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Type Description
File Attached
please find
a scanned
copy of the
!Certification
Statement
:signed by
!the Owner
of Jurney &
Assoc., Inc.
:for Bid
#64073.
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Quote: 212098 (RFQ 64073,2)
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Contact
Suppliers' Quote Number
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Note to Buyer
Attachments
Invitation For Bid for
Administering Pre -Employment
Polygraph Exams
0 minutes
Sealed
USD
Tojeiro, Ms. Elizabeth
64073
Active
We will provide exceptional
and professional service to
The City of Miami.
File Name
CITY OF MIAMI
E--
•CERTIFICATION
(STATEMENT
1FOR BID
#64_.073_pdf
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06-Feb-2008 12:00:00
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Jurney & Associates
Category Last Updated By
From ELIZABETH@TEAMJAI.COM
Supplier
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0
Attribute
Legal Name of Firm:
Entity Type: Partnership, Sole Proprietorship,
Corporation, etc.
'Address, City, State, Zip:
Phone Number / Fax Number:
Occupational License Number:
Occupational License Issuing Agency:
Occupational License Expiration Date: Required
Respondent certifies that (s) he has read and understood Required
Last
Updated
06-Feb-
2008
2.
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p
Previous 1-25 of 37 Next 12 t
Attribute Target Maximum
Type Value Quote Value Score
1Required i rJumey & Associates, _0
'Inc.
;Required ;Corporation
Required i
782 NW Le Jeune
Road, Suite 429
Miami, FL 33126
Required !Office: (305) 446-
3433 Fax: (305) 446-
'0335
'Required 426084-0
Required Miami -Dade County
Florida
26-Sep-2008
Yes
Score;
http://imiami.riverside.cmgov.net:8003/OA HTML/OA.jsp?OAFunc=PONRESENQ_VIE... 2/6/2008
Quote: 212098 (RFQ 64073,2)
Page 2 of 3
the provisions of City of Miami Ordinance No. 10032
(Section 18-105 of the City Code) pertaining to the
;implementation of a "First Source Hiring Agreement.":
(Yes or No)
Do you expect to create new positions in your company Required
in the event your company was awarded a Contract by
the City? (Yes or No)
In the event your answer to question above is yes, how Required
many new positions would you create to perform this
work?
;Please list the title, rate of pay, summary of duties, Required
number of positions, and expected length or duration of
all new positions which might be created as a result of
(this award of a Contract.
Minority/Women Business Affairs Registration Status: Required
!Hispanic, Female, Black or None,
Will Subcontractor(s) be used? (Yes or No) !Required
Does the City of Miami Living Wage Ordinance apply to !Required
this formal solicitation? ( See Section 1.40 of the General
Terms and Condtions) (Yes or No)
Service Total Contract Amount( which includes base
term and renewal options):
.Optional
Is this service contract a citywide contract? (Yes or No) Optional
If the above answer is no, please indicate the name of ;Optional
the city (end user) department that your contract will
.serve:
'Provide brief description of the project or service to be 'Optional
'provided
I/We hereby state compliance with the City of Miami Optional
;Living Wage Ordinance, Section 18-556 through Section
118-559 as summarized in Section 1.40 of the General
Terms and Condtions? (Yes or No)
1Reference #1- Company Name:
Reference #1- Address:
[Reference #1- City, State, Zip:
Reference #1- Dates of Contract:
Reference #1- Contact Name:
IRReference #1- Contact Phone:
Total 0
Contract Terms
Variables
Details Section
1No variables found.
Deliverables
(0 Indicates deliverable is overdue
Deliverable Name
No deliverables found.
Lines
d TIP All prices are in USD.
Clause
Required
1
Yes
2 Polygraph
Examiners
'Hispanic Female
Yes
;$75,000.00 (Base
"Year) 3 Yr. Renewal
;Option: $225,000.00
'Yes
N/A
'Pre -Employment
Polygraph Services
Yes
Miami -Dade Police
!Department
Required 1 9105 NW 25th Street 10
4 :Room 1098
Required Miami, FL 33172
;Required 1993-Present
!Required ;Commnader
4Edmundo Valdes
Required 1 Office Direct line:
(305) 471-1967/2565
0 Previous 1-25 of 37
Variable
Description
Next 12 (:;)
Value
X Indicates responsible party failed to perform the deliverable
Due Date
Status
Alert
Update
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Quote: 212098 (RFQ 64073,2)
Page 3 of 3
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Details Line
l►Show 1 Cost for Scheduling,
Administering and
Evaluating Pre-
Employement
Polygraph Examination
Services as per
Specifications, Section
3.0:
taShow12 Cost for Specific
Issues Polygraph as per.
Specifications, Section
3.0:
Show(3 Cost for Additional
=Services Required,
;such as Testimony as a
Result of Services
Provided
Award by Quote (RFQ 64073,2)
Start Target Quote
Rank Price Price Price Unit
1
115 Job
115 Job
25 Hour;
Estimated
Quantity
500
I
150
1t
0
Target
Minimum
Release
Amount
Quote
Minimun
Release Quote Active
Amount Total Quotes
114.00 r 57, 500.0012
114.00117,250.00 2
24.00 250.00
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2
Privecy_.awlement
http://imiami.riverside.cmgov.net:8003/OA HTML/OA.jsp?OAFunc=PONRESENQ_VIE... 2/6/2008
Certification Statement
Please quote on this form, if applicable, net prices for the items) 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 your 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• //11
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- el;;,e -'& r Ara- - C,,rT1"
ADDRESS. d',,Z /I14) 412- &t&,,c -" 722 0024gAij/pa ,27/2-1(
PHONE. aQ� «VD 811 3 FAX• .305. «q i'?Z
EMAIL: Pi4-TaPv,c y Gd 7tAM t[lXA�Ie•• ief1 ER /jO--
SIGNED BY• /%A9ve 9- Ct 6IJ2./f i ' c j �-
i'111E: fi A14'0— DATE:: 1-27 -tAdie
FAILURE TO COMPLETE. SIGN. AND RETURN THIS FORM SHALL DISOUALIFY THIS BID.
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