HomeMy WebLinkAbout7.4-7.6City of Miami, Florida RFQ No. 03-04-022
7.4. LOCAL OFFICE LOCATION AFFIDAVIT (COMPLETE ONLY IF YOUR FIRM IS LOCATED
WITHIN THE CITY OF MIAMI)
Please type or print clearly. This Affidavit must be completed in full, signed and notarized ONLY if your office is located
within the corporate limits of the City of Miami.
Legal Name of Firm: Entity Type: (check one box only) [j Partnership
0 Sole Proprietorship [] Corporation
Corporation Doc. No:
Date of Issuance:
Date Established: Occupational License No:
Office Location'
PRESENT
Street Address:
City:
State: How long at this location:
The intention of this section is to benefit local bona fide bidders/proposers to promote economic development within the
corporate limits of the City of Miami.
I (we) certify, under penalty of perjury, that the office location of our firm has not been established with the sole purpose of obtaining
the advantage granted bona fide local bidders/proposers by this section.
:
Authorized Signature
Print Name
Title
Authorized 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 MIAMI-DADE
[] Personally known to me; or
Subscribed and Sworn before me that this is a true statement this day of 200 . p Produced
identification:
Notary Public, State of Florida My Commission expires
Printed name of Notary Public
Please submit with your bid copies of Occupational License, professional andlor 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 documents(s) to verify the location of the firm's office location.
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City of Miami, Florida RFQ No. 03-04-022
7.5. DEBARMENT AND SUSPENSION
(a) Authority and requirement to debar and suspend:
After reasonable notice to an actual or prospective contractual party, and after reasonable
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.
(b) Causes for debarment or suspension include the following:
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
Responses;
4. Violation of contract provisions, which is regarded by the Chief Procurement Officer to be
indicative of non -responsibility. 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, SIGN, AND RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE
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City of Miami, Florida RFQ No. 03-04-022
7.6. STATEMENT OF COMPLIANCE WITH ORDINANCE NO. 10032
Proposer certifies that (s)he has read and understood the provisions of City of Miami Ordinance No.
10032 (Section 18-105 of the City Code) pertaining to the implementation of a "First Source Hiring
Agreement."
Proposer will complete and submit the following questions as part of the RFQ Proposal.
Violations of this Ordinance may be considered cause for annulment of a Contract between the
Successful Proposer and the City of Miami.
A. Do you expect to create new positions in your company in the event your company was awarded a
Contract by the City?
Yes No
B. In the event your answer to Question "A" is yes, how many new positions would you create to perform
this work?
C. Please list below the title, rate of pay, summary of duties, number of positions, and expected length or
duration of all new positions which might be created as a result of this award of a Contract.
RATE OF PAY
POSITION/TITLE HaurtY woo y DUDES
EXPECTED°
NUMBER OF LENGTH OR
PQ8.111011,5 pURATION
1)
2)
3)
4)
5)
6)
7)
8)
(Use additional sheets if necessary)
PROPOSER NAME:
SIGNATURE/TITLE:
DATE:
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM MAY DISQUALIFY PROPOSAL.
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