HomeMy WebLinkAboutBid Response Form 70 - 1 _ t — Nrs_gtMe lad
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 furnish and deliver, P.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:
Payment Terms: 2% 10 days Net 30 days —
Delivery or Completion of project will be made within 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:A/W/cc? /9 6-.1v/ra,7"nenjJA►C 25;
ADDRESS: 92OY///Wa??P2)2 lAoww' .3��y��•
PHONE: 305"ea5 ?.52. FAX:305'8� .moo Z
EMAIL: 64.0°4002r C&Ze/�.��(�j .r? EEPE"
SIGNED BY: c 9RG .4.4V&
•
TlTLEZe 1/ /7 ' DATE:
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM SHALL DISOUALIFY THIS BID.
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 HERESY CERTIFY pa)at / a eeting of the Board of Directors of
,1�.�I
NeffaVi,110/1'Li /avrr e' a corporation organized and existin under
the laws of the State of -1.o i �G7,4 . , held on the f day of M2Veir _er� /994.a
resolution was duly passed and adopted authorizing (Name) �rjre ac"+£ .ioVA/tE as
(Title)?32EIS r>c.•~,t/'T • 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.
IN WITNESS WHEREOF, I have hereunto set my hand this 2Z, day of 20O,ld�
�v..
Secret
Print:
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.
further certify that said partnership agreement remains in full force and effect.
20
Partner:
Print:
IN WITNESS WHEREOF, I have hereunto set my hand this , day of
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
Bid No. 05-06.006
Bid Response Form - Certification Statement (Page 3 of 3)
CERTIFICATE OF AUTHORITY
(IF INDIVIDUAL)
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 day of ,
20 , by , who is personally known to me or who has
produced as identification and who (did / did not) take an
oath.
SIGNATURE OF NOTARY PUBLIC
STATE O.F FLORIDA
PRINTED, STAMPED OR TYPED
NAME OF NOTARY PUBLIC
City of Miami Page 26
Bid No. 05-06-006
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)
SAMPLE EXTENDED
ITEM # DESCRIPTION UNIT PRICE QUANTITIES** AMOUNT
1 Residential one (1) story frame / stucco, $ •IMO
�~ /sq. feet X 1200 sq ft = $ gee) •�
CBS Structure (INCLUDES SLAB) e
dS ••
2 Residential two (2) story frame / stucco, $ ?' /sq. feet X 2400 sq ft = $ 15 W
CBS Structure (INCLUDES SLAB)
3 Commercial one (1) story / frame stucco, $ /sq. feet X 3000 sq ft=$ !, 74.40 "'
CBS Structure (INCLUDES SLAB) �g
4 Commercial two (2) & three (3) story $ + 25 /sq. feet X 6000 sq ft- $5.90 tir
frame/stucco, CBS Structure (INCLUDES SLAB)
Commercial Structure four (4) story or $ 2,' 25 /sq. feet X10,000sq ft= $ 32cOatli
5
40 feet in height or more (INCLUDES SLAB)
6 walls +� 9op °6
/linear feet X100 lin.ft= $ //�� /f
7 Slabs $ . •� /sq. feet X 1000 sq ft= $,G.OG�i
Ow
Fences $ . i" / foot X 200 ft = $ 5490 ,M
(Any additional slab and/or fence not appurtenant at additional cost)
8 Sewer Capping Services $ 'm /project X 1 = $ Vq5°6'
OPTIONAL SERVICES:
9 Minimum charge per project $ �' Q1r /project X 1 $ AQ' "
(Not to exceed $1000.00)
10 Asbestos Survey $ T Q r /project X 1 = $ 44/00
11 Asbestos Supervisor, if needed $ ,,A dIPS /hour X 8 = $ 28a
12 ••
Abandonment of Septic Tanks $ �„>�" .5 Q .' /tank X 1 = $ 50
(will be utilized in conjunction with #1#5 above)
13 Machine Inaccessible (Demolition by Hand) $r 4 Cisq. feet X 250 sq ft = $ 25049
SUM TOTAL (ITEMS 1-13) $ 8/4/50
**Note: Sample quantities are fore‘,r.'!}ation purposes only.
City of Miami Page 27
Bid No. 05-06-006
Certificate of Competency OR State of Florida Demolition License
No, CiC 06 /280 Expires' DR, 3 / . 2 Oc G .
(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".
1,
2.
3.
Type of Work
Subcontractor's
County -Municipal
Name of Occupational
Subcontractor License Number
Subcontractor's Appropriate License No. /
11/44---*
(Current copy to be submitted with bid)
Expiration Date: BIDDER:
(company name)
Signature:
DATE: O 3 . Z Z O+�
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM SHALL DISQUALIFY BIDDER.
City of Miami Page 28
Bid No. 05-06-006