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Home My WebLink AboutFormsSection 6 - FORMS The following attachments are forms required to be completed and uploaded as part of your organization's bid: Attachment A — Price Sheet: Complete the requested information to include Manufacturer/Supplier, Manufacturer's Price List Number and Publication Date, the URL Zink to access the Manufacturer's Price List and the Discount from Manufacturers Price List bid for this solicitation Attachment B — Ordering Instructions: Complete the requested contact information for customers to place orders and access Customer Service resources Attachment C — Contract: Insert your organization's name and address, sign and date the contract page Attachment D — Drug -Free Workplace: Complete and retum this form to certify that your company maintains a Drug -Free Workplace program Attachment E — Authorized Servicing Dealer List List below any additional In -State servidng representatives, including mailing addresses, telephone numbers and e-mail contacts Attachment F -- Savings/Price Reductions: Bidder is required to fumish the percentage (%) savings in prices that would be paid by the customer without the benefit of a contract resulting from this bid Attachment G — Liability Insurance: Insert your company's current Liability Insurance certificate here ITB No. 3-680-850-0 December 9, 2004 Page 1 of 8 Attachment A PRICE SHEET Manufacturer/Supplier Price List Number & Date URL link for published Price List % Discount Bid (Example; Safariland Concealable '05 -January 1, 005 http://wv'w.arrnorwear.com 53%) American Body Armor Concealable '05 —January 1.2005 53% ITB No. 3-680-850-0 December 9, 2004 Page 2 of 8 Attachment B ORDERING INSTRUCTIONS CONTRACTOR: American Body Armor SPURS VENDOR NUMBER: Bid/Contract Administration Please identify the person who will be responsible for administering the Contract on your behalf if award is made, and include an emergency contact phone number Name: Kay Shewchuk Title: Region Sees Coordinator Street Address: 18336 International Parkway. Jacksonville, FL 32218 E-mail Address: kshewchukfrmorholdings.com Phone Number(s): 904-485-1832 Fax Number 904-741-4792 If the person responsible for answering questions about the bid is different from the person identified above, please provide the same information for that person. Name: Title: Street Address: E-mail Address: Phone Number(s): Fax Number Direct Orders Please provide the following information about where Customers should direct orders. You must provide a regular mailing address. If equipped to receive purchase orders electronically, you may also provide an Internet address. Street Address or P.O. Box: NIA (no direct orders). Please see our attached list City, State, Zip: of Distributors authorized to service the contract. Phone Number Toll Free Number: Ordering Fax Number: Internet Address: Federal ID Number: Remit Address:_ City, State, Zip: ITB No. 3-680-850-0 December 9, 2004 Page 3 of 8 CONTRACT This Contract, effective the last date signed below, is by and between the State of Florida, Department of Management Services ("Department"), an agency of the State of Florida with offices at 4050 Esplanade Way, Tallahassee, Florida 32399-0950, and the entity identified below as Contractor ("Contractor). The Contractor responded to the Department's Invitation to Bid No. 3-680-850-0, Body Armor (Protective Vests). The Department has determined to accept the Contractor's proposal and to enter into this Contract in accordance with the terms and conditions of the solicitation. The specific products awarded to Contractor, and the maximum rates Contractor may charge Eligible Customers, are identified on the attached Exhibit 1. (Retail Price Sheet less Percentage Discount bid) Accordingly, and in consideration of the mutual promises contained in the Contract documents, the Department and the Contractor do hereby enter into this Contract, which is a state term contract authorized by section 287.042(2)(a) of the Florida Statutes (2001). The term of the Contract begins on the Effective Date and expires January 31, 2007. The Contract consists of the following documents, which, in case of conflict, shall have priority in the order listed, and which are hereby incorporated as if fully set forth: • Any written amendments to the Contract • This document, including Attachment A • Technical Specifications • Instructions to Proposers • General Conditions • My purchase order under the Contract • Contractor's proposal State of Florida, bate Department of Management Services By: William S. Simon, Secretary Contractor Name: Dawn T. Flynn Street Address or P.O. Box: 18336 International Parkway City, State, Zip: Jacksonvill!. FL 32218 .e1—Lc, 1/10/05 Date By: its: Approved as to form and legality by the Department General Counsel's Office: (Seal) ITB No. 3-680-850-0 December 9, 2004 Page 4 of 8 Attachment D CERTIFICATION OF DRUG FREE WORKPLACE PROGRAM Section 287.087 of the Florida Statutes provides that, where identical tie bids are received, preference shall be given to a bid received from a bidder that certifies it has implemented a drug -free workforce program. Please sign below and retum this form to certify that your business has a drug -free workplace program. 1) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2} Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug -free workplace, any available drug counseling, rehabilitation and employee assistance programs .and the penalties that may be imposed upon employees for drug abuse violations. 3) Give each employee engaged in providing the commodities or contractual services that are under Bid a copy Of the statement specified in subsection (1). 4) In the statement specified in subsection (1), notify the employees, as a condition of working on the commodities or contractual services that are under Bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 or of any controlled substance law of the United States or any State, for a violation occurring in the workplace no later than five (5) days after such conviction. 5)--impose- -a-sanction -on, or require the satisfactory partidpation in a drug abuse assistance or rehabilitation program if such is available in the employee's community by any employee who is so convicted. 6) Make a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this flrm compiles fully with the above requirements. False statements are punishable at law. BIDDER'S NAME: _American Body Armor By: _`"Wn' `f-'5'"ri- _Dawn T. Flynn, National Sales Coordinator_ Authorized Signature Print Name and Title PUR-7009 (04/02) ITB No. 3-680-850-0 December 9, 2004 Page 5 of 8 Attachment E AUTHORIZED SERVICING DEALER LIST LIST BELOW ONE OR MORE IN -STATE REPRESENTATIVES, INCLUDING MAILING ADDRESSES, TELEPHONE NUMBER AND E-MAIL ADDRESS. LAW ENFORCEMENT SUPPLY- PANAMA CITY 1438 BALBOA AVE. PANAMA CITY, FL 32405 TEL: 850-769-9678 TOLL FREE: 800-637-6307 FAX: 850-769-2875 INTERNET ADDRESS: www.lawsupply.coni FED ID #: F59-2656271-001 REMIT ADDRESS: SAME LAW ENFORCEMENT SUPPLY- TAMPA 5404 AIRPORT BLVD. TAMPA, FL 33634 TEL: 813-290-8766 TOLL FREE: 800-326-4019 FAX: 813-885-7787 FED ID #: F59-2656271-001 REMIT ADDRESS: SAME SPECIAL PRODUCTS GROUP 2023 CORPORATE DRIVE BOYNFON BEACH, FL 33426 TEL: 561-732-0360 TOLL FREE: 877-500-0360 FAX: 561-732-0879 INTERNET: www,specialproducts.cam FED ID #: F65-0972449-001 REMIT ADDRESS: SAME LOU'S GUN SHOP- DADE COUNTY ONLY 4151 PALM AVE. HIALEAH, FL 33012 TEL: 305-822-5362 FAX: 305-822-9603 INTERNET: 1 ousg uns3 3 C)?hotmail.com FED ID#: F65-0374985-001 REMIT ADDRESS: SAME BIDDER NAME: American Body Armor PUR 7078 (04/96) LAW ENFORCEMENT SUPPLY- MIAMI 1666 N.W. 82ND AVE. MIAMI, FL 33126 TEL: 305-629-8984 TOLL FREE: 877.554-3726 FAX: 305-629-8571 INTERNET ADDRESS: www.lawsupply.com FED ID #: F59-2656721-004 REMIT ADDRESS: SAME FLORIDA POLICE SUPPLY- DADE COUNTY ONLY 701 NW 36TH AVE. MIAMI, FL 33125 TEL: 305-642-3100 FAX: 305-642-1913 INTERNET ADDRESS: flondapol@netzero.net FED ID #: F65-0801241-001 REMET ADDRESS: SAME MARTINS UNIFORMS 2320 W. HILLSBOROUGH AVE. TAMPA, FL 33673 TEL: 813-877-0511 TOLL FREE: 800-627-8467 FAX: 813-878-0379 INTERNET ADDRESS: www.martinsuniforms.com FED ID #: F59-2656271-001 REMIT ADDRESS: SAME PATRICK'S UNIFORMS — ONLY FOR THE COUNTIES LISTED BELOW 1265 LANE AVE. SOUTH, SUITE 5 JACKSONVILLE, FL 32205 TEL: 904-378-1077 FAX: 904-378-1078 REMIT ADDRESS: SAME AUTHORIZE)) COUNTIES: ALACHUA, BAKER, BRADFOR.D, CLAY, COLUMBIA, DUVAL, FLAGLER, GILCHRIST, HAMILTON, JEFFERSON, LAFAYETTE, LAKE, LEON, MADISON, MARION, NASSAU, ORANGE, PUTNAM, SEMINOLE,ST. JOHNS, SUMTER, SUWANNEE, UNION, VOLUSIA ITB No. 3-680-850-0 December 9, 2004 Page 6 of 8 Attachment F SAVINGS/PRICE REDUCTIONS Bidder is required to furnish the percent (%) savings in prices offered in this bid compared to prices that would be paid by the purchaser without benefit of a contract resulting from this bid. DATE 1 /10/05 BID PRICES OFFERED AVERAGE 53% % SAVINGS. AUTHORIZED SIGNATURE: TELEPHONE NUMBER: 1-800-773-8294 x 1809 BIDDER NAME: American Body Armor PUR 7064 (04/02) ITB No. 3-680-850-0 December 9, 2004 Page 7 of 8 Attachment G Liability insurance: Insert your company's current Liability Insurance certificate h Insurance Certificate 2004-2005.pdf ITB No. 3-680-850-0 December 9, 2004 Page 8 of 8