HomeMy WebLinkAboutBid Form00400. BID FORM: (Page lof 10)
City of Miami, Florida
Office of the City Clerk
City Hall, 1st Floor
3500 Pan American Drive
Miami, Florida 33133-5504
Submitted: 10 f 11) WOtQ
Date
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: 05-06-117
Title: ORANGE BOWL PARKING LOT REPAIRS--ADA, B-30521
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 Certificate(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 Certificates) of Insurance within fifteen (15)
calendar days after being notified of the award of the Contract.
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.
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.: 05-06-1 ] 7
Page 20
00400. @IDFORM: (Page 2 of 10)
Note: Bidders are bidding on a lump sum line item basis for the purpose of determining
the lowest responsive and responsible bidders. The City at Its sole discretion may award
a contract(s) based on a combined total of all Items sums or may award each line item
separately, based on which Is most advantageous to the City.
Our LUMP SUM BID includes the total cost for the work specified in this bid, consisting of
furnishing all materials, labor, equipment, supervision, mobilization, overhead & profit required, in
accordance with the Bld Specifications.
ITEM #1 Orange Bowl Parking Lot Repairs (per plans)
Lump Sum: $ rj a
&i,•! j Intl:: •77&s*ycJ nd'
Written Amount
CONTINGENCY ALLOWANCE: $5,000
COMBINED ITEM #1 BID PRICE (Including contingency allowance)
fyrJ 5 A ❑v,.l.d d
Written Amount
ITEM #2 Extermination/Pesticide of existing weeds
Lump Sum: pp�
IW Uvtr1 CI# L
$ ca
Written Amount
CONTINGENCY ALLOWANCE: $ S -
COMBINED ITEM #2 BID PRICE (including contingency allowance)
19116-' 7/14 snb4C4 FC✓E Hdt(
Written Amount
Orange Bowl Parking Lot Repairs —ADA Addendum No, 2 Bibb 05-08-117 4
00400. D(QfORM: (Page 3 of t 0)
ITEM #3 Additional Repair Work added by Addendum No. 2
Lump Sum:
$c4-46
Sir j� (rf7 USkr` Wi.i1alild&el
Written Amount
CONTINGENCY ALLOWANCE: $ Q Cej
COMBINED ITEM #3 BID PRICE (Including contingency allowance)
f./Ps7 1-Ad/.5�.dfi-J y2 G�i'lC'l
Written Amount
ITEM #4 Reduction to Bid Amount if a mechanic method is permitted for asphalt removal
in all areas of the work.
Lump Sum:
(C )
Written Amount
ITEM #5 Proposed time to complete Work
Days from Notice to Proceed: I 1 -D/1 y S
u4- H tf- S
f Written Amount
Orange Bowl Parking Lot Repairs —ADA Addendum No. 2 BID# 05-06-117 5
00400. BID FORM: (Page 4 of 10)
DIRECTIONS: COMPLETE PART I OR PART I€, WHICHEVER APPLIES, AND PARTS 111
AND IV.
Part l: Listed below are the dates of issue for each Addendum received in connection with this
Bid:
Addendum No, 1, Dated eOC 612-
Addendum No. 2, Dated OCT? /) =- �� t-c Q
Addendum No. 3, Dated a'1436 .? Z-- /19, 2e C.0
Addendum No, 4, Dated
Part It: No addendum was received in connection with this Bid,
Part III; Certifications
The Bidder, by virtue of signing the Bid Form, affirms that the Bidder is aware of the fallowing,
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 No. 10032, pertaining to the implementation of a "First Source Hiring
Agreement". 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; and
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 Workplace
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:
Orange Bowl Parking Lot Repairs--ADA, B-30521 Bid No.: 05-06-1 17
Page 23
00400. BID FORM: (Page 5 of 10)
(i) The dangers of drug abuse in the workplace;
(ii)The Bidder's policy of maintaining a drug -free workplace;
(iii )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
(ii)Notify the employer in 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 notica.under
subdivision (4) (ii) 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.
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.: 05-06-117
Page 24
00400. BID FORM: (Page 6 of 10)
(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: !n 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),
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 orhad 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;
7. 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 civil charged by a government
entity (Federal, State, or local) with commission of any of the offenses enumerated in
paragraph 1.b 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.
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.: 05-06-117
Page 25
00400. BID FORM: (Page 7 of 10)
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 wilt 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:
Quantity Unit
Description Unit Price Price
Total $ 0
Extended . Method
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.: 05.06-117
Page 26
00400. BID FORM: (Page 8 of 10)
Attached is a Bid Bond [ f , Cash [ ], Money Order [ ], Unconditional/irrevocable Letter of
Credit [ ], Treasurer's Check [ ], Bank Draft [ ], Cashier's Check [ ], Bid Bond Voucher [ ] or
Certified Check [ ] No. Bank of
for the sum of
Dollars ($ ).
The Bidder shall acknowledge this bid and certifies to the above stated in Part III and IV by
signing and completing the spaces provided below.
Firm's Name:
Signature:
ip
-era IV/ /
-.- •
Printed Name/T
i
jrt=, !nC-
City/State/Zip:
Telephone No.:
Facsimile No.:(� ' 5‘L pL1Z. E-Mail Address:
Social Se
No. or
i.D.No.:
j..te � Ft,. I tote
(N6 56r
cog 559 4
hG Cohn
Dun and
Bradstreet No.:
(if applicable)
If a partnership, names and addresses of partners:
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No,: 05-06-117
Page 27
00400. RID FORM: (Page 9 of 10)
CERTIFICATE OF AUTHORITY
(IF CORPORATION)
I HEREBY CERTIFY that at a meeting of the Board of Directors of
1-4(0juef LA .gi r1Cf , a corporation organized and existing under the laws
of the State of T{OnClR , held on the lOday of •i' a resolution was duly
passe and adopted authorizing (Name) i/ { Z J It., as
(Title) Sit�.Qwf1-ir of the corporation to execute bids on behalf of the orporation 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 W NESS WHEREOF, hereunto set my hand this10 , day of be+. , 20
Secretar ✓
Print:
CERTIFICATE OF AUTHORITY
OF 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).
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:
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.; 05-06-117
Page 28
00400. BID FORM: (Page 10 of 10)
NOTARIZATION
STATE OF ' :a 4Sc; )
SS:
COUNTY OF --53.„13e_
The Foregoing instrument was acknowledged before me this 1k day of (►�� ,
20 CY0 , by c . , who is ers known to me or who has
produced as identification an who (did 1 di no ake an oath.
SIGATURE OF NOTARY PUBLIC
STATE OF FLORIDA
O5 Q.f rl1144n1
PRINTED, STAMPED OR TYPED
NAME OF NOTARY PUBLIC
NOTARY PUBLIC -STATE OF FLORIDA
",��',,. Robert Alonso
y.,„: -Commission # DD383222
'4.Expires: JAN. 03, 2009
BONDED INNS ATLANTIC BONDING CO,, INC.
Orange Bowl Parking Lot Repairs —ADA, B-30521
Page 29
Bid No.: 05-06-117