HomeMy WebLinkAboutR-96-0735�i
J-96-1138
9/10/96
RESOLUTION Nd`635
_ 7
A RESOLUTION ACCEPTING BIDS FOR THE FURNISHING OF
OEM PARTS AND REPAIR FOR VEHICLES AND
MOTORCYCLES FROM SUN CHEVROLET, INC., ANGEL BUICK
OLDSMOBILE, INC., AND GRAND PRIZE MOTORS, INC., FOR
THE DEPARTMENT OF POLICE FLEET SERVICES CENTER, ON
AN AS -NEEDED BASIS, AND PROVIDING FOR THE INCLUSION
OF ADDITIONAL VENDORS, FOR A ONE (1) YEAR PERIOD
WITH THE OPTION TO EXTEND FOR TWO (2) ADDITIONAL
ONE (1) YEAR PERIODS, AT A TOTAL PROPOSED ANNUAL
AMOUNT OF $120,000; ALLOCATING FUNDS THEREFOR
FROM THE FLEET SERVICE CENTER GENERAL OPERATING
BUDGET, ACCOUNT NO. 421701-670; AUTHORIZING THE
CITY MANAGER TO INSTRUCT THE CHIEF PROCUREMENT
OFFICER TO ISSUE PURCHASE ORDERS FOR THIS SERVICE
AND THEREAFTER TO EXTEND THIS CONTRACT FOR TWO
(2) ADDITIONAL ONE (1) YEAR PERIODS, AT THE SAME
PRICE, TERMS AND CONDITIONS, SUBJECT TO THE
AVAILABILITY OF FUNDS.
WHEREAS, pursuant to public notice sealed bids were received August 7, 1996, for
the furnishing of OEM parts and repairs for domestic passenger cars, station wagons, vans,
pickup trucks, utility vehicles, suburbans, walk-in step vans and motorcycles, both
domestic and foreign, for the Department of Police, Fleet Services Center; and
WHEREAS, the use of various dealers is necessary to provide manufacturer's dealer
OEM parts and repair services for city vehicles that cannot be repaired by the Fleet
Services Center; and
WHEREAS, invitations for Bid No. 95-96-105 were mailed to fifty-nine (59) potential
bidders and three (3) bids were received and deemed qualified; and
CITY COMiUSSION
MEETING OF
O C T 1 0 1996
Resolution No.
9G- �35
1
WHEREAS, qualified vendors under this contract will be utilized based upon the
1
dealer for the manufacturers brands of the vehicle; lowest hourly rate; and location of
facility; and
1
WHEREAS, the City of Miami reserves the right to add qualified vendors to this
contract from time to time as it deems necessary; and
WHEREAS, funds for this service are available from the Fleet Service Center General
j
i Operating Budget, Account Code 421701-670; and
WHEREAS, the City Manager and the Chief of Police recommend that the bids
received from Sun Chevrolet, Inc., Angel Buick Oldsmobile, Inc., and Grand Prize Motors
NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF
MIAMI, FLORIDA:
j
Section 1. The recitals and findings contained in the Preamble to this Resolution
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are hereby adopted by reference thereto and incorporated herein as if fully set forth in this
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Section.
Section 2. The August 7, 1996 bids submitted by Sun Chevrolet, Inc., Angel
i
Buick Oldsmobile, Inc., and Grand Prize Motors, Inc., for the furnishing of OEM parts and
4
repair for vehicles and motorcycles for the Department of Police, Fleet Services Center, on
an as -needed basis, and providing for the inclusion of additional vendors, for a one (1) year fi
i
period with the option to extend for two (2) additional one (1) year periods, at a total
I
proposed annual amount of $120,000, are hereby accepted, with funds therefor hereby
allocated from the Fleet Service Center General Operating Budget, Account No. 421701-
i
g
670
Section 2. The City Manager is hereby authorized to instruct the Chief
fr {
Procurement Officer to issue purchase orders for this service and thereafter to extend said !
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is y 735
purchase contract for two (2) additional one (1) year periods at the same price, terms and
conditions, subject to the availability of funds.
Section 3. This Resolution shall become effective immediately upon its adoption.
PASSED AND ADOPTED this 10th day of October, 1996.
JOE CAR0tL0, MAYOR
ATTEST:
WALTER J. FOEMAN
CITY CLERK y
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PREPARED AND APPROVED BY: 1
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RAFAEL 0. DIAZ
DEPUTY CITY ATTORNEY i
r
CITY OF MIAMI, FLORIDA
INTER -OFFICE MEMORANDUM
TO: The Honorable Mayor and Members
of the City Commission
i
FROM: Me e
6 Manager
Recommendation:
DATE:
SUBJECT
SEP 3 0 1996 r"t
Proposed Resolution
REFERENCES: Original Equipment Manufacturer
ENCLOSURES: Parts and Repair Services
It is respectfully recommended that the City Commission adopt the attached Resolution awarding
Bid No. 95-96-105, for. Original Equipment Manufacturer Parts and Repair Services to the
following qualified vendors:
1. Sun Chevrolet, located at 7220 N. Kendall Drive, Miami, 'FL, 33182, a non -minority, Dade
County vendor.
2. Angel Buick Oldsmobile, Inc., located at 1505 Ponce De Leon Blvd., Coral Gables, FL, 33143,
a Hispanic, Dade County vendor.
3. Grand Prize Motors, Inc. d/b/a/ Chevrolet/Olds/GEO, located at 11701 SW 152"d Street, Miami,
Florida, 33177, a non -minority, Dade County vendor.
S
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These vendors will provide original equipment manufacturer parts and repair services, in an
amount not to exceed $120,000.00, on as needed basis. Funding is to be from the Fleet Service
Center General Operating Budget, Index Code 421701-670.
Background
The Fleet Service Center is tasked with maintaining the City's fleet of light vehicles. As such, it is
necessary to have the ability to purchase replacement parts for these vehicles or to utilize service
facilities for jobs that cannot be handled within their shop: The listed vendors have met the
qualifications established by the Fleet Service Center and will be used by them on an as needed
basis. The bid also allows the City to add vendors that meet the qualifications in the future.
I
On July 16"', 1996, invitations for sealed bids were sent to prospective vendors. Bids were opened
on August 7th, 1996, with three (3) responsive and qualified vendors. 1
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CITY OF MIAMI, FLORIDA
I
INTER -OFFICE MEMORANDUM
i
SEP 16 1996
To : Judy S. Carter DATE : FILE : LEG 7-2
Chief Procurement Officer
SUBJECT: Original Equipment Manufacturer
Parts and Repair Service
FROM REFERENCES
KRH�.Warshaw
Chief of Police ENCLOSURES
This department has verified that funds are available with the Department of Finance to procure
Original Equipment Manufacturer Parts and Repair Services, at a total cost of $120,000.00.
Funding is to be from the Fleet Service Center General Operating Budget, Index Code 421701-670.
BUDGETARY REVIEW & APPROVED BY:
Dipak Parekh
Deputy Director
l , Department of Finance
ADDITIONAL APPROVALS
(IF REQUIRED)
Grant Sheehan, CIP Manager
Public Works Department
(This form properly signed is part of the bid evaluation and recommendation package to be
placed on the agenda and must be attached to the resolution cover memorandum.)
3
96- 735
!AW
.». .. _ .. BID NO: _ 95 9G'-105
ISIAMi�, FLORIDA -'
:D SHEET,-. (Continued}
AND ;ATTACHMENTS MUST BE RETURNED- -'IN `TRTPLTCATE IN 2`HE . s
,BTD•J SHEET; . . _ ..TIME :i ID.: DATE �OFN i3TIlpry-OPENING•
ATTACHED ENVELOPE ; `XI�ENTIF�ED BYBTD' NU1�i8ER,
IF SECURITY ISv`REQUIItED;A=�BTD ;S,7II<L NOT BE ACCEPTED UNLESS`THE1;DEi'OSTT OR`
SiTBMI TIED �N :THISNVELC7]PE
BOND IS' t
-payment':f
include, cash` discount for prompt,
arms
:if awarded all items.
lditional�� discount of
t
/G�
irranty and%or.guarantee�7n bit i� :N _
�liveryi ~y ,calendar days >required -upon receipt of Purchase :Order orYNota.ce
Number of calendar days required to complete work after start: -
IA -
accordance with the invitation..,to .-Bid, .,the specifications, General Condns,. -Special
nditions,.and General.,: _Information to,, Bidders, we agree to furnish the Item(s)` at Prices
dicated on the -attached bid sheet (s)= t:
.. _.-_....r ,_ r z.•.,w�.:ram ~- : . r..: _ _ - •.: - ._ ..r . .
NAMES OF COMPANY 01TICER(s)
r NAMES OF. COMPANY-sf3R(S�
List principal business address: (street address).
List all other offices located. in the State of Florida: (street address}
;?lease use the back of this page if more space is necessary)
�e undersigned bidder ..acknowJ,edges ;.that_•(o)he has received a copy of ordinance; 100C2 as
!fended, the Minority Procuremdnt =ordinance�of the City of Mimi. and agrees to comply,wfth all
>plicable substantive and procedural provisions therein, including any amendments `thereto:
idder: Signature:
(company name)
Print Name:
ate:
idicate if Business is 51% Minority -owned: . (Check fBle box only)
] BLACK [ ] HISPANIC [ ] FEMALE
firm has an existing plan, effective date of implementation:
firm does not have an existing plan, the Successful Bidder(s) shall be required to
atablish an Affirmative Action Policy, pursuant to Ordinance #1 062 s ended. See Appendix
for sample.
' idder: Se.9A C
�c� .y�r Signature:
( company name) r 35
41LURE _TO_ RLET�" REIURN -ra�t� Ff�RM MAY DIS4�JI�LI� •
�i
'.. .___. ._ . '`,:...... .........:........... '. .. +
BID NO.
Tf OF J4IAMI, FLORIDA 95-9G=105
D SHEET (Continued) .
(p�RTANT: BID; - SHEET .AND ATTACHMENTS MUST BE .RETURNED- IN TRIPLICATE IN THE,,.
ATTACHED ENVELOPE IDENTIFIED BY BID NUMBER, TIME AND DATE OF BID OPENING.
IF SECURITY IS REQUIRED, A BID WILL NOT BE ACCEPTED UNLESS THE DEPOSIT OR
BOND IS SUBMITTED IN THIS ENVELOPE.
Xms: '8D pA-r, (Include cash discount for prompt payment, if any)
:ditional discount of if awarded all items.
.rranty and/or guaranteesf?rOba rVliGBS W�f RS_f
c any
slivery: _calendar days required upon receipt of Purchase Order or Notice
Award. ,o 0 eAM Alk)(A i I i
AVAbV, Number of calendar days required to complete work after start.
PaJAsab- ooSO-b -Olff-( t•+iTI
accordance with the Invitation to Bid, the specifications, General conditions, Special
nditions, and General Information to Bidders, we agree to furnish the Item(s) at Prices
dicated on the -attached bid sheet(s).
P NAMES OF COMPANY OVTNER(S): .
..JE?St (A LVO
NAMES OF COMPANY OFFICER(S):
Jos A 641ya 82.
List principal business address: (street address).
List all other offices located.in the State of Florida: (street address)
)lease use the back of this page if more space is necessary)
BIHQETv PE=EEMENT CO ?ANc.�
.e undersigned bidder acknowledges that (s)he has received a copy of Ordinance #10062 as
tended, the Minority Procurement Ordinance of the city of Miami and agrees to comply with all
,plicable substantive and procedural provisions therein, eluding any amendments thereto.
adder: A,u6a,3wt& 4�alA� tic Signatu .
(company name)
ate: ia4u61 !o , I99L Print e: - � A. ��wo
idicate if Business is 51% Minority --owned: (Check one box only)
] BLACK [� HISPANIC [ J FEMALE
AFFIRMATIVE ACTION PLAN
firm has an existing plan, effective date of implementation:_
firm does not have an existing plan, the Successful Bidder(s) shall be required to
stablish an Affirmative Action Policy, pursuant to Ordinance #10062 as amended. See Appendix
for sample.
iider: &66LRmd& Oi4siuow 74iG. Signat e: �•
( company name) 9 6_ 735 7
ett 11RF Tn rOMP1 FTF. SIGN-,_AtdD -RETURN THIS FORM MAY DISOUAIIFY THIS BID.
r
CTL' 'OF' MIAMI, FLORIDA C_1� BID NO. 95-96'-105 '
CD SHEET(Continued)
�SPC)RTANT: BID ^ SHEET .,,AND ATTACHMENTS MUST BE RETURNED' IN TRIPLICATE Ijq - THE ,
ATTACHED --•ENVELOPE IDENTIFIED BY BID NUMBER, TIME AND DATE OF BID OPENING.
IF SECURITY'IS REQUIRED, A BID WILL NOT BE ACCEPTED UNLESS THE DEPOSIT OR
BOND IS SUBMITTED IN THIS ENVELOPE.
arms: N/A (Include cash discount for prompt payment, it any)
lditional discount of N/A if awarded all items.
arranty and/or guarantee: MANUFACTURERS
alivery:s&mecalendar days required upon receipt of Purchase Order or Notice
f Award. on, most orcassions
ME DAY MOST
STANCES Number of calendar days required to complete work after start.
i accordance with the Invitation to Bid, the Specifications, General conditions, Special
)nditions, and General Information to Bidders, we agree to furnish the Item(s) at Prices
idicated on the attached bid sheet(s).
P NAMES OF COMPANY OWNER(S): NAMES OF COMPANY OFFICER(S):
RALPH W. SIFFORD - PRESIDENT
List principal business address: (street address).
11701 SW 152ND STREET MIAMI,' FLORIDA 33177
!) List all other offices located in the State of Florida: (street address)
Please use the back of this page if more space is
necessary)
MTNORI= F11Q F EMEHj MHELTAK(!F
he undersigned bidder acknowledges that (s)he has received co of rdinanc #10062 as
mended, the Minority Procuremeht ordinance of the City of
ami d agr s to comply ith all
pplicable substantive proceduural provisions there , nc
d• amendments ther to.
adder: (167tlz�, `'07TIJ Q,S ignat re:
( company name)
I )ate:
Print Name:
I
ndicate if Business is 51% Minority --owned: (Chet
T�
one box only)
J BLACK [ ] HISPANIC [ ] FEMALE
AF TRMATT ACTION P M /9
!.f firm has an existing plan, effective date of implementation:
:f firm does not have an existing plan, the Successful
(establish
Bidder B shall be required to
an Affirmative Action Policy, pursuant to Ordina.
ded. See Appendix
for sample.
3idder: 0.�VJJ ,A�z� n7oro@S �N� Signatu
E#1*1101062s
(company name)T
ATLURE TO--JUMPLEIE.G► :tl i ►t THIS F1►Y Y.:.. i 1 r : 1.
i
BID NUMBER: 95 - 96 - 105
Parts and Repairs for
COMMODITY / SERVICE: Various City vphi ri pfi
DEPARTMENT/CONTACT PERSON-, Lt. Andrew Vera
pIRECTIONS TO COMPLETE BID AWARD RECOMMENDAT!QaFDY i ON THE REVERSE SI
The top portion of the reverse side of this Bid Award Recommendation Form has been completed by the
Procurement Management Division (PMD). The user department (s) is �rquired to complete all remaining
sections of this form, including the funding source(s), contract value (if applicable), and all other
required approvals prior to forwarding to PMD.
Within 10 day_a, FAX this completed form along with approved and signed Bid Tabulation Form to Finance/PMD,
ATTN: Bid/Contract Section, at 579-6853. These forms will be utilized by PMD to prepare the resolution memo
and the Resolution for submission to the Agenda Office for Commission approval.
Should the department 1.QI concur wide the recommendation for award, FAX separate justification memo to
PMD immediately. Emergency procurements are exempt.
Contact Pamela Burns of the Bid/Contract Section at 579-6845 should you have any
questions.
APPROVAL TO FORWARD
TO DEPARTMENT/OFFICE:
Judy S. Carter
hief Procurement Officer
DATE:
1i
BID AWARD RECOMMENDATION FORM
BID NUMBER: 95 - 96 - 105 COMMODITY/SERVICE: Parts & Repairs for Various City
Vehicles
DEPARTMENT / DIVISION: Miami Police Department / Fleet Service Center
TERM OF CONTRACT: One (1) ear with an option to extend for two (2) additignal
nnp (] vaar Hari p�jc
NUMBER OF BIDS DISTRIBUTED: 59 NUMBER OF BIDS RECEIVED: Thrace ('i)
METHOD OF AWARD: Shall be awarded to the most responsible & responvie Bidders) whose
Bids _meet all specs & requirements. City has the option to add or
delete based upon C t ' bbest interests.
RECOMMENDED VENDOR(S): �i 4be CONTRACT VALUE:
Sun Chevrolet Non-Min./Dade County
Angel Buick Oldsmobile, Inc. Hispanic/Dade County
Grand Prize Motors, Inc. Non-Min./Dade County _
** Other qualified vendors to be
added as deemed in the City's best T®TAL: $120,000.00
. erect for the duration of contract.
THE FOLLOWING TO BE COMPLETED BY USER DEPARTMENT:
JUSTIFICATION: % • r� �v; sex t�c►�..0 - �s,� �� iaCy�Go� T f, , ✓fA�Y Q
.. e s n Z V/6 c.i P'Q , #1- 4-1,_ J Q sy %,y�j',9 L SIC.. .G S
Q
ACCOUNTCODE(Sh 421701-670
DEPARTMENT APPROVAL: BUDGET REVIEW APPROVAL: PROCUREMENT APPROVAL:
FUNDING MEMO ATTACHED
n Director/ cud
Designee Assistant City Manager Chief Procurement Officer
OTHER FUNDING APPROVALS; IF APPLICABLE: TITLE:
12
PAGE 2 OF 2 PAGES (l _ 735
SUN CHEVROLET
7220 N. Kendall Drive
Miami, Florida 33182
Non -Minority i Dade County
ANGEL BUICK OLDSMOBILE INC.
1505 Ponce De Leon Blvd,
Coral Gables, Florida 33143
Hispanic / Dade County
GRAND PRIZE MOTORS, INC.
D/B/A CHEVROLET/OLDS/GEO
11701 S.W. 152 Street
Miami, Florida 33177
Non-Minoritv / Dade Countv
T.
�y s. ca
Procurement Officer
CITY OF MIAMI, FLORIDA
PARTS AND REPAIRS FOR VARIOUS _
CITY VEHICLESY
BID NO. 95-96-105
BID RESULTS / QUALIFIED FIRMS
i% / Designee
DATE: d I �� \ "\ I Date: `J /'5 --`76-,- 1
Pamela Burns
,ugust 27, 'i 996
I I", BID SICURITZ LIST
A
Q 13 A 1, 1- F 1. —1" S F I R M S
DID ZTZXt --------
DID DO.95-96-105
DATZ 310(3) OPISIDi AUGUST 7, 1996 10:00 a.m.
HDIXIt Lq.T A 7- BID nil BOND - 1[or2
l I p An 3HU "
SUN CHEVROLET
See attached
bid
ANGEL BUICK OLDS.
We received 0,1Y
One copy 0
GRAND PRIZE MOTORS
which was son
to Procurement epartment
0 Yrk ills 'VLJjonrs
(')I or C,
. .........
I---
y1_...�. �� Z
A= - 4. �_ - � � received .) GAV410pos on behalf of
Mae rec &via& Olds)
GSA/SOLID WASTE -PROCUREMENT DIVISION g . ..........
(city
UtFali CNM----
LEGAL ADVERTISEMENT �� 4
BID NO. 95-96-105
I
Sealed bids will be received by the City of Miami City Clerk at his office located at City
Hall, 3500 Pan American Drive, Miami, Florida 33133 no later than August 7, 1996 at
10:00 a.m. from qualified firms regularly engaged in the provision of OEM Parts and
Repairs for domestic passenger cars, station wagons, vans, pickup trucks, utility
vehicles, suburbans, walk-in step vans, and motorcycles for the Department of Police,
Fleet Services Center, on a contract basis for one (1) year.
h
` A Voluntary Pre -Bid Conference will take place on Tuesday July 23, 1996 at 10:00 a.m.
at the Miami Police Department Administration Building, 400 N.W. 2nd Avenue, Miami,
Florida, 3rd Floor, Training Room #3.
Bids submitted after the deadline and/or submitted to any other location or office shall
be deemed non -responsive and shall be rejected.
Ordinance No. 10062, as amended, established a goal of awarding 51% of the City's
total dollar volume of all expenditures for all good and services to Black, Hispanic and
Women Minority Business Enterprises on an equal basis.
Minority and women vendors who are interested in submitting bids and who are not t
registered with the City as minority or women vendors are advised to contact the City's
Procurement Office located at 300 Biscayne Blvd. Way, Suite 210; Telephone (305)
579-6845.
Section 18-52.1(h) of the City Code, as amended, states that the City Commission may
offer to a responsible and responsive local bidder, whose primary office is located in
the City of Miami, the opportunity of accepting a bid at the low bid amount, if the
original bid amount submitted by the local vendor does not exceed 1 10 percent of the
lowest other responsible and responsive bidder.
The City reserves the right to request copies of the occupational license, professional
and/or trade licenses, corporate chart and tax return, and any other documents to
i
verify the location of the firm's primary office.
4
All vendors whose primary office is located within the City of Miami must provide a
copy of their City Occupational License with their bids. i
Detailed specifications for the bids are available upon request at the City's
i r
Procurement Office.
` The City Manager may reject all bids and readvertise.
j
(4
(Ad No. 04160 )
Cesar H. Odio
{
City Manager
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A
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<,,,
City of Miami
REQUISITION FOR ADVERTISEMENT
b'
This numbermust
appear in
advertisement.
INSTRUCTIONS: Please lype
and attach a cop of the advertisement with this reaLlisition.
1. Department:
2. Division:
3 Account Code number:
4. Is this a confirmation:
Yes ❑ No
5. Prepared by:
6, Size of advertisement:
_❑
7. Starting date:
8. Telephone number:
9. Number of times this advertisement is to I
published:.—,
10. Type of advertisement:
❑ Le al ❑ Classified ❑
Display
11. Remarks:
12.
Publication
r G.S.A. Wrocurer6efit'Manaaementl
Date(s) of
Advertisement
Invoice No.
Amount
E
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Cl) r—
tD.T
rrl
47)
T
FT
c
'
;r
N
13.
❑ Approved
❑ Disapproved
Department Director/Designee Date
Approved for Payment
Date
C IGS/PC 503 Rev. 12/89
Routing: Forward White and Canary to G.S.A. (Procurement Management) and retain Pink copy.
via i rv®u i ivn: wnue - u.o.r.; %.anary - uepar[men[
CITY OF MIAMI, FLORIDA
NO.95-96-105
Blj2
OEM PARTS & REPAIRS FOR DOMESTIC PASSENGER CARS,
STATION WAGONS, VANS, PICKUP TRUCKS, UTILITY VEHICLES,
SUBURBANS, WALK-IN STEP VANS, AND MOTORCYCLES
BID DOCUMENT CHECK LIST
a)
Bid Sheet (Complete Set) Forms
YES
b)
Statement of Relevant Experience
YES
F
d)
Current Copy of Occupational License
YES
e)
Proof of Insurance/Acknowledgement
YES
l
f)
M/WBE Participation Compliance Form
YES
g)
Minority/Women Business Affidavit
YES
i
h)
Affirmative Action Policy/Plan
YES
i)
Primary Office Location Affidavit
YES
i
j}
Public Entity Crimes Affidavit
YES
k)
Debarment and Suspension Certificate
YES
F
1)
Copy of Dealer's Warranty Repair Labor Rate
{
l
Reimbursement Agreement with Manufacturer.
YES
m)
Copy of Dealer's Original Equipment Parts
Agreement with Manufacturer.
YES
n)
Copy of Motor Vehicle State License
r°
in accordance with State Statute 320.60-320.70.
o)
Warranty Information
Yrs
�;3Yr17
FAILURE TO SUBMIT SIGN AND RETURN ALL THE ABOVE DOCUMENTS M��Y
l
DISQUALIFY THIS BID.
j
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ti
DID SHEET
SUBMIT BIDS TO: -
THREE (3) COPIES OF
office of the City Clark
THIS SET OF FORMS
CITY -OF MIAMI, FLORIDA
3S1O pan American Drive
MUST BE RETURNED OR
INVITATION TO BiD
P.O. Box 330708
YOUR BID MAY BE
DISQUALIFIED.
BID SHEET
(Miami, Florida 33133
Pa(,e i of
TELEPHONE NUMBER
MAILING DATE (City)
BID NO.
pages
(305) 579-6845
7/16/96
95-96-105
Bids will be opened
BiD TITLE
vehicles
August 7, 1996 at 10•00 a.m.
Parts & Repairs for various cif
Reason for "no bid"
and may not be withdrawn within ninety days
after such date and time.
1
All awards made as a result of this bid stall conform to appllcabl
sections of the Charter and code of the Gty of MlamL
NAME OF VENDOR
CORPORATION OF THE
AREA CODE
TELEPHONE NUMBER ax no.
LIA
TATE OF:
MAILING ADDRESS
VENDOR MAILING DATE:
CITY-STATE-7JP
CERTIFIED OR CASHIER'S CHECX IS
ATTACHED. WHEN REQUIRED, IN THE AMOUNT OF f
i certify filar mis bid is moo* without prior undwiltanding, egroomorn, or
connection with anycorporation. firm, orpsratixfaubmrttingebmrormeaame AUTHORIZED SIGNATURE (Manual)
materials. SUC01 a. of equipment. and is in all r 4aecta twr and wimotrt
Cothmon or fraud. I agree to abido Dy all cortditions of fhts bid and carrify mar I
am aurtrronrad to sign thra bid for the biddN.
AUTHORIZED SIGNATURE (Typed) TITLE I
GENERAL CONDITIONS
2_— - BIDDER: To insure ccsoptmnto of the bid, follow Uwao Instrtictforta.
SEALED 8(08: All bid shoos and this form must be executed and
ai TAXES: Do not include slate or iodera! taxes not applicable to
submitted in a aaaled enveiope. The face of the arrvolope shall contain,
rnurttcbpailtim
in addition to the above address. the date and time of the bid opening,
b) UWAlKE8:131 Idersam expected to examine the Specificatiorm
and the bid number. Bids not submitted on attached bid form may be
delivery schedulm, bid prices. extensions and all instructions
mtected. All bids are subject to the conditions specified heroin. Those
pertaining to aupplias and sarvicas. Failure tc do so will be at
which do not comply with these conditions are subject to rejection.
bidders risk.
c) DISCOUNTS: Will be considered in determining the lowest net
t. EXECUTION OF BIM Bid must contain a manual signature of an
cost'
authorized representative in the space provided abdae. The
d) CONDITION AND PACKAGING: It is understood and agreed
company name must also appear on each page of tiro bid as
that any Item offered or shipped as a result of this bid shall be
required.
now (current production modal at the time of this bid). All
2 NO 810: tt not submitting a bid. respondrning oneeonwrtera
by ain a
shall bo suitable for storage •or shipment, and all
� I include standard commercial packaging.
this form. marking it "NO BID", and explthe reason In
soaceprovided above. Repeated failure toquotewfthoutsufftcient
e) SAFETY STANDARD&UMoaaother*weadpulated In the bkLsit
justification shall be cause forremovalofthesuppiwsname from
manufactured Items and fabricated assemblies shall comply
Me bid mailing list
with applicable requirements of Occupational Safety and
NOTE To qualify as a 4iipondxrtt bidder must submit a -NO
Hoatth Act and any wards thereunder.
810". and it must be received no later than the stated bid opening
f) UNDERWRITERS' L1aORATORIES: Unless otherwise sti-
data and hour.
pulatod in the bid. all manufactured items and fabricated
3. 810 OPENING: Shall be public, on the date and the titttespeciffed
anomblies shall carry U.L approval and reexamination listing
on the bid form. It is the bidder's resoonsibility to assure met his
wners such has been established.
bid Is delivered at the proper time and place of the bid opening.
PAYMIEN% Payment will be made
9) Y sty the City after the items
Bids which for any re4son are not so delkvared, will not be
awarded to a vendor have bean received, inspected, and found
considered. Offefs by telegram or telephone are not acceptable,
to comply with award specifications, free of damage or defect
and property invotcod. All invoices shall bear the purchase
4. 810 TABULATIONS: Will not be furnished. Bid files may be
order number.
examined during normal workng hours.
5. PRICES, TERms and PAYMENT: Firm prices shall be quoted:
ti. DELIVEi . Union actual date of delivery is specified (or if
typed or printed in ink and include all packing, handling, shipping
Charges and delivery :o the destinatton shown herein. Bidder is
specified delivery Cannot be met), stow number or days required
mQuested to Offer =an discount fir prompt invoice payment
to make delivery otter receipt of puctwase order in space provided.
Delivery rime may become basis for making an award (saw Special
Discount time *11 be Computed from the data of satisfactory
delivery at place of acceptance or from rompt of correct invoice
Conditional. Delivery shall be within the normal working hours
at the offtca "Cified, w?licn*ver is later.
of the user. Monday through Friday.
FAILURE TO COMPLETE, SIGN AND RETURN THIS FORM MAY DISQUALIFY THIS BID
G
7, MANUFACTURERS NAMCS AND APPROVED EOUIVALENTS:
Any manufacturer's names, trade names, brand -model names,
information and or catalog numbers Ilstod In a specification are
for information. not to limit competition. The biddar may otter arty
brand for which he is an authorized repreeatttattve, which meets
or exceeds the specification for" items(s). if the bids are based
on equivalent products, indicate On the bid form ttw manufactur-
er's name and number and indicate any deviation from the speci-
fications. YOUR BID, LACKING ANY WRITTEN INDICATION OF
INTENTTO QUOTE AN ALTERNATE BRAND, IVIL.L. BE RECEIVED
AND CONSIDERED AS A QUOTATION IN COMPLETE COM-
PLIANCE WITH THE SPECIFiCATiONSAS LISTED ON THE 810
FORM.
8 INFORmATIONANDDESCRIPTiVELITERATURE- 84ddommust
furnish all information requested In the spaces provided art the
bid form. Further, as may be specified eliawhere, each bidder
must submit for bid evaluation cuts, sketches, and descriptive
literaturs and technical specifications covering the products
offered. Reference to tltvrature subrnitted with a previous bid Oran
Nis with the buyer will not satisty this provision.
9. INTERPRETATiONt3: Any questions concerning conditions and
specifications should be directed to the Procurement Office in
writing no later than three (3) days prior to the bid opening.
Inquires must refemocss tha date of bid opening and bid number
10. CONFLICT OF INTEREST: The award nersunder, is subject to all
conflict of Interest proviavons of ime City of Miami, Dade County,
of the State of Florida.
11. AWARD& As the beat Interest of the city may require, the right Is
reserved to reject any and all bids and to waive arty irregularity in
bids received: to accept any item or group of Items unless quali-
Ned by bidder.
12. ADOITIONAL OUANTMUS: For a paned not excooding ninety
(90) days from the data of acceptance of this offer by the buyer.
the right is resrtvvd to acquim edditional quantltlea at the prices
bid in this invitation. If additional quantiticm ans not cccaptable, the
bid snoats must be noted "BID IS FOR SPECIFIED QUANTITY
ONLY-.
13. SERVICE AND WARRANTY: Unlaso othorynto specified, the
bidder shall define any warranty, sarvica and roplacaments that
will be provided. Bidders must explain on an attacht:d sheet to
what extent warranty and ssrvico facilities are provided.
14. SAMPLES: Samples of Itema, when called for, must bs furnished
free of expense, and if not de:rtroycd alf, upon request, be
returned at the bidder's experms. Requast for the rvwm of sam-
ples may be made within (101 days following opening of tilde.
Each individual sample must be leboied with bidder's name,
manufacturer's brand name and numoar, bid number and item
reference.
15. NONCONFORMANCE TO CONTRACT CONDITIONS: items
may be tested for compliance with apeciflcatlons undertne direc-
tion of the Ronda Department of Agriculture and consumer Sw-
vices or by other appropriate testing Laborator a. The data
derived from any test for compliance with specification are pub-
lic records and open to examination thereto in accordance with
Chapter 119. Florida Statutes, 1971. item delivered not conform-
ing to specifications may be rttjsicted and returned at rsndoes
expense. items delivered not conforming to specifications may be
rejected and returned at vendor's expense. Thee® itie tia and items
not delivered as per delivery date in bid and or purchase order
may result in bidder being found In default in which event any and
all reprocurement costs may be charged against Me defaulted
contractor. Any violation of these 3Wpulstiona may also result in
the suppllers name being removed from the City of Miami's
vendor mailing list
1Q INSPECTIONS, ACCEPTANCE AND T(TLI=• Inspection and
acceptance will be at destination unleas otherwise provided. Title
to or nsk of loss or damage to all items small be Me responsibility
of the successful bidder until accaptance by the city unless loss cr
damage results from negligence by the city.
17. DISPUTES: In case of aril doubt or difference of opinion as tome
items to be furnished hereunder, the decision of the city manager
shall be final and binding on both panles.
1& QOVER NIMENTALRESTRiC71OKS:lnthe event any govammen-
tal restrictions may be impoaad which would necessitato altera-
tions of the material, quality, workmanship or performance of
""items offered on this proposal prior to their delivery, it ahali be
the responsibility Of the successful bidder to notify the city at
once, indicating in his letter the specific regulation which required
an alteration. The city reserves the right to accept any such altera-
tion including any price adjustments occasioned thereby, or to
Cancel me contract at no expense to the City.
19. LEQAAL REOUIREMEKTS: Federal, state, county, and city taws,
ordinances, rules, and regulations that In any manner affect the
items eoverod heroin apply. Lack of knowledge by the bidder will
in no way be a cum for relief from reaponaitrllty.
2M PATENTS AND ROYALTIES: The bidder, without exception. stall
indemnity and save harmless the city and its employees from
liability of any nature or kind, including cost and expenses for or
on account of any copyrtgtttod, patented, or unpatented inven-
tion. process. orartide manufactureM or used In the performance
of the contract, Including Its uses by the City of Miami. If the
bidder uses any design, device, or materials covered by letters,
patent or Copyright, it la mutually agresd and understood without
exception Mat the bid prices snail include all royalties or cast
arising from the use of such design, device, or materials in any -
way involved in the work.
21. ADVERTiSINf3; In submitting a proposal, bidder agrees not to use
the resultm therefrom as a part of arty Cdrnmercial advertising.
Violation of this stipulation may be subject to action covered
under Paragraph 15 of this document.
22- ASSIGNMENT: Any Purchaara Order issut:d pursuant to this bid
invitation and the monies which may "come dues horouncier are
not aaaignablo pxcopt 4vith Um prior written approval of the City.
23. LIAGILM: The supplier shall hold and sau,o the City of Miami.
Honda. its officals, agents, and employees harmless from liability
of any kind in uim performanco of this contract
24. In the event of an error on the part of the bidder in extending unit
pricas or in toWlling tho extended pnesa, the unit price snail
prevail, excopt r icon the biddof cloarty states that trio total price is
based on an all or none coatis.
25. PRICE AS.IUtYTMe?fM- Any price decrease effectuated during
the contract period cittw by rrmtaon of market change or on the
pan of the contractor to etfar custorrmrs shall be passed on to the
City of Miami.
2eL CANCELLATION: All con"= obligations shall prevailforatleast
180 days attar effective date of the contract. For the protection of
both panes. this contract may ba cantoiled in whole or in part
upon the mutual assent of the parties.
27. EXTENEIDN: The Clty of Miami reserves the option to extend the
period of this contrees. or arty portion thereof. for an additional
contract period Extension of the contract period snail be by
mutual agreement in writing.
28. ABNORMAL QUANTME& YMile it Is not anticipated. should any
unusual or sbnorrmal quantity requirements ansa. the city
reservaro the right to call for separate proposals tmereon.
NOTE: ANY AND ALL SPECIAL CONDITIONS ATTACHED HERETO WHICH VARY FROM THESE
GENERAL CONDITIONS SHALL HAVE PRECEDENCE.
i 95-96'-105
CITY OF MIAMI, FLORIDA BID NO. _
BID SHEET (Continued)
,IMPORTAN_T: BID SHEET AND ATTACHMENTS MUST BE RETURNED IN TRIPLICATE IN THE
ATTACHED ENVELOPE IDENTIFIED BY BID NUMBER, TIME AND DATE OF BID OPENING.
IF SECURITY IS REQUIRED, A BID WILL NOT BE ACCEPTED UNLESS THE DEPOSIT OR
BOND IS SUBMITTED IN THIS ENVELOPE.
Terms:_ (Include cash discount for prompt payment, if any)
Additional discount of _� if awarded all items.
Warranty and/or guarantee:
Delivery: calendar days required upon receipt of Purchase Order or Notice
of Award.
Number of calendar days required to complete work after start.
in accordance with the Invitation to Bid, the Specifications, General Conditions, Special
Conditions, and General Information to Bidders, we agree to furnish the Items) at Prices
indicated on the attached bid sheet(s).
T- NAMES OF COMPANY OWNER(S): NAMES OF COMPANY OFFICER(S):
a) List principal business address: (street address)
b) List all other offices located in the State of Florida: (street address)
(Please use the back of this page if more space is necessary)
MINORITY PROCUREMENT QQMPLIANCE
The undersigned bidder acknowledges that (s)he has received a copy of Ordinance #10062 as
amended, the Minority Procurement Ordinance of the City of Miami and agrees to comply with all
applicable substantive and procedural provisions therein, including any amendments thereto.
Bidder: Signature:
(company name)
Date: Print Name:
Indicate if Business is 51% Minority -owned: (Check one box only)
[ ] BLACK [ ] HISPANIC [ j FEMALE
AFFIRMATIVE ACTION PLAN
If firm has an existing plan, effective date of implementation:
If firm does not have an existing plan, the Successful Bidder(s) shall be required to
establish an Affirmative Action Policy, pursuant to Ordinance #10062 as amended. See Appendix
I for sample.
Bidder: Signature:
(company name)
FAILURE TO COMPLETE, SUL,AND -RETURK THIS FORM MAY DISQUALIFY THIS BID. "�
CITY OF MIAMI, FLORIDA
BID NO. 95-96-105: PRICE SHEET
OEM PARTS & REPAIRS FOR DOMESTIC PASSENGER CARS,
STATION WAGONS, VANS, PICKUP TRUCKS, UTILITY VEHICLES,
SUBURBANS, WALK-IN STEP VANS, AND MOTORCYCLES
AWARD SHALL BE BASED UPON THE AGREEMENT BY BIDDERS TO ALL TERMS AND
CONDITIONS OF THE CONTRACT, WITH THE ANTICIPATED NUMBER OF DEALERS BASED
UPON THE MANUFACTURER'S BRAND, IN ACCORDANCE WITH BIDDER QUALIFICATIONS &
TECHNICAL SPECIFICATIONS, SECTION 2.3.2.
DO YOU WISH TO PARTICIPATE? YES NO
(IF YES, PLEASE FULLY COMPLETE THIS FORM AND RETURN. IF YOU DO NOT WISH TO
PARTICIPATE, PLEASE INDICATE ABOVE, SIGN DOCUMENT AND RETURN).
BIDDER'S NAME:
MANUFACTURER'S BRAND SERVICED:
LOCATION OF SERVICE FACILITY:
DEALER WARRANTY REIMBURSEMENT LABOR RATE: $
COST TO SUPPLY AND DELIVER REPAIR PARTS TO THE CITY, IF ANY: $
Exceptions to Specifications (if any):
SOCIAL SECURITY OR FEDERAL EMPLOYER IDENTIFICATION
NUMBER
TELEPHONE NUMBER:
OCCUPATIONAL LICENSE NO.:
(to be submitted with this bid)
SIGNATURE:
DATE:
CITY OF MIAMI,-FLORIDA BID NO. 95-96-105
BID SHEET (Continued)
VENDOR BAC�CGROUND 'INFORMATION
This questionnaire is to be submitted to the designated City Office by the
bidder or proposer, along with the bid or proposal being submitted for the
goods and/or services required by City. Do not leave any questions
unanswered. When the question does not apply, write the word(s) "None", or
"Not Applicable", as appropriate. Failure to complete this form, when
applicable, may disqualify your. bid.
L I C E N S E S
1. County or Municipal Occupational License No. (if any)
(attached copy)
2. Occupational. License Classification:
3. License Expiration Date:
4. Metro -Dade County Certificate of Competency No.
(attached copy if requested in Bid or Proposal)
I N S U R A N C E
5. Name of Insurance Carrier:
6. Type of Coverage:
.a. Limits of Liability:
8. Coverage/Policy Dates:
9. Name of Insurance Agent:
Agent's Phone (with area code):
E X P E R I E N C E
10. Number of Years your organization has been in business:
11. Number of Years experience PROPOSER/BIDDER
(person, principal of firm, owner) has had
in operations of the type required by
the specifications of the Bid or Proposal:
12. Number of Years experience PROPOSER/BIDDER
(firm, corporation, proprietorship) has
had in operations of the type required by
the specifications of the Bid or Proposal:
BIDDER/PROPOSER NAME:
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM MAY DISQUALIFY THIS BID
i
CITY OF MIAMI, FLORID BIL 40. 95-96-105
BID SHEET (-Continued)
INSURANCE REQUIREMENTS
INDEMNIFICATION
Bidder shall pay on behalf of, indemnify and save City and its
officials harmless from and against any and all claims,
liabilities, losses, and causes of action, which may arise out of
bidder's performance under the provisions of the contract,
including all acts or omissions to act on the part of bidder,
including any person performing under this Contract for or on
bidder's behalf, provided that any such claims, liabilities, ,
losses and causes of such action are not attributable to the
negligence or misconduct of the City and, from and against any
orders, judgements or decrees which may be entered and which may
result from this Contract, unless attributable to the negligence or misconduct of the City, and from and against all costs,
attorneys' fees, expenses and liabilities incurred in the defense
of any such claim, or the investigation thereof. ;
The vendor shall furnish to City of Miami, c/o Procurement
Management Division, 1390 NW 20th Street, Miami, Florida 33142,
Certificate(s) of Insu.r_ance which indicates that insurance
coverage has been obtained which meets the requirements as
outlined below:
A. Worker's Compensation Insurance for all employees of the
vendor as required by Florida Statute 440.
B. Public Liability Insurance on a comprehensive basis in an
amount not less than $1,000,000 combined single limit per
occurrence for bodily injury and property damage. City must
be shown as an additional insured with respect to this
coverage.
C. Automobile Liability Insurance covering all owned, non -owned
and hired vehicles used in connection with the work in an
amount not less than statutory combined single limit per
occurrence for bodily injury and property damage.
The City needs to be named as additional insured. BINDERS ARE
UNACCEPTABLE.
The insurance coverage required shall include those
classifications, as listed in standard liability insurance
manuals, which most nearly reflect the operations of the vendor.
All insurance policies required above shall be issued by
companies authorized to-do business under the laws of the State
of Florida, with the following.qualifications:
i
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CITY OF MIAMI, FLORIDA
BID SHEET (Continued)
13ID NO. 95-96-105
The Company must be rated no less than "B" as to
management, and no less than "Class V" as to
financial strength, by the latest edition of Best's
Key Rating Insurance Guide or acceptance of insurance
company which holds a valid Florida Certificate of
Authority issued by the State of Florida, Department
-of Insurance, and are members of the -Florida
Guarantee Fund.
Certificates will indicate no modification or change in insurance
shall be made without thirty (30) days written advance notice to
the certificate holder.
NOTE: CITY BID NUMBER AND/OR TITLE OF BID MUST APPEAR ON EACH
CERTIFICATE.
Compliance with the foregoing requirements shall not relieve the
vendor of his liability and obligation under this section or
under any other section of this Agreement.
The Bidder shall be responsible for assuring that the insurance
certificates required in conjunction with this Section remain in
force for the duration of the contractual period; including any
and all option terms that may be granted to the Bidder.
--If insurance certificates are scheduled to expire during the
contractual period, the Bidder shall be responsible for
submitting new or renewed insurance certificates to the City at a
minimum of ten (10) calendar days in advance of such expiration.
--In the event that expired certificates are not replaced with
new or renewed certificates which cover the contractual period,
the City shall;
A) Suspend the contract until such time as the new or renewed
certificates are' received by the City in the manner
prescribed in the Invitation To Bid.
B) The City may, at its sole discretion, terminate this contract
for cause and seek re -procurement damages from the Bidder in
conjunction_ with the General Terms and Conditions of the Bid.
The undersigned bidder acknowledges that (s)he has read the above
information and agrees to comply with all the above City
requirements.
Bidder: Signature:
(Company name)
Date: Print Name:
A PURCHASE ORDER WILL NOT BE ISSUED UNTIL THIS FORM HAS BEEN
COMPLETED, SIGNED AND RETURNED TO THE PROCUREMENT MANAGEMENT
DIVISION.
Y
f
CITY OF MIAMI, FLORIDA BID NO.95-96-105
RID SHEET (Continued)
I t
1
MINORITY STATUS INFORMATION SHEET
MINORITY CLASSIFICATION AND PARTICIPATION
Please check one box only and complete any and all sections applicable to
your firm.
1. Indicate Minority/Women Classification of Business Enterprise
(BIDDER): [ ] B=BLACK [ ] H=HISPANIC [ ] F=FEMALE [ ] NM=NON-MINORITY
2. If ONE OF THE FOLLOWING, give details of Minority/Women Participation
within firm(s), or as it may apply to this bid, if awarded. Indicate
r Minority/Women Classification of each company: -
A. JOINT VENTURE: Provide information regarding Minority/Women firms
participating and the extent of participation.
of Dollar
Firm Name Business Address Participation Amount
I [�
� B. SUBCONTRACTORS. Provide information regarding Minority/Women firms
participating and the extent of participation.
i
% of Dollar
Firm Name Business Address Participation Amount'
I [ ]
t 1
[ J
[ J
C. SUPPLIERS: Provide details regarding Minority/Women firms that
supply you with goods or services; state the extent.
% of Dollar
Firm Name Business Address Participation Amount
FAILURE TO COMPLETE SIGN, AND RETURN THIS FORM MAY DISQUALIFY THIS BID
APPENDIX #1
SAMPLE
y -
AFFIRMATIVE ACTION POLICY
for
EQUAL EMPLOYMENT OPPORTUNITY
AFFIRMATIVE ACTION
EQUAL EMPLOYMENT OPPORTUNITY - POLICY STATEMENT
It is the policy of (Company Name) to base its hiring and
promotions on merit, qualifications and competency and that its
personnel practices will not be influenced by an applicant's or
employee's race, color, place of birth, religion, national -origin,
sex, age, marital status, veteran and handicapped status.
One of the management duties of all principals at (Company Name) is
to ensure that the following personnel practices 2are being
satisfied:
1. Take every necessary affirmative action to attract and
retain qualified employees, regardless of race, color,
place of birth, religion, national. origin, sex, age,
marital status, veteran- and handicapped status:
2. Maintain equitable principles in the recruitment, hiring,
training, compensation and promotion_of employees:
3. Monitor and review personnel practices to guarantee that j
equal opportunities are being provided to all employees,
regardless- of race, color, place of birth, religion,
national origin, sex, age, marital status, veteran and
handicapped status.
(Company Name) is committed to take affirmative action and
aggressively pursue activities that will serve to enable all
employees and applicants opportunities available throughout this
organization:
Clearly, the above actions cannot be accomplished as a secondary
duty for any individual, despite the full support of management.
And so, to monitor our efforts, (Company Name) has assigned one of
its principals as the Affirmative Action Director to monitor all
activities of this program.
Employees may contact (Name of assigned principal) at (telephone
number) regarding this Affirmative Action Policy.
DATE:
(signature/Title)
F-i
DEBARMENT AND SUSPENSION
City of Miami Code Sec. 18-56.4
(a) Authority and requirement to debar and suspend:
After reasonable notice to an actual or prospective contractual party, and after reasonable
s- opportunity to such party to be heard, the city manager, after consultation with the chief
procurement officer and the city attorney, shall have the authority to debar a contractual
party for the causes listed below from consideration for award of city contracts. The
debarment shall be for a period of not fewer than three (3) years. The city manager shall
also have the authority to suspend a contractor from consideration for award of city
contracts if there is probable cause for debarment, pending the debarment determination, the
authority to debar and suspend contractors shall be exercised in accordance with regulations
which shall be issued by the chief procurement officer after approval by the city manager,
the city attorney, and the city commission.
i
(b) Causes for debarment or suspension include the followin4:
1. Conviction for commission of a criminal offense incident to obtaining or attempting to
obtain a public or private contract or subcontract, or incident to the performance of such
contract or subcontract;
2. Conviction under state or federal statutes of embezzlement, theft, forgery, bribery,
$" falsification or destruction of records, receiving stolen property, or any other offense
indicating a lack of business integrity or business honesty;
3. Conviction under state or federal antitrust statutes arising out of the submission of bids
or proposals;
4. Violation of contract provisions, which is regarded by the chief procurement officer to be
indicative of nonresponsibility. Such violation may include failure without good cause to
perform in accordance with the terms and conditions of a contract or to perform within the
time limits provided in a contract, provided that failure to perform caused by acts beyond
the control of a party shall not be considered a basis for debarment or suspension;
5. Debarment or suspension of the contractual party by any federal, state or other
governmental entity;
6. False certification pursuant to paragraph (c) below; or
7. Any other cause judged by 'the city manager to be so serious and compelling as to affect
the responsibility of the contractual party performing city contracts.
(c) Certification:
All contracts for goods and services, sales, and leases by the city shall contain a
certification that neither the contractual party nor any of its principal owners or personnel
have been convicted of any of the violations set forth above or debarred or suspended as set
forth in paragraph (b)(5).
The undersigned hereby certifies that neither the contractual party nor any of its principal
owners or personnel have been convicted of any of the violations set forth above, or debarred or
suspended as set forth in paragraph (b)(5).
Company name:
Signature:
Date:
FAILURE TO COMPLETE SIN AND RETURN THIS FORM MAY DISQUALIFY THIS BID.
U City of Miami
• �„ ,,, PRIMARY OFFICE LOCATION
e�04 Affidavit
Please type or print clearly. This Affidavit must be completed in full, signed and notarized for local preference consideration.
Legal Name of Firm:
Entity Type: (crweck one box-iy) ❑ Partnership
Q Sole Proprietorship Q Corporation
Corporation Doc. No:
Date Established:
Occupational License No:
Date of Issuance:
`..... , ; Primary.Office Location (Principal establishment of the bidder/{proposer): ..
Street Address:
z
w
cn
LIJ
City:
State:
How long at this location:
GO
Street Address:
a
cc
City:
State:
How long at this location:
According to the City of Miami's Charter 29-A as amended:
'All contracts... shall be awarded by the commission to the lowest responsible bidder,... provided, however, that if the amount of a bid or proposal
submitted by a vendor whose primary office is located in the City of Miami is not more than ... 10% in excess of the lowest other responsible bidder or
proposer, such local vendor may be awarded the contract..."
The intention of this section is to benefit local bona fide vendors/proposers to promote economic development within the City of Miami.
I (we) certify, under penalty of perjury, that the primary office location of our firm has not been established with the sole purpose of obtaining the
advantage granted bona ,fide local vendors/proposers by this section.
Authorize Signature
Print Name
Title
Authorize Signature
Print Name
Title
(Must be signed by the corporate secretary of a Corporation or one general partner of a partnership or the proprietor of a sole proprietorship or all
partners of a joint venture.)
STATE OF FLORIDA, COUNTY OF DADE
❑ Personally known to me; or
Subscribed and Swom before me that this is a true statement this day of 199 ❑ Produced identification:
Notary Public, State of Florida
Printed Name of Notary Public My Commission Expires
Please submit with your bid, copies of occupational License, professional and/or trade License to verify local status. The City of Miami,
also reserves the right to request a copy of the corporate charter, corporate income tax filing return and any other document(s) to verify
the location of the firm's primary office.
D I PWPA210Rev. 10193
-� CITY OF MIAMI
inori>xq/ ome I�usiness Affairs Reaistration Affidav�S
Please Check One Box Only [ ] Hispanic [ ] woman [ ] Black
I (we), the undersigned agree to the following conditions:
�- 1) that we have read City of Miami's Ordinance No. 10062 as amended and meet the
fifty-one percent (51%) ownership and management requirement for
minority/women registration status and will abide by all of the policies and
regulations governing the City of Miami Minority and women Business Enterprise
Procedures;
2) that if at any time information submitted by the undersigned applicant in
his/her Vendor Application should prove to be false, inaccurate, or
misleading, applicant's name will be struck from the City of Miami's Master
Vendor list with no further consideration given to this applicant;
3) that the City of Miami maintains the right, through award of bid/contract,-to
revoke the award, should it be found that false, inaccurate or misleading
information or a change in the original information have occurred;
4) to notify the City of Miami within thirty (30) days of any change in the
firm's ownership, control, management or status as an ongoing minority/women
business concern as indicated on the Vendor Application, and that the City of
Miami, upon a finding to the contrary, may render a firm's registration with
the City null and void and cease to include that firm in its registered list
of minority and women -owned businesses;
5) that the City of Miami has a right to diligently verify all information
submitted by applicant in his/her Vendor Application to monitor the status of
the Minority/women Business Enterprise, once registered;
6) that the City of Miami may share a firm's registration information, concerning
its minority/women status and its capability, with other municipal or state
agencies for the sole purpose of accessing the firm to their procurement
opportunities, unless otherwise specified by the firm in writing.
2fi — I (we) certify under the penalties of perjury that the information contained in any and all
application documents submitted to the City of Miami is correct as per Ordinance No. 10062 as
amended.
Firm Name:
(If signing as a corporate officer, kindly affix corporate seal)
(Name, Title & Date) .(Name, Title & Date)
This application must be signed by at least one general partner of a partnership or .the
proprietor of a sole proprietorship or all partners of a joint venture.
COUNTY, SS
N O T A R I Z A T I O N
COUNTY OF DADE
Date:
That. personally
acknowledged the foregoing instrument as his/her act and deed.
That he/she has produced
as identification.
NOTARY PUBLIC:
My Cnmmi«inn Fxnirpc:
appeared before me and
s�
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i
i
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SWORN STAITMENT PURSUANT TO SECnON 28i.I33('_)(a),
aA2gMA,5UT=S ON PUBLIC EN= CRMIES
i" THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUB11C OR OTITFI2.
OFFICIAL AUTHORIZED TO ADM1N1S'TER OATHS.
1. This swots statement is submitted to
[print name of the public entity]
by
f print indlridual's name And title]
for _
[print name of entity submitting sworn statement]
whose business address is
and (if applicable) its Federal Employer Identification Number (FEIN) is
(If the entity has no FEIN, include the Social Seatrity Number of the individual signing ;his'
sworn statement: .)
2, 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 of the United
States, including, but not limited to, any bid or contract 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.
3. 1 understand that "convicted' or 'conviction" as defined in Paragraph 287.1.33(1)(b), f loE da_&p ttes means
a finding of guilt or a conviction of a public entity crime, with or without au 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 ,
4. I understand that an 'affiliate* as defined in Paragraph 287.133(1)(a), Florida Statutes, means:
L A prcdecz;sor ar succcssor of a person W-Ovic tW of a public endiy clime•, or
2. An entity under the control of arty natural person who is active in the management of the entity and
who has been convicted of a public entity crime. Tine term 'affiliate includes those officers, directors,
executives, partners, shareholders, employees, members, and agents who are active in the management of
an affiliate` Tine ownership by one person of shares constituting a controlling interest in another parson,
or a pooling of equipment or income among persons when not for fair market value under an arm's length
agreement, shalt be a prima facie rase that one person controls another person. A person who Lmowingly
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.
5. 1 understand that a "person" as defned in Paragraph 287.133(l)(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 eater
into a binding contract and which bids or applies to bid on contracts for the provision of goods or se, c-ict--i
let by a public entity, or which otherwise transacts or applies to transact business with a public entity. T,-e
term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and
agents who are active in management of an entity.
t
s
6• Bascd on information and belief; statement which I have, marked below i:5 in relation to the cattity : •,
submitting this sworn statement. ltadicate wWch statement applies.]
Neither th entity submitting this sworn statement, nor any of its offic=, directors, exoc utives,
partners, sharcholdem, employees, members, or agents who are active in the management of the entity, liar
any affiliate of the entity has been charged with and convicted of a. public entity crime subsequent to July
1, 1989. "
The entity submitting this swore statement, or one or more of its officem, directors, executives,
partners, shareholders, employecs;Members, or agents who ate active in the management of the entity, or
an affiliate of the entity has been charged with and convicted of a public entity aime subsequent to July
1, 1989.
_ The entity submitting this sworn statement, or one or more of its officers, directors, executives,
partners, shareholders, employees, members, or agents who ate active in the 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. However, there has been a suY,saqucnt procoeding before a Hearing Officer of the State of Florida,
Division of Administrative Hearings and the Heal Order entered by the Hearing Officer determined that
it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor '
list_ tamch a copy of the final order)
I UNDERSTAND 'THAT THE SUBMISSION OF THIS FORM TO THE CONTRACMG OFBTCER FOR 273E
PUBLIC ENTITY IDEM1FIED IN PARAGRAPH I (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND,
THAT THIS FORM IS VALID THROUGH DECEM13ER 31 OF THE CALENDAR YEAR INWMCH IT IS FEED.
I ALSO UNDERSTAND THAT I AM RFQUI M TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING
INTO A CONTRACT IN EXCESS OF THE TERZESHOLD AMOUNT PROBED IN SECTION 287017, ��I1�1A
STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
Sworn to and subscribed before me this day of
Personally known
OR P:odu=d ident.iEcation
(TYpe of identification)
Form PUR 7068 (Rev. 06/11/92)
[signature]
Notary Public - State of
My commission empires
(Printed typed or stamped
commissioned name of notary public)