HomeMy WebLinkAboutBid Response Form 24.0 BID RESPONSE FORM
4.1. Certification Statement
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, 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.
RI# -exceptions to this bid have been documented in the section below (refer to paragraph and
section).
EXCEPTIONS: DELIVERY TIME WILL BE 60 DAYS A. R. 0. C . ON BOTH THE VAC -CON' S
AND VAC-TRON1S BID FOR SECTIONS 3.1 AND 3.5 RESPECTIVELY.
Payment Terms: 2% 10 days Net 30 days X
Delivery will be made within 60 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: SSES, INC. dba SOUTHERN SEWER EQUIPMENT SALES
ADDRESS: 3409 INDUSTRIAL 27th STREET, FT PIERCE, FL 34946
PHONE: (800) 782-4134
FAX: (772) 595-9171
EMAIL: info@southernsewer.com
SIGNED BY:
TITLE: GENERAL MANAGER DATE: APRIL 3, 2006
FAILURE TO COMPLETE, SIGN. AND RETURN THIS FORM SHALL DISQUALIFY THIS BID.
City of Miami Page 38
Bid No, 08.06-040
Bid Response Form - Certification Statement (Page 2 of 3)
CERTIFICATE OF AUTHORITY
(IF CORPORATION)
I HEREBY CERTIFY that at a meeting of the Board of Directors of
SSES, INC. , a corporation organized and existing under
the laws of the State of FLORIDA , held on the 3r dday of MAY , 2004 , a
resolution was duly passed and adopted authorizing (Name)MIKE WOOD as
(Title) GENERAL MANAGER 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 3rd , day of ARIL
2006 .
Secretary:j./ s i /t. .>-
Print „li �,- 1• i1 (� `�
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 39
Bld No. Oa O6-04O
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 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 OF FLORIDA
PRINTED, STAMPED OR TYPED
NAME OF NOTARY PUBLIC
City of Miami Page 4fl
BId No, 05.06-040
4.2. BID FORM
4.2.1 PURCHASE OF TWO (2) VACUUM TRUCKS (VACTOR, MODEL 2115-16) OR APPROVED
EQUAL
UNIT COST $284, 925.0Q2 A TOTAL COST $ 569,850 .00
Make and Model (if different from above brand) NEW VAC —CON VPD3616LHAEN/1500 MOUNTED
ON A NEW INTERNATIONAL 7600 SFA 6x4
4.2.2 OPTIONS: COST OF OPTION
Lateral Cleaning Kit $ ADDENDUM 1 x 2 (two) = TOTAL COST $ N/A
DOT3 six (6) strobe $ 2,660.00 x 2 (two) = TOTAL COST $ 5, 320.00
Jet rod camera with LCD $ 18, 353.0Q x 1 (one) = TOTAL COST $18, 353.00
Well Cleaning Device $ 4, 660.00 x 1 (one) = TOTAL COST $4, on
TOTAL OPTIONS $ 28, 333.00
Manufacturers warranty parts (years) 1
Manufacturers warranty labor (years) 1
Local Service Facility Address: AT YOUR FACILITY VIA MOBILE SERVICES TECHNICIANS
OR 3409 INDUSTRIAL 27t:h STREET, FT PIERCE, FL
Exceptions to specifications (if any)
DELIVERY TIME WILL BE 60 DAYS A.R.O.C.
dba EQUIPMENT SALES ----
Bidder SSES, INC. SOUTHERN SEWER Authorized Signature:
(company name)
FAILURE TO COMPLETE. SIGN AND RETURN THIS FORM SHALL DISOUALIFY YOUR BID
�lf
City of Miami Page 41
Bid No. 05-06-040
AVAILABLE OPTIONS PRICE LIST
CITY OF M IAM I
BID # 05-06-040 (Section 4.2.2)
AVAILABLE OPTIONS:
Dual Engine Design ilo Single Engine
827 Roots PD Blower
Wireless Pendant Control
3' x 8" Clear Vacuum Tube
5' x 8" Aluminum Vacuum Tube
6' x 8" Aluminum Vacuum Tube
8" Aluminum Vacuum Tube Quick Clamp
Triangle Road Kit
First Aid Kit
Fire Extinguisher 5 Lb.
Rotating Chain Scraper Root Cutter Kit 6", 8", 10"
Nozzle Rack
Vacuum Enhancer Assembly
Electromagnet for Outrigger Leg
50 GPM @ 3000 PSI Water Pump ilo 80GPM @ 2000PSI
High Dump Debris Tank
D.O.T. Arrowboard
575 GPM Pump Off System
Gravity Drain System
Industrial Door Design
Lazy Susan Pipe Rack ilo Hydraulic Folding Pipe Rack
Hydraulic Swage Kit
Manhole Guard
3 Stage Compressor Vacuum System (Dual Engine Design)
DEDUCTIONS:
Single Axle Unit (9 yard debris tank/1000 gallon water capacity)
12 Yard Debris Tank ilo 16 Yard
6' Telescopic Boom ilo 10' Telescopic Boom
1300 Gallon Water Capacity ilo 1500 Gallons
TH 7400 Chassis with 310HP HT570 Engine/Allison 3000 RDS
Delete GPS System
60GPM @ 2000PSI Water System
9,612.00
3,299.00
3,376.00
417.00
205.00
232.00
28.00
70.00
70.00
113.00
1,650.00
85.00
3,537.00
3,537.00
N/C
13, 781.00
3,690.00
9,247.00
1,413.00
3,939.00
N/C
2,181.00
169.00
2,631.00
( 15,329.00)
(8,975.00)
(1,500.00)
(2,848.00)
(12,400.00)
(3,000.00)
(2,500.00)
4.2.3 EIiRCHASE OF TWO (2) BOBCAT S-185 (SKID -STEER LOADER OR APPROVED EQUAL
UNIT COST $ N�A X 2 = TOTAL COST $
Make and model (if different from above brand)
4.2.4 OPTIONS COST OF OPTION
Tree Shear - TB03 - Hydraulic Rotation
(High Flow) with a 5.5" bore cylinder
24 diameter Rock Auger Bit (Bit Only)
48 Angle Broom
Grapple Bucket
Stump Grinder (SG60)
x 3 (three) = TOTAL COST $
x 1 (one) = TOTAL COST $
x 3 (three) = TOTAL COST $
x3 (three) = TOTAL COST$
x 1 (one) = TOTAL COST $
TOTAL OPTIONS $
Manufacturers warranty parts (years)
Manufacturers warranty labor (years)
Local Service Facility Address:
Exceptions to specifications (if any)
Bidder
Authorized Signature:
(company name)
FAILURE TO COMPLETE..SIGN AND RETURN THIS FORM SHALL DISQUALIFY YOUR BID
City of Miami
BId No. 05-06-040
Page 42
4.2.5 PURCHASE OF ONE MOBILE CONCRETE MIXER (MODEL ZIMMERMAN) OR APPROVED
EQUAL AND ONE PORTABLE CONCRETE Silo
(A) MOBILE CONCRETE MIXER UNIT COST $ N/A
XI TOTAL COST $
(B) PORTABLE CONCRETE SILO UNIT COST $_ XI TOTAL COST $
TOTAL (A)+(B) $
Make and model (if different from above brand)
4.2.6 OPTIONS: NO OPTIONS
Manufacturers warranty parts (years)
Manufacturers warranty labor (years)
Local Service Facility Address:
Exceptions to specifications (if any)
Bidder Authorized Signature:
(company name)
FAILURE TO COMPLETEJIGN AND RETURN THIS FORM SHALL DISOUALIFY YOUR BID
City of Miami Page 43
BId No. 06-06-040
4.2.7 PURCHASE OF TWO (21 CHIP DyMP BODY TRUCKS
UNIT COST $ N/A X 2 = TOTAL COST $
4.2.8 OPTIONS: NO OPTIONS
Manufacturers warranty parts (years)
Manufacturers warranty labor (years)
Local Service Facility Address:
Exceptions to specifications (if any)
Bidder Authorized Signature:
(company name)
FAILURE TO COMPLETE, SIGN AND RETURN THIS FORM SHALL DISOUALIFY YOUR BID
City of Miami Page 44
Bid No. 06-06-040
4.2.9 PURCHASE OF TWO (2) MINI -VAC TRUCKS (MODEL VAC-TRON PMD 650 SD OR
APPROVED EQUAL)
Make and model (if different from above brand) VAC-TRON MODEL PMD550SD MOUNTED ON A
NEW FORD F650
UNIT COST 688,986.00X2=TOTAL COST$177,972.00
4.2.10 OPTIONS: NO OPTIONS
(VAC- ON)
Manufacturers warranty parts (years) 1 YEAR LIMITED PARTS WARRANTY (AS PER SPECIFICATIONS)
(VAC-TRON)
Manufacturers warranty labor (years) 6 MONTH LIMITED LABOR WARRANTY (AS PER SPECIFICATIONS )
Local Service Facility Address: AT YOUR FACILITY VIA
3409 INDUSTRIAL 27th
Exceptions to specifications (if any) CHASSIS QUOTED IS
AND ALLISON 2500 IDS 'TRANSMISSION
MOBILE SERVICE TECHNICIANS OR
STREET, FT PIERCE, FL
F-650 WITH CUMMINS DIESEL ENGINE
SSES INC. dba SOUTHERN SEWER EQUIPMENT SALES f y
Bidder , Authorized Signature:
(company name)
FAILURE TO COMPLETE. SIGN AND RETURN THIS FORM SHALL DISOUALIFY YOUR BID
OPTIONS:
6.0 FORD POWERSTROKE ENGINE---N/C
HYDRAULIC BOOM ILO ELECTRIC BOOM---$2,400.00
City of Miami
Bid No, 05-06-040
Page 45
4.3. Qualification Statement (Page 1 of 2)
INSTRUCTIONS:
This questionnaire is to be included with your bid. Do not leave any questions unanswered. When the question
does not apply, write the word(s) "None", or "Not Applicable", as appropriate. Please print.
COMPANY NAME: SSES, INC. dba SOUTEIERN SEWER EQUIPMENT SALES
COMPANY OFFICERS:
President SHERRY DENMON
Secretary SHERRY DENMON
COMPANY OWNERSHIP:
SHERRY DENMON
FEf ,TX fFNMINN
Vice President FELIX DENMON
Treasurer FELIX DENMON
51 % of ownership
49 % of ownership
% of ownership
% of ownership
LICENSES:
1. County or Municipal Occupational License No. 5999-00970142
(attach copy with bid)
2, Occupational License Classification 5999_. SALES OF EQUIPMENT FOR CLEANING & SERVICES
3. Occupational License Expiration Date: SEPTEMBER 30, 2006
4. Metro -Dade County Certificate of Competency No. N/A
(attached copy if requested in Bid or RFP)
5. Social Security or Federal I.D. No. 65-0267110
EXPERIENCE:
6. Number of Years your organization has been in business: 15
7. Number of Years experience BIDDER/PROPOSER (person, principal of firm, owner) has had in operation
of the type required by the specifications of the Bid or RFP: 15
8. Number of Years experience BIDDER/PROPOSER (firm, corporation, proprietorship) has had in operation
of the type required by the specifications of the Bid or RFP: 15
City of Miami Page 48
Bid No. 05-08-040
Bid Response Form — Qualification Statement (Page 2 of 2)
9. Experience Record: List references who may be contacted to ascertain information on past and/or present
equipment sold, that BIDDER/PROPOSER has delivered and/ serviced of a type similar to that required by
specifications of the City's Bid or RFP with whom you have done business with in the past three (3) years:
FIRM NAME/ADDRESS DATE OF PURCHASE
FLORIDA POWER & LIGHT 2005 VAC IRON
158 MACA IEUR CAUSEWAY
MIAMI, FL 33139
DESCRIPTION OF EQUIPMENT
PMD850SDT
CONTACT PERSON: MIKE DENO
FIRM NAME/ADDRESS
CITY OF BOYNTON BEACH
222 N.E. 9th AVENUE
BOYNTON BEACH, FL 3.435
CONTACT PERSON: TIM CALHOUN
PHONENO.:(3Q5) 228-5233
DATE OF PURCHASE DESCRIPTION OF EQUIPMENT
2003 VAC TRON PMD500DTE
FIRM NAME/ADDRESS DATE OF PURCHASE
INDIAN RIVER COUNTY
180 S.W. 27t:h AVENUE
SRO RFACH, FT. 37968
CONTACT PERSON: EMORY BAILES
PHONENO,: (561) 742-6215
DESCRIPTION OF EQUIPMENT
2005 VAC TRON FM15OSDT
FIRM NAME/ADDRESS DATE OF PURCHASE
PALM BEACH CTY1 WATER UTIL. 2004
3700 BELVEDERE RD, BLDG rE"
WEST PALM BEACH, FL 33406
CONTACT PERSON: JIMMY HARTMAN
PHONENO.:(772) 770-5266
DESCRIPTION OF EQUIPMENT
VAC TRON PMD80OSDT
PHONE NO.:(561) 493-6209
FAILURE TO FULLY COMPLETE, AND RETURN THIS FORM MAY DISQUALIFY YOUR BID.
City at Miami Page 47
Bid No. 05-06-040
Bid Response Form — Qualification Statement (Page 2 of 2)
9. Experience Record: List references who may be contacted to ascertain information on past and/or present
equipment sold, that BIDDER/PROPOSER has delivered and/ serviced of a type similar to that required by
specifications of the City's Bid or RFP with whom you have done business with in the past three (3) years:
FIRM NAME/ADDRESS
MIAMI DADE WASD
3700 DOUGLAS ROAD
MIAMI, FL 33146
DATE OF PURCHASE DESCRIPTION OF EQUIPMENT
2005 ORDERED 21 VAC -COW S
CONTACT PERSON: BILL RICHMOND
FIRM NAME/ADDRESS
CITY OF HOMESTEAD
PHONE NO.:(786) 552-8052
DATE OF PURCHASE DESCRIPTION OF EQUIPMENT
2004 VAC -CON SEWER CLEANERS
675 N. FLAGLER AVENUE
HOMFSTFATI, FT , 3'3n 3n
CONTACT PERSON: ROBERT LANDEN
FIRM NAME/ADDRESS
FLORIDA UTILITIES
PHONE NO.:(305) 247-1801
DATE OF PURCHASE DESCRIPTION OF EQUIPMENT
2005 VAC -CON SEWER CLEANERS
8569 N.W. 68th STREET
MTAMT, FT, 33166
CONTACT PERSON: HECTOR PAREDES
FIRM NAME/ADDRESS DATE OF PURCHASE
PALM BEACH COUNTY WATER UTIL. 2005
810Q EQRREST HILL BLVD
WFST PALM BFACH, FT , '3 3416
CONTACT PERSON: JIMMY HARTMAN
PHONE NO.: (305) 597-4010
DESCRIPTION OF EQUIPMENT
VAC CON SEWER CLEANERS
PHONENo.:(561) 493-6209
FAILURE TO FULLY COMPLETE, AND RETURN THIS FORM MAY DISOUALIFY YOUR BID.
City of Miami
Bld No. 05-06-040
Page 47
4.4. MINORITY/WOMEN BUSINESS AFFAIRS REGISTRATION AFFIDAVIT
Please Check One Box Only [ ] Hispanic [ jFemale [ 1 Black [ } Not Applicable
If business is not 51% minority/female owned , affidavit does not apply. If not applicable, notarization is not required.
I (We), the undersigned agree to the following conditions:
1) that we have read Section 2.25 of the General Terms 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 Bidder Application should
prove to be false, inaccurate, or misleading, applicant's name will be struck from the City of Miami's
Master Bidder 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 Bidder
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
Bidder 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.
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: SSES, INC. dba SOUTHERN SEWER EQUIPMENT SALES /C..r -k.-- "74-12: k1-,-_-,"'-
(If signing as a corporate officer, kindly affix corporate seal)
SHERRY DENMON/ PRESIDENT APRIL 3, 2006 FELIX DENMON/ VICE-PRESIDENT APRIL 3, 2006
(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.
NOTARIZATION
COUNTY, SS
COUNT,QF SARI LUCTE `'' Date:APRIL 3, 2006
�kk" That: ie.(1. C.tt"-1FC1CPCI personally appeared before me and
acknowledged the fore oing instrument as his/her act and deed.
That he/she has produced' .) (L.`i `yor1(i I !i K ("ell._L�i t as identifica i
[ a z'''
n.
�- Y� �— - - � NOTARY PUBLIC: di.._-i.�..•
rly� SAFII A. SHRADER ,
,� MY COMMISSION # OD 523008 My Commission Expires: / �... e.- -C)
too, ffXP1RES: Maroh 17, 2010
1'a°0's"Naritllai ,+ iretattfrePl'l SIGN. AND RETURN THIS FORM MAY DISQUALIFY THIS BID.
City of Miami
BId No. O546-040
Page 45
4.5. SAMPLE OF 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 are 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 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: APRIL 3, 2006
(SIGNATURE/TI LE):
l.�
GENERAL MANAGER
FAILURE TO COMPLETE. SIGN, AND RETURN THIS FORM MAY DISQUALIFY THIS BID.
City of Miami
Sid No. 08.08.040
Page 49
4.6. OFFICE LOCATION AFFIDAVIT
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:
N/A
Corporation Doc, No:
Entity Type: (check one box only) [] Partnership
[) Sole Proprietorship p Corporation
Date Established: Occupational License No: Date of Issuance:
Office Location of the bidder/proposer:
PRESENT
Street Address:
City:
State: How long at this location;
PREVIOUS
Street Address:
City:
State How long at this location:
According to Ordinance No. 12271 (Section 18-85):
The City Commission may offer to a responsible and responsive local 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 (10141 in gticess of the lowest other
responsible and responsive bidder.
The intention of this section is to benefit local bona fide bidders/proposers to promote economic development within the corporate limits or
the City of Miami.
1 (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.
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
[t Personally known to me; or
Subscribed and Swam before me that this is a true statement this _ day of 199 . [l 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 and/or trade License to verily local status. The City of Mianti
also reserves the right to request a copy of the corporate charter, corporate Income tax tiling return and any other documents(s) to verily
the location of the firm's office.
City of Miami Page 60
BId No. 06.06.040
4,7. STATEMENT OF NO BID
NOTE: If you do Lipl intend to submit a bid on this commodity or service, please return this form in the bid envelope
on or before bid opening. Failure to submit a response after three (3) times without a sufficient justification
of "No Bid" will be cause for removal from the vendor/bidder's list.
Office of the City Clerk
3500 Pan American Drive
Miami, FL 33131-5504
We, the undersigned, have declined to submit a bid on your Bid No. 05-06-040 for PURCHASE OF VACUUM
TRUCKS. SKID STEER LOADERS. MOBILE CONCRETE MIXER. CONCRETE SILO. CHIP DUMP
BODY TRUCKS AND MINI VACUUM TRUCKS FOR PUBLIC WORKS for the following reasons:
Specifications too "tight", i.e., geared toward one brand or manufacturer only (explain below).
Insufficient time to respond to the Invitation for Bids
We do not offer this product or service.
Our schedule would not permit us to perform,
We are unable to meet specifications.
We are unable to meet bond requirements.
Specifications are unclear (explain below).
We are unable to meet insurance requirements.
Remove us from your bidders' list for this commodity or service.
Other (specify below).
Remarks: N/A
We understand that if this statement is not completed and returned, our company may be deleted from the City of
Miami bidders' list for this commodity or service.
Company Name:
Signature:
Title:
Telephone:
Date:
A completed vendor application should be returned with this form if vendor has not previously submitted an
application and secured a vendor number from the City.
City of Miami Page 61
BId No. 06.06.040
4.8. STATEMENT OF INTENT TO COMPLY WITH ORDINANCE NO. 10032
Bidder certifies that (s)he has read and understood the provisions of City of Miami Ordinance No. 10032, pertaining
to the implementation of a "First Source Hiring Agreement".
Bidder will complete and submit the following questions as part of the IFB. Evaluation of bidder's responsiveness to
Ordinance No. 10032 may be a consideration in the award of a contract.
Violations of this Ordinance may be considered cause for annulment of a contract between the successful bidder and
the City of Miami.
A. Do you expect to create new positions in your company in the event your company was awarded this contract by
the City?
Yes X 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 contract.
EXPECTED
RATE OF PAY NUMBER OF LENGTH OR
POSITION/TITLE Houllv/Weekly DUTIES: POSITIONS DURATION
1)N/A
2)
3)
4)
5)
6)
7)
8)
(Use additional sheets if necessary.)
COMPANY NAME: SSES, INC. dba SOUTHERN ,SEWER EQUIPMENT SALES
GTIENA(ER,ALFR
SIGNATURE/TITLE:
DATE: APRIL 3, 2006
FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM MAY DISQUALIFY THIS BID.
City of Miami Page 52
Bid No. 05-06-040