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HomeMy WebLinkAboutExhibit 11• • ATTACHMENT A ATTESTATION OF, QUALIFICATIONS RFQ NO. 03-04-107 Commercial Solid Waste Hauling Services FAILURE TO COMPLETE AND RETURN THIS ATTACHMENT WITH RESPONSE SHALL DEEM PROPOSER NON -RESPONSIVE. Name of Applicant: Waste Services of Florida, Inc. Address of Applicant: 5002 T-Rex Ave., Suite 200, Boca Raton, FL 33431 Date: March 5, 2007 Proposers must answer and provide all required documentation cited below. Proposers may use this format or may respond in another format within its Response to this RFQ, so long as all information is provided in the same order as outlined below. 1. Identification Information on Applicant A. Name of Applicant If the applicant is a partnership or corporation, the name, business address of the principal officers and stockholders and any person having any financial or controlling interest in the partnership or cooperation shall be required. Provided, however, that if the corporation is a publicly owned corporation having more than 25 shareholders, then only the name. and business address of the local managing officer(s) shall be required. Detail information below or within submitted Response. -The City will be unable to determine the qualifications of a Proposer should this information not be provided with Response Mr. Vahe Gabriel, 5002 T-Rex Ave., Suite 200, Boca Raton, FL 33431 B. Character of Applicant The applicant, to determine qualifications for participation in the Franchise Agreement, if an individual, or in the case of a firm, corporation, partnership, association or organization, any person(s) having any financial, controlling, or managing interest therein, should be of good moral character. In making such determination, the following information submitted by the applicant shall be considered: (1) Penal History If the applicant is an individual, a record of all convictions and the reasons therefore shall be provided by the applicant. If the applicant is other than an City of Miami, Florida Commercial Waste Hauling Services RFQ 03-04-107 records of al] convictions and the reasons therefore of the principal controlling officer(s) or applicant shall be provided. However, in the case of a publicly held corporation having 25 or more shareholders, only the aforementioned information applicable to its local managing officer(s) shall be required. indicate convictions below, if applicable, and reasons. Also confirm the Public Entity Crimes statute does not apply to Proposer. The City will be unable to determine the qualifications of a Proposer should this information not be provided with Response. (2) Fingerprints The fingerprints of the persons mentioned in this subsection, a full set of which for each of such persons shall accompany response. Such service may be obtained from the City's police department. Indicate below if fingerprints provided. (3) Business History Indicate whether such applicant has operated a solid waste collection removal business in this or another state under a franchise, permit or license, and if so, where and whether such franchise, permit or license has ever been revoked or suspended and the reasons therefore. The City will be unable to determine the qualifications of a Proposer should this information not be provided with Response L,sr er a i.'..s served is �4- % i -"-,," 762.1.52 (4) Existence of Business Entity If the applicant is a corporation, provide proof of incorporation and proof of that corporation's good standing in the state of incorporation. If applicant is a foreign corporation, applicant should submit information or material certifying that the applicant is allowed and qualified to do business in the State of Florida. If applicant is other than a corporation and is operating under a fictitious names, applicant should submit information that such fictitious name is registered under state law and held by applicant. Indicate below that such proof is being provided to the City. The City will be unable to determine the qualifications of a Proposer should this information not be provided with Response G ir erci 20 Waste Services of Florida, Inc. 2007 Gulf Municipal References i"a!__ 301 E. Kennedy Blvd 24th Bryant Johnson. Tampa Hillsborough Hillsborough County Floor, Tampa, FL 33601 Cust Svc & Spd (813) 276-2927 89,794 1761 12th Street, Sarasota, Todd Kucharski, Sarasota Sarasota City of Sarasota _ FL 34236 Deputy Dir PW (941) 954-4198 27,671 4010 W Spruce Street, David McCary, Pinellas Hillsborough Tampa -McKay Bay TS Tampa FL 33607 Director SW (813) 348-1148 WA Pinellas Pinellas St. Pete Beach Labelle Hendry Hendry County 155 Corey Ave, St. Pete Beach, FL 33706 100 E. El Paso Avenue, Labelle, FL 33975 4230 Hays Rd, Spring Hill, Pasco Pasco Pasco County FL 34610 Labelle Palm Beach South Bay Scott Graubard, Dir. PW Lester Baird, County Mgr John Power, Director 335 SW 2nd Avenue, South Bobby Smith, City Bay, FL 33493 Mgr. 171 North Lake Ave, James Vaughn, Labelle Palm Beach Pahokee Pahokee, FL 33467 Dept PW (561) 924-5534 2,300 6000-54th Ave. North, Muriel Whitman, Pinellas Pinellas Kenneth City Kenneth City, FL 33709 Mayor 727) 544-6655 987 481 W Hlckpoochee Ave, Michael Boyle, Labelle Hendry Labelle Labelle FL 33975 PW Mgr. (63) 675-2872 1,122 19305 Gulf Blvd., Indian Marcia Grantham, Pinellas Pinellas Indian Shores Shores, FL 33785 Clerk (727) 595-4020 304 , 17425 Gulf Blvd, Redlnton Mary Palmer, Pinellas Pinellas Redington Shores Shores, FL 33708 Clerk (727) 397-5538 946 105 — 164th Ave, Redington Bob Fountain°, (727) 391- Pinellas Pinellas Redington Beach Beach, FL 33708 Mayor 3875 917 (727) 367-2735 3,303 (863) 675-5220 6,401 (727) 861-3006 597 Sarasota . Sarasota Sarasota County Pinellas Pinellas Belteair Shore 17425 Gulf Blvd, Redinton Pinellas Pinellas Madeira Beach Shores, FL 33708 2817 Cattleman Road, Larry Alexander, Sarasota, FL 34232 Dirctor Envir Svcs (941) 861-6731 124 1200 Gulf Blvd, Belleair John Robertson, Shore, FL 33786 Mayor (727) 593-9296 53 Mary Palmer, Clerk (727) 397-5538 946 (561) 996-6751 1,600 City of Miami, Florida Commercial Waste Hauling Services RFQ 03-04-107 • • 2. Equipment and Method of Operation The applicant, in order to qualify for participation in the Agreement, shall possess equipment capable of providing safe and efficient service. In making such a determination and • approving the method of operation for each applicant, the Department of Solid Waste shall require the following information: A, Provide the type, number and complete description of all equipment to be used by the applicant for' providing service pursuant to the Agreement in the space below or on an attaclunent. The City will be unable to determine the qualifications of a Proposer should this information not be provided with Response. l � CD �Q B. Provide a statement / attestation that the applicant shall use only City and/or County - approved disposal sites for disposing of all garbage, garden trash, industrial waste, and solid waste material which applicant collects and removes, except those sites which heretofore have been approved by the State of Florida Department• of Environmental Protection. The City will be unable to determine the qualifications of a Proposer should this information not be provided with Response .�%-„r� — .c�c.�-►. Tom; 4- r P < Insurance Requirements Proposer must submit a Statement attesting that proof of insurance will be provided in a form acceptable by the City within five (5) days of approval by the City Commission, and shall maintain its insurance, with the City listed as Additional Insured, in current status throughout the duration of the Agreement. The City will be unable to determine the qualifications of a Proposer should this information not be provided with Response It should be noted that the City will be unable to determine Proposer's qualifications should all required information requested above not be provided with Response. Therefore, any Proposer who fails to provide any of the above will not be able to provide services unless deemed fully qualified and approved by the City. I hereby certify that the above information provided, and its corresponding documentation, is true and correct. I fully understand that any false or misleading information, or information not provided as requested by the City for the purposes of deceit or deception, shall be grounds for the determination of being deemed "not qualified" and that I understand that I shall have no recourse in the finding by the City. 21 • • Waste Disposal Information: Waste Services of Florida, Inc., will dispose of all garbage and solid waste that is collected in the City of Miami in a facility designated for disposal of garbage and solid waste and which meets all requirements of law. These facilities include Miami -Dade County's Solid Waste Management System where WSI has assumed BFI's contract for solid waste disposal, a well as other Florida DEP approved and permitted sites, to include the J.E.D. landfill operated by Omni Waste of Osceola County. small-be--g-rounds forthe--deter-t iroation-ofbeing-deemedf.not-qualified'und that-Iund€rstand that.l_s iali-ha_ve._no..recourse-in-#he-finding--b-y- he-Eity. 1 further certify that the unde gned is legal y authorized to sign this statement on behalf of the applicant for pa icipatio tin the j gree ent. Signed : Telephone No: ;i.! - 2 3 - 34 coo Beeper No.: �S�q Email Address: Vqa loi- i e Witnessed by: Date: 3 / 2- 0 7 • Print Name: Fax Number: Cell Number: OW/ 6246 i 5c,1- 23 '5'k1 412. -547-6p-131g i.c. 22si = e, ct ? � Print Name: s'A-