HomeMy WebLinkAboutBid Form 1Section 4 Attachments
THE CITY HAS INCLUDED IN THE CONTRACT DOCUMENTS, AS ATTACHMENTS,
FORMS WHICH ARE TO BE UTILIZED BY THE CONTRACTORS AND/OR THE CITY,
FAILURE BY THE CONTRACTOR TO UTILIZE THESE FORMS MAY RESULT IN THE
REJECTION OR DELAY IN PROCESSING THE SUBMITTAL. THE CITY THROUGH THE
CIP MAY AT ITS SOLE DISCRETION AND AT ANY TIME, ADD, REPLACE OR MODIFY
THEFORMS USED UNDER THE CONTRACT DOCUMENTS.
00400. BID FORM: (Page 1of8)
Submitted:4 9 T 10-7
Date
City of Miami, Florida
Office of the City Clerk
City Hall, t �` Floor
3500 Pan American Drive
Miami, Florida 33133-5504
The undersigned, as Bidder, hereby declares that the only persons interested in this bid
as principal are named herein and that no person other than herein mentioned has any
interest in this bid or in the Contract to be entered into; that this bid is made without
connection with any other person, firm, or parties making a bid; and that it is, in all
respects, made fairly and in good faith without collusion or fraud.
The Bidder further declares that it has examined the site of the Work and informed itself
fully of all conditions pertaining to the place where the Work is to be done; that it has
examined the Contract Documents and all addenda thereto furnished before the opening
of the bids, as acknowledged below; and that it has satisfied itself about the Work to be
performed; and that it has submitted the required Bid Guaranty; and all other required
information with the bid; and that this bid is submitted voluntarily and willingly.
The Bidder agrees, if this bid is accepted, to contract with the City, a political subdivision
of the State of Florida, pursuant to the terms and conditions of the Contract Documents
and to furnish all necessary materials, equipment, machinery, tools, apparatus, means of
transportation, and all labor necessary to construct and complete within the time limits
specified the Work covered by the Contract Documents for the Project entitled:
Bid No: 06-07-012
Title: FLAGAMUWEST END STORM SEWER IMPROVEMENTS -PHASE 11, B-50695
and FAIRLAWN STORM SEWER IMPROVEMENTS PHASE 118, B-50703
The Bidder also agrees to furnish the required Performance Bond and Payment Bond or
alternative form of security, if permitted by the City, each for not less than the total bid
price plus alternates, if any, and to furnish the required Cerlificate(s) of Insurance.
The undersigned further agrees that the bid guaranty accompanying the bid shall be
forfeited if Bidder fails to execute said Contract, or fails to furnish the required
Performance Bond and Payment Bond or fails to furnish the required Certificate(s) of
Insurance within fifteen (15) calendar days after being notified of the award of the
Contract.
FlagarniMest End Phase 11 and Fairlawn Phase 116 Sewer Improvements Bid No.: 06-07-012
Page 128
.jr
In the event of arithmetical errors, the Bidder agrees that these errors are errors which
may be corrected by the City. In the event of a discrepancy between the price bid in
figures and the price bid in words, the price in words shall govern. Bidder agrees that
any unit price listed in the bid is to be multiplied by the stated quantity requirements in
order to arrive at the total.
Fiagami/West End Phase IJ and Fairlawn Phase IlB Sewer Improvements Bid No.: 06-07-012
Page 129
00400. BID FORM: (Page 2 of 8)
Note: Bidders are bidding on a lump sum basis for the purpose of determining
the lowest responsive and responsible bidders. However, Bidders Will be paid
based on the tine item breakdown, contained In the Bid Form, with payments
based on actual work performed.
,'• PROJECT PACKAGE I — Fiagami/West End Storm Sewer Improvements B-50695
b
Our LUMP SUM BID includes the total cost for the work specified in this bid, consisting
-k io"l�c'• furnishing all materials, labor, equipment, supervision, mobilization, overhead & profit
required, in accordance with the Bid Specifications.
°Ot'.11'Total Price Package 1: $_ S7 .5 6q ; 016.50
i 6�
Written Amount T
PROJEC KAGE !1—Fairlawn Storm Sewer improvements 11B-50'
c �c,.�cuw•- Our LUMP SUM BID inc the total cost for the work s ied in this bid, consisting
of furnishing all materials, labor, a ent, supe , mobilization, overhead & profit
required, in accordance with the Bid Specs ns.
Total Price Package II: ��It C;05 It -,00
+W0 rmyr- -lid LXQk-d four huodtd
Written Amount
A CONTINGENCY ALLOWANCE may be established for this Agreement fol"
unforeseen circumstances or City requested changes and shall be authorized at
the sol -,discretion of the City.
Tota! Price Package I & !1: 15 � 554 �
Written Amo nty'<�
DIRECTIONS:.COMPLETE PART I OR PART II, WHICHEVER APPLIES, AND PARTS III AND IV.
Part 1: Listed below are the dates of issue for each Addendum received in connection
with this Bid:
Addendum No. 9, Dated 2� J
Addendum No. 2, Dated t 2
Addendum No. 3, Dated
Addendum No. 4, Dated
Cl�nomihNf?ct Fnd Phase 11 and Fairlawn Phase IIB Sewer improvements Bid No.: 0"7-012
00400. BID FORM: (Page 3 of 8)
Part If: No addendum was received in connection with this Bid.
Part Ill; Certifications
The Bidder, by virtue of signing the Bid Form, affirms that the Bidder is aware of the following,
and shall comply with all the stated requirements.
1. Affirmative Action Plan
Successful bidder(s) shall establish an Affirmative Action Plan or an Affirmative Action Policy
pursuant to Ordinance #10062 as amended. Effective date of implementation must be
indicated on the policy: and
2. First Source Hiring
Bidder certifies that (s)he has read and understood the provisions of City of Miami
Ordinance Section 18-110, pertaining to the implementation of a "First Source Hiring
Agreement". Evaluation of bidder's responsiveness to Ordinance Section 18-110 may be a
consideration in the award of a contract.
3. Non -Collusion
Bidder certifies that the only persons interested in this Bid are named herein; that no other
person has any interest in this Bid or in the Contract to which this Bid pertains; that this Bid
is made without connection or arrangement with any other person; and
4. Drug Free Workalace
The undersigned Bidder hereby certifies that it will provide a drug-free workplace program
by:
(1) Publishing a statement notifying its employees that the unlawful manufacture,
distribution, dispensing, possession, or use of a controlled substance is prohibited in the
Bidder's workplace, and specifying the actions that will be taken against employees for
violations of such prohibition;
(2) Establishing a continuing drug-free awareness program to inform its employees
about:
(i) The dangers of drug abuse in the workplace;
(ii)The Bidder's policy of maintaining a drug-free workplace;
(ili )Any available drug counseling, rehabilitation, and employee assistance programs;
and
(iv) The penalties that may be imposed upon employees for drug abuse violations
occurring in the workplace;
(3) Giving all employees engaged in performance of the Contract a copy of the statement
required by subparagraph (1);
(4) Notifying all employees, in writing, of the statement required by subparagraph (1), that
as a condition of employment on a covered Contract, the employee shall;
(i) Abide by the terms of the statement; and
Flagami(West End Phase 11 and Fairlawn Phase 118 Sewer Improvements Bid No.: 06-07-012
Page 131
00400. §lD FORM: (Page 4 of 8)
(ii) Notify the employer i� � writing of the employee's conviction under a criminal drug statute
for a violation occurring in the workplace no later than five (5) calendar days after such
conviction;
(5) Notifying the City in writing within ten (10) calendar days after receiving notice under
subdivision (4) (H) above, from an employee or otherwise receiving actual notice of such
conviction. The notice shall include the position title of the employee;
(6) Within thirty (30) calendar days after receiving notice under subparagraph (4) of a
conviction, taking one of the following actions with respect to an employee who is convicted
of a drug abuse violation occurring in the workplace:
(i) Taking appropriate personnel action against such employee, up to and including
termination; or
(ii) Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a federal, state, or local health,
law enforcement, or other appropriate agency; and
(7) Making a good faith effort to maintain a drug-free workplace program through
implementation of subparagraphs(1) through (6); and
5. Lobbying
The undersigned certifies to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid, or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee
of any agency, a Member of Congress, an officer or employee of Congress, or an employee
of a Member of Congress in connection with the awarding of any Federal contract, the
making of any Federal grant, the making of any Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federal contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report
Lobbying,` in accordance with its instructions.
(3) This undersigned shall require that the language of this certification be included in the
award documents for "All" sub -awards at all tiers (including subcontracts, sub -grants, and
contracts under grants, loans, and cooperative agreements) and that all sub -recipients shall
certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when
this transaction was made or entered into. Submission of this certification is a pre -requisite
for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code.
Any person who fails to file the required certification shall be subject to a civil penalty of not
less than $10,000 and not more than $100,000 for each such failure; and
" Note: In these instances, "All" in the Final Rule is expected to be clarified to show that it
applies to covered contract/grant transactions over $100,000 (per QMB).
Flagami/West End Phase If and Fairlawn Phase 118 Sewer Improvements Bid No.: 06-07-012
Page 132
00400. EID FORM: (Page 5 of 8)
6. Debarment. Suspension and Other Responsibility Matters
The Bidder certifies to the best of its knowledge and belief, that it and its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal department or agency.
b. Have not within a three-year period preceding this proposal been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or performing a public (Federal, State, or
local) transaction or contract under a public transaction; violation of Federal or State
antitrust statutes or falsification or destruction of records, making false statements, or
receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a government
entity (Federal, State, or local) with commission of any of the offenses enumerated in
paragraph 11 of this certification; and
d. Have not within a three-year period preceding this application/proposal had one or more
public transactions (Federal, State, or local) terminated for cause or default.
Where the prospective Bidder is unable to certify to any of the statements in this certification,
such Bidder shall submit an explanation to the City of Miami.
Part IV; Certification — Trench Safety Act
The Bidder, by virtue of signing the Bid Form, affirms that the Bidder is aware of the Trench
Safety Act, and will comply with all applicable trench safety standards. Such assurance shall be
legally binding on all persons employed by the Bidder and subcontractors.
The Bidder is also obligated to identify the anticipated method and cost of compliance with the
applicable trench safety standards_
Bidder acknowledges that included in the various items of the proposal and in the total bid price
are costs for complying with the Florida Trench Safety Act. These items are a breakout of the
respective
items involving trenching and will not be paid separately. They are not to be confused with bid
items in the schedule of prices, nor be considered additional work.
The Bidder further identifies the costs and methods summarized below:
Description Unit
LS
Quantity Unit
Price Price Extended
W .
10 400.0E
Method
J
Total $ i 0
Flagami/West End Phase ll and Fairlawn Phase 118 Sewer Improvements Bid No.. 06-07-012
Page 133
00400. §11D FORM: (Page 6 of 8)
Attached is a Bid Bond [ ], Cash [ ], Money Order [ ], Unconditional/irrevocable Letter of
Credit [ ], Treasurer's Check [ ], Bank Draft [ ], Cashier's Check j ], Bid Bond Voucher j ] or
Certified Check f ) No. Bank of
/1 for the sum of
Dollars ($ ).
The Bidder shall acknowledge this bid and certifies to the above stated in Part III and 1V by
signing and compl ting the spaces provided low.
Firm's Name:
Signature: (--
Printed NamelTitle: fi 1
City/State/Zip: —) �-4 Y
Telephone No.: '
Facsimile No v_ ` E -Mail Address; 1 �i� Z-C� �10✓i`24�1—C� � f. (,wK
Socia! Security
No. or Fete,
! t h ( Dun and
I.D.No.: i 2- o `i V F Bradstreet No.: ti
(if applicable)
If a partnership, names and addresses of partners:
Flagami/West End Phase If and Fairlawn Phase IiB Sewer Improvements Bid No.: 06-07-012
Page 134
00400. go FORM: (Page 7 of 8)
CERTIFICATE OF AUTHORITY
(IF CORPORATION)
I HFREBY CERTIFY that at a meeting of the Board of Directors of
f4nei 4( S a corpora nor anized a existing under the laws
of the State of held on the day of rn�� a resolution was duty
passed and adopted authorizing (Na e} t°° cY)_ �GhQ 2 as
(Title) �1Gl9�rr#— of the corporation to execute bids on behalf of the corporation and
providing that his/her execution thereof, attested by the secretary of the corporation, shall be the official
act and deed of the corporation. I further certify that said resolution remains in full force and effect.
1N; WITNESS UGHEREOF, I have hereunto set my hand this day of 206 ./
Print:
I HEREIN CERTIFY
of the State of _
and adopted authorizing (Name
execute bids on behalf of the pa
partner, shall be the official act and
CERTIFICATE OF AUTHORITY
(IF PARTNERSHIP)
that at a meeting of the Board of Directors of
, a partnership organized and existing under the laws
held on the _day of a resolution was duly passed
as (Title} of the to
rship and provides that his/her execution thereof, attested by a
deeZJ,Qf the partnership.
I further certify that said partnership agreem
Partner:
Print:
IN WITNESS WHEREOF, I have hereunto
ns in full force and effect.
hand this , day of , 20
CERTIFICATE OF AUTHORITY
IF JOINT VENTURE)
Joint venturers musts it a joint venture agreement indicating that the person signing this bid is
authorized to sign bid documents n behalf of the joint venture. If there is no joint venture agreement
each member of the joint venture mt sign the bid and submit the appropriate Certificate of Authority
(corporate, partnership, or individual).
CERTIFICATE OF AUTHORITY
(IF INDIVIDUAL)
I HEREBY CERTIFY tha
as (d/b/a)
by the terms of the bid to which
IN WITNESS WHEREOF, I have hereunto
Signed:
Print:
, individually and doing business
(if Applicable) have executed and am bound
is attached.
hand this , day of
20
Flagami/West End Phase It and Fairlawn Phase JIB Sewer Improvements \ Bid No.: 06-07-012
Page 135
00400. BID FORM: (Pane 8 of 8)
NOTARIZATION
STATE OF FLO 1 )
COUNTY OF i�day
The fore oing instrument was apknowiedged before me this q of C!�dylJ�f,
20-a, by who is personally known to me or who has
produced _ —� 1f c!l as identification and who (did / did not) take an oath.
SIGNATURE OF NOTARY PUBL
S>'l B' A0
NAME OF NOTARY PUBLIC
Flagami/West End Phase II and Fairlawn Phase 116 Sewer Improvements Bid No.: 06-07-012
Page 136