HomeMy WebLinkAboutBid Response Form 35.0 BID RESPONSE CHECK LIST
This checklist is provided to help you conform to all requirements stipulated in this IFB.
1. Bid Certification Form (Form 4.1.)
This form must be competed and signed to validate your bid
2. Bid Form- (Form 4.2.)
This form must be completed and signed by bidder
3. Bidder Qualification Statement (Form 4.3.)
This form should be completed in its entirety to verify the capability of
bidder to perform/deliver the services/goods specified in the IFB
4. Minorlty/Women Business Affairs Registration Affidavit, If
applicable (Form 4.4.)
Must be completed only if one or more of the owners in the business
enterprise is at least 51 % owned by a Black, Hispanic or Female.
5. Affirmative Action Policy for Equal Employment Opportunity
(Form 4.5.)
Should be completed by Bidder.
6. Office Location Affidavit, If applicable (Form 4.6.)
Section 18-85 of City Ordinance No. 12271, states that the City
Commission may offer to a responsible and responsive bidder, who
maintains a Local Office, the opportunity of accepting a bid at the low
bid amount, if the original bid amount submitted by the local vendor is
not more than ten percent (10%1 in excess of the lowest other
responsible and responsive bidder. (Must be signed and notarized by
the local bidder, only for use in attesting office location). The City
reserves the right to verify local status.
7. Statement of No Bid, only if applicable (Form 4.7.)
If you do not intend to submit a bid on this commodity or service,
please return this form in the bid envelope on or before bid opening. If
the "Statement of No Bid" form is not completed and returned, your
company may be deleted from the City of Miami bidder's list for this
commodity or service.
8. Statement of Compliance with Ordinance 10032 (Form 4.8.)
This form must be completed and signed by bidder
9. Copy of Occupational License
Copy to be included with Bid.
10. Copy of Certificate of Competency or License for Demolition
issued by the State or County Examining Board
Copy to be included with Bid.
Required to be
Submitted with
Bid
Yes ® No ❑
Yes ® No ❑
Yes ® No ❑
Yes ® No El
Yes ® No El
Yes ® No ❑
Yes ® No ❑
Yes No ❑
Yes ® No ❑
Yes ® No ❑
TO BE SUBMITTED AS PART OF YOUR BID RESPONSE.
City of Miami Page 36
Bid No. 06-06-006
4.0 BID RESPONSE FORM
4.1. Certification Statement (Page 1 of 3)
Please quote on this form(s) net prices for the item(s) listed. Return signed original and retain a
copy for your files. Prices should include all costs, including transportation to destination. The
City reserves the right to accept or reject all or any part of this bid. Prices should be firm for a
minimum of 120 days following the time set for opening of the bids,
In the event of errors in extension of totals, the unit prices shall govern in determining the
quoted prices.
We (I) certify that we have read your Invitation for Bids, completed the necessary documents,
and propose to fumish and deliver, F.O.B. DESTINATION, the items or services specified
herein.
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, or debarred or suspended as
set in section 18-107 or Ordinance No. 12271.
All exceptions to this bid have been documented in the section below (refer to paragraph and
section).
EXCEPTIONS:
Terms: 2% 10 days_ Net 30 days 1
Payment Y _
Delivery or Completion of project will be made within1 calendar days after receipt of
purchase order.
We (I) certify that any and all information contained in this bid is true; and we (I) further certify
that this bid is made without prior understanding, agreement, or connection with any
corporation, firm, or person submitting a bid for the same materials, supplies, equipment, or
service, and is in all respects fair and without collusion or fraud. We (I) agree to abide by all
terms and conditions of this IFB and certify that I am authorized to sign this bid for the bidder.
Please print the following and sign your name:
NAME OF BIDDER: 0 c-eq n C-16.0.''^1`I' i'=""`' J n
ADDRESS: 1 4 f J v ('=' 1 54Vej- n cRYN" (1- . 3311 (c, 8
PHONE: Sr'•"15I-g600 FAX: 5`'1Sl- 3 oC}
EMAIL:-JUI�
S � 1 ABEEPER:
SIGNED BY:
‘4,-s
TITLE: fj, cq` - DATE: 3
FAILURE TO COMPLETE. SIGN. AND RETURN CIS FORM SHALL DISOUALLFY THIS Hln,
City of Miami Page 24
Bid No. 05-06-006
Bid Response Form - Certification Statement (Page 2 of 3)
CERTIFICATE OF AUTHORITY
(IF CORPORATION)
I HEREBY CERTIFY that At la meeting of the Board of Directors of
OAR n Ejnacr='.v,.i l t _ , a corporation organized act d existing under
the laws of the State of r �. , held on the I3day f� chi,,, a
resolu ''pn was duly passed and adopted authorizing (Name) 'F-[t\ (� ' L `' as
(Title) Y+l� -a' of the corporation to execute bids on behalf of the corporation
and provtting that h r 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.
IN WITNESS WHEREOF, I have hereunto set my hand thisay of 1.-\(\ at.
20 a.
Secretary: jl,R 1
Print: to kvq\ ck
CERTIFICATE OF AUTHORITY
(IF PARTNERSHIP)
I HEREBY CERTIFY that at a meeting of the Board of Directors of
a partnership organized and existing under
the laws of the State of , held on the _day of , a
resolution was duly passed and adopted authorizing (Name) as
(Title) of the to execute bids on behalf of the partnership and provides
that his/her execution thereof, attested by a partner, shall be the official act and deed of the
partnership.
I further certify that said partnership agreement remains in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand this , day of
20
Partner:
Print:
CERTIFICATE OF AUTHORITY
(IF JOINT VENTURE)
Joint venturers must submit a joint venture agreement indicating that the person signing this bid
is authorized to sign bid documents on behalf of the joint venture. If there is no joint venture
agreement each member of the joint venture must sign the bid and submit the appropriate
Certificate of Authority (corporate, partnership, or individual).
City of Miami Page 25
Bld No. 08.06-006
Bid Response Form - Certification Statement (Page 3 of 3)
CERTIFICATE OF AUTHORITY
(IF INDIVIDUAL]
I HEREBY CERTIFY that, I (Name) , individually and doing
business as (d/b/a) (If Applicable) have
executed and am bound by the terms of the bid to which this attestation is attached,
IN WITNESS WHEREOF, I have hereunto set my hand this , day of
, 20
Signed:
Print:
STATE OF )
) SS:
COUNTY OF )
The foregoing instrument was acknowledged before me this
hpersonally known to me or who has
20 , by, who is
produced as identification and who (did / did not) take an
oath.
SIGNATURE OF NOTARY PUBLIC
STATE OF FLORIDA
PRINTED, STAMPED OR TYPED
NAME OF NOTARY PUBLIC
City of Miami Pap 26
Bid No. 06.06-006
4.2. BID FORM
BIDDERS MUST BID ON ALL OF THE ITEMS LISTED BELOW. AWARD SHALL BE MADE ON AN
AGGREGATE BASIS TO THE PRIMARY AND SECONDARY LOWEST MOST RESPONSIVE AND
RESPONSIBLE BIDDER(S). PERMIT FEES AND TIPPING FEES ARE NOT TO BE FACTORED IN
YOUR BID AS THESE ITEMS ARE TO BE BILLED AS A SEPARATE LINE ITEM WITH PROOF OF
COST SUBMITTED WITH INVOICE. CURRENT FUEL COST MUST BE FACTORED INTO YOUR BID
PRICING, HOWEVER, FUTURE FUEL COST FLUCTUATIONS WILL BE BILLED SEPARATELY
BASED ON THE CONSUMER PRICE INDEX (SEE SECTION 2.23., FUEL COST INDEX)
ITEM #
1
2
3
4
5
DESCRIPTION
Residential one (1) story frame / stucco, $
CBS Structure (INCLUDES SLAB)
SAMPLE EXTENDED
UNIT RICE QUANTITIES** AMQQ 1T 4-9
leg. feet X 1200 sq ft = $ at Qd
/sq. feet X 2400 sq ft = $ 12..o v
Residential two (2) story frame / stucco, $
CBS Structure (INCLUDES SLAB)
Commercial one (1) story / frame stucco,
CBS Structure (INCLUDES SLAB)
Commercial two (2) & three (3) story
frame/stucco, CBS Structure (INCLUDES SLAB)
Commercial Structure four (4) story or $
40 feet in height or more (INCLUDES SLAB)
6 Walls
7
Slabs
Fences
(Any additional slab and/or fence
8 Sewer Capping Services
OPTIONAL SERVICES:
9 Minimum charge per project
(Not to exceed $1000.00)
10
11
12
Asbestos Survey
/sq. feet X 3000 sq ft=$10 0
/sq. feet X 6000 sq ft= $ 1 (6 Q
/sq. feet X10,00
/linear feet X100 Iin.ft= $
$
$
not appurtenant
� /sq. feet X 1000 sq ft= $ O b
1 i foot X 200 ft = $
at additional cost)
$ /project X 1 =
ras
$cicl- /projectX 1 = $�.
$15 0
Asbestos Supervisor, if needed $ 5 5 /hour X
Abandonment of Septic Tanks $ 2 4`'—'7tank X
(will be utilized In conjunction with #145 above)
13 Machine Inaccessible (Demolition by Hand) $ Ur /sq.
SUM TOTAL (ITEMS 1-13)
/project X 1 = $'-^r
8 = $1- 4-a --
1=$2-5b'156-
feet
**Note: Sample quantities are for evaluation purposes only.
Ctty of Miami
Bid No. 05-08.006
Page 27
Certificate of Competency OR State of Florida ' emolj ' on License
NoC COL (l I C i
Expires
(to be provided with Bid Form Response)
If no Subcontractors are to be used, insert the word Self in the spaces under "Name of Subcontractor".
Subcontractor's
County -Municipal
Name of Occupational
Type of Work f Subcontractor 1 r License Num.er
ill
3. .S .Q
Subcontractor's Appropriate
(Current copy to be submi
Expiration Date:
Signature:
DATE:
F&ILURE TO COMPLETE. SIGN. AND RETURN THIS FORM SHALL DISQUALIFY BIDDER.
Icense No.
d with bid)
r�
BIDDER:
(compa y name)
City of Miami
Bid No. 06-O6 OOB
Page 28