Contractor shall remove all eligible debris and leave the site from which the
debris was removed in a clean and neat condition. Determination of when a site is in a clean
and neat condition will be at the reasonable judgment of the City. Such determination will not be
unreasonably withheld.
Safety — The Contractor shall have at least one Safety Officer on duty at all times during the
active operation of the hauling and grinding. The safety officer shall be familiar with and
properly trained to perform the assigned Safety Officer duties. Training shall include, but not
limited to certification in the Florida Department of Transportation Maintenance of Traffic (FDOT
MOT) standards. All work zones shall conform to FDOT MOT Standards and all work
sites/conditions shall conform to all applicable Federal, State and local safety standards. In
addition, Contractor shall ensure that all subcontractors have received appropriate safety
training.
FA -14
Appendix A - Additional Provisions
A. The Contractor shall collect, remove, transport, and process disaster debris to the Indian
River County Solid Waste Landfill at 1325 74th Avenue S.W., Vero Beach, Florida 32968 or
other Facilities or properties as specified by Indian River County, as APPROVED OR directed
by the City to the two local approved DMS locations.
B. Collection of debris shall include identification, assessment and removal of hazardous
materials, hazardous wastes, bio -hazardous wastes, dead animals, and hazardous stumps.
C. Collection and removal of debris shall include clearing limits of right-of-way. Trees
located on private property that have fallen into the right-of-way shall be cut off at the right-of-
way line and removed.
D. Eligibility of stumps and hanging limbs must be determined on a case-by-case basis by a
FEMA inspector.
E. Trees and limbs in contact or close proximity to Utility lines shall not be removed until the
Utility Company has removed or relocated their facilities.
F. Processing of debris shall include the establishment and operation of multiple temporary
debris -staging areas/processing-sites throughout the City where collected debris may be sorted,
recycled, ground, mulched, burned, or otherwise segregated for transport and disposal to the
Indian River County Solid Waste Landfill or other approved disposal facilities.
G. Eligibility of debris is determined by FEMA. Contractors do not have the authority to
make eligibility determinations. Generally, disaster -related debris located on public property
and in public rights-of-way is eligible for FEMA reimbursement. Eligible disaster debris may
include downed trees, vegetation and other woody debris; sand, silt, mud and gravel; building
wreckage; and vehicles in the right-of-way.
H. Debris on private property generally is not eligible for FEMA funding, but disaster -
damaged personal property may be moved to the curbside to be picked up by an eligible
Applicant. Debris from a commercial business or resulting from work performed by a private
contractor is not eligible.
I Disposal of debris shall include any reduction, separation, or other processing of
material needed for the further removal and disposal of debris. Contractor will recycle the
resulting mulch at a City approved disposal site.
J The maintenance of traffic for this contract shall be in accordance with the applicable
FDOT Standard Index numbers (600 Series) and the U.S. Department of Transportation,
Federal Highway Administration, Manual on Uniform Traffic Control Devices and shall be
followed in application, installation, maintenance and removal of all traffic control devices,
warning signs, devices, and barriers necessary to protect the public and workmen on roads, and
rights-of-way in the City of Sebastian. Pedestrian and vehicular traffic shall be maintained and
protected at all times.
K The Contractor shall ensure that all vehicles, trucks, equipment, and trailers operating on
City roadways and rights-of-way are in compliance with all Federal, State, and local rules, laws,
and regulations. All vehicles, equipment, trucks, and trailers shall be properly licensed, insured,
FA -15
and equipped with lights, back-up alarms, horns, and any other safety equipment mandated by
Federal, State, and local rules, laws, and regulations. Vehicles without proper safety equipment
shall not be utilized.
L The Contractor shall supply pre -numbered 5 part Debris Load Tickets to the City for the
entire project. Each ticket will contain the following information:
• Ticket Number
• Contractor Name
• Truck Number
• Loading Location
• Field Inspector/Monitor Name
• Measured Truck Capacity
• Date
• Site Departure Time
• Dump Site Location
• Dump Site Arrival Time
• Debris Classification (Vegetative, C&D, Mixed)
• Estimated % Full and Debris Quantity
M The Contractor shall notify the City at least 3 days in advance of any unusual "ramping
up" of work forces needed to provide the debris hauling operation.
M No homemade trailers with plywood extensions will be permitted. Trailers towed behind
trucks must be able to mechanically dump on their own with no assistance from equipment at
the dumping site.
O The Contractor shall utilize mechanical loading equipment, such as: frontend loaders
and/or skid -steer for loading debris. A truck mounted grabbing device is an option. Hand
loading will be prohibited.
P All transport hauling equipment shall be single axle, tandem wheel, or semi -trailer trucks
that are designed by the manufacturer for the intended purpose. No plywood extended sides
will be permitted. Steel side extensions that have steel reinforced vertical supports are allowed.
Q All transport hauling equipment shall be equipped with tailgates that extend upward
minimally to the height of the sides of the box. All trucks will have the company name and
phone number on both sides of the vehicle doors.
R All loaded trucks and trailers shall be tarped or covered during transport, in accordance
with Florida law and local codes.
S The Contractor shall meet minimum production demands established by the City and
begin debris removal phasing (C & D removal and mulch reduction and hauling) within three
days of the City request.
T All collection activities shall be directed in a logical, sequential manner, approved by the
City, with no materials skipped over or left behind.
U The Contractor shall assure that all subcontractors have English speaking supervisors or
representatives available in the field at all times during the contract period.
FA -16
V The Contractor shall repair immediately upon request any damage caused by the debris
removal operation that is deemed a public safety issue, including, but not limited to, asphalt,
sidewalks, culvert pipes, swales, driveways, and/or any public or private property.
W If it is determined to be in the best interest of the City to use City owned properties for
the debris -staging areas/processing-sites, the Contractor shall credit the City $1.00 per cubic
yard (Tipping Fee) for the total cubic yards collected for the use of the property.
X The Contractor shall provide the following facilities at each debris management site
(DMS)/processing-site, regardless of who provides the site (Contractor or City):
1. Each processing site shall have a roofed inspection tower erected upon it
sufficient to support a minimum of three inspectors, and built to a height to allow a clear
view down into a loaded truck. Mechanical lifts are discouraged.
2. Each processing site shall have a temporary roofed shelter or canopy erected for
the comfort of support staff and personnel from weather conditions.
3. Each processing site shall have at least two portable sanitary units (porta-potties)
that are clean and regularly maintained throughout the contract period. The Contractor
shall keep an adequate supply of toilet paper in each unit.
4. The Contractor shall provide stabilized ingress and egress to each debris -
processing site and shall maintain such access throughout the contract period.
Y All loads brought to a temporary debris -processing site shall be inspected and recorded
by the Contractor and the City.
Z The Contractor shall reclaim the site upon completion of the processing activities to
include at a minimum removal of all equipment and debris, grading of the site to historical
condition, and seeding and mulching of the exposed areas.
Compliance of Federal, State, and Local Laws, Rules, and Regulations
All processing activities shall be conducted in compliance with all federal, state, and local laws,
rules, and regulations.
i) The Contractor shall be responsible for obtaining and paying for all permits
needed to construct, operate, maintain, close, and reclaim the debris processing sites.
ii) The Contractor shall be responsible for any environmental sampling required at
the debris staging area. Normally areas used to stage vegetative debris do not require
any environmental sampling. Areas used to stage mixed debris, or ash from burning
mixed debris, will normally require environmental sampling to close the site after the
debris or ash is removed. It would also be advisable to sample the area prior to staging
any mixed debris to identify any existing contamination at the site.
iii) The Contractor shall maintain the site in accordance with all local, state, and
federal laws, rules, and regulations including at a minimum erosion control, storm water
management, and fire control.
iv) The Contractor shall not be responsible for C&D disposal fees at the County
landfill.
V) The Contractor shall provide and pay for all the necessary labor, tools, and
equipment to execute the work described in this Scope of Services.
FA -17
vi) The Contractor shall obtain burn authorizations when using the burning option as
a reducing technique. A permit from the Florida Forest Service (FFS) is required for
temporary incinerators such as portable air curtain incinerators and a permit from Florida
Department of Environmental Protection (FDEP) is required for permanent incinerators
such as an air curtain incinerator.
Contractor Assistance and Cooperation
1. The Contractor shall provide the City any assistance, in its capacity, to the FEMA
reimbursement efforts.
i) The Contractor shall provide all records, including, but not limited to, truck and
trailer registrations, disposal tickets, debris -dumping site logs, area maps, and other data
sufficient to provide substantiation for FEMA and State reimbursement applications.
ii) The Contractor shall assist the City in responding to federal and state agencies
request for additional information and/or auditing as directed by the City.
2. The Contractor shall conduct the Debris Removal and Disposal Contract in strict
accordance with guidelines set forth in this contract document.
FA -18
ono EXHIBIT "B"
A C�
City of Sebastian
VAS
SEp
Main Street
e—. -
Sebastian, FL 32958
Seb
-
(772)388-8228
HOME OF PELICAN ISLAND
fax: (772) 388-8248
February 22, 2017
ADDENDUM NO.1
City of Sebastian
Bid 17-03 Disaster Debris Removal and Disposal
The following will be considered as Addendum No.1 to the bid documents and specifications for
the Bid 17-03:
1. Attached is the Sworn Disclosure of Relationships form to be completed and returned
2. Attached is Hourly Rate Sheet for Equipment and Vehicles to be completed and returned
3. On page 5, the RFP discusses the pre -staging of equipment for the emergency road clearance.
However, there is no pricing element for this phase. Secondly, if the event changes direction and
there is no impact to the City, will the contractor be paid for pre -staging and at what rate? What
equipment is the City requesting to be pre -staged?
Response: Mobilization and pre -staging of equipment prior to a storm event will not be a
bid item since it is not covered by FEMA to be reimbursed.
4. 1 understand that the City has identified two (2) DMS locations that could be activated for an
event as the primary and secondary locations. However, on page 11 paragraph "w" indicates that
if additional City property is opened due to need, that the contractor is expected to provide a one
dollar ($1.00) offset per cubic yard. There is no indication of when or under what circumstances
the third DMS will be opened. As written, the City can choose to open the facility on a whim
simply to save a dollar. The end result is that any contractor must take into account this possibility
and increase the primary fee to accommodate such a contingency. The end result would be an
increased cost to the City. The document also is silent as to whether the credit will begin upon
opening the DMS; whether it applies only to the debris taken to that DMS; if it applies ato all
debris collected, and; if it is retroactive or prospective of the debris removal efforts. This is
extremely problematic for a host of other reasons:
a. Subcontractors are employed with express written contracts by volume is by the cubic yard;
b. If the City opens a third DMS, the contractor will have to go back and re -negotiate contracts
with the subcontractors which they may or may not accept;
c. The opening of a third DMS will require the contractor to mobilize additional personnel and
equipment to man the facility and process/manage the debris is the costs to the contractor
increase while the reimbursement/payment to the contractor decrease.
Response: The fee for $1.00 is a tipping fee at the temporary DMS.
5. One part of the RFP states that the City will reimburse the contractor for permits while another
part states that they won't;
Response: All permits will be obtained by the City.
6. The pricing sheet for T & M (Hourly) is not there. Attached is a sample typically used.
Response: Attached is the hourly equipment pricing for time and material.
7. There is an issue of tipping fees. One part says there will be no tipping fees for C&D leaving it
open as to vegetation and other types of debris. Can you please verify that all debris will have
disposal fees paid by the City directly or that the contractor must initially pay the fees to be
reimbursed at actual cost?
Response: Any tipping fees will be submitted to the City for reimbursement.
/l%�
Pagel of 2
1r
8. The RFP requests pricing for demolition but does not distinguish between standard demolition
and those with Regulated Asbestos Containing Material (RACM). Secondly, the RFP does not
mention who will be responsible for structure decommissioning, utility disconnects and sewer,
gas, water capping.
Response: Attached bid sheet has been revised
9. Is the $1.00 being classified as a tipping fee? This is the first time this request has been made
and if it's not a tipping fee, by adding a $1.00 into our price to cover this may jeopardize FEMA
eligibility as to reasonableness of cost.
Response: The $1.00 is a tipping fee.
Please sign and return this Addendum No. 1 with the bid package due on February 28, 2017.
Signature ate
Page 2 of 2
SWORN STATEMENT UNDER CITY CODE, ON DISCLOSURE OF RELATIONSHIPS
THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO
ADMINISTER OATHS.
1. This sworn statement MUST be submitted with Bid, Proposal or Contract No. 17-03 for
Disaster Debris Removal and Disposal
2. This sworn statement is submitted by: Ceres Environmental Services Inc.
(Name of entity submitting Statement)
whose business address is:
6968 Professional Parkway East, Sarasota, FL 34240
and its Federal Employer Identification Number (FEIN) is
3. My name is Ron Nutting
(Please print name of individual signing)
and my relationship to the entity named above is
Chief Financial Officer
4. 1 understand that an "affiliate" as defined in City Code, means:
The term "affiliate" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in the management of the entity.
5. 1 understand that the relationship with a City Council or City employee that must be disclosed
as follows:
Father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece,
husband, wife, father-in-law, mother-in-law, daughter-in-law, son-in-law, brother-in-law, sister-
in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother,
half sister, grandparent, or grandchild.
6. 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.]
X 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, have any relationships as defined in City Code, with any City Council or City employee.
Page 1 of 2
,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 have the following relationships with a City Council or City employee:
Name of Affiliate
or entity
none
AlftA STATE OF
/MN
Minnesota
CITY OF 11&4 i I'll
Name of City Council
or employee
Relationship
2
(Signat )
February 27, 2017
(Date)
The foregoing instrument was acknowledged before me this 27th day of February 2017 , by_
Ron Nutting , who is personally known to me or who has produced
as identification.
14�
TARY PUBLIC
SIGN: a P
Ahkx k'/Lm" i"
Notary Public, State at large
My Commission Expires:
Page 2 of 2
(Seal)
Ann M Kemp
Notary Public
STATE OF MINNESOTA
MY Commission Fires 1/31/2020
Qualifications Questionnaire
Firm Name: Ceres Environmental Services, Inc.
1.
2.
3.
Firm Address: 6968 Professional Parkway East
Sarasota FL 34240
Telephone: (800) 218-4424 Fax:
Contact Name: Gail Hanscom Email:
Contract Administrator
Licensing and Corporate Status:
a. Is Contractor License Current? Yes
(866) 228 - 5636
gail.hanscom@ceresenv.com
b. Contractor's License No: CGC1508764 (see Attachment 1)
C. Attach documentation from State of Florida Division of Corporations that indicates the business
entity's status is active and that lists the names and titles of all officers. See Attachment 2
d. If Bidder is not a licensed Contractor, attach documentation on the qualifications of all key staff
by position. Describe education, experience and training. Describe experience with
Maintenance of Traffic, damage repairs, job site safety, protection of public, working with heavy
equipment and removal of hazardous and bio -hazardous waste. Also, identify staff experience
working with governmental entities and list those projects. Not applicable, as Ceres is a
licensed contractor
4. Number of years the firm has performed business as a Contractor in work of the type involved in this
contract: 41
5. What is firm's bonding capacity? $ 200,000,000.00 +
(attach a letter from your bonding company stating its rating and the maximum amount in which your
firm can be bonded) See Attachment 3
6. Attach a detailed description of the Contractor's organizational structure, "chain of command" of
Contractor's response team and project management methods. Provide the name and address of
Subcontractors and detail the intended scope of their work. See Attachment 4 and 5
7. Attach a list of types and quantities of recovery equipment, availability of equipment, estimate of
workload, and future commitments to other emergency response contracts. The Contractor must
provide reasonable assurance that all equipment identified for disaster recovery will be available and
are not contractually obligated to other projects. See Attachments 6 and 7
16
8. Attach a list of all contractual obligations within Florida for similar disaster recovery services and provide
reasonable assurance that such contracts will not interfere with or preclude the Contractor from
responding to the County with Contractor's full force of manpower and equipment. The Contractor shall
disclose future contractual obligation within the State of Florida throughout the term of the contract and
provide reasonable assurance that such obligations will not preclude the Contractor from meeting its
obligations under this Contract. See attachments 8 and 9
9. Attach a mobilization plan that outlines the Contractor's mobilization procedures following a disaster
event. This outline should include a breakdown of the time required to perform each mobilization task
including the time required to mobilize the Contractor's forces, time to mobilize equipment, time
required to mobilize subcontractors, and time to set up debris staging areas. See Attachment 10
17
"Idla.
EXHIBIT "C"
Proposal Pricing Form
The undersigned, as PROPOSER, declares that he/she has reviewed the RFP specifications for the scope of the
project, visited the premises to review existing conditions and has reviewed the contractual documents thereto;
and has read all special provisions furnished prior to the opening of responses; that he/she has satisfied
himself/herself relative to the work to be performed.
The following addenda have been received and are hereby acknowledged:
Addendum Number Date Addendum Number Date
1 02/22/2017
The PROPOSER proposes and agrees, if this Bid is accepted, to enter into an agreement for the work as
follows:
Category
Description
Unit
Cost Per Unit
5
0-15 Miles Veg from Right of Way (ROW) to Debris Management Site (DMS)
CY
$ 7.42
M
=
Y C
16-30 Miles Veg from ROW to DMS
CY
$ 7.94
C
31-60 Miles Veg from ROW to DMS
CY
$ 8.97
QJm
j w
>60 Miles Veg from ROW to DMS
CY
$ 10.44
0
Single Price Veg from ROW to DMS
CY
$ 8.97
Grinding/chipping vegetative debris
cY
$ 2.24
C
c o
m
G
Air Curtain Burning vegetative debris
CY
$ 1.05
E
�
ba R
Open Burning vegetative debris
CY
$ 0.48
v
Compacting vegetative debris
CY
$ 0.48
c
M
Debris Preparation, management, and segregation at debris management site
CY
$ 1.94
0-15 Miles C&D from Right of Way (ROW) to Debris Management Site (DMS)
CY
$ 7.42
16-30 Miles C&D from ROW to DMS
CY
$ 7,94
c =
31-60 Miles C&D from ROW to DMS
CY
$ 8.97
o
>60 Miles C&D from ROW to DMS
Cy
$ 10.44
071
U
Single Price C&D from ROW to DMS
CY
$ 8.97
0-15 Miles from DMS to Final Disposal
CY
$ 3,44
16-30 Miles from DMS to Final Disposal
CY
$ 4.12
31-60 Miles from DMS to Final Disposal
CY
$ 4.98
N
C
>60 Miles from DMS to Final Disposal
CY
$ 5.98
m
Single Price from DMS to Final Disposal
CY
$ 4.98
Tipping Fees (Vegetative) Pass through amount [Line Item Deleted by
LL
Addendum it4]
Tipping Fees (Mix) Pass through amount [Line Item Deleted by Addendum #4]
Tipping Fees (C&D) Pass through amount [Line Item Deleted by Addendum a41
25
Firm: Ceres Environmental Services, Inc.
Category
Description
Unit
Cost Per Unit
Remove Hazardous Trees 6"-12" trunk
Tree
$ 58.00
Remove Hazardous Trees 13"-24" trunk
Tree
$ 127.00
Remove Hazardous Trees 25"-36" trunk
Tree
$ 188.00
cRemove
Hazardous Trees 37"-48" trunk
Tree
$ 239.00
Remove Hazardous Trees > 48" trunk
Tree
$ 298.00
m
O
Remove Trees with Hazardous Limbs >2" from tree
Tree
$ 84.84
Remove Hazardous Sumps 24"-36" diameter
Stump
$ 118.00
Remove Hazardous Sumps 37"-48" diameter
Stump
$ 168.00
Remove Hazardous Sumps >49" diameter
Stump
$ 218.00
Fill dirt for stump holes after removal
Cy
$ 26.71
Debris Removal from canals, rivers, creeks, streams, and ditches
Cy
$ 39.97
Pick up, screen, and return debris laden sand/mud/dirt/rock
CY
$ 16.83
Removal of eligible vehicles
EA
$ 145.00
Removal of eligible vessel from land
LF
$ 41.56
Removal of eligible vessel from waterway
LF
$ 99.89
0
E
Carcass and Putrescent Removal (animals and organic fleshy matter)
LB
$ 0.76
00
White Goods from Row to Disposal
EA
$ 36.00
Freon Management and Recycling
EA
$ 31.00
d
,CL
Demolition of Private Structure Price for Non-RACM, see note below
Cy
$ 18.16
Ewaste containing hazardous materials (CRT, computers, monitors and TVs)
EA
$ 34.95
Silt Removal
Cy
$ 9.87
Biowaste
LB
$ 19.67
HHW
LB
$ 8.90
o
Beach/Lake Restoration (Berm/Beach Construction)
Cy
$ 29.80
0
V
Canal Shoreline Restoration
Cy
$ 32.42
Demolition of Private Structure, RACM
25
CY $27.84
The undersigned hereby certifies that they have read and understand the contents of this solicitation
and agree to furnish at the prices shown above all of the services specified in the RFP document, subject
to all instructions, conditions, specifications and attachments hereto. Failure to have read all the
provisions of this solicitation shall not be cause to alter any resulting contract or request additional
compensation.
Ceres Environmental Services, Inc.
Name of Firm
Authorized Signature
Chief Financial Officer
Title
February 27, 2017
Date Signed
26
6968 Professional Parkway East
Address
Sarasota, FL 34240
City, State, Zip Code
( 800 ) 218 - 4424
Phone
gail.hanscom@ceresenv.com
E-mail
HOURLY COST PROPOSAL TO INCLUDE OPERATOR, FUEL AND MAINTENANCE
City of Sebastian Bid 17-03
EQUIPMENT
HOURLY
RATE
WHEEL LOADER WITH DEBRIS GRAPPLE or BUCKET (Bucket capacity 2 CY)
$125.00
WHEEL LOADER WITH DEBRIS GRAPPLE or BUCKET (Bucket capacity 3 CY)
$135.00
WHEEL LOADER WITH DEBRIS GRAPPLE or BUCKET (Bucket capacity 4 CY)
$145.00
WHEEL LOADER WITH DEBRIS GRAPPLE or BUCKET (Bucket capacity 5 CY)
158.00
WHEEL LOADER WITH DEBRIS GRAPPLE or BUCKET (Bucket capacity 6 CY)
$170.00
WHEEL LOADER WITH DEBRIS GRAPPLE or BUCKET (Bucket capacity 7 CY)
$188.00
EXTENDABOOM FORKLIFT WITH DEBRIS GRAPPLE
$78.00
SKID STEER LOADER WITH STREET SWEEPER
$82.00
SKID STEER LOADER WITH BUCKET or GRAPPLE (Capacity 1000 CY)
$77.00
SKID STEER LOADER WITH BUCKET or GRAPPLE (Capacity 2000 CY)
2- 21/2 CY ARTICULATED LOADER WITH BUCKET
30-50 HP FARM TRACTOR WITH BOX BLADE OR RAKE
DOZER (75 HP)
T.198 no
DOZER (105 HP)
DOZER (160 HP)
11.95 nn
DOZER (250 HP)
DOZER (360 HP)
MOTOR GRADER (110-150 HP)
$168.00
TRACK HOE WITH DEBRIS GRAPPLE
$188.00
TRACK HOE WITH BUCKET AND THUMB
$184.00
RUBBER TIRED EXCAVATOR WITH DEBRIS GRAPPLE (184 HP)
$188.00
RUBBER TIRED EXCAVATOR WITH DEBRIS GRAPPLE (230 HP)
$198.00
RUBBER TIRED EXCAVATOR WITH DEBRIS GRAPPLE (238 HP
$218.00
SELF LOADER SCRAPER
$165.00
HAND FED DEBRIS CHIPPER
$105.00
300-400 HP GRINDER
$375.00
800-1000 HP GRINDER
$455.00
50 TON CRANE
$260.00
75 TON CRANE
100 TON CRANE (EIGHT HOURS MINIMUM)
40'-60' BUCKET TRUCK
60' OR GREATER BUCKET TRUCK
tigg on
FUEL/SERVICE TRUCK
WATER TRUCK 2000 GALLON
PORTABLE LIGHT PLANT
LOWBOY TRAILER WITH TRACTOR
$q7 nn
FLATBED TRUCK
SELF LOADING TRUCK with DEBRIS GRAPPLE & TRAILER
$185.00
SELF LOADING DUMP TRUCK & WITH DEBRIS GRAPPLE
$168.00
SINGLE AXLE DUMP TRUCK 5-12 CY
$77.00
TANDEM AXLE DUMP TRUCK 16-20 CY
$79.00
TANDEM AXLE DUMP TRUCK 21-30 CY
$82.00
TANDEM AXLE DUMP TRUCK 31-50 CY
$85.00
TANDEM AXLE DUMP TRUCK 51-80 CY
$89.00
TANDEM AXLE DUMP TRUCK/TRACTOR TRAILER OVER 80 CY
$92.00
GENERATOR (25-125 HP) 60 kW
$183.44
GENERATOR (240-500 HP) 200 kW
$410.45
GENERATOR (500-1000 HP) 400 kW
CHAINSAW
TEMPORARY ONCE TRAILER (8 ft. x 32 ft. minimum)
RESPONSE TRAILER 20'
94s nn
RESPONSE TRAILER 36'
%5a no
PORTABLE TOWER WITH CANOPY (DMS)
$19.00
LABORER WITH HAND TOOLS
$36.00
FLAGGER/MOT
$36.00
SKILLED SAW MAN (TREE TRIMMING)
$41.00
CREW FOREMAN WITH TRUCK AND COMMUNICATIONS
$56.00
OPERATIONS MANAGER WITH TRUCK AND COMMUNICATIONS
$85.00
CLIMBER WITH GEAR
0
* ALL EQUIPMENT DESCRIPTIONS WILL BE IN ACOORDANCE WITH THE FEMA
Cost Code for Equipment and Vehicles
** ALL EQUIPMENT RATES INCLUDE THE COST OF THE OPERATOR,
FUEL, AND MAINTENANCE UNLESS OTHERWISE NOTED.
*** ALL LABOR RATES INCLUDE THE APPLICABLE PERSONAL
PROTECTIVE EQUIPMENT SUCH AS HARD HATS, SAFETY SHOES,
GLOVES, SAFETY GLASSES/SHIELD, HEARING PROTECTION AND
TRAFFIC SAFETY VESTS.
DRUG-FREE WORKPLACE FORM
The undersigned Contractor, in accordance with Florida Statute 287.087 hereby certifies that
Ceres Environmental Services, Inc.
does:
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.
S. 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.
5. 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, l certify that this firm complies fully
with the above requirements.
Date: February 27, 2017
Signature:
Ron Nutting, Chief Financial Officer
27
PUBLIC ENTITY CRIMES FORM
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 JUIy 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
THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO
ADMINISTER OATHS.
28
1. This sworn statement is submitted with Bid, Proposal or Agreement No. 17-03 for THE
CITY OF SEBASTIAN.
2. This sworn statement is submitted by Ceres Environmental Services, Inc.
(name of entity submitting sworn statement)
whose business address is 6968 Professional Parkway East, Sarasota, FL 34240 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:
N/A )
3. My name is Ron Nutting (please print name of individual signing)
and my relationship to the entity named above is Chief Financial Officer
4. 1 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. 1 understand that "convicted" or "conviction" as defined in Paragraph 287.133(i)(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. 1 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.
7. 1 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,
Aolftk employees, members, and agents who are active in management of an entity.
29
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.)
X 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.)
� ^ Ron Nutting, CFO
(Signature)
Date:=>l�r?'"1 � r'7
/ ✓I I r1r1 i i C4 -1' -
STATE OF A
COUNTY OF vN
The foregoing instrument was acknowledged before me this 27th day of February , 2017 by
Chief Financial Officer(title) on behalf of Ceres Environmental Services, Inc.
(name of - --S"'-`, ---wneFshi' He/she is personally known to me or has produced
corporation as identification and did ( ) did not ( ) take an oath.
Name: �41`t't- 4 yyr P .
My Commission Expires: t 1-311 a0
Commission Number:
Atm M Kemp
Notary Public
STATE OF NNNESOTA
30 My commission Explres 1/3112620
``i h® CERTIFICATE OF LIABILITY INSURANCE
DA E(MNVDD
8/5/2016 )
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Christensen Group Insurance
11100 Bran Road West
Minnetonka MN 55343
CONTACT Nelly Preston
PHONE (952) 653-1000 FAXMIC. Noll (9 52) 653-1101
E-MAILAppgsn-kpreston@christensengroup.com
INSURER(S) AFFORDING COVERAGE NAIC0
INSURERA:Old Republic General Insurance 24139
INSURED
CERES ENVIRONMENTAL SERVICES, INC.
6968 Professional Pkwy
Sarasota FL 34240
INSURER B:
INSURER C:
INSURER O:
NSURER E:
INSURERF:
COVERAGES CERTIFICATE NUMBER:16-17 - LLAB - FL - REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Iexp
LTR
TYPE OF INSURANCE
L
U BR
POLICY NUMBER
MM/DDr
MEFF MIIDDNYYY
UNITS
A
GENERA -LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Fx—] OCCUR
lk5CGI1261600
/18/2016
/18/2017
EACHOCCURRENCE $ 1,000,000
PRM(Ea oaurrence S 300,000
MED EXP (Any one son $ 10,000
PERSONAL B ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GENL AGGREGATE
POLICY
UNIT APPLIES PER:
RO- Loc
X PIFQT
PRODUCTS - COMP/OPAGG $ 2,000,000
$
A
AUTOMOBILE LIABILITYEa
X ANY AUTO
ALL OWNED SCHEDULED
AlfT05 AUTOS
NON -OWNED
HIREDAUTOS HAUTOS
CA11261600
/18/2016
/18/2017
UMIT 2,000,000
(Ea
BODI LY INJURY (Per Person) $
BODILY INJURY IF" aaidmt) S
PROPERTY DAMAGE S
Pwacadent
S
UMBRELLA LIAR
EXCESS LIAB
O�DR
CLAIMS -MADE
EACHOCCURRENCE $
AGGREGATE $
DED I I RETENTIONS
Is
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOIVPARTNERIEXECUTIVE Y�
OFFICERAIEMSER EXCLUDED?
(Mandatoryin NH)
If Yes, describe under
DESCRIPTION OF OPERATIONS Del o.Y
MIA
CW11261600
/18/2016
/18/2017
y WC STATU- OTH-
E.L EACH ACCIDENT S 1,000,000
E.L DISEASE - EA EMPLOYE S 1,000,00
E.L DISEASE - POLICY UMIT S 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AMach ACORD 101, AddRional Remarks Schedule, If mora apace Is mquimd)
City of Sebastian is included as an Additional Insured under the Cosuaercial General Liability 6 Auto
Liability when required by written contract.
City of Sebastian
City Hall
1225 Main Street
Sebastian, FL 32958
ACORD 25 (2010105)
INS025 (zotol5)c1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
EulrmlrTgrra�sixad, Valr��
Tyler Simmons/KP
The ACORD name and logo are registered marks of ACORD
CORPORATION. All rights reserved.
FormW'9
Social secudty number
Request for Taxpayer
Give Form to the
(Rev. Dagember 2o,4)
Identification Number and Certification
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
requester. Do not
ry
send to the IRS.
Nl��d
Revenwsenze
1 Name in shown on your Income tax return). Name Is required on this line; do not leave this line blank.
Ceres Environmental Services, Inc.
a
2 Business name/dieregerded entity name. If different from above
m
res
m
a
3 Check appropriate hoz for letlerei lax classification; check only one of the following seven boxes:
4 Exemptions (catles apply only to
m
❑ Indwiduagsols proprietor or ❑ C Corporation ❑! S Corporation ❑ Pad..hip ❑ Tmegedffie
certain entities, not individuals; see
m c
single -member LLC
Instructions on page 3):
i❑
Limited liability compairy. Enter the lax classification (C•C corporation, S=3 corporation, P=pertnershlp) 10Exempt
Payee code Of any)
p
Note. Fora single -member ULC that Is disregarded, do not check LLC; check the appropriate box in the licca above for
Exemption from FATCA reporting
the taz claseUicetion of the single -member owner.
code Of any)
0
❑ otter One Instructions) ►
fAwro m.m•memvt.eax.e. s. usJ
�
6 Address (number, street, and apt. or wile no.)
Requester's name and address (optbnag
u
n
3625 85th Avenue North
a
e Cay, state, and ZIP code
m
Brooklyn Park, MN 55443
7 Lid account numbegs) here(optional)
JEM
Tax ayer Identification Number IN
Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid
Social secudty number
backup withholding. For Individuals, this Is generally your social security number (SSN). However, fora
resident alien, sole proprietor, or disregarded entity, see the Part I Instructions on page 3. For other
- m -
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TW on page 3.
Or
Note. If the account is In more than one name, see the Instructions for line 1 and the chart on page 4 for I Employer Identification number
guidelines on whose number to enter.
1. The number shown on this form Is my correct taxpayer identfcation number (or I am waiting for a number to be Issued to me); and
2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, m (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. 1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (If any) Indicating that 1 am exempt from FATCA reporting is correct.
Ceriification Instructions. You must cross out hem 2 above if you have been notified by the IRS that you are curren0y subject to backup withholding
because you have failed to report all Interest and dividends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage
Interest paid, acquisition or abandonment of secured property, cancellation of debt, cordributions to an Individual retirement arrangement (IRA), and
generally, payments other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the
Here I LJ.S ppwzon►G� Y`/` Darts / /14 -Il y
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. Information about developments affecting Form W-9 (such
as legislation enacted after we release It) Is at www.tis.gov1W.
Purpose of Form
An Individual or an* (Form W-9 requester) who is required to file an Information
return with the IRS must obtain your correct taxpayer Identifikation number (RN)
which may be your social security number (SSN), Individual taxpayer Identification
number (mM, selection taxpayer Identification number (ATIr), or employer
Identification number (EIM, to report on an Information return the amount paid to
you, or other amount reportable on an Marmation return. Examples of Information
returns Include, but are nrt limited to, the following:
• Form 1099 -INT (interest earned or paid)
• Farm 1099 -ON (dividends, intruding those from stocks or mutual funds)
• Farm 1099-MISC (sad Ws types of imoome, prizes, awards, or gross proceeds)
• Form 1099-5 (stock or mutual fund sales and certain other transactions by
brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1099 (lame mortgage Interest), 1096-E (student ban Interest). 1098-T
(tultlon)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form WA only If you are a US. person (ncludlog a resident alien), to
provide your certactTIN.
¢you do not return Fomr W-9 W the requester with a 7IN, you migm be subject
to baeary witMaMing. See What Is backup wdhhofO g? on papa 2.
By signing the 9sed-out forth, you:
1. Certify that the TIN you we giving is correct (fir you are waiting for a number
to be Issuar0,
2. Certify that you we not subject W backup withholding. or
3. Claim exemption from backup withholding If you are a U.S. exempt payee. If
applicable, you are also certifying that as a U.S. person, your allocable share of
any partnership income from a U.S. trade or business Is net subject to the
withholding hex on foreign partners'share of effectively connected Income, and
4. Certify that FATCA ccde(s) entered on this form (it any) Indicating that you are
exempt from the FATCA reporting, h correct. See What Is FATC4 reportkfg? on
page 2 for further Information.
Cal, No. 10231X Form W-bl Rev. 12-2014)