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Home My WebLink AboutCertification StatementCertification Statement Please quote on this form, if applicable. net prices for the itern(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 submission. Prices should be firm for a minimum of 120 days following the time set for closing of the submissions. 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 yoti.r solicitation, 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. All exceptions to this submission have been documented in the section below (refer to paragraph and section). EXCEPTIONS: We (I) certify that any and all information contained in this submission is true; and we (I) further certify that this submission is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a submission 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. solicitation and certify that I am authorized to sign this submission for the submitter. Please print the following and sign your name: SUPPLIER NAME - ADDRESS 674, N. 3 7R`G1 f l i�Ari; FL 3 3I,27 t PHONE G3 V' o `1,1 6 FAX 3os//03'7' 81428 EMAIL: d� _�:�:� �GI Lsew- l no BEEPER* 'y /A SIGNED B TITLE: Re. ASCCuR�ry A��y, It/6- DATE* k2/3 6 G 7 FAILURE TO COMPLETE. SIGN. ,AND RETURN THIS FORM SHALL DISOUALIFY THIS BID. Page 2 of 39 Legal Name of Firm: �• F4•14. See-vx;r Certifications INC E ity Type: Partnership, Sole Proprietorship, Corporation, etc, e OA pvRA'rs.04 Address, City, State, Zip: 76 Ilia- 31 crRl£1 -- Offce Location: City of Miami, Miami -Dade County, or Other �iT y 4 fliam Occupational License Number: Folio Ntnn,6CA 61'3/4 °. 008-0 Occupational License Issuing Agency: C,•,1 o' 1t9e a rb► i S Occ pational License Expiration Date: epf- 30 ---..1a0e3 /N VoiCG 707734 Respondent certifies that (s) he has read and understood the provisions of City of Miami Ordinance No. 10032 (Section 18- 5 of the City Code) pertaining to the implementation of a "First Source Hiring Agreement.": e or No) Do you expect to create positions in your company in the event your company was awarded a Contract by the City? r No) In the event your answer to question above is yes, how many new positions would you create to perform this work? Or rrOfe Please list the title, rate of pay, summary of duties, number of positions, and expected length or duration of all new positions w ich rnigh be create as a result of this award of a Contract. �-�'% S ' oY+ $ L,4' f�� fa Ai- 30 Or Mere 7n 5e_ cz ,r1'' �'.ML AS J needeZ o5i Bons• Minority/Women BusinessAffairsRegistration Status: Hispanic, Female, Black or one Page 3 of 39 Reference #1 Contact Name Will Subcontractor(s) be used? (Ye:3 or Does the City of Miami Living Wage Ord' e apply to this formal solicitation? ( See Section 1.40 of the General Terms and Condtions) Ye or No) Service Total Contract Amount( w1-.ich includes base term and renewal options): NIA Is this service contract a citywide contract? r No) If the above answer is no, please indicate the name of the city (end user) department that your contract will serve: A/14 Provide brief description of the project or service to be provi 9 (''awj a � 1/Wehereby state compliance with the City of Miami Living Wage Or8inance, Section 18-556 through Section 18-559 as summarized in Section 1.40 of the General Terms and Condtion or No) Reference # 1 - Company l'Ae� rAs tr A e'o d �4 r7 IS Reference #1 - Address ef D SI ee , $ IOW Opt OC._ Reference #1 - C. , State, Z. &h -- Aim ea<:1 i Reference #1 - Dates of Contract FI 33 )1o.s- nc. ).1 A001 — o aood 5-4 0.? 43 9? Page 4 of 39 R rence 2 - Compa tOrfiyfr001 fi iYk1 i9XfIGert eIVt Referent #1 - Phone # 5 ' 8.3a AG 397 Reference #2 - Addre s N. ,,,'SGa etie ,BL vX • Reference #2 - City, State, Zip �!; a 14 r i- 33,13' Re re ce #2 - Dates of o t cj. ✓/ �C� �Fe ��'G 8 5 TO •r e ikge 4. /to days s4 ex ► k A T lotI _0 f eon f-(0-c- Refe ce #2 - Contact Name c= Ama.�oL, Reference #2 - Phone # ,3os' 358"-- VS"O Reference #3 - Company S V ctl,. e 'k°2s0,1 fiea.1-1 Reference #3 - Address /2eP wa 4insip A ve. Reference #3 - C , State, Z p �1aK►eaGh f Reference #3 - Dates of Contract ea re y 41410 ye 4-1-S Reference #3 - Contact Name /-/ci,L, v ri Les Reference #3 Phone # 3as / 7 QG - 5r908 4a.1!.; e 'ni d 4.11- 4, - �003 -- -:"Lint 2d07) ael son Page 5 of 39 Page 6 of 39 Line: 1 Description: Total Hourly Cost to the City for Crowd Management Personnel for Bayfront Park Management Trust (this rate reflects the City of Miami Living Wage Rate applicable) Prices shall include Special Event Security Personnel and Parking Personnel Services held on City of Miami property and/or Bayfront Park Management Trust property over recognized holidays as well as regular scheduled events. Note: Only One Supervisor or Manager is required per event. Category: 99046-00 Unit of Measure: Hour Unit Price: $ Soe.. Line: 2 Number of Units: Total: $ /1/ ' 42. Description: Total Hourly Cost to the City for Event Parking Personnel for Bayfront Park Management Trust (this rate reflects the City of Miami Living Wage Rate applicable) Prices shall include Special Event Security Personnel and Parking Personnel Services held on City of Miami property and/or Eayfront Park Management Trust property over recognized holidays as well as regular scheduled events. Note: Only One Supervisor or Manager is required per event. Category: 99046-00 Unit of Measure: Hour Unit Price: $ is •.s2 Line: 3 Number of Units: Total: $ ji • 5.2— Description: Total Hourly Cost to the City for Crowd Management Supervisor for Bayfront Park Management Trust (this rate reflects the City of Miami Living Wage Rate applicable) Prices shall include Special Event. Security Personnel and Parking Personnel Services held on City of Miami property and/or Bayfront Park Management Trust property over recognized holidays as well as regular scheduled events. Note: Only One Supervisor or Manager is required per event. Category: 99046-00 Unit of Measure: Hour Unit Price: $ /` ' SZ Line: 4 Number of Units: Total: $ Description: Total Hourly Cost to the City for Parking Services Supervisor for Bay -front Park Page 7 of 39 Management Trust (this rate reflects the City of Miami Living Wage Rate applicable) Prices shall include Special Event Security Personnel and Parking Personnel Services held on City of Miami Property and/or Jayfront Park Management Trust Property over recognized holidays as well as regular scheduled events. Note: Only One Supervisor or Manager is required per event. Category: 99046-00 Unit of Measure: Hour Unit Price: $ Line: 5 Number of Units: Total: $ /4 Description: Total Hourly Cost to the City for Crowd Management and Parking Services Manager for Bayfront Park Management Trust (this rate reflects the City of Miami Living Wage Rate applicable) Prices shall include Special Event Security Personnel and Parking Personnel Services held on City of Miami property and/or Bayfront Park Management Trust property over recognized holidays as well as regular scheduled events. Note: Only One Supervisor or Manager is required per event. Category: 99046-00 Unit of Measure: Hour Unit Price: $ / fi 'Ca Line: 6 Number of Units: Total: $ /` •S! ) Description: Total Hourly Cost to the City for Crowd Management Personnel for Orange Bowl Stadium (this rate reflects the City of Miami Living Wage Rate applicable) Category: 99046-00 Unit of Measure: Hour Unit Price: $ Line: 7 Number of Units: Total: $ /i ' Description: Total Hourly Cost to i:he City for Parking Services Personnel for Orange Bowl Stadium (this rate reflects the City of Miami Living Wage Rate applicable) Category: 99046-00 Unit of Measure: Hour Page 8 of 39 Unit Price: $ IS • 6.42 Line: 8 Number of Units: Total: $ /` ' 71' Description: Total Hourly Cost to the City for Crowd Management Supervisor for Orange Bowl Stadium (this rate reflects the City of Miami Living Wage Rate applicable) Category: 99046-00 Unit of Measure: Hour Unit Price: $ /4" • Sa- Number of Units: Total: $ /4 ' 374' Line: 9 Description: Total Hourly Cost to the City for Parking Services Supervisor for Orange Bowl Stadium (this rate reflects the City of Miami Living Wage Rate applicable) Category: 99046-00 Unit of Measure: Hour Unit Price: $ /` ' .5."Z Line: 10 Number of Units: Total: $ / '^'2 Description: Total Hourly Cost to the City for Crowd Control and Parking Services Manager for Orange Bowl Stadium (this rate reflects the City of Miami Living Wage Rate applicable) Category: 99046-00 Unit of Measure: Hour Unit Price: $ ,4 ' S.2 Number of Units: Total: $ /4 • •r� Page 9 of 39