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BID DOCUMENT FOR
CITY OF SEBASTIAN
SCHUMANN BASKETBALL AND TENNIS COURTS
Contact: Chris McCarthy, Parks Superintendent
Telephone: 772-228-7054
e-mail cmcarthv(a),citvofsebastian.ore
April, 2009
Schumann Basketball and Tennis Courts I City of Sebastian, FL
23 April 2009
ADDENDUM TO BID INFORMATION PACKAGE
• This project calls for a bid bond in an amount not less than 5% of the base bid amount
as well as performance and payment bonds on any resulting contract.
• The scheduled completion date for this project is 90 calendar days from Notice to
Proceed.
• The contract for this project will include a liquidated damage clause calling for liquidated
damages of $100 per calendar day for every day beyond the scheduled completion
date that the project is not complete.
• Clarification regarding
• Clarification regarding "Fencing": There is no fencing to be included on this bid at this
time. Bidders should put "N/A" on the line for "Fencing" on the Bid Proposal Price Form.
Schumann Basketball 8 Tennis Courts
Addendum to Bid Information Package
23 April '09 / Pg 1 of 1
Bid Information Package
City of Sebastian, FL / Schumann Basketball and Tennis Courts
10 April 2009
NOTICE OF INVITATION TO BID
[Published on Friday, 10 April 2009)
SEALED BIDS FOR A LICENSED FIRM TO CONSTRUCT TWO (2) NEW BASKETBALL
COURTS WITH LIGHTING AND TO RESURFACE SIX (6) EXISTING TENNIS COURTS WILL BE
ACCEPTED BY THE CITY OF SEBASTIAN, 1225 MAIN STREET, SEBASTIAN, FLORIDA
32958, UNTIL 2:00 PM ON THURSDAY, 14 MAY 2009. BID ENVELOPES ARE TO BE MARKED
AS FOLLOWS:
SEALED BID: SCHUMANN BASKETBALL / TENNIS COURTS PROJECT
OPEN: 14 MAY 2009 at 2:00 PM
The City of Sebastian is seeking bids from licensed firms to perform the construction of two (2) new
basketball courts with lighting and the resurfacing of six (6) existing tennis courts at Schumann
Park.
The contractor / vendor shall be able to be properly licensed in the City of Sebastian and shall
show Proof of Insurance to conduct its business with all licenses, permits, and certificates as
required by all local, State of Florida, Federal Agencies.
Qualified firms interested in bidding may pick up or request a bid package with Instructions for
Bidders and specifications from the office of the City Manager by contacting Jean Tarbell,
Administrative Assistant to the City Manager, at 772-388-8203 /jtarbell@cityofsebastian.om. All
items bid shall conform to the Bid Documents in their entirety and no bid shall vary from the Bid
Documents unless specifically approved in advance in writing by the City.
Any bids received without Public Entity Crime Form, Drug Free Workplace Form, Proof of
Insurance (in the amounts specified in the Bid Documents), may be considered incomplete and
immediately disqualified. Appropriate forms are included in the information package for execution
and submission with a bid. Any person or affiliate who has been placed on the convicted vendor
list following conviction for a public entity crime may not submit a bid as proscribed by Section
287.133, F.S.
Parties interested in submitting a bid agree to not contact or "lobby" City Council Members or any
employee or agent of the City at any time during the bidding period with the exception of directing
questions / requests for clarification through the Parks Superintendent, Chris McCarthy, at 772-
228-7054 / cmccarthv(a)cityofsebastian.org. Any other contact with the City in this matter will be
considered inappropriate and subject a response to rejection / disqualification.
The City reserves the right to reject any or all bids, waive any informality or irregularity on any bid if
considered non -substantial by the City, and/or to cancel this invitation at will. Bids received after
the date and time stipulated herein will be considered late and therefore disqualified.
There is a mandatory pre-bid conference and site visit scheduled for Thursday, 23 April 2009,
beginning at 10:00 AM. at the address stated above in City Hall. Attendance is mandatory for all
bidders.
Bids duly submitted will be publicly opened and read aloud at the date and time specified above in
City Hall. The City reserves the right to reject any and all bids and/or to accept any bid or portion
thereof deemed to be in the best interest of the City and/or to waive any non -substantial
irregularities.
NOTE:
By: Al Minner, City Manager
Additional information regarding Bonding Requirements and
Contract Documents will be provided at the mandatory pre-bid
meeting now scheduled for Thursday, 23 April 2009.
Schumann Basketball & Tennis Courts
Bid Information Package
10 April'09 / Pg 1 of 9
Bid Information Package
City of Sebastian, FL I Schumann Basketball and Tennis Courts
10 April 2009
BID PROPOSAL PRICE FORM
The undersigned having become thoroughly familiar with all of the Bidding Documents
incorporated herein, the project site and the location conditions, and time schedule affecting the
work, hereby proposes to perform everything required to be performed in strict conformity with the
requirements of these documents, and to provide and furnish all the supervision, labor, materials,
tools and equipment necessary to provide the services meeting or exceeding the specifications
as set forth herein for the price quoted below. The price quoted is inclusive of any Addenda,
which may be issued.
By the signature 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, the Contractor agrees to enter into said agreement within ten (10) consecutive calendar
days after notice by the City of Sebastian, and agrees to all the terms and conditions of all
documents stated herein with the City of Sebastian for the below stipulated price which shall
remain firm for sixty (60) days following bid opening date.
Two (2) New Basketball Courts
Fencing
Lighting
Resurfacing Six (6) Tennis Courts
LUMP SUM BID AMOUNT:
Authorized Signature
Firm name & Address
Amount)
Printed Name
Title
Phone Number
Date Signed
Schumann Basketball & Tennis Courts
Bid Information Package
10 April '09 / Pg 2 of 9
Bid Information Package
City of Sebastian, FL! Schumann Basketball and Tennis Courts
10 April 2009
TECHNICAL SPECIFICATIONS
BASKETBALL COURTS
DESCRIPTION:
A. Construction: The work in this section consists of construction of Basketball Courts including
curb, post nets and related equipment. The Tennis Courts shall consist of I" of Type III asphalt
surfacing course over 6" compacted limerock, a surface preparation coat and applications of a
color finishing course.
B. The contractor shall famish all labor, paint, equipment, appliances, and materials and perform all
operations in connection with the complete installation in strict accordance with these
specifications and applicable drawings, and subject to the terms and conditions of the contract. A
written guarantee for one year in workmanship and materials must be submitted before contract
completion.
C. Contractor's Personnel: The installation of the surface as described in these specifications require
the services of a superintendent who has had experience in this particular type of construction. In
the event such an experienced superintendent is not available from the Contractor's normal
personnel, it shall be required of the Contractor that he secures the service of such a person. The
qualifications of the person shall be furnished to and approved by the Parks Administrator, before
starting the installation of the materials.
D. See Scope of Work
1.00 GENERAL
1.01 These specifications are intended to describe the construction of two (2) (94'x 50')
Basketball courts
1.02 Each bidder shall visit the site and make himself fully aware of all conditions
affecting the work
1.03 All water for flooding the courts and electrical power to be furnished by the owner.
1.04 Contractor shall leave the job free and clean of all trash upon completion of the
work.
1.05 All surfacing materials for the project shall be as manufactured by California
Products Corporation or equal in all respects
2.00 GENERAL
2.01 The sub grade shall be compacted to 98% density minimum, as determined by
AASHO-7-180-57 method. Testing of grade shall be by Owner.
2.02 The sub grade must be shaped to true lines and elevations as to assure uniform
thickness of the base course. Surface of the sub grade shall not be more than '/<"
above or below sub grade elevation shown on drawings. Compaction of sub
grade shall extend 10' outside offence line.
Schumann Basketball & Tennis Courts
Bid Information Package
10 April '09 / Pg 3 of 9
Bid Information Package
City of Sebastian, FL / Schumann Basketball and Tennis Courts
10 April 2009
3.00 SLOPE REQUIREMENTS
3.01 All excavating, filling, compacting, grading and leveling work required
hereunder shall be performed so that the finished court surface slopes one inch
(1") in each ten feet (10') on a true plane from end to end of court or side to
side, as so indicated on the drawings.
4.00 BASE CONSTRUCTION: Base area 94 ft x 50 ft
4.01 A base course as indicated on drawings shall be installed over the sub grade
detailed herein before.
4.02 Base material shall be lime rock and shall meet applicable SRD specifications,
Sec. 200 (except 200-1). Compacted thickness shall be 6" minimum.
4.03 The material shall be spread by methods, and in a manner, proposed by the
contractor to produce a uniform density and thickness, and the grades and
dimensions shown on the drawings, and elaborated herein after. Base shall
extend 1'-0" minimum outside of fence line.
4.04 The material as spread shall be compacted by rolling with a powered steel wheel
tandem roller weighing not less than eight (8) or more than ten (10) tons, or by
other equipment producing 95% density minimum (AASH -7-180-57). Surface
of the base course as compacted shall not vary from the specified grade more
than '/4 " in ten feet (10') measured in any direction.
5.00 SURFACE COURSE: Base Area 94 ft x 50 ft
5.01 Furnish and install 1" minimum compacted thickness of asphaltic concrete
surface, Type III, as per D.O.T. Manual 1977. All asphalt material must be
virgin material and screenings (iron) pyrite free.
5.02 Tolerance of the surface course shall be 1/8" in 10' when measured in any
direction.
5.03 The asphalt shall be compacted with a 4 to 6 ton roller to maximum density.
5.04 The job mix formula shall be such as to produce a mixture possessing a Marshall
Field stability of not less than 2000 pounds.
5.05 Extraction and gradient test shall be performed on surface course, if required.
5.06 Surface course shall extend 6" outside of the fence line and edge of court where
water drains off shall be turned down to prevent erosion of the base course
unless concrete perimeter curb is provided.
5.07 All edges shall be neatly trimmed to true lines.
Schumann Basketball & Tennis Courts
Bid Information Package
10 April '09 / Pg 4 of 9
Bid Information Package
City of Sebastian, FL / Schumann Basketball and Tennis Courts
10 April 2009
6.00 CONCRETE PERIMETER CURB (OPTIONAL)
6.01 A concrete curb shall be constructed around the entire perimeter of the court (6"
wide x 12" deep).
7.00 POSTS AND GOALS
7.01 Basketball goals to be by "Bison Co." or equal Model #PR -50
Support post 4 VT O.D. Galv. W/48" extension backboard Model BA475
aluminum fan shape.
Rim model BA39U heavy-duty rim. Net Model nylon cord net. (Lifetime
warranty of backboard).
7.02 Support post to be set on a concrete footer 3 ft x 3 ft sq x 3.6" deep. Bottom of
post to set on a concrete block. Installation of equipment to be as Manufacture's
recommendations.
8.00 COLOR FINISH SYSTEM
8.01 Prior to application of court surfacer or color system the entire paved surface
shall be flooded with water, then (5) minutes after flooding, all areas that hold
water over the thickness of a nickel shall be patched and leveled with Court
Patch Binder as manufactured by California Products Corporation or approved
equal.
8.02 The paved area then shall have one (1) coat of Acrylic Resurfacer as
manufactured by California Products Corporation or approved equal, squeegeed
over the entire paved area, except area outside of fencing.
8.03 Then two (2) coats of Fortified Plexipave color coating as manufactured by
California Products Corporation or approved equal, shall be squeegeed over
entire paved area. All coats shall be parallel with net. Color Selection shall be
by Owner. Alternate One (1) additional coat of color coating (3 coats total).
9.00 MATERIALS AND APPLICAITON
1.01 Materials for the surfacing and color systems shall be delivered to the site in
sealed, properly labeled containers, and any water used in mixing shall be fresh
and clear, Spreading rates shall be as per manufacturer's recommendations.
Surfacing materials shall be applied only if weather conditions are as
manufacturer's recommendations. Material shall be strictly applied as per
manufacturer's directions.
10.00 LINES
10.01 Courts shall be lined with white regulation markings in accordance with
American Sports Builders Specification. All lines must be sharp and true.
Basketball line material shall be Hi -Hide Plexicolor Line Paint as manufactured
by California Products Corporation or approved equal.
Schumann Basketball & Tennis Courts
Bid Information Package
10 April '09 / Pg 5 of 9
Bid Information Package
City of Sebastian, FL / Schumann Basketball and Tennis Courts
10 April 2009
11.00 FENCING
11.01 No fencing is proposed on plans for the basketball courts.
12.0 SCOPE OF WORK
WORK BY THE OWNER OR OTHERS
12.01 Furnish water as required for work.
12.02 Pay for all required testing of materials, soils, etc
12.03 Grassing or sodding on exterior of the court.
NOTE: Contractor shall pay for retesting should any original test fail.
13.0 WORK BY THE CONTRACTOR
13.01 Provide and install complete Basketball Courts as per these specifications, ready
for play.
Schumann Basketball & Tennis Courts
Bid Information Package
10 April '09 / Pg 6 of 9
Bid Information Package
City of Sebastian, FL / Schumann Basketball and Tennis Courts
10 April 2009
TECHNICAL SPECIFICATIONS
EXISTING TENNIS COURT RESURFACING
The following scope of work shall be completed when resurfacing the existing tennis courts:
1. SCOPE OF WORK:.
Furnish all supervision, labor, tools, material and equipment necessary for the resurfacing of
Courts I through 6 at the Schumann Tennis Park
2. WORK REQUIREMENTS
All court reconditioning and resurfacing shall take place inside the fence line, +/_ 108' X 120'
unless stated otherwise.
2.1 Surface Preparation:
Remove all mildew, oil spots, loose dirt and foreign matter from courts 1 through 6. Pressure clean
surface as needed. All mildew is to be removed with pressure washer and detergent. Surface shall
be left smooth.
2.2 Crack Repair:
All cracks 3/8" and wider shall be cleaned out and filled with acrylic crack filler. All cracks
narrower than 3/8" shall be cleaned out and filled with acrylic resurfacer. All repaired areas shall
be flush, after curing, with the surrounding areas. If not, they shall be compacted or grounded
down, and/or additional material added to make them flush and even with the surrounding areas.
2.3 Patching
Prior to resurfacing, the entire surface area shall be checked for depressions or irregularities. All
areas holding water 1/8" deep or greater one hour after flooding shall be patched and leveled with
an approved Court Patch Binder, which shall be installed in accordance with the manufacturer
recommendations. Tack coating area may be required.
2.4 Fiberglass Membrane:
Furnish and install a 10x20 mesh fiberglass membrane over the entire surface area of all courts.
The fiberglass membrane shall be installed with the manufacturer recommended bonding agent in
strict accordance with all the manufacturer requirements.
2.5 Surface Course:
Apply over the entire area a minimum of two (2) coats of concentrated acrylic resurfacer fortified
mineral fillers, fiber and silica sand. Resurfacer shall be placed over the cured fiberglass
membrane and shall fill, mask and embed the membrane.
2.6 Texture Course:
Apply two (2) acrylic filler coats to provide a tough, durable texture surface with acrylic green
color material to give in depth color. Materials shall be mixed and applied in accordance with the
manufacturer recommendations in order to obtain the proper application consistency and a
homogeneous mix. The color of both entire courts will be green. The finished surface shall have a
uniform appearance and be free from ridges and tool marks.
Schumann Basketball & Tennis Courts
Bid Information Package
10 April '09 / Pg 7 of 9
Bid Information Package
City of Sebastian, FL I Schumann Basketball and Tennis Courts
10 April 2009
2.7 Playing Lines:
Four hours minimum after completion of the resurfacing, accurately locate, mark and paint two (2)
inch wide playing lines as specified by the U.S. Tennis Association using a white stripping heavy
bodied acrylic latex paint for application to asphalt or acrylic coated surfaces.
2.8 Net Posts:
Sand and clean the existing net posts and apply two (2) coast of Rustoleum Forest Green.
3. MATERIALS:
Contractor shall use only materials approved for the intended purpose. The Fiberglass Membrane
with the Plexipave Acrylic System manufactured by California Products Corporation or approved
equals shall be used on this project.
4. WORK STATIONS:
All work shall be done in a workmanlike manner and shall conform to standards for tennis court
construction as specified by the United States Court and Track Builders Association.
5. GUARANTEE:
Contractor shall warrant all work done against defective materials and workmanship for a period
of two (2) years from the date of completion.
6. SITE ACCESS AND CLEAN UP:
Access to Schumann Park Tennis Courts to perform any work or related activity shall be
previously scheduled and coordinated with Mr. Chris McCarthy, Parks Superintendent (772) 228-
7054.
Contractor shall maintain the work site clean at all times and remove all debris from Schumann
Park on a daily basis or as directed by the Parks Superintendent. Upon completion of all the work,
Schumann Park shall be left in a condition acceptable to the Parks Superintendent.
Schumann Basketball & Tennis Courts
Bid Information Package
10 Apol '09 / Pg 8 of 9
Bid Information Package
City of Sebastian, FL / Schumann Basketball and Tennis Courts
10 April 2009
TECHNICAL SPECIFICATIONS FOR LIGHT FIXTURES
1.00 INSTALLATION OF LIGHT POLES & STANDARDS, FIXTURES, AND FOUNDATION
Description:
The Contractor shall construct a minimum of two (2)) new pole foundations for the
full size basketball courts following the installation of the electrical conduits
and prior to application of the color surfacing system.
Installation
The Contractor shall excavate a 3'0" deep by 3 foot diameter hole for each light pole
foundation. DO NOT OVERDIG THE HOLE FOR THE FOUNDATION during
construction. If the hole is overdug, the concrete will have to be poured to the limits
of the undisturbed soil at the Contractor's expense. Each foundation to anchor bolts
of the type and in the configuration required by the manufacturer of the fixtures / poles.
The bolt circle shall be placed as per manufacturer's instructions. The electrical
conduit sweeps shall all be set in place prior to pouring the concrete. Concrete shall
be 2500 psi minimum and shall be poured in place against the undisturbed soil wall.
The top of the foundation shall be set flush with the top of the asphalt and shall have
a light broom finish. All anchor bolts shall be covered with threaded PVC caps or
custom made plastic or sheet metal covering which shall be anchored with one bolt
in the middle of the foundation. It shall be green in color to match the finish surface
of the court. A sketch or shop drawing of the cover shall be furnished to the City
Engineer for prior approval before fabrication. Tops of the foundations shall be
slightly sloped away from the center to the outside of the foundation.
Lighting fixtures / poles shall be MUSCO or demonstrated equivalent in meeting the
needs and best interests of the City.
ADDITIONAL ITEMS
1. ADA Ramp per FDOT Index 303 and 304.
2. Remove and salvage existing light pole and fixtures, including removal and disposal of light
pole foundation.
Schumann Basketball & Tennis Courts
Bid Information Package
10 April '09 / Pg 9 of 9
DRUG-FREE WORKPLACE FORM
The undersigned Contractor, in accordance with Florida Statute 287.087 hereby certifies
that
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.
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.
Date:
As the person authorized to sign this statement, I certify that this firm complies fully
with the above requirements.
Signature
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 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
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.
for THE CITY OF SEBASTIAN.
2. This sworn statement is submitted by
(name of entity submitting
swom statement) whose business address is
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.I33(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. 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.
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.)
Date:
STATE OF FLORIDA
COUNTY OF
(Signature)
The foregoing instrument was acknowledged before me this day of ,
2009 by
behalf of
known to me or has produced
take an oath.
(title) on
(name of partnership), a partnership. He/she is personally
as identification and did ( ) did not ( )
Name:
My Commission Expires:
Commission Number: