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HomeMy WebLinkAboutBack-Up DocumentsACCESSING COMPETED CO-OP and GOVERNMENTAL CONTRACTS CHECK; LIST CONTRACT NO.: Bid #201308 — Cite of Homestead PROCUREMENT CONTRACTING OFFICER: Charles Johnson DATE SUBMITTED: 4/13/18 TITLE: Tree Trimming and Line Clearin Accessing Co-ops an Governmental Contracts Package All Accessing of contacts must be reviewed and approved by the Department Director with si-nature below. Procurement Documents — to be included in Approval Package [] Award Summary Fonn for Director or City Manager (if applicable) ® Agenda Item Summary Fonn (for Commission Approval — if applicable) Z Resolution (for Commission Approval — if applicable) ® Copy of this checklist signed by the Director Co-op/Governmental Agency- Documents — to be included in Approval Package Z Copy of Tally'Evaluation Results (score sheets, ranking or summary) ® Copy of Contract's Advertisement R Distribution information M Copy of Contract;`Solicitation Being Accessed ® Copy of Award Sheet/Approval Documents ® Copy of Proposal/Bid NOTES: -14 APPROVED as a contract which Ns as entered into pursuant to a competitive process in compliance with City laws, policies and procedures. 13 1ti OT PROVED as a contract which was entered into pursuant to a competitive process in compliance with City laws, po 'cie. and procedures. AnMe Per�zl CPPD Director, Department of Procurement Bid 'Number & Title: �10 ITB#2013013-Tree Trimming & Line Clearing Services User Department. Utilities General Services Depanment Procurement & Cortract Services Divisior CITY OF HOMESTEAD BID TABULATION Pre -Bid Conference: Bid Opening Date: NIA September 19, 2013 at 2:00 p.m. Contact Person: Ken Konkol Contact Information: 305-224-4707 t40Mr�1fU ITEM LEWIS TREE SERVICE. WC OVERTIME TIME UNIT COST IHOURLY RATE III TOTAL $146,880.00 $ - ASPLUNDH TREE EXPERT CO, 0MCUMBENT) ABLE BUSINESS SERVICES DECRIPTION ESTIMATED QUANTITY REGULAR TIME UNIT COST (HOURLY RATE 11 TOTAL REGULAR TIME UNIT COST (HDURLY RATE 11 $610.93 $0,00 TOTAL OVERTIME TIME UNIT COST {HOURLY RATE III TOTAL REGULAR TIME UNIT COST (HOURLY RATE 11 TOTAL $100,000.00 OVERTIME TIME UNIT COST (HOURLY RATE 11) $75.00 TOTAL $150,000.00 $ 44,000.00 1 2 Hourly Crew - Includes all personnel and equipment. 2 000 2.000 $ 60.55 $121,100.00 $73.44 $121,860.00 $78.11 $156,220.00 $ - $50.00 Supervisor/Foremen $0.00 $ - $0.00 $ - $0.00 $15.00 $30,000.00 $22.00 BID TOTALS $121,100.00 $146,680.00 $121,860,00 $156,320.00 $130,000.00 $194,000,00 PERSONNEL REGULAR TIME UNIT COST (PER HOUR) OVERTIME UNIT COST (PER HOUR) REGULAR TIME UNIT COST (PER HOUR) OVERTIME UNIT COST (PER HOUR( REGULAR TIME UNIT COST (PER HOUR) OVERTIME UNIT COST (PER HOUR) 3 Crew Leader $24.25 $31.52 $24.59 $34.43 $15.00 $22.00 4 Bucket Trimmer $18.75 $24.37 $18.35 $25.69 $14.00 $21,00 5 Climber Trimmer $18.75 $24.37 $19.50 $27.30 $15.00 $22,00 6 Groundsman $16.50 $21.45 $16.11 $22.55 $20.00 $30.00 7 FquipmenlOperator $17.00 $22.10 $19.50 $27.30 $15.00 $22.00 5 Injection Serviceman (Herbicide Applicator) $17.00 $22.10 $24.59 $34.43 $30.00 $45.00 9 Chipper $3.60 $3.60 $3.50 $3.50 $73.00 $109.00 10 Stump Grinder/RamoveT $5.00 $4.50 $9.55 $9,55 $6D.00 $90.00 11 Gasoline Chain Saw $0.00 $0.00 $0.61 $0.61 $45.00 $67.00 12 Aerial Bucket Truck $13.95 $13.95 $13.27 $13.27 $60 -OD $90.00 13 Chipper Truck $8.00 $7.00 $12.50 $12.50 $14.50 $14.50 __- V Yes No $45.00 $67.00 14 Spray Truck $9.00 $8.00 $120.00 $160.00 AeknowEedgmantof Addendums 1 V Yes No Yes J No T - Vendor deemed iron -responsive Took e.,ception5 from sfandani speuficalrons, refer to Section 3 3. 450 SE a Avenue Hosneslead. 133030 Y 305224-4620 , 305-242-6433 '+ "gy9 ryolhanreyl¢ad can CITY OF HOMESTEAD General Services Depannient Procurement 8 Contract Services Division 450 SE 6" Avenue HuinesaeaU FL 33030 * 305-224.4626 - 305,242.6633 .i Aris4i+..:dvolhnme>ie:xl ruer� CITY OF HOMESTEAD ABC PROFESSIONAL TREE SERVICES MITCHELL'S LAWN MAINTENANCE CORP. EVERGREEN TREE SERVICE, INC, [TEMFDECRIPTION ESTIMATED QUANTITY REGULAR TIME UNIT COST IHOURLY RATE 1) TOTAL OVERTIME TIME UNIT COST (HOURLY RATE 111 TOTAL REGULAR TIME UNIT COST IHOURLY RATE 1) TOTAL OVERTIME TIME UNIT COST (HOURLY RATE ill TOTAL 111285,000.00 REGULAR TIME UNIT COST (HOURLY RATE 1) $ 27.00 TOTAL $254,000.00 OVERTIME TIME UNIT COST (HOURLY RATE II $191.00 TOTAL $382,000.00 $110,000.00 1 Hourly Crew - Includes all personnel and equipment. 2 000 $70.00 $140,000.00 193,20 $186,400.00 $95.00 $ 190,000.00 $ 55,000.00 $142.50 2 Supervisor/Foreman 2,000 $44.50 $ 89,000.00 $48.00 $ 96,000.00 $27,50 $ 41.25 $82,500.00 $ 36.80 $ 73,600.00 $ 55.00 Bit) TOTALS $229,000,00 $282,400.00 $246,000.00 $367,600.00 9327,800.00 $492,000.00 PERSONNEL REGULAR TIME UNIT COST (PER HOUR) OVERTIME UNIT COST (PER HOUR) REGULAR TIME UNIT COST (PER HOUR) OVERTIME UNIT COST (PER HOUR) REGULAR TIME UNIT COST (PER HOUR) OVERTIME UNIT COST (PER HOUR) 3 Crew Leader $24.30 $36.45 $22.50 $33.75 $31.00 Time & Half 4 Bucket Trimmer $22.10 $33.15 $27.50 $41.25 $30.00 Tone & Half 5 Climber Trimmer $22.10 $33.15 $32.50 $48.75 $22,50 $32.50 Time & Hall Time & Half 6 Groundsman $18,50 $27,75 $15.00 $29.20 7 Equipment Operator $22.10 $33.15 $27.50 $41.25 $37,80 Time & Hail 8 Injection Serviceman (Herbicide Applicator) $22.10 $33,15 $27,50 $41.25 $39.50 Time & Hall 9 Chipper $5.10 $5.10 $75,00 $112.50 $7,50 $7,50 10 Slump GrinderlRemover $15.90 $15.50 $75.00 $112.50 $77.00 $77.00 11 Gasoline Chain Saw $1.00 $1.00 $15.00 $22.50 $5.75 $5.75 12 Aerial®ucket Truck $17.90 $17,50 $125,00 $187.50 $1.&,87 $18.87 13 Chipper Truck $12.10 $12.10 $100.00 $150.00 $17.50 $17,50 14 Spray Truck $26.50 $26.50 $125.00 $187.50 $22.00$22.00 Acknowledgment of Addendums(1j V Yea NO V No V Yea No 450 SE 6" Avenue HuinesaeaU FL 33030 * 305-224.4626 - 305,242.6633 .i Aris4i+..:dvolhnme>ie:xl ruer� CITY OF HOMESTEAD General Services Depanrnenl Procurement 8 Conlract Services Dwision No. of Vendors Contacted: 430 Opened & Received by: kntia Rubio - No of Vendors Responding 8 - Date adveibsed 09/46/2013 Pubkcatrons South Dade News LeaderlOady Business Rewew/M1aml Herald C dvY r�hsdelPemandsdar tom 450 SE 6"' A -we Hnmasleaw EL 3303❑ 57 3135-224-41528 .; 305.242.6833 » Ui A�+6DeProlhnn>r�leauP coni CITY OF HOMESTEAD FLORIDA TURF 5 LANDSCAPE TEQUESTA CONSTRUCTION SERVICES GROUPI SOUTH FLORIDA FIELD SERVICES ITEM ESTIMATED DECRIPTION QUANTITY Hourly Crew - Includes all personnel and 2 000 equipment. REGULAR TIME UNIT COST (HOURLY RATE 11 TOTAL OVERTIME TIME UNIT COST (HOURLY RATE 11) TOTAL REGULAR TIME UNIT COST (HOURLY RATE 1) TOTAL OVERTIME TIME UNIT COST (HOURLY RATE III TOTAL 1 $135.00 $ 270,000.00 $168,00 $ 336,000.00 $ 702.23 $ 1,404.,460.00 $ 1,053.39 $ 2,106,780.00 2 SupervisorlForeman 2.000 $35.00 $ 70,000.00 $ 52.50 $ 105,000.00 $ 42.50 $ 85,000.09 $ 53.75 $ 127,500,00 BID TOTALS $ 340,000.00 S 141,000.00 -�� $ 2,774,280.00 PERSONNEL REGULAR TIME UNIT COST (PER HOUR) OVERTIME UNIT COST (PER HOUR) REGULAR TIME UNIT COST (PER HOUR) OVERTIME UNIT COST (PER HOUR) 3 4 Crew Leader Bucket Trimmer $35.00 $30.00 _$52.50 $45,00 ___$36.50 $29.87 $54.75 $44..81 5 Climber Trimmer $35.00 $52.50 $29.87 $44.81 6 Groundsman $25-00 $37.50 $16.75 $25.13 7 Equipment Operator $25.00 $37.50 $31.42 $47.13 8 Injection Serviceman (Herbicide Applicator) $30.00 $45.00 $23-32 $34.98 9 Chipper $40.00 $40.00 $37.50 $56.26 10 Slump Grinder/Remover $40.00 $40.00 $43.00 $64.50 11 Gasoline Chain Saw $15,00 $15.00 $45.25 $67.88 12 Aerial Bucket Truck $50.00 $50.00 $136.25 $204.38 Chipper Truck $4U.O0 $40.GU $136,25 $204.38 E1413 Spray Truck $40.00 $40.00 $136.25 $204.38 Acknowledgment of Addendums 1 No No No. of Vendors Contacted: 430 Opened & Received by: kntia Rubio - No of Vendors Responding 8 - Date adveibsed 09/46/2013 Pubkcatrons South Dade News LeaderlOady Business Rewew/M1aml Herald C dvY r�hsdelPemandsdar tom 450 SE 6"' A -we Hnmasleaw EL 3303❑ 57 3135-224-41528 .; 305.242.6833 » Ui A�+6DeProlhnn>r�leauP coni CITY OF HOMESTEAD Bid Details - Onvia DemandStar Pa( -Te 1 of? User: McPatrick, Carol Organization: City of Homestead Logout DENIANDSTAR by JNVIA My DemandStar Buyers Account info Log Bid [View Bids] Log Quote View Quotes Supplier Search Build Broadcast List Reports Bid Details Bid Information EDIT Agency C:t ci Bid Type ,r,. a4:zr'v 8.d Bid Number Fiscal Year 2",'3 Bid Writer Xintia Rubio Bic! Name T_ee Trr t g 8 L,ne Ciear'ng Serer -.res Bid Statics rt .:"3•"�'?': Bid Status Text Ncre Award To A.s�i�_re° T.ee E c*c,! Co Date D.at 'Time �i ' - _ 2 » , is E:asrerr Broadcast Date :. ' 2, ± 3 Bid Bond hi..d Project Estimated Budget Plan (blueprint) Nc. Distribution Options Distribution Method Distributed By C ,ria C Distribution Notes IN e Scope of Work €-Bidding Nc Legal Ad Please -. e-r,er the V:2:^, v• Lr1t cuttor tc mara�, '�. 3 Pre -Bid Conference N•A Publications Documents Miami lady Business Rev, e•,v 9;3r2C!3 Sauih Daee Ne'.v;leadar g?SrW�a3 Bid Noticer ', Page CcmFtete; Bid Package Bid Document i 32 Pages C_r-G:ete Addendum #1 Page Cor':le'e VIEW EDIT https:.' \\,�4\\.demand';tar.coin,'bu,.er hids,'Bid_Detail.asp'?_RF=IR:_PU=%-'Fbuvet•°°o?Fbid... 413/2018 Bid Details - Onvia DelnandStar Pane 2 of 2 Award Bid Tabulation 3 Pa s Commodity Codes AGR -020-90 - T-ee = ASR -515-33 - T e T_.. _ SRV -968-88 - T -a a a Sr --.7. 9r-_.? Sa-,.-=s SRV -988.52 • Ld., S 3 ..y -- _ .. _ _ 6.,' , u =: Mair-tei'arce ✓r Tres SRV -988.88 - T T ,rg 3". - Statistics Planholders There are 0 planholders for this bid Broadcast List 0 suppliers have been notified Supplemental Suppliers 1 Supplemental Suppliers Filtered N3 Post -Bina Viewers 0 viewer(s) RC+Eum ©emardStar ,s 3 proifucl of vnvia. Inc. Icl 1447•2018 All rights reserved I Terms Uf Use I Privacy I Lgal Natices haps, "ti\ \\ \\ .demandstar.com'bl.t\ er'bida,Bid_Detail.asp''_RF= I &-_PU=' ir_ FbU\ er%_" bid... 4'13 '20 18 VendorExtractFile960 3155;7722200254;ewyatt@asplundh.com ;ASPLUNDH TREE EXPERT, CO. ;EUGENE WYATT ;BIDNET 3365;9547256701;sales@hectorturf.com ;TESCO SOUTH, INCORPORATED DBA JOE LIMBERG ;CONSTRUCTION 3422;3056916564;condoel@bellsouth.net;mohcondo@bellsouth.net ;CONDO ELECTRIC MOHAMED HALLAJ ;CONSTRUCTION 3431;3052478983;homesteadmower@bellsouth.net ;HOMESTEAD MOWER CENTER ;MIAMI/FT 3556;3052489112; ;RMC SOUTH FLORIDA INC. DBA FLA THOMAS BOND ;MIX'D GREENS, 3876;3052422703;belapradd@bellsouth.net ;LOVETT IRRIGATION, INC. BARBARA LAPRADD ;FIRST METRO 4129;3058182428;cinfante@sfmservices.com ;SOUTH FLORIDA MAINTENANCE CHRISTIAN INFANTE ;FLORIDA 4217;3052483669; ;RICK'S TRIANA FENCE, INC. RAMON TRIANA ;REED 4262;7862429988;sod@gate.net ;SUNSET SOD, INC. KATHY WEBSTER ;EL TORO 4506;3056357887;sernst@fencemastersinc.net ;FENCE MASTERS, INC. BOB MILLER ;AAA COURT, 4853;9549727433; ;PAVER MODULE 5058;3056676959;agile@bellsouth.net ;AGILE COURTS CONSTRUCTION CO, BRIAN BOWER 6135;3052792582;fenceconninc@yahoo.com ;FENCE CONNECTION INC. TED WALLACE 7170;3052463022;jamvrtinc@bellsouth.net ;M.V.R.T., INC. JORDAN A. ALONGE 7402;3055591947; ;DODGE REPORTS 7403;8007216985; ;BIDNET 7404;0000000000; ;BIDTRAX 7406;9043880109; ;CONSTRUCTION BULLETIN 7407;9545689109; ;CONSTRUCTION MARKET DATA 7411;3054777241; ;MIAMI/FT LAUDERDALE MINORITY 7567;3052461379; ;MIX'D GREENS, INC. MICK GNAEGY 7707;0000000000; ;FIRST METRO BUILDERS, INC 8017;9549231094;JDUDLEY@fsscompany.com ;FLORIDA SILICA SAND CO. INC. JOE DUDLEY 8568;9544243859;reedpres@bellsouth.net ;REED LANDSCAPING, INC BONNIE 8603;3055947527;renny@toropest.com ;EL TORO EXTERMINATORS OF FLORI RENNY PEREZ 9021;3056800174; ;AAA COURT, INC. Page 1 VendorExtractFile960 9023;3056880204; ;BANNERMAN LANDSCAPING, INC. PAUL BANNERMAN 9202;3052473511; ;V-3 GROWERS SUPPLY LECIA 9257;8068838691;louis.kramer@grainger.com ;W.W. GRAINGER INC. DBA GRAINGE LOU KRAMER 9357;9549725333; ;LAND DESIGN SYSTEMS, INC. 9386;3052489135; ;GOLD DUST WELDING DAVID BERRONES 9476;0000000000; ;WOODS LAWN SERVICE 9481;3052216110;zurqui@zurquics.com ;ZURQUI CONSTRUCTION SERVICES, LAURA DE MARCHENA 9516;3052480249;berrydecor@aol.com ;D&D TREE FARMS, INC. ;DENNIS BERRY 9639;3052460481;vy@arazozabrothers.coin ;ARAZOZA BROTHERS CORPORATION ALBERT ARAZOZA 9680;3058581728; ;EDU -TECH INC. FRANK 9823;3052573298;ahayes@allgreentreeworks.com ;ALL GREEN NURSERY, INC. ANDREA HAYES 9904;3056388803; ;BOND PLUMBING SUPPLY, INC. 10003;3052487570; ;LAVENDER LANDSCAPE, INC. 10006;3052645350;frank@leadexcorp.coEn ;LEADER CORPORATION FRANK FONSECA 10065;3052429614;mgw@bellsouth.net ;GMR FENCING MICHAEL RICE 10102;0000000000; ;PERRINE CUTLER RIDGE COUNCIL 10220;3059947779; ;NATIONAL LANDSCAPING, INC. MARIO LIGNAROLO 10931;0000000000; ;REDLAND HOTEL 11156;3052461100;info@chamberinaction.com ;CHAMBER OF COMMERCE MARY FINLAN 11424;9193621750;.com ;BILL FRITZ SPORTS CORP BILL FRITZ 11469;3056638252; ;GROWING FIELDS, THE 11562;3057583839; ;MIAMI DADE CHAMBER OF COMMERCE 11593;3052486233;DEEPSOUTHWELDING@AOL ;DEEP SOUTH WELDING, INC. TOM OR TAMMY 11712;4078419111; ;MASTERS GOLF CORP. 11917;3052575869; ;LAWN Page 2 VendorExtractFile960 ENFORCER, INC., THE 12242;3056425854; ;H & G LANDSCAPING & LAWN 12441;3054770329; ;SUNSHINE TRUCKING CORP. BEN FLORES 12508;5178662280; ;MORBARK SALES CORP. BRUCE WOOD 12598;7722880207;info@rcpshelters.com ;R.C.P. SHELTERS, INCORPORATED ED GRIBBEN 12648;9543210355;sued@flaelectric.com ;FLORIDA ELECTRIC CONTRACTING RICHARD HEADLY 12668;4078593275;ericinman@mail.msn.com ;AQUATIC WEED CONTROL, INC. ERIC INMAN 12829;3052586403; ;ODIS RICHARDSON, INC. 12895;3052624498; ;ATLANTIS CONST OF SO FLA INC 12969;3055978348; ;SOUTH FLA MAINT SVCS, INC 13019;3059717935; ;U BUG ME PEST CONTROL, INC. 13156;3052586088; ;BACKHOE AND TRACTOR SERVICES 13169;5615820875;communitytree@hotmail.coii ;COMMUNITY TREE & LANDSCAPE SVC DAVID NOAKES 13170;5615339437; ;JOHN SUTTON 13172;3055981762; ;NELSON'S TREE SERVICE 13175;3052457898; ;SILER'S TREE EXPERTS, INC C. SILER 13200;3052541640; ;INTERCOASTAL CONTRACTING, INC.;THOMAS LOMBROIA 13227;3056658152; ;GREENTREE, INC. GREGORIO ESCAGEDO 13307;3052480249;berrydecor@aol.coin ;TROPIC LAWN MAINTENANCE 13431;5618455374;mkeel@avcaquatic.com ;AQUATIC VEGETATION CONTROL,INC TODD J OLSON 13452;8002854843; ;FLORIDA BID REPORTING SERVICE WAYLAND D. BURGESS, JR. 13457;8882320299;pgiancola@cdcnews.com ;CONSTRUCTION DATA CORP PAT GIANCOLA 13461;3052358493; ;LANDING'S NURSERY, INC. 13469;3052473942; ;BUSY B'S NURSERY OF HOMESTEAD 13652;3052581709; ;J&K NURSERY, INC. DBA KENDALL 30E PORTER Page 3 VendorExtractFile960 13736;3056631123; ;TENUSA, INC. PEDRO BOFILL 13743;3056709360;tburitica@kimley-horn.com ;KIMLEY-HORN & ASSOCIATES, INC. TRICIA BURITICA 13822;3052480204; JECHLAWN, INC. 13835;3052489135; ;GOLDEN TREE FARMS DAVID BERRONES 13856;3058830963; ;BERT NEWCOMB TREE & LAND SVC LEIGH LIVESAY 13925;3343435554; ;DRC, INC. WILLIAM BROADUE 13926;3055978348; ;U.S.A. BUILDING SERVICES CHRIS INFANTE 13949;3052487429;BOB@SOLARSEAM.COM ;ARESSCO TECHNOLOGIES ROBERT HOUSTON 14058;3052479475; ;GREENLEAF CORP. EDDIE GUADAYOL 14107;3059648938;gneisscaprusa@netscape.net ;GNEISS CORPORATION HANSEL BENNETT 14159;3052537065;thomasmaintsery@aol.com ;THOMAS MAINTENANCE SERVICE INC MILES THOMAS 14160;3052533670; ;MOBLEY LAWN SERVICE 14197;3052456834;maureen@donyelectric.com ;DONY ELECTRIC INC. DOUG BARBEAU 14220;3055580855;ecocare@eco-care.com ;ECO -CARE, INC. JEFFERY DEWITT 14268;3059714360; ;BIG GREEN LANDSCAPING SVCS INC MARIA CONTRERAS 14613;3052462520; ;LANDSCAPING AND MORE, INC. DEREK EAKER 14657;3058828228; ;MIAMI COMPOST ANGEL RAMOS 14658;3052456726; ;LAWNS BY BILL WILLIAM EDWARDS 14737;3052477676;STRANOLANDSCAPE@AOL.COM ;STRANO LANDSCAPE, INC. SEAN STRANO 14952;3052484418; ;K MARTINEZ PALMS CHRIS MARTINEZ 15125;3053875412; ;SOFI TRUCKING CORP MARIA GONZALEZ 15128;3052461464; ;WAY TO GROW JOSE OR BILL 15214;3056706787;stevetjr@atlanticcivil.net ;ATLANTIC CIVIL, INC. MAGGIE FOX 15217;9544368664;cpasquale@millerlegg.com ;MILLER LEGG & ASSOCIATES, INC. CARA PASQUALE Page 4 VendorExtractFile960 15235;3052670690; ;J & Y TOTAL LANDSCAPING ;ANTONIO YOVANY 15251;3052463244; ;PURCHASING DEPARTMENT 15272;3056750342;tropex@tropexcon.com ;TROPEX CONST SVCS, INC. ANGEL PAREJA 15275;3052426983; ;GARAY'S LANDSCAPING & LAWN CLARABEL GARAY 15371;3058838660; ;HERNANDEZ TRUCK SERVICES, INC. BRUCE BATES 15492;6308798687;sales@barcoproducts.com ;GENEVA SCIENTIFIC, INC. DBA JANETTE BENJAMIN 15543;3052428103;rosaml@bellsouth.net ;EL TRAPICHE MOWING SVC INC ENRIQUE MONTES 15597;0000000000; ;UNIQUE LAWN SERVICES, INC. IVAN TORRES 15618;9544806249;rmiller@wetlandsbank.comes.com ;NATIVE TECHNOLOGIES INC. ROBERT MILLER 15722;3058830969; ;USA -LIFT LLC BARBARA MORA 1S833;3053782145; ;POWER WASH & RECOVERY RICARDO RAYMOND 15836;5123317741;topjar@aol.com ;T.F.R. ENTERPRISES, INC. KRISTIN ZURBRICK 15850;3054122278;info@nacconst.com ;NAC CONSTRUCTION, INC. NESTOR CASTELLON 15944;3052355186;bruce(@progroundsproducts.com ;PRO -GROUNDS PRODUCTS, INC. BRUCE BATES 15965;9413492400; ;AAA PARKING LOT & ST SWEEPER DUSTY KAUFMAN 16058;3053647186; ;TWO BROTHERS PAVING & DRAINAGE ENRIQUE 16081;3057570789; ;E&S LANDSCAPING SERVICE, INC ERNST MAYARD 16149;2397912401;INFO@PLAYMOREONLINE.COM ;PLAYMORE REC. PRODUCTS & SERVI LUKE RUSSELL 16151;0000000000; ;SOUTHERN HAULING & DUMPING GEROY WEST 16222;3052489933;scottbpm@att.net ;BERGER'S PROPERTY MAINTENANCE SCOTT BERGER 16223;3052586088; ;FRED'S BACKHOE -TRACTOR SERVICE FRED PATTERSON 16275;3052388878;cevensen@nativetree.com ;A NATIVE TREE SERVICE, INC. CATHY EVENSEN 16310;9547888018; ;HABITAT RESTORATION RESOURCES ROBERT EGAN 16418;6304432087; ;UNITED LABORATORIES, INC, MELISSA AGUILAR Page 5 VendorExtractFile960 16429;0000000000; ;D.P.S. 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JOE SEID 16717;3052458078;dingramnursery@msn.com ;DOUG INGRAM AND SONS 16739;3052562602;CGS1223@AOL.COM ;CHARLES SMITH LAWN SERVICE CHARLES SMITH 16819;3052339373; ;B&A CONSTRUCTION SERVICES BORIS SERRANO 16902;3052484900;sherwoodforest@sherwoodforest.biz ;SHERWOOD FOREST ARBOR CARE GENE SHERWOOD 16980;0000000000; ;JONEST'S LAWN SERVICE JONEST ELMOND 17381;3056212663;weedaway@msn.com ;WEED -A -WAY, INC GWENDOLYN OKOTOGBO 17486;3052746467;cablewizardcorp@yahoo.com ;CABLE WIZARD CORP. JORGE CLARK 17492;3055083023;govmilaccounts@lowes.com ;LOWE'S HOME CENTERS, INC. LISA MINTON 17512;3059695109;nandit@bellsouth.net ;SONNY'S TOTAL LANDSCAPING, INC ROBERT CLARINGTON 17530;3052075967;sanitarysolutions@msn.com ;SANITARY SOLUTIONS, INC. BARBARA 175S7;3052485900;milanesenrique@aol.com ;MILANES'S LANDSCAPING ENRIQUE GONZALEZ 17582;3053837634;miamiolivers@aol.com ;PRO CHEM, INC. 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MAURICIO PORVEN 21192;3052309966;supportedeni!<aconstruction.com ;DENIKA CONSTRUCTION INC CARLOS RODRIGUEZ DENICA 21237;3052476504;gonzalezgrading@hotinail.corn ;GONZALEZ GRADING SERVICE INC. 'WILFRED GONZALEZ 21239;7862630140;juanvalderama@bellsouth.net ;INTEGRAL BUSINESS & INVESTMENT JUAN LUIS VALDERAMA 21284;3059745868;onechoiceproperty@hotmail.com ;ONE CHOICE PROPERTY MAINTENANC PATRICK JOSEPH 21335;3053876336;pbalepogi@strategoconsultants.corn ;STRATEGO ENGINEERING CONSULTAN PEGGY BALEPOGI 21337;3052580809;jzepeda@valleycrest.com ;VALLEYCREST LANDSCAPE MAINT. I JOSE ZEPEDA 21351;3056674208;djsanguesa@hotmail.com ;CONSTRUCTION RESOURCES OF S. F DAVID SANGUESA 21367;5617382278;ATCOURTS@GMAIL.COM ;ACCURATE TENNIS COURTS, CO. SAL CUSIMANO 21392;7862425130;jonsilva@glstaffing.com ;GL STAFFING SERVICES, INC. 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PEDRO GLARIA 21768;3058234479;VPMIAMI05@LIVE.COM ;VISION POOLS OF MIAMI, INC ;JULIE ACOSTA 21783;3055588811;ROLAND@FORTRESSBUILDERS.COM ;FORTRESS BUILDERS INC. ROLAND BUJEIRO 21790;0078912833;denny@koolplaygrounds.com ;KOOL PLAYGROUNDS, LLC DENNY TALBOTT Page 11 VendorExtractFile960 21793;8634245032;TAYLORSUPPLY@AOL.COM ;TAYLOR SUPPLY LLC STEVEN TAYLOR 21799;0000000000;rniguel11184@yahoo.com ;LOARCA LANDSCAPING SERVICES IN MIGUEL LOARCA 21802;5617343013;atlas@atlaspeatandsoil.com ;ATLAS PEAT & SOIL, INC CAROL MARRERO/CLAUDIA TOR 21807;3054434831;shoresdev@aol.com ;SHORES DEVELOPMENT, INC, VALERIO CERRON 21821;0000000000;kidztownpartyrental@grnail.com ;KIDZTOWN WARTY RENTAL, LLC JACKSON HERNANDEZ 21842;9542520214;atlas@atlaspeatandsoil.com ;YARD IMPROVEMENTS, LLC DBA SUP CAROL MARRERO 21854;7865159685;doug@fasciaConstruction.corn ;FASCIA CONSTRUCTION, INC DOUGLAS HOLT 21857;3052537464;alexandra@agreenworld-inc.corn ;A GREED! WORLD CONSTRUCTION CO ALEXANDRA TOPOLE 21873;0000000000;rnhardie29@gmai1.coin ;HARTEC GROUP, INC MAURICE HARDIE 21893;3056986339;FRANK@TOWERPESTCONTROLMIAMI.COM ;TOWER PEST CONTROL INC. FRANCISCO TORRE 21895;3056654121;FENCES4LESS@BELLSOUTH.NET ;ALL ABOUT FENCING CONTRACTOR I MANNY HERNANDEZ 21899;3054639207;raydel@atlasdoors.net ;ATLAS DOOR & GATE, INC. MARIA 21905;0000000000;gelberbarnaca@yahoo.corn ;NICOLS LAWN SERVICES GELBER BAMACA 21916;3052581345;jocanza@yahoo.corn ;VICANZA ENTERPRISES, INC VICKY TOLEDO 21918;9542412586;jonathan@emeraldconstruction.com ;EMERALD CONSTRUCTION CORP JONATHAN CUESTA 21924;3056202909;office@mcbayneconstruction.com ;MC BAYNE'S CONSTRUCTION & RENO TREVOR MCBAYNE 21927;3057584790;ordeanconstruct@yahoo.com ;O.R. DEAN CONSTRUCTION O.R. DEAN 21934;3058851327;delio@metroexpresscorp.com ;METRO EXPRESS INC DELIO TRASOBARES 21937;3052244124;rb64@goldstarenterprisesllc.com ;GOLD STAR ENTERPRISES LLC RONALD BROWN SR 2.1938;3052229071;danielmorao@yahoo.com ;MORAD CONSTRUCTION LLC DANIEL MORAO 21941;3052580809;jzepeda@valleycrest.com ;VALLEYCREST LANDSCAPE DEVELOPM JOSE ZEPEDA 21943;3054482331;orchidman@me.com ;ORCHID MAN LANDSCAPE ARTISANS, JOSE PEREZ 21945;0000000000;rodney_2fly@yahoo.com ;TROPICAL GREEN LANDSCAPE & DES RODNEY FREEMAN 21971;4047950430;info@ajajcs.com ;AJ & A3 CLEANING SOLUTIONS INC CATHY JOBE Page 12 VendorExtractFile960 21975;7863495344;THOMASJ49@aYMAIL.COM ;THOMAS JEROME LAWN SERVICE JEROME THOMAS 21976;0000000000;keepingitgreen@att.net ;KEEPING IT GREEN LAWN MAINTENA EVELYN RUIZ 21977;3052462825;precisioncmxh@aol.com ;CHRISTOPHER MX HASKINS PRECISI CHRIS HASKINS 21980;3052554653;tiptop@tiptopentinc.com ;TIP TOP ENTERPRISES, INC JOSEPH PORTER 21986;7862424230;DLHPRO@YMAIL.COM ;DLH PROFESSIONAL SERVICE, INC. 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ORLANDO BATISTA 22256;0000000000;dalita42008@ahotmail.coin ;ALMARAL, JORGE L JORGE ALMARAL 22270;8665454408;info@llhfcharity.org ;LIVE LIFE HEALTHY FOUNDATION I LESTER NORTON 22272;7868458262;AOPLUMBING@AOL.COM ;A & 0 PLUMBING CORP. ALEXANDER RODRIGUEZ 22315;3052321113;amoss@primaryconstructioninc.com ;PRIMARY CONSTRUCTION INC ADRIENNE MOSS 22351;0000000000;carlos.serna@jcehrlich.com ;J.C. EHRLICH CO..INC CARLOS SERNA 22358;0000000000;americanbuildersmaster@yahoo.com ;AMERICAN COOLING MASTERS CORP JOSEY BENITZ 22367;3052347575;raul@easygrass.net ;EASY GRASS, LLC RAUL MARTINEZ Page 13 VendorExtractEile960 22437;3056758480;ADMIN@AQUATRENDPOOLS.COM POOLS, LLC EVELIO ALEMAN Page 14 ;AQUATREND 650 N.E. 22 Terrace Suite I Co Homestead, FL 33033 305-224-4400 wwwAtyofhomestead,com November 25, 2013 Ronnie Collins Vice President Asplundh Tree Expert Co. 106 SW 140 Terrace, #3 Jonesville, FL 32669 Sent NaFar&E-mail:352-333-93 t2 rccrllitrs t-t.-lsl)ltttttlli.cora Re: Bid # 201.303 — Tree Trimming & Line Clearing Services Notice of Award Dear 41r. Collins: This is to advise you that the City Council of Homestead, Florida, meeting in session on Wednesday, November 20, 2013, has awarded the above captioned item to your company. This award was, of coarse, in accordance with the Invitation to Bid, General and Special Conditions, Minimum Specifications, and your bid and all attached are made pail of this award. Pleasc submit a current certificate of insurance with requirements as listed under Section 3.5 of the bid documents. In tete description of operations section please include "The Certificate Holder is an additional named insured in accordance with Bid No.: 201303 Tree Trinimin; & Lite Clearing Services." Please submit the above-mentioned documents no later than end of business day December 10, 2013. A blanket purchase order shall be forthcoming after receipt of the above listed item. If you have any questions, please feci free to contact nae at (305) 224-4620. We look forward to doing business with your firth. Sincerely, Xintia Rubio -Rojas Buyer 11 Encl.: Bid Tabulation, Consent Agenda cc: Barbara Quinones , Ken Konkol, City of Homestead CITY OF HOMESTEAD CITY COUNCIL MEETING AMENDED AGENDA F *"'PLEASE TURN OFF ALL ELECTRONIC DEVICES PRIOR TO ENTERING COUNCIL CHAMBERS. WEDNESDAY, NOVEMBER 20, 2013 IMMEDIATELY FOLLOWING THE COUNCIL PRESENTATION CEREMONY @ 5:00 PM WILLIA✓wi F. "BILL" DICK9NSON COMMUNITY CENTER 1601 N. KROME AVENUE, HOMESTEAD, FL 33030 WWW.CITYOFHOMESTEAD.COfb1 1. CALL TOO ROE R/INVOCATIONIPLE DG E OF ALLEGIANCE (a) PASTOR BROCK D. SHIFFER, PASTOR OF SPEEDWAY COMMUNITY CHURCH (b) PLEDGE OF ALLEGIANCE — POLICE EXPLORERS & MAYOR JEFF PORTER 2. ROLLCALL 3. PUBLIC COMMENTS F. ADDITIONS, DELETIONS, DEFERRALS I. CAR #1011 --THEATRESOUTH ATLANTA (TSA), INC, PRODUCTION OF "I HAVE A DREANI" APPROVED 3. CONSENT AGENDA —ALL ITEMS APPROVED I. OCTOBER 16, 2013 COUNCIL PRESENTATION CEREMONY MINUTES OCTOBER 16, 2013 COUNCIL MINUTES ii. ITEMS FROM THE NOVEMBER 12, 2013 COMMITTEE OF THE WHOLE MEETING i. CAR 41015 —COATING SYSTEM FOR WASTEWATER TREATMENT FACILITY TONKA FILTER TANKS — ITB #201401 iii. ITEMS FROM THE NOVEMBER 12, 2013 FINANCE COMMITTEE i. CAR #1020 —FINAL FISCAL YEAR 2013 BUDGET AMENDMENT Lm iv. ITEMS FROM THE NOVEMBER 12, 2013 PARKS & RECREATION COMMITTEE i. CAR #1010 — WAIVER OF FEES FOR THE USE OF WILLIAM F. "BILL" DICKINSON COMMUNITY CENTER ii. CAR 4976 — WAIVER OF USE FEES FOR THE USE OF HARRIS FIELD PAVILION Ili. CAR #985 — WAIVER OF USE FEES FOR THE USE OF LOSNER PARK V. ITEMS FROM THE NOVEMBER 12, 2013 PUBLIC SAFETY COMMITTEE i. CAR# 988 — PURCHASE OF NEW VEHICLES FOR ADDITIONAL OFFICERS & OTHER MOBILE EQUIPMENT FROM CIP PLAN Vi. ITEMS FROM THE NOVEMBER 12, 2013 UTILITIES COMMITTEE I. CAR 41013 - ITS #201308 TREE TRIMMING & ELECTRICAL LINE CLEARING SERVICES 6. PUBLIC HEARINGS—ORDINANCES, LAND USE ITEMS, ETC.: (a) QUASI-JUDICIAL PUBLIC HEARINGS — PLEASE BE ADVISED THAT THE FOLLOWING ITEMS ON THE AGENDA ARE QUASI-JUDICIAL IN NATURE. IF YOU WISH TO COMMENT UPON ANY OF THESE ITEMS, PLEASE INDICATE THE ITEM NUMBER YOU WOULD LIKE TO ADDRESS WHEN THE ANNOUNCEMENT REGARDING THE QUASI-JUDICIAL ITEM IS MADE. AN OPPORTUNITY FOR PERSONS TO SPEAK ON EACH ITEM WILL BE MADE AVAILABLE AFTER THE APPLICANT AND STAFF HAVE MADE THEIR PRESENTATIONS ON EACH ITEM. SWEARING IN. ALL TESTIMONY, INCLUDING PUBLIC TESTIMONY AND EVIDENCE, WILL BE MADE UNDER OATH OR AFFIRMATION. ADDITIONALLY, EACH PERSON WHO GIVES TESTIMONY MAY BE SUBJECTTO CROSS-EXAMINATION. IF YOU DO NOT WISH TO BE EITHER CROSS-EXAN11NED OR SWORN, YOUR TESTIMONY WILL BE GIVEN ITS DUE WEIGHT. THE GENERAL PUBLIC WILL NOT BE PERMITTED TO CROSS-EXAMINE WITNESSES, BUT THE PUBLIC MAY REQUESTTHE COUNCIL TO ASK QUESTIONS OF STAFF OR WITNESSES ON THEIR BEHALF, THE FULL AGENDA PACKET ON EACH ITEM SS HEREBY ENTERED INTO THE RECORD. PERSONS REPRESENTING ORGANIZATIONS MUST PRESENT EVIDENCE OF THEIR AUTHORITY TO SPEAK FOR THE ORGANIZATION. FURTHER DETAILS OF THE QUASI-JUDICIAL PROCEDURES MAY BE OBTAINED FROM THE CLERK. (IN ACCORDANCE WITH CODE SECTION 2-591, ANY LOBBYISTS MUST REGISTER BEFORE ADDRESSING THE COUNCIL ON ANY OF THE FOLLOWING ITEMS). AT THIS TIME COUNCILMEMBERS MUST DISCLOSE ANY EX -PARTE COMMUNICATIONS CONCERTING ANY ITEMS ON THE AGENDA. AT THIS TIME THE CLERK WILL S'NEAR IN ANY PERSONS) WHO WISHES TO TESTIFY ON ANY QUASI-JUDICIAL ITEM. CAR 41028 - PH42013-42 RESOLUTION FOR SPECIAL EXCEPTION TO PERN11TA CHURCH A RESOLUTION OF THE CITY OF HOMESTEAD, FLORIDA, APPROVING A SPECIAL EXCEPTION TO PERMIT A PLACE OF WORSHIP ON AN APPROXIMATELY 44,431 SQ. FT. PARCEL LOCATED AT 1088 MOWRY DRIVE, AS LEGALLY DESCRIBED IN EXHIBIT "A;" AND PROVIDING FOR AN EFFECTIVE DATE. - APPROVED ii. CAR # 1027 - PH#2013-36 SITE PLAN APPROVAL FORA PROPOSED 97 -ROOM EXTENDED STAY HOTEL A RESOLUTION OF THE CITY OF HOMESTEAD, FLORIDA, GRANTING SITE PLAN APPROVAL FOR A HOTEL ON AN APPROXIMATELY 2,26 ACRE PARCEL LOCATED SOUTHEAST OF NORTHEAST 20TH AVENUE, NORTH OF NORTHEAST 9TH STREET, AND WEST OF BAPTIST WAY WITHIN THE MALIBU BAY PLANNED UNIT DEVELOPMENT (PUD), AS LEGALLY DESCRIBED IN EXHIBIT "A;" AND PROVIDING FOR AN EFFECTIVE DATE, AS LEGALLY DESCRIBED IN EXHIBIT "A;" AND PROVIDING FOR AN EFFECTIVE DATE. - APPROVED CAR #1022 --- PH#2013-30 VARIANCE TO BUILDING SITE AREA REQUIREMENTS FOR PALM RIDGE GARDENS A RESOLUTION OF THE CITY OF HOMESTEAD, FLORIDA, CONSIDERING THE REQUEST BY REDUS FLORIDA LAND, LLC FOR A VARIANCE FROM SECTION 30-114(1) "BUILDING SITE AREA REQUIREMENTS" OF THE CITY CODE TO PERMIT A REDUCTION IN THE MINIMUM LOT SIZE FROM 7,500 SQ, FT TO 5,100 SQ. FT., WITHIN A FIFTY-FIVE (SS) UNIT SINGLE FAMILY RESIDENTIAL SUBDIVISION ON AN APPROXIMATELY 9.31 ACRE PARCEL LOCATED SOUTH OF SOUTHWEST 323RD STREET, EAST OF SOUTHEAST 30TH TERRACE, NORTH OF HOMESTEAD CITY COUNCIL AGENDA PAGE 2 NOVEMBER 20, 2013 INVITATION TO IIID TREE TRIMMING AND LINE CLEARING SERVICES BID #201308 DUE DATE Thirsday, September 19, 2013 at 2:00 p.m. PRE -DID CONFERENCE N/A For information contact: XINTIA RUBIO-RAJAS BUYER II Procurement R Contract Services Division 450 SE b°' Avenue Homestead, FL 33030 D_1TE ISSUED: September 6. 2013 ITB#20130$ Page 1 1L1:T1'[#]zero] Lit Iall 10 SOLICITATION SUMMARY................................................................................................................6 SECTION 1- GENERAL TERMS & CONDITIONS...................................................................................8 1.1 DEFINITIONS: ........................................................................................................................... 8 1.2 EXECUTION OF BID FORM: .......................................................................................................... 10 1.3 NO BID: __ ......................................... ....................................... ................................ ........... .... 10 1.4 TIE BIDS: ............. ............... ........ ........................................................................................ 10 1,5 CLARIFICATIONS / INTERPRETATIONS:.......................................................................................11 1.6 CONE OF SILENCE:... ....... ........................................................................................................... 12 1.7 BID OPENING: ............................. ........................ 14 1.8 AWARD OF CONTRACT:... .......................................... ......... ....................................................... 14 1.9 CONTRACT EXTENSION(S): ............... .......... ............ ................................... .............................. 16 1.10 OPEN-END CONTRACT: ............................................................................................................... 17 1.11 SECONDARY/OTHER BIDDERS:...................................................................................................17 1.12 NON-EXCLUSIVTY:........................................__...........................................................................17 1.13 WITHDRAWAL OF BMS: .......................................................... ........... ................................... ... 18 1.14 REJFCTlON OF BIDS: ....... ................................................................... ........ ............................... 18 1.1S PRICES QUOTED:... ............................................................... ...................................................... 19 1.16 LOCAL PREFERENCE:... ................................................................................................................ 19 1.17 FORMS: .... .............................................. .................................................... ............................ _ 20 1.18 LIABILITY, INSURANCE, LICENSES AND PERMITS:..... .......... ..................... ....................... ........ _ 24 1.19 LOCAL BUSINESS TAX (OCCUPATIONAL LICENSE REGISTRATION): .......... ........... ....... ......... . 24 1.20 CERTIFICATES OF INSURANCE: ........................................................................................ ........... 2S 1.21 INDEMNIFICATION: ........................... ......................... .......... .................................................... 25 1.22 BID BOND: ... .............. ...... ........ ........... .................................................... ............ ...... 25 1.23 PERFORMANCE BOND AND LABOR AND MATERIAL PAYMENT BOND: ........... __ ................. ..... 25 1.24 CITY WEBSITE:.............................................................................................................................25 1.25 BID TABULATIONS: ...................................................................................................................... 25 1.26 BILLING INSTRUCTIONS: ......................................... ................................................................... 25 1.27 INCORRECT PRICING/INVOICES:.................................................................................................26 1.28 TAXES: ................................................................................... 1.29 EQUIVALENTS: .................................................................................................. .......................... 26 ITB#201308 Parse 2 I.30 lAyNPLES: .................................................................................................................................... J7 I.31 SUBSTITUTIONS: ........... ............................................................................................................. 27 1.32 MISTAKES: ............................................................................................................... ................... 27 1.33 ESTIMATED QUANTITIES: ............................................................................................................ 27 1.34 CONDITIONS AND PACKAGING: ..................................... ............... ............................................ Z7 1.35 |NSPECT|ON.AC[[PTAN[E & TITLE: ........................................................................................... Z7 l.]G NOTE TOVENDORS DELIVERING TOWAREHOUSE: .................................................................... 27 137 QUALITY: ................................ .................................................................................................. '28 138 VVARRAN7t.... ............................................................................................................................ 28 1.39 PRODUCT RECALL: .................................................................................................. ................... 28 1.40 CANCELLATION: .............................. .......... ...................................................... ......................... 29 1.41 COMPLETE PROJECT REWIRED: ................................................................................................. 29 1.42 SITE INSPECTION: ................ ....................................................................................................... 28 I/43 UNDERWRITERS' LABORATORIES: .......... -.......... ........................................... ........................ ]9 1.44 AMERICAN MADE: ............ ....................................................................................................... 'Z9 1.45 NON'[ONFDRMAN[ETO CONTRACT CONDITIONS: .... ..................................... ..................... 3O 1.46 D|SPUTFS:...... ................ ........................................................................................................... 3O 147 LEGAL REQUIREMENTS: ...... .......................... ............................................................................ 3O 1.48 PATENTS AND ROYALTIES: ...... ............................................ ................................................. ..... 30 1.49 OSHA: .......................................................................................................................................... 30 1.50 ANT|'D|S[R|0|NATION:......................................................... .................................................... 3O 1.51 DEFAULT: ........................................................................ ............................................................ 30 I.52 BIDDER'S FACILITIES: ........................................... .................................................................. .... 31 1.53 DISCLAIMER: ............................... ......................................... ............................... ..................... 3I 1.54 EVIDENCE: .......................... ........................................................................................................ Jl 1S5 DEMONSTRATION OF COMPETENCY: ......................................................................... .............. 3l 1S6EMPLOYEES� ........... ................................................................................................................... 3Z I.57 AS5|GNMENT:............................................................................................................................. 32 1.58 OPTIONAL CONTRACT USAGE: .................................................................................................... J2 1.59 SPOT MARKET PURCHASES: .............................................................................................. ......... 33 1.60 SUNSHINE LAW: .......................................................................................................................... 33 1.61 FORCE K8AJEURE:......................................................... .............................................................. 33 lTB#201308 Page 1.62 COLLUS0N:................................................................................................................................33 1.63 ELI&BILITY:.....................................................................................34 1.64 PROPERTY: ................................................................................................................................... 34 1.65 TERMINATION FOR DEFAULT: ................... ............................ .............................. ...................... 34 1.66 TERN11NATION FOR CONVENIENCE: ................................................................................... ........ 34 1.67 SUB CONTRACTORS: . .... ............................................................................................................. 34 1.68 CONFIDENTIALITY: .................. .................................. ....... .................................................... 35 1.69 GOVERNING LAW AND VENUE:..................................................................................................35 1.70 ATTORNEY'S FEES:.......................................................................................................................35 1.71 NO PARTNERSHIP OR JOINT VENTURE: ...................................................................................... 35 1.72 PARTIAL INVALIDITY: ................................................................................................................... 35 1.73 PROVISIONS BINDING: ................................................................................................................ 3S 1.74 HFADINGS AND TERMS: ......................................................................................... .......... ......... 35 1.75 ENTIRE AGREEMENT: .......... .......................................... ............................. ............... 3S 1.76 DAVIS-BACON AND ARRA:..........................................................................................................36 1.77 MINIMUM WAGE RATES: . .................................... ....... ....... ....... ............................... ............. 36 1.78 ORDER OF PRECEDENCE: ............................. ....... .......................... ........................................ - 3 6 1.79 PUBLIC RECORD LAW: .......................................................... ....................... .............................. 36 SECTION 2- SPECIAL CONDITIONS..................................................................................................38 2.1 PURPOSE: .................................................................................................................................... 38 2.2 PROJECT LOCATIONS & FREQUENCY OF CLEANING: ................................................................... 38 2.3 PLANS: .................................................. ...................................................................................... 38 2.4 CONTACT PERSON: ...................................................................................................................... 38 2.5 PRE-BID CONFERENCE: .................................. 2.6 SITE INSPECTION: .................................................................. ................................................ 38 2.7 DUE DATE: .......... .............................. ............................... ...................... ........... .......... 3 8 2.8 TERM OF CONTRACT: .................................................................................................................. 39 2.9 METHOD OF AWARD: ................................................................................................................. 39 2.10 RESPONSE TiMF:.........................................................................................................................39 2.11 BID BOND: ....................... ..................................... ................... ................ ................................ 39 2.12 LIQUIDATED DAMAGES: ...................................................................... ....................................... 39 2.13 PAYMENT AND PERFORMANCE BOND: ......................................................................................39 ITB#201308 Page 4 2.14 PRICES SHALL BE FIXED AND FIRM FOR TERM OF CONTRACT: ................... .................. ............ 39 2.15 PAYMENT: ........................... ............................................... ........................................................ 39 2.16 ADDITIONS/DELETIONS OF UNITS: ............. ............. .............................. ...................... 40 2.17 BIDS BINDING: ............................... ............ ....... .......... ............................... ....................... 40 SECTION 3 -INFORMATION REQUIRED FROM BIDDER.....................................................................41 3.1 BID SUBMITTAL & REQUIRED FORMS: .................................................................. ..................... 41 3.2 ADDENDA: ......................................... .......................... ........................................................ 41 3.3 EXCEPTIONS TO SPECIFICATIONS: ............................................................................................... 41 3.4 LICENSING: .............. __ ....... __ .......... .................. ........................ .................. ............. 41 3.5 INSURANCE: ........................................................................... .................................. ........... 41 3.6 REFERENCES:...............................................................................................................................44 3.7 WARRANTY/GUARANTEE: ....................................................................................... ............ _... 1. 44 3.8 BIDDER QUALIFICATIONS: ................................................................................................. ......... 44 SECTION 4- TECHNICAL SPECIFICATIONS.........................................................................................46 EXHIBIT"A.................................................................................................................................................50 STATEMENT OF "NO" BID.......................................................................................................................55 AMERICANS WITH DISABILITIES ACT (ADA) DISABILITY NONDISCRIMINATION STATEMENT.................56 BUSINESS ENTITY AFFIDAVIT...................................................................................................................57 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS PRIMARY COVERED TRANSACTIONS. ................... __ ............ ........ ................... .............. 59 DRUG-FREE WORKPLACE PROGRAM AFFIDAVIT....................................................................................61 SWORNSTATEMENT...............................................................................................................................62 PERFORMANCE SURVEYS........................................................................................................................64 NOTIFICATION OF SOCIAL SECURITY NUMBER COLLECTION AND USAGE.............................................66 W9FORM..................................................................................................70 BIDDER QUALIFICATIONS.........................................................................................................._............74 ITB#201308 Pages SOLICITATION SUMMARY Solicitation Number 201308 Title TREE TRIMMING AND LINE CLEARING SERVICES Issue Date 09'06,2013) Bid Due Date 09'19,2013 Deadline 2:00 p.m., EST Pre -Bid Conference: N A Question & Answer End Date 0911/2013 Contact XiNTIA RUBIO-RO.IAS BUYER II Procurement R Contract Services Division (305) 224-4626 Bid < a eitvoffiornestead.com Submission Information Bids must be submitted by mail or personally delivered by sealed hard copy marked on the outside with the Bidnumber and name at Procurement & Contract Services Division, Attn: Xintia Rubio - Rojas. City of Homestead, 450 SE 6"' Avenue, Homestead. FL 33030. All Bids and all required product information and any other items as indicated in the: followinu document must be returned. properly completed, and in a sealed envelope or your Bid may be disqualified. If more than one package is submitted they should be marked I of 2, etc. All Bids must be received no later than Tuesday, September 19, 2013 at 2:00 p.m., EST. The responsibility for submittinu_= Bids before the stated time and date is solely the responsibility of the Bidder. The City will not be responsible for delays caused by mail, courier service, including U.S. Mail, or anv other occurrence. Please use item response form below for the outer portion of your envelope or box to be submitted. Tentative Schedule Issue/Advertisement 09,'0612013 Pre -Bid N/A Due Date 09'19 2013 Council 10 162013 Notice of Award 10/17/2013 Commencement of Services 11/0112013 IT13#201308 Page 6 SOLICITATION RESPONSE FORM Bid # 201308 TREE TR1'%d.MNG AND LINE CLEARING SER`'ICES Diie Date Thursday, September 19, 2013 at 2:00 p.m. Delivery Location Procurement & Contract Seri ices Division City of Homestead 450 SE 6"' Avenue Homestead, FL 33030 Submitted By: iname orcompam and address) For Official Use Only Date and Time Received: Received by: IT13#201308 Page 7 SECTIO: 1- GE`ERAL TERMS & CONDITION'S 1.1 DEFINITIONS: Surety, covering modifications to the When used in these Bid Documents Contract recommended by the (defined beloxv) or in related Architect. Engineer and approved by documents, the followin terms, or the Citi- 4lanager and, or City pronouns are used in place of them, Council. B) Any addition(s) to the shall have the meanings Given w Scope of Work or to a Purchase. below: Order as a result of the Bid award that adds additional costs must be 1) addendum: A modification of brought to the City's attention and the Plans, Specifications or other approved by the Procurement Contract Documents distributed to Department prior to commencement prospective Bidders prior to the of additional work, shipment of opening of Bids. goods or the addition of 2) advertisement for Bids: The unauthorized freight charges. Once public notice inviting the submission approved, a Change Order will be of Bids for the work. issued to include the additional costs 3) Bid: The written offer of a and work may commence and.'or Bidder to perforin the Work. shipment of goods can begin. 4) Bid Bond: A bond executed by a Additional costs that were not Biddi:r and its Surety in the attached brought to the City's attention and form `�uaranteeinyg that the Bidder, if did not resUlt in a Change Order awardccl the Contract will execute approved by the Procurement Agent the same and will timely furnish the will not be honored. required Performance Bond, 10) Contract: The written agreement Payment Bond, and e% idence of between the City and the Contractor Insurance. for performance of the Work in 5) Bidder: Any individual, firm, accordance with the requirements of partnership or corporation submitting the Contract Documents and for the a Bid in accordance with the payment of the agreed consideration. Instructions to Bidders. 11) Contract Documents: The 6) Bid Documents: The Instructions to Bidders, Bid Form. Advertisement for Bids, instructions Bid Bond, Contract, Performance to Bidders, Bid Form, Bid Bond, Bond, Payment Bond, General Contract, Performance Bond, Conditions, Special Provisions, Payment Bond, General Conditions, Supplemental Provisions, Technical Special Provisions, Technical Specifications and Plans, together Specifications and Plans, together with all Addenda, Change Orders, with all Addenda. Schedules and Shop Drawings. 7) Bid Form: The form on which 12) Contractor: The individual, Bids are submitted. firm, partnership, corporation or joint 8) Calendar Day: Everyday shown venture whose Bid is accepted and on the calendar. who enters into a Contract with the 9) Chance Order: A) A written City of Homestead and who is liable agreement executed by the City, the for the acceptable performance of the Contractor and the Contractor's work and for the payment of all legal ITB#201308 Page 8 debts pertaining, to the Work. 13) Contract Time: The number of days allowed for completion of the Work. The Contract Time will be stipulated in the Bid Form, unless extended by a Change Order. The Contract Time shall be measured in Calendar Days. 1d) City: City of Homestead, a municipal corporation of the State of Florida a political subdivision, Incorporated City within Miami - Dade County of the State of Florida, whose aotierning body is a City Council consisting of a Mayor, Vice tMayor and five City Council members. 15) Cite Manager: The Manager of the City of Homestead. Florida, 16)EM: Reference made to Days shall mean consecutive calendar days, 17) Lessee: Any individual, partnership or corporation having a tenant relationship with the City. 18) Liquidated Damatles: The amount that the Contractor accepts, as stipulated in the Bid Form that will be deducted from the Contract Sum for each Calendar Dav of delay due to a Non -excusable Delay. 19),Notice To Proceed (STP): The written communication issued by the City to the Contractor directin- the Contractor to bcg>in Contract work and establishing the date of commencement of the Work. 20) Owner: The term 0,�4'ner as used in the Contract shall mean the City, but it excludes the regulatory departments of Development Services, Building Safety, Planning Zoning. Development and Regulation (Building and Zoning); City Utilities, Departments of Miami Dade County, Department of Environmental Resources Management (DERM). Public Works, Water & Sewer, and Fire Department or their successors. 21) Performance and Payment Bonds: Bonds executed by the Contractor and his Surety, on the attached forms, assuring that the Contractor will, in �,00d faith, perform and �,uarantee the work in full conformity with the terns of the Contract Documents and will promptly pay all persons supplymo r the Contractor with labor. materials, or supplies, used directly or indirectly by the Contractor in the prosecution of the Work, 22) Plans: The drawings or reproductions thereof.. prepared by the Architect'En-ineer, which show the locations, character, dimensions and details of the Work to be done and which are part of the Contract Documents, 23) Project: The construction and services required by the Contract Docun-rents. which includes all labor, materials, equipment, and services to be provided by the Contractor to fulfill the Contractor's obli,ations. 24) Subcontractor: Any individual, firm, partnership, joint venture or corporation supplying the Contractor with labor, materials, supplies and equipment used directly or indirectly by the Contractor in the prosecution of the Work. 25) Substantial Completion: Substantial Completion of the Work shall occur when the Architect.'En`ineer certifies that the Work is sufficiently complete, in accordance with the Contract Documents, so that the City may use the Work for the use for which it is intended or for such other use which the City in its sole discretion may determine to be appropriate under IT13#20130$ Page 9 the circumstances, and only after receipt of the final certificate of occupancy. 26) S u rete: The bonding company furnishin+ the Bonds required of a Bidder- and of the Contractor. 27)Teehnical Specifications: The general tern comprising all the written directions, provisions and requirements contained herein, entitled Technical Specifications, those portions of Standard Specifications to which reference is specifically made in the Technical Specifications. and any Addenda, and Chan -e Orders that may be issued for the Contract, all describing the Work required to be performed. including detailed technical requirements as to labor, materials. supplies and equipment and standards to which such Work is to be performed. 28) L'4�: The construction and services required by the Contract Documents, which includes all labor, materials, equipment, and services to be provided by the Contractor to Fulfill the Contractors duties and obligations imposed by the Contract Documents. 1.2 EXECUTION OF SID FORM: Bid must contain a manual si-nature of an authorized representative in the space provided on the Bid Form. Failure to properly sign Bid shall inv-andate same and it shall NOT be considered for axvard. All Bids must be completed in pen and ink or typewritten. No erasures are permitted. If a correction is necessary, draw a single line through the entered figure and enter the corrected figure above it. Corrections must be initialed by the person si+gnin+g the Bid. Any illi+gible entries, pencil bids or corrections not initialed xill not be tabulated. The original Bid conditions and specifications CANNOT be changed or altered in any way. Altered Bids xvill not be considered. Clarification of Bid submitted shall be in letter form, signed by Bidders and attached. to the Bid. 1.3 NO BID: If not submitting a Bid. respond by returning an original copy of the NO Bid Form, and check off the reason. Repeated failure to bid without sufficient justification shall be cause for removal of a supplier's name from the bid mailing list. VOTE: A Bidder, to qualify as a respondent, must Submit a "no bid' and same must be received no later than the stated Bid opening date and hour. 4 TIE BIDS: Whenever two or more Bids which are equal with respect to price, quality and service are received by the City for the procurement of commodities or contractual services, a Bid received from a business that certifies that is has implemented a drug-free workplace program shall be given preference in the award process. Established procedures for processing tie Bids will be followed if none of the tied Bidders have a drug-free workplace program. In order to have a drug-free workplace program, a business shall: 1.4.1 Publish a statement notifyin- employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the action that will be IT13#201308 Page 10 taken against employees for violations of such prohibition. 1.4 .2 Inform employees about the dancers of drug abuse in the workplace, the business` policy of maintaining a d:u--tree workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for druc abuse violations. 1.4,3 Give each employee engaged in providin�� the commodities or contractual services that are under Bid a copy of the statement specified in subsection (1.4.1). 1.4.4 In the statement specified in subsection (1.4.1), notify the employees that, as a condition of workin- on the commodities or contractual services that are under Bid, the employce 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 $93 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. 1.4.5 Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program. if such is available in the employee's community, by any employee ho is so convicted. 1.4.6 Make a goad faith effort to continue to maintain a drug-free workplace tlu-ou�"h implementation of this section. 1.5 CLARIFICATIONS / INTERPRETATIONS: A) Unless otherwise stated in the Bid, any questions concerning conditions and specifications should be submitted in writing to the Procurement &- Contract Services Manager, 430 SE 6°, Avenue, Homestead. FL 33030; Fax: (303) 224-4639, or via email to Bidscd citvothomestead.com. B) If any person contemplating submitting a Bid under this Solicitation is in doubt as to the true meaning of the specifications or other Bid documents or any part thereof, and has Questions or is in need of clarification concerning these Bid documents, the Bidder must submit to the City of Homesteads Procurement and Contract Services Division at least seven (7) calendar days prior to scheduled Bid opening, a ..request for clarifications". All such requests for clarification must be made in writing and the person submitting the request will be responsible for its timely delivery. The City will attempt to answer all questions submitted after said seven (7) days but cannot guarantee a response. Such questions must be sent to the Procurement R Contract Services Division via email to bidsa cityollhomestead.com in word format. NO QUESTIO`tiS [TB#201308 Page 11 WILL BE RECEIVED OR ANSWERED VERBALLY C) Any interpretations of the Bid, if made. will be made only by Addendum duly issued by the City of Homestead Procurement and Contract Services Division, The Cite shall issue an Informational Addendum if clarification or minimal changes are required. The City shall issue a formal Addendum if substantial chant -es, which impact the technical submission of Bids, are required. A copy of such Addendum will be posted on the City's website and Demandstar and emailed back to the requestor. In the e\ ent of conflict with the oriwuinal Contract Documents. Addendum shall govern all other Contract Documents to the extent specified. Subsequent Addendum shall ;overn over prior Addendum only to the extent specified. D) The Bidder shall be required to acknowledge receipt of the Addendurn by sietnina the addendum and includimi it with the Bid. Failure of a Bidder to include a siOrned Addendum in its Bid shall deem its Bid non- responsive provided, however. that the City may waive this requirement in its best interest, The City will not be responsible for any other explanation or interpretation made verbally or in writing by any other City representative. 1.6 CONE OF SILENCE: Notwithstanding any other provision of these specifications, the provisions as set forth in of Section 2-411.2 "Cone of Silence." of the Cite of Homestead is applicable to this Solicitation. The "Coma of Silence" provides, as follows: (a) Definitions: "Cone of Silence." as used herein, means a prohibition on any communication regarding a particular Request for Proposal ("RFP"). Request for Qualification (-'RFQ") or Bid, betrvyeen: potential vendor, service provider, proposer, bidder, lobbyist, or consultant, and: the City Council members. City's professional staff including. but not limited to, the City Manager and his or her staff, any member of the City's selection or evaluation committee. (b) Restriction; Notice: A Cone of Silence shall be imposed upon each RFP, RFQ and Bid after the: advertisement of said RFP. RFQ or Bid. At the time of imposition of the Cone of Silence. the City Manager or his or her designee shall provide for public notice of the Cone of Silence by posting a notice at the City Hall. The City Manager shall issue a written notice thereof to the affected departments, file a copy of such notice with the City Clerk, with a copy thereof to each City Councilmember, and shall include in any public solicitation for goods or services a statement disclosing the requirements of this section. (c) Termination of Cone of Silence: The Cone of Silence shall terminate at the beginning of the City Council ITB#201308 Page 12 meeting, (whether regular. special, CRA Board or Committee of the Whole meeting,) at which the City Mana-er makes his or her written recommendation to the City Council, However. if the City Council refers to the Mana(er's recommendation back to the Mana-er or staff for further rcviev, , the Cone of Silence shall be re -imposed until such time as the Manager makes a subsequent written recommendation. (d) Exceptions to Applicability: The provisions of this section shall not apply to: ( l) oral communications at Pre -Bid Conferences, (2) oral presentations before selection or evaluation committees: (3) public presentations made to the City Council members during any duly noticed public meetin, (4) communications in writing- at any time with any City employee, unless specifically prohibited by thy: applicable RFP, RFQ or Bid documents. The Bidder or proposer shall file a copy of any written communication with the City Clerk. The City Clerk shall make copies available to any person upon request; (5) communications regarding a particular RFP, RFQ or Bid between a potential vendor, service provider, proposer, bidder, lobbyist or consultant and the City's Procurement and Contract Services Agent or City employee designated responsible for administering the procurement process for such RFP. RFQ or Bid, provided the communication is limited strictly to matters of process or procedure already contained in the corresponding, solicitation document, (6) communications avith the City Attorney and his or her staff, (7) duly noticed site visits to determine the competency of the Bidders regardingg a particular Bid during the time period between the opening of Bids and the time the City Mana�,,er makes his or her written recommendation; (8) anv emergency procurement of goods or services pursuant to City Code: (9) responses to the City's request for clarification or additional information: (10) contract negotiations during any duly noticed public. meeting; { 11) communications to enable City staff to seek and obtain industry comment or perform market research, provided all communications related thereto between a potential vendor, scri-ice provider, proposer, bidder, lobbyist. or consultant and any member of the City's professional staff including. but not limited to, the City Manager and his or her staff are in writing or are made at a duly noticedpublic meeting e) Penalties: Violation of this section by a particular Bidder or proposer shall render any RFP award. RFQ award or Bid award to said Bidder or proposer voidable by the City Council or City Manager. Any person who violates a provision of this section may be ITB#201308 Page 13 prohibited from serving on a City selection or evaluation committee:. In addition to any other penalty provided herein, violation of any provision of this section by a City employee may subject said employee to disciplinary action. 1.6.1 Please contact the City Attorney For any questions concerninu) "Cone of Silence.. compliance. 1.7 BID OPENING: Bids shall be opened and publicly read on the date, time and place specified on the Bid Form. The time /date stamp clock located in the CitN's Procurement & Contract Services Division shall serve as the official authority to determine lateness of any solicitation. It is the Bidder's responsibility to assure that his Bid is delivered at the proper time and place of opening. It is the Bidder's responsibility to assure the Bid name and number is on the outside of the package and all numbered pages of Bid, all attachments thereto and all addenda released are received prior to submittin- a Bid. All Bids are subject to the conditions specified herein on the attached Bid Documents and on any addenda issued thereto, Bids which for any reason are not so delivered will not be considered. A) All Bids received after the time specified shall be returned, unopened. The responsibility for submitting Bids before the stated time and elate is solely the responsibility of the bidder. The service, including U.S, Mail, or any other occurrence. B) Original copy of Bid Form as well as any other pertinent documents must be returned in order for the Bid to be considered for award. All Bids are subject to the conditions specified herein and on the attached General Conditions, Special Conditions. Technical Specifications and Bid Form. C) The completed Bid must be submitted in a sealed envelope clearly marked with the Bid Title and addressed to the "BIDS DEPARThIENT". Fared or Emailed Bids will not be accepted D) Bids received after the closing time and date, for any reason whatsoever, will not be considered. Any disputes regarding timely receipt of bids shall be decided in the favor of the City of Homestead. E) The City of Homestead cannot be responsible for Bids received after opening time and encourages early submittal. Late Bids shall be rejected. 1.8 ANVARD OF CONTRACT: A) Award will be made only to responsible, licensed contractors possessing the potential ability to perform successfully under the terms and conditions of these specifications. Consideration will City Evill not be responsible for be Given to such matters as delays caused by mail, courier contractor integrity, compliance With public policy, record of past ITB#201308 Page 14 performance, references, and late payment of an invoice, which financial and technical resources. has become delinquent. Contractors subrnittin`, Bids must E) The City shall award a contract be re�_ularly engaged in the trade to a Bidder through action taken or trades relating! to the Bids y by the City of Homestead City submitted. Council at a duly authorized meeting. Acceptable Bids B) Tile contract will be awarded to which are for an amount not the lrni_eV t responsive, exceeding 525.000 will not have responsible Bidder(s) whose to o through Council and may Bid(s). confonmin, to the be awarded by the City Manager Solicitation, is most or the Procurement R Contract advantageous to the City of Sen -ices N'lanager. This action Homestead. The lowest shall be administratively responsive, responsible Bidder(s) supported by a written award of will be determined in conjunction acceptance: and the issuance of a with the methods described Purchase Order. mailed or belotvTic Bids will be decided otherwise furnished to the as described in the: General successful Bidder: which shall Conditions. constitute a binding contract without further action by either C) In the best interest of the City of party. Homestead, the City reserves the right to reject all Bids or any F) The General Terms and portion of any Bid they deem Conditions, the Special necessary for the best interest of Conditions, the Technical the Citv, to accept any item or Specifications. the Bidder's Bid, group of items unless qualified Addenda and the Purchase Order by the Bidder, to acquire are collectively an integral part additional quantities at prices of the contract between the City quoted on the Bid Foran unless of Homestead and the successful additional quantities are not Bidder. acceptable, in which case the Bid Form must be noted "BID IS G) While the City of Homestead FOR SPECIFIED QUANTITY City Council may determine to O''LY." All awards made as a award a contract to a Bidder(s) result of these Bid Documents under this Solicitation, said shall conform to applicable award may be conditional on the Florida Statutes. subsequent submission of other documents as specified herein. D) Bid prices should be submitted The Bidder shall be in default of with the understanding that the the contractual obligations if any City of Homestead is not of these documents are not authorized to pay service charges, submitted in a timely manner and which may be imposed due to the in the forn required by the City. If the Bidder is in default, the ITB#201308 Page 15 City, throu-h the Procurement R Contract Services ;'Manager. will void its acceptance of the Bidder's offer and may determine to accept the offer from the second lowest responsive, responsible Bidder or re -solicit Bids. The City may, at its sole option, seep monetary restitution from the Bidder as a result of damaces or excess costs sustained and. or may prohibit the Bidder from submittin4o, future Bids for a period of one year. H) The Tenn of the Contract shall be stipulated in the Purchase Order, which is issued to the successful Bidder(s). Where there is a conflict between the contractual period stipulated in the Solicitation and the contractual period stipulated on the Purchase Order, the Bid shall prevail. if the contract involves a sin{ -le shipment of goods to the City, the contract term shall be concluded upon completion of expressed and implied warranty periods. 1) The City of Homestead reserves the ri-lit not to award or to reject Bids from Bidders that are current[v in litluation with the City of' Homestead or as a result of any prior lawsuits. 1.9 CONTRACT EITENSIO\(S): 1) The contract terns and extension(s) are specified in the Special Conditions of this Bid. The City Manager may renew the Contract subject to Bidder acceptance, satisfactory performance and determination that renewal Neill be in the best interest of the City. Notification of Intent to Renew will be mailed sixty (60) to one - hundred fifty (150) calendar days in advance of expiration date of this Contract. All prices, terns and conditions shall remain firm for the initial period of the Contract and for any renewal period unless subject to price adjustment specified as a "special condition" hereto. In the event services are scheduled to end because of the expiration of this contract, the Contractor shall continue the service upon the request of the Procurement R Contract Services Manager. The extension period shall not extend for more than ninety (90) days beyond the expiration date of the existing, contract. The Contractor shall be compensated for the service at the rate in effect under the contract when this extension clause is invoked by the City. 2) The City- reserves the right to exercise the option to renew a term Contract of am successful Bidder(s) to a subsequent optional period provided that such option is stipulated in the Special Conditions. If the City exercises the richt in writinYg, the Bidder shall update and submit any legal documents required during the initial Solicitation by no later than sixty (60) calendar days prior to the commencement of the. ITB#201308 Page 16 option period. These 1.10 OPEN-END CONTRACT: documents, which are No guarantee is expressed or implied specified herein, including,, as to the total quantity of but not limited to, insurance commodities.'services to be certificates and performance purchased under any open end bonds, must be in force for Contract. Estimated quantities will the full period of the option, be used for Bid comparison purposes if the updated documents are only. The City of Homestead not submitted by the Bidder reserves the right to: issue purchase in complete form within the orders as and when required, or issue time specified, the City may a blanket purchase order for rescind its option, declares individual agencies and release the Bidder to be in default of partial quantities. No delivery shall its contractual obligations become due or be acceptable without and award to the next love- a written order by the City, unless Bidder or seek a new Bid otherwise provided in the contract. Solicitation. The City may, at Such order will contain the: quantity, its sole option, seek monetary time of delivery and other pertinent restitution from the Bidder as data. However, on items urgently a result of damages or excess required, the seller may be given cost sustained and,'or may telephone notice, to be confirmed by prohibit the Bidder from an order in writing. Submitting future Bids for a period of one year. The City 1.11 SECONDARY/OTHER reserves the right to BIDDERS: automatically extend the The City reser-ves the right in the Contract for a maximum event the. primary Bidder cannot period not to exceed one provide an item(s) or service(s) in a hundred and twenty (120) timely manner as requested, to seek calendar days in order to other sources without violating the provide City departments intent of the Contract. with continual service and supplies while a new contract 1.12 NON -EXCLUSIVITY: is being solicited, evaluated It is the intent of the City to enter into and'or awarded. If this right an agreement with the successful is exercised, the City shall Bidder that will satisfy its needs as notify the Bidder, in writing, described herein. However,. the City of its intent to extend the reserves the right as deemed in its contract for a definitive best interest to perform. or cause to be period of time prior to the performed, the 'Work and services, or effective date of the any portion thereof, herein described extension. By affixing its in any manner it sees lit, including authorized si-nature to this but not limited to: award of other Bid Form, the Bidder hereby contracts. use of any contractor, or acknowledges and agrees to perform the work with its own this right. employees. IT13#201308 Page 17 1.13 WITHDR.aWAL OF BIDS: \o Bid can be withdrawn by a Bidder atter it is tiled with the Clerk, during the period stipulated in the advertisement for Bids, unless the Bidder makes the request in writing to the City Clerk and the request is received prior- to the time set for the opening of Bids. 1.14 REJECTIONOF BIDS: A. Bids that do not contain completed and properly executed forms and affidavits, as required and included in then: Bid Documents, may be rejected by the City. B. Bids which are not responsive to the Bid Documents shall be rejected by the City. C. Bids will be considered irregular and may be rejected if they contain omissions, alterations of form, additions not called for, unauthorized alternate bids, or other irregularities. D. Anv of the following additional factors may be considered sufficient cause for the rejection of the Bid. 1. Bid submitted on a firm other than that furnished by the City; 2. Submission of more than one Bid for the: same work by an individual, firm, Partnership or corporation under the same or different 4. Previous participation in collusive bidding on work for the City, S. Submission of an unbalanced Bid in which the prices bid for some items arc out of proportion to the prices bid for other items. 6. Lack: of Competency of Bidder. The Contract will be awarded only to a Bidder considered to be capable of performin,, the work as required by the Contract Documents. The City may declare any Bidder ineligible at any time durin+, the process of receiving bids or awardinz the Contract where developments arise which, in the opinion of the City, adversely affect the Bidder's competency to perform the work and to discharge its responsibilities under the Contract, 7. Lack of capability as shown by past performance of Bidder's work for the City, judged from the standpoint of workmanship and progress, 8. Unfinished work for which the Bidder is committed by contract, which, in the judgment of the City, might hinder or prevent the prompt completion of work under this Contract if awarded to such Bidder, 9. Being in arrears upon any debt, taxes or any existing contract(s) which are defaulted as surety or otherwise upon any obli;,yation to the City, or having been sued to enforce the Citv's ri-lets on a construction contract, or having failed to complete the Work, the punch list, or warranty items, or havinu defaulted on a previous contract with the City: names.. 10. If the Bid does not contain a bid price for each pay item listed in the Bid a. Evidence of collusion Form, except in the case of authorized among Bidders, alternate pay items, for which the IT13#201308 Page 18 Bidder is not required to furnish a bid price. and 11. If the Bid is not accompanied by the Bid Bond. 1.15 PRICES QUOTED. Deduct trade discounts and quote firm net prices. Give both unit price and extended total, when requested. Prices must be stated in units of quantity specified in the bidding specifications. In case of discrepancy in computing the amount of the Bid. the L.r.\ IT PRICE quoted will govern. All prices must be F.O.B. / C.I.F. destination, freight prepaid (unless otherwise stated in special conditions). Discounts for prompt payment: Award, if made, will be in accordance with terms and conditions stated herein. Each item must be bid separately and no attempt is to be made to tie any item or items in with any other item or items. Cash or quantity discounts offered will not be a consideration in determination of award of Bid(s). 1.16 LOCAL PREFERENCE: In accordance with City Code Section 2-411. there shall bera fifteen (la�o) percent local preference +given to local businesses who are holders Of current city local business tax receipts for businesses which are physically located within the city limits of homestead and have held such local business tax receipts for a minimum of one year prior to asserting the focal preference. Said fifteen (15%) percent local preference must be asserted by the party seeking it at the time the competitive quotation, bid or proposal is made . and shall be calculated by the purchasing department in rating competitive quotations, bids or proposals -which are governed by this section of the Code of the city. The local preference shall not apply if the solicitation specifications of the city so state. Further, said local preference, as described above, shall only be applied in certain situations and shall be specificallygoverned by the below -described limitations: (1) No local preference for competitive quotations. bids or requests for proposals shall be applied where prohibited by lakv, regulation or applicable agreement. (2) That when local preference has been used in computing award recommendations, either for the purchase of goods or for the purchase of services, the city council shall not reject the low bid solely based upon the locale of the said business. Under a competitive process solicitation. when a responsive, responsible non -local business submits the lowest price offered, and the offer submitted by one or more responsive. responsible local businesses is within fifteen percent (15%) of the price submitted by the non -Local business, each of the aforementioned responsive, responsible local businesses shall have the opportunity to submit, within five (5) working days of notice of intent to award a best and final offer equal to or lower than the amount of the low offer previously submitted by the non -local business. Contract award shall be made to the responsive, responsible business submitting the lowest best and final bid, quote or proposal. In the case of a tie in the best and final bid, quote or proposal between a local business and a non -local business, contract award shall be made to the local business. In the case of a tie in the best and final bid quote or proposal between two or more local businesses, the: contract IT134201308 Page 19 shall be awarded in accordance -with procedures established by the City IvIanauer. 1.17 FORMS: A) BID FORM: Bidders submittin,, a Bid must complete and sign the Bid Form attached. Submittal of a Bid will constitute a binding offer to contract under the terms and conditions set forth herein and must remain open for the period Stipulated under --Bids Binding. - No Bid will be considered without an executed Bid Form. B) STATENIEN- T OF NO BID: Bidders in receipt of a bid notice that are not able to bid for any reason whatsoever, must complete the NO BID ti)rm attached hereto prior- to the stipulated bid openin<, deadline. C) AMERICANS WITH DISABILITIES ACT OF 1990: Equal Opportunity for Individuals with Disability The Contractor and the Citv of Homestead. (hereafter "o\veer")~shall a-ree that the provisions of Title 11 of the Americans With Disabilities Act of 1990 (the "Act") (42 [I.S.C. S121 01 ct seq.), which prohibits discrimination on the basis of disability by public entities in all services, programs, and activities provided or made available by public entities. and the rules and regulations promulgated pursuant there unto, are made a part of this Contract. In providing any aid, benefit, or service on behalf of the owner pursuant to this Contract, the Contractor aurees that the performance shall be in strict compliance with the Act. In the event that the Contractor, its a-ents. servants, employees. or subcontractors violate or ars: alle,cd to have violated the Act during the performance of this Contract, the contractor shall defend the owner in any action or administrative proceeding commenced pursuant to this Act. The Contractor shall indemnify, protect, and save harmless the owner, its agents, setvants. and employees from and against any and all suits, claims. losses, demands, or damages. of whatever kind or nature arisin<o- out of or claimed to arise out of the alleged violation. The Contractor shall. at its own expense. appear. defend, and pay any and all charges for legal services and any and all costs and other expenses arising from such action or administrative proceeding or incurred in connection therewith. In any and all complaints brought pursuant to the owner's grievance procedure, the Contractor agrees to abide by any decision of the owner which is rendered pursuant to said grievance procedure. If anv action or administrative proceeding- results in an award of damages against the owner, or if the owner incurs any expense to cure a violation of the ADA which has been brought pursuant to its grievance procedure, the Contractor shall satisfy and dischame the same at its own expense. The owner shall, as soon as practicable after a claim has been made against it, give written notice thereof to the Contractor along with full and complete particulars of the claim. If any action or administrative proceeding is brought against the ITB#201308 Page 20 owner or any of its a,ents. set -.'ants. and employees, the ownci' ~bull expeditiously forward or have forwarded to the Contractor every demand, complaint, notice, summons. pleading. or other process received by the owner or its representatives. It is expressly a -reed and understood that any approval by the owner of the services provided by the Contractor pursuant to this Contract will not relieve the Contractor of the obligation to comply with the Act and �to defend. indemnify, protect, and save harmless the owner pursuant to this paragraph. It is firrlher a<,reed and understood that the owner- assumes no obli-ation to inclemnifv or save harmless the Contractor, its a,ents, servants, employees and subcontractors for any claim which may arise out of their performance of this Aureement. Furthermore, the Contractor expressly understands and agrees that the provisions of this indemnification clause shall in no way limit the Contractor's obli-ations assumed in this A(Treement, nor shall they be construed to relie�-e the Contractor from any liability, nor preclude the owner from taking any other actions available to it under any other provisions of the Agreement or otherwise at lay. D) BUSINESS ENTITY DISCLOSURE STATEMENT: Bidder or `'endor hereby- reco-nizes and certifies that no elected official, board member, or employee of the Citv shall have a financial interest directly or indirectly in this transaction or any compensation to be paid under or through this transaction, and further, that no City employee. nor any elected or appointed officer (including City board members) of the City, nor any spouse, parent, domestic partner, stepmother, stepfather, or child of such employee or elected or appointed officer of the City, may be a partner, officer, director or proprietor of Bidder or Vendor, and further, that no such City employee or elected or appointed officer, or the spouse, parent or child of any of them, alone or in combination, may have a material interest in the Vendor or Bidder or as defined by Miami Dade County. Material interest means direct or indirect ownership of more than 55n of the total assets or capital stock of the Vendor or Bidder. Any exception to these above described restrictions must be expressly provided by applicable law or ordinance and be contIrmed in writing by City Manager upon advice of the City Attorney. Further, Bidder or Vendor reco-nizcs that with respect to this transaction or Bid, if any Bidder or Vendor violates or is a party to a violation of the ethics ordinances or rules of the City, the provisions of Miami -Dade County Code Section 2- 11.1, as applicable to City, or the provisions of Chapter 112. part III. Fla. Stat., the Code of Ethics for Public Officers and Employees, such Bidder or Vendor may be disqualified from furnishing the Goods or services for which the bid. or proposal is submitted and may be further disqualified from submitting any future bids or proposals for Goods or services to City. Bidder or Vendor must complete and execute ITB#20130$ Page 21 the Business Entity Affidavit form. The terms "Bidder" or "Vendor," as used herein, include any person or entity making= a proposal herein to City or providing goods or set -vices to City. E) CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS PRI'1iARY COVERED TRANSACTIO`S: The Bidder certifies by submission of the Bid, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded fromr participation in this transaction by the City of Homestead. I'v'Iiami-Dade County, the State of Florida or federal Government. Further, Bidder certifies that it has divulged, in its Bid response. information re(Tarding any of these actions or proposed actions with other governmental agencies. A person or affiliate who has been placed on the convicted vendor list followin- a conviction for a public entity crime may not submit a Bid to provide any goods or services to a Public entity, may not submit a Bid to contract with a public entity for the construction or repair ora public building of public work, may not submit Bids on leases of real property to a public entity, may not be awarded or perforin work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 237.017, Florida Statutes. for CATEGORY TWO for a period of'36 months from the date of being placed on the convicted vendor list. The awarded Bidder or any subcontractor shall not employ any persons with multiple felonies and / or crimes a-ainst children. The awarded Bidder must provide docu vented proof of efforts to comply- with this requirement. The City may declare any noncompliance or lack of diligent effort by the awarded Bidder to comply as a breach of contract and immediately terminate the services of the awarded Bidder. F) DRUG-FREE WORKPLACE AFFIDAVIT: In the event of identical tic love Bids: preference shall be given to businesses with drug-free workplace programs. Bidders with such programs shall complete and submit the attached form with Bid. All persons and entities that contract with City of Homestead are required to certify that they will maintain a drug-free workplace and such persons and entities are required to provide notice to employees and to impose sanctions for drug violations occurring in the workplace. G) PUBLIC ENTITY CRIMES (PEC):. A person or aliiliate who has been placed on the convicted vendor list following a conviction for public entity crimes may not submit a Bid on a contract to provide any goods or services to a public entity, may not submit a Bid on a contract k6th a 1TBff201308 Page 22 public entity for the construction or repair of a public buildim, or public work, may not submit Bids on lases or real property to public entity, may not be awarded or perform work as a contractor. supplier, sub -contractor. or consultant under a contract with a public entity, and may not transact business with any public entity in excess of the threshold amount provided in Sec. 237.017 for CATEGORY" TIVO for a period of 36 months from the date of beim, placed on the convicted vendor list. H) PERFORMANCE SURVEYS: The. City conducts monthly, quarterly and post project performance sutx,-eys for vendors whom are awarded Bids and contracts. Surreys will be sent to the user -departments and will be used as a monitorin, device to oau<,e performance and to utilize when awarding or renewin- contracts. I) REFERENCE QUESTIONNAIRES: Bidders shall provide their clients with the Reference Questionnaire attached herein, and Bidder shall include; completed client reference questionnaire forms with their Bid. It is the responsibility of the Bidder to ensure timely responses and the return of the questionnaires from their client references. Only forms completed by the client references themselves will be considered. No Bid will be considered without the minimum required completed questionnaires as specified in SECTION 3- INFORMATION REQUIRED FROM BIDDER, of these Bid Documents, The City reserves the ri­ht to verify and confirm any information submitted in this process. Such verification may include. but is not limited to, speakin4, with current and former clients, review of relevant client documentation, site -visitation. and other independent confirmation of data. J) NOTIFICATION OF SOCIAL SECURITY NUNI IBER COLLECTION AND USAGE: In compliance with Florida Statutes §119.071(5), the City of Homestead Procurement R Contracts Division collects and uses your Social Security number in performance of the Citv's duties and responsibilities. A Social Security number is only used for leLitimate employment business purposes in compliance with completing a Vendor Application in lieu of a Federal Employer Identification Number (FEIN). K) VENDOR APPLICATION/ BIDDER LIST: The Procurement 8c Contract Services Division maintains a list of prospective vendors and bidders classified by commodity or service. You may be placed on this list by completing the City's vendor application and commodity listin+, detailing the items or set -vices that you provide. To assure that you are included under all of the appropriate cate`,ories, we ask that you be specific about the items or services that you provide. The City pros Aes three ways to obtain a vendor application: I ) Attached with this document, IT13#201308 Page 23 �) By visiting, the Citv's web site at: n w�v,citvofhom�stead.com 3) By visiting the Procurement cC Contract Services Division office. L) `L1"9 FORM: Bidder shall provide a completed W9 tax form which certifies an individual's tax identification number. A tax identification number (TN) is the Social Security ntmti,ei of an individual or the Emplovci Identification tiumber of a business. fiduciary or other or-+anization. This form must also be present in a brokcra_e account's tiles to avoid backup withholding by the IRS. 1.18 LIABILITY, INSURANCE, LICENSES AND PERMITS: Where Bidder is required to enter or =o onto Cite property to deliver materials or perform the Vyork, it must be properly coordinated in advance and the Contractor shall assume the full duty, oblivation and expense of obtaining all necessary licenses, pertnits and insurance and assure all work complies with all applicable Miami -Dade County and City buildinL- requirements and the Florida Building Code. The Contractor shall be liable for any damages or loss to the City occasioned by negligence of the Contractor (or agent) or any person the Contractor has designated in the completion of the Contract. The Bidder shall obtain and pay for all certificates of competency, licenses, insurance, permits, inspection fees, and any other certification necessary or required for this project; and shall comply ,with all laws. ordinances, revulations and buildin`r code requirements applicable to the %work contemplated herein. However, if the project is funded by the City, the City will waive the permit fees solely as to those items reviewed and approved by the City. Buildin­. mechanical. electrical, plumbing, and structural permit plans or installations which are reviewed by a third party are subject to fees. Those fees required by the County [i.e.] tire, impact fees, DERM, code compliance, and State fee's and surcharges are the responsibility of the Contractor and cannot be waived by the City. The Bidder shall comply with all laws. ordinances, re-ulations and buildin'T code requirements applicable to the work conternplated herein. 1.19 LOCAL BUSINESS TAN (OCCUPATIONAL LICENSE REGISTR-kTION): The Contractor shall be responsible for obtaining, and maintaining- throw_==bout the Contract period his or her city and county local business tax receipts. Each Bidder submitting, a Bid on this Invitation to Bid shall include a copy of the company's local business tax?occupational license(s) 4vith the Bid response. For information specific to City of Homestead local business tax, please call Development Sen -ices at (303) ?34-4 04. If the Contractor is operating under a fictitious name as defined in Section 865.059, Florida Statutes, proof of current registration with the Florida Secretary of State shall be submitted with the Bid. A business formed by an attorney actively licensed to practice law in this state, by a person actively licensed by the Department of Business and Professional ITB#201308 Page 24 Re;ulations or the Department of Health for the purpose of practicing.: his or her licensed profession, or by any corporation, partnership, or other commercial entity that is actively organized or reg-istered with the Department of State shall submit a copy of the current licensing, from the appropriate a<,eney and.'or proof of current active status with the Di,, ision of Corporations of the State of Florida. 1.20 CERTIFICATES OF I N SI~ R. -k CE: After acceptance of Bids, the City, will notify the succcssful Bidder to submit ar certificate of insurance naming the City as a certificate holder and as an additional named insured. Contractor shall provide and maintain in force until all the Work to be performed under the Contract has been completed and accepted by City (or for such duration as is otherwise specified hereinafter). the insurance coyera,-,e set forth in SECTION 3- 1NF0RNIATION REQUIRED FROM BIDDER. 1.21 I`DEIINIFICATIO\: The Bidder shall defend, indemnify and save harmless the City, its officers, agents, and employees. from and against any and all liability. claims, demands. or damages, caused by the negligent acts or omissions, misfeasance. or malfeasance of the Bidder, its agents, servants. or employees, including fines, fees. expenses, penalties, and attorneys fees for trial and on appeal, and of anv kind and nature arising.: out of the actions of the Bidder connected Nvith the Bid or the performance of any agreement resulting: from this Bid, whether by act or omission of the Bidder, its aggents. servants. employees or others: and including, those claims or liabilities arising from Citv's negligence. except to the extent said claim or liability is caused by the sole negligence or intentional wron4ful act of the City or City's agents or employees. 1.22 BID BOND: Refer to Section 2.11. (Failure to .r-ubinit a Bicl Board will )esidt in disgllaliticutioaa). 123 PERFOR`IA`CE BOND AND LABOR AND MATERIAL PAYMENT BOND: Refer to Section 2.13. 1.24 CITY NVEBSITE: Bids, addenda. Bid tabulations. lists of Pre -Bid Conferences attendees and other information is available on the Procurement and Contract Services Division's --Bid's & RFP -s-- page, which can be found at: �itti,: bid:.as K 1.23 BID TABULATIO\S: Bid tabulations are posted on the City website at k+ ����d.citvotl�c�mestzad.com. A contract may not be awarded to the Bidder, unless the Bid tabulation is posted in the Procurement and Contract Services Division, 450 S.E. 6th Avenue, Homestead, Florida 33030, ten (10) workings days prior to the scheduled award by the City. 1.26 BILLING INSTRUCTIONS: Invoices, unless otherwise indicated, must show purchase order number and respective Bid number and shall be submitted to the City of IT13#201308 Page 25 Homestead (650 NE 22" Terrace, Suite 100, Homestead, FL 33033) with the requesting Department labeled on the mailing envelope. 1.27 INCORRECT PRICINGIINVOICES: Any pricing on invoices that is incorrect or freight changes that were not included on the orio-inal Bid Form and'or Purchase Order, must be brought to the attention of the Procurement A�tient and corrected prior to the shipment(s) of goods or initiation of services. Additional costs that were not brought to the City's attention and did not recei� e written approval via a ChanFae Order issued by the Procurement Agent will not be honored. 1.28 TAXES: The City of Homestead is exempt from all Federal Excise and State taxes. The applicable tax exemption number is shown on the Purchase Order. 1.29 EQUIVALENTS: If Bidder offers makes of equipment or brands of supplies other than those specified in the following, it must so indicate on its Bid. Specific article(s) of equipment'supplies shall conform in quality, design and construction with all published claims of the manufacturer. Brand Names: Catalo�� numbers. manufacturers' and brand names. when listed, are informational -uides as to a standard of acceptable product duality level only and should not be construed as an endorsement or a product limitation of reco nized and Ieuitimate manufacturers. Bidders shall formally substantiate and �crifv that product(s) offered conform with or exceed quality as listed in the specifications. Bidder shall indicate on the Bid Form the manufacturer's name and number if bidding other than the specified brands, and shall indicate ANY deviation from the specifications as listed. Other than specified items offered requires complete descriptive technical literature marked to indicate detail(s) conformance with specifications and MUST BE INCLUDED WITH THE BID. NO BIDS WILL BE CONSIDERED WITHOUT THIS DATA. Lacking any written indication of intent to quote an alternate brand or model number. the Bid will be considered as a Bid in complete compliance with the specifications as listed on the attached form. l lanufacttirer's narne. brand name and model number may have been used in these specifications for the purpose of establishing minimum requirement of level of quality, standards of performance and design required and is no way intended to prohibit the bidding of other manufacturer's items of equal material, unless otherwise indicated. Equal (substitution) may be bid. provided product so Bid is found to be equal in quality, standards of performance, design, etc. to item specified, unless otherwise indicated. Where equal is proposed, the Bid must be accompanied by complete factory information sheets (specifications, brochures, etc.) and test results of unit bid as equal. ITB#201308 Page 26 1.30 SAMPLES: Upon requests, the Bidder shall provide a complete and accurate sample of the product(s) which they propose to furnish. These: items must be furnished free of expense and, if not destroyed. will. upon request, be returned at the Bidder's expense, Bidders will be responsible for the removal of all samplers furnished within (30) days after Bid opening. All samples vvill be disposed of after thirty (30) days. Each individual sample must be labeled with Bidder's narne. Failure of Bidder to either deliver required samples or to clearly identify samples may be reason for rejection of the Bid. Unless otherwise indicated, samples should be delivered to the Procurement and Contract Services Division. 450 S.E. 6`t' Avenue, Homestead. FL 33030, or mailed to 650 NE 22`1 Terrace, Homestead, FL 31033. 1.31 SUBSTITUTIONS: The City° WILL NOT accept substitute shipments of any kind. Bidder(s) is expected to furnish the brand quoted in their Bid once awarded. Any substitute shipments will be returned at the Bidder's expense. 1.32 MISTAKES: Bidders are expected to examine the specifications, delivery schedules, Bid prices and extensions and all instructions pertaining to supplies and services. Failure to do so will be at the Bidder's risk. 1.33 ESTIMATED QUANTITIES: Quantities stated are for Bidders' 4guidanee only and no guarantee is (-,i%cn or implied as to quantities that will be used during, the Contract period. Estimated 4quantities are based upon previous needs and estimated usage for one year period. Said estimated quantities may be used by the City for the purpose of evaluating the lokv Bidder meeting specifications. 1.34 CONDITIONS AND PACKAGING: It is understood and agreed that any item offered or shipped as a result of these Bid Documents shall be the latest new and current model offered (most current production model at the time of this Bid). All containers shall be suitable for storage or shipment, and all prices shall include standard commercial packaging. 1.35 INSPECTION, ACCEPTANCE & TITLE: Inspection and acceptance will be destination unless otheiivise provided. Title to or risk of loss or damage to all items shall be the responsibility of the successful Bidder until acceptance by the buyer unless loss or damage results from neL-liyence by the buyer. If the materials or services supplied to the City are found to be defective or to not conform to specifications, the Citv reserves the riglit to cancel the order upon written notice: to the seller and return product at Bidder's expense. 1.36 MOTE TO VENDORS DELIVERING TO WAREHOUSE: Receiving hours are Monday through Friday, excluding holidays, from 7:00 A.M. to 3.30 P.M. The warehouse is located at 450 S.E. 6d' Avenue, Homestead, FL, 33030. IT13#201308 Page 27 1.37 QUALITY: All materials used for the manufacture or construction of any supplies, materials or equipment covered by this Bid shall be neve. The items Bid must be new. the latest model, of the best quality, and higllest gn-ade workmanship. 1.38 WARRANTY: All warranties, express or implied, shall be made available to the Citv for goods and services covered by these Bid Documents. All goods furnished shall be fully guaranteed by the successful Bidder a,yainst factory defects and workmanship. At no expense to the City, the successful Bidder shall correct any and all apparent and latent defects that may occur %\ ithin the mall ufactcu•er's standard warranty. 1.39 PRODUCT RECALL: In the event the awarded Bidder receives notice that a product delivered by the awarded Bidder to the; City has been recalled, seized or embar-oed, and.'or has been determined to be misbranded, adulterated. or found to be unlit for human consumption by a packer, processor, subcontractor, retailer. manufacturer, or by any State or Federal re-ulatory agency, the awarded Bidder shall notify the Cit1's Bid Procurement Agent immediately upon receiving, such notice. The Cites acceptance or failure to reject the affected product as non -conforming shall not in any way impact, negate, or diminish the awarded Bidder's duty to notify the C itv•s Procurement Arent that the affected product has been recalled. seized or embargoed, and or has been determined to be misbranded, adulterated, or found to be unlit for human consumption, The form and content of such notice to the City shall include the name and description of the affected product; the approximate date the affected product was delivered to the City; the Bid number; and relevant information relating to the proper handling of the affected product and'or proper disposition of the affected product by the City, if necessary to protect the health.. welfare, and safety of the;. City, residents or employees, and any health hazards known to the awarded Bidder which may be caused or created by the affected product. The awarded Bidder shall. at the option of the Procurement Department and.'or Procurement Agent, either reimburse the purchase price or provide all equivalent replacement product at no additional cost to the Cin-. Unless it was absolutely necessary for the City to dispose of the affected product, the awarded Bidder shall be responsible for removal and.'or replacement of the affected product within a reasonable time, as determined by the City, without causim, si-nificant inconvenience to the City. At the option of the City, the awarded Bidder may be required to reimburse storage and'or handling fees to be calculated from time of delivery and acceptance to actual removal or disposal. The awarded Bidder will bear all costs associated with the removal and proper disposal of the affected product. The failure to reimburse the purchase price and storage and. or handling fees or to remove and'or replace the affected product 4% Ith an equivalent IT13#201308 Page 28 replacement «ithin a reasonable time without significant inconvenience to the City will be considered a default. 1.40 CANCELLATION: In the event any of the provisions of these Bid Documents are violated by the Contractor, the Procurement & Contract Services Manzi-er Services shall uive written notice to the Contractor stating the deficiencies and unless deficiencies are corrected within thirty (30) days, recommendation will be made to the City IN, tanager fi_)r immediate cancellation. y Either the Citv Manager or the City Council of Homestead. Florida reservcs this right. The City Council of Homestead. Florida reserves the right to terminate any Contract resulting from these Bid Documents at any time and for any reason, upon aivin`_ thii-ty (30) days prior written notice to the other party. 1.41 COMPLETE PROJECT REQUIRED: These specifications describe the various items or classes of Work required, enumerating or defining the extent of same necessary, but failure to list any item or classes under scope of the several sections shall not relieve the Contractor from furnishing_, installing or perfonning such 'Work where required by any part of these specifications, or necessary to the satisfactory completion of the project. 1.42 SITE INSPECTION: Prior to submitting the Bid, the Bidder is required to visit the site of the proposed work and to become fully informed and familiar- with any conditions. which may in anv manner affect the Work to be done, of the character, quality and quantities of 'Work to be performed and materials to be Curnished. and of operational activities of the Cite, tE hich activities must be maintained without interference from the Work. The Bidder is also required to examine carefully the specifications and be thorougghly infonned regarding any and all conditions and requirements that may in any manner affect the `'fork to be performed under the contract includin z the necessary requirements for the Project to comply with Americans with Disabilities Act ("ADA"). its supporting regulations, and all similar Federal, state or local laws, regulations and ordinances. No additional allowances will be made because of lack of kno%vledge of these conditions. 1.43 UNDERWRITERS' LABORATORIES: Unless othertivise stipulated in the Bid, all manufactured items and fabricated assemblies shall be UL listed or re-examination listing where such has been established by UL for the item(s) offered and furnished. 1,44 AMERICAN i<EADE: The City Council of Homestead, acting in session on .lune 20, 1983, adopted Resolution No. 83-06-21 which states. -That it is the intent and policy of the City Council of the City of Homestead, Florida, that the needs of the City of Homestead for supplies, materials and equipment be met using only those supplies, materials and equipment manufactured in the United States of America when same are available and when the price of same and the IT13#201308 Page 29 Bid of same is consistent with the biddino procedures of the Cit_v Code of the City of Homestead." 1.45 NON-CONFORMANCE TO CONTRACT CONDITIONS: Items may be tested for compliance with specifications. Items delivered, not conforming to specifications, may be rejected and returned at vendor's expense. These items and items not delivered as per delivery date in Bid and or purchase order may be purchased on the open market. Any increase in cost may be charged against the Bidder. Any violation of these stipulations may also result in: A) Vendor's name beim, removed from the vendor list. B) All departments beim, advised not to do business with vendor. 1.46 DISPUTES: In case of any doubt or difference of opinion as to the items to be furnished hereunder, the decision of the City shall be final and bindim, on both parties. 1.47 LEGAL REQUIREMENTS: Federal, state, county and city laws, ordinances, rules and regulations that in any manner affect the items covered herein apply. Lack of knowledge by the Bidder will in no way be a cause for relief from responsibility. 1.48 PATENTS AND ROYALTIES: The Bidder, without exception. shall indemnify and save harmless the City of Homestead, Florida and its employees from liability of any nature or kind, including cost and expenses for, or on account of, any copyrighted. patented, or- unpatented invention, process, or article manufactured or used in the pertonrtance of the contract, includinu its use by The Cite of Homestead, Florida.- If the Bidder uses any design, device or materials covered by letters, patent, or copyright, it is mutually understood and agreed. without exception. that the Bid prices shall include all royalties or costs arising from the use of such design, device, or materials in any way involved in the work. 1.49 OSHA: The Bidder warrants that the product supplied to the City of Homestead. Florida shall conform in all respects to the standards set forth in the Occupational Safety and Health Act of 1970, as amended, and the failure to comply with this condition will be considered as a breach of Contract. Anv tines levied because of inadequacies to comply with these requirements shall be borne solely by the Bidder responsible for same. 1_50 ANTI -DISCRIMINATION: The Bidder certifies that he/she is in compliance with the non- discrimination clause contained in Section 202, Executive Order 11246, as amended by Executive Order 11375, relative to equal employment opportunity for all persons without regard to race, color. religion, sex or national origin. 1.51 DEFAULT: In the event of default on a Contract. the successful Bidder shall pay all attorneys' fees and Court costs incurred in collecting any liquidated dama-es. ITB#201308 Page 30 1, 52 BIDDER'S FACILITIES: The City reserves the right to conduCt Site Visits to Contractors business location(s) at anv time with prior notice and or may request that Contractor participate in lire presentations. The selection of a Conti -actor nay be based wholly or in part upon the results of site visits or lire presentations. 1. 5,3 DISCLAIMER: The City may, in its sole and absolute discretion, accept or reject, in whole or in part, for any reason whatsoever any or all Bids; re - advertise these Bid Documents; postpone or cancel at any time during, this Bidding process: or, waive any formalities of or irreoularities in the bidding process. Bids that are not submitted on time and. or do not conform to the City's requirements will not be considered. After all Bids are analyzed. Bidders submitting, bids that appear, solely in the opinion of the City, to be the most responsive.`responsible, shall be submitted to the City of Homestead's City Council, and the final selection kvill be made shortly thereafter with a timetable scat solely by the City_ The selection by the Citv shall be based on the Bid, which is, in the sole opinion of the City Council of the City of Homestead, in the best interest of the City. The issuance of this Bid constitutes only an invitation to make presentations to the City of Homestead. The City reserves the riaht to determine, at its sole discretion, whether any aspect of the Bid satisfies the criteria established in these Bid Documents. In all cases the City shall have no liability to any contractor for anv costs or expense, incurred in connection �,vith these Bid Documents or otherwise. 1.54 EVIDENCE: The submission of a Bid shall be prima facie evidence that the Contractor is farniliar with and agrees to comply with the contents of these Bid Documents. 1.55 DENIOrSTRATION OF COMPETENCY: I } Pre-a%vard inspection of the Bidder's faciliti niav be made prior to the award of Contract. Bids will only be considered from firms, which are re-ularly en za�;ed in the business of providing the t_oods and or services as described in these Bid Documents. Bidders must be able to demonstrate a Yood record of performance for a reasonable period of time, and have sufficient financial support, equipment and or;-anization to insure that they can satisfactorily execute the services if awarded a Contract under the terms and conditions herein stated. The terms "equipment and onaanization" as used herein shall be construed to mean a fully equipped and well-established company in line with the best business practices in the industry and as determined by the City. 2) The City may consider any evidence available re4ITardin�A the financial, technical and other qualifications and abilities of a Bidder, including past performance ITB#201308 Page 31 (experience) with the City in making the award in the best interest of the City. 3) The City may require Bidders to show proof that they have been desi�mated as authorized representatives of a manufacturer or supplier, which is the actual source of supply. In these instances, the. City may also require material information from the source of supply regarding the quality, packa��ing, and characteristics of the products to be supplied to the City through the desi-nated representative. Any conflicts between this material information provided by the source of supply and the information contained in the Bidder's Bid may render the Bid non-responsive. 4) The City may, during the period that the Contract between the City and the successful Bidderisin force. review the successful Bidder's record of performance to insure that the Bidder is continuin- to provide sufficient financial support, equipment and organization as prescribed in these Bid Documents. Irrespective of the Bidder's performance on contracts awarded to it by the City, the City may place said contracts on probationary status and implement termination procedures if the City detennines that the successful Bidder no Ion+ger possesses the financial support, equipment and organization which would have been necessary Burin_ the Bid evaluation period in order- to comply with this demonstration of competency section. 1.56 EMPLOYEES: All employees of the Contractor shall be considered to be at all times the sole employees of the Contractor. under the Contractor's sole direction, and not an employee or agent of the City- of Homestead. The Contractor shall supply competent and physically capable employees and the City may require the Conti -actor to remove any employee it deems careless, incompetent. insubordinate or otherwise objectionable and whose presence on City property is not in the best interest of the Cite. Each employee shall have and wear proper identification. 1.57 ASSIGNMENT: The Contractor agrees not to enter into subcontracts and shall not assign. transfer, convey, sublet or otherwise dispose of the Contract, including any or all of its right, title or interest therein, or his or its power to execute such Contract to any person, company or corporation without prior written consent of the City of Homestead. 1.58 OPTIONAL CONTR-kCT USAGE: As provided in Section 237.042 (17), Florida Statutes, other State agencies may purchase from the resulting contract, provided the Department of Management Services, Division of Procurement and Contract Services, has certified its use to be cost IT13#201308 Page32 effective and in the best interest of the state. Contractors have the option of seIlinc, these commodities or set -vices certified by the Division to the other State agencies at the a4,encies option. 1.59 SPOT MARKET PURCHASES: It is the intent of the City to purchase the items specifically listed in these Bid Documents from the awarded Bidder. However. items that are to be ..Spot Market Purchased" ma, be purchased by other methods, i.e. Federal. State or local contracts. 1.60 SUNSHINE LAW: As a political subdivision, the City is subject to the Florida Sunshine Act and Public Records Lay. By submittin- a Bid. Contractor acknowledi7es that the materials submitted �w%-ith the Bid and the results of the City's evaluation are open to public inspection upon proper request. Contractor should take special note of this as it relates to proprietary information that might be included in its Bid. 1.61 FORCE MAJEI:RE: The performance of any act by the City or Contractor hereunder may be delayed or suspended at any time while, but only so long as, either party is hindered in or prevented from performance by acts of God. the elements. war, rebellion, strikes, lockouts or any cause beyond the reasonable control of such party, provided ho,�yever, the City shall have the ri-ht to provide substitute service from third patties or City forces and in such event the City shall withhold payment due Contractor for such period of time. If the condition of force majeure exceeds a period of 14 days the City ITS#201308 may, at its option and discretion. cancel or reneeotiate the Contract. 1.62 COLLUSION: By offering- a submission pursuant to these Bid Documents, the Bidder certifies the Bidder has not divul-ed discussed or compared his Bid with other Bidders and has not colluded with any other Bidder or patties to these Bid Documents whatsoever. This also applies in the case of a joint Bid. Any prices and. or cost data submitted have been arrived at independently, without consultation. communication or aureement for the Purpose of restrictin;, competition, as to any matter relating to such prices and,'or cost data. with any other Bidder or with any competitor. Any prices and.'or cost data quoted for these Bid Documents have not knowingly been disclosed by the Bidder and will not knowingly be disclosed by the Bidder prior to the scheduled opening.. directly or indirectly to any other Bidder or to any competitor. No attempt has been made or will be made by the Bidder to induce any other person or firm to submit or not to submit a Bid for the purpose of restricting competition. The only person or persons interested in these Bid Documents, principal or principals is'are named therein and that no person other than therein mentioned has any interest in this Bid or in the contract to be entered into. Page 33 No person or agency has been employed or retained to solicit or secure the Contract upon an a,reement or understandin�u, for a commission, percentage. brokerage.. or contingent fee accepting bona Ede employees or established commercial a��cncies maintained by the Bidder for the purpose of doing business. 1.63 ELIGIBILITY: All azents. employees and subcontractors of the Bidder retained to perform sell ices pursuant to this Bid shall comply with all laws of the United States concermin- work eligibility. 1.64 PROPERTY: Property owned by the City is the responsibility of the City. Such properrty furnished to a Contractor for repair, modification. study, etc., shall remain the property of the City of Homestead. Dania{ -es to such property occurring while in the possession of the Contractor shall be the responsibility of the Contractor. Damages occurring to such property while in route to the City shall be the responsibility of the Contractor. In the event that such property- is destroyed or declared a total loss, the Contractor shall be responsible for replacement value of the property at the current market value, less depreciation of the property if any. I.65 TERMINATION FOR DEFAULT: It' Contractor defaults in its performance under this Contract and does not cure the default within seven (7) clays after written notice of default. either the City Manager or the City Council of Homestead may terminate this Contract, in whole or - in part, upon written notice without penalty to the City. In such event the Contractor shall be liable for damaues including the excess cost of procuring similar supplies or services: provided that if, (1) it is determined for any reason that the Contractor was not in default or (2) the Contractor's failure to perform is without his or his subcontractor's control, fault or nec lh�ence, the termination will be deemed to be a termination for the convenience of the City under Section 1.66. TERMINATION FOR CONVENIENCE: 1.66 TERMINATIO` FOR CONVENIENCE: The City Mana-er may terminate the Contract, in whole or in part, upon thirty- (30) days prior written notice when it is in the best interests of the City. If the Contract is for supplies.. products, equipment, or software, and so terminated for the convenience by the City the Contractor will be compensated in accordance with an ayureed upon adjustment of cost. To the extent that this Contract is for services and so terminated, the City shall be liable only for payment in accordance with the payment provisions of the Contract for those services rendered prior to termination. 1.67 SLB CONTRACTORS: Nothing- contained in the specifications shall be construed as creating any contractual relationship between any subcontractor, sub- subcontractor- and the City. Contractors shall be as fully responsible to the City for the acts and omission of the subcontractors and sub -subcontractors as for the ITIS#201308 Page 34 acts and omissions of person{s} directly employed. 1.63 CONFIDENTIALITY: As a political subdivision. the City is subject to the Florida Sunshine .act and Public Records Lay. If the Bid submittal contains a confidentiality provision, it shall have no application when disclosure is required by Florida law or upon Court order. 1.69 GOVERNING LAW AND VENUE: The validity and effect of this Contract shall be governed by the laws of the State of Florida. The parties agree that any action. mediation or arbitration arising out of this Contract shall be proper exclusively in Miami -Dade County, Florida. 1.70 ATTORNEY'S FEES: In connection with anv liti<,ation, mediation and arbitration arisin(T out of this Contract, the prevailing, party shall be entitled to recover its costs and reasonable attorney's fees throw -h and including appellate litigation and any past -judgment proceedings. 1.71 NO PARTNERSHIP OR JOINT VENTURE: Nothing- contained in this Contract will be deemed or construed to create a partnership or joint venture bet,�veen the City and Contractor, or to create any other similar relationship between the parties. be held invalid, then the remainder of this Contract or the application of' such provision to persons or circumstances other than those as to which it is held invalid shall not be affected thereby, and each provision of this Contract shall be valid and enforced to the fullest extent permitted by law. 1.73 PROVISIONS BINDING: Except as otherNvise expressly provided in these Bid Documents, all covenants, conditions and provisions of this Contract shall be binding upon and shall inure to the benefit of the parties hereto and their respective heirs. legal representatives, successors and assigns. 1.74 HEADINGS AND TERMS: The headin4,s to the various paragraphs of these Bid Documents have been inserted for convenient reference only and shall not in any manner be construed as modifving. amending or affecting in any tivav the expressed teens and provisions hereof. 1.75 ENTIRE AGREEMENT: The Contract consists of this Invitation to Bid, General and Special Conditions, Minimum Technical Specifications, Addenda, Contractor's Response. all items attached and any written a<Treement entered into by the Citv and Contractor, and are made part of and represents the entire understanding, and a,reement between the patties with respect to the subject matter hereof and supersedes all other negotiations, 1.72 PARTIAL INNALIDITY: understandinu,, and representations, if If any provision of this Contract or any. made by and between the parties. the application thereof to any person This Contract may be modified only or circumstance shall to anv extent ITB#201308 Page 35 by a written aY,reement signed by the City of Homestead and Contractor. 1.76 DAVIS-BACON AND ARRA: American Recovery and Reinvestment Act funds ~used for a transaction that involves a new construction or repair contract. exceedin- S2,000, must comply with the prevailino wage requirements of the Davis -Bacon and Related Acts requirements. Section 1606 of the ARRA le<,islation: "Notwithstanding any other provision of law and in a manner consistent with other provisions to this Act. all laborers and mechanics employed by contractors and sub contractors on projects funded directly by or assisted in whole or in Part by and throuLh the Federal Gm,ernment pursuant to this Act shall be paid wa-es at rates not less than those prevailin`, on projects of a character similar in the locality as determined by the Secretary of Labor in accordance with subehapter IV of chapter 31 of title 40, United States Code.*' - Davis -Bacon applies to all ARRA projects - Applies for the entire project. not just the portion funded by ARRA 1.77 i4IENIMUi•I «'AGE RATES: U.S. Department of Labor: In projects havingr Federal participation, minimum wage rates for the proposed work will be established by the U.S. Department of Labor, Employment Standards Administration. Scllcdlllcs of labor classifications and corresponding wane rates and benefits will be included in the Bid Documents, and shall apply to this Project. 1.78 ORDER OF PRECEDENCE: "'here there appears to be a conflict between the General Terms and Conditions, Special Conditions, the Technical Specifications. the Bid Submittal Section, or any addendum issued. the order of precedence shall be the last addendum issued, the Bid Submittal Section, the Technical Specifications, the Special Conditions, and then the General Terms and Conditions. 1.79 PUBLIC RECORD LAW: Contractor acknow ledges that the public shall have access, at all reasonable times, to certain documents and information pertaining to City contracts, pursuant to the provisions of Chapter 119, Florida Statutes. Contractor a,yrees to maintain public records in Contractor's possession or control in connection with Contractor's performance under this Agreement and to provide the public with access to public records in accordance with the record maintenance, production and cost requirements set forth in Chapter 119, Florida Statutes, or as otherwise required by law. Contractor shall ensure that public records that are exempt or confidential from public records disclosure requirements are not disclosed except as authorized by law. Unless otherwise provided by law, any and all reports, surveys, and other data and documents provided or created in connection with this Agreement are and shall remain the property of City. In the event of ITB#201308 Page 36 termination of this Agreement by either party.. any reports. photographs, surveys and other data and documents and public, records prepared by. or in the possession or control of: Contractor. whether finished or unfinished, shall become the property of City and shall be delivered by Contractor to the Citv Manaaer. at no cost to the City, within seven (7) days of termination of this A�(Treement. All such records stored electronically by Contractor shall be delivered to the City in a format that is compatible with the Cit\ -s information technology systems. Upon termination of this AO-reement, Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure. Any compensation due to Contractor shall be withheld until all documents are received as provided herein. Contractor's failure or refusal to comply with the provisions of this section shall result in the immediate termination of this Agreement by the City. Did of Sectio it ITB#201308 Page 37 SECTIO` 2- SPECIAL CO`DITIONS 2.1 PURPOSE: The purpose of this solicitation is to invite bids from experienced. qualified and interested contractors to provide on-goinvg tree trimming services along, below and around high voltage electric lines for the Cit -'s electric utility. Interested bidders may obtain an ITB packet by risiting the City's t�ebsite at kitty: «�ik%,citvcotliomcstead.c;orrt bids.aspx 2.2 PROJECT LOCATIONS & FREQUENCYOF CLEANING: Within Cite of Homestead limits and Electric Sere ice Territory limits. See attached "Exhibit A" for Electric Service Territory Limits. 2.3 PLANS: There are no plans associated xvith this project. 2.4 CONTACT PERSON: For any additional inforniation regarding the specifications and requirernents of this ITB, contact: XENTIA RUBIO-ROJAS. BUYER II, at 305-224-4626 or via e-mail at. bids rr citvothomestead.com. 2.5 PRE-BID CONFERENCE: 'N A 2.6 SITE IN'SPECTION': N A 2.7 DUE DATE: A) All bids are due no later than Thursday. September 19, 2013 at 2:00 p.m., or any time prior thereto at the Procurement K Contract Services Division, City of Homestead, 450 SE Gill Avenue, Homestead, FL 33030. All bids received will be publicly read in the Procurement Contract Services Division office, on the date and at the time specified. All bids received after that time shall be returned, unopened. B) Original bid, V o (2) copies and (l) CD, must be submitted in a sealed envelope clearly marked with the ITB Title. Telegraphic bids will not be accepted. C) Bids received after the closing time and date, for any reason whatsoever, will not be considered. Any disputes regarding timely receipt of bids shall be decided in the favor of the City of Homestead. Bidders shall assume full responsibility for timely delivery at the location desi-nated for receipt of bids. The City of Homestead cannot be responsible for bids received after opening time and encourages early submittal. Bids received by the City after the time specified for receipt -will not be considered. D) All infoi-mation required by the ITB must be supplied to constitute a regular bid. i'1713#201308 Page 38 E) Submitted envelopes should be marked ITB 4201308 — TREE TRIMMING AND LINE CLEARING SERVICES. 2.8 TERNI OF CONTRACT: It is requested that bidders quote fired prices that will be guaranteed to the City of Homestead from November 1, 2013 — September 30. 2015. Providing the successful bidder will agree to maintain the same terns and conditions of the current contract, this contract could be extended for an additional two (2) years, on a year-to- year basis, if mutually agreed upon by both parties. 2.9 METHOD OFANVARD: Award will be made to the most responsive, responsible Bidder which represents the lowest price when all written references, representations, and price are considered. The City will award to a single vendor. 2.9.1 EVALUATION: The City will use the bid prices submitted as well as experience and ability to provide the required ser -vices to determine the most responsive and responsible bidder for recommendation of award. The City will use regular time unit cost prices for the purposes of extending each line item and determining an estimates{ contract value. The total value (the City will extend pricing) for the Core Items. Seri, ices will be used to determine applicability of the Local Vendor Preference. 2.10 RESPONSE TIME: Under normal circumstances the Citv of Homestead will 17ive the successful bidder one week notice when services are required, however, for an emergency, on-call service, response time of the successful bidder shall not exceed two (2) hours from the time the call is placed by the City. 2.11 BID BOND: INTENTIONALLY OMITTED 2.12 LIQUIDATED DAMAGES: INTENTIONALLY OMITTED 2.13 PAYMENT AND PERFORMANCE BOND: INTENTIONALLY OMITTED 2.14 PRICES SHALL BE FILED AND FIRM FOR TERM OF CONTRACT: If the Bidder is awarded a contract under this ITB solicitation, the prices quoted by the Bidder on the Bid Form shall remain fixed and firm during the term of this contract; provided however, that the proposer may offer incentive discounts from this fixed price to the City at any time during the contractual term. 2.15 PAYINIENT: Invoices for payment will be submitted on a monthly basis for the duration of the contract. Invoices "ill be subject to verification and approval by Utilities' T.D. R NI. Supervisor. ITB#201308 Page 39 Invoices. unless otherwise indicated, must show purchase order number and respective Bid number and shall be submitted to the City of Homestead (650 NE 22`1 Terrace. Suite 100 Homestead, FL 33033) with the requesting Department labeled on the mailing envelope. The Contractor shall submit daily a detailed report to include the work location(s), the actual hours spent performing the task, rest breaks, down time, travel, etc., lion -productive time i.e., poor planning=. equipment breakdown. bad weather. etc.. shall be at the vendor's expense. Invoices for payment will be submitted as maintenance or repairs are completed, for the duration of the contract. Invoices will be subject to verification and approval by the department requesting the service. The vendor shall submit (with the invoice on a per repair- basis) a detailed report as to the actual hours spent peribrmin, the task, rest breaks, down time, travel, etc. Non-productive time i.e.. poor planning. equipment breakdown, bad weather. etc. shall be at the vendor's expense. Evidence of rates chai-ed for parts shall also be provided with the invoice (i.e., vendor cost). Payment tivill be made by the City after the items awarded to a vendor have been received, inspected and found to comply with award specifications, free of damage or defect and properly invoiced. 2.16 ADDITIONS/DELETIOIS OF UMTS: INTENTIONALLYOMITTED 2.17 BIDS BINDIi\iG: All Bids submitted shall be bindinu for 365 calendar- days following the Bid Openinu. End of'Sec°tion ITB#201308 Page 40 _SECTION'3- INFORMATION REQUIRED FROM BIDDER (To be submitted scith Bid) 3.1 BID SUBMITTAL S REQUIRED FORMS: All Bids must be submitted on the attached Bid Form and all blanks tilled in. To be considered a valid bid, ONE 1 I MARKED ORIGINAL AND TWO (3P COPIES AND ONE 1 CD shall include the completed Bid Form. Bid Bond (if app licable)(attaclied). ADA Disability Nondiscrimination Statement (attached), Business Entity Disclosure Statement (attached). Bidder Qualifications (attached), Certification Regardinu Debarrient, Suspension and other responsibility matters (attached), Drug-free 'Workplace Program Affidavit (attached), Public Entity Crimes form (attached), Performance Survey (attached). Reference Questionnaire (attached), Vendor Application (attached), W9 form (attached) and all required product information and any other items as indicated in this Section, Bid Form or any part of this Invitation to Bid must be returned, properly completed. in a sealed envelope as outlined in the General Conditions. Bids "ill be consideree! " Non -Responsive" if the required information is not submitted by the date and time specified. 3.2 ADDENDA: Bidder(s) shall acknowled�-e receipt of any formal Addenda by signing the addendum and including it with their Bid. Failure to include signed formal Addenda in its Bid shall deem its Bid non-responsive provided, however, that the City may vvaive this requirement in its best interest. 3,3 EXCEPTIONS TO SPECIFICATIONS: Bidder(s) shall list any exceptions to specifications on the Bid. Form and shall reference the section. Any exceptions to these Sections may be cause for the Bid to be considered non- responsive. 3.4 LICENSING: All Bidders must submit, with their bid, a copy of their occupational., bus iness license and State registration [Florida State Registration can be located and printed at www.Sunbiz.orgfl. 3.5 INSURAINCE: Thi, is a mandatory requirement, please be sure to fulfill each requirement listed below, The City reser%es the right to deern your conrpany non-responsive responsil)lc in the cure in Wflch Certificares of Insurance do not comply vvith the requirements of the Cite. Throughout the term of this agreement and for all applicable statutes of limitation periods, Bidder shall maintain in full force and affect the insurance coverage set forth in this article. All policies contain an endorsement requiring thirty (30) days written notice from the insurance company to the City prior to cancellation or any change in covera2e, scope or amount of any such policy. I All Insurance Policies shall be issued by companies that are authorized to transact business in the State of Florida, and have an A. M. Best's rating- of A -VI or better. 2 All Insurance Policies shall name and endorse the followim, as additional insureds: The City of Homestead, its employees, directors, officers, agents, independent contractors, successors and assiuns. and other authorized representatives as additional insured to the ITB#201308 Page 41 extent of the contractual obligation assumed by the Bidder with an ISO CG2010 Additional Insured endorsement, or similar endorsement to the liability policies. 3 A- II Insurance Policies shall be endorsed to provide that (a) Bidder's Insurance is primary- to any other Insurance available to the additional insureds with respect to claims Covered under the policy and (b) Bidder's insurance applies separately to each insured auminst who claims are made or suit is brought and that the inclusion of more than one insured shall not operate to increase the insurer's limit of liability. Self- insurance shall not be acceptable. 4 If the Bidder fails to submit the required insurance certificate in the manner prescribed with the executed agreement submitted to the City and if not submitted with the executed a�grecment in no event exceed ten (10) calendar days atter request to submit certificate of insurance, the Bidder shall be in default, and the Contract shall be rescinded. Linder such circumstances, the Proposer may be prohibited from submittin- Future solicitations to the City. Bidder shall carry° the following minimum types of Insurance when services, installation labor and any instance where your firm will be on the City premises (Commercial General Liability is to be carried by all Contractors): 3.5.1 WORKER'S COMPENSATION: Worker's Compensation Insurance is to apply to all employees in compliance �Nith the "Workers' Compensation Lav" of the State of Florida and all applicable federal lawvs. Bidder shall carry Worker's Compensation Insurance with the statutory limits. %\izich shall include employers' liability- insurance \%ith a limit of not less than S 1,000,000 for each accident, S 1,000,000 for each disease and S1,000,000 for aggregate disease. Policy (ies) must be endorsed with waiver of subrogation against the City and is limited to the extent any claim is caused by Bidder. 3.5 .2 BUSINESS AUTOMOBILE LIABILITY INSURANCE: (If applicable) Bidder shall carry business automobile liability insurance with minimum limits of One Million ($1,000,000) dollars per occurrence, combined single limits bodily injury liability and property damage. The policy must be no more restrictive than the latest edition of the business automobile liability policy without restrictive endorsements, as filed by the Insurance Services office, and must include owned vehicles and hired and non -owned vehicles. 3.5.3 COMMERCIAL GENERAL LIABILITY: Bidder shall carry Commercial General Liability Insurance for all operations including but not limited to Contractual, Products and Completed Operations, Professional Liability and Personal Injury with limits of not less than two million (S2,000,000) dollars (aggregate) and one million (S 1,000,000.) per occurrence combined single limit for bodily injury and property damage. The insurance policy must include coverage that is no more restrictive than the latest edition of the commercial general ITB#201308 Page 42 liability policy, without restrictive endorsements as filed by the Insurance Sen ice Office, and the policy must include coverage for premises and. or operations, independent contractors, products andor completed operations for contracts. contractual liability, broad fern contractual covera-e, broad forni property damage, products, completed operations. and personal injury. Personal injury coverage shall include coverage that has the employee and contractual exclusions removed. 3.5.4 Umbrella or Excess Liability Insurance: Bidder may satisfy the minimum liability limits required above by providing proof of an Umbrella or Excess Liability policy. There is no minimum Per Occurrence limit of liability under the Umbrella or Excess Liability: however the Annual Ag re -ate limit shall not be less than the hiu}test "Each OCcurrenCe limit for any of the policies noted above. Bidder agrees to name and endorse the City of Homestead, its officers. agents, employees and council members as additional insureds. Additional insured is defended and indemnified for claims to the extent caused by the acts, actions, omissions or negligence of Bidder, its employees, a-ents, subcontractors, and representatives; but is not defended or indemnified for the additional insured's o�vn acts. actions. omissions. ne«li-ence. 6 Bidder shall provide the City of Homestead's Contract Administrator/BLtyer with a copy of the Certificate of Insurance and endorsements evidencing_ the types of Insurance and covera-e required by this article within ten (10) calendar days of Bidder's receipt of Notice of Intent to A4vard the Contract and, at any time thereafter, upon request by the Contract Administrator/Buyer. It is the BIDDER'S responsibility to ensure that the Contract Administrator."Buyer has a current Insurance Certificate and endorsements at all times. 7 Bidder's Insurance Policies shall be endorsed to provide the City Nvith at least thirty (30) calendar days prior written notice of cancellation. non -renewal, restrictions, or reduction in coverage or limits. Notice shall be sent to: City of Homestead Attn: Procurement & Contract Services Division 450 SE 6`f' Avenue Homestead, FL 33030 S If anv of Bidder's Insurance policies includes a general aggregate limit and provides that claims investigation or le -al defense costs are included in the aencral aaareoate limit, the general aggregate limit that is required shall be no more than five (5) times the occurrence limits specified above in this article. 9 The provisions of this article shall survive the expiration or termination of this agreement. 10 PAYMENT: If any of the insurance policies required under this Article above lapse during the tern of this agreement or any extension or renewal of the sante, Bidder shall IT13#201308 Page 43 not receive payment from the City until such time that the City has received satisfactory evidence of reinstated coverage of the types and coverage specified in this Article that is effective as of the lapse date. The City, in its sole discretion, may terminate the Agreement immediately and no further payments shall be due to Bidder. I1 RENEWAL OF INSURANCE: Bidder shall be responsible for assuring, that the insurance certiricatc endorsements required in conjunction with this section remains in force for the duration of the Contract term. If the insurance certificate: endorsements are scheduled to expire during, this period, Bidder shall be responsible for submitting a new or renewed insurance certificate' endorsements to the City at a minimum of thirty (30) calendar days in advance of such expiration. In the event that expired certificate endorsements are not replaced with a new or renewed certificate which covers the Contract term. the City shall suspend this Agreement until such time as the new or reneged certificate endorsements are received by the City. 13 MINI\IU.\I COVERAGE: Insurance coverage in the minimum amounts set forth herein shall not be construed to relieve Bidder of liability in excess of such coverage, nor shall it preclude the City from taking such other actions as is available to him under any other provisions of this Agreement or otherwise in law or equity. Throughout the term of this agreement and for all applicable statutes of limitation periods. Bidder shall maintain in full force and affect the insurance coverase set forth in this article. 3.6 REFERENCES: Each Bid must be accompanied by a list of references [minimum of sixj, of clients or overnmCnt organizations for which the: Bidder is currently furnishing, or has furnished similar services. References shall include the name of the company, a contact person. telephone number, fax number, and email address. (Use the Bidder Qualification Form. Section II, References to list references.) In addition, Bidders are requested to provide their clients with the: Reference Questionnaire attached herein. and Bidder shall include completed client reference questionnaire forms with their bid. It is the responsibility of the Bidder to ensure timely responses and the return of the questionnaires from their client references. Each bid must have a minimum of three (3) of the six (6) references required complete the attached reference questionnaire. Only forms completed by the client references themselves will be considered. NO BID WILL BE CONSIDERED WITHOUT THIS LIST OR COMPLETED QUESTIONNAIRES. The City reserves the ri-ht to verify and confirm any information submitted in this process. Such verification may include, but is not limited to, speaking with current and former clients, review of relevant client documentation, site -visitation. and other independent confirmation of data. 3.7 N%SRR-k TY/GUAR\,1vTEE: The successful Bidder will be required to guarantee all work performed. 3.8 BIDDER QUALIFICATIO`rS: In order for Bids to be considered, Bidders must submit with their Bid, evidence that they are qualified to satisfactorily perform the specified Work. A Company Profile shall be provided and must include evidence and all necessary information to certify that the Bidder: IT13#201308 Page 44 1. 'Maintains a permanent place of business [i.e. length of time in business], 2. Has technical kno,�vled4o-e and practical experience included in this scope of work • Provide documentation of training [certifications] that employees have received related to tree trimmin,,, specifically around energized conductors. • Provide documentation of training that your employees have received related to Maintenance of Traffic [ MOT] white working, in roadways, • Provide documentation of employees that will be working in proximity of energized lines_ which are considered "Qualified Employees.. as defined by OSHA standard 1910.269. • Provide documentation of how your company proposes to staff your crews for this contract. Resume and experience of those individuals who will be assigned to this project as Project Manager and. or Project Team along with years of experience providing these services, 4. Has available the orcanization and qualified manpower to do the work [i.e. number of employees, size of warehouse, office, location], 5. Has adequate financial status to meet the financial obligations incidental to the �'vork. 6. Has not had just or proper claims pending against him or his Nvork; 7. Has performed similar type, size and complexity of such project, evidence will consist of listing the type of project and nature of work for the last five (5) years. Work experience must have been performed under the business name the bid is being submitted under. End of Section ITB#201308 Page 45 SECTIO` 4- TECHNICAL SPECIFICATIONS 4.0 MINIMI NI SPECIFICATIONS: `Work will consist primarily of the cutting and removal of brush, live and dead wood trees from the trees within the Cite of Homestead's Electric Service Territory to provide suitable electrical and mechanical clearance between trees, lines, apparatus and structures. Work could occasionally include removal of complete trees. With the Citi of Homestead's commitment to reliable service to our customers through safe and efficient ,e-etation management, City of Homestead. Energy Services would require adherence to the Florida Administrative Code, Chapter 366, Public Utilities Statute 366.04, National Electric Safety Code (NESC) Section 21, fart 2, Rule 218 and the American National Standards Institute pruning standards (ANSI) A300. Part 1. Part 7 and Z-133, as well as the special companion publication, Best Management Practices — Utility Pruning ref Trees. 4.1 GENERAL: A11 trimming, both initial and re -trimming, shall be done in accordance with the best recognized, approved principles of modern arboriculture and tree surgety with a balanced emphasis on current tree health, symmetry and clearance. All branches or limbs shall be cut flush with the supporting trunk or limb so that no stub is left. When a limb is to be partially- removed, it shall, if possible, be cut back flush to a limb at least one-third ( l I3) of the diameter of the portion removed. All saw or pruner cuts that are one inch (1") or more in diameter shall be treated with an approved duality tree wound dressing or growth retardant. Large cuts from previous trimnxing shall be repainted if necessary. The amount of the clearance to be obtained shall be determined on the job after the position occupied by the wires in reference to trees, the varied rate of growth of different trees, and the desires to the property owners all have been given proper consideration. Contractors shall secure maximum clearance consistent with good economy and with due regard to the rights and interests of property owners and the public. Contractor shall attempt to provide clearance, which shall be adequate for a minimum of two (2) years. When adequate clearance cannot be obtained because of property owner objections or other factors, special effort shall be made to secure a reasonable amount of temporary clearance. Effort shall be made wherever possible to regain and improve the quality of the clearance secured at the last trimming. Effort shall be made wherever possible to eliminate all tree parts and Growth points beneath the wires and all weak, diseased and dead limbs above the wires that may fall or blow into them. All hanging and severed limbs shall be removed from the trees. The branches, brush and debris resulting- from the trimming shall be collected and disposed of in suitable disposal areas. The premises of the property owner shall be left as neat as they were before the work was started. ITB#201308 Page 46 4.2 TREE REMOVAL: Upon approval by the owner, the Contractor, while trimming,, shall make special effort to secure peianission and to remove trees (as permitted by established regulations and ordinances), especially those described in the following categories. • Small trees which the property owner does not value, but which will require trimming in future years. • Dead or defective trees which constitute a definite hazard to the wires. • Trees that are unsightly as a result of the necessary trimming and that have no chance for future development. • Fast growing, soft wooded or weak trees that have no aesthetic or utilitarian value and that are located under, or dangerously close to the wires. All such trees removed shall be cut even Leith the ground line except where other treatment is designated by property owner or public authority with the stipulation that the property owner is responsible for proper disposal. 4.3 RIGHT-OF-WAY CLEARING: Existin„r right-of-way shall be cleared to the same width as the previous clearing unless otherwise specified by the owner. On new construction, the right-of-way shall be cleared to the width stated on the right-of-way permits furnished by the owner. Unless othetivise specified by the owner, all cutting for existing, and new right-of-way clearing, shall be as close to the ground line as the topography and type of soil will allow. with a maximum remaining, height of four (4") inches for brush stubs and six inches (6") for tree stumps. Trees adjacent to cleared right-of-way which constitute a hazard to the wires shall be removed as directed by the owner. Brush and debris shall be handled in such a manner as to avoid obstructing roads, paths, or water-�vays. Contractor shall exercise extreme care when cutting brush or trees that are close to or touching, wires to prevent breaking, or wrapping the wires together or otherwise interrupting service. Contractor shall be fully responsible for any and all damages that may occur as a result of the tree trimming, operations, and resolve any complaints that may arise. If any such trouble should result, the owner shall be notified of the location of such trouble as quickly as possible. The Contractor is fully responsible for any cost incurred by the owner as a result of the damage or interruption of service. Individual requests by property owners for special handling, of brush shall be granted where reasonable. if any doubt exists as to the action to be taken, the requests shall be referred to the owner for instruction. lT8#201308 Page 47 Where clearing includes the removal of trees, the logs and limbs shall be disposed of as designated by the permits, or if not designated, shall be the responsibility of the Contractor. 'Where clearing includes wild cherry, necessary precautions shall be taken to eliminate the possibility of livestock being poisoned by eating brush or leaves. 4.4 CHEMICAL SPRAYING: Contractor shall furnish. handle and apply all chemicals, but shall secure them from reliable manufacturers who maintain research organizations in the field of chemical brush control. Cost of chemicals shall be the list price plus ten (10%) percent maximum. Unless otherwise specified by the owner, the Contractor shall mix and apply the chemicals in accordance with the recommendations of manufacturers, and the following general specifications: 4.4.1 For Foliage Applications: This method shall be used on brush over three ( V) feet in average height during the active plant growth period, generally between May lst and September fst. Chemical mixture shall be applied to completely wet the entire leaf, stem and track surface of each plant. 4.4.2 For Basal Applications: This method shall be used on brush of any size at any season of the year. Chcinical mixture shall be applied to completer' wet the entire surface of the stem or trunk from the root -crown tip the stem eighteen (18") inches. vv ith emphasis on completer wetting the root -crown. 4.4.3 For Stump Applications: This method shall be used on all neve stumps at any season of the year. Stumps shall be sprayed as soon as practical, but always on the same day that the cutting is performed. Chemical mixture shall be applied in sufficient volume to completely vvet the sapwood. bark area, root -crown and exposed roots. 4.=4.4 No spraying shall be done within thirty (30) minutes after fo;;. devv- or rain sufficiently heavy to cause run-off. Areas shall be re -sprayed at City's expense where rain occurs within thirty (30) minutes after spraying. 4.4.5 Conti -actor shall not be obligated to spray any portion of a line where, in his opinion, damages to crops, orchards, or ornamental plants may result from chemical drift. 4,5 STORMS AND EMERGENCIES During periods of storms, storm threats, or other events requiring the services of tree trimming crews that occur during the course of normal working hours, the City of Homestead will be assured by the contactor that the City can hold crews as necessary. The decisions regarding when to hold and release crews will be made by the City of Homestead. IT13#201308 Page 48 The City of Homestead %vil] have first right of refusal before the contractor reassigns crews for storms or threatened emer+,encies durinu overtime, vveelcends or holidays. The Department trill require response to system emergency conditions on an overtime or storm duty basis vvith labor and equipment as provided by Contractor. During, Emer,-,encv or severe storm conditions the contractor may need to add additional personnel and equipment resources. Contractor will state in writing their ability to provide additional equipment and trained personnel during, emergencies. Release of any crew from storm duty assignment will be at the discretion of the City. 4.6 HOURLY RATES The hourly rate quoted shall include full compensation for labor, equipment use, travel time, and any other cost to the bidder. This rate is assumed to be at straight time for all labor, except as otherwise noted. Hourly labor rates are specified as follows; Hourly Labor Rate I — Hourly rate for straight time repairs, i.e., from 8:00 A.M. to 5:00 PAL ylonclav through friday (rate is to include labor and travel, parts are not included). Hourly Labor Rate It — Hourly rate for overtime repairs, i.e., before 8:00 AA1 or after 5:00 PAL, or on weekends or holidays. (rate to include labor and travel, parts not included). 4.7 CHANGES AND ADJUSTMENTS The City reserves the right to cliange or adjust wort: schedule(s) or frequency as it determines necessary. Eird of Secti n ITS#201308 Page 49 Exhibit "A" HOMESTEAD ENERGY SERVICES MAP ITB#201808 Page 50 BID FORM Page 1 of 4 Deliver Bid to: Procurement & Contract Services Division 450 SE 6`h Avenue Homestead, FL 33030 Tree Trimming & Line Clearing Services Bid #201308 To be opened and publicly read, Thursday, September 19, 2013 at 2:04 p.m., in the Procurement & Contract Services Division office. COMPANY NUMSE7- VFNDOR MAIIINGES 6E CITY, STATE, AND ZIP CODE TULL FREE NUMBER 800- 610 CONTACT PERSON (PLEASE PRI I ULLAKLY) 'F E I D NUMBER REFER TO BID FORM PAGES 2-3 Please take a minute and let us know how you were notified of this Bid. CIRCLE ONE South Dade Newsleader 1 Daily Business Review 1 The Miami Herald 1 City of Homestead Website Demandstar / E-mail sent from City of Homestead 1 Project Engineer Other (Please be specific): IT13#201308 Page 51 SCHEDULE OF BID ITE`IS ITB#201308 TREE TRI-NIIIING & LINE CLEARING SERVICES BID FORM Page 2 of 4 VENDOR NAME: ITENI NO. ESTIMATED REGULAR TIME OVERTIME ITEM DESCRIPTION QUANTITY UNIT COST UNIT COST (110URLY RATE II (HOURLY RATE 11) HOURLY CREW — Includes all 1000 S S L personnel and equipment. Huila; (R�. r,�„ Time) per hour per hour 2.000 S S ?. SUPERVISORTOREMAN Hours (RegularTimzl per hour per hour REGULAR TIME OVERTIME PERSONNEL UNIT COST UNIT COST (PER HOUR) (PER HOUR) 3. CREW LEADER S S 4. BUCKET TRIMMER S S 5. CLIMBER TRIMMER S S 6. GROUNI DS-%L-kN S S 7. EQUIPMENT OPERATOR S S INJECTION SERVICEMAN g` (Herbicide Applicator) $ $ ITB#201308 Page 52 SCHEDULE OF BID ITEMS ITB#?01308 TREE TRIMMING & LINE CLEARING SERVICES BID FORM Page 3 of 4 VENDOR NA-NIE: REGULAR OVERTIME ITEM NO. EQUIPMENT TIME UNIT COST UNIT COST (PER HOUR) (PER HOUR) 9. CHIPPER $ S 10. STUMP GRINDER'RE%IOVER S S 11. GASOLINE CHAIN SAW S S AERIAL BUCKET TRUCK- Hydraulic aerial articulatio, beam ++ith sinL�.le bucket. minimum or W 12. bottorn of bucket mounted on suitable truck with S S hydraulic tool and chain saes. Bucket truck chassis to have a dump body for hold of wood clips and a heavy duty front mounted %y inch. 13. CHIPPER TRUCK -4 Wheel drive, front mounted S S winch with riding cab and tool equipment. SPRAY TRUCK --I Wheel drive, dual rear wheels, 14. front mounted winch, tank capacity of at least 300 gallons S S with 20 gallons minimum pump ITB#201308 Page 53 Bea FORM Page 4 of 4 The following- are requirements of this Bid, as indicated below. Use of this checklist may help ensure that your submission is complete. Place a check mark in the "Done" column as you complete and enclose each item. Requirements that do not apply to these Bid Documents will be denoted by "NA" (not applicable). Required Done Requirement Found in Section ti Bid Form(s) 3.l 1 (marked) Original, 2 Copies of Bid, and CD of Bid , l Submittal K Required forms ' Acknowledgement of Addenda (if any) 3.2 Licenses 3.4 14 Insurance 3.5 1� lReferences 3.6 N Bidder Qualifications &. Required forms) 3.8 Thh checklist is for v our ;uidance. Please read the entire Bid thorou li1v to ensure that your submission is complete. *E_eceptlons - RL.'fc'rcnce Section: ff ll 177 a1 -e statL'd in t•ou,• Bid, it shall he enlrstrued bti• the City nf, Hruarc-Stccrd that i-otrf- hid ftdll- complies will all terms, conditions, andspeeificutions). *`NOTE: _-lttachruc'llt Uf quotations will not be construed cis all exception. Do }'OU accept Visa cards as a form of pat'nlent° Yes No Dos 0 L 11i e p1-11n1la( pa\ mens discounts`? Yes, PercentaY,e of discount ° o Terns No Addenda Received: # # # # # # # # # # I certify that this Bid is made without prior understanding, a¢reentent, or connection with any corporation, firm or person submitting a Bid for the same materials, supplies, or equipment, and is in all respects fair and without collusion or fraud. I agree to abide by all conditions of this Bid and certify that I am authorized to sign this Bid for the Bidder. Authorized Signature (Manual) AL]tkori/ed Signature and Title (T,,pecl Printed) Date IT13#201308 Page 54 STATEMENT OF "NO" Bin It your company' shall not be submitting a bid in response to this Invitation to Bid or Request for Bid, please complete this Statement of "No" Bid Sheet and return, prior to the Bid RFP Due Date established within, to: The Citv of Homestead Procurement & Contract Services Division 450 SE W" Avenue Homestead, FL 33030 Reasons for "NO" Bid: ❑ Unable to comply with product or service specifications. ❑ Unable to comply with scope of work. ❑ Unable to quote on all items in the group. ❑ Insufficient time to respond to the Invitation to Bid. ❑ Unable to hold prices firm through the term of the contract period. ❑ Our schedule would not permit us to perform. ❑ Unable to meet delivery requirements. ❑ Unablc to meet bond requirements. ❑ Unable to meet insurance requirements. ❑ Other (Specify- below) ❑ Unable to comply with product or service specifications. Comments: This information shall help the City of Homestead in the preparation of future Bids and RFP's. Bitl RFP RFQ Numben Company Name: Address: E -Mail: Telephone: Contact Name: S ianature: Title: Title: Facsimile: IT13#201308 Page 55 AMERICANS WITH DISABILITIES ACT (ADA) DISABILITY NONDISCRIMINATION STATEMENT THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. This sworn statement is submitted to the CITY OF 1-10,14ESTEAD, FLORIDA by: +jwint individual's name and title) for: (taint mire of ellritr NII/Wlittirta SIV01-11 s7atenaent) whose business address is: and (if applicable) its Federal Employer Identification Number (FEIN) is: (ff the entitV his 1111 FEI_V, hichielc the Sochil Sec urit1- A'uniber cif the indivithial signing this sivorn s'tutc�rrrc�rrt: - - .1 1, beim, dttly first sworn state: That the above named firm, corporation or organization is in compliance with and agreed to continue to comply with, and assure that any subcontractor, or third party contractor under this project complies with all applicable reclturetrtents of the laws listed below including, but not limited to, those provisions pertaining to employment. provision of prournims and services, transportation, conlnitumications, access to facilities, renovations, and ne,�v construction. The American with Disabilities Act of 1994 (ADA). Pub. L. 101-336, 104 Stat 327, 42 USC 1210112213 and 47 USC Sections 225 and 661 inc;ludin�, Title 1, Employment; Title II, Public Sen -ices; Title III, Public Accommodations and Services Operated by Private entitles; Title IV, Telecommunications; and Title V, Miscellaneous Pro-isions. The Florida Americans with Disabilities Accessibility hnplementation Act of 1993, Section 553.501-553.513, Florida Statutes: The Rehabilitation Act of 1973, 229 USC Section 794, The Federal Transit :-pct, as amended 49 USC Section 1612; The Fair Housing Act as amended 42 USC Section 3601-3631. Sienaturc Sworn to and subscribed before me this Personally known OR Produced identification Type of identification day of 20 Notary Public -- State of My commission expires: Prilvelf. r peed or stump"d comm ussioned nun?" rrl,norenl public- ITB#201308 Page 56 BUSINESS ENTITY AFFIDAVIT (VENDOR 1 BIDDER DISCLOSURE) I, , being first duly sworn state: The full legal name and business address of the person(s) or entity contracting or transacting business with the City of Homestead ("City") are (Post Office addresses are not acceptable), as follows: Federal Emplover lcierrtificatiorr Number (if none, Social Security #): .ante of Entirv. bidii-idual. Partners. or Corporation Doing business as, if same as above, leave blank Street Address Suite City State Zip OWNERSHIP DISCLOSURE AFFIDAVIT If the contact or business transaction is with a corporation, the full legal name and business address shall be provided for each officer and director and each stockholder who holds directly or indirectly free percent (5010) or more of the corporation's stock:. If the contract or business transaction is with a trust, the full legal name and address shall be provided for each trustee and each beneficiary. All such names and addresses are (Post Office addresses are not acceptable), as follows: Full Lei(gal Name Address OwnershiR 00 IT13#201308 Page 57 2. The full legal names and business address of any other individual (other than subcontractors, materialinen, suppliers, laborers. or lenders) ivho have, or will have, any interest (legal, equitable, beneficial or otherwise) in the contract or business transaction kvith the City are (Post Office addresses are not acceptable), as follows: Signature ofAftiam Printed Name of Affiant Sworn to and subscribed before me this day of Personally known OR Produced identification T%pe of identification Uate ,20 Notary Public — State of My commission expires: 1'iir+t�°rf, rrlkcl vrxrcr++rlkrf �vr+rrriis:+irx+ed ++rune r�jrruxu-I public ITB4201308 Page 58 CERTIFICATION REGARDING DEBARNIENT, SUSPENSION, AND OTHER RESPONSIBILITY NIATTERS PRI41 ARY COVERED TRANSACTIONS This certification is required by the regulations implementing Executive Order 133.19, Debarment and Suspension, 13 CFR Part 145. The rewgulations were published as Part `'II of the May 26. 1988 Federal Re inter {pages 19160-19211). Copies of the regulations are available from local offices of the U.S. Small Business Administration. (BEFORE CO`[PL,ETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE) { I ) The prospective primary participant certifies to the best of its knowledge and belief that it and its principals: (a) Are not presently debarred. suspended. proposed for disbarment. declared ineligible. or voluntarily excluded from covered transactions by anv Federal department or agency, (b) Have not .vithin a three-year period preceding this application been convicted of or had a civil judgment rendered against them for con-unission 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 commission of embezzlement, theft, forgerv, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental 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 had one or more public transactions (Federal, State, or local) terminated for cause or default. (2) `'here the prospective primary participant is unable to certify to any of the statements in this certification, such prospective primary participant shall attach an explanation to this bid. Business Name Date Name and Title of Authorized Representatk e Signature of Authorized Representarive IT13#201308 Page 59 INSTRUCTIONS FOR CERTIFICATION' By signing and submitting this bid. the prospective primary participant is providing the cerci tication set out belov, The inability of a person to protide the certification required below will not necessarily result in denial of participation in this cohered transaction. The prospective participant shall submit an explanation of why it cannot protide the certification Set out below. The certification or explanation will be considered in connection �%ith the department or agency's determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. 3 The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If is later determined that the prospective primary participant knowingly rendered an erroneous certification. in addition to other remedies available to the Federal Government. the department or agency may terminate this transaction for cause or default. 4 The prospectiNe primary participant shall provide immediate written notice to the department or agency to which this bill is submitted if at any time the prospective primary participant leans that its certification was erroneous when submitted or has become erroneous bt reason of Changed circumstances. 5 The terms "covered transaction." "debarred." "Suspended." "ineligible," "lower tier covered transaction," "participant," "person," "primacy covered transaction." "principal." "proposal." and "VOILIntarily excluded," as used in this clause. have the meanings set out in the Definitions and Coverase sections of the rules implementing Executive Order 12549. You may contact the department or agency to which this bid is Submitted for assistance in obtaining a copy of those regulations (13 CFR Part 145). 6 The prospective primary participant agrees by submitting this bid that, should the proposed covered transaction be entered into. it shall not knowingly enter into any lower tier covered transaction with a person who is debarred. suspended. declared ineligible. or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency entering into this transaction. 7 The prospective primary participant further agrees by submitting this bid that it will include the clause titled "Certification Regarding Debarment, Suspension. Ineligibility and Voluntary Exclusion --Lower Tier Covered Transactions." provided by the department or agency entering into this covered transaction. without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 8 A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, Suspended. ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous, A participant may decide the method and frequency by which it determines the ineligibility of its principals. Each participant may, but is not required to, check the Nonprocurernent List. 9 Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 10 Except for transactions authorized under para+,graph 6 of these instructions, if a participant in a covered transaction knowin-1v enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. ITB#201308 Page 60 DRUG-FREE WORKPLACE PROGRAM AFFIDAVIT IDENTICAL TIE BIDS - Preference shall be given to businesses with dz-ug-free workplace programs. Whenever two or more bids which are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a bid received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process. Established procedures for processing tie bids will be followed if none of the tied vendors have a di -u --free workplace program. In order to have a drug -tree workplace program. a business shall: 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 specifving the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of druu abuse in the \,�orkplace. the business's policy of maintaining 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. 7. Give each employee en -aged in providing the commodities or contras Coal services that are under bid a copy of the statement specified in subsection (1). -l. In the statement specified in subsection (1). notify the employee that, 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 393 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (6) days after such conviction. a. Impose a sanction on, or require the satisfactory participation 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 cffort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to siign the statement. I certify that this firm complies fully with the above requirements. VENDOR'S SIGNATURE PRINTED NAME NAME OF COMPANY ITB#201308 Page 61 SWORN STATEMENT PURSUANT TO SECTIO` 287.133 (3) (a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORtN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted to the CITY OF H01MESTEAD, FLORIDA by: fo r. tp-int individiall's name (Ifid title) (print rraine of entttr saa6nrilling sworn Statement) whose business address is: and (if applicable) its Federal Emplover Identification Number (FEIN) is: (ff the entity has no FEIN. include this Social Security Number of the individual signting this sirorn statenzent: 2. 1 understand that a --public entit% crime" as defined in Paragraph 287.133(l)(a). Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any Public entity or with an agency or political subdivision of any other state or of the United States, including but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and inyolvin�-, antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentations. 3. 1 understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relatim-, to charges brouaht by indictment or information after July 1, 1989, as a result of a jury verdict, non jury trial, or entry of a plea of guilty or nolo contendere. 4. 1 understand that an "affiliate" as defined in Paraoraph 287.133( 0(a), Florida Statutes, means: I. A predecessor or successor of a person convicted of a public entity crime, or 2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers. directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. i. 1 understand that a "person" as defined in Paragraph 287.133(1)(e). Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public cntity, or which otherwise transacts or applies to transact business with a public entity. The term ..person" includes those officers, directors, executives, and partners. Shareholders, employees, members, and agents who are active in management of an entity. 6. Based on information and belief, the statement, which I have marked below, is true in relations to the entity submitting this sworn statement. (Indicate which statement applies). IT13#201308 Page 62 ❑ Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the managgetnetn of the entity, nor any affiliate of the entity leas been charted with ad convicted of a public entity crime subsequent to July 1, 1939. ❑ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agaents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. ❑ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or aY_ents vvho are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida , Division of Administrative Hearings and the final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list (attach a copy of the final order). L',-RS-IAND THAT IIIF St 13%11`SION OF THIS FORM TO THE CONTRACTING 01'1 -*ICER I -OR THE I'VBLIC ENTITY IDENTIFIED IN PARAGR_\PI It ABOVE IN FOR 111.11 PI 131IC ENTITY o\LY AND TH.V[ THIS FOR \1 15 VAI _ID THROUG1I DECIAMER 31 oI: THE C.\LFNDAR YEAR IN MUC'II IT IS FILLD. I ALSO I \DI RNTaND THAI 1 AM REQUIRLD 10 INFORM THE PUBLIC ENTITY PRIOR 1-0 ENTERING INTO A CONTRACT IN FM FSS01' 1111. HIRI SID)LD t\lOt \T PROVIDED IN SECTION 257.017. FI (-)RID\ STATUTES FOR CArEGORY T\kO OI-' .ANY CII:\NGC IN TIII= INFORM \TI()\ ('(AI \1`1. 1) IN THIS FORM. Signature Sworn to and subscribed before me this day —'20 Personally known OR ✓ Produced identification Type or identification Notary Public -- State of 1'Vly commission expires: Priiued, it-pell or Yfam ed Commissioerrf now" nl norurr Public ITB#201308 Page 63 PERFORMANCE SURVEYS The City of Homestead will be conducting quarterly performance surveys and post project surveys for vendors whom are awarded bids and contracts. Surveys will be sent to the user - departments and wiil be used as a quarterly monitorina device to gauge performance and to utilize when awarding or renewing contracts. Definitions: NIonthiv Sur-vevs- Vendors whom are perfonning services on a weekly basis. Quarterly Surv-ev^s- Vendors whom are performing services on a monthly basis. Post Proiect Surveys- Vendors who perform a service with a completion deadline [i.e. construction]. Below are some basic questions. Please provide the City with any additional questions you may want included should you be awarded a contract/bid. Evaluation Instructions Each evaluator shall provide a score for each criterion shown below, on the basis of the following scale: 5 = Exceeds Expectation 4 = Meets Expectation 3 = Marginally 2 = Below expectation 1 = Unsatisfactory Please add any additional questions you may want for personal reporting. I understand the above information and have been Liven a copy of this document. Company Name (Print) Authorized Representative Name (Print) Authorized Representative Name Date (Signature) ITB#201308 Page 64 NIA 1 5 4 3 2 1 Remarks Public relations/ customer service Vendor's performance level Ability to meet completion times Quality of product/ service provide4, Y71 Responsiveness to Emergencies ❑ —Invoice is consistent with contract pricing ❑ Please add any additional questions you may want for personal reporting. I understand the above information and have been Liven a copy of this document. Company Name (Print) Authorized Representative Name (Print) Authorized Representative Name Date (Signature) ITB#201308 Page 64 Giving reference for: (name of company) Firm giving Reference: Address: Phone: Fax: Email: Reference QLlestionnaire (PlcaL e havc a 1P minium o% three (3) rL'1CrC11CC'S COMPICIL' 411111 SUbI rit ivith Bid doc1r111c'nty) 1. Q: Was invoicing consistent with contract pricing? 2. Q: Were response times consistent? A: 'tea eirr or NOlMES7EA0 3. Q: Was the vendor easy to get in contact with? How was their customer service? c. 4. Q: How was their responsiveness to emergency orders? A: 5. Q: Would you use them again? A: 6. Q: Overall, what would you rate their performance? (Scale from 1-5) ❑5 Excellent 04 Good ❑3 Fair ❑ 2 Poor ❑1 Unacceptable 7. Q: Is there anything else we should know, that we have not asked? A. The undersigned does hereby certify that the foregoing and subsequent statements are true and correct and are made independently, free from vendor interference/collusion. Name: Title Print Name: Date: ITB#201308 Page 65 NOTIFICATION OF SOCIAL SECURITY NUMBER COLLECTION AND USAGE In compliance with Florida Statutes § l 19.071(5), the City of Homestead Procurement R Contracts Division collects and uses your Social Security number only for the following purposes in performance of the City's duties and responsibilities. Your Social Security number is used for legitimate employment business purposes in compliance with: Completing a Vendor Application in lieu of a FEN. NOTIFICATION Providing; a Social Security number in lieu of a FEN is a condition of becoming a vendor with the City of Homestead. The City- may disclose Social Security numbers to another agency or glovern mental entity if such disclosure is necessary for the receiving agency or entity to perform its duties and responsibilities. The City may not deny a commercial entity engaged in the performance of a commercial activity access to Social Security numbers. provided the Social Security numbers will be used only in the performance of a commercial activity. and provided the commercial entity makes a written request for the Social Security number's. I understand the above information and have been given a copy of this document. Company Name (Print) Authorized Representative Name (Print) Authorized Representative Name Date (Signature) ITB#201308 Page 66 Mailing Address: CITY OF HOMESTEAD Vendor Application Procurement & 650 NE 22 Terrace Contract Services Homestead, Florida 33033 (305) 224-4620 450 S.E. 6 Avenue Fax: (305) 224-4639 Homestead, Florida 33030 Business Name: Order Address: City: State: Zip: Pay to Address: City: State: Zip. (if different) Bid Address: City State: Zip: Telephone: () Email Address: PO Email Address: Contact Person: Fax: () Website URS.: Title: Federal I.D. No.: Date Business Established: Business is: ❑ Corporation ❑ Proprietorship ❑ Partnership ❑ Other: Primary business classification (check all that apply): LJ Retailer ❑ Wholesaler ❑ Manufacturer ❑ Services ❑ Prime Contractor ❑ Sub Contractor Do you accept Visa cards as a form of payment? ❑ Yes ❑No Do you give prompt payment discounts? ❑Yes, Percentage of discount % Term :1 No All applicants are required to provide a copy of your applicable Business Tax Receipt as well as your Worker's Compensation Insurance Certificate. Please see the enclosed commodity list to properly identify the commodities and/or services, which your firm provides. Please mail completed Vendor Application to the mailing address above. The undersigned does hereby certify that the foregoing and subsequent statements (including Business Entity Disclosure form) are true and correct. Name: Print Name: Title Date: IT13#201308 Page 67 PLEASE COMPLETE COMMODITY LIST TO PROPERLY IDENTIFY THE COMMODITIES AND/OR SERVICES WHICH YOUR FIRM PROVIDES # I DESCRiPTIOti 1 14 DESCRIPTION 005 Abrasives 247 Electronic Components 010 Acoustical Tile, hisulatin.- Material 290 Energy Collecting= Eclui mint 015 CoLy Machine Supplies 295 Elevators 031 Air Conditioning & Heating 300 Embossing / Engaving A pliances, Household 305 Engineering E ui rent T045 050 Art Equipment R Supplies 310 Envelopes. Plain, Printed 052 Art Objects 315 Epoxy Based Formulas o53 Automobile Leasing 330 Fasteners, Fastening Devices 055 Auto & Truck Accessories 330 Fencing 056 Bus Accessories 340 Fire Protection Equipment i Supplies 060 Auto R: Truck Maintenance Items 345 First Aid & Safety Equipment 062 Bus Maintenance Items 350 Flags. Poles, Banners, Accessories 065 Auto Bodies & Accessories 360 Floor Coverinv. Installed 070 Auto Major Transportation 365 Floor Maintenance Machine, Parts 075 Auto Shop Equipment R Supplies 390 Food, Perishable 080 Badgcs & Other Icientiiication Lc ui pment 395 Foams, Continuous Computer OSS Bags, Bagging Ties, Erosion 400 Foundry Casting Equipment 095 Razors, Blades, Etc. 405 Fuel, Oil, Grease & Lubes 100 Barrels, Druims. Kegs, Cartons 415 Furniture, Lab, Special 105 Bearings ( Ecce t Wheel) 420 Furniture. Non -Office 120 Boats. Motors & Marine SLIppliCS 425 Furniture, Office 125 Bookbinding &: Book Supply 430 Welding Equipment 135 Bricks & Clay Products 440 Glass &Glazing Supplies 140 Bmshes, Brooms & Mos 445 Tools, Hand (Not Classified) 145 Brushes (Not Classified) 450 Ilardware and Allied Items 150 Builders' Supplies 460 Hoses, All Kinds 155 Buildings, Fabricated 445 Janitorial Supplies 175 Chemical Lab Equipment & Supplies 490 Laboratory Equipment & Accessories 190 Chemicals, Commercial, Bull: 515 Lawn Equipment 192 Cleaning Composition 'Solvents 525 Library Mach. & Supplies 195 Clocks 540 Lumber, 1Voods, Sidings 200 Clothing & Apparel 545 Machinery & Heavv Hardware 205 Computers, Dp & Word Proc. 550 Ifarkers, Plaques, Signs 210 Concrete & Cormtd. Metals 555 Marking Devices 220 Contrl, Indica, Record Instr 560 Material Handling Equipment 225 Cooler, Drinking'Water 570 Metals, Bars, Plates, Rods 232 Crafts, General 575 Nlicrofiche, Microfilm 265 Drapes, Curtains. Upholstery 595 Nursery Stock & Supplies ITB#2(}1308 Page 68 # DESCRIPTION DESCRIPTION 375 Food._ Staple. Edible 600 Orfice Machines R Accessories 380 Electrical Fables S Wires 610 Office Supplies, Paper Ribbons 28i Electrical Equip R Supply 615 Office Supplies 386 Electric Power Plant Equip. 930 Dp Processing ck: Soft4vare 620 Office Supplies. Inks. Leads 924 Educational Services 635 Safety Equipment 925 Equipment c'`" Repair 635 Painting Equipment & Ace. 930 Equipment Rental 630 Paints, Coating, 'Wallpaper 64() –Paper R Plastic -Dig osable 650 Park. Playground, Swimming 933 Financial Services 655 Photographic Equipment 915 Library Services 670 Plumbing, Equipment 947 Miscellaneous Services 673 Pipe, Fittings c: Valves 955 Construction cC Related 675 Poisons: Aaricul LIC- Industrial 958 Real Property Rental 680 Police Equipment cl, Supply 960 Grounds & Park Set -vices 695 Printing, & Silk Screening 963 RecvchnL, Services 715 Publication Audiovisual 96 Security. Fire:"Safety Services 730 Pumps ck Accessories 990 Purchase Of Surplus Material 735 Radio &Telecommunication 730 Television Ec uipment Please list below any other service or commodity 735 Raf7s. Shop Towels. Wiping 740 Refrigeration Equipment 745 Road & Highwav Materials 755 Road. Highway Equipment 770 Roofing Materials 785 School R Higher Education 790 Seed, Sod, Soil A Inoculant 800 Shoes And Boots 803 Sound Svstems R Aceessory — 805 Sporting, cE Athletic Equip 830 Tanks 833 Tape 857 Theatrical Equipment 863 Tires And Tubes 870 Venetian Blinds Etc 880 Visual Education Equipment 885 1NIater Treatina Chemicals 890 Water SewacLe Treatment Equip 895 Welding Equipment. Supply 905 Aircraft 910 Buildinu NlaintenancelRepair 9l5 C011111tunication ' Media Services ITB#201308 Page 69 W9 FORM yam -9 Request for Taxpayer Identification Number and Certification Name �n err ri orx row axcoma tax Mai g D f3+.s+nei time. if different from above Give form to the requester. Do not send to the IRs. Check aporc{ariate box. 71 Indiv+dudrSale proprietor C Corporation [: Parv,eranp .... 1 --ted 'iaxlit = _ Enter the tax dus iii um D liar Exempt — Y 3nP�Y egalded enety. C=caporak,on. PsarlrxsF.c, > —_ pctYee _t*er see rs-.c:Xs, ► ....... .... ..._..... .... .._.. _... —.._......_...........— ,Address inumber street, and apt. or wiN no I Requester s —mie and addraee ;optional) City. state. and tlP code List account rnmbili here optimaQ Taxpayer Identification Number f 1Nl]i Enter your TIN in the appropriate box. The TIN provided must match the name grfan on. tore 1 to arod Soc al sodrtily number backup -rathhoidalg For Irdi*nduais. this Is your social securti rximbar iSSNI however for a resident alien. sole proprietor. or disregarded entity see the Part I instructions of page 3. For other entitiesits your employer idenlificall number (EI 141. If you do not have a number, see Now to yet a 771V on page 3. or Note. If tine account Is in more than one naina_ sea the chart on page 4 for guidefiras or .vhose Employ dentitiaation will nurriber to enter LEM Certification Under penaaies of penury, I certify that. — -- 1 The number sho:yn on this form is my correct taxpayer identification number for I am wailing for a number to be issued to me'i. and 2. I am not sublect to backup with.l-.olding because lel I am exerpt from backup withholding, or b;) i haae not been notified by the Internal Revenue Sarrtca ;IFS) that I am %Ltlect to backup umthholding as a result o1 a failure to report all interest or dividends or ic} the IRS has notified me that I aryl no Iong=_r subject to backup .fiithholding, and 3 1 .am a U S. cdizen or other U S aason ;defined berovrl. Certification instructions. Y':L.is out item 2 above it you hi been notified by the IRS that you are currently subject to backup wfliholding because you haze ` spat ail interest aid Omdards on your tax return. For real estate transactions. item 2 does not apply. For morgoge interest paid ac: i_ it abandonment of secured property cancellation of debt, oentri>ut+ans to an individual retirement artnrgemer-.i 9RA}., and gei a+1ts other than irter?si 3rd diridardsyou are not required to sign the Ceniftcation, but you must provide your cased TIN. See the .nstaic tons on page d Sign Sigrature of Here U.S. person ► General Instructions sr-ctlor ref::rgirli aur? to If* Intornal Revenue Code unless otherwise noted Purpose of Form A person who is required to file an Information return with the IRS must obtain your correct taxpayer Identification number (TEN) to report. for example income paid to you, rest estate transactions. mortgage interest you paid. acquisition' or abandonment of secured property cancellatuan of debt- or contributions you made to an IRA Use Form W-9 only If you are a U.S. person (including a resident alien), to pravlda_ your eorroct TIN to I person requesting 9 the requester) and, when applicable. to 1. Certify that the TIN you are giving is correct (a you are waiting for a number to be issued). 2 Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding it you are a U.S. exempt payee. If applicable you are also certifying that as a U.S. person. your allocable share of any partnership Income from a IU -S. trade or business is not subject to IN withholding tax on foreign partners share of effectively connected income Note. If a requester gimes you a form other than Form W-9 to request your TIN, you must use the requester's form If tl is substantially similar to this Form W-9 Onto P. Definition of a U.S. person. For federal tax purposes, you are considered 3 U S person if you aro. e An individual who Is a U.S. citizen of U.S. resident al,en. • A partnership, corporation. company. or association created or organized Irl the United States or under the lavas of the Until States. e An estate (ether than a foreign estates. or • A domestic trust (as defined in Regulations section 301.7701-7). Spectel rules for partriershfps. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners' share of income from such business Further, in certain cases where a Form W-9 has not been received a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore if you are a U S person that is a partner in a partnership conducting a trade or business In the United States. proyide Form W-9 to the partnership to establish your U S. status and avoid withholding on your share of partnership income. The person who gives Form W-9 to the partnership for purposes of establishing its U S status and avoiding withhotdxlg an Its allocable share of net mcorlle from the partnership conducting a trade or business in the United States is in the following cases. e The U S owner of a disregarded entity and not the enttty, Cat- No 102a1x Farm W -M aRee. 102oan iTB#201308 Page 70 Fpm IN -9 luau. 10-2007) Pay® 2 • The U.S. grantor or other owner of a grantor trust and not the trust and • The U.S. trust (other than a grantor trust) and not the beneficiaries of the trust. Foreign person. II you are a foreign person. do not use Form W-9 Instead use the approprate Form 1-8 ispe Publication 515. Withholdirg of Tax on Nonresident Aliens and Foreign Entities! Nonresident alien who becomes a resident alien. Generally. only a nonresident alien irdividual rimy use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income However. most tax treaties contain a provision kncwn as a "saving clause." Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become 3 U S resident alien for tax purposes, If you are a U S. resident alien who is relying on an exception contained in /tie saving clause of a tax treaty to claim an exemption from U S tax on certain types of income. you must attach a statement to Form V`f-9 that specifies the foitowing five items: 1 The treaty country Gen -welly this must be the same treaty under which you claimed exemption from tax as a nonresidMnt alien. 2. The treaty articie addressing the income - 3 Tie, ar+icte numi nor iccation) in the tax treaty that contair- sailing clause and its exceptions. d ' = nrd amount of income that qualifies for the e.x- _- !ax. 5 ut',cienl ;acts to iusli the exemption from tax under the farms of the treaty article. Example Ar+.icle 20 of the U S •Chira incorne tax treaty allows an exemption from tax for scholarship income received by a Chinese student tempor3i present in the United States. Under U S law ".his student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years However. paragraph 2 of the first Protocol to the U S -Chira tr.a:y ;dated April 310. 1984; alloys the provisions of Ar!!c'e 20 to continue to apply even after the Chinese studant becorrees a resident mien of the United States. A Chinese student who qualdies for this exception funder paragraph 2 of the first protocol) and is relying on this excepucn to claim an exemptmn from tax on his or her scholarship or fellowship income would attach to Form iii a statement that includes the information described at-ove to support that exemption. If you ars a nonresident alien or a foreign entity not subject to backup withholding, give the requester the appropriate completed Form W-8. What Is backup withholding? Persons malung certain payments to you must under certain conditions withhold and pay to the IRS 28% of such payments This is called 'backup withholding " Payments that may be subpct to backup withholding include interest. tax-exempt interest. dividends, broker and barter exchange transactions, rents, royallies, nonemployee pay, and certain payments from fishing boat operators, Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN. make the proper certifications, and report all your taxable interest and dividends on your tax return Payments you receive will be subject to isackup withholding if: 1 You do not furnish your TIN to the requester 2- You do not certify your TIN when required (see the Part II instructions on page 3 for details). 3 The IRS tells the requester that you furnished an incorrect TIN. 4 The IRS tells you that you are subject to backup vorthnokfing because you did rmt report all your interest 3rd dividends on your tax return ifor reporfabie int}rest and dividends only/, or 5. You do not certify to IN requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1583 only). Certain payees and payments are exempt from backup withholding See the instructions below and the separate instructions for the Requester of Form W-9 Also see Special rules for partrersf^rps on page 1. Penalties Fallure to turn" TiN. If you fail to furnish your correct TIN to a requester. you are subject to a penally of 550 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Ctvll penalty for raise lnfarfnation with respect to withholding. If you make a false statement vidh no reasonable basis that results in no backup withholding. you are subject to a $500 penalty. Corkninal penalty for falsifying information. Wilffulty falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment_ Misuse of TINS. If the requester discloses or uses TINs in violation of federal la•w, the requester may be subject to civil and criminal panaltes. Specific instructions Name If you are an individual, ycu must generally enter the name Shown on your income tax return. However, if you have changed your last name for irstance. due to marriage without informing the Social Security Administration of the name change enter your first name. the last name shown on you social security card_ and your new last name. If the account is in joint names list first. and then circle the narne of the perscr or antly whose number you entered in Part I of the form. We proprietor. Enter your individual name as shovrn on your income tax return on the "Name" lire. You may enter your business" trade. or "doing business as toEAi" name on the "Business name" line Llmtted liability company (LLC). Check the "Limited liability company" box only and enter the appropriate code for the tax classification ("0" for disregarded entity. "C" for corporation, "P" for partnership) In the space provided For a single -member LLC lincluding a foreign LLC with a domestic owner) that is disregarded as an entity separata from its owner under Regulations section 301 7701-3_ enter the owner's name on the "Nam` line Enter the LLC's name on the "Business name" line. For an LLC classified as a partnership or a corporation. enter the LLC's name on the "Name" line and any business, trade or DBA name on the "Business name" line. Other entitles. Enter your business name as shown on required federal tax documents on the "Name" line. This name should match the name shown on the charter of other legal document creating the entity You may enter any business. trade. or UBA name on the "Business name" Ione. Note. You are requested to check the appropriate box for your status (indtviduat/sole proprietor. corporation, etc.). Exempt Payee If you are exempt from backup withholding. enter your name as described above and check the appropriate box for your status. then check the "Exempt payee" box in the line fallowing the business name sign and date the form ITB#201308 Page 71 7t.,ais {ircludirg sole proprietoisi are not oxompl t--oiciing Ccrporahors are exampt from backup :r v _; ' .ertain payments, such as interest and dividends Note.. If yc(i Ir- exampt frcm backup withncidirg you should st,ll oompiet•= r.s form to avoid possible erroneous backup withholding The follovnng payees are exempt from backup withholding. 1. An organization exempt from tax under section 501aa}. any IRA. or a custodial account under section 403(bp7) if the account satisfies the requirements of section 40ttf,(2l. 2 The 'united States or any of its agencies or Instrumerlailtas_ 3 A stale, the District of Columbia, a possession of the United States, or any of their political subdivisions or instrumentalities, 4 A foreign government or ary of its potihcal subdivisions agencies. Cr instrumentalities, or 5 An international organization or any of tts agencies or intrumentalit es. Gther payees that my be exempt from backup withholding include: o A corporation, 7 A foreign oardrai bank of issue. 8 A dealer in securities or commodities required to register in the United States. the District of Columoia. or a possession of the Urited States. 9 A futures commission merchant registered with the Ccmr-4i,dity Futures Trading Commission, 10. A real estate investment trust, 11 Ar ertty registered at all times during the tax year under the irivastrrsrt Company Act of 1940. 1'. A ncmrricn ir,.S: curd operated oy a cs,hk unu'Fr section - ..- <^syn rn the a•.; -a:- _.._r ;.-,fr as a v or axampt from tax under section 904 or described in below shows types of payn-ierts that may be exempt frcm backup witllh0lding. The chart applies to the exempt payees listed above, 1 through 15 1F the payment Is for ... THEN the payment is exempt for . . Interest and di,idend payments AK exempt payees except _ for 9 Broker trarsactions Exempt payees t through 13. Also a person registered under the in•,ostmert Ad,isers Act of 1840 who regularly acts as a broker Barter axchangra Iransactlans '. Exempt payees 1 through 5 and patronage idiadends Payments over SWO required Generally exempt payees to be reported and direct 1 through 7` sales over SS4,000 I ee Form 1099 -MMC, AMscedweoxa Incomeand ifs instructions. 'Hour soar. the follarAng payments made to a corporation iin-ludirig gross proceeds pad to a attomm under section W45if). evert if the attorney is a caporaticc; and reportuGa on Faun 1094-MISC are rot exempt ham backup nrthholdirg- —a:JI and health rare payments, attomeys' fees. and payments for 9-1- paid W a fed•_rai --h- agency Part I. Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN. your TIN is your IRS individual taxpayer identification number 1MN) Enter it rn the social security number box, If you do not have an MN, see How to get a TIN below. If you are a sole proprietor and you have an EINr you may enter either your SSN or EIN. However, the IRS prefers that you use your SSN. If you am a single -member LI.G that is disregarded as an entity separate from 4s owner (see Limited liability company /LLC) on page 2), enter the owner's SSN fa EIN, if the owner has ane!. Do not enter the disregarded entity's EIN. If the LLC is classified as a corporation or partnership, enter the entity's EIN. Note. See the chart on page 4 for further clar'rcat:on of name and TIN combinations_ How to get a TIN. If you do not have a TIN, apply for one immediately To apply for an SSN, get Form SS -5, Application for a Social Security Card, from your kcal Social Security Administration office or get this form online at www.sse.gov. You may also get this farm by calling 1-800-772-1213- Use Form W-7. Application for JPS Individual Taxpayer Identification Number, to apply for an ITN. or Form SS -4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS vreosite at www.rrs.govrbusnesses and clicking on Employer identification Number (EiNI under Starting a Business. You can get Forms W-7 and SS -4 from the IRS by visiting www.trs.gcv or by calling 1 -800 -TAX -FORM ii-a0C-829-3ti7oi. If you are asked to complete Form Lief -9 but do not have a -1W write "Applied For" in the space for the TIN sign and date the form, and give It to the requester For interest and dividend payments, and certain payments made with respect to readily tradabie irstruments. geraraay you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholdirg on payments The 6C -day rule does not apply to other types of payments. You will' be subject to backup withholding on all such payments until you provide your TIN to the requester. Note. Enterng "Applied For' means that you have already applied for a TIN or that you intend to apply for one soon. Caution. A disregarded domesric entity that has a 'orefgn owner must use the appropriate Foran WI -8- Part II. Certification To establish to the witrholdirg agent that you are a U S person. or resident alien, sign Form W-9 You may be requested to sign by the withholding agent even if items 1 4, and a below indicate otherwise. For a joirt account- only the Person whose TIN is shown in Part I should sign (when required). Exempt payees. see Exempt Payee on page 2. Signature requirements. Complete the certification as indicated in 1 through 5 below 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 19813. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1980 and brother accounts considered Inactive during 1983. You must sign the certification or backup withholding will apply r you are subject to backup withholding and you ars merely providing your correct TIN to the requester. you must cross out item 2 in the certification before signing the form. ITB#201308 Page 72 Fam'rd-9 •Rai. til-2G@T 3. Real estate transactions. You must sign the cerldicat.cn. You may cross cut Item 2 of the certification. 4. Other payments. You must give your correct TIN. but you do not have to sign the certification unless you have been notified that you have previously given an Incorrect T1N. "Other payments" include payments made in the course of the requestEr's trade or business for rents. royalties, goads'other than bills for merchandise). medical and hearth care services (including payments to corpor3tionsi. payments to a nonemployee for services, payments to certain fishing boat crew members and fishermen. and gross proceeds paid to attorneys {including payments to corporauonsl. 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition prograrn payments (under section 529), IRA, Coverdelt ESA, Archer MSA or HSA contributions or distributions, and pension dWribulions. You must give your correct TIN. but you do not have to sign the certification. What Name and Number To Give the Requester For this type of account: Give nam® and SSN of I Indivlduui The ind,,.dial 2. Teo x more ndwt is joint The actual owner of the account a. ax+v,nii A ;omtweo Sands, the first ndr,roual on the account 3 Custodlar attaint of a mina The minor. ,Un,form 76t to klrors Act) 4. a. The usual revocable air roes The grantor -trustee trwt grartOr is also trusteei b So-called trust account that Is The actual ovmer' not a legal arvalid trig under state lav: 5. Sole propnetaship ar draragarded The ovines entity owned is an indri for the type of account. Give name and EIN of. 3 Dwagdrded ar irt`; not owned by an fie ovmar Indiarduak 7. 4 raid .net sabre. a penman me Legal .milt S_ Corporate x LL% electing The wrpaaticn corporate status w Fom 5632 g. Association. club, reIigirA s The orgam2at.an chantatair educational. or other tax-exempt organcatlon 117. Partnership a mule -memos LLC _ The portnrshap 1 I A 9roAer a registered iom,nee The broker or nanlnea 12 Account with the Department of - The pubk antri Agvi:uhrse in the name of a public anal/ !such as a state a local governmeni dii a pneonf ihel receives agnc lf—f program wuments --w r+ • �. t '3"d L-(: �-'ri:rY"y fps 3 �. � f'': :• 11- 'U / --�r.:1.-11 d Y : "J t- —i—, 'rr _- .,� Note. If no name is circled wren more than one name is listed, the number will be considered to be that of the first name listed. page 4 Secure Your Tax Records from Identity Theft Identity theft occurs when someone uses your personal information such as your name. socii security number (SSN), or other identifying information. without your permission to commit fraud or other crimes. An identity thief may use your SSN to get a job or may ftle a tax return using your SSN to receive a refund To reduce your risk: a Protect your SSN. e Ensure your employer is protecting your SSN. and it Be careful when choosing a tax praparer. Call the ii at 1-800-829-1040 9 you think your identity has been used inappropriately for kart purposes Victims of identity theft who are experiencing -economic harm or a system problem, or are seeking help in resolving tax problem that have not been resolved through normal channels. may be eligible for Taxpayer Advocate Service {'ASI assistance You can reach TAS by calking the TAS tali -free case intake line at 1-877-777-4778 or TTY;TDD 1-800-829-4059 Protect yourself from suspicious entails or phishing schemes. Phishtng is the creaVon and use of gii and websites designed to mimic legitimate business amelia and websitas. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for rdenhty theft. The IRS does not Initiate contacts with taxpayers via emails, Also. the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers. passvrards. or similar secret access information for their credit card, bank. or other financial accounts If you receive an ursolicited entail claiming to be from the IRS forward this message to pfils"rrgrarrs-gov. You may also repo° misuse of the IRS name logo. or ether IRS personal property to the Treasury Inspector uaneral for Tax Administration at 1-800-366-4494, You can forviao suspicious ani to the Federal i rade Commission at spamoucs_gov or contact them at WW#.earsrr%Qovctdt1e1t or 1-877-11DTHEr`i,438-433.91_ Visit the IRS website at 'rvmv imgov to (earn more abOtA identity theft and hoax to reduce your risk Privacy Act Not -ice Soctri 5109 of 4:e Internal RevenueVoda iequree lou to Provide /our carred TIN to persons viho must file information returns mth. the IRS to retia°. Interest. dividends. and certain Otho income pard to :lou, mortgage interest you paid. the acquwrtton or abendcmment of secured property, cmcdlation of debt. a cmtntwEane you made to an IRA, or Archer MSA ar HSA The IRS uses the numbers lar identification pteposss and to help vanfiv the accuracy of you tax return The IRS may also provide this Information to the Department of nismca fpr —if and cnmlnal litigation, and to crtiea. states, the Distrci of Columna, and U 3 possession'to carry out their rax favrs_ We may also diadaiie this Information to other countries under a tax treaty. to federal and state agencies to enforce federal nontax criminal lays, or to federal lean enforcement and intel igmce ugairow to combat terrorism. You must provide ',ori TIN rrhethar a not .ou are required to elle a tax return. Pavers must generalfy vatnhold 283G of twoble interest. divdendand certain other payments to a payee who does rot gi:a a InN to a pass Cartein penalties may also appal ITB#201308 Page 73 BIDDER QUALIFICATIONS 1. Please read these instructions carefully and respond to all questions and attach all requested forrns.'documents. 2. The items you will need to attach are based on your responses: a. Financial Statements b. Current and Past Project Experience C. %Minority. Woman, or HUB Certitication Letter d. Safety Pro -ram Policy e. Druz and Alcohol Program Policy f, Applicable Licenses. S-1. Business License to perform work in Florida and state registration located at w ti%-.sunbiz.org. h. OSHA Lous i. CSI Code Listin- — Please check the CSI Codes related to your scope(s) of work. j. Insurance requirements: Certificate of Insurance - Certificate Holder: City of Homestead - "The Certificate Holder is an additional named insured in accordance with Bid No..` k. IRS W-9 Form, Request for Taxpayer Identification and Certification (Revised October 2007). 3, DONOT FAX THIS FORM. Form must be returned with bid submission. 4. The undersi-ned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading. Do not complete this form if you have completed AIA A305, IT13#201306 Page 74 Company- Profile: Section I — Company- Information t} Maintains a permanent place of business Company Name: flailing Address: City, State. Zip: Street Address: City, State, Zip: Principal Office: City, State, Zip: Phone: E-mail: Fax: Website: Contact Name classification: Corporation ❑ Partnership ❑ Individual ❑ Joint Venture ❑ Other ❑ Dun R Bradstreet No..- Federal o.:Federal ID or SS I. In what year was your firm established" ?. Hoy manv ycars has your organization been in business under its present business name? List anv Fortner names your organization has operated under: 3. 4. Is your company a subsidiary or affiliate of another finn'? It vee. ii -hut is the parent coin1pun. ' 'S name" Yes ❑ No ❑ 5. If your organization is a corporation, to include limited liability corporation, answer the following,: ITB#201308 Page 75 Date of incorporation: State of incorporation: Name of CEO: Naine of President: Name of Vice President(s): Name of Secretarv: Name of Treasurer: 6, If your ortyanization is a partnership, to include limited liability partnership, answer the following: Date of partnership: Type of partnership (if applicable): Names of Generai Partners: ITB4201308 Page 76 7. If your organization is individually owvncd, answer the follawin-: Date of or,=anization: Name of owner: S. If the forth of your organization is other than those listed above, describe it and name the principals: 9. Is your farm currently certified as: ❑ Minority Owned ❑ Woman Owned [❑ Socially & Economically Disadvanta�(Ted Business 2) Has technical knowledge and practical experience included in this scope of work (AnY certilicutimis. or training that 1'011 eoutpcn V Cnrex througA aloe` irith ycurs Of'CVJhTicrrce using these products ter pros idinr these services) A) Licensing 1. Has a complaint ever been tiled with a State Licensing Board against your firm? V�Ves, please describe. ?. Indicate licenses. wi0i license numbers, for which you are qualified to do business, (i.e. electrical, fire protection, state and county business licenses, etc.). License type License type License number License number 13) Experience L Provide the specific categories of work that your organization normally perforans (see last three pages of this fort-). ?. Has your organization within the last five years ever failed to complete any work awarded? Yes ❑ No ❑ Ifyes.171ease describe: 3) Resume and experience of those individuals who will be assigned to this project as Project Manager and/or Project Team Please attach on a separate sheets. 4) Has not had just or proper claims pending against him or his -*work 1. Are there any judgments, claims, or arbitration proceedings or suits pending or outstandinu against your organization or its officers within the last five years'? Yes ❑ No ❑ V*Yes, please describe: ?. Has your orv: anization filed any lawsuits or requested arbitration with regard to contracts within the last five years'? Yes ❑ No ITB#201308 Page 77 tl'Ye . Please (lesel-ibc . 3. Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization.; -hen it failed to complete a contract? Yes ❑ Igo ❑ Ayes, please describe: 5) List of any pending or past litigation including all its principals and ofticei-s With the City A) History of Litigation: Please list any pending or past litigration the company has been a party to during the pot five years. Opposing Party: Court in which the case is`kvas heard: Case Number: Nature of Dispute: ( Include description of all claims, defenses, cross claims and counter claims) Opposing Party: Court in which the case isAvas heard: Case Number: Narure of Dispute: (Include description of all claims. defenses, cross claims and counter claims) B) History of CitationsAjolations: Please list all safety or environmental citations.'violations the company has received in the past five years. Project Name, ITB#201308 Page 78 Date of Citation: Nature of Citation: Project Name: Date of Citation: Nature of Citation: Project Name: Date of Citation: Nature of Citation: Project Name: Date of Citation: Nature of Citation: 6) Has performed similar h -pe, size and cornplesitti- of such project, evidence }s ill consist of listing the type of project and nature of work for the last five (S) years. 1. On a separate sheet, list 5 mayor projects your organization has in prn,res.s for the scope of work that you are bidding on. Provide the following information for each project: • Project Name • 0,w ner • Architect • General Contractor • GC contact name: &: phone number • Contract amount • Percentage complete (your scope) • PercentaEie of subcontracted work • Scheduled completion date 2. On a separate sheet. list 5 major projects your organization has completed for the scope of work thatyou are bidding on in the last five years. Provide the following information for each project: • Project Name • Owner • Architect • General Contractor • GC contact imme &- phone number ITB#201308 Page 79 • Contract amount • Scope of Work • Date of completion • Percentage of work performed with your own forces 3. Indicate the type of projects in which your company has experience: (check all that applt•) Commercial'Mixed Institutional' ❑ use ❑ Cultural Community ❑ Health Care ❑ Industrial ❑ Educational ❑ Residential ❑ Senior Li,, -in,-,- 4. In what geographic range from your principle office: are you are willing to travel: ❑ +,!- 100 Miles ❑ 200 Miles El +,'- 400 Miles ❑ Any Areas -;. hndicate the size pro_jccts your company can perforin: (che=ck only one): ❑ < S50K ❑ <$100K ❑ $ 400 - S500K ❑ $500K - $ I N1 ❑ SIM-S?hl ❑ S ),1-S5NI ❑ S5%1-510141 ❑ ?S10M 6. What scope(s) of -,%•ork do you typically subcontract to other companies'? 7) Has available the organization and qualified nianpoii er to do the work 1. Indicate the number of employees: ?. Indicate size of warehouse(s), if applicable: 3. Is there more than one office location: ffso, please list Street Address: City, State, Zip: Yes ❑ No ❑ 8) Financing— Has adequate financial status to meet the financial obligations incidental to the work. (This information is kept confidential) 1, .Attach three years of audited financial statements. including \our orLoanizatiLm's latest balance sheet and income statement. 2. Will the or(Tanization whose financial statement is attached act as ,guarantor of Yes ❑ No ❑ the contract for services:' 3. Please indicate; below the annual sales volume for the last fire (5) years? Year S Year S Year S Year S Year S [TB#201308 Page 80 4. `'hat is your backlog? As of last financial As of 12 months As of today`' statement? ago? 5. Attach your company's IRS Form W-9, Request for Taxpayer Identification and Certification (Rev. October 2007) Section II - References I. On a separate sheet, list b trade"credit references. reference: • Company Name • Address • Telephone Number • Contact Nance 2 Provide the following information for each List bank reference. fUsetisepeircrte sheetforrul(titivrrat refer•erices) Narne of Banking company: Address: Telephone number: Contact person: Section III - Safety K Loss Prevention I . Please attach your safety policy. 2. Please attach your last tlu-ee years OSHA 300 and 0200 Logs. 3. In the last 3 years, has your company ever received a Serious. Willful, or Yes ❑ No ❑ Repeat violation under the OSHA Construction or General Industry Standards? If _vcas, please list the OSH_4 Standard yvaur company was cited harder and tfanY monetG li jilw.� werc Paid. 4. Please list your company's last three years Experience Modification Rate (EhIR). 2010 2011 2012 5. Please attach your substance abuse policy. 6. Provide a copy of your current certificate of insurance (General Liability, Auto. Workers Compensation & Excess Liability). Aaent's Nana: Phone number: ITB#201308 Page 81 Complete the bonding information. (FPIcase complete° this section crud submit the hoed form in hid 7. documents) Name of Bonding 'Surety company: A�(Yent Name: Address: Telephone Number: Contact Person: Bondinn Rate: Bondin, Capacity — Per Project: S Aggregate: S Section IV— Sibnature being dull stip orn, deposes and saes that the information pro"ided on the Qualification application herein is true and sufficiently complete so as not to be misleading. Finn Name: B v: Title: Dated this day of , 20_ Subscribed and sworn before me this day of Notary Public: I1Iv commission expires: .20 ITB#201308 Page 82 THIS FORM MUST BE COMPLETEO AND RETURNED TO THE PROCUREMENT & CONTRACT SERVICES DIVISION FOR ALL AWARD RECOMMENDATIONS OF $35,000.00 AND ABOVE. FOR AWARD RECOMMENDATIONS REQUIRING COUNCIL APPROVAL, SUBMIT THIS FORM NO LATER THAN THREE (3) WEEKS PRIOR TO THE PUBLISHED COMMISSION AGENDA ITEM DEADLINES FOR PURCHASING ITEMS. '�. City of Homestead Procurement & Contract Services Division -.-- AWARD RECOMMENDATION / INTENT TO AWARD To: I Kan Konkol. Assistant Director of HES From: Procurement Specialist Xintle Rubio -Rojas, Buyer 11 Date: 30 -Sop -13 RFPITTB #: 1201308 ItemlSsrvlce: I Tree Trimming & Line Clearing Services Attached are apparent low bid(s) and a tabulation for subject itemslservices requisitioned by your department. Please complete the applicable portions of this form in order that proper presentation and recommendations may be made. Please return this form to the Procurement Specialist as soon as possible. 1. PROCUREMENT COMMENTS: In accordance with Section 3.3 Excep^ons to SFeafcatians, "any exception to these Sections may be cause for the Bid to be Considered non-responsive.' Lowest bidder, Lewis Tree Service took exceptions from standard bid language and City's legal Counsel recommended against acrepUng such terms. I RECOMMENDATION: A. Which bids do you recommend? rk- CO . B. Does this meet speciiicarions as per your request and as advertised? YES NO ❑ If No, is the vaeance considered MINOR LJ I or I MAJOR Explain: C. Is the recommendation the !owes(bid received? YES ❑ NO D. List the bids that are low but which you believe DO NOT meet specifications and list reasons why each does not meet specifications; pisase attach a memorandum of explanation to th;s form if necessary_ Ize L�'� i�! C/.�C✓.�i'G�:G+t///f �C1 _Sre4velj�hop v�- ^�s'S?�.s�Nv.cf� Wsf 01g r64d41�b[�iW at. 7- s>~ -C -C e,.O 2444-& aEtach an additional sheat if further comment ore lanabon *. uire,d —�--_ I PRINT NAME SIGNATURE , �_ _ .:d (,Z— ;—Department Department Director or designee Procur went Manager DATE SIGNATURE SIGNATURE Refe-f to CAS 71013 71 DATE Risk Manager DATE 3. U M N A NrRECOM N ATION( ): ?he Procurement & Contract Services Division recommends award to Asplundh Tree Expert Co at their btd prices listed on the attached tabulation for the purpose of providing Tree Trimming & Line Clear -ng Services on an as -needed basis, not to exceed $156,220.00. THIS FORM MUST BE COMPLETEO AND RETURNED TO THE PROCUREMENT & CONTRACT SERVICES DIVISION FOR ALL AWARD RECOMMENDATIONS OF $35,000.00 AND ABOVE. FOR AWARD RECOMMENDATIONS REQUIRING COUNCIL APPROVAL, SUBMIT THIS FORM NO LATER THAN THREE (3) WEEKS PRIOR TO THE PUBLISHED COMMISSION AGENDA ITEM DEADLINES FOR PURCHASING ITEMS. A,SPLUNDH TREE EXPERT CO, 106 SW 140th Terrace, Suite 3 Jonesville, FL 32669 352-333-9370 Fax 352-333-9372 • • To : Mrs Xintia Rubio —Rojas Buyer II Procurement & Contract Services Division 450 SE 61" Ave Homestead Fl. 33030 RE: BID # 201308 Mrs Rubio -Rojas Thank you for allowing Asplundh Tree to provide a bid for the above mentioned ITB Tree Trimming & Line Clearance services, We are dedicated to continue our relationship with City of Homestead and hopes of a long working partnership. We strive to maintain a Safe and Production work force while supplying you with Cost effective and Quality Line Clearance crews and work to our customers. I have attached the required docunwentation as requested for the proposal within the packet. I did have one last question unanswered on the ITB proposal. As per out- conversation I had requested clarification on the item # 2 of the bid form, I intentionally had to input a Zero dollar amount as the crew leader or Foreman was already listed as #3. Tile supervisor we currently have overseeing the tree trimming project is supplied by Asplundh at a Zero cost to the City of Homestead, If there is any confusion please feel free to let me know. Thank you and we look forward to a continued working relationship with you and the City of Homestead 1 Re arils'- Ronnie Collins Jeff Porter Mayor Stephen R. Shelley Vice Mayor Jenifer N. Bailey Councilwoman April 5, 2018 Yia E -Mail and Fax: 352-333-9312 reollins@Asplundh.com Ron Hallock rhallocklCaasplundh.com Ronnie Collins Vice President Asplundh Tree Expert Co. 106 SW 140'x' Terrace, 43 Jonesville, FL 32669 Re: Bid #201305 —Tree Trimminb & Line Clearing Services Dear Mr. Collins: The City of Homestead would like to request an extension of this contract maintaining the same terms and conditions of the current contract through June 30, 2018. Jon Burgess Please sign in the space afforded below as to your intentions regarding the Councilman extension of this Contract. Please submit your response no later than close of Patricia Fairclough business day, Friday, April 13, 2018 via fax to 305-224-4639 or via email to Councilwoman bids@citvothomestead.com. Elvis R. Maldonado Councilman Larry Roth Councilman George Gretsas City Manager 100 Civic Court Homestead, FL 33030 305-224.4400 wwvv.cityofhomestead.com If you have any questions please call me at 305-224-4620 or you can reach me via email at bids acityofhomestead.com. Sincerely, yUtj�(—/l 'I- e --U-12-7 W-�Vr-610 Carol McPatrick, CPPD, CPPB Procurement Manager cc: Jerry Estrada Barbara Quinones Manny Cid William Branch {✓". fi Manager Name & Title Yes: we will extend our contract until June 30, 2018. Name & Title No, we will not renew our contract December 28, 2017 Via E -Mail an Fox: 352-333-9312 rcollins WA sp I undh. com Ron Hallock rhallocklOasplundh.com Ronnie Collins Vice President Asplundh Tree Expert Co. 106 SLS` 140`x' Terrace, 43 Jonesville, FL 32669 Jeff Potter Re: Bid #201308 — Tree Trimming & bine Clearing Services Mayor Dear Mr. Collins: Stephen R. Shelley Vice Mayor The City of Homestead would like to request an extension of this contract Jenifer N. Bailey maintaining the same terms and conditions of the current contract through March Councilwoman 31, 20 l 8. Jon Burgess Councilman Please: si`an in the space afforded below as to our intentions regarding the p r 8 extension of this Contract. Please submit your response no later than close of Patricia Fairclough business day, Friday, December 29, 2017 via fax to 305-22=1-4639 or via email to Councilwoman bidsO cityollhomestead.Com. Elvis R. Maldonado Councilman If you have any questions please call me at 305-221-4620 or you can reach me via email at bids, citvofhomestead.com, Larry Roth _i Councilman Sincerely, George Gretsas City Manager �G GU � Carol McPatrick, CPPD, CPPB Procurement Manager cc: Jerry Estrada too Civic court Barbara Quinones Homestead, FL 33030 Manny Cid 305-224-4400 William Branch vwvw.cityofhomestead.cpm Name & Title Yes: we will extend our contract until March 31, 2018. Name & Title No, we will not renew our contract Irj �ir�c�l September 22, 2017 Ronnie Collins Vice President Asplundh Tree Expert Co. 106 SW 140'' Terrace, #3 Jonesville, FL 32669 Sent [iia Far & E-mail. 352-333-9312 rcollins a,4sp1u?idh.com Rory Hallock rhallockl^a.Rplundli.cnrn Re: Bid # 201308 — Tree Trimming & Line Clearing Services Jeff Porter Mayor Dear Mr. Collins: Patricia Fairclough Vice Mayor The City of Homestead would like to request an extension of this contract maintaining the same terms and conditions of the current contract through Jon Burgess December 31, 2017. Counurmon Elvis R. Maldonado Please sign in the space afforded below as to your intentions regarding the Councilman extension of this Contract. Please submit your response no later than close of Larry Roth business day, friday, September 29, 2017 via fax to 305-224-4639 or via email Councilman to bidsr ,cityofhornestead.com. Stephen R. Shelley Councilman Jimmie L. Williams, III Councilman George Gretsas City Manager 100 Civic Court Homestead, FL 33030 305-224.4400 www.cityofhomestead.com If you have any questions please call me at 305-224-4620 or you can reach me via email at bidstncityofhomestead.com. Sincerely, Carol McPatrick, CPPD, CPPB Procurement Manager cc: Jerry Estrada Barbara Quinolies Manny Cid William Branch <nc�_4ri�'�• Region Manager Name & Title Yes: we will extend our contract until December 31, 2017. Name & Title No, we will not renew our contract BID FORM Pacie 1 of 4 Deliver Bid to: Procurement & Contract Services Division 450 SE 6L' Avenue Homestead, FL 33030 Tree Trimming & Line Clearing Services Bid #201308 To be opened and publicly read, Thursday, September 19, 2013 at 2:00 p.m., in the Procurement & Contract Services Division office. REFER TO BID FORM PAGES 2-3 Please take a minute and let us know how you were notified of this Bid, South Dade Newsleader I Daily Business Review / The Miami Herald / City of Homestead emandstar V E-mail sent from City of i Other (Please �be specific): estead f Project Engineer IT134201308 Page 51 VE P -0-T fA7LfPZAo6KE5S 0 S 14o 'I-" Terra(, 1 3 F ER 352- 12 _ 1 J ovxs v i fle [._-, 2 �' -art CD1gTA {mss FRE E NUMBER 800- a:p: 1T rE-MA11 /tce', R"es'ldc'.v — ADDRESS (csl tii. }(A.s lLC_ REFER TO BID FORM PAGES 2-3 Please take a minute and let us know how you were notified of this Bid, South Dade Newsleader I Daily Business Review / The Miami Herald / City of Homestead emandstar V E-mail sent from City of i Other (Please �be specific): estead f Project Engineer IT134201308 Page 51 SCHEDULE OF BID ITE NIS ITB#201308 TREE TRIMMING & LINE CLEARING SERVICES BID FORM Page 2 of 4 VENDOR NAME: . 'SPL UN R 1-01. 1" & ` ITEM NO. ESTIMATED REGULAR TIME, OVERTIME ITEMDESCRIPTION QUANTITY UNIT COST UNIT COST {1IOURLYRATE 11 (HOURLY &ITE. 11) 1• HOURLY CREW - Includes all Hoon $—Q� 3-, $78-11 personnel and equipment. Reg„ far Time)per haI11rs per hour 2,000 $ $ 2. SUPERVISORIFORENIAN Hours - per hour per Hour (RegulerTime) REGULAR TIME OVEXI'IME PERSONNEL UNIT COST UNIT COST (PER HOUR) (PER HOUR) 3. CREW LEADER $ 24.59 S -34-43 4. BUCKET TRINIM R S 18 35 S 25-69- 5.65, 5, CLIMBER TRIMIMER S i g 5 o $ 27.30 6. GROUNDSkAN $ 16-11 $._ 22-55- 7. EQUIPMENT OPERATOR 5�2�_� S 27-3-0- 7-3nS. $ 34.43 8. INJECTION SERVICEMAN $ 24.59 (Herbicide Applicator) ITB4201308 Page 52 SCHEDULE Or BID ITEMS ITB#201308 TREE TRIMMING & LINE CLEARING SERVICES BID FORM Page 3 of d REGULAR 0VERTItIME ITEM NO. EQUIPNii<NT TIME UNIT COST UNIT COST (PER HOUR) (PER HOUR) 9. + CHIPPER $ �, Sn S---3-50 10. STUMP GRINDEiR/REMOVER 11. GASOLINE CHAIN SAW $ .61 `' _'I AERIAL BUCKET TRUCK- Hydraulic aerial articulating beans with single bucket, minimum of 50' 12, bottom of bucket mounted on suitable truck with S 11 2-7 $ 11-27 hydraulic tool and chain saws. Becket truck Chassis to have a thump body for hold of wood chips ane[ a heavy duty front mounted winclt. 13 CHIPPER TRUCK -I Wbeel drive, from mounted S S winch with rifling cab and tool equipment.��— SPRAY TRUCK -4 Wheel drive, dual rear wheefs, 14. front mounted winch, tank capacity of at feast 300 gallons Ste. with 20 gallons minimum pump ITB4201308y Page 53 A P LUV D R __k&C F–' 4- Cc —+ C(D . IT13#201308 Page 54 131D 'FORM page 4of4 The following are requirements of this Bid, as indicated below. Use of this checklist tii�iv help ensure that your submission is complete. Place a clieck mark in the "Dome" column as you complete and enclose each item. Requirements that do not apply to these Bid Documents will be denoted by "N/A" (not applicable). Required Done Requirement Found in Section Bid Form (s) 3.1 �l I (marked) Original, 2 Copies of Biel, and CD of Bid 3.1 Submittal & Required forms Acknowledgement of Addenda (if any) 3.2 Licenses 3.4 _ Insurance 3.5 References 3.6 Bidder Qualifications & Required form(s) 3.8 "f'his checklist is for your guid-mce. Please rend the entire Bid thoroughly to ensure that your submission is complete. *Exceptions -1 qjf i -once Section none are sfrrfecl in yorrr• Bid, if AN be consfr• ed bj, the City of Hoirmeste(& that j:out- bid f Elly cora I es will (ill fer ms, conditions, and specifications). **!VOTE: Alf(iclunent(tf quotations will not be corrshweeias an excejJfion. Do you accept Visa Cards as a form of payment? ❑ Yes\No Do you give prompt payment discomfits? E]Yes, Percetitalgeof discount % Term Oro Addenda Received: # f2l # # # # # # # # # I certify that this Bid is made without prior miderstanding, agreement, or connection with any corporation, fit•ni or perso-sttbmitthig a Bid for• the same materials, supplies, or equipmetit, acid is ill all respects f.}ii�tid withdrit coY[irsioit or fraud. I al;ree to abide by all conditions of this Bid attd certify that l ani title i•ized-t sigh this Bid foi• the Bi(idei•. f Autl prized Sign, 'ul (atm"al) Aaithorized Signature and Title (T} ped/Pri3�ied) Date IT13#201308 Page 54 STATEMENT OF "NO" BID If your company shall not be submitting a bid in response to this Invitation to Biel or Request for Bid, Please complete this Statenlcnt of "No" Bid Sheet and return, prior to the Bid/RFP nuc Date established within, to: The City of Homestead Procurement & Contract Se►•vices Division 450 SR 61" Avenue Homestead, FL 33030 Reasons for "NO" Bid: Comments: This information shall help the City of Homestead in the preparation of future Bids and RF P's. Bid/RFP/RFQ Number: Company Name: Address: E -Mail: Telephone: Contact Name: Signahn-e: Title: Title: Facsimile: FIT 4Z01,308 Page 55 Unable to comply with product or Servicespecifications. Unable to comply with scope of work. Unable to quote o►! all items in the group,. ❑ In9uft►C►eltt th-ne to respond to the Invitation to Bid. Unable to hold prices firm through the term of the contract period. ❑ Our schedule would not permit us to perform. ❑ Unable to meet delivery re uircincnts. ❑ I Unable to meet bond requirements. Unable to meet insurance requirements. ❑ Other (Specify below) LJ I U►table to coi11 t with roduct or service s pecilications. Comments: This information shall help the City of Homestead in the preparation of future Bids and RF P's. Bid/RFP/RFQ Number: Company Name: Address: E -Mail: Telephone: Contact Name: Signahn-e: Title: Title: Facsimile: FIT 4Z01,308 Page 55 AMERICANS WITH DISABILITIES ACT (ADA) DISABILITY NONDISCRIMINATION S'T'ATEMENT THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. This sworn statement is submitted to the CITE' OF HOMESTEAD, FLORIDA by:._%t 11 t t ('cc T (!! &a lj-rLrl imrtividual'siranzeand title) for: HS P+f (print name ofewily submitting svaorn slalem,ent) whose business address is: - Q 8 S W # 400) le,(M (`C', 3, .i Qnc- Y'1 l"(P- t FL cI and (if applicable) its Federal Employer Identification Number (FEIN) is: 3 - (,a 77SEci fIf the enth), has pro I-YhNV, include the Social Security iNlumber of the hidividital sigiihig this suwrlr Statement.` Q i _P-� `- I, being duly first sworn state: That the above named firm, corporation or organization is in compliance with and agreed to continue to comply with, and assure that any subcontractor, or third party contractor under this project complies with all applicable requirements of the Iaws listed below including, but not limited to, those provisions pertaining to employment, provision of programs and services, transportation, communications, access to facilities, renovations, and new constwdiOn. The American with Disabilities Act of 1990 (ADA), Pub. L. 101-336, 104 Stat 327, 42 USC 1210112213 and 47 USC Sections 225 and 661 including Title I, Employment; Title II, Ptibiic Services; Title III, Public Accommodations and Services Operated by Private entities; Title IV, Telecom Ill unicatians; and Tide V, Miscellaneous Provisions. The Florida Americans with Disabilities Accessibility Gnplementation Act of 1993, Section 553.501-553.513, Florida Statutes: The Rehabilitation Act of 1973, 229 USC Section 794; The Federal TatSit Act, as amended 49 USC Section 1612; The Fair H6us4g Act as a 11e1' _UCS Section 3601-3631. S igff tura Sworn to and subscribed before me this Personally known OR ProducCd identification t )IA Type of identification x i g�-day of e , 201-3 Ulu 01- Ulu r Notary Public State of TA _ My comFttl►tsH OF prseartsYr vN,+ NOTARIAL SEAL CHERYLANN RIDOLFO, Notary Public trf 8r! as V 1dD i 1 mPu is My Commisslon Ex 11res December ITB#201308 Page 56 BUSINESS ENTITY AFFIDAVIT (VENDOR. / BIDDER DISCLOSURE) I jj{ 1, aunte, �, o t t, L� , being first duly morn state: t� The full lega[ name and business address of the person(s) or entity contracting or transacting business %vitli the City of Homestead ("City") are (Post Office addresses are not acceptable), as follows: a % --- i -)- `i -TS Federal Eirtp[oyer Idefitifrcatton Number (If none, Social Security #): Co Afatne of Dmir, lndivitlrral, Partners, or Corporation Doing hushress as, if sante as above, leave ,clank 1 MO 60-C lli' Street Address Suite city State Zip OWNERSHIP DISCLOSURE AFI+IDAVIT If the contact or business transaction is with a corporation, the full legal name and business address shall be provided for each officer and director and each stockholder who holds directly or indirectly five percent (S%) or more of the corporation's stock. If the contract or business transaction is Nvith a trust, the full legal nage and address shalt be provided for each trustee and each bendiciary. All such names and addresses are (Post Office addresses are not acceptable), as follows: Full Legal Name Address Own_._ ersl�i� ly I t J X11 cc vn PA 1 r1 G t l �, % �_� r1�Z� 1/�t l(i�� • Cc,� Y (/i✓1 ' Y 0.c1C'V,:I� Jo � P 1`tc, t-(,- E Dv% ITIS#201308 Page 57 ?. The full legal names and business address of any other individual (other than subcontractors, materialmen, suppliers, laborers, or lenders) who have, or Nvill have, any interest (legal, equitable, beneficial or othetivise) in the contract or business transaction with the City are (Post Office addresses are not acceptable), as follows: jUcxq f, Sigual6feofAfflant Com` Q.)on,' (6 I I ( Vic-, Printed Name orAftiant 0eI2-i3 Date Sworn to and subscribed before me this j~ � day of i Y1�� � , 20 �3 Personally kmmi OR Produced ide;ntiiieation kI A Type of ideniilic ation yleuyv-�' GGG Notary Public — State of '-pn � My COnlllli t L7H OF PENNSYLVANIA NO' IL GKRYLANN MDOLF0. Notary Public y Upper Moroland Tvrp., Mcn>.gomety pecember 12, 20Q PrM�keyTa414w carriririrsiorrer/rrauxofimagpublic ITB4201308 Page 58 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS PRIMARY COVERED TRANSACTIONS This certification is required by the regulations implementing Executive Order 12519, Debarment and Suspension, 13 CFR fart 115. The regulations were published as Part VII of the May 26, 1988 Feelercil Register (pages 19160-19211). Copies of the regulations are available from local offices of the U.S. Small Business Administration, (BEFORE CONIPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE) (1) The prospective primary participant certifies to the best of its luaowledgc and belief that it and its principals: (a) Are not presently debarred, suspended, proposed for disbarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a tlarcc-year period preceding this application 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 pubfic transaction; violation of Federal or State antitt•ust statutes or conitaiissiota of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) ofthis certification; and (d) Have not Nvithin a three-year period prcceding this application had one or more public transactions (Federal, State, or focal) terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective primary participant shall attach an explanation to this bid, Business Name Date -� By P—t:t ';'in1 Naute rid Tit]c01 tt i etarese��tltive Signature of A thori' d epcesentative ITB4201308 Page S9 INSTRUCTIONS FOR CERTIFICATION I By signing and submirffnlg this bid, the prospective primary participant is providing tale certification set orlt below, 2 The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective participant shall submit aii explanation of why it cannot provide (lie certification set out below. The certification or explanation will be considered in connection with the depaitment or agency's determination whether to enter into this transaction. However, failure of file prospective primary participant to furnish a certification or an explanation shall disqualif}' such person front participation ill this transaction. 3 The certification in this clause is a material representation of fact upon which reliance was placed whelm the department or agency determined to enter into this transaction. If is later determined that the prospective primary participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or defaulf. 4 The prospective primary participarht shall provide immediate written notice to the department or agency to which this bid is submitted if at any time tate prospective primary participant learns that its certification was erroneous when submitted or has become erroneous by reason of Changed circrnnstances. 5 The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered frmisaction," "priIlcipal," "proposal," and "voluntarily excluded," as tised rn Ihis clause, have the meanings set out in file Definitions and Coverage sections of the mules implementing Executive Order 12549. You may contact the department or agency to which this bid is submitted for assistance in obtaining a copy of those regulations (13 CFR Part 115). 6 The prospective primary participant agrees by submitting this bid that, shtonld the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by time department or agency entering into this transaction. 7 The prospective primary participant fiurther agrees by submitting this bid that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion --Lower Tier Covered Transactions," provided by the department or agency entering into this covered transaction, without modification, ill all lower tier covered transactions and in all solicitations for lower tier covered transactions. 8 A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines tate ineligibility of its principals. Each participant may, but is not required to, clieck the ilonprocurement List. 9 Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 10 Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction hvitfi a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. ITI3#201308 Page 60 DRUG-FREE WORKPLACE PROGRAM AFFIDAVIT' IDENTICAL TIE BIDS - Preference shall be given to businesses with drug-free workplace programs. Whenever two or more bids which are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a bid received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process. Established procedures for processing tie bids will be followed if none of the tied vendors have a drug-fk'ee workplace program. In ordcr to have a drug-free workplace program, a business shall; I. 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 wilt 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 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 ill subsection (1). 4. In the statement specified in subsection (1), notify the employee that, 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 [lie United States or any state, for a violation occurring in the workplace no later (hall five (5) days after such conviction. 5. Impose a sanction oat, or require the satisfactory participation 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 gement, I certify that this firm complies fully with the above reau'rements. enbnt e CUI i 4 s V i UOR'S SI =F -ME PRINTED NAME A a hl '-Vee NAFM " OF COMPANY ^ ITB#201308 Page 61 SWORN STATEMENT PURSUANT TO SECTION 287.133 (3) (a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS DORM MIDST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY .PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. This sworn statement is submitted to the CITY OF HONIF,STEAD, FLORIDA by: ���v'i tt,� 1 Ltit1S �� CCf C4.t'� (print individuals m7me and Mile) , for: (Print lrrmre of en ily subinfa rt stidrorn staternent) whose business address is: �j S iJ ft-}��th w-10(tI c6 1 S� 3} ��`�'lfl �4�� � 1 �L and (if applicable) its Federal Lanployer Identification Number (FEIN) is: r:�? - (If the entity, hw no FEIN, include the Social Security Xwnhcr of the ixdivicheal signing this sworn statement: I understand thata, "public entity crime" as defined in Paragraph 287.133(I)(g), Florida Statutes, means a. violation of any state or federal law by a person with respect to and directly related to tho, transaction of btisilleSs with ally public entity or with all agency or political subdivision of any other state or of the United States, including but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentations. 3. 1 understand that "convicted" or "conviction" as defined in Paragraph 237.133(1)(6), Florida Statutes, means a finding of guilt or a convictio11 of a public entity crime, With of Without all adjudication Of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nota j ury trial, or entry of a plea of guilty or nolo contendere. 4. 1 understand that an "affiliate" as defined in Paragraph 287.133(I)(a), Florida Statutes, means: 1. A predecessor or successor of a person convicted of a public entity trine; or 2. An entity antler the control of ally natural person who is active in the management of the entity and who has been convicted ofa public entity crime. The terns "affiliate" inc [tides those officers, dircetors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. Tile ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a Prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida dieing the preceding 36 motillis shall be considered an affiliate. I understand that a "person" as defined in Paragraph 237.133(I)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity, The term "person" includes those officers, directors, executives, and partners. Shareholders, employees, members, and agents who are active in management of an entity. Based oil information and belief, the statement, which I have marked bC1Ow, is true in relations to the entity submitting this sworn statement. (Indicate which statement applies), I`FII4201300 Page 62 ki � Neither s sworn statement, nor any of its officers, directors, executives, partners, harellolders, employees, membethe entity submitting thirs, or agents whowhoo are active in the management of the entity, nor any affiliate of the entity has been charged %vith ad convicted of a public entity crime subsequent to July 1, 1989. ❑ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of public entity crime subsequent to July 1, 1989. ❑ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has beef a subsequent proceeding; before a Hearing Officer of the State of Florida , Division of Administrative Hearings and the final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list {attach a copy of (11e final order). I UNDERSTAND THAT THE SUBMISSION OF THIS FOILM TO THE CONTRACTING OFFICER FOR THE PUBM ENTITY IDENTIFIED rig[ PARAGRAPH t ABOVE IS FOR THAT PUBLIC LN'['I rY ONLY AND THAT TI IIS FORLM IS VALID 'I'HROL'G[I DECF?1tBER 31 OP THE CALENDAR YEAR IN WHICH IT 1S FILED. i ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR `I.0 ENTERING INTO A CONTRACT IN EXCESS OF THE TI OLDA\ ILINT- PROVIDED lel SECTION 237.017, FLORIDA STATUTESFOR CXFEGORY TWO OF ANY CHANGE IN THE I EUPI TATION CONTA F.D 'TH]S.FORII. l Slgnatle Sworn to and subscribed before me this t day_ �'r� , 20 �3 Personally lutown OR - Produced identification Notary Put}lie—State of _ NIA Type of identification My eo1111t1iSSjQjj-gJ 6jAiyEAL-rH OF F'Er` NSYL.VANIA YLAINOTARIAL S AL .. N R}ppLFO, Notary Pabfic Printed, ts�red o, srr�+ �j�F¢�(h0 r N1�1rt �r6y Comntissi___ fl Expires, ece y r 013 1`I'13#201.308 � _— .�— _ Page 63 PERFORINTANCE SURVEYS The City of Homestead will be conducting quarterly performance surveys and post project surveys for vendors whom are awarded bids and coittracts. Surveys will be sent to the user - departments and will be used as a quarterly monitoring device to gauge performance and to utilize when a4varding or renewing contracts. Definitions: Monthly Surveys- Vendors whom are performing services on a weekly basis. Quarterly Surveys- Vendors whom are performing services on a monthly basis, Post Project Surveys- Vendors who perform a service with a completion deadline [i.e. construction]. Below are soine basic questions. Please provide the City with any additional questions you may 4vant included should you be awarded a contract/bid, Evaluation Instructions Each evaluator sha!l provide a score for each criterion shown below, on the basis of the following scale: 5 = Exceeds Expectation 4 = Meets Expectation 3 = fiAarginalfy 2 = BelogBkpectation 1 = Unsatisfactory ".I\\ A Please add any additional questions you may avant for personal reporting. I ✓ I understand the above information and have been given a copy of this docutne+it. Co��y Name (Print) f QD(w-c CcAt m Authorized Representative Name (Print) Authorized Repr nta ive Name (Signature) q ` (�?--13 Date ITB#2Ot3O8 Page f-� NIA 5 1 4 3 2 1 Remarks Public relations/ customer service Vendor's performance level Ability to meet completion times` Quality of product/ service pro&deg' Responsiveness to Emergencies' I ❑ Invoice is consistent with contract pricing❑ Please add any additional questions you may avant for personal reporting. I ✓ I understand the above information and have been given a copy of this docutne+it. Co��y Name (Print) f QD(w-c CcAt m Authorized Representative Name (Print) Authorized Repr nta ive Name (Signature) q ` (�?--13 Date ITB#2Ot3O8 Page f-� Reference Questionnaire (Please have a mininuan of three (3) references complete thisjoi•nr and submit with Bid documents) Giving reference for: C i 4 (name of company) �"' -e�tcw')( Firm giving Reference: !��1"lt _wee, Address: Phone: Fax: Email: 2 3 5. le 7 Q: Was invoicing consistent with contract pricing? A: Q: Were response times consistent? A: '�Petil Cv Q: Was the vendor easy to get in contact with? How was their customer service? A: Q: How was their responsiveness to emergency orders? A: Q: Would you use them again? A: Q: Overall, what would you rate their performance? (Scale from 1-5) A: ❑5 Excellent 04 Good ❑3 Fair ❑ 2 Poor ❑1 Unacceptable Q: Is there anything else we should know, that we have not asked? A: The undersigned does hereby certify that the foregoing and subsequent statements are true and correct and are made independently, free from vendor interfere ncefcollusion. Name: Print Name: Title Date: ITB#201308 Page 65 NOTIFICATION OF SOCIAL SECURITY NUMBER COLLECTION AND USAGE Irn compliance with Florida Statutes § 1 19.071(5), the City of Homestead Procurement & Contracts Division collects and uses your Social Security number only for the following purl}oses in performance of tile City's duties and responsibilities. Your Social Security number is used for legitimate employment business purposes in compliance with: • Comp[etiing a Vendor Application in lieu of a FEIN. NOTIFICATION Providiilg a Social Security ]number in lieu of a FEIN is a condition of becoming a vendor will] the City of Homestead. The City may disclose Social Security numbers to atiollier agency or governmental entity if such disclosure is necessary fol• the receiving agency or entity to perform its duties and responsibilities. Tho City may not deny a commercial entity engaged in the performance of a commercial activity access to Social Security numbers, provided the Social Security numbers will be used only in the performance of a commercial activity, and provided the commercial entity makes a written request for the Social Security numbers. I understand the above information and have been given a copy of this document. Company Name (Print) , R�Cmv, Authorized Representative Name (Print) LL uthorized Rep s ative Name Date (Signature) IT139201 308 _ Page 66 CITY OF HOMESTEAD Vendor Application Mailing Address: 650 NE 22 Terrace Homestead, Florida 33033 (305) 2244620 Fax: (305) 224-4639 Business Name: t -t` ��(�1:�4'1(7 Te CC) Procurement & Contract Services 450 S.E. 6 Avenue Homestead, Florida 33030 Order Address: ItiIS !—<Vj l id+� T4ur, ��[c -3, City: 3-ciys lIL, State :V:, L Zip: ��a' rl Pay to Address: I'+1 City: WtL0'0 (-e(-VC-State: zip: (if different) 'L �: Bid Address: t D 5 S: YJ 14) 1 f t' -Al. l 5tC -3 City �T r+�' �' ltd: State:F zip: z��= Telephone:)' -"2,`� Fax:( 62 } Email Address: CGj1tnS r�SPl�i��c. l.cei"�1Website URL: MO J -G(S I�i.ml"l -Com PO Email Address: N) ! f� j' Contact Porsen;yC1 ` `tr1 � $r1`r'1S Title: Ice Federal I,D. No.: a?�, _r 1,;�-77S D Date Business Established: 1 ITS Business is: ClC.orporation ❑ Proprietorship Ll Partnership L1 Other: Primary business classification (check all that apply): C3 Retailer 0 Wholesaler L1 Manufacturer Services XPrime Contractor ❑ Sub Contractor Do you accept Visa cards as a form of payment? 0 Yes )0 No Do you give prompt payment disCollntS? ❑Yes, Percentage of discount % Tenn No All applicants are required to provide a copy of your applicable Business Tax Receipt as well as vour Worker's Compensation Insurance Certificate. Please see the enclosed commodity list to properly identify the commodities and/or services, which your firm provides. Please mail completed Vendor Application to the mailing address above. The undersigned does hereby certify th Uhgforegoing and subsequent statements (including Business Entity Disclosure fare true and c / Name: Title V 1 cc Print Name:-0',�11'� 1 ��1 Date; ITB#20130$ Page 67 f PLEASE COMPLETE COMMODITY LIST TO PROPERLY IDENTIFY THE COMMODITIES AND/OR SERVICES WHICH YOUR FIRM PROVIDES # DESCRIPTION Abrasives # 237 DESCRIPTION Electronic Components 005 010 Acoustical Tile, Insulating Nlatcrial 290 Engg Collecting Equipment 015 Copy Machine Supplies 295 Elevators 031 Air Conditioning & Heating 300 Embossing / Engraving 045 Appliances, Household 305 Engineering Equipment 050 Art E ui rllent & Su) )lies 310 Envelopes, Plain, Printed Auto Major Trans orlatiorl A rt r1h;t rte Z i R,znv,a pgcaA Unrm„Ine 053 Automobile Leasing 320 _ vices Fasteners, FasteningDevices 055 Auto & Truck Accessories 330 Fencing 056 Bus Accessories 340 Fire Protection E ui hent / Supplies 060 Auto & Truck Maintenance Iteuls 345 First Aid & Safety Equipment 062 Bus Maintenance Items 350 Fla sem, Poles, Banners, Accessories 065 Auto Bodies & Accessories 360 Floor Covering, Installed _ 070 Auto Major Trans orlatiorl 1 365 Floor Maintenance Machine, Parts 075 Auto Sho) E ui nlent & Su dies 390 Food, Perishable 030 Badges & Other Identification Equipment 395 Forms Continuous Computer 035 Bags, Bagging Ties, Erosion 400 Foundry Casting E ui ment 095 Razors, Blades, Etc. 405 Fuel, Oil, Grease S. Lubcs 100 Barrels, DrUins, Kegs, Cartons 415 Furniture, Lab, Special 105 Bearings (Except Wheel) 420 Furniture, Non -Office 120 125 Boats, Motors & Marine Supplies Bookbinding & Book Supply 1 425 430 Furniture, Office ment Welding Equipment 135 140 Bricks &, Clay Products Brushes, Broonls & NIOPS 440 445 Glass & Glazing Su lies fools, hand (Not Classified) 145 Brushes Not Classified 450 Hardware and Allied Items 150 Builders' Supplies 460 Hoses, All Kinds I55 Buildings, Fabricated 435 1 Janitorial Supplies 175 Chemical Lab Equipment & Supplies 490 Laboratcry Equipment & Accessories 190 Chemicals, Commercial, Bulk 515 Lawn Equipment 192 Cleaning Composition /Solvents 525 brar Mach. & Supplies 195 Clocks 540 -L! Lumber, Woods, Sidings 200 Clothing & Apparel 545 Machinery & Heavy Hardware 205 Computers, b) & Word Proc. 550 Markers, Plaques, Si ns 210 Concrete & Corr° td° Metals 555 Marking Devices 220 Contrl, Indica, Record Insir 560 Material Handling Equipment 225 Cooler, Drinking Water 570 Mctals, Bars, Plates, Rods 232 CraNs, General 575 Microfiche, Microfilm 265 Drapes, CUrtains, U holstery 595 Nursery Stock & Su > )lies ITB#201308 Page 68 i45? �U r�vV! 1Ow .F\�-peld/ Com. 625 DESCRIPTION 4 DPSCRrPTION 275 Foods, Staple, Edible 600 Office Machines & Accessories 280 Electrical Cables & Wires 610 Office Supplies, Paper/Ribbons 285 Electrical Equip & Supply 615 Office Supplies 236 Electric Power Plant Equip. 920 Dp Processing & Software 670 I:..,. T.. L... r .... d.. nn ! T).1..._.. �:.... ,.1 C�......: .. _... 625 Safet • Equipment 925 Equipment & Repair 635 Painting E Uipment R: Acc. 930 Equipment Rental 640 Paper & Plastic -Disposable 630 Paints, Coating, Wallpaper T 650 Park, Play round, Swimming 932 Financial Services 655 Photogra liic E ui )inert 945 Libravy Services 670 Plumbing Equipment 917 Miscellaneous Services 673 Pipe, Fittings & Valvcs 955 Construction & Relates[ 675 Poisons: Agricul & Industrial 958 Real/Pro perty Rental 680 Police Equipment & Supply 960 Grounds & Park Services 695 Printing & Silk Screening 962 Recycling Services 715 Publicatioil/AudiMisual 965 Security, Fire/Safety Services 720 Pumps & Accessories 990 Purchase Of Surplus Material 725 Radio &Telecommunication 730 735 Television E ui ment Rags, Shop Towels, Wiping Please list below any other / service or commodity _740 745 Refrigeration Eqiu ment Road cC Flivliwiy Materialsv'G 'v'r` G l { + 755 Road/Highway E U1711]Cllt 770 1 Roofing Materials 785 1 School & Higher Education 790 Seed, Sod, Soil & InocUlant 800 803 805 830 Shoes And Boots Sound Systems & Accessmy Sporting & Athletic Equip Tanks 832 'rape 855 'Theatrical Equipment 863 Tires And Tubes 870 Venetian Blinds Etc 880 Visual Education Equipment $35 Water Treating Chemicals 890 Water/ Sewage Treatment Equip 895 Welding EqUil)MMUSLIPIfly 905 Aircraft 910 Building Maintenance/Repair 915 Communication / Media '-.crvices ITB#241308 Page 69 W9 FORM Fmn W'9 Request for 'taxpayer Give form to the tit r•. Auoba ZWO-n Identification Number and Certification requester. Do not rw•�--ter M&. T' , send to the IRS. rr;.rnr rr, V.a• ,1,. f h (as srta;n m y -'m+9 tax'r y. Bush( s, it drifuenl ham eb�-a u Chicksli boa: oppapr3 ❑ 1*d"i.idfraV9eta prrpriata Ccrperaticn ❑ Potastip Exem Pi r-1 tkwlad ffabu'tf Cw p3nj. Fnttt tta fax cl s0 ;kn ii}s+lisrcq.ud&d a iTf. C-wpaatk.. NgaltnS Wp) I- .._ __ __ ❑ F'ai w ❑ etx tseersrJerrn�J , VAddrw (rvr6n, F1r st, oM apt. asin r,✓.+),y - R^4�}a%Cer'a n�m3 aM Mhe;.� (00-4tYff'`` 11 �\ Gry'staut?'l� , f i' l List oxuxrt r bu(s) h.e (Vbmay Fnier your TIM In the appropriate box. The TIN prodded must match lha nam given on lino I to avotd S°dor soorrty rfun,bor backup villtlfoidFg:. For Indddu3ls, this Is your social security number (WO. However, for a rosicittlt alien, sole propnotor, or dvegarded entity, sea the Part I fnstrucEons on page 3. For other entities, It Is your emptoyo (dHlGfcatlot mmbor (FIN). It you do nor h3va a raniber, sea Moly to gat a 7714 on page 3. or Nota- 0 the account Is n more than one name, see tha chart o1 page 4 for guidotines on vhos4 Employer Identification number number to enter. Under p"Uss of peury, I csrCN that: 1. Ttta rllrrt;9r shorn on tiffs form to my correct taxpayer WenufrAtion number (or I am wading for a number to be issu<d to me), and 2. 1 am not subpol to backup vrfthhotd og because: (a) I am exempt from backup vrlhhotdng, or (b) I have not boso rtoliled by the internal Revenue Senica 0113) that I ant slbiect to backup witidlotdOg as a result of a failure to report all interost cr c0dends, or (c) the IRS has noUn d me that I am no longer subiact to backup withitoldng, and 3. 1 am a U.8. 6146n or other U.S. person (defined below). Cill grail on Instrtictlotls. You must cross out lairs 2 above if you have been netffled by the IRS that you are cLriently slid er t to backup 4wiftold-ig because you It ave tailed to repot at ltttereR and dividend on your tax return. For real estate Iransaodens, item 2 de93 not apply, For mortgage lntemst paid, aoqu isitlon or abandonment of secured rxaperty, cancellation of debt, corldbutioos to an Ufuhddual retirement arrangement (IRA), end gomially, payments other than Interosl and cF;ldends, you are not requffed to sign the Cs-, iric-uon, but you must prolde your correct TIC See theJftstrudlons on page 4. /---1 T sign l Ms. r Y I (" A b �•. 1 V f GLJx ✓� ! Data 1 C� Hr General Instructions Section ro(wencos are to the Inletml Ruven Code unless olheraiso note4. Purpose of c=orm A person whc is requred to hie an Infc(nnilon return with the IRS twist obtain you correct taxpayer Idenlillmllon number (TIN) to report, for exan pW, snore paid to you, real oatato transactions, (mortgage tnterost you paid, acquls6on or abandonment of secured properly, eancettatlon of debt, or contributions you made to an IRA. Use Form V1.9 only If you are a U.S. poison ¢ncluding a resident align), to pruddo you correct TIN to the person request(ng 3 (the requester) and, lrhsn applicable, (o: 1. Ced dry that the TPN you areMeng is correct (Lr ycu are vraWlig for a number to bo Issb X 2. Certify that you fro not subject to backup wiehhot&ng'or 3. Claim exertvWn front backup writhholding 9 you aro a U.S. exempt payee. If applicable, you are also certifying that as a U.S, person, your iVocable share of any partnership Income rrom a U.S. bade or b"inass Is net subject to Iho vs0hoW ing lax on forokn partne' shara of effeclNeiy connected income. Note, II a requester gives you a form other than Form W-9 to request yc4r TIN, you must use the requester's form if A Is substantially slmfar to this Form W-9. Deffnition of a U.S. person. For federal tax puposes, you are considered a U.S. person if you are: ■ An Irldlvldual who Is a U.S. citizen or U.S. reskient alien, 0A p;atfr:{ship, cerpotallon, company, or association created or dganixod In 1114 United Scales u under the lays cf the Unted States, • An estate (other than a foreign estate), or • A donvsstic trust (as defined in Regulations section 301.770f-7). Speclaf rules for partnerships. Partnerships tt>_al conduct a trade or business In Ihs United Slates are generally requfed to pay awdhholdirlg tax on any foreign partners' share of Income from such business. Further, in c€rtain cases where a Form W-9 has " boon received, a paltrwshlp Is roquhed to presume that a parinar Is a fcraign poeson, and pay the wilhWding lax. Therefore, if you are a U.S. person that is a partner In a partnership conducting a trade or business In the Unded Slates, provide Form W-9 to the partrosh"p to establish your U.S. status and avoid w0hotding on you share of ppAnorship Income. The person who glvas Form W-9 to the partnership for purposes of w1ablisMig ds U.S. status and avotd(ng vrahhokdiog on its allocable share of net Intone from the partnership conducting a trade or business In the Un'dtxi Slates Is In the folkwifng casos: • The U.S. ovrrter of a disregarded entity and not the enidy, Cal. Ha. 1e2SIX Fomf ilii -9 (flew. 10.2007) lrl'B#201308 —--------,-- — Page 70 ram w -e OW. 10-200r Page 2 • The U.S. grantor or otter owner of agrantor bust and nct the If Lisl, and • The U.S. trust (ottrt than a grantor trust) and not lea benofickaries of the [rust. Foreign person. it you are a €orelrjn poison, do pot use Form W-9. busload. usa Iha appropriate Form W-8 (sea Publication 5iS, Whlwldny of Tax on Nonresident Aliens and Foreign Ent lieu)_ Nonresident alien who becomes a resident allon. Generally, only a nonresident aften Individual may use the terms of a lax Iroaty to reduce or afimnate U.S. lax on certain types of Income. Howemr, most lax hoallas contain a provision known as a 'saving clause.` Exceptions speed in the saving clause any pernii an exernplbn from lax to conlinus for certafn types of Income oven after the payee has olhorwrise beconaa a U.S resident align Icr lax prrpos0% If you are a U.S. resident alien who is ra�irwj on an exception contained in the saving chuse of a tax treaty to claim an exempldon from U.S. lax on certain types of income, you nwsi attach a statement to Form W-9 that specifies the, foTlarrtng We It e: 1. Tito treaty country. Generally this must be N>9 same Ireaty under whk.h you claimted exemption from lax as a nonresident alien. 2. The treaty arikte addrassing the fixorrw_ 3. The article numbef (or location) In the lax treaty [hat contains the savlog elauso and its exceptions. 4. The typo and amount of Income that quadrfivs for the exemplion from tat. 5. Sufficient farts to Justify the exempt{on from lax under the terms of the treaty Ni". ExanapAe Article 20 of the U-S.•China fnoonn tax Irealy alloys an exemption from tax for schoWship income recetund by a Chinese student tomperaNy prosenl in the United Slates, Under U.S. law, this student will treconss a resident alien for lax purposes If his or her stay In the United States exceeds 5 calendar years. Hov,nvor, paragraph 2 of the first Prot000l to the U.S.-Chlrkn treaty (dated April 30, 1984) alloys the provslons of Article 20 to continue to appl/ oven after the Chinese student becomes a rosidenl alien of the United Slates. A Chinese student who qualdlos for this oxcoptbn (under paragraph 2 of the rest prolocol) and Is relying on this exception to claim an exemption from lax mills or her scholarship or fe4aash!p fnconxi w oud attach to Form W-9 a statement that Includes the lnformalion dosetibed above to support that exemption, If you are a nonrvsldonl Wien or a forelgn entity not subJgcl to backup withholding, give the rertuosler the opproprizite compMad Farm W-8, What Is backup withholding? Perms making certain paywAnts to you must under certain cardliors. vrithWd and pay to the IRS 28% of such payments. ills Is cared 'backup withholding.' Payments that may be sub ecl to backup WAliholding include Interest, lax-expnspl klterost, dividends, broker and barter oxi:Wngo transactions, rents, royalties, monamployee ay, and certain paymenls from gs N boat operators Real estate transact tons are not sublecl to backup wtlhMdIN. You will not be sub;ecl to backup wthholding on payments you receive if you give the requester your correct TIN, make the proper ceitifleations, and report all you taxable Irierest and dhridends on your lax rolurr_ Pnymenls you receive w411 he subject to backup vrithhofding if. 1. You do riot furnhh your TiN to the requester, 2. You do not certifyour TiN when required (Soo the Part II instructions on page 3 for details), 3. The IRs tells the requester that you fumished arr iracorroct A. -Me IRS tells you Ihat you are sub;ect to backup withholding because you did not report all your Interest and crMdends on you tax return [for reportable Interest and drvldends only), of 5, You do not cNidy to the requester that you are not subject to backup wfthotd�ry under 4 above (for reporlabie interest and dividend accounts opened after 198.3 ons). Ced4i payaas and payments are oxonV from backup kdithhoWng. Sao the Instructions below and the separato instructions for the Requastor of Form wr-9. Also sea SpocW rules forpaefnershrps on page 1. Penalties Failure to furnish TiN, If you fall to furnish your correct TIN to a requester, you are subject to a penalty of SW for each such failure unloss you failure Is due to reasonable cause and idol to awful neglect. Cdvll po"ty for false ioformoilron with respect to withholding. If you make a fatso statement with no reasonable basis that results In no backup wdhhoiding, you are subpct to a $5W penalty. Criminal por Aty for falsifying Infomtotlort. t'Aft1y, falsifying cutifcations a afrrna£tcm may subject you to criminal penalties including Imes and/or Imprlsonment. Misuse of TINS. If the requesler discloses or uses TINs In violation of federal favi, the requester may be sub)-ct to civil and criminal penalies. Specific instructicns Niinie If you are an Individual, you must generally enter the rima shown on your Income tax return. However, If you have changed you lost name, for instarno. due to nxvriag9 wlitiout Informvnng the Soul Security Administration of the nine change, enter year first name, the last name shown on you social secutty card, and your new fast name. If the account Io In (ant nanws, list fist, and then circle, the name of the person of entity whose number you onlerod In Part I of the form. Solo proprietor. Enter your indivllrxal raama as shown on your lncoma tax return on the 'Naini One. You may enter you bus:nass, trade, or "doing business as (CtdAJ' name on the 'Business name' lino. LfmYted liability company (LLC). Check the 'Limited frabifity company' box only and enter the appropriate rode for the lax cbssirication ('D' for disregarded entity, 'C' for corporation, 'P' for partnership) in the space provlded. For a s!rgb-m9mber LLC (nclud!ng a foreign LLC with a domsstic owner) that Is disregarded as an eni4 separate from is owner ander Regulations section 301.7701-3, enter the ovinet's name on the 'Name' Ono, Enter the LLC's name on the 'Businew name' fine. For an LLC ctassiPed as a p vInetshlp or a corporation, enter the I.1.0's name on the 'Name' fine and any business, trade, or CMA name on the `Business nam»' flao. Other en111los. Enter your bus1mu non" as sWvm on required federal tax documents on the 'Name' tine. This name should match the name shown on the cluler or other legal document croaling the enlrty You may enter any business, trade, of C43A name on the `Business 03ma' Ilne. Neto. You are requested to check the appropriate, box for your status (hndlvkduaVsolo prop6atcf, corporation, odo), Exempt Payee If you are oxernpi from backup withholding, enter your nanw as described above and chick the appropriato box for you status, Ilan check the 'Exanpt payee lox in the line fotlewing the business name, sign and date the ram iTB4201308 Page 71 Fo— Me ,Fier. I0-2097) Pale 3 Gefxralty, Indivkivats (irxiuding solo prop(irilots) era not axompi front backup withholding. Corperat€ons are exempt from backup vrdhhokfing far certain payments, such as interest and dividends. Note. If you are exempt from backup wdtlholdtng, you should stile oomp6ls th:'s frim to avold possible erroneous backup withholding. The fdfovring payees are exempt from backup vighholdirg, 1. An organizatlon exempt from tax undo{ scciion 601(a), any IRA. or a custodial account under seolion 4X(bX7) if the account sttIs%les the raquien4ents of section 401(82), 2. The United States or any of its agencies or Inslrumenlalties, 3. A state, the District of Columbia, a posses*ion of the tlndod States, or any of thei pol lof subrIMsions or irlstrumenlaldi9s, 4. A foreign governmonl a any of ds poldic I subdivisions, agencies, or irtslrumenlaldfes, or 5. An inlernalionat organlzalton or any of its agoncios or Insirurnentartlos. Other payees IN$ may be exempt from backup withhotdktg include: 6. A corporation, 7. A foreign central bank of Issue, 8. A dealer In spcuffiles or comrnoddios required to ra Ietr in the United Siatbs, the District of Co'urnhla or a pessess'on of the United Stales. 9. A fufuros carmioslon mercfrtnl regts€ered with the Commodity Futures Trading Commssiun, 10, A teal estate irivo-lmaril Irusl, 11. An enl ly registered at all times duffing the lax year under the Imtaslmant Company Act of 1940, 12. A common trust fund operaled by a bank under sectio( 6H4(a}, 13. A ftnanclal inslituion, 14, A middleman known in the Investmsnt corny -amity as a nom?neo a custodAn, or 1S. A trust exenyrt from tax under section 664 or descritted in section 4947. Tho chart below shows types of payments that may b3 exernpt from backup vtithhckting. The chart applies to lis exempt payees lisled above, 1 through 15. IF the payment Is far, , , THEN the payment Is exempt for. 3n!efest and cbldand payments Alf exempt payees except for 9 Broker kansacttcns Exempt payees 1 lhrouah 13. Also, a person registered under Iho 1;1i•estrnc-nt Adtisors Act of 10,40 wfw regul=_dy acts as a broker Harley exchanga transactions Exempt payees t thaoutlh 5 uid patronage cWdends Pa}ments over SW required Gl rmra!ly, exempt payees io be reported and c€rml 1 through 7, sales over $S,QO4' �$+. Form 16994,160, 1:4s P,vwats In o , and its imtrmtiau. 'Hov.Wff. the fdming pa,mmts mad* to a capanYi xr ;nrhr,:iy ryr>Ga procoe6 psi to cos cnccnij ender s dioe 93t5j�, a -e i the .lima f Is o c Waim) W rrpatsUo cn Fc* 1699-A9SC oro not eyeiVt from tedvp n ,FiA and heahh cora prrmmt�, at'omv{a' fc-s, wd popnerns 'a —iti s pa6d by a (Waal axecuti: a even y. Part I. Taxpayer Identification Number (TIN) Enter your TIN In the eppropffalo box. If you aro a residonl Men and you do not have and are not aligibia to get an SSN, your TlN is you IRS individual taxpayer Identification number "N). Enter it in Ih9 social security number box_ If you do not have an ITIN, see How to get a T*1 below. If you are a sole propriolor and you have an EIN, you may enler oilhor your SSN or EIN. However, the IRS prefers that you use yettf SSN. If you are a singvr-rrombor LLC that Is disregarded as an onlity separate from Its ovtner (see tlmifed &abs&fy company "Q on page 2), enter the ovvrw4's SSN (or EIN, if the owner has one). Do riot enter the dlsregafded enity's EIN. If IW LLG Is cktssfflod as a corporation or partnership. enter the enlily's EIN. Note. See the chart on page 4 for bather clarification of name and TIN cnntbInations. How to get a TIN. If you do not have a TIN, apply for one Intenedialey. To app(/ for an SSN, get Fant SS -5. App!Icalkin for a Social SixLrty Card, from you iocai Social Sacuily Adminislralton office or get the form ontino at i"tiv.ssagov. You may also get this form by calling 1-800-772-1213. Use Form VI -7. Application for JR,9 individual Taxpayer Identification Nunt.er, 10 appty for an ITIN, or Farm S5-4, App!lcatlon for Emptoyer Identification Number, to apply for an EIN. You can apply for an EIN enfino by accessing the IRS vrebsla at tvmv.irs.godbusinesses and croking on Empioyer identification Number ZEIN) under Startirx-j a Business. You can got Forms 111-7 and SS -4 from tile IRS by visilltg wvw.fesgov or by catling 11 -800 -TAX -FORM (1-800-829-3676). If you are asked to complete Form W-9 but do not have a TIN. verde "App%d Fa` in the space for IN TIN, sign and date the form, and give d to the requester. For Interest and dlyldend payments, and certain payments made vrith rasped to readily Iradaba instruments, genoraiy you will have 60 days to get a TIN and give it to lite requester before you are subject to backup wdhhotdirlg on paymsnls The 60 -day rule doss not appy to other types of payments. You will be sub}act to backup w0h.otding an a!! such payments until you provide you TIN to the requester. Note. EnteKag °ApplOd For' means that you Mve already aop:fed for a TIN a that you Intend to apply for one soon. Caution; A disregarded domestic onflly float has a tmVn owrer wxist use floe appropriate Fenn VI -B, Part II. Certification To establish to the yidMokiing agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the vrilhttekling agent even if liens 1, 4, and 5 bcfc7,v fridicate other,Wsa. For a joint account, only the person whose Tilt is shown In Part I shcu!d sign (vihon requ'rod) Exempt payees, sea Ekeinpt Pay" on page 2. Slgnaturo requlromonls. Compfelo the certification as Indicated fn 1 through 6 below. 1. Interest, dividend, and barter exchange accounts opened before 19134 and broker accounts consfdared active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2, Interest, div(dend, broker, and barter exchange accounts opened after 1983 and broker accounts considered Inactive during 49139. You must sign the certification of backup withholding witf apphy. If you are sub}cct to backup vMhholding and you are nwrely providing you carecl TIN to the requester, you must cross out item 2 In the certification before signing the form. [TB#201300 Page 72 Form W-9 f1w. 10-2057) P" 4 3. Real ostalo transactions. You neat sign Iho cerlificallon, You may cross out item2 of the cmliflcallon. 4. Other payments. You must glye your correct TIN, but you do fuel havo to sign the cartlhcalion unless you have boon notified that you have previously given an incorrect TIN. '011ier payrywls" Include payments made In the course of the requestca's trade or buslra-s for rents, royalties, goods (othe( than bills for naxchandlse), madical and health caro sorvlce5 (Including paynwts to corporal ions), paVmmts to a rlonernpfoy'ee for services, payments to certain fisting boat crevr members and nshetmefi. and gross proceeds paid to attorrsrys (adtJdiN paynwis to corporations). S. Mortgage Interest paid by you, acquisition or abandonment of somted property, e�mcellallon of debt, qualified fuftlon program payruents (under sectloo $21), IRA, Covordoll ESA, Atchor WA or NSA contributions or dislrlbtnlons, and punsfon distributlons. You must ghe your correct TIN, burl you do not have to sign fit.,) cerliffcaliorL Win Name ant! Number To Give Ute Requester For Vis type of account Ghv name and SSH of t. ks'lilfdudt The IndiAdwl 2. Tvo, or mue e.dh^rduata 0drt The actual —x -, at shs atzovmt ler. account) it combined turd)., the first lltdhick fill V» accant' 3. CustodT r; aecant of a minor Thi MIrw, tUniform Gift to Maas A:7) 3. a. Ttla wLA rwocab!a ir.i g) Thi rwor-tswts ' Inst tgran1w Is afro eusreaf b. So-mr-d trust se au ni that is 7h. a0.4 rwA. o;eg;l a valid bust uadar state Lsw S. Sala pr;TtktC!- :v or Ssrogard-rd Ihs [NTH' entity erred by an fr&Mual For this too of account GWe none and EM of: 6. Nmegard-d rn Self not vaned by err The wne!r irdridual 7. A laid Lt si, est,!a, or pansin lrssl Legal .ntfy S. Cogwola a LLC =leafy The wWa6.xt corporate shoos en Form 0632 Q. AJaocra6on, Ok, rtfi-youa, Ilse ag"fiza"on chdritobli, educational, or ower tax-oxmtpt otganizatlm to. PwIrmstvp m rralaamwnbw LLC The pare wahp 11. A trokw or repleted noadnts The broker or non;kM 12. Aceowl aaith the DepxIment of The poklc entity Ajda, w in the name of a pc --Fc entity (smh as a state u local ga.^erum Mt, SCIWIA IfItrk4 of pe{soril that receixes aedaHlud prasgram psjrrenli �llv feu urtdtrtk ly nor^.fUa.. e..,y,a wt_a rxs•tar r'utm-l� r•xry cher Farr to a r9nt a tev.t,nm s �Fl, ;way F -sr i nxhr m ail ti LrYslwJ rC3c'91M rr:ma'a leaf: a ■'SJ al"'edJt !a nnv g bgrr aYeu Tu21 fh a slut niY.asrf n m9 aaJ y.0 tall ar4r E1+°N } W k.s?f'.be U 'ae.1' n�:t •;m Itte ea-_inT n rr.91 }a. YeJ n31 dif P$+[+ yw $eJi to EIrA fir file hr: i t�}. bel iH 3a9 Rxa�r=mss Sul W nae 1`s:r sstr r 1,-a fast am c.•cir d^s nJ?^� !r ru ku:l.-.As•a. ca r!+r�:n lift 1M nit Mn -h as io!r !r rH Fxan YJ�rr=nsa•,:vn tv:._� u,z;a dw 4�,,r M7:r�«:i ra rqe d:_�;rte.f'r. ser de4eva! t'dl K:o aei tFi:ar f..;:31.� r.�ss<rr,r.s to rs;a I Note. If no fraena is circled when more than cm nam Is listed, the number vill be consldemd to be that of the list name listed. Secure Your Tax Records from identity Theft ldoiit ty then ocClrs vilaen sonteono uses your personal iaforrmlion such as your name, social w6wrty nun*" (Ssm or other Idanitying Infornnallmt, without your permission, to commit fraud tt other ctimis. An kfentily thief nay use your SSN to gel a job or may Elie a tax leflrn using your SSN la receive a refund. To reduce your risk e Protect your SSN, • Ensure your employer Is protecting your SSN, and e Be careful when choosing a lax preparer. Call the IRS at 1.500-829-1040 if you thnk yotr Identity has been used Inappropriately for lax purposes. Victims of Identity theft who are experiencing ecatonrie harm or a system problem of are seeking help In resolving taut problems that have not been resolved [trough nctnt3l channets, may be etigibie for Taxpayer Advocate Stivioe (TAS) assistance. You can reach TAS by calling the TAS toll-froo case Intake fine at 1-877-777-4778 or TTYlTCA) 1.800-829-4059. Protect yourself from suspicious amalls or phlshing schemes. Phishirxj b the creation and tre of on -oil and websatas designed to mlm'c legftirmle business onrAlts and wpbs fes. The most cormmn act is sending art emall to a uscf falsely claining to be an established Iegdin oto enterprise In an attempt to scam the user into swondorirg prirdla Infanation that will be used for identify theft, The IRS does not Innate conlacls vrith taxpayers via enails. Aso. the IRS does not request personal detailed inforrrmtlon through arn3il or ask taxpayers for the PIN numbers, p.Tsstvuds, or srrttilar secret access Iniorrnatlon for their credit card, bank, or othu financial accounts. If you receive an unsoilciled arm l claiming to be from tine IRS, fcneard this nussage to phislrira7Crlrs.goe You nay ale report misuse of the JRS rw-o, logo, or other IRS porsoft tl property to IN Treasury Imp-Wor Ganwol for Tax Administration at 1-800-380-4484. You can forward suspicious emLiis to the Federal Trade Commission at: spwnJuce.gov or contact them at tr.rv.consurrasrgovJk7fhsrT or 1.877-IOIHEFT(438-4338)- V,'siI the IRS website al mvt h.gov to lexn more about Identity theft and hour to recluce your rtsk Privacy Act Notice smti m 1310) of 'rte i'tar.`r Re'i Hire Code rectuir" Yr j to prafds your cared Ttl to pwsont sato re.wst Ke infumatian reline v.rlh tl s ria loteput initrast, d?Add W9, WA cwtin leekf klama pold to yw, morfgaga interest you p3Jd, the aequ+'sAkn a abandonment of seared ptgwly, cart 0atim of debt, or eolntrit0ons yw made to an IRA or Archer I.JM or A The IRS wis the marLbae for Identification puWses and to help veriff the acoa soy of you' fat ratan, iln Ft3 may V! p;mfds tis Wn ation to Ihs V"towlc of dusk* for 64 and Oeft al r[fgalkn. and Io duo' states, It's 00W.4t of Cdntu0. and U.S. possesaiar;s to carry aa1INt ler Ism. lye may erso disdose vis Irfams¢5cn to calfs eou-Mea mdtr a lax boats, to Wool and alalo agerrits to alraca Ndual nonla[ alY`in,]41a'!,'d, at to rAjHal bw er.kp on mj Mid intettj�9 o9tnd6) to urn$al t4ovifm. You must phone yntr TMA aMluer or not pw leo iogor(ed to Re a tax faun Payees rw.KI generally Y.%W)oN 25:6 U tautfs »lttwk di d- d, and catsn other payments, to a porta also does not ger a a TRI to a payer. Cerlan penalties ma/ also orysly. IT13#241308 Page 73 BIDDER QUALIFICATIONS Instructions I , Please read these instructions carefully and respond to all questions and attach all requested forms/documents. 2. The items you will meed to attach are based on your responses; a. Financial Statements b. Current and Past Project Experience C. Minority, Woman, or HUB Certification Letter d. Safety Program Policy .,/) ),)n e. Dreg and Alcohol Program Policy f. Applicable Licenses.i�L.�f� g. Business License to perforin work in Florida and state registration located at .� � Yrs h. OSHA Logs i. CSI Code Listing— Please check the CSI Codes related to your scope(s) of work.�„��� r% j. Insurance requirements: allldf-f Certificate of Insurance -- Certificate Holder: City of Homestead - "The Certificate Holder is an additional named insured in accordance with Bid No.:" k. IRS W-9 Fora , Request for Taxpayer Identification and Certification (Revised 1 cfnber 2007). .t�'fk`'c� U j-) <<� 3. DO NOT FAX THIS FORM. Form must be returned with bid submission. 4. The undersigned certific rrdcr oatli that the information provided herein is true and sufficiently complete so as not to.,i, misleading. Do not complete this form if you have completed AIA A305. ITB#201308 Page 74- Company Profile: Section I — Company Information !) Maintains a permanent Place of business I , Classil-tcation: Company Name: U11'1C� b' I 4`�� I �V� t � Corporatiod� l4failiug Address: � j �'� ( Partnership ❑ Ci tit , State, Zip: �' �✓ �� Individual ❑ Street Address: Joint Venture ❑ city, State, Zip: Other ❑ Principal Office: � �' { t�'� i(?� DLI11 & Bradstreet No.: ` 1153 Federal ID or SS City, State, Lip: 1 3 #: Phone: 3JZ - 256, 2 SJ o -i Nm, C eus Fax: 3S2 3_ 3 `H N2— Website: ccm Contact Nante: ion m e- WVU )t ' 1. In what year was your firm established? 2, How many years has your organization been in business under its present business name? 9�5 jt(Lr-C- List arty former names your organization has operated under: Mr'z 3. P - 4, is yotn- company a subsidiary or affiliate of another firm'? Yes ❑ No 1j'yes, whal is Me pa),enl corampan), s imine? 5, If yotn' organization is a corporation, to include limited liability corporation, answer the following: ITB#2013O8 Page 75 Date of incorporation: 12-2-(o— q5 State of incorporalion: 12A { Nartte of CEO: Sco 4 T - yi l hL+t Nance of President:' (!,ea Nance of Vice President(s): �1�C� W�s�iccirr(��l Name of Secretary:'t: e (-i t C -C Name of Treasurer: 6. If your organization is a partnership, to include limited liability partnership, answer the following: Date of parmersltip: 1') I lk Type of partnership (if applicable): NiA Nantes of General Partners: VQ� 4 ` ITB#201308 page 76 7. If your organim lon is individually owned, answer the following: Date of organization: tj 1 R Nance of owner: 8. If the farm of your organization is other than those listed above, describe it and name the principals: IS your firm currently cer[ified as: ❑ Minority Owned ❑ Woman Owned ❑ Socially & Economically Disadvantaged Business 2) Has technical knowledge aml practical experleuce included in this scope of work (Airy certJications, or, lrairrr"rig thrr!} ori corrrprrrrygoes through, along will yerrr•s of evper•lerrce usArx these products orproviding these Services) A) Licensing 1. Has a complaint ever been filed with a State Licensing Board against your firm? 1f),es, please describe: 2.(lhldicate licenses, villi license nUmbers, for which you are qualified to do business, (i.e 1.state and county brIsiness Iicenses, etc.). \�a �C �? License type License number License type License number electrical, fire protection, B) Expen-ietnce L Provide the specific categories of work that your organization normally performs (see last lliree pages of this form). 2. Has your organization within [fie last five years even failed to complete any work awarded? Yes ❑ No Ifyes, please describe: 3) Resume aild experience of those individuals who will be assigned to this project as Project Managel• mid/or Project Team Please attach on a separate sheets. 4) Has riot had just ot• prober claims pending against hint or his work 1. Are there any judgments, claims, or arbitration proceedings or shits pending or outstanding against your organization or its officers within the last five years? Yes ❑ No 1�( 1f j,es, please describe: Has your organization filed any lawsuits or requested arbitration With regard to contracts Within the last five years? Yes ❑ No ITB#201308 Page 77 If yes, please desc),ibe: 3. Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a contract? Yes ❑ No Ifyes, please desc►•fbe: �4 5) List of :Illy pending or Past litigation including all its principals altd officers with the City Al Histol of Litigation: Please list any fending or past litigation the company has been a party to during the past five years, Opposing ?ally:___ i" ! 1`7 Court in whiclh the case ishvas heard. 1�A 4�} Case Number N l o Nattm':: of Dispute: (Include description of all clainhs, defenses, cross claims and counter claims) Opposing Party: �jV) Court in which the case is/was heard: Case Number: �Vl� 0�0 Nature of Dispute: (Include description of all claims, defenses, cross claims and counter claims) B) History of CitationsNiolations: PIease list all safety or environmental citations/violations the company has received in the past five years. Project Name: ITB#201308 Page 78 Date of Cilatii Nature of Cita Project Name: Date of Citatic Nature of Cita Project Name: Date of Citatio Nature of Citat Project Name: Datc of Citatio Nature of Citation: G) Has performed similar type, size and complexity of such project, evidence will consist of listing the type of project and nature of work foi- the last five (5) years. 1. On a separate sheet, list 5 major projects your organization has in prauress for the scope of work that you are ridding on. Provide the following information for each project: • Project Name • Owner • Architect • General Contractor (' • GC contact name 8hone number t'C/ p • Contract amount • Percentage complete (your scope) • Percentage of subcontracted work • Sclieduled completion date 2. On a separate sheet, list 5 major projects your organization Inas completer) for the scope of work that you are bidding on in the last five years. Provide the following information for each project: • Project Name • Owner • Architect • General Contractor • GC contact name & phone number ITB#201.308 Page 79 • Contract amount • Scope of Wotk + Date of completion • Percentage of work performed with your own forces 3. Indicate the type of projects in which your company has experience: (check all that apply) Commercial/Mixed Institutional/ Use ❑ Cultural/Community ❑ Health Care. Industrial ❑ Educational -Residential ❑ Senior Living 4, In what geographic range from your principle office are you are willing to travel: Q +/- 100 Miles ❑ +/- 200 Miles ❑ +/- 400 Miles Any Areas gzz 5. Indicate the size projects your company can perform: (check only one): ❑ <$50x ❑ <$loox ❑ $100-$500x ❑ $500K -$1M ❑ $1 M - $2M ❑ M4- $5M ❑ $5M - $ l OM 'R >$10M 6. What scope(s) of work do you typically subcontract to other companies? 7) Has available the organization and qualified manpower to do the work f i. Indicate the number of employees: !!C2ryr.�/ 2. Indicate size of warehouse(s), if j applicable: eon 3. Is there more than one office location; Yes ❑ No ❑ Ifso, please list Street Address: City, State, Zip: S) Financing — Has adequate financial status to meet the financial obligations incideutal to the work. (11tis information is kept confidential) L , Attach three years of audited fi:uncial statements, including your organization's latest balance sheet and income statement. 2. Will the organization whose financial statement is attaches{ act as guarantor of Yes �10 No ❑ the contract for services? 3. Please indicate below the annual sales volume for the last five (5) years? Year 1 b 3, /� rP a Q3�) Year 2010 $ f 6 wear 6a $ b W C90o Year !I $',^y� era _ Year I'T134201308 Page 80 4. What is your backlog? As of last financial As of 12 months As of today? statement? ago? 5. Attach your company's IRS Form W-9, Request for Taxpayer Identification and Certification (Rev. October 2007) Section II - References 1. On a separate sheet, list 6 trade/credit references. Provide the following information for each reference: • Company Name + Address • Telephone Number • Contact Name 2. List bank -reference. {Use a sellarerte street ar arldil Name of Banking company: ( Address: Cal Telephone number: 215`- r , Contact person:e1•_; Section III - Safety & Loss Prevention 1. Please attach your safety policy. ,-eferences) 2. Please attach your last three years OSTIA 300 and 0200 Logs. 3. In the last 3 years, has your company ever received a Serious, Willful, or Yes ❑ No Repeat violation under the OSTIA Consts'uction or General Industry Standards? Ij yes, please list the 0,5114 ,51andard lora• companji was erten wider and if an), monetm y f nes were paid. 4. Please list your company's last three years Experience Modification Rate (EMR). 2010 ._S�rs_._ 2011 , , t 2012 , S 5. Please attach your substance abuse policy. 6. Provide a copy of your crn'rt:nt certificate of insurance (General Liability, Auto, Workers' Compensation & Excess Liability), v,,"' Agent's Name: Phone }Dcm' �G S number: 2lS ITB##201308 Page 81 Complete the bonding int'ormation. (Please complete this section rntd submit lire bond form hi bid doclimews) Name of Bonding/Sur'ety company: Agent Name: Address: Teleplione Number: Colitact Person: Bo►iding Rate: Bonding Capacity — Per Project: $ Aggregate: S2C1i071 I Slgnk3flit` licijig duly s�voral, deposes acid says that the jjifoi•niatioiI provided oil .r- the Qua iiicatimi appttcatioa herchi is true and sufficielltly complete so as not to be misleading, Firm Name: - , C lM OR T By-, 'Vice ppesioe,/ L Title. tL Dated this ,� clay of �i , 20 i Subscribed and sworn before me this J20day of r ,��?�, 20 t3 Public: Ch MY commission expires: COMMONWEALTH OF PENNSYLVANIA CHERYLANN RIDOLFO, Notary Public Upper Moreland Ttivp., Montgomer/ CouO/ M Commission Expires December 12, 2013 IT13#2013013 Page 82 [A . . . . . . UN'' £_ References Utility Phone Contact Florida Power_& Light 954-321-2077 Manny Miranda 9250 West FlaglerStreet, Miami, FL 33174 --many mlranda@f 1p com Duke Energy 727-820-5558 Karen Hayden 299 First Avenue North, St. Petersburg, FL 33701— Karen. haydent@pgrimail.coin Southern Company 850-429-2885 Wayne Barrow One Pensacola Place, Pensacola, FL 32520 — wlbarro@southernco.com American Electric Power614-716-2772 Walter Sherry One Riverside Place, Columbus, OH 43215 — washerry@aep.com We Energies 414-944-5530 Kelley Knoerr 6006 116"' Street, West Allies, WI 53214-- Kelley. knoerrwe-ener ies.com Sxelon Corp; 215-956-3100 Doreen Masalta 2301 Market Street, Philadelphia, PA 19101— Doreen.masalta@exeloncorp-coni Asplundh Tree Expert Co, is a member of the following trade associations: • ISA, Champaign, IL -215-355-9411 • TCiA, Londonberry, NH — 603-314-5380 • NRFCA, Arlington, VA — 703-907-5500 (Please of thi-ee (3) refe)-ences complete !and.vubmit Bld documents) Giving reference for: ASPLUNDH Tree Expert co (name of company) Firm giving Reference: Florida Keys Electric Coop Address: 91 600 Overseas Hwy Phone: Tavernier F1. 33070 Fax: 305-852-102.9 Email:jasc)n.richards@fkec.com 1. Q: Was Invoicing consistent with contract prlcing? A: 41CS 2, Q. Were response times consistent? A: ji5s 3. Q: Was the vendor easy to get In contact with? How was their customer service? A: vGuv 6qsq To Ca,,rr r, xce�¢io,� tt �rAS,romier2 51ajZV;dF 4. Q: How was their responsiveness to emergency orders? A. U y E is r � Ac$FaNO ch ?,Zel 7-e 5. Q: Would you use them again? A: q 0 S V 17`P 0t4r Al 4 S � . T,4 ve.,v 6t Q: Overall, what would you rate their performance? (Scale from 1-6) A; R6 Excellent ❑4 Good ❑3 Fair ❑ 2 Poor ❑l Unacceptable 7. Q: is there anything else we should know, that we have not asked? 1 A; (20jwM;4eet -*40 do ;,q eee, , o s a 4 e y c v61 e, T- ;C.lenJt The undersigned does hereby certify that the foregoing and subsequent statements are true and correct and are made Independently, free from vendor interference/collusion, Name: '.Z'Q-50'1 gle'M P'z5 Title.-/ m iry ,�y1za��C�� Lel lzC) Print Name: 'a`/ -,hod 12 cA�os Date: 1—/? r 1-X iTB#201308 Page 65 F Reference Questionnaire — - — (Please have a »minium of three (3) references complete thisfoi-in and submit with Bid documents) Giving reference for: Asplundh Tree Expert (name of company) Firm giving Reference: Lakeland Electric/City of Lakeland/Florida Address: 1140 E Parker St Lakeland, Fl 33801 Phone: 863-834-6759 Fax: 863-834-6744 Email: Beverly. cline@lakelandelctric.com 1. Q: Was invoicing consistent with contract pricing? A: Yes 2. Q: Were response times consistent? A: Yes �;erlr, 1 ' H -CITY of O AESTEA0 3. Q: Was the vendor easy to get in contact with? How was their customer service? A: Yes. Excellent 4. Q. Now was their responsiveness to emergency orders? A: Excellent response time with adequate personnel and equipment 5. Q: Would you use them again? A: Yes 6. Q: Overall, what would you rate their performance? (Scale from 1-5) A: 05 Excellent 04 Good 03 Farr U 2 Poor 01 Unacceptable 7. Q: Is there anything else we should know, that we have not asked? A: They have an excellent safety record at Lakeland Electric The undersigned does hereby certify that the foregoing and subsequent statements are true and correct and are made independently, free from vendor interference/collusion. Name: Beverly Cline -T— i t 1 c�--------------- Print Name: Line Clearance Supervisor. Date:9/16/13 Il'B#201308 Page 65 Refere�tce QEacstipnrt�iire (Please lave a minhinriu of three (3) references complete this fartu and submit with Bid documents) Giving reference for: ASPLUNDH TREE ..EXPERT CO (namo of company) ' Firm giving Reference: , KEYS ENERGY SERVICES Address: 1 0 01 JAMES STREET KEY WEST, FL- 33041 Phone, Fax: 305-295-1000 Email: tommy.grassi@keysenergy.com 1. Q. Was invoicing consistent with contract pricing? A: y1i:1 Z Q: Were response times consistent? A: Ye --5 3, Q: Was the vendor easy to get in contact with? How was their customer service? 4. Q: How was the'r responsiveness to emergency orders? A:v//E,vr 5. Q: Would you use them again? A' J' 'AFS 6. Q: Overall, what would you rate their performance? (Scale from 1-5) A: 05 Excellont ❑4 Good ❑3 Falr ❑ 2 Poor []i Unacceptable 7, Q: Is there anything else we should know, that we have not asked? A: The undersigned does hereby certify t t the foregoing and subsequent statements are true and correct and are de Independ ntl Iree from vendor interferencelcoilusion. Nam 0 Title l Print Narne: /_.S�d�rt 5 W SJ Date: 9 / ITBN201308 Page 65 r R_efe_rer►ce Oticsfl imah- - (Please hate a intnhnlnn of thive (3) references - - -- - cowplete this fore) and sulindt iNth Btd docunnents) Giving reference for: 4> - (name ofcomj)any) Asplundh Tree Expert Co Firm giving Reference: city Of,Ocala Address: 2100 NE 30th Ave Ocala F1, 34470 Phone: 352-351 -5700 Fax: tbloom@ocalafl,org Emaii: 1. Q: Was invoicing consistent with contract pricing? A: Y 2. Q: Were response times consistent? . A: 1/'`t, S 3. Q: Was the vendor easget in contact with? ow was their customer service? yo 4. Q: Flaw was their responsiveness to emergency orders? A: E}1 5, Q: Would you use there again? A: j -es 6. Q: Overall, what would you rate their performance? (Scale frorn 1 µ5) A: MS Excellent [14 Good ❑3 Fair U 2 Poor []1 Unacceptable 7. Q; Is there anything else we should know, that we have not asked? A] r A; t� Y G �' � fie ry- Q �s y 4� LjD v The undersigned does hereby certify that the foregoing and subsequent statements are true and correct and are rrMde independently, free from vendor interferencelcolluston. Name. �J���—` Title Ger crrd -\Cb tom- F^�c,�., I �•� �C4` e td Print Name: ' r J� pate: " I'rBi#201308 Page 65 ALI!9_1 2V TF F' � F ►{'. iS r, Xh r 1 �J � T 0. � I._ L. 708 Blau- Mill Road, Willow Grove, PA 19090 - Phone. 215-784-4200 September 18, 2013 Xintia Rubio -Rojas Buyer It Procurement & Contract Services Division City of Homestead 450 SE 64'Avenue Homestead, FL 33030 Dear Xintia: Asplundh Tree Expert Co. (ATE) Is a privately held corporation and the attached ATE financial information is highly confidential: o Unaudited Consolidated Balance Sheets for June 30, 2013 and 2012 • Audited Consolidated Balance Sheets for December 31, 2012, 2011 and 2410 • Unaudited Consol'Idated Statements of Operations for the six months ended June 30, 2013 and 2012 • Audited Consolidated Statements of Operations for the years ended December 31, 2012, 2011 and 2010 We trust that you will handle this Information with utmost confidentiality. If you have any questions regarding this financial Information, please contact me at 215-784-4474. Sincerely, oseph P. Dwyer Secretary -Treasurer Attachments ASPLUNDH TREE E 4T= CO. ANn S17$S1DjA rlFS WNSOLXDATED 71ALANCE SHEETS, jure 30, 2013 and 2012 irk thorasanda cxc pt share and per share anxaunts) 2013 201.2 20].3 .45.5;=15 L.[A.Ei).i1TT5 Currmt Ce• Tmt Short -tenet barrowh gs and cnsrtnt partign Cash and cash miuvaltnts 5 24,978 3 66,156 of long-te= debt 5 50.Sff S 30,000 Accoazzs parable SS,D 4 41,OSS Accounts receivable, net Accrued expe t = Salmis and wages SO,8312 71,73; Cwtomers 952,797 396,639 VacationpaV 20,341 19,391 Profit-.tcarss*� 1,103 ?„C1 Fsnplovccs and others 3,032 1,437 Taxes 9.97-" 11'.64 ln5i;mlce S"y 46,68 Costs in excess of related IaMrgs 162,2 016 1331739 Otho: 56=D 35,926 rmmj-,inew:�safrelated coats 30,866 35,6'0 Inventories, supplies .and purchaoed products 6,320 B,72B Current libRides of discontirmed operations- 152 I L Prepaid expenscs and c Flier 2,6,15 4,2$3 Total curent liabilities 36?.942 291,914 Da1=7ed ineonm tax= 176 26 Deferred income taxes 1,940 5e95 Current assem of discontinued operation 7 Jr,2 Long-term debt 106 30,000 B -S=ane 1F,1317 123164 Totaicuzrnta set !a5?a3l 617512 Othcr 35,479 1.1,991 Long -tam profit sharing and supplealent l retiremznt 61,703 56351 Property, plant and equipment at cost: Totalliabilities 61:,54: M-2115 Land 1,041 1,041 Surldings 12,653 1:,576 Machinery and egmp=t 1,698,046 1,530Ss0 Furniture and fixtures 7,330 7,1147 Canstrvchon-in-progress 17,099 47= e SIO fOLI5 5 EQ = 1,136,169 1,596= Capm,11-tock Cor lmon , &50 par Value. autitoraed Leas aecwgulated depreciation 962,668 557,854 1,500,:40 shares, issued 1.244,550 sham 622 6'..2 Froperiq,plant " equipment Ofdi continued operations -net - 3XN Additional paid -in capital 215,644 200,609 Acnmtulatedother comprehensive income 7,142 10,515 773,701 724,932 Retahred c muw 1,029,076 969,754 1.,2,5,481 11162,530 Goodwill 139,344 114,805 Isss treasury stock, at cost 196,050 191,35 Orlt� 45vets 109,642 54,666 Total stockholders equity 1,057,43.1 989,9 Total other mitts ^ 248,956 169,493T Total assets S 1.675,321 S 1,512,2G7 Total liabilititsaadstockholdec'cc� S 1,675,327._ S 7.512,207 ASSZS C�Dxrent cl-41 and cash eTnvalents Accounts receivable= Customers, net of Allowance for doubtful accounts of 55,300 and $3,091 as of December 31, 2092 and 2011, resi-lively Employees and others Coats in execs of relatedb2ling, Inveruories, svpphes and purchased products Prepaid exp=cs and other Defeercd it== taxa Cusent mets of discont need operations Total cur:mt assets Propertp, plant andegtupmmt, at cost IAnd Buildings lvLlclhinery and equipment Furnihire and hxtam Construction-ut-progress I.ess acrn,ralate.t depredatim Property, plant and cquipmonr of diuotttimied opemdons -net ASMUNDE TREE EXPERT CO. AND SU1 SMIARIES CONSOLIDATM BALANCE SKEET'S, V"-eu ber3L 2(a2 =4 - 7 Cru thousands except shay¢ and per shine amounts) 2012 2011 3312 2011 197,970 and 197,854 shares of rcenmon stack at Deembex 31, 2012 and 2011, respectively GoodvrM 139,30 111.906 other a„ cis 109,461 54294 Total stockholders' egnity Total other assets 24305 169000 Totalassets 5 1,80,105 $ 1.528,661 Total liabilities and stod&014ees' equity The accompanying notes are an Integral part of %hese consolidated financial statements- $ sa,ODO 99.116 35,375 13,9:1 14,D9r 1w'&i 3131) 37,173 35,613 2.375 3sL453 5"97 60,000 MI" 31,991 56,917 630.3 623 186,&11 10,61-0 879.M 1,077,386 189.517 '.021366 638,339 $ 1.540,105 5 115231061 L1.ABn2TIES L�nifTC SharMc,nboaa�vinps and current portion $ 112.469 S 37,196 of long -telt debt 5 I51-2&4 Accatatts payable 115AU Accived owes: Salaries and vrages 43,5.19 566.164 470,250 Varationpay 16,767 1'rotit4humg ana supplemental mmement 14.105 Taxes 391293 t.-LTWW C 56:1-15 x,403 1,030 Other 3$,567 Beings in excess of related cmc 20,427 L'S,167 99,450 Carrentliabslitimvfdiscontinued operotions 500 15,339 17,624 Total a .^rent liabilities 528.`7�l 613.49 6,077 135-1 28 I1e.Ferred income taxes 4,8.10 I ong-term debt 30,346 ' Dtt1PS 3Gr++ 738,515 639,488 tang-tertnprofitsha ng and supplementalretiremeru 64,977 TottltiabAities 8I7,73i 1,041 ',o4z 12,650 12,57; %%'795 1,484,440 7 217 6,941 ST00*1 LIDEI`S EQUITY Capital stodc 12517 4'>_ T5 Corte nm SSU par vine; aut mind 1,500,000 sluav, issued 1,671,260 1,5117,320 1,244, 550 shares 6" - Additional paid capital 207,254 919,505 531,812 A zcamulatcd other comprehensive icrouhe 13,045 Retained eaaxutigs 997,OS8 4,665_ 1-,^IS,009 751.,755 70.173 Less trcasary stock, at cast 195.641 197,970 and 197,854 shares of rcenmon stack at Deembex 31, 2012 and 2011, respectively GoodvrM 139,30 111.906 other a„ cis 109,461 54294 Total stockholders' egnity Total other assets 24305 169000 Totalassets 5 1,80,105 $ 1.528,661 Total liabilities and stod&014ees' equity The accompanying notes are an Integral part of %hese consolidated financial statements- $ sa,ODO 99.116 35,375 13,9:1 14,D9r 1w'&i 3131) 37,173 35,613 2.375 3sL453 5"97 60,000 MI" 31,991 56,917 630.3 623 186,&11 10,61-0 879.M 1,077,386 189.517 '.021366 638,339 $ 1.540,105 5 115231061 ASS= C®Tentr Cash And =shcgaicalents A.aonnw receivable: Cush m , net of al3owatce for daabtrul accounts of ;3,091 and 53,035 as of Dec=n1= 31, 2011 and 2010, respcc ivcly Employees and odma Costs in arcs of rc3ated bMkV kmeruories, sapplics and pwch-d produce F=p 'd, cupmms and other Dek.ned income taxes Cn eut suets of diacnw ed operations '#•oral parer assets Property,pl.-a>x and crltdpmm-% at cost Ind BaiIdi , Mochinwy and equipment Farnitare and F K=w Can;hvctiort-ir -progress Lir asl=uteted depreciation Goodwill Oalcr ewers Total otter assets TOW =c[: AS'7LUNDE TREE ID7 MT CO AND SUES1DMARIES CONISALiDATED BALANCE SFIF!7M, Dcoma 3], =11 aad ^.61,4 {in thousands a Xcptshase and pers.IL a amounts) 2011 2MO LIABILT=- Cwrent_ $iKrrt-arrm bvtrawings and aretent portion $ 37,96 $ 33,£50 aUurg-teml debt 475,603 %am 101,961 17,62+4 6,010 23 L041 L496,997 61944 42 366 1,557,9M 833,745 710173 114.706 54296 769,064 $ 2St8,667 A4t3 payabic Accrued t7cpenses: Salaries and wages 298,599 Yacationpdy Profe-sharing xnd =nIetnentat re*=ent Taxe, �mursnce 2011 S £0.000 100,377 3s,c1D 14.05: 14,097 T7 975 51„345 3,361 Qi�Iar 37 --In Belling- in ex, of stated emta 36 167 100,906 C=m= liabItim of disomtinutd operation; 310 14,252 Total c=s u llabilities 3P2,&53 6,141 29 Dcfe--xcd income taxC 5,797 l,wty-berm debt 60,000 1d9 Lawrance 173,65 Mer 11541 3.."4,6 S Lang -terra pro5t sharing and strppleu,aaanl rc*'�= 76.917 Total 1sabilidw 6QA22 x,061 12,061 1597.,621 STCX rCHOLDEW 9QUSMY Capital faock 61651 C==ur, $,SO par value; authorized 1,500,000 shares, issued _ 69,756 1�244,SSSO stares 622 Additional paid -in capiul 156,67.1 L481,34 Ac ,=I. luted other c=prchen-%,t i==Ae 16,670 Retained earrings MIT3 792,617 L077,BM .__..6',.8,597 Mess treasury stock, at cost 167.50 177,.^54 and 203,,983 shuns of coon m awk at Dtc-Aarr 31,2= and 2010, resp-vely $4,417 5? -155 Tote3 stodholde-equity 888,339 136,437 S 7..2g 966 Tom] Mbxdc-, and stockkroldczs, equity 5 15 .66- -Mea rtpanytng notos wean Integral partof these consolidated financial statormnts. 2tile 5 36,000 0,35S 32795 L',865 L,92S 10,D59 51.5,6 26,958 13,6+7 41d 7L,6�9 5,96. 90,000 119,992 £,3L T1.0S"7 S:G,194 622 6-0506 ,7.691 738.236 9-,411 185,151 736,770 ASPLUNDII TREE EXPEITr CO. AND SU13SIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS £or the six months ended June 30, 2013 and 2012 (in thousands except share and per share amounts) Discontinued operations Iricome from discontinued operations, net of tax 128 2,312 Galli on disposal of discontinued companies, net of tax 10,755 - Incorine from discontinued operations 10,883 2,312 Net income $ 144,553 $ 135,147 Basic and Diluted Earnings per Common Share Income from continuing operations 2.013 2012 Stiles and services $ 1,551,179 $ 1,427,793 Casts and expenses: 10.21 - Salaries and wages, payroll taxes and 137.21 $ 128.97 other employee benefits 898,735 820,676 Depreciation and amortization 100,335 86,575 Other field expenses 368,855 337,512 Selling, general and administrative expenses 11,990 12,084 Bonus and profit-shaxiaig 37,205 36,140 Gain on sale of machinery and equipment 5,719 3,460 1,411,401 1,289,527 Operating income 139,778 138,266 Interest Expense (1,979) (2,491) Other income, net 706 543 Gain on sale on investment - 878 Income from continuing operations before provision for income taxes 138,505 137,193 Provision for income taxes 4,835 4,358 Income from continuing operations 133,670 132,835 Discontinued operations Iricome from discontinued operations, net of tax 128 2,312 Galli on disposal of discontinued companies, net of tax 10,755 - Incorine from discontinued operations 10,883 2,312 Net income $ 144,553 $ 135,147 Basic and Diluted Earnings per Common Share Income from continuing operations 126,88 126.76 Inconne from discontinued operations 0.12 2.21 Gain ou disposal of discontinued companies 10.21 - Net Income $ 137.21 $ 128.97 Shares Used in Computing Basic and Diluted Earnings per Corrunon Share 1,053,512 1,047,933 ASPLUNDi-I TREE EXPERT CO. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS for the years ended December 31, 2012 and 2011 (in thousands except share and per share amotints) Sales and services Costs and expenses: Salaries and wages, payroll taxes and other employee benefits Depreciation and amortization Otter field expenses Selling, general and adni#,tlstraLive expenses Bonus and profit-sharing Gain on sale of machinery and equipment Operating Income Interest Expense Other Income, net Cain on sale of investment Income from continuing operations before provision for Income taxes Provision for income taxes Income from continuing operations Discontinued Operations Income from. discontinued operations, net of tax Gain on disposal of discontinued companies, net of tax Cant from discontfi-wed operations Net Income Basic and Diluted Earnings Per Common Share Income from continuing operations Income from discontinued operations Gain on disposal of discontinued companies Net income $ 3,176,890 1,832,530 130,921 700,056 24,215 40,888 7,403 2,821,207 355,683 (4,441) I,096 878 353,216 4,832 348,384 4,589 24,963 29,552 $ 377,936 332.13 4.37 23.80 $ 360.30 2011 $ 2,835,476 1,656,280 167,448 638,907 20,874 79,091 11,042 2,551,558 263,9!8 (5,864) 1,090 1,141 280,255 6,623 273,662 3,186 3,186 $ 276,848 262,22 3.05 $ 265.27 Shares Used in Computing Basic attd Diluted Earnings per Common Share 1,048,936 1,043,655 The accompanying notes are an Integral part of these consolidated financial statements. ASPLUNDH TREE, EXPERT CO. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERA'T'IONS for the years ended December 31, 2011 and 2010 (in thousands except share and per share amounts) Basic and Diluted Earnings pex Common Share Income from continuing operations 2011 2010 Sales and services $ 2,861,080 $ 2,490,693 Costs and expenses: - 1.22 Salaries and wages, payroll taxes and $ 265.27 $ 244.36 other employee benefits 1,667,418 1,456,141 Depreciation anct amortization 169,105 153,294 Other field expenses 648,005 555,118 Selling, general and administrative expenses 20,897 19,677 Bonus and profit-sharing 79,707 64,748 Gain on sale of machinery and equipment 11,086 (8,193) 2,574,046 2,240,785 Operating income 287,034 249,908 Interest Expense (5,864) (7,437) Other Income, net 1,090 1,520 Gain on sale of investment 1,141 13,609 Income from continuing operations before provision for income taxes 283,401 257,600 Provision for income taxes 6,652 51381 Income from continuing operations 276,749 252,219 Discontinued Operations Incorne0oss) from discontinued operations, net of tax 49 (327) Gain on disposal of discontinued companies, net of tax - 1,268 Gain from discontinued operations 99 941 Nat Income $ 276,848 $ 253,160 Basic and Diluted Earnings pex Common Share Income from continuing operations 265.18 243.46 Income (loss) from discontinued operations 0.09 (0.32) Gain on disposal of discontinued companies - 1.22 Net Income $ 265.27 $ 244.36 Shares Used in Computing Basic and Diluted iTarnhigs per CoD nlon5hare 1,043,655 1,036,039 The accompanying notes are an integral part of these consolidated financial statements. 3 5 Major Project Asplundh Tree Expert Co has in Progress for the last 5 years • Project nanie(S): City of Tallahassee, City of Gainesville (GRU), City of Ocala, City of Lakeland, Keys Energy, Florida Power& Light, Duke Energy • Owner: City Of Tallahassee, City Of Gainesville (GRU), City of Ocala, City of Lakeland, Keys Energy, Florida Power & Light, Duke Energy e Architect ( Direct Reporting to Person): Perry Odom, Tracy Maxwell, Tim Bloom, Beverly Cline, Tommy Grassi, Eli Viatnontes, Georgia Donberg • Contact Narne (S) & Number (S): 1 -City of Tal lahassee ( Perry Odom 850-891-5181) 2 -City Of Gainesville ( Tracy Maxwell 850-334-3434) 3 -City of Ocala ( Tien Bloom 352-351-6700) 4 -City of Lakeland ( Beverly Cline 863-834-6759) 5 -Keys Energy (Tommy Grassi 305-295-1000) 6 -Florida Power & Light ( Eli Viamontes 954-321-2077) 7 -Duke Energy ( Georgia Douberg 407-850-2728) • Contract Amount 1- +1.7 Million $ 2- + 1.5 Million $ 3- + 900K $ 4- +2.5 vlillion 5-+ 1 million $ 6- +40 Million $ 7- + 4 million $ • Percentage Complete I - 100% 2- 100% 3- 100% 4- 100% 5- 100% 6- 100% 7- 100% • Sub contractor= Zero % for all • Scheduled Completion Date 1 -Oct I 2 -Oct 1 3- Oct 1 4-Janl 5- Dec 31 6- Dec31 7-Dec3l 5 Major Project Asplundh Tree Expert Co has Completed in the last 5 years • Project name(S): City of Tallahassee, City of Gainesville (GRU), City of Ocala, City of Lakeland, Keys Energy, Florida Power& Light, Duke Energy • Owner: City Of Tallahassee, City Of Gainesville (GRU), City of Ocala, City of Lakeland, Keys Energy, Florida Power & Light, Dicke Energy • Architect ( Direct Reporting to Person): Ferry Odom, Tracy Maxwell, Tina Bloom, Beverly Cline, Tommy Grassi, Eli Viamontes, Georgia Donberg • Contact Name (S) & Number (S): 1 -City of Tallahassee (Peri:y Odona 850-891-5181 2 -City Of Gainesville ( Tracy Maxwell 850-335-3500) 3 -City of Ocala ( Tim Bloom 352-351-6700) 4 -City of Lakeland ( Beverly Cline 863-834-6759) 5 -Keys Energy ( Tommy Grassi 305-295-1000) 6 -Florida Power & Light ( Eli Vianiontes 954-321-2077) 7 -Duke Energy ( Georgia Donberg 407-850-2728) • Contract Amount 1- +1.7 Million $ 2- + 1,5 Million $ 3- -t- 900K $ 4-+2.5 Million $ 5- + 1 million $ 6- +40 Million $ 7- + 4 million $ • Percentage Complete 1- 100% 2- 100% 3- l00% 4- 100% 5- 100% 6- 100% 7- 100% a. Sub contractor = Zero % for all b. Scheduled Completion Date 1 -Oct 1 2 -Oct 1 3- Oct 1 4 -hill 5- Dec 31 6 -Dec 31 7-Dec31 ASPLUNDH TREE EXPERT CO. 1- 1 AE .cam' r uf�L e -14D- SAFETY PROGRAM OUTLINE GENERAL2 SAFETY VISION, POLICY & PRINCIPLES 3 SAFETY MANAGEMENT PROCESS (SMP) 4 HIRING PRACTICES 9 TRAINING PROCESS S[IMMARY11 EMPLOYEE SKILLS TRAINING PROGRAM 11 NE W EMPLOYEE SAFETY ORIENTATION PROGRAM OUTLINE 11 QLIARTERLYASSURA1NCE & PRODLIC7ION12 CIIECKLISTS 12 REQUESTFOR INFORMATION 12 E Produet��r� ATE Safety Program Qurine 2012-05-09 1 GENERAL Asplu.ndh Tree Expert Co, has provided Electric Power Line Construction, Line Clearance, Vegetation Management and numerous other services for the Electric Utility Industry in the United States during the past Sp years, as well as operations lin Australia, New Zealand, four (4) provinces of Canada, the Wrgin Islands and Europe. Our safety and training programs are multi faceted and very comprehensive in nature. They include employee pre -hire screening, thorough orientation programs for new employees, closely monitored on the Job training conducted by highly qualified General Foreperson and Crew Foreperson and detailed training documentation which cLiltninates in the qualification of each employee. This qualification indicates that they have achieved the knowledge and skills required for the performance of their work assignments. The development of Asphuldh safety and training; programs is the direct responsibility of our Director & Corporate Safety Officer who directs a team of corporate safety ama.na,gement persotuiel that are responsible for overseeing and auditing field operations for compliance and assisting with the implementation of program requirements. Field evaluation results are documented and distributed to executives of the Company who oversee our various field operations. Field management persoiuleI (Region t a)zagers, Supervisors, Safety Srtperiutendents, arid General Forepersons) manage the program implementation and conduct frequent work site inspections to ensure that employees are thoroughly trained and working in compliance with our policies. Documentation of this activity is maintained for verification purposes. Company policy and Federal (OSHA) regulations require training certification. ATE Safety Prcgrarn OuVne 2012-05.09 2 SAFETY VISION, POLICY & PRINCIPLES VISION SAFETY FIRST... NO ONE GETS HURT! POLICY TO PROVIDE EACH EMPLOYEE WITH A SAFE PLACE TO WORK, FREE FROM ALL RECOGNIZED HAZARDS. PRINCIPLES r All injuries are preventable. > No job or activity is worth risking injury. > Working safely is a condition of employment. Management is responsible for providing; the environment for everyone to work safely. > Each individual shares in the responsibility for the safety of themselves and others. > We believe prevention of injuries is good business. > We promote off -the -job safety for our employees. � Safety is led by senior nnanageinen€, implemented by line management, with each level accoLMtable to the one above and responsible for the one below. > We design and integrate safety into our management decisions. The Asplundh Tree Expert Co. recognizes that our employees have made us the number one Company of our kind in the world. The Company places its number one value on the safety of our people. Therefore, it is strict Asplundh policy to provide each employee with a safe and healthy place to work, free from all recognized hazards. Aspltundh requires compliance with the Occupational Safety and Health Act Regulations, the American National Standard Institute Standards, and the Asplundh Forepersons Manual and training publications distributed by the Company. ATE Safety Program OuCine 20f2.-0509 3 This booklet has been prepared to share the dramatic changes of the Asplundh Tree Expert Co. (ATE) regarding safety irnproveinent initiatives over the past several years, The following is a Iisting in chronological order: A. Impiernented an employee reward i ncenti ve-based program. (Jan02) B. Required all employees who drive company vehicles to enroll in a 4 -hour defensive driving course sponsored by Liberty Mutual Insurance Company. (Apr 03) C. Redesigned the Safety Department that added 75 Regional Safety Superintendents (RSS's). (Begum iug of 2004) D. Separated Safety Department from Risk Management. (Ap)-04) E. Implemented "800 How s Nty Driving' decals on every company vehicle. This program is administered by a 31a party firm — Safetyl`irst. (May 04) F. Contracted with DuPont Safety Resources (DSR) with a three-year term contract to assess the entire organization to discover its weaknesses and then help Asphuidh and its subsidiaries implement new safety processes. (May 64) G. tMandated and tracked bi-monthly conference calls between Sponsors & VPA14ianagers as well as between VP/Managers and General Forepersons. (Oct 04) H. Acquired a new Director & Corporate Safety Officer who reports directly to the President. (]an 05) L Ivlandated and tracked nationally a new requirement that each General Foreperson perform at least one observation and issue a Performance Notice each week. (Ian 05) J. Created DVD/video training for new employee orientation, how to conduct a job briefing and hose to conduct a weekly safety meeting. (Feb 05) K. Implemented a formal behavior approach aimed at observing worki ng crews and providing immediate documented feedback about safety and at -risk behaviors 0130's). (May 05) L. Improved and provided training to all management personnel regarding incident investigation and analysis. (May 05) M. Implemented "Life Saving Rules" that if violated svill result in immediate discharge. (Dec 05) N. Designed & implemented a unique approach to Safety Management and process evaluations. (Apr 06) O. Developed and implemented the Work Zone Safety initiative that included training, easy to understand booklets and posters for each truck. (Apr 06) P. Designed & initiated three mobile training vans with live -line demos and videos. (May 06) Q. Instituted written job briefings and policies that are more comprehensive. (May 06) R. Redesigned the training program for line clearance tree trimmers and implemented the Line Clearance Qualification Standard (LCQS). (Ang2008) Our vision of "Safety First ... No One Get's Hurt will help its get even better by helping ensure our employees go home the sante way they came to work. . ATE Safety Pragram oulfne 2012-05-09 4 The following is a coinprehensive description of the chronological listing_ A. Implemented an employee reward incentive -based program. (Jatt 02) ■ 1 to 4% of an employee's pay is rvithheld trier[ rewarded back on a gcrarterly basis for safety performance. ■ Designed & intptetnetrted proactive safety activities that are measured arid reroarded based on performance, • More than 60% of North American Operatlorrs have irriplemented this process. B. Required all employees who drive company vehicles to enroll in a 4 -hour defensive driving course sponsored by Liberty Mutual Insurance Company. (Apr 03) ■ It is cornparty policy that before airy errrployee drives any cotrpan y vehicle ori the road they complete a 3-4 hoar instructor -lead coarse that includes on tire road critiquing to errsureall aspects of fire trainitig have taken place. • Additionally, each year, the Regions are required to perforin a self-assessment of their training program; a fezo Regions undergo n cornprehensiveandit performed by Liberty1futreal. C. Redesigned the Safety Department that added 75 Regional Safety Superintendents (RSS's). (Begittttitig of 2004) • A nezv posit ion yeas created he each !legion zvhich reports to the Regional Manager arid "dotted tined" to the Director of Safety, • r-fajority of three spent in Field. • Prirrtary ditties include: bncident iaevestigation & analysis, conducting job site hispecliorts (IBO's) GF orientation, safety training, and assisting With all safety-related issues for the Regional Manager. D. Separated Safety Department from Risk Management. (Ater 04) E. Implemented "300 How's My Driving" decals on every company vehicle. 'Ibis is administered by a 3ea party firm— SafetyFirst. (tlilay 04) ■ Nutnberofvehicles isapproxhnateh118,000. • Vehicle hrcidents have decreased 25% over the last tzvo years. Adrrrirbstered by a third parlyfir•tir marred SafetyFirst. Periodic detailed reports puldished flint detail specific driving behaviors and trend analysts, F. Contracted with DuPont Safety Resources (DSR) with a three-year term contract to assess the entire organization to discover its weaknesses and then help ATE and its subsidiaries implement new safety processes. (May 04) Three-year contract. 12 constiltarets. Assists With the integration behavior auditing, itrcident Dash board). of a aero comprehensive safety marragerrew system to include safety investigation, coarmrtnicntiorrs and perforrtrance metrics (Safety ATE Sa'ery Program Outline 2012,05.09 5 G. Mandated azul track bi-monthly conference calls between Sponsors & W/Managers as well as between W/Managers and General Forepersons, (Oct 04) • Widfatory, at least monthly, safety conference calls (recent incidents, near misses, IBO's and observation trends, etc.) • Safety Director and Risk Management Director involvement. H. Acgtdred a new Director & Corporate Safety Officer who reports directly to the President. (Jan 05) a Beard certified in Safety & Health with Masters Degree in Occupational Safety. a 109% responsible to develop, direct, and implement safety & training policies for fire conyairy, ■ Assists Nae President atfd Senior Pxecutiaes af+ith iniplententation and accon►ftalfilityof SAdP. 1. Mandated and tracked nationally a rec Ldrement that each General Foreperson perform at least one observation. Example: Performance Notice (PN) Program Vegetation u_�V P`511 MOSTCONINiON {C,., (Past 14 Months): s � d - i 3 � ..-•meq } f. J. Created DVD video training program for new employee orientation, including how to conduct a job briefing and how to condLict a weekly safety meeting. (Feb 05) • English and Spanish versions 12 min uftes each. Desiglted to ensure consistency with new employee orientation, job briefings and safety mceting plannhag and presentations. ATE Safely Pfcgfarn outline H I d5 69 6 Count • PPB 6,133 • ,lob Site Setup 4,769 • Leadership 2,681 • Power Tool Use 1,792 • Tree Felling 1,693 • Driving 1,666 • Job Briefing 1,376 • inspection 1,254 • Tree Climbing 1,011 • Chipper Operations 980 • Bucket Operations 830 J. Created DVD video training program for new employee orientation, including how to conduct a job briefing and how to condLict a weekly safety meeting. (Feb 05) • English and Spanish versions 12 min uftes each. Desiglted to ensure consistency with new employee orientation, job briefings and safety mceting plannhag and presentations. ATE Safely Pfcgfarn outline H I d5 69 6 K. Implemented a formal behavior approach aimed at observing working crews and providing immediate documented feedback about safety and at -risk behaviors GBQ's). Way 05) • Formal process is called Job Behavior Observation (JBO) process. ■ JBO observers are trained on observation andfeedback- techniques. • .vfauagement is beld accountablefor performing a required nunmberof observations per month. ■ Data is collected, evaltiated aitd corrective act ions grit in place for (rends of at -risk behavior. L. Improved trainuhg for all management personriel regarding incident investigation and analysis. (May 05) ■ Streamlined lheprocess by reduchlg the itumber of forms required for each type of incident, ■ Developed & implentented analysis tools to consisteritly deterrnitte the causal and root factors. • Communicate incidents throrrghorrt the entire company to ensure increaser) arvareness. M. Implemented "Life Saving Riles" that if violated will result in immediate discharge. (Dec 05) Life Saving Rules Violation of any of the following Safety Rules will result in MY termination of employment with Asplundh Tree Expert Co. 1. Wearing a seat belt in a company or leased vehicle while it is in motion. 2. Operating or allowing the operation of a company vehicle by an unqualified and/or unauthorized person. 3, 100% tie-in when manually climbing a tree or aloft in a bucket. 4. Violating the danger zone during tree felling, 5. Violating minimum separation (minimum approach distance) of any conductor (energized or not) with any part of your body or conductive object. N. Designed & implemented a unique approach to Safety Management and process evaluations — called the Safety Management Process (SMI'). (Apr 06) • The SMP is simply a tuaaagemoit tool flint provides clear direction for managing safety at ail levels of the organization! It is comprised of 10 Elements that describe lire most current "state-of-the-art" safety processes that tirake tip the basic components of a World Class Safely Organization! ■ Essentially, lire SMP is nothing new except for the way that "safety" is managed and incorporated into lite BIG PICTURE of everyday operations. Each Region is allowed (and encouraged) to make it their own by designing unigrie aspects cf each element as long as they ATLEAST comply with the titininitun expectations as mandated by the SMP. ■ Evaluations pet fornied by Corporate Safety Staff for each Region. • Evaluation reviews entire Safety Management Process (SMP). • Score is integrated into Reginual thtorker's Comp rates to errsrtre accountability. ATE Sa'eyPrograni outrne 2012-05-05 7 O. Developed and implemented the Work Zone Safety initiative that inClUded traiulu' 19, easy to understand hooklets and posters for each truck. (Apr 06) ■ Company -specific booklets and placards (posters) for each truck. ■ Tarin -the -Trainer training for safety staff and sclect other Regiofr employees. ■ State-specifrcbooklets & trahti big also provided. ■ Assistance provided by a third-partyfirm earned In Corn. Traffic Safety A.` PLU N P31 ...and Train -the -Trainer Programs P. Designed & initiated three mobile training vans with live -line demos and videos. (May OG) ■ 1D foot custom designed and built. 20 t cruployees at one t inre. ■ Qualified irrstrrrctors tlrrorrglrout theenlirecorrtatry. ATE Safety ?rortam Mina 20{2-05a 8 m� l- P. Designed & initiated three mobile training vans with live -line demos and videos. (May OG) ■ 1D foot custom designed and built. 20 t cruployees at one t inre. ■ Qualified irrstrrrctors tlrrorrglrout theenlirecorrtatry. ATE Safety ?rortam Mina 20{2-05a 8 Q. Instituted written job briefings and policies that are more comprehensive. (May 06) • Ivlrtst Ue rvlittert, Comprehensive policy mandates at least thefollorving ✓ Once itr the tnortrinsg; ✓ Once of ter a ma jor rest period (i.e. lrrrrch); ✓ When a si nt frcatit part of the job changes; and ✓ Before ench new job ■ Training includes the understandingof a job safety annii/SIS (ISA). R. Redesigned the training program for Iine clearance tree trimmers and implemented the bine Clearance Qualification Standard (LCQS). (Aug 2008) ■ Five (5) qualification levels—each with its 071)11 training rtraterials. ■ Provides improved direction for the Gencral Foreperson regardingadnalnistration. • Conrnuanicates clearer responsibility fur the foreperson -- the primary trainer. ■ Fosters ground -level ernployeeownerslrip. • Presents a step-by-step and methodical apprairch to teaching and learlrhk�. ■ Affords greater dist)-lbution of training material HIRING PRACTICES Effective June 1,210 12 eacli job applicant who receives an offer of employment cotnpletes an on- line cnlployment packet which includes,. • Eniployrnent Information Forin • Eniployrnent Eligibility Verification (1-9) • Conditional Employment Agreement • Pre -Employment Drug "fest. Acknowledge & Consent Farm • Request For Motor Vchicle Report • Direct Deposit Information Letter and Authorization Form • Authorization for Payroll DedUM1011 of Local Wage Taxes • Policy Sign-offFornis: ■ Anti Harassment ■ Workplace Violence ■ Private Work • Electronic Communications w Distracted Driving Plus "New Employee Safety Orientation Program" is completed (sec frainingSectionfor prograw outline). RTF. Safey Program QuVine 2012-05-0g 9 TRAINING PROCESS SUMMARY Field Management personnel implement the Company's safety and training programs while ensuring that Foreperson and Crewmentbcrs are properly trained in Company po[icics, the proper use of tools and equipment and proper work techniques. Our training program is very comprehensive and multi faceted in nature. The core program element is our Line Clearance Qualification Standard (LCQS) Training Program, which a][ employees must participate in. This prograiti consists of several training modules (called Critical Tasks), which cover numerous safety rules and work practices that address each employee's job assignment. The program is administered by Field Management including General Foreperson and forepersons svho are qualified experienced workers. Each employee must demonstrate proficiency in each category of job assigned responsibilities prior to becoming qualified at different levels in the LCQS. Other training processes include pre-employnient job screening, nese employee orientation process, on- the-job (OJT) training conducted by Forepersons and General Forepersons, participation in weekly safety tail gate meetings, participation in daily job briefings, and training in other areas such as first aid/CPR, Ilazard Communication Program rcquirenlents, Temporary Traffic Control, etc. EMPLOYEE SKILLS TRAINING PROGRAM The LCQS Training Program referenced above is directed specifically at developing employee's skills in Compliance N"vith t[te requirements of ©SHA regulations, company policies and work practices. The key requirement to becoming qualified is the employee's ability to demonstrate proficiency in tile skills necdcd to perform their job tasks before FINIAL Proficiencies evaluations are administered for each of the job classifications covered by the LCQS. Training publications are distributed on a weekly, bi-monthly and monthly basis. These publications are reviewed with each employee by the Foreperson as part of our OJT training process. This process is monitored by supervision to ensure to the greatest degree possible that training is uniform and consistent. General Forepersons make fi•equertt visits to crew work site locations for tite pill -poses of observing and appraising work in process, evaluating on-the-job training, routine inspection of tools and equipment and to insure that all employees are working in contpl]ance with Company policies and safe work practices. Daily tailgate meetings are required for every field employee and are conducted on the crew work site. The Company publishes, distributes to, and trains each employee in safe work practices and continually updates these practices based on Company experience, industry experience, incident analysis, OSHA and NIOSH publications and proposals. ATE Safety Program Oudine 201205-09 10 NEW Eib1PLOYEE SAFETY ORIENTATION PROGRAM OUTLINE • Pre -Employment Application • Job Description Signed by the Employee Driver's License Clieck (Photocopy for File) • Substance Abuse Policy • Drug Screen • OSHA Poster Review Region Policy Manual Review • Foreperson Training Responsibilities (LCQS Program, Weekly Safety Meetings, Flap Hazard Posters, Special BLIlletins, etc.) • Divisional/Corporate Safety Incentive Program * Line Clearance Qualification Standard (LCQS) Booklet I • Employee Handbook New Employee Safety Orientation (Video) Our Corporate Safety Policy describes the details of our safety program. There are a variety of � manuals and ober material used to administer the prograln such as; • Corporate Safety Policy • Line Clearance Qualification Standard (LCQS) Program • hicident Investigation Process • Job Behavior Observation Program General Forepeiwn Monthly Guide General Foreperson Monthly Training Guide • Hazard Conirnunication Program • Employee Handbook Equipment Manuals Weekly Safety Meeting Letters • Special lSafety Bulletins • Employment Application R Pre -Application • OSHA Poster Vehicle Loss Prevention Program • Safe Work Practice Performance Notices ATE Safety Program Oufto 2012-05-09 11 QUARTERLY ASSURANCE & PRODUCTION Crete Audits and Job Behavior Observations are conducted routinely and dOCUmented by the Gencral Forepersoirs, Regional Safety Superintendents, and our Corporate Safety Suliervisors to ensure that the are in compliance with Federal, State, Local, and Customer Contract requirements. On-site inspeetions as well as tailgate meetings are held to further emphasis Safety and OSHA compliance. Discipline procedures for failure to adhere to Company policy are strictly enforced, CHECKLISTS ❑ General Foreperson's Production Report ❑ File Documentation Audit Checklist ❑ Safety Audit Checklist ❑ Job Behavioral Observations ❑ Job Briefing ❑ Safety Hazards Checklist C3 Employee Safety Knowledge Checklist ❑ Egtiipmetlt Condition Checklist ❑ Vehicle Condition Checklist ❑ Lilt Truck Inspection Checklist ❑ Shop Inspection Checklist MontlilyTraining Checklist ❑ hicident investigation Forms REQUEST" FOR INFORMATION This document has been prepared by the Corporate Safety Department. Copies of all of the above referenced material will be provided for your review on request. Considering the scope of our program activities and the numerous documents that are part of the Program, we would be happy to review the uiformation in more detail with interested parties if necessary. ATE Sa1fe4y Program OuGirre 20 f2-05-09 17 1 0\./P\..rview & SN .m ma ry Line Clearance Qualification Standard We Clearance Qualificalion Standard Emgtbyee Name .......... ....... Line Clearance QualiftaMn Standard I. t EVO)w New (LCQS) Line Clearance ForelvrsonTrainine & Line Clawanca Qualification Standard Itmr.vlw ff3ffw i Buckel OrwrawrlTrimmer ........... .... Line Clearance Qualification Standard kmp;oyee Nam SIvehlized l"quipmelit Asplundh Tree Expert Co. March 2009 Page 2 of 9 Asplundh's Training Philosophy Classroom -based training is presented at one pace for everyone, regardless of what type of learner they are—and no matter how much experience they've had in the past. Asplundh's philosophy breaks from the traditional classroom -based training and has adapted a more direct, hands-on training methodology. This methodology is based on blending operational work practices with knowledge and safety while on the job. Our Company philosophy is driven on the basis that an individual's proficiency, both In skill and knowledge, is a better measure of success than time spent in class. Today, 90% of the Company's training occurs in the field at the work site while the employee Is on the job. Asplundh, along with its partners, has developed the Line Clearance Qualification Standard Program that is directed specifically at developing an employee's skills In compliance with Company policies and work practices, as well as OSHA rules and regulations. The key requirement to becoming qualified in any job class is the employee's ability to demonstrate proficiency in the skills needed to perform their job tasks. Common work practices are not acceptable when working in the field of vegetation management unless they have proven themselves to be the right work practice. Every work practice has been reviewed and analyzed and now incorporates "safety - first" practice(s) interwoven with the correct work practice(s) for a specific task, and together they create the Company's and our industry's best practices, all which are aligned to OSHA and (NIOSH regulations. Asplundli's training approach has measurable goals and proven results: - Substantially improving an employee's knowledge and skill - Dramatically increasing employee productivity - Sign€ficantly reducing the number of on-the-job injuries - Tangible saving, both in on-the-job Injury loss or productivity, as well as all associated costs Reduced amount of time off the job sitting in classroom -based training Significant reduction in employee turnover Improved employee job satisfaction Reduced need for constant direct employee supervision Rewards long-term employees - Aids in the recruiting process 6-1V46.4 OrMas 201641-15 Asplundh Tree Expert Co. Asplundh's Training Canvas March 2009 Page 3 of 9 Our training program is very comprehensive and multi -Faceted in nature. The core program element is our Line Clearance Qualification Standard (LCQS) Training Program, which all field employees must participate in. The LCQS Training Program is the backbone of the Company's rnployeaCsHlrad training program. The program is directed GroandparsonLCQS exclusively at developing (3 Months) an employee's skills in a specific job class. Those job classes include ClimberTrlrrmerTralnee Groundperson/Trainee, Leas Climber Trimmer Bucket (Bkwths) _ Bucket operator Pecs ze qupmen r (6 Months) operator LCQS 9 hlanths Operator, Specialized CimbarTftrner LCQ$ Equipment Operator, and Foreperson. The LCQS Training Program Foreperson LCQS(B Months) is a graduated training program based on an Foreperson' employee's anticipated career lifecycle in the field of vegetation management, The program incorporates Company policies and procedures, best safe work practices, as well as OSHA rules and regulations. Each job class training program consists of several training modules (called Criti& Tasks), which cover numerous safety rules and work practices that address each employee's job assignment. Each employee must demonstrate proficiency in each category of job assigned responsibilities prior to becoming qualified at different levels in the LCQS. FINAL Proficiencies evaluations are administered for each of the five (5) job classification covered by the LCQS. Other preliminary employment training assessment processes include pre --employment job screening and the new employee orientation process. Owrvke of LC452010-04-16 Asplundh Tree Expert Co. Additionally there are numerous other supported training activities not covered in the LCQS program, for example; on-the-job (OJT) training conducted by Forepersons and General Forepersons; mandatory participation in weekly safety tail gate meetings; mandatory participation in daily job briefings; safety bulletins; and training in areas such as first ald/CPR, Hazard Communication Program requirements, Temporary Traffic Control, as well as other targeted training campaigns delivered at both the regional and corporate level. Training Methods & Delivery Training is administered by Field Management including General Foreperson and Forepersons who are qualified experienced workers. Field Management personnel implement the Company's safety and training programs while ensuring that Forepersons and Crewmembers are properly trained in. Company policies and procedures, the proper use of tools and equipment and proper work techniques. The Company publishes, distributes to, and trains each employee in safe work practices and continually updates these practices based on Company experience, industry experience, incident analysis, OSHA and NIOSH publications and proposals. March 2009 Page 4 of 9 B•� hN•i,l.'. [Y:trf h.'othr'M7 SYiY rw r:r Ywdon4 Yat, RfYkahlcR V. lixKM'tl .Ya♦t.wlw rr... . rs ��ajYf lr l.4teM rM 3. 0.. MI 4'O R r 11A A r1 5.46111 It C r R l If lir -� IV[f11J,1 _Mrrv.t li if lrtll•� �� - -- hl I..frn 1110 W1baP )�R-.r 11.lM xu\PlamNbin.•. I. %M•ra Vr., 0.snwra.f.af.y... i..j..w PwV.fyll.+ ref Zl '=,"'Z,� . J+.rl'e.. ts+l tea!~ii•e-..•n T. w -.•'1+r � . �� I' 'I Y4.nai j.: n •4: 1y o... �,y Irv,.f r ay �•.w°.. naA. rgf�..Yr.J ulJA rN�}t�r• . /r. ..sera aN4l.xx.w�'. �. �� iS°'. f' a.<a.._r. w.... f...,.n..,t.l .r 4�Yn If.n.dr4sf.Wr Y..'+. r•a`M.4M'ry« r•1 n.wu M W... 1 \h....anty.n'+.!+. v. Je.l.f•,v.h.l • fr�..ka..--Kai n.,r ra•.+wir^NM+. h.kj �:�,• . Yuf..as•f.+fM /.. [IJ' �•N..w....�rl.•. �ur..WY.. yy.....lr.lap...n ..r Training publications are distributed on a weekly, bi-monthly and monthly basis. These publications are reviewed with each employee by the Foreperson as part of our OJT training process. This process is monitored by supervision to ensure - to the greatest degree possible - that training is uniform and consistent. Daily tailgate meetings are required for every field employee and are conducted on the crew work site. General Forepersons make frequent visits to crew work site locations for the purposes of observing and appraising work in process, evaluating on-the-job C,. e r Rw of 1Ca5 201M-16 Asplundh Tree Expert Co. March 2009 Page S of 9 training, routine inspection of tools and equipment and to insure that all employees are working in compliance with Company policies and safe work practices. The LCOS in More Detail ... The Line Clearance Qualification Standard has been prepared in five training booklets: Ground person/Trainee, Climber Trimmer, Bucket Operator, Specialized Equipment operator, and Foreperson. Each booklet contains the critical tasks and proficiencies that serve as a guide for both the trainer and trainee. Illustrations and graphics have been used throughout each LCQS booklet for a consistent approach to enhance the dissemination of information accurately, and with ease of comprehension. Visuals are also used to accommodate all learning styles, The graphics and illustrations interact with the text, making it clean and simple to understand, The use of illustrations and graphics is a 'training made visible' approach, The LCQS booklets make use of graphics and illustrations to display information in a means of visual explanations. Leer r .. -.11 ,nue Critical Task 3 Tralft n& D s i l e Ir9w. a r-[e}[e•�u.;nsfs++re u }s.y.9 f -hien +se+FS}; 4'a Y,• 0.<^.: osWT)ire fr rr aai� I.x4 wIi hrin rhe n.�9 fgCa+9rr(.M Ih. �. , . . � re�wrai.:•i5 el'frl�rdra {�yyYltrM11; W.a:l�y�a Cr++��:1 «f n,r•.vt d l� As+ {9'J x p uaekro rrcs!v!. VSAn r ww1, rtFrrF[.a• li o f �m r11{.tbky: IA'rdme k Y<4rk-1 h Ila n.:' -t4 SasY. ih: crrScrrliN++l n aaY[af h Ir.: fuErsatm'z qur el F6vrV+y c.;n emix')Y+•t K6h a ea:• fxe a) wxY, f+m r+ern sT Ise�riuN R[Tar49 b/ Nrng Mil,wiN r>r;l Yla;s.fn W6'... a} u.�a f f'H<:.Y• Iv'c�. ani rv; +lrt:os. 191AIR INa }LTE AEQnIAE 14EM,6 Ira EN,xtl:xi ltwYl:ae vlre gTwA ms`t6• 4 fsAc ai[Kt Sa etaT.f4k3 Cf 4]!G+)f ly'J4'ariN W W,7 ; 89 dlaysra) in 11'i n�slShc task 4:� l+ne Cle.)r an4tr Oaf 4116 i{iaa 511n larJ awru text secs 1 �1 iilii 1 `a IIt rj In314�a •yl149+1 [[•�•� r -v O,wm 1aW bl LGQS 2810-61.16 Asplundh Tree Expert Co, Training Proficiencies March 2009 Page 6 of 9 There are two different levels of proficiencies in each training booklet; OJTs zinc] FINAL, Lrs[ Cr ....... Sl+n'1.,1 It 6SOH ) 1-PROPLR IIfit" ICCHHIQUIS r ��, We.) 'ca' sv+r t":k a4)n(d n•w yr., In rn}.+"P:rfr[<rafr<lMIPA,antkv'••.)0r I > 3•3ytz +}(•q l r) �� � s,oil4 Fy fllnr•1R, 1I 0y- ky9 G]IP 71•Y_/Mrt) 6JIr.-r • 0[6.1[ pvJ [II .YgIPSr1, IK'%J ]A i ara a[l )c•.r-.:x, ass 110 a ak—. Co I r ,W w-Kirr.J $, I -lk ui� tn,[at LI es yf:9 Int [P •a+1915r[m WL_-Sa 1 } y i -t g pf ss CI 1 Y rg F4-l� Jt l 4..• i E \P 1[tpr Ifa La anin)rJ kr to, fr"[=r:0 as I.v[fbj F ""'J I asl a to m+tc, lar 1.?aP • it ll • krni h m.n•)nrt+c• [rr...s IPo arrjx trts.w 1� q l y' rrrr{{ !] speel :11 Be' +.j ltr�lnlf.ti,+a�. W'C_H.rn W. 1.+ 1C Irl wd, and yf.r T,,'+r d.rk frM Fjry. [Yg7 ••, •�r. ala.. i.�....r r.ar r Ornd Yevr Knee, rrt j-a,ln![I. 0,16 t.'qs .{rl7' •� �}A'y 19[ yQ yo,l«p lve+ CM0(4 OU'.i d -d w9141 i •fir , :R IP.+ft.[I+j n-,rRs.'4h n++1 s.)[ba lr<se:n1 4 .LrY, :: y p, •�; f•(t // `1 r.y • me L wd. by ru Pasl 1!c ojkm 1nU ,.. r'•.)e;de45 yvw bafY a4 Pnslh, �-.•x jf� ,...,. •I I': �� etw,e};a9radwltP .•�: iw. •--".[a65v,P ky619851.f[[i n1 (.Y.IU•Y M7 iY,'� ■•'60)-r;, V, I.M.)Gsnt,rrs.sl y,.,r iprg a:,J j:.,! ro Rv e"* I^; ". 1,14M,Yw yw1 ko, )na•s ant ksra yra P',rt tl n trd 1%ME-1—•111 111LJel irf 1•1 r+-; r',;+. i• 1[( 4:r•S'S[If IrC9I A`) ti'.1n 1 6'-':-.'-o_-' A4' 7% o OJT Proficiency Activities l e-alru. l'.1 Llra•+,.If O...I,e,r +,i�,� 39rna •,d . mYn lr�.laUnjla trmlr•I[h h'P%rlv.I V": "ll 0 tic 1['(•5 f Is WQ hnik VA- t; $1 V If NI, d L Fr:tl W Y{y.+:� [6 4AYj•� `+•1 n•.Sar C.rl [..j+1:! SfX I.r;.[ mzt..1 { d trSicd•'r,1 9'S%a %-1 •[4 11L54'14HAI[N Plyd tot yIL.4YY•SGfV.Y,s;}I%,Sar d 4T�L^lallV LLI/}A!eal(p}.; F•,yf ¢y n•.p [<dv[rrbAltin;[.n+a r V1..1 T9 r.*Apa,.l[— Note,, Proficiency Is defined as a thorough competence derived from training and practice. Depending on the activity, the trainee shall be able to describe or demonstrate they know and understand the task. • On -the -Join (0)T) Proficiency Activities are designed to provide a step-by-step approach to what the Foreperson is required to teach and what the trainee is required to know. ■ The Individual lessons of each critical task have the OJT Proficiency sign -off blocks located directly within the lesson, ■ A critical task Is defined as a work activity that requires a specific skill or knowledge in order for an employee to be proficient for a particular job class. The critical tasks are the job activities that have shown, If not ,performed correctly, are the main reason for Injuries In our industry. • As the lessons of each critical task are being covered with the trainee and he or she demonstrates they are proficient In the material covered, the Foreperson must initial and date each specific OJT Proficiency Activity within the lesson, Sample,, 1. 9114109 O.•o4{ewof LCOS 410-6L-18 Slrg4 aewknr .uUS I[wr ands PI:.[,rt •, It ��, LS.V TIrna Uv.)k L¢raf [[{ V4r ��<J lr til [++:W .1 INI L-.11 a]P rll�VIA, a.J[f "r4 v alY lf�• al.r L..j L.c is rrYc 4[y[ ?N Innl .. M l d ar&-J .� $, I -lk ui� tn,[at LI es yf:9 Int [P •a+1915r[m WL_-Sa 1 -' h [[tuo1 t'J uar,) Irr rxm<r ! r on. A Al -I — '14r rr•tarrr. rr rf l.[,•++-ar •.•...-f•a+�r[r.v-.j:. [Yg7 ••, •�r. ala.. i.�....r r.ar wf.•s .n,....a,yrr r iL C r0 r,•.0 NY.rlr Mt -`C Jr, rt�rf (�r[t-ary)/le)rt+J •wl s++ -a r,. e�•vtrer�tsfrnFlf[er Yr[o[ri Nrfti lwi,++ . mYn lr�.laUnjla trmlr•I[h h'P%rlv.I V": "ll 0 tic 1['(•5 f Is WQ hnik VA- t; $1 V If NI, d L Fr:tl W Y{y.+:� [6 4AYj•� `+•1 n•.Sar C.rl [..j+1:! SfX I.r;.[ mzt..1 { d trSicd•'r,1 9'S%a %-1 •[4 11L54'14HAI[N Plyd tot yIL.4YY•SGfV.Y,s;}I%,Sar d 4T�L^lallV LLI/}A!eal(p}.; F•,yf ¢y n•.p [<dv[rrbAltin;[.n+a r V1..1 T9 r.*Apa,.l[— Note,, Proficiency Is defined as a thorough competence derived from training and practice. Depending on the activity, the trainee shall be able to describe or demonstrate they know and understand the task. • On -the -Join (0)T) Proficiency Activities are designed to provide a step-by-step approach to what the Foreperson is required to teach and what the trainee is required to know. ■ The Individual lessons of each critical task have the OJT Proficiency sign -off blocks located directly within the lesson, ■ A critical task Is defined as a work activity that requires a specific skill or knowledge in order for an employee to be proficient for a particular job class. The critical tasks are the job activities that have shown, If not ,performed correctly, are the main reason for Injuries In our industry. • As the lessons of each critical task are being covered with the trainee and he or she demonstrates they are proficient In the material covered, the Foreperson must initial and date each specific OJT Proficiency Activity within the lesson, Sample,, 1. 9114109 O.•o4{ewof LCOS 410-6L-18 Asplundh Tree Expert Co, March 2009 Pape 7 of 9 ■ Critical Task OJT Proficiencies shall remain in the Training Booklet and are not required to be signed off by the GF, but shall be reviewed prior to FINAL Qualification, ■ Forepersons are responsible for the training of all new employees. It is understood however, other qualified employees of a crew may instruct someone of lesser qualifications. • Once a training program lesson Is completed and the employee has demonstrated they are proficient In the job requirements, the GF may review and sign off on a corresponding "spot-check" proficiency on the Final Proficiency. • Employees with previous experience as fine clearance workers shall follow the guidelines described In Appendix A. Ova view a! LCOS 2010-47-15 Asplundh Tree Expert Co. [7 Skills Training for OJTs (4 -Step Method) The Foreperson utilizes Lne basic 4 -step training method in all Critical Tasks. Step 1 - Tell • Get specific. What is the Critical Task to be learned, why It Is Important and what are the hazards? Tell your trainees what you are going to teach, where it fits into the total job and the steps and key points involved to do each task correctly and safely. • Review the task description and diagrams in the lessons of the Critical Task. • If Safety Bulletins exist for the subject being instructed, have the trainees read them. Step 2 - Show ■ This is where you show the trainee how to do the particular critical task. Position the trainee where they can observe from the same angle as you. • Go slowly, and give the person plenty of time to ask questions. • 'Explain why things are done in a certain manner, and stress the key points and the safe work practices, Make sure you repeat your demonstrations until you feel confident that each step is clearly understood by the trainee. Step 3 - Try Out ■ This is hands-on practice, ■ The trainee must "instruct" you (the trainer) on how to do the job. The trainee should instruct you on what to do and they should talk you through the actual job performance. If the trainee's instructions are complete and correct, then they should be allowed to perform the work while you continue to observe and question them. ■ Mistakes must be corrected immediately. Do not give poor techniques a chance to become a habit. Be patient and encouraging. Ste 4 - Check and Follow U • Once the trainee has demonstrated their job knowledge and skills are sufficient, allow the trainee to work on their own. Check the actual methods frequently enough to ensure continued safe, high duality and high production work. March 2009 Page 8 of 9 Q-: eniew o! LCQS 201"1-16 Aspiundh Tree Expert Co, ❑ FINAL Proficiencies t Ino Gla arantr 0. 1111.1 Alf en Sun d.t4 cv. y.•efy r.r a*�.•t.y+uta.,,VI- q Ca; art Appendix 8 Groundperson FINAL Proficiency CdVcal_'C>ilt d - Vcctr(cal Idarard Awareness C^"; r,s C•P,j"N ra 111414 W4 1:1.1 fn.4arld—rM 04:a1 fail. r! -4--L ham'+,rtY tia'r to Vs j0,a 'Ko ct V"IA'M0 a:t. tat Va; C,:dt ti trf:—a7•+1`a r, t:a'.tJ Itavw 0 ra,V—;,t t-01 pry t I:a'c=f'<1r. At LY, L\..•r+,3"..'la"1tH tgr"IcYt, a 0, Sy;,"lr. H0.s$. Spot Chem Selected CAUU1 U0, Topa Ve,if.Uuon (Date) n t.rf-, h:w.;-w-,—ICa-rtasa dr.e:, q ara c:cur. ! 'I 4 w a� e,s-f'a Cf caw.zo.a tt1t1. 7 P.wc•z-,ani ¢,. OW Ctelat. ! 7 Onx,-tv atil 2..4 ala..-rea to t l a til) N S -d r. K.e-R i.a nti—I-F . .{. rN�x3•y to c::�r-t.�`-e+ Y It, I 'Ire pnr rralt•i �. of 1 ,Hrd;'A84 a+iy i?.: 1 n: [ b:a d f a a.. ed Har37wrvflS. ra e, Pr-uq. ,. VgOttrct0-1S;xr7='v,l .'q ra/ w..'[9tt d M e ..'.saen •s,l t!aa(�ry7Fr7 AWET; 1:)ee Nara a•�?'il (�.'a AW Fo:i'�+•+w lit^o ,GFr�I D.'. NO Crt Fvefino N) a 6y'.Yre Gi'a Cepkw -. rWIQYC'1 h5e March 2009 Ptrge 9 of 9 Each Final Proficiv-11C.1- thaw obsenved by 1116 record becomes i .1.. ,,j. �+, +� q"iU of 3d EE r and denions-trates 11 'C 1111H'c�.nce. ■ FINAL Proficiency Forms are located In each booklet as Appendix B. They have been designed to serve as the final verification that an employee Is fully qualified to perform a particular critical task. ■ FINAL Proficiency Forms shall be reviewed and Initialed. The forms should be reviewed by the assigned GF of the qualifying employee; however, it Is acceptable for any GF, Supervisor, Regional Safety Superintendent (RSS), Training Supervisor, or Corporate Safety Supervisor (CSS) to sign off Final Proficiency Forms. ■ The management employee administering the Final Proficiency shall 1. Personally review and confirm that each OTT Proficiency Activity has been completed for the Critical Task being qualified. 2. Perform the "spot check" proficiencles Included on the FINAL Proficiency Form that pertain to the employee's level of completed training (i,e. Groundperson, Climber Trimmer, etc.) ■ The GF does rot need to confirm "spot check" proficiencies all at once (in one setting). The individual "spot check" proficiencles may be signed off one at a time as the OJT Proficiency Activity has been confirmed completed for the Critical Task being qualified. Completed and signed FINAL Proficiency Forms shall be removed from the LCQS Booklet and placed in the employee's regional personnel file. Orervawof tCgi 703041.16 Substance Abuse Policy Effective Cate: 1011/20,10 Overview The Company ("Employer") is committed to maintaining a safe, productive work environment at all Company facilities and work sites, and to safeguarding Company property. We recognize that our employees are our most valuable resource and in an effort to maintain their health, safety and welfare, the following statement of policy is established. The use of drugs can undermine employee performance and morale. For these reasons the Company has implemented the following Substance Abuse Policy. Additionally, the Company is required to enforce compliance with Department of Transportation (OCT) and Federal Motor Carrier Safety Administration (FMCSA) Regulations regarding both drugs and alcohol, the Drug -t=ree Workplace Act of 1988 as amended, various other applicable Federal and State laws, and the Company's customers' drug and alcohol free workplace requirements. If at any time these regulations, laws, or requirements change, such changes shall become a part of this Policy without amendment and shall become effective as required, except to the extent that such change or amendment is a mandatory subject of bargaining under any applicable Bargaining Agreement. This Pclicy applies to all employees of the Company on the job as well as to situations where an employee's off -the -job conduct impairs work performance, employee safety, safety of the public, Company or customer equipment, or harms the reputation of the Company or its customers, The Company has no intention of intruding into the private lives of its employees. The Company does, however, recognize that involvement with illegal drugs and/or alcohol off the job eventually takes its toll on job performance and job safety. The concern and purpose of this Policy is to identify those people with chemical dependencies, and to assure that employees report to work in condition to perform their duties safely and efficiently in the interest of their fellow workers, their families, customers, and the general public, as well as themselves. The Company will not tolerate or condone substance abuse. it is the policy of the Company that employees who engage in the sale, use, possession, or transfer of illegal drugs or controlled substances, or who offer to buy or sell such substances, or who possess, use, or are under the influence of alcohol during working hours, or who abuse prescribed or over-the-counter drugs, wil[ be subject to disciplinary action up to and including termination. Employees undergoing prescribed medical treatment with a controlled substance shall report this treatment to the Company for determination of fitness for duty. Any illegal substances will be turned over to the appropriate law enforcement agency and may result in criminal prosecution. Off -the -job illegal drug use, which could adversely affect an employee's job performance and safety, the safety of a fellow employee, the public, or Company or customer equipment is subject to disciplinary action up to and including termination of employment. Employees who are arrested for off -the -job drug activity will be considered in violation of this Policy. In determining the appropriate disciplinary action, consideration will be given to the nature of the charges, the employee's work record, and whatever other factors may be relevant to the impact of the employee's arrest upon the conduct of Company business. The Company expects and requires all employees to report to work at all times free of drugs and alcohol and free from effects thereof; to participate in and support Company sponsored drug and alcohol education programs; to seek and accept assistance for drug abuse and alcohol related problems before Substance Abuse Policy 10/112010 1 job performance is affected; and to support Company efforts to eliminate drug and alcohol abuse among employees where it is found to exist. Drug Testing Program In accordance with and subject to the requirements of this Policy, those contained in DOT Regulations, those stipulated by customers and State or Federal law, the Company has established a testing program for illegal drugs and controlled substances for all employees. Testing shall include pre- employment, reasonable cause, post -accident, random selection, return -to -work, and follow-up. Positive results on, or failure to consent to, a drug test will result in suspension or discharge. Alcohol testing under DOT or State Regulations will be administered only to holders of commercial driver's licenses subject to State or Federal law, Customer requirements, or employees required to have Non -DOT alcohol tests in accordance with SAP follow up treatment requirements. All employees, however, are subject to Company Policy prohibiting the possession, use or consumption of alcohol as set forth in Company Policy Manuals. Any employee who has a drug or alcohol problem is encouraged to get professional help before the Company identifies the problem. If a customer requires the Company to have a stricter substance abuse policy than provided here, then those portions of the customer's policy will govern including requirements for alcohol testing. If the customer's requirements are less strict, this Policy shall govern. The Policy covers all applicants, employees, and management working for the Company, its subsidiaries and affiliates, unless covered by a separate policy. Various Regions of the Company may adopt variations of this Policy, so long as such variations are not less restrictive and satisfy DOT and FMCSA Regulations. To the extent that a particular State restricts the rights of an employer to implement an employee drug testing program, employees of the Company's operations within that State shall be subject to a modified version of this Policy that complies with State law. Self Identification Although this drug testing Policy covers situations in which the Employer may test employees, one purpose of this Policy is to identify and refer to rehabilitative services those people with chemical dependencies. To that end, the Company encourages persons who feel they may have a problem with drug or alcohol dependency not to wait until they are identified through a test, Once a person is selected or subject for a drug test under the terms of this Policy, said person is not eligible for the self -identification provisions of this Policy. Employees who voluntarily seek help through an Employer approved rehabilitative program will not be penalized by the Employer for the first incident of self identification. The services provided will be paid for by the employee's medical coverage, if provided, to the extent applicable. The Employer agrees that should an employee be required to be out of work because of voluntary participation in a rehabilitative program, the Employer will allow that person time off for that purpose and will provide employment to the employee upon satisfactory proof of successful completion of that program. Any lime missed by a self -identifying employee due to participation in a rehabilitation programs will not be used against the employee for disciplinary reason, provided that upon release from the program and return to work, the employee shall be subject to the provisions of Section 4(3)(g) of this Policy, as well as all other provisions hereof_ An employee shall not be permitted to take advantage of the self identification option more than once. This Policy does not supersede the Company's prohibition against the possession, use or consumption of alcohol as set forth in Company Policy Manuals. Substance Abuse Policy 10/1/2010 Service Agent The Corporate Office address of the Laboratory currently responsible for analyzing all specimens is as follows: Clinical Reference Laboratory 8433 Quivira Lenexa, KS 66215 888-716-0006 In the event that this company does not have a laboratory patient service center to service certain areas of the Region, eScreen, Inc., who provides the Company"s Medical Review Officer services, will provide an alternate collection facility. The Company reserves the right to change any laboratory, Medical Review Officer, collection facility or other service provider at any time. A Medical Review Officer (MRO) will review all drug results before they are reported to the Designated Employer Representatives. The MRO will receive all test results from Clinical Reference Laboratory. The MRO will Interpret the results and notify the employee of any positive results. The MRO will then provide the employee the opportunity to discuss the results, verify the results and review any medical history, including any appropriate medical records provided by the person tested. This review and interpretation are to determine if there is an alternate medical explanation for the confirmed positive test result. The MRO w"ll then verify that the laboratory report and assessment are correct, and notify the Designated Employer Representative of the pass/fall results. Based on a review of laboratory inspection reports, quality assurance and quality control data, and other drug test results, the MRO may conclude that a particular specimen is invalid for testing. Upon reaching such a conclusion, the MRO will cancel the test and determine whether there is a medical explanation for the specimen's invalidity. If no explanation is found, the MRO will order that the individual be tested again using direct observation collection procedures. If an employee's test is verified as positive, the MRO will accept the employee's request for a retest at the original laboratory or at a second certified laboratory for a period of sixty (60) days following the employee's receipt of the verified test results from the MRO. An employee who is tested pursuant to DOT or FMCSA Regulations and whose test is verified as positive, adulterated or substituted is entitled to have the split specimen tested if the request for such testing is received by the MRO within seventy-two (72) hours of the employee's receipt of the verified test results. Employees will be responsible for the cost of the split specimen testing if the original result is reconfirmed. The MRO will approve all retest results to be sent to Substance Abuse and Mental Health Service Administration (SAMHSA) certified laboratories at the employee's expense (employee will be reimbursed if the retest is negative) and notify the laboratory in writing to maintain verified positive urine in secured frozen storage for more than 366 days, if required for a court case or for some other reason. The MRO shall also conduct additional examinations, interviews and/or counseling, as necessary, to ascertain whether a situation constitutes covered personnel's failure to be fit for duty. The MRO shall participate in and provide all information necessary to the individual(s) reviewing and resolving appeals by employees. Because it is possible that some analytes may deteriorate during storage the results of a retest are to be reported as confirmation of the original test results if the detected level of the drug are: a) below the DOT established limit; and/or b) equal to or greater than the sensitivity of the test, The current company responsible for providing the Medical Review Officer services is: Substance Abuse Policy 1011!2010 3 eScreen, Inc. eScreen, Inc. 7500 W. 110th St. Ste. 500 PO Box 25802 Overland Park, KS 66210 Overland Park, KS Phone: 800-881-0722 (Mailing) (Physical) MRO - Dr. Stephen Kracht PO Box 25903 66225 Overland Park, KS 66225 Phone: 888-382-2281 SECTION 1: ON-THE-JOB USE, POSSESSION, SALE OR DISTRIBUTION The use, possession, sale or distribution of controlled substances on Company premises or on any Company work site is prohibited. Any employee found in violation of the above stated Policy is subject to discharge. The term 'Work site" includes; — Company vehicles, and private vehicles on Company premises. — Parking lots and recreation areas where Company vehicles are used, maintained cr parked. — For employees traveling on Company business, any room or lodging accommodation. Depending on the circumstances, ether action, including notification of appropriate law enforcement agencies, may be taken with respect to an employee violating this Policy. SECTION 2: APPLICANT DRUG TESTING The presence of illicit or prohibited drugs measured by urinalysis testing or saliva testing at the time of application is cause for rejection. Applicants, upon request, will be given a list of drugs for which they are tested. All applicants for employment shall undergo a pre-employment drug screening (by point -of -collection field test or laboratory test, at the option of the Company) after having been advised of the necessity for screening as a prerequisite for employment. In the event an applicant commences work prior to testing, a subsequent positive drug test shall result in immediate termination of the applicant's conditional, probationary employment. Such testing shalt/ be done within twenty-one (21) days of commencing work. Until such test is completed, the employee shall ren4r in the status of an "applicant" for purposes of the administration of this Policy. All applicants shall sign a copy of the attached Consent Form prior to testing, Refusal to sign said Consent Form shall be treated as an incomplete employment application and the individual shall be ineligible for employment. Testing shall be done for the substances set forth in Section 4(A)3(b), in the event an applicant (including an employee tested during the probationary period) tests positive, he or she may request a GC/MS confirmatory test be done at his or her own expense. In the event the positive result is confirmed by the MRO, or in the event a confirmation of the positive result is not requested by the applicant, the applicant shalt be ineligible for employment and must provide a certificate demonstrating completion of a rehabilitation program acceptable to the Company prior to being eligible to reapply. In the event the applicant is reemployed, he or she shall be placed on probation for a minimum of twelve (12) months. during this probationary period, the individual shall be subject to follow-up drug tests, which may be administered without prior notice. A second positive test will permanently disqualify the individual from employment with the Company. Substance Abuse Policy 101 WO 10 Any applicant that had a prior positive with the Company, a Subsidiary or Affiliate regardless of time frame or prior employment history, Including a rehire following the positive drug test, will be required to provide SAP completion documents unless prevented by collective bargaining agreement. In the event the applicant is reemployed, he or she shall be placed on probation for a minimum of twelve (12) months. During this probationary period, the Individual shall be subject to follow-up drug tests, which may be administered without prior notice. SECTION 3: EMPLOYEE IMPAIRMENT AND DRUG USE Employees are prohibited from being at work while under the influence of or impaired by alcohol, drugs or controlied substances. For the purposes of this Policy, the term "under the influence" is defined as having alcohol or drugs in one's system as detected by an alcohol or drug test. Any employee violating this prohibition will be subject to disciplinary action including discharge. An employee who is taking a controlled substance or other medication, whether physician prescribed or purchased over the counter, which is labeled as possibly affecting judgment, coordination, or other skills essential to the safe and productive performance of work, must notify his/her supervisor prior to starting work. Management, in consultation with appropriate medical personnel, will then determine the employee's fitness for duty and decide whether the employee can continue to work or if work restrictions should be imposed. The procedures to follow if a co-worker is observed using, possessing, or Is under the influence of drugs on the job, or observed as being under the influence, possessing or consuming alcohol while on the job are: 1. Report the incident as soon as possible to the Foreperson, or General Foreperson/Supervisor, or Region Manager, Department Head or Director of Personnel at the Home Cffice (1-800-248- 8733). 2. When reporting the incident, have available the co-worker's name and observed behavior, the date, the time, and other relevant information. An investigation into the incident will immediately proceed. 3. Failure to communicate the incident in a timely manner, or "turning your head," or protecting a violator may be cause for disciplinary action up to and including termination to the extent provided in the Company's disciplinary programs or contained in any bargaining agreement. Maliciously, jokingly or knowingly falsifying a report will be cause for disciplinary action up to and including termination. 4. Your report will be taken confidentially. You may be asked to furnish a statement of your account of the incident for verification. SECTION 4: IMPLEMENTATION CRITERIA FOR EMPLOYEES A. Conditions for TesUnq and Methodology 1. Testing of currently employed individuals will occur in the following circumstances (in addition to all DOT mandated circumstances): a. An employee will be tested if he or she reports to work and there is reasonable cause to 5ubstanceAbusePolicy 10/1/2010 believe the employee is under the influence or impaired by controlled substances. "Reasonable cause" is a belief based on objective and articulable facts sufficient to lead a prudent superviscr to suspect that the person is using drugs. All such incidents shall be reduced to writing prior to the actual testing of the person in question (refer to procedures as defined in Section 5). Employees involved in OSHA recordable on-the-job accidents will be tested (unless it can be readily determined by the investigating authority that the accident was not contributed to by the fault of the employee). The employee will be tested within the first eight (8) hours for alcohol if it is a DOT accident but not later than thirty-two (32) hours for drugs after a confirmed accident, or a drug test will be completed within thirty-two (32) hours after the employee reports an accident. For purposes of this section, "involved" shall mean the injured party or any other employee present at the scene who, in the opinion of the investigating authority, could have prevented or had the responsibility for preventing the accident. c. The Company may require a drug test of any employee involved in, or associated with, an accident, or serious near -miss, which results in the damage, theft, or injury to Company equipment, vehicles, materials, private property, customer property, other Company personnel, or non -Company individuals f=inal determination to test an employee shall be made by a management official as part of a post -accident investigation. The employee will be tested within the first 8 hours for alcohol it if is a DOT accident and not later than 32 hours for a drug test after a confirmed accident, or a drug test will be completed within 32 hours after the employee reports an accident. d. When an employee or person is found in possession of suspected illicit or unauthorized drugs, alcohol or prohibited paraphernalia, or when any of these items are found in an area controlled or used exclusively by said person, a test will be administered. e. Employees of a Region or Subsidiary of the Company will be subject to random drug tests if the Management of said Region or Subsidiary has elected to implement a random testing program pursuant to Section 7 of this Policy. Non -DOT random alcohol testing may be conducted if required by Customer contract. Under a random selection process, including random drug and alcohol tests administered during the probationary period following a Substance Abuse Professional (SAP) referral, a selected employee will be transported by his or her General Foreperson/Supervisor or other field or Home Office management personnel immediately to a collection site. In this context, 'immediately" means that all the employee's actions, after notification, lead to the expeditious submission of the urine specimen. Switching, tampering with or adulterating any specimen or sample collected under the Company's policy for the purpose of testing for drugs or alcohol, or attempting to do so, or assisting another in an attempt to do so, is prohibited, Any such effort shall result in disciplinary action up to and including discharge. h. Any employee who has been separated from active service for a period of 30 clays or longer due to a Layoff and is recalled will be subject to a Pre-employment test. 2. The cost for initial testing and confirmatory testing (if required) will be covered by the Company. In the event an employee is required to remain out of work while awaiting test results and/or pursuant to a non -disciplinary suspension under this Policy, he will be compensated by the Substance Abuse Policy 10/112.010 t) Company only In the event that either the initial or confirmatory test is negative. Nothing herein shall prevent the immediate discipline or termination of any employee found in possession of drugs in accordance with Company Disciplinary Policy. Employees who test positive on an initial test and who test positive on an additional GC/MS confirmatory test, the results of which have been verified by an MRO, will be suspended or discharged and issues resolved as follows: a. Other than the employee and the MRO, only Designated Employer Representatives will know the results of the test. Those Designated Employer Representatives are the employee's Supervisor, Region Manager, the Director of Field or Dome Office Personnel or their designees. b. The following is a list of stipulated minimum levels of intoxicants that the Company may test for, including the metabolites for the initial test and confirmatory test, subject to automatic amendment in the event Stale or Federal law requires otherwise from time to time: Substance Initial Confirmatory Test Level Test Level ng/rnl' nglml' a Marijuana metabolite 50 nglml 15 ng/ml b Cocaine metabolite 150 nglml 900 ng/ml c Opiates and/or Codeine, 2000 nefml 2000 ng/ml and/or morphine d Phencyclidine (PCP) 25 nglml 25 nglml and/or metaboies e Amphetamine and/or 500 ng/ml 250 ng/ml Methamphetamine f 6-Acetylmorphine 10 nglml 10 ng/ml `Nanograrnslrndliliter Non -DOT Alcohol tests that test above .02 but not above .039 will result in a 24 hour suspension as long as the employee is able to test below .02 after 24 hours. A result above .039 will constitute a positive result and the employee will be immediately suspended, if the positive test is a second violation of the substance abuse policy the employee will be discharge. An employee that tests positive for Alcohol and does not have a prior positive drug test, alcohol test, or a violation of the substance abuse policy will be required to complete an approved SAP treatment to be eligible for rehire, c. If the initial positive drug test is not confirmed as positive, the results will be forwarded to the Company by the MRO and no action will be taken against the employee. The confirmatory test will automatically be performed by the laboratory. d. If the initial drug screening is positive and the confirmatory test is positive, the results will be forwarded to the MRO. The MRO will interpret the confirmed positive laboratory test result and review the result with the employee to determine if there is any alternative medical explanation for the confirmed positive laboratory test result. The employee will be given the opportunity to offer an explanation. In the absence of an acceptable explanation, the Substance Abuse Policy 1011/2010 � employee will be removed from work. It is an the Company's policy that a person who is tested positive on a drug test be placed on Immediate non -disciplinary suspension or discharged. Employees who have a confirmed positive drug screen may have the original sample tested by a Substance Abuse and Mental Health Service Administration (SAMFISA) certified laboratory of their choice, at their own expense. This re -test must be requested in writing to the Company's MRO within sixty (60) days of the employee's receipt of the final test result from the MRO. Because it is possible that some analytes may deteriorate during storage, the results of a retest are to be reported as confirmation of the original test results if the detected level of the drug is: a) below the DOT established limit; and b) equal to or greater than the sensitivity of the test. An employee whose positive test results are verified by the MRO must contact the Director of Personnel or his/her designee immediately to discuss the test results. Appropriate action to be taken as a result of the positive drug test will be left up to the judgment of the Company's Management, Should the employee be referred to an SAP, the employee must contact the SAP within 72 hours of said referral to commence treatment. Failure to report to the SAP within 72 hours shall result in the immediate termination of the employee and his or her becoming ineligible for rehire by the Company or any of its subsidiaries. After release for return to work by the MRO, suspended employees will be required to undergo a drug test at the expense of the Employer prior to reinstatement and the results of said test must be negative. Following return to work, the employee will be put on probation for a minimum of twelve (12) months. During this probationary period the employee will be subject to fellow -up drug tests as prescribed by the SAP, which may be administered without prior notice. The cost associated with 'follow-up' care vAl be the responsibility of the employee. Employees placed on probation for violation of this Substance Abuso Policy or who have had a prior positive test during any period of prior employment with the Company, its Subsidiaries or Affiliates, who test positive in any type of future drug test or are otherwise deemed to have tested positive pursuant to the terms of this Policy, will be terminated, and will be permanently disqualified from future employment. h. The samples will be collected only by trained technicians or other trained personnel in or at an appropriate facility. Chain of custody and other safeguards will be employed. Both the Company and the testing laboratory will employ the use of blind samples to ensure continued accuracy of the testing facility. i. in the event the employee Is unable to produce an adequate specimen for testing, up to 40 ounces of fluid may be given at the collection site to stimulate the ability to produce a specimen. If after a three (3) hour period, the employee is still unable to produce a specimen, the collecting facility shall notify the employer and refer the employee for immediate medical evaluation. If the medical evaluation does not identify a reason for the Inability to produce a sample, it will be considered a refusal to provide a sample. j. If an employee is observed attempting to substitute, or adulterate (adding water to the specimen bottle, for example), the urine sample, his or her employment will be terminated immediately. The detection of any adulterating substance in any sample small also result in immediate termination. k. Searches for illegal drugs and/or alcohol on Company property or job sites can be conducted at any time without notice. Company property includes vehicles, toolboxes, desks, etc., which are owned by the Company and used by the employees. Employees' personal property and vehicles are also subject to search while on Company property. I. The Company will take reasonable precautions to ensure the even-handed application of this Policy. Substincc Abuse Vdicy I0/12010 m. The Company is committed to securing a safe, drug-free Workplace with the greatest commitment to safety. SECTION 5: MANAGEMENT PROCEDURES AND IMPLEMENTATION OF SUBSTANCE ABUSE POLICY All employees will receive and be required to sign an acknowledgement of receipt of a copy of the Policy. Where there fs reasonable suspicion to believe that an employee is impaired, the employee should not be allowed to continue work. If the employee is suspected of being under the influence of alcohol, drugs or controlled substances, steps should be taken to ensure that he or she does not drive a motor vehicle. Supervfsors Wil complete the 80 -minute Reasonable Suspicion Training on the specific, contemporaneous physical, behavioral and performance indicators of probable drug use and refer to the Director of Personnel or his designee any decision whether to conduct a urinalysis drug test or an alcohol test (DOT only). Drug tests, with the exception of Non -DOT Pre-employment field testing, will be conducted by a qualified collection facility, and proper chain of custody procedures will be observed for samples. Any field testing that results in a Non -Negative must be verified through the approved Laboratory. If the employee refuses to take a requested test or refuses to cooperate with the administration of the drug test, the employee will be advised that the failure to cooperate with the drug test will be handled as a positive test result and the employee shall be deemed to have voluntarily quit his employment, but in this case only, shall he receive his earned entitlements (vacation pay). As indicated in this Policy, any Federal Department of Transportation or State Department of Transportation requirements for both drug andlor alcohol testing will be accomplished in accordance with those Federal or State requirements and shall be in addition to any requirements of this 'Polley. SECTION G; CONSENT FORMS No testing shall be performed without the written consent of the employee being on file. The attached consent forms have been approved for use. Employees who refuse to sign the attached consent forms shall be treated as if they had received a positive test result in accordance with the above positive test procedure. No consent forms are required for DOT mandated tests. SECTIDN %, RANDOm TESTING Random alcohol and drug testing of certain employees is required pursuant to DOT and F'MCSA Regulations and State law. In addition, employees may be subject to random alcohol and drug tests if an owner, developer or customer requires the Employer to perform such tests as a condition of bidding or performing work for that owner, developer or customer. The Management of a Region, Subsidiary or Affiliate of the Company may elect to implement a random drug testing program that covers all employees who are not already randomly tested pursuant to DOT and FMCSA Regulations or an agreement between the Company and an owner, developer or Substance Abuse Policy 10/l/2010 9 customer. Random testing programs implemented at the discretion of Management shall be governed by and comply with the procedures set forth in Section 4 of this Policy. Subject to the above, selection for random testing shall be no more than four (4) times a year as provided herein or as stipulated in Section 4, Item 3(g) of the Substance Abuse Policy. Pursuant to the regulations of the U.S. Department of Transportation, Title 49 CFR, the Company has implemented the required procedures for random and post -accident testing, defined in the Federal Motor Carrier Safety Regulations Fart 382, that are in effect as of the date of this Policy. If at anytime these regulations change, such changes shall become a part of this Policy without amendment and shall become effective as required. A complete set of the DOT drug testing regulations, Including changes, shall be a part of this Policy as if incorporated herein. SECTIO] 8, CONFIDENTIALITY Information regarding an individual's drug testing or rehabilitation may be released only upon the written consent of the individual, except that such information may be released regardless of consent to the Administrator or the representative of a State or Federal agency as part of an accident investigation, or an unemployment or worker's compensation proceedings, where required by the terms of a customer contract or in any litigation involving the employer and employee. Statistical data related to drug testing and rehabilitation that is not name -specific and training records may be made available to the Administrator or the representative of a State agency upon request. The Employer shall allow access to its property and records by its customers, the DOT Administrator, and if the Employer is subject to the jurisdiction of a State agency, a representative of the State agency for the purposes of monitoring compliance with the requirements of law. Substance Abuse Policy 10/1/2010 10 DOTconsent.doc DRUG AND ALCOHOL DOTICDL SUPPLEMENT TO SUBSTANCE ABUSE POLICY Employees subject to the foregoing SUBSTANCE ABUSE POLICY who are also subject to Federal and/or State DOT testing requirements for drugs and alcohol will be subject to the fallowing additional requirements and regulations. This supplemental statement is not intended to be a comprehensive statement since the specific requirements are set forth In both Federal and State laws and regulations, which are hereby incorporated herein by reference together with any future amendments and/or modifications to the extent they are mandatory. A. RANDOM TESTING REQUIREMENTS All persons subject to U.S. DEPARTMENT OF TRANSPORTATION regulations related to the operation of a commercial motor vehicle in interstate or intrastate commerce, as set forth in 49 C. F. R. Part 383 shall be required to submit to random testing in accordance with the requirements of 49 C. F. R. Pari 382, which include both drugs and alcohol. The circumstances of such testing and the times of testing are contained in said regulations. Employees shall not be required to submit to random testing more than four times per calendar year. Selection for testing on a random basis shall be based upon a lottery pool of covered employees maintained and administered by eScreen its designees or successors or a duly registered and approved facility. The administration, collection and confirmatory testing protocols shall be as set forth in the foregoing SUBSTANCE ABUSE POLICY, except as modified by Federal Regulation, B. ALCOHOL TESTING REQUIREMENTS Pursuant to 49 C. F. R, Part 382 all covered employees will be subject to alcohol testing. This summary does not encompass all of the aspects of the Regulations and covered employees should refer to those regula'.ions for a more detailed discussion of the rules. Under these Regulations a covered employee may not: 1. Report for duty or remain on duty requiring the performance of a safety -sensitive function white having an alcohol concentration of 0.04 or greater, Additionally, no driver who is found to have an alcohol concentration of 0.02 or greater but less than 0.04 shall perform or continue to perform safely -sensitive functions for an employer until the start of the driver's next regularly scheduled duty period, but not less than 24 hours following the administration of the test. 2. Be on duty or operate a commercial motor vehicle while possessing alcohol. 3_ Use alcohol while performing safety -sensitive functions. 4. Perform safety -sensitive functions within four hours after using alcohol. 5. Use alcohol for eight hours following an accident if a post accident alcohol test Is required, or until the post -accident alcohol test is conducted, whichever occurs first. 6. Report for duty, remain on duty, or perform a safety -sensitive function if he or she tests positive for drugs, 7. Report for duty or remain on duty requiring the performance of safety -sensitive functions when he or she uses any controlled substance, except pursuant to the instructions of a licensed physician who advises the driver that the substance does not adversely affect the driver's ability to safely operate a commercial motor vehicle. 8. Refuse to submit to an alcohol or drug test as required by the regulations. Under the Regulations, safety -sensitive functions are defined as. I. All time at work waiting to be dispatched. 2. Inspecting, servicing, or conditioning any commercial motor vehicle. 3. All driving time. Substance ANKe Policy 10/112010 4. Performing all other functions in or upon a commercial motor vehicle except resting in a sleeper berth. 5. Performing or assisting in the loading or unloading of a vehicle. 6. Performing driver requirements relating to accidents. 7. Repairing, obtaining assistance for, or remaining in attendance upon a disabled vehicle. This policy, in accordance with the Regulations, require drug and/or alcohol testing in the followfng six circumstances, `R. Pre-employment. 2. Pest -accident. 3. Reasonable suspicion. 4. Random 5. Return to duty. 6. Follow up testing. The employer will not pay for rehabilitation nor will it hold open the job of any covered employee who has engaged in prohibited conduct. Any covered employee who is found to be under tine influence of alcohol while driving a Company vehicle will be terminated. A covered employee that tests positive for drugs without misconduct will be placed on Immediate non -disciplinary suspension for their first positive test, and will be required to contact and enroll in a SAP within 72 hours. A second positive test will permanently disqualify the individual from employment with the Company. Educational materials will be made available to all covered employees explaining the law. Supervisors designated to enforce this policy will be given at least 60 minutes of training on alcohol misuse and 60 minutes of training on drug use, All testing requirements of Federal and State law, including confirmatory testing are Incorporated by reference herein. If a customer requires the Company to have a stricter substance abuse policy than provided here, then those portions of the customer's policy, that do not violate the DOT Regulations, wfll govern. COMPLIANCE WITH THIS POLICY IS MANDATED BY FEDERAL LAW AS IT RELATES TO THOSE EMPLOYEES COVERED BY 49 C. F. R. PART 383 AND AS ADOPTED OR INCORPORATED BY THE VARIOUS STATES. THE COMPANY, ITS SUBSIDIARIES AND AFFILIATES 5ubstmes Abuse Policy I0ll/2010 12 PRE-EMPLOYMENT CONSENT FORM ANTI-DRUG POLICY I hereby acknowledge receipt of policy regarding illegal drugs. My signature acknowledges my understanding and concurrence with the procedures outlined In the above -referenced policy. Also, it is my consent to give urine or saliva samples to be used for drug analysis under the conditions outlined in this policy. Switching, tampering with or adulterating any specimen or sample collected under the Company's policy for the purpose of testing for drugs or a'cohol, or attempting to do so, or assisting another in an attempt to do so, is prohibited. Any such effort shall result in disciplinary action up to and Including termination. Furthermore, I authorize the release of the results of these tests and examinations as set forth in the Policy. I further agree that, as a condition of employment, I will notify the Company in writing if 1 am convicted of a violation of a criminal drug statute, no later than five (5) days after such conviction. I further understand that any violation of the Company's drug-free policy, or conviction for a violation of a criminal drug statute occurring on the Off icelProjectiJobsite that I have been assigned, will result In discipline, up to and including termination. Thank you for your assistance, in making our Company a safer place to work. Einpioyoc Name: Please Print Clearly Employee Signature: Crow Number: bato: Subsuincc A b0t Policy t0lIM10 13 COMPANY SUBSTANCE ABUSE POLICY Consent to Testing I consent to submit to drug testing as outfined in the Company's policy. I consent to provide specimens at the assigned collection site(s) and further consent to have urine specimens tested for drugs at a U.S. Department of Health & Human Service/Substance Abuse & Mental Health Services Administration (DHHSISAMHSA) certified laboratory. I consent to the release of the laboratory test results in accordance with the company policy to the selected Medical Review Officer (MRO) and as otherwise permitted in the Policy. I will be given an opportunity to discuss a positive drug test result with the MRO before the result is reported to the company as a verified positive. Switching, tampering with or adulterating any specimen or sample collected under the company's pclicy for the purpose of testing for drugs or alcohol, or attempting to do so, or assisting another in an attempt to do so, is prohibited. Any such effort shall result in disciplinary action up to and including termination. 1 further agree that, as a condition of employment, I will notify the Company in writing if 1 am convicted of a violation of a criminal drug statute, no later than five (5) days after such conviction. I further understand that any violation of the Company's drug-free policy, or conviction for a violation of a criminal drug statute occurring on the Off icelProjectlJobsite that I have been assigned, will result in discipline, up to and including termination, Employee Name: Employee Signature: Crew Number: Date: Please Print Clearly Substance Abuse Policy 10/1/2010 14 Stccte of Florida Department of State I certify from the records of this office that ASPLUNDH TREE EXPERT CO. is a Pennsylvania corporation authorized to transact business in the State of Florida, qualified on March 30, 1946. The document member of this corporation is 807001. I further certify that said corporation has paid all fees due this office through December 31, 2013, that its most recent annual report/uniform business report was filed on April 23, 2013, and its status is active. I further certify that said corporation has not filed a Certificate of Withdrawal. Given wider fitly hand and the Great Seal of the State of Florida at Tallahassee, flee Capital, this the Eighteenth (lay of September, 2413 Authentication ID: C:U3491732217 To authenticate this certifieatevisit the following site,enter this ID, and then follow Lite instructions displayed. https://efile.sunhiz.org/certattthvcr,litmi 5?142Dl3 25E21 _YLLM TREETRIMMING Fingers CUTTING STUB WISAWISCARRED BY OSHA's Form 300 2013-08 OSHA 300 L03 Attendor,Z TWsIxn;)Wi1Tu!nb h`uMna0tr relating to emplDyao (Rev. 0112004) hoathand must be usoo ina mQrmr=tpr==tno DS -,ZS rIELS.O0N1EL Log of Work -Related Injuries and Illnesses corfdor'.zlly of emplQyw. toJic "'writ. =ido wh0a Me lntorm�nllw z Wnt; used for occupitcini4 sogoy and roaM Year, 2013 U.S. Depanment of 4,abor purposes. D cbys 0 ­,mV --9 Sawy and N..dh Ad-ioutidon You must temrawomnation about every w"-fVqtcd loath and onoul overy work-iVatodsnjury of Wiess mar mvo;vcs kw ofconschousn= fostrood work achoty orA varlsielf. FW. A.,pt—ii DIAE1 no. 121"176 Gf3yS OWSY h1DM W0#*, Or Mi LTWWrIt WA-ld Fiat ag YOU In= =.T=,dsVrdFcwr wC44UU&dirJUfi&sa1dVne$&e9VU &*011*riosed 0yqphy=oa orlkensodhWh Company Name: 10 - ASplundh Tree FxMrt Co. arra pr:YorsAotrdl YOU &Vfinc.Sses n-mr-moctany'offt spoado; Moo/MVaw03 rwodot29 CFR, Par 1904.8mroulp 1'904.12 Feet free to You must compwo an 4qwiy&wxr,&sr InvMnf Mcpcn (0& -LA l'ban 30-.) orcq0uPkf9f0,m tor edchm)ury ordIM&s axwokdon nIds Manager.- Ronnie Collins farm. OyniXte nor sure whoV;er a rase is incordablo. coyoviocal OSHA off= lonholp, Region: 10050 - Region 05Q clalssffy the east TREE7RIMWNG Eyes PU_L�NG ON BRANCKBRANCH HIT SET'kAFFN CHECK MYOWbft foreach ewe band an ft ..... . EntormenumiLworduys . Chwk the 'injury' column or (A) (C) (E) mMseftux oLuamforifti cam the injured or ill worker Ch*0$0 CA* IYPO OPROOSS: Date Employee's Name DIvislon Body Part Describe Injury or Illness, parts of was: (M) cm_ Foreman Name job title Injury Type body affected, and objectisubstance ....... Rpt Rev General Foreman Name State that directly Injured or made person ❑0 Ill second (levee bums on Dcath rw­y Avvy Oncb Re-l'ain" at V.,ort-orn right lgota(113 from ZIGOtyWne torch) er 11 El 1:1 El 0 work or J 1,14 Q ��0, restr;cdon t;l:A5zrxs 0 - ------ 1,1242013 Hr,.mnn mur;r-i TREETRIMMING Fingers REPAIRING CHIPPERIHIT SVASHED FINGER TIP j❑❑❑ 050480 JIMENEZ SUPER CREW Groundpurson-NON- Cut ON SIDE BELT OF CHIPPEFQCUTTING FINGE 0 raVS 46 dWS N OSV.4,LC)C JIM ENFZ FL r 3t42D13 Mroual Se TREETRIMMING Entire bo0y STANDING ON SIDE OF ROACMI-, BY PASSING I 0507% SERRANO SUPER CREW Equipment Operator - Bruise SCHOOL BUSIBRUISING❑ ❑❑C I days E] 0. 0 C1 Ll:! 2 IN ALFONSO SERRANO FL 5?142Dl3 25E21 _YLLM TREETRIMMING Fingers CUTTING STUB WISAWISCARRED BY DS -,ZS rIELS.O0N1EL Foreperson - NON -LIN Cut S?OXEiGUTTING LEFT THUMBMIDEX FINGER ows D cbys 3 N DONOVAN SIAS FL 5,Z�=13 0%rnani C1t:IiCrrc7 TREE7RIMWNG Eyes PU_L�NG ON BRANCKBRANCH HIT SET'kAFFN 3A.F,-7-Y GLASSESIDEMS IN EYE ❑0 CUY5 Z 11 El 1:1 El 0 OW756 SERRANO SUPER CRFW Foreperson -NON-UN Foreign Ct)jecL In 6 4 N ALFONSO SERRANO FL 52eQ013 Atiolu0neAquilnir TREETRIMMING Soft Tissue IN TRE&CLIMBING LINE PULLED FROM C.POUND.STReIN1%­_GK El 3. -P34dc'. R] 0 13 0 El 0 050570 YATES SUPER CREW Fo-epMon - NON -LIN Not SOCCIOd 5 N RANDOLPHYATES FL 5292013 .�&M _212MMi— TREE TRIMMING Thurrib PULLING ON FLANCE11,7121-1- BACKWAROSILANDED O-.r.�. ONTHUMBISPRAINTHUM8 D P7 C. 0 d3J5 E0 dap El El El 0504Q RICRARDSON,ALFRED ForinpDmor-NONAIN St-alrilSprarl 6 N OONOVAN SIAS FL TREETRIMMING Forearm IN TREE TRIMMI NG BRANCI-ES WTHD CKAINSAWILOST BALANCEICUT LEFT FOREARM n uayS 5-7 03yS 1:1 El El D50707 JASSOSUPER CREVV Joumaymon-NON-UN Cut 7 M FL Pubic reporting Durran fortlga collealoo olWomal—la u Unmtbdlo oVoraga 14 mint- Poi f-pon.., 1..IuMN time I­Qvlw Page 51 of 186 w. tnatruetiana, ­,dh and p.%,., ir. 4orw ...d.d, and aoiopl.i. U- ..NactJ.. of utlormouan. R..- — ..I roqvkcc W ruopoof to the collactloo o1. fifor­Wn urloso R dloployo a can—dy Valid OMB ­nUU1 nuadoof. 11 you havo eay --LD QoQwl th"O ua-JM4%01 or any ILI— b0POGM o11h4 data COIIQ41W. 4art,oG4 US D.p.A.—I al Lbor, OSHA 01nou of Roo. N-3644, 200 C—dwi— A—u., x%V. w—hington, OC 20219. Do ..I -d No ­pI.W4 r.r.- to 1W P bile rvpo:Hnp butdun ler thio eollbeUon or In1a.m.11on lb onpttm<oa io pvgr.pa 14 minul.. pur tunpeb... Irid.,pnp oro. t...view page 52 Of 186 the Inafiycti.na, nuureh and pulitur the duW n-d,id, un0 b.mplutu une w—w tha CCII tC w of Into, —VOA. Pur.oro bre not :.qubud io...pond m tn. 00INC;1M of �nrormobor. unlboo It df.pluyo p currertly vo Id QM'U control number. It you novo nny cornmunta uooul inoc. aopm Pio. or ony =or .cpo Cta o1 thlu dpte coaocaon. cont. cC UE D.p.R—hl or Leber. OZr1A 011tco of ;;toil�dcp, Room N-7044, 200 Con.bludon A—.., NW, Weahii,cwn. DC 20219. Do nal .and the comRbtpd Surma 1. UN Or... r OSHA's Form 3DO ;%Uer:bon: Tt� ccaIrform tam rnns adcn r"- y to anpluyrw 2013 -OB OSHA 300 LOG (Rev. 0112004} f>vMhand.mAabclscdlr.am�nnorUntp;nit.�ma ecrfidmtiAty dcmtlplafee$ to oto..dont pD&%Ida wtae t+>,a Log of Work -Related Injuries ane! Illnesses IrkawtimISr�:> gused to- onmpa"saf*x4tn ILi Year: 2013 U.S. Department of Labor [up ory arras oath AJrtdnl4frotrprr You mus; ratcodinfoftnWon about every work4Palpd death and about Lvti/wan-rtdaredinABy orlftness lhat lnvvvcstoss afconscbLw t, msincred work=wyorjop Vansrer. .�� Pwm nppravad nota m.tz+a•alya doysawayfromnrcrtk.armo afrroarmontboyand6rstmd You MLwdsor<�corJskyificanl,+rxsr-rrdatad?njueoso.?dWncsscsina!aro aagnosWbyaphy&=oorrlcenscdhotAm Company Name: 10-Asolundh Tree Expert CO., caro prdcss,onal, You must ofso mcox nvrkyolated injurfas and rllnosses Ghat moee any orlhe spearie nen, arteha I(stad In 29 CFR Par, 1904.8 thmx.rgn 1904.12. Fed Pea to cse:Malinesforosrrc�locascffyounaedm. Youmusrcomyeroarrlr,;uryondMnesslndtlentReFtut(OS.W,Fom301)or"w.7lentform forcacnfnruryorit;nossnrccra::donmic Manager: Ronnie Colfins rorm. syvartr rnatsury whothora case is remrdabfc, cdymr lord OSHA cflico fcr netp. Region: 10050 -Region 050 . . 6mor too number ordaysChock lAo 'lnjury'caltimn or (A) (e) (C) (D) (E) Cho injuredord1workar choose erterypoofiftnoss: Date Employec•sNamo DiVlsjen Body Part Dcscrlbeinjury orIllness, parts of W=c- Crcw Foreman Nimct Job tido Injury Type body affected, and oblectfsubstancG ,:.. _.,' .• ""' .""'• .'.:,; .. __. '^T �"—� Rpt Rcv General Foreman Name State that dtrectty Injured or made person ilt (o.g., Second dogree bums on AwN On pb rightforearm from acetylene torch) .Death Daysavy. _ from Renalnedatwprk -.i born trar'Ister M YOUR k w ' 'JOG t& Cr r'Ir' P ry"pfp-`,I m' feSTtlLt)0n S o �r rG3tr IIJ1 ZI&CWOs CZ (3) 141 (5 (6) 512H21bt3 r? rdSr3l:allx TREETRIMMiNG Ey 'c'+rs'1-yam CL"MNG BAV-800 UNDER TENSIONISAMBDO ...-----------�- ...."-. 06=2-- ROORIGUEZ,ST-EPHEN Ja:moymon-NON-UN Cut SPUNG SACK"T SAFM GLASSESiCUT LEFT El171L- ❑ � C-, i I7--- a days ❑ Mys R1 El El El ❑ ❑ EYEBROW 8 N CHARLES SCHONDER JR FL - - 7292013 DARMfI ryAViS TREETR$MMING Shoulders PULLING ON LIMBS HUNGS UP ON VINESdSTRAIN - -- -- _ —_----..--__--.,-, 050a51 STEVENS SUPER CREW Appitimce-NON-UNI StraWSprain RIGHTSHOULDER ❑ I ❑. ❑ ❑! - 0 rials 0 djs 9 ❑ ❑ ❑ ❑ ❑ 9 N JOHN STEVENS FL 92112M3 p.LANHORTDN TRE'ETRIMMING Fingers CUT FINGERS 0NOHA.INSAW/INFECTED M142 ASHCRAFT JRAICHARDL Sproyor-NON-UNION INectlbn ❑ ❑ l ' I'"1 � ❑ ❑ ❑ ❑ ❑ ❑ , 10 N RICHARD HILUARD FL er2=3 CARI r73 NUNF7 Mot 1'.10NA1`20 TREE TRIMMING Foot CLIMBING DOWN LAODERrSUPPEDILANDED ON 05005B SMITH SJPER CREW Foreporson - NON -LIN Fmcturo FOOT/FRACTURE LEFT FOOT ❑ ❑ ❑ ❑ ❑ days D ctys O ❑ ❑ ❑ ❑ ❑ 11 N MARKSMITH FL ESTABLISHMENT'S LAST PAGE: TOTALS: Q 0 0 ® ® days F 198 d2t- 1 111 111 01 01 70E@ Be sure to transfer these totals to the Summary page (Farm 300A) before you post it. P bile rvpo:Hnp butdun ler thio eollbeUon or In1a.m.11on lb onpttm<oa io pvgr.pa 14 minul.. pur tunpeb... Irid.,pnp oro. t...view page 52 Of 186 the Inafiycti.na, nuureh and pulitur the duW n-d,id, un0 b.mplutu une w—w tha CCII tC w of Into, —VOA. Pur.oro bre not :.qubud io...pond m tn. 00INC;1M of �nrormobor. unlboo It df.pluyo p currertly vo Id QM'U control number. It you novo nny cornmunta uooul inoc. aopm Pio. or ony =or .cpo Cta o1 thlu dpte coaocaon. cont. cC UE D.p.R—hl or Leber. OZr1A 011tco of ;;toil�dcp, Room N-7044, 200 Con.bludon A—.., NW, Weahii,cwn. DC 20219. Do nal .and the comRbtpd Surma 1. UN Or... 51812010 JXRPadnclt 050175 RAULERSON.CARY 0 3 N RICHARD HILLIARD 711)2010 Joshua Collins "IaX ADANIE,I)ENI 4 N ALFRED MARTINEZ TREETRI]VIVING Soft Tissue Meld Crow Foroporevu Sb-jlnMproln FL .BRUSH IVICVVING Ankle GrouniMpGrtion SnIrVSpfnJn FL REmOIANG TREEII.ItAB FELUHrr RARDHATISTRA!:., NECK 17 ID 1:1 El El El 1:1 IN TREEIrOP HINGE2)1CAL)GHTJPLJLLED SAFrTi 5ELTISPRAIN RIGHT ANKLE ❑ lv� r-7❑ 5 ay-- 0 10 E E: 11 11 D 7/14010 W,TrrnMorgars MUNICIPALTREE Foro*m TRIMMIKG/SCRA7CHED BY THORN/LEFT OSHA's Form 300 AWnum This kart conmina Information ruLvjogi employee to 2010-12 OSHA 300 LOG <*> , �4 (Rev. 0112004) P.e.ft arc must W u�ad in a manirfur Wa putacis CID Log of Work -Related Injuries and Illnesses cortfiferwharmi of orriplo5ces tD the ftlem P=iNeww" iniormaii on Is xIrii usual fcr Dccupadomil wraty and T oxim 0 dars Year: 2010 U.S. purpo�. 5 N FL Doparlment of Labor upaWnal slurry and Ha,afln Adminlskmion YOU mva mwrd Inronradbn about VV&V war7ulNatod death and accur every lopy 0,hhvthW lrvvahos I= 7_ day-.amy1ron; work ormodmW treatmearboWna rife aid. You must alsaimsd MA&sand Nrwsses t�at art. ciagno*10d AyaPhrF43n orbconsod heoid, Company Name: 10-Asplundh Tree Fxpert Co. mrmprolummW F001MO10 YOU must C*MpWtr in #Ijutyand Aw= kio" Rupert (OSMA Form 301) Oroquwaiurgfoem Weich ffrjqfyari#w= mco&cd 00M Manager: Ronnie Collins form. ITYCLI'm not sum whOMOra MsO IsfCcOmaDio, Call ^f t0lal 0S. -A Ofto /be n.Wp. Region-, 10050 - Rea -ion 050 . . . . . . . . Enter the number of cbA Chock me -it jury- coiumn or ;A):C) (0) (E) ❑El the injured aril! worker choose one typo orillrIess., Data Employee's No= DMIflon Body Part Describe Injury or rtinosr, parts of 0 21 El 11 11 ID F-1 Crvw Poranno. Name Job title injury Typo body affevied, and objectisitbstance Rpt Rcv General Foreman Name State tr=t dkrecliy Injured or made person I III(e.g, Second degree burns on A -W on Pb ar U,Vh DAYS away right forearm from acetylene torch) Romalmd at work . ; I .,. unnsfor from­cw warx or renvictim R c,lriccon 4a10 =c f HANDIBREAK:N[i FINGER (1) M.. P) (4) (5),. (a) 312310 VIVinm Sirders Jr TREETRIMMIN Unkrom CLIMBINGTRUCK LADDFRISLIPPEDICAUGHr (:D 1 0 dae 50172 SANDERS SUPER CREW RAdCwFOf"rsD SirainlSprain FOOT IN RUNGFELLAGAINST TRLPCKIS7RAJN 0 R) E] 0 days 82 dnr 2 13 13 13 El 11 BACWRIG-ITLEG N WILUAW, SANDERS FL 3=010 PNNP;10, 7REE TR;MM3N Hand TRYING TO GAIN ACCESS TO PROPERTYISIT BY 050141 BRYAWMILLIAM D Feld Crow Foroporso SitoiStIng DOGiPUNCTURE LEFT LAND 0'. 17 R] 0 d3ys o aryl 9 1:1 D El 0 D 2 N RICHARD HILLIARD FL 51812010 JXRPadnclt 050175 RAULERSON.CARY 0 3 N RICHARD HILLIARD 711)2010 Joshua Collins "IaX ADANIE,I)ENI 4 N ALFRED MARTINEZ TREETRI]VIVING Soft Tissue Meld Crow Foroporevu Sb-jlnMproln FL .BRUSH IVICVVING Ankle GrouniMpGrtion SnIrVSpfnJn FL REmOIANG TREEII.ItAB FELUHrr RARDHATISTRA!:., NECK 17 ID 1:1 El El El 1:1 IN TREEIrOP HINGE2)1CAL)GHTJPLJLLED SAFrTi 5ELTISPRAIN RIGHT ANKLE ❑ lv� r-7❑ 5 ay-- 0 10 E E: 11 11 D 7/14010 W,TrrnMorgars MUNICIPALTREE Foro*m TRIMMIKG/SCRA7CHED BY THORN/LEFT Woo MORGAN SUPER CREW Reld Crow Faroperso Mleclion FOREARIVIANFECT107y 0 dars 0 5 N FL 1122011. Wavne ,r� n MUNICIPALTRE-E Multipla Internal In CUTTING ER US WHEAT DEHYDRATION =761 MORQkM5UP2_R CREW Field Crow Forooemo Huai PrestrAon ❑El 3 d3pA 0 21 El 11 11 ID F-1 6 N FL 10 Kev n VI'ller Jt MUNICIPAL TREE Mngorz CHIPPING BRUSF-7LIK1.8 HIT Rla�-7 HANDIBREAK:N[i FINGER El 17. (:D 1 0 dae o --1- 0 E) 11 11 11 0475I RICHARDSON SUPER CREW Flold Crow Fampor. Fracture 7 N DAVID RICHARDSON FIL .. ....... . . . . ... ... fto.­­ k-laraftatL01.1s1­1­ Peal I r,po.1%rq :�Fdr,n far H`1%.aaa..n.f J.F­tinn ­tarntw to -p. 14 6� " ZaZllan Poq e 1 oF2 ihoift*IruCban,;. Dion and pollial Ino dota neodod. and C.M91010 aM review Via or nfaimha�L I'DI"M ofa ret roqu.caa w rpoperra r91n0 wuvolon In PaNtmaiia,i -'eas 11.1lop10y0 ...-anfly wild oma —u.1 -1- it Y.. he.. ..y .orr-.,w b-1 m­astmw. or tiny arbor aspoets or tnw am coloction. cantoct VS Dcpartmoat of LoNr. V*MA Once of $14-t-. K...n N -3z;44, 200 Ga-M.T.., Man-, Nw. Waan#.at.ft, DO 20210. 0. riot ... d It. ­Pa.t.. Wrnt W 11110 WV... Public rapartma b,rd- for Ina GGIlaction at InI.M.110. ..m.."mad —r.0. 14 rrinueoo trot raaperao, 11.1-11011M. to I -r— Page 2 of 2 Ina a.lon and %aVh.rM,rd.I.A—dod, a na"pit, and —t— Ina ca I acticr at In lo—nuon. P,r-- not roarulted To to." -t. to w cuCocacn of information unlosu t olzp4ays a —tanw Vmw OMS wntiol nun. --m. It YOU n— any colm.ffl� about o.om.. ., any ainar "Fmw of into onto ocilonran. conteroz US Oopanmonl 01 LOW, OSHA 0111CO 01 staurrtloo, Room N -3G". 200 Constt.Alo. A..n-, NW. Wuaftlnqton, DC MIS. Do net area 0. ronpWI.z forms to IN. .11.0. OSHA's Form 300 2010-12 OSHA 300 LOG 4P Anent= Tfii,-Iormoonttidrsintorn)ztQfimiowg lr� empb.o (Rev. 0112004) hocult�6andrn�lbousadlnzmanrar =1?Mb5=tho Log of Work -Related Injuries and Illnesses ram dantna,.y ofompicyees w the a)wnt p=,ioio vjnlo to rrbrinaJon Ls beirg used for oc=puAlortW 33foty and healn Year: 2010 U.S. Department of Labor DurvaZes, You MLHfcwrdkVwmd=abotdmeryww*4okCddwth ondaboutvjy wo*-M-&9od1NwyorAw= bw You mustalso momd,%lgnrf=nf orr rwdhov&I Company Name: 10 - Asplundh Tree Expert Co. wropturc-S&Oral. YOU fwaaso =Dtd w0,*-rw3$oof1rVUnu3 and fte lftat mec-f anyaltno speal7cmawitnq afferfa 4sfrxfin 29 CFR Plan 1904.6mmugr? IW4.72 Foolhoeto You must wffptte an MIur/ and Klmss Y94dont Report (0" Fbnn 3DI) or*aL6-J.1nf form forcarA hjufy arAness marded on !Ns Manager. Ronnie C0119nS fcnr, if yvam, ncl sum "other a coso iz moendablo. cO yourloaW OSHA offim ferholp. Re ion: 10050-Region05O . . . . . . ............. ....... . . . . . . . Entortho number of dayS chccktho-4ur;eco)umn:or' (A) (c) (D) (E7 F"L theitijumdariM.*,kor choose one Date rmp"o's Name Division Body Part DcacAbo Injury or 111res3, parts of crew Foreman Marna Job Me injuryrypo body flfftfcted, and abjoMsubsMoec - ---- - Rpt Rev Gorroral FDMnXL1n Nam state that 01roctly Injurod or mmdD porton III (c.g, socona dogrru, bur,%o on [)Czth ri"F.amalnod A-V On )Db right foreArm from w&Wk-no torch) y et wort. Vom tram -we(Y 3. M,rk 03D5tr Cntr rt=rd- VA" or restriciDn c (L (2) (3) i4) (5) FL r7H TREE 7RI6lIMI NG Wnst SUPPFO OFF 1ADD2RIHIT WM 12MKrII3 Ml(,H,*.0H WRIST ON TREUT �7 7, 05MOS SKAFTER SUPER CREW Goundsperson CA RIC-17WRIST 0 aws C drys 21 El El El [3 D 8 N BRUCE SKAF-rR FL ESTABUSHMENT*S LAST PAGE: TOTALS: Q 0 dor, Ma -r- Be sure to transfer these tollds to he Summary pie (Form 300A) before you post h. Public rapartma b,rd- for Ina GGIlaction at InI.M.110. ..m.."mad —r.0. 14 rrinueoo trot raaperao, 11.1-11011M. to I -r— Page 2 of 2 Ina a.lon and %aVh.rM,rd.I.A—dod, a na"pit, and —t— Ina ca I acticr at In lo—nuon. P,r-- not roarulted To to." -t. to w cuCocacn of information unlosu t olzp4ays a —tanw Vmw OMS wntiol nun. --m. It YOU n— any colm.ffl� about o.om.. ., any ainar "Fmw of into onto ocilonran. conteroz US Oopanmonl 01 LOW, OSHA 0111CO 01 staurrtloo, Room N -3G". 200 Constt.Alo. A..n-, NW. Wuaftlnqton, DC MIS. Do net area 0. ronpWI.z forms to IN. .11.0. O5o1'L5 CASTANEDA SUPER CREW Craundaperaon erulsb 2 N DANIEL CASTANEDA TX Sf Awl M—y Bor— STORM WORK Had 0507DS BARNESKI SUPER CREW Field Crux Forapor-.,o Punmirc 3 Y THOMAS SARNESKI TX KNEFISRLISING DRF GOING BRLISHrn4CPN IN RIGHT HAND/PALM. o rt» Ddmr. ® 00000 i 9/1 12011 nionic L.wnntlrros �S1 r Form 0 Awn0m: This fCMconahstirbrmavonrul=apluurnooyGo STRUCK LIMPJBR CK BY EAKING NOSFJBRUISES 2011-12 OSHA 300 LOG 4P J� JV REV. 1111 ®04 health and miss be used in a mannor itut protons the Log of Work -Related Injuries and Illnesses =1900 WLY CfoTn7'nyebs to the odrint po>„6?o w-* 6m LD04-9 w4d for oxlfpot0n2l3ayoty and hoaldt TORRES,ANGEL M Year: 2011 U.S. Department of f-abor Frac urr: 11 .'. ❑ ❑ ..-._. _ .-. ... ❑ 9 Drys 0 this [Lp4aod4f Solely EN tla AGnlnlSlratlon -._.y , ri You must record fnfar=e on .about ave work-rcfated domM and about evv Trork-rW ou iryury orkr;v sthat Mvolvrs;cs°ofcan ousrk,ys, mlXlferod lvorx twtivir or'ob tran..lrr, ry J Ferm Appmvuo onna np. 121o.p170 days avicyfrom work,orMedical lrontmantbeyandSrstdd, You=aoisammv?4,1 mntwork-raloeedin/ares and 19neucsMa,-amdv39r=adCyaphy crunorlicensodhooPf Company Name: 10-Asvlundh free ExpertCD. creprolies-clonal, You.Tv&a1 orecord warrr,lent'red lnlutes entd Nnasses rust "of ewy orfha spcUPr29 C.F.R F81t 1904.8 MfCuph 1904, E2 Feel free to --- -- �sanw7Masroras✓ng^erasenyounecdrn, You &Iusfconp•rlieank0uy,ndlt7o;sInddentRoport (OSHA Famr512')o-equtra:ant.cnn6or.LrxfrlrjuyoriArrrssrurarccdan!his Manager: Ronnie Cogins form 9you're nor am1cifferaMwIs,r:cerVeen.m;ty«vfXWOSHA ofroo10FtWp Region_ 100550 -Region 050 - r Enortho number of days 'Chockfho -injury-column ow (A) (6) IC) (D) (E) MeiryJurecrae;lwarkcr choose on a typeofiffncst;-. Date Elnio"0'3 Name Pwislon Body Part Describe Injury oc Itbmss, parte of wars: (M) Crew Foreman Name Job title JnJuryType bodyallecord, and object/substance .. ... ....... ..•..'... .. .. _... ..... - ,,-,;, ,,. ..... .....,. ,_., RPS Rev General Foroman Name, State that ai roan ly Initued or,rade, parson , s m (c,g., Second dcgrcc burns on Array Onple x 2. rlgntforearm from acetylene torch) .Grath ,pays uv,oy Remain ddtvmrk Wm �rans'or ;r 9 2 4 .. :fro niwork,� vo:t or ;na•arl .cr roxrtl. I, rbshlCJpn .7. 4� AGUILAR.AGUSTIN Jaxneyman �.N.�.mu..�.er,•,.a.-..,. , MOVED(GRASSED TREE1HITf3RtJISING THIGH 2MSO..C11 Junn Mrk 7 TREE TRIMMING LoNzir PULUNC UMS55TMN LOWER BACK ,. ❑ :. 050705 BARN -SSC! SUPER CREW Field Clew Foreporso Strain/SpMin ❑ . ❑ ❑ €J 0 05ys a dup ® ❑ ❑ ❑ ❑ ❑ 1 N THOMAS BARNESn FL 5,92011 Chn5lobhOa6tllb TREETRIMMING IGtco DRNINGh1QVdERONHILLf-RJMPEDOF71�IT ❑. ❑l El. O5o1'L5 CASTANEDA SUPER CREW Craundaperaon erulsb 2 N DANIEL CASTANEDA TX Sf Awl M—y Bor— STORM WORK Had 0507DS BARNESKI SUPER CREW Field Crux Forapor-.,o Punmirc 3 Y THOMAS SARNESKI TX KNEFISRLISING DRF GOING BRLISHrn4CPN IN RIGHT HAND/PALM. o rt» Ddmr. ® 00000 i 9/1 12011 nionic L.wnntlrros TREE TRIMMFNG NCsb STRUCK LIMPJBR CK BY EAKING NOSFJBRUISES 0562'11 TORRES,ANGEL M Journeyman Frac urr: 11 .'. ❑ ❑ ❑ ❑ 9 Drys 0 this ^' 0 ❑ ❑ 1:113 ❑ , 4 N NARONG LAMBERT FL I - 1011112011 CANIFL At;Ul IAP TREE7RIMMI,'4G Thlah TRIMMIMG TREE FROM LADDER/LAODFR II li OSM24 AGUILAR.AGUSTIN Jaxneyman sfulsc MOVED(GRASSED TREE1HITf3RtJISING THIGH ❑ ,. ❑ :. I❑ ®,?, v day, ©'.,❑l❑ ❑. ❑l El. rj N JOHN DAVIS FL to252071 fvlawicm Ghtlre. TREETRIMVING Badx12 IN TRE&SUPPEDIiEIL INTO LIMBII-.IWEIRUISING 050701 MONTERO.JllANI- SUPERO Fold Crew Forapero Bnriso tiACWBUTTOGKS ❑ ® ❑ ©_., 6 tsps o d-ys R ❑ ❑ ❑ ❑ ❑ 6 N JUAN MONTERO FL j ESTABLISHMENT'S LAST PAGE: TOTALS: ® ® Q ens Fade,-- _.,_. 61 01 01 0 a 3e sure to transfer these tolals to tate Summary page (Form 300A) before you post i1. Public mpartma bufdanTor tNa collection of Inlormotion Is boll—Nd to wompa 14 mmelno per raopomea, in Wdlna ume to —1— Page 1 of 1 %No Instr"none, oo: t -A and pathor the data needed. and comcleto and review Na eodac9on of inform000n. Poreans afe mat Z, wool fc ,capon to Inu caboctlon of mW ^matlon s Lem it alsplayf a currontty veto CMB oannol numaor. If you novo any eammocm aeoui td000 94amaaon cr any Dinar oep— of me mote coRaClon, cadtbet os Uepartmvdt of Labor, ota A ofrtec of Statiultc , Ramo NJ644, 2,6 Caroutuaon Avonr.o, NAI, Waiihinlon, CC 20210. Do no: surld tha carn*loa lomre to fho, a:nce. 22&_0'2 Amiti"Sd13W TREETRIMMING Hi Q(�! /L Jf !,Hr S Form 3�� Aarrntion; Thls lomt ranuins Intumtatfan IVi.}unyj m tamFuYuP 2 N CHARLES SCHONDER JR 2012-12 OSHA 300 LOG 4P (ReV_Q1120��1 niand mu:;tbousodinarnannarttawantt the 050761 RICHARDSON SUPER CREW Foropomon-NOWUN Stroir%Gproin Log of Work -Related Injuries and Illnesses confldarenl!y of ompki to • ie Wmen: possible wnao the 'nturita "ktiuz;WOfBq'-'�Lixaa!utyandhootm Year: 2012 U.S. Department Labor �trrm�. of CCoryn ane S&ory acrd Noadh Adm saafton You must record informouon about awry work-related dome and about evory wo;*,,Nowo Mjr.ry or#lnc=that lntrofvesloss ofeonsisou"OSS, msYAdod work aCHAY arjan hnndrr, Farm Appro dO'Mu na. izl na 1. 16 days away from vwrkcrmcdictltaantmeMbeyond Amt ald. You mueisotuwrdadgni(,canrv.ark,e1ofadlnlurfosand Nne=&Viuiamdlagrmedbyap",ci oncrwnsci Company Name: 10 -As lundh Tree Expert Co. cvo pebfbss omrr, Yeu mw also record work related lnjurtes and Rtnesses Mat mot any ofthe soocirC tei aVons fisted hi 29 CFR Pw M41.6 Omufth ?904.12 Fool tcv to use two y'nes torn sprJfe ase Jyov rood ra. Yea MaWmmp4tle an lr*vyand Alias Ini FapW.(OSqu Form 301)recoldedon M's Manager: Ronnie Collins roam.Rryou7omtsumwnate_ramseisrecordanln.ow7yv:r,wGut3SHAo"Jarhap Region: 1005Q - Rion 050 iL Entartha numbaeofdays Ohdci Me-Jrdury- column or (A) (B) (C) (D) (E) the lnjumt or lft worker choose one type of Iciness: Oats Employcc's Name Division Body Part Dascrl6o injury or Mei parts of was., Ctcw, Foreman Ndmo Joh title Injury Typo body affactod, ane abj0tV$.h5tgn.Q _..., ...-,.�. ..._ .. .:........ ......: .. ..... ........>i .-_...; _. Rpt Rcv General FhrormnNamo State that directly Injured or nudo porson III (o.g., Socond dcyrco hums 9.1 .:. '-, A%W Onjob Daatnavaoy Rontalnadatwafk. rightfomonn from acefyjana torch) - from tansfor w "fmmvprk � - Job Iran !af 0." hry roca•c- b work ar a 2 4 u radtfabkan ,z. X I I I arrestriedoR aticruishs.J4, 'Gl (1) d2) (3) (4) i5; ds' 11252012 Kenneth Kane! TREE TR11d@AING UpDDrArrr TRIMMING IN TREE/STANDING ON UMBILIMrd , BROKElF 70GROUNOISRUISINLEFCARM I 055753 SCHONDER JR SUPER CREW FI}Itl Craw Fbmporsb BrvlaO ❑ ❑ ❑ " - 0 dtrs 6 -� ❑ ❑ D D D N CHARLESSCHONDERJR FL ,. 22&_0'2 Amiti"Sd13W TREETRIMMING Hi 0505M BRIDGES.STEPHEN Groundsperoon Puncture 2 N CHARLES SCHONDER JR FL 4r-=12 Shaun Pchrr, TREETRIMMING Li 050761 RICHARDSON SUPER CREW Foropomon-NOWUN Stroir%Gproin 3 N DAVID RICHARDSON FL ar18f i CARMELO MARRERO DSDOBB LEE -WORKING CREW 4 Y GARY LEE 4fMM12 V. *Tit Pmcln OSfYaOt FINCH.RODNEY 5 N STOMAWORK Thumb Joumoymon-NON-UN Cul FL TREETRIMMING Scalp Grorrnd::porson Cul FL %?6.20!2 lsaio•e.lohnson TREETRIMMING Math 050017 MASCORRO-SUPER CREW Groundparsan-NON- croctura Ej N JACOB MASCORRO RVBIO FL 711912012 Jo" l car'= TREE TRIMMING !.ower 050575 AGUILARAUQU'EL Joumoymart-NON-UN SrirwSpram 7 N RANDOLPHYATES FL WALKINCrTRIPPEDr-ELLITHORN PUNCTURE LEFT HANCIPALM CUT'.ING BRUSH WICHAI.NSAVJISTRAIN LOWER BACK CLrI : ING LIMB WICHAINSAWISAW KICKED JACKICUTTING RIGHT THUMB HfT BY PART OF FALUN07REJCUT HACK OF HEAD CHIPPING BRUSReRM," KICKED BACKIHIT MOUTHIKNOCKED TOOTH OUT PICiUNG UP PALM LOGS.STRAIN LOWER LACK DO no ❑,. ❑ 0 n O dr,� 0 days E. ❑ ❑ ❑ ❑ a ®❑ El ❑DD Poi rnponlno buraan W rule aaRearlan a+mmrmamn in cat tamed tc a,.arnoa 14 minatnn per raapan o, inrwaln4 uma to Tnyww Page 1 of 3 ti vii aaa'an ane pother too data naa0ad, ani compteta and review me collamloq of Wormallon. Pereans ora not roQul�Od ra riapera m lttp calbelton of InSarmoibn unlace h d.sPleya o oaf<eady vans OMB aonvot.umbar. tf you nWa aay Cenaml !A about Ineee iat1i ar qny p:har oapi:m of t— dalq eoeuetbp, eonrac: OS OupaNnetA or Labor. OSHA Ori of SWr.oaco,'t m 200 CarullWlloh Fwnuc, Wd. Waantn®ran, OC 20218. Do ail sono Ina cornplatuo forma to mla alias. 9112rZo12 I reset Manana 482115 INIRANOA,JOSE L 1 p N JESUS MORALES 901af1.997. 144han4 Munnr © 's Form 30 0 Morison: T'�Js"comta'ns ln'urmzaorI ml;ArV * emplcyne N 2012-12 OSHA 300 LOG l t R2V. Q1120041 hoaM and mish tae usod In a mannor gnat pro[at4: try 05M JACC7$.CHAD Log of Work -Related Injuries and Illnesses ccn""edality of onlployoos to Tao wderlt passlblo wndo thrf inburmatlon cboing used for occupal:orQl m(oty and heatth TREETRIMMING Year: 2012 U Department Labor TrimmorICIMbar- pupasas. cL -S_ of STORM WORK W11st Foreperson - NON -UN Occupaapn.t 5arery mtl+twan Atlminrsusdon You /-;. '; "v ^: Jromtawn a'. O& o¢ory death and adaer. --j waAf-I'r 1cW hWjy wRInev lal oroont no1+r;•MSS, resrk ad wafk 2cn vy Orjob honsw,F01m APO`_ a eua no. ,2,4-0.7. days 0,wf .,Pv4rk orm�,rb�rmera beyond &V o vet, mua~a r,; rd, rwnrt�dr.,amwd�,,;w�as,r;dr rA.sso4 �nararod anyo�r,-s: ,n ar ensdaneann Company Name: 10-Asotundh Tree Ezoert Co. =m prafosslonaf. You must also M= Kort rrowfrtrttrdos and AX --WS roar ae etmy atMO Spedrr recordrng.m=ono ft -ted in 29 CFR.PaA 104.8 thimgh 1907,12 AW fico fa FL tesr iwa ones fora sfn�c talc N you rxrad to. You MUat compiote an Injury zind Nness lrlcdenf Rdporr (OSHA Form 301) or egtavolen; futm forexb inyury or,77.ncss recorded on dds Manager: Ronnie CDIII n5 form. I(YOU'mnOISUrO VMCXnarscow Fsmrnraacl., ©1your!0CWOSHA officoforhelp. Region: 100511-_ Region 050 Enter the number of days Check d e"Wury"corumn'or (B) 1C) (D) (E) the frtlurrO 0r tft worker choosy one We orllhtoss: Date Employee's Name Dlvl�lon Body Part Describe Injury orillness, parts of was: 1M). Crcwv Fort—Name Job 1111. Injury Typo budyaffccted, and 0bjr: ctfaubsmnec ... ,. ._.. _. •. .. ..... """ .. ... '. .. Rpt Rcv Gem -I F—man Name State- that dlr.-ay Inj,ned 0r nude parson III 10,9., Second degree bums on ;.woy Cnjba a Q Ccr-csAay Rorran:.-d lwvra right lorcarm from acctytune torch z }ram laarstar w ,,g or ? Q r ' taSrliCtlatl 2 $ a w ,� 'C y (K) (L) , (1) T2) (3) (4) (5) (6� 715f2012 Wnllerhyrt,nhy TREETRIMMING LAv,w PULLING+➢RAGGINGBRUSWSTRn1NLEFT '.'(� r� 050774 DOSS SUPER CREW Foroporon-NON-UN StvaSIDE/LOWER BACK ln/Spraln ❑ Ll �.� _� ❑ '3 days r -;I yrs ❑ ❑ ❑ ❑ ❑ CJ N EDWARD DOSS It FL br132012 JasephSheebr TREETRIMMING Snau.Wn; PULLING, ONABRANCHtFELLBACKW64RDSTOTFE - r 050525 RYAN,STEVE 7timmerl Cltnbor- S1rnhSprain GROUND/STRAIN RIGHT HANDISHOVVER j ❑ N1 L7 7 v= 18 R) ❑ ❑ ❑ ❑ ❑ 9 N JEFFREY M11 FL 9112rZo12 I reset Manana 482115 INIRANOA,JOSE L 1 p N JESUS MORALES 901af1.997. 144han4 Munnr OSOD20 REID SUPER CREW N CHRISTOPHER REID 1n302012 Wrhaet 6ltsreary 05M JACC7$.CHAD 12 N DOVOVANSIRS 1102012 .lanes _T -v" 050020 REID SUPER CREW 13 N CHRISTOPHER REID 12M_4012 .tauter Cr, ndefas Melo 05=e AGUILIRAGUSTIN 14 N RANOOrPHYATES TREE TRIMMING Ardde TrlmmarlClimbar Fracture FL ❑ ❑ ❑ ❑ ❑ TREE TRIMMING Knee Groundporwn-NON- S'aaiNSpr.in cL ❑❑❑❑C TREETRIMMING sla*Adera TrimmorICIMbar- StraintSpmIn cL ❑ ❑ ❑ ❑ ❑ STORM WORK W11st Foreperson - NON -UN Framuro FL TREE TRIMMING Lower Appronbw-NON-UNI StraiWSpmin FL WALKINMTEPPED IN HOIJUSPRAIN LEFT ANKLJSV..ALL FRACTURE CLIMBING DOWN R7PFISPRAIN LEFT KNEE CHIPPING BRUSWUMB JERKED FROM HANDISTPJVN L' -FT SHOULDER CLIMBING INTO BACK OF TRUCKfFOOT SLIPPED ON BED DF TRuCK1FELL TO THE GROUNDIFRACTURE RIGHT WRIST L7 P, ❑ f� [l j � ❑I � c• �s;. c trr� Q ❑ ❑ ❑ ❑ ❑ C i7 i7V ❑ C Mr11 3C ay, �1 ❑❑❑❑C �� ....-, pb Cup C cl.r ❑ ❑ ❑ ❑ ❑ PULLING DEBRW-RIPPED OVER ' 'ANES1FEL.LISTRAIN LOWER BACK/UPPER LEG AREA ; ❑ ❑ DI/ - �� ] a:.; .6 6� © ❑ ❑ 110 ❑ P¢Idk r¢p0MW b,ldon to, tMe e¢tl¢Otlan O/ Inf0rm.110M1 10 ePLlamt.d re ew:¢gn 1a minulee per re¢pe . Ineledlraa dme W 1.0— Page 2 of 3 IM Inst action., ,wa and pati- the Sal. headed, And C foal t¢ any rb . ma Lane,:iten OI inf— aan. P¢tdu .re or raquu'ea :d (wposa to the calleolon of inf.rfnauen anldus a elspLays a aurontly vwl'I CMB wi;rA number. If you haw any mrnmont0 a0Oi4 theca 000m.100 er.mr 01-1 q.P—M at tab data Wo -Con. aOMact: US Dopunm¢nt dl Lobat, DSHA Office of Statl¢Ileb, KOO. NJpe A, ton Canatim— Awn-, NN. WA.-m9tan, CC =10, t)a na: eund :hu eempl,aad Irma v lhla Ottice, OSHAr :annual : Thn; tem ca ,nlcrmaaon ao_,ar p to wvgyco 2012-12 QS Hg 3130 LOG 's Form 3QQ (Rev. 0112004) neamand Must baunadIna mannerLratpraloGy4P P contiondzility of empbyea: to Ina "Cat posrib7d hlu the. Year: 2012 Logy of Work -Related Injuries and Illnesses bam� ,nt,Is.WIn oa� trxapawraisafutrandhanto U.S. Department of labor Iwipo-^.os gedup d d 4 Ioy )tl Nauddh AdmfMrtrrerlo YoumustMordirdorma.Mon aboufawry vorkaalaied dead)and abMT every norfut:laredinfuty eriT mss M& fnvalvas foss ofmrsiousness,restricted —Ir aa'ivily oriab dansfor, t'arm appterud oatU na, .a19 -017a days away from work or modkal tvatmrni boyond final md. YOU mustalso n>cad slgrt+l,'ont unrk-m!a(pd Mf rtes and fUnassox the; aro diagnasdd ay a p+aysidan aru;cOnvad hoam carr paalessionad. You musf aLw m d riork.rulalodinfades aid ileo o akar meet any of Mc specific r 000nq cntetfa A3te in 29 C.Fi Parr 19M B through 1504.12. Feef fmc !o asci tan firms lora shaple case rryou need to. You rnrrsf complato an 1116ry and /ftrn:ss ktadent Report (OSHA Form =) orequlr4(onl fart for Loch injury or iltnaso rero,Rled an Ihfs (Cm. ffyouiry not sum whathora ease is Callyour1ociat OSHA offiser for help. EZe ion; 'i0050-Regian050 Emor the number of da CAcck ttr0 'frt%u Ya ry' column or tho lrllured at ill worker choose ane Ylyb orhfrtass: was: (M).. h.Uy On Job N X Q i,maIr�l;V.n tlans'Ar '- a t oIT11 .y r'r– Want or4 r Q 9, resLlcuon ,i. R- 4.� y a > s_l ° .'r r {1) (2) (3) (4) (5)' (6) .n...,..-.,...._.....�.,.,.�,..,...,..�.,.,.�.....,-,...,,^uu�m.....n..a.�,...,.m-�,n,.,,rr>,..�•1.,.K,,,.�-.K.,�..F..�,,.....^,,..�,.w�.�7.��..,uw�....�..�,.xiA..�.. .. ..._. ESTABLISHMENIPS LAST PAGE: TOTALS: � l ,rt L� Q 48 orfs 383 61-40- 14 01 01 01 01 0 Be sure to transfer these totals to the Summary page (Form 300.4) before you post it. Company Name: 10-Asplundh Tree Expert Co. Manager: Ronnie Collins (A) 1B) (G) (7) (E) Date Firiployob's Name DEvisEon Body part Doscrlba Injury or Illness, parts of Crew Foreman Name Job two Injury Typo body affectad, and ob)octisub%uneo Rpt Rcv General Forman Name State that dinectly In)urod or Mario pb-on III lo.g, Socand dogree bums on rtgtu forearm from ocoyam tarch) Public rapa ang burden SOB lhfa ;ollaclior Of ihfbrmailbn In an0amtod to ovamou 14 minutou par mapbnao. Includlnp bmb ca mvkw Page 3 of 3 trip Ia.t'ueboni, ovale) am Dacrior liw data reeebnd, and nomolcto arc! —11w mb coLlocflo'n of mlbrmaaoo, P.I.— b1a not rugalfbd ip faeppna So ifw aetMlon oS Info*malrob ualeuv I1 ulbpluYo a au: ianS1Y v1llq OM®banllol wmbaf. It Yaa lova Wy cerltmbntb abort sbpua pallmbtba oe any atM1br uapueW at tole data cbl7o [!fon, ronluc� US Dupanmunt of LYbbr. OSHA Office of Stanwito. Room h. -3F44. 20a Conatltullon Awnuo. NW, Wucninaton, [1C aoatQ, Uo nbt pond tap nompiolud laBmd lb Ihlu otfkb. ACORD 25 (2009?09) ®1988.2009 ACORD CORPORATION. All rights reserved.' The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM DW Y) 9/17/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSUSER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is ars ADDITIONAL, INSURED, the policy(ies) must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require art endorsement. A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER CONTACT NAVE Aon Risk Services Central, Inc. (Pdmary Casualy Broker) Philadelphia PA OIV a Ona Liberty Place, S09 1000 Ph'fadelpNa, PA 19103 PHONE 211-255-2000 A'C No. Exit: FAX 215-255-1886 AIC, No : E-MAIL ADDRESS: PRODUCER CUSTOMER ID 4, Marsh, Inc. (Umbrella Excess Broker) Two Logan Sgjsfo, 22nd llDDr INSUREA(S) AFFORDING COVERAGE NAIC # P1, ladelphla PA, 19103 INSURED I,NSURERA, LIBERTY MUTUAL FIRE INSURANCE COMPANY INSURER B: LIBEna INSURANCE CORPORA70N Asplundh I'= Expert Co. INSURER C: l 708 Blair Mill Road Willo',Y Grove, PA 190901784 INSURER D: IPiSURER E: Reg en Ccdw 050 N5UR! R F: COVERAGES CERTIFICATE NUMBER: 2r44975570 REVISION NUMBER: THIS IS TO CERTIFY T14AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERNt OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH;CH THIS CERTIFICATE h'AY BE ISSUED OR MAY PERTA N, THE ASURANICE AFFORDED BY THE PCLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS S11OWN VAY HAVE BEEN REDUCED BY PAID CLAIMS. LI .': r 3Hti:1' ,1 {Iie45 P (:nLiCS i :'l'•. LR LTR TYPE OF INSURANCE AOGL INSR SUeR YIYO POLICYNU5f9ER POLK:Y EEFFECTIVE O_ATE IMUD&NYYYI POLICY EXPIMTIDSi DATE(!AS MYYYY) L14YTS A GENERALLIABILn'r �Gr3'!.'EFICIAL GE\ERIC LIAQLITY &oadForm Con;rac:•al ❑ LiMEOEXP(AAYenepersoO Tt32-531.OD432II-853 81312013 8/1/2014 EACH OCCURRENCE 5 1,000,300. DMIA.GE TO RENTED $ PRErdiSES (Ea uccurre: eaF $ PERSONAL&ADV INJURY $ 1,000'D00 GENERALAGCREOATE $ 2,000,000 GLNL ACWREGAlF LIL'IT APPLIES PEA: PRODUCTS —00'.IROPAGO $ 2,000,000 0 PCUCY y PP.OJr.rT[:] CCG $ A AUTOMOBILELIAB[LITY W:V(Y AUTO A52-631•CC4328-053 8/1/2013 811/20114 COM.B&EDSTLNGLEL1I,9T $ 1,000,0+30 (Ea ax^cidenl) BOOILYINJURY $ (Per person) E:�LL DYA.€D AUTOS 2SctIEiXLED AUTOS I�`.7P.EOAUTGS Lam' El ❑ AS6-631.004328-f 93(VII BODILY.NJURY $ (Par acC;dnnll CrYxto:It..D Aures ❑ PROPERTY DXMAGE (PeraccidonJ $ [JOCOUR FACHOCCURRENCE $ HUOUTICtLALIAS EXCESS LME CLIJUS LACE AGGREGATE $ C#OEOUCTIOLE $ I jRETE1rTFCN ; q� S WORKERS' COMPENSATION AND Ef,IP LOY ERS' LIABILITY AriYPROPi11ETORPMV.'EREYE(;UTYE CFFTCER!.,EI: REfi EXCLU�.Er LL36Ya'T `.n t3 -j C DESCM rfcacFCFERAT0.SI,-'a FL'A WA7-630.004328.013 (AOS) WC7-631.004328-023(WI) WA7-63D-004326-573(MN} 8/1/2013 $1112014 �,14r'resraru uorlr€n TGRYUk'ris E.L- EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA E%TLOYEE $ f,000,0C13 E.L.D.SFASE—POI fCYIYMIT $ 1,000,000 171 DESCRIPTION OF OPERATIO11S I LOCATIONS I VEHICLES (ANach ACORD TCT, Additional Remarks Schedule, if ma To space Is requited) See attached CERTIFICATE HOLDER CANCELLATION City of Homestead Alin: Procurement & Contract Services Division SHCtJLD ANY OF THE ABOWi ULSCRIBED POLICES BE CANCFLLED SEFCRE THE EXPIRATON DATE THEREOF, NOTICE WtLL BE DELIVERED IN ACCORDANCE WITH THC POLICY PROVISIONS. 450 SE SLIT Avenue AUTHORIZED REPRESENTATIVE Homestead, FL 33030 Aon Risk Services Central, Inc. ACORD 25 (2009?09) ®1988.2009 ACORD CORPORATION. All rights reserved.' The ACORD name and logo are registered marks of ACORD City of Homestead, Florida 'r- ADDENDUM TO BID DOCUMENTS Procurement & Contract Services Gi0sion 305-224-4626 PROJECT NAME Tree Trimming & Line Clearing Services PROJECT No. 201308 BID OPENING DATE 09/19/2013 ADDENDUM No. ONE ADDENDUM ISSUE DATE 09/1612013 To All Bidders: This addendum is issued to modify the previously issued Bid documents and/or given for informational purposes, and is hereby made a part of the Bid documents. Please attach this addendum to the documents in your possession and acknowledge receipt of this addendum by signing below. Questions: 1. Q: What is your yearly budget for this contract? A: $125,000 2. Q: How many crews do you use? Per week? Per Month? A: One two (2) man cre;ti at 40 hours per week 3. Q: On the bid form: Item 1, what labor Classifications and equipment types are included in this crew? Item 2, what are the requirements and duties of this classification? Will this person be used full time? Item 10, what size stump grinder do you require? A: 1) At a minimum, the hourly crew should include the following personnel: a working foreman or creti / leader and a tree trimmer. For equipment: an aerial bucket lift truck with chip dump body, a chipper, and chainsa°ws. 2) It is the bidder's responsibility to assign the responsibilities and duties for their job classifications as they find necessary to perform the work outlined in the specification, 3) It is impossible for the City to foresee what size sturnp grinder will be needed. If several sizes are available, please provide a quote for each size. Historically, stump grinders are seldom needed for the work encountered as entire trees are seldom removed. Authorized by: KewKonlcoL Ken Konkol Assistant Director, HES Ccw71Mc,Pat (ck1 ------------------------------- Carol McPatrick, CPPB Procurement Manager Acknowledged by: Name (Ptrntoo Signature Date 450 SF: 6" Avenue Homestead, FL 33030 9 305.224-4526 A 305.242.6333 R hills n cilyrrllmnrrslead.rum City ortlomestead ITIS 4"01308-Addendirzrt #1 ill, DILI, ElllR , NIIMNI- d t�yjll- 16 ..-.. ,fir •�-�s�, fX- r Mf z '' i � ti ti ,•r. ;yr`fv� h'� - -_ i i ,� y - eta. ,e-�...-.-• - .�. -- _ i� � � $Ycis. '' �. �-,"tifY"►� �.���1�° l�cAMIl fol AV a. o`!�Rk��`I rtihra% F r - 1 ` C y� ra, +.•V \/�% lir\/' , - _ _ �. r J1r+J JAI - ! .,f J t • \rlr'aJ /v\ v\Jai 1 - - .. Jti, 1i4 � ,a \ r\� rr\ r'! �rti ;J\ h _ .�` "• rra a4�a/a J ti �r �J a•".J J\✓Vi: b �•.1 : -. - '� 'afnratil ar r,•r\r J a ter♦ v ra,� _ - • "- .irJ'+ rb• rar+rv♦ f ai. \ vv�vl _ _ _ _ _. - �� �'f" z -''t i:�.r /a^J J J /+ •fa- is 1 L1 i s'` l-n_Co�^I�!�I _ ' vV :, ave..,. a, .i,, b.rara•Vy' ^ - 1 - - .. _ . �- i4rb,.rer.; anJ�;ai., -. r'U\n ♦. y`; _ — �-._ - - - �r I F - :r� - MR ao— Jar / ''t f Lrq '... _ r r1 •� - �' j l ti w � � k 4{ im lis` it PE�csccl k�l�l+{l:{ik� ]� ii`Id�� 4l Ir4i11lCll # t I .Il��r1Hk '2!(�l r�; l'�\:f �Xk1�i�} r r�':�•'...,"'��." l r rlr r ,_, li�i}, , f�ll� i �t:k � .�I ��'}. 1.A'.'i'.'i S'°�[il- a[41fci�J111 (�l(a'�11('�� f r�[fl� ?IIiC'��]111 - i\r f•i+, -- _. •. r.•lv�r a�F�sr r•If�sT,,4,0 ASPLUND91 STORM EMENICIENCY PROCEDURE Trep, Crews During a storm emergency, the unmatched resources, organization, and experience of Asplundh have rnaxiniurn value to you. We recognize your need to maWaln reliab!e service and are dedicated to lsefping you acNeve It. The purpose of tills Storm Emergency Procedure is to assist you In restoring service as rapidly as possible. We also want to ensure effklent crew operations, better reportlrng, accurate billing, and customer satlsfactlon. At Asplundh's Wtilow Grove Headnuarlers, vie chart and monitor every emergency situation from Uie first ncUce of any Uireat. Our regional managers will already be alerted and vrill be securing the release of crews from unaffected areas. WHEN IT APPUMS LIKELY YOU WILL NEED ADDITIONAL ASSISTANCL', call your Asplundh Region Manager or designate (I aIternate. This person will then contact the Asplundh Stone Coordinator, who wilt secure the requested assistance. If you camrot react; Nto local Asplundh offlco, pleaso tali; Storm Coortthantor: Offfce Mobile Ntght Gregg Asplundh 215.7844212 215.499.7686 7.15.499.7686 Assistant Stone Coordinator Randal Hanes 215.784-4101 215-261-0323 215.2640323 Alternates: George Llcd 215.7844337 215.266-6371 215.266-6371 Andrew Yol!oway 215-781-4116 215.983-4504 215.983.4SO4 Pete Pe'llcone 2€5.784.4466 215.510-1831 215-343.6961 [sill Flemming 215-781-4279 215-983.7171 267-470.4743 PI -11 FON 215-789.1355 215.341-3560 215.341.3560 Chad Kinney 215.7844238 215.478.1620 267.718-2940 Dave Riggs 215.784.1456 215-284-8287 215-2848287 Storer Trailer Loglstics and MaIntenamm; Dave Ranisden 215-784-4293 215.260-7554 YOU SHOULD TELL US 1. Number of crews and personnel requested, type Of creur5 (aerial lift and/or nunuat), and vrliether chippers are required. 2. Where and to whom the responding crews report, 3. If you requfra Storm Damage Assessment Personnol. 4. Other tykes of assistance required, such as; a, Survey, planning, patrol & inspection services e. Logistical support (Large Tents, Catering, etc.) b. Additional supervWon f, Specialized equipment c. Roving mechanics g. Brush cleanup and rent'ovai d. Equipment for lease h. Line construction crews (Underground, Overhead and Street Lighting) When Asphrndlr crows are proved from ono utflity prop" to another, cortain pre-prairned policies and procedirres era followed, huludrng: 1. We set up a Local Asplundh Storm Center, including our local Region Manager and Mier support personnel requ!red for ntwdnium operating effectiveness. If our response is greater than 50 crews, the use of our Mobile Command Center may be rerluired. The unit will be invoiced at a rate of $750 per day for 01 days utilized, 2. Ail responding crews use specialized storm Umesheets and expense reports, Rosters will be provided, deslgnabng the employees and equipment assigned to your system. 3.One General Foreperson will be ass!gned for every 5 responding crews. One Supervisor will be assigned for every 25 responding crews. One Safety Supervisor will be assigned for every 50 responding crevrs. Corporate Admtnistrative support personnel may be assigned and will be billable at Ilic local GF rates. 4. Reimbursement for utility supplied Items (including fuel, safety equipment, repairs, etc.) will be made If proper documentation Is provided to Alf. Documentallon must Include date, time, lacatlon, vehlde Identification, amount and autliorizing ATE representative. PI.L'ASL NOTE: When you relocate Asp!undli crevis from one operating utility to another villin your company, p!ease notify the Local Asplundh Storm Center, More your release Asplundh crews, please Inform our Local Asp!undh Storm Center. REV 01/09/13 �rt;��� i�rrtsr ASPLUNDDHI STORM EMERGENCY PROCIEEDURFE �°011kOCT gtt>5��' Tree Crews I. Tile followhtg callulnient 12011clas crews operate i s o e fa a. Decause standard hourly billing rates do not cover long distance travel, these mileage charges apply to and from your area; Lift $ 1.9M/unto Split Unuip $ 1.01/nrllo Car/ Pick -tip $ .97/ntlfe Chipper No charge (when tawved by billed vehicle) Mobilo Command Canter $ 3.00/iulia b, After arrival, equipment b€`,ling is at the standard hourly Wiling rates for your property. The billable hours for equipment are based on the number of crew -hours paid. c. Equipment left behind Is billed for a maximum of 5 days per week at the following daily standby rate: Chipper $ MOD Lift $ 60.00 Split pump $ 35.00 Car / pletc-up $ 35.00 d. Chain saws are bllled at the standard Asplundh rates for your property. e. The costs of emergency supplies, security resources, bulk fuel, specialized (cranes) or rental equipment and transitional hausing (small tents, s?eeping baps, etc,) will be charged at cost plus 10 percent. 1I. Ilig fp1112%.11no )olfcles x111)]y to labor and ex i a. Crew composition Is exactly as used on respond'ng utility. (We cannot leave people behind, unable to earn their regular livelihood for the duration of the storm restoration vrork.) b. Oilling (and our payment to the crew members) is at the Requesting Storm Utility or the Responding Utility rate and conditions, whichever is higlier, c, Emergency supervision, roving mechanics, and Local Aspitmdh Storm Center petsonnel are billed at the standard Asplundh rates for your property. • Supervisors and General Forepersons are bliled at the standard Asplundh Rates for your property. • Safety and Administrative p.rsonnel are b1fed at the standard Asplundh rate for General Forepersons for your property. • If there is not a standard rate for your property for the positions rioted above, a rate vrill be submitted upon assignment of the personnel. d. Actual cost for lodging, toils, travel permits and other reasonable incidentals, are billed at cost plus 10 percent. e, If cell phones are supplied, they will be billed at a rate of $3.00 per hour. Satellite phones, T required, will be billed at cost plus 10 percent, f. The workday for the creirs Is based on the time that the crew•rs leave the lodging accommodations to the time they return. if no acconsnsodatfons are available and the crews are required to sleep In Uielrvehfcles, Oils time will be billable and pa!d to the employees. g, In the event of a standby day or rest day, labor will be billable at a mininium of 10 hours, h, The standard work day yr H be billed at 8 hours of stra',gbt lime and hours greater than 8, at ov€rtinie (time and one half). Men an enip'.oyee exceeds 40 cumulative hours In a week (biciudlog hours worked on other propedles) all additional hours will be billed at overtime. i. Holidays and Sundays will be billed and paid to the employees at double time. Note: if the erirployees responding to the storm are covered under a collective bargaining agreement and/or the home utllity"s contract speclfes more stringent ternis than what is noted herein, than tare tennis of these Intima agreements will supercede this docunient. NI.4thar areas: a. Compliance with appiicab!e regulations — Aspfundh will comply vrtth all appfr'cab"e regulations including DOT rules on trip permits and hours of service. The costs and hours necessary to comply with the law will be billed according to the rites noted, b. When accommodations and meals are not provided, Asplundh will bill for hotels at cost plus 10 percent, and will bill for meats at the follmiinrd rates: breakfast $10.00 Lunch $12.50 Dinner $15.00 Note, When accommodations are at a "Resort" -type hotel, meals will be billable at cost p{us 10 percent. c.a ment terms, In storm responses In which the customer requires approvals prior to final invotCoq, an estimated Invoice will be produced vrlth payment terms of not 7 days via ACH or Fed Wire. Cash payments made for Uiese Invoices will be held as "unapplied cash" pending application to the final Invoices for service. My differences behveert the Gnat billing and the estimated billing will be settled withlo 7 days. REV 01/09/13 0,01r rrr;'sr, . �ba1jr OF.i8 M4Uh1� ASPt4-,UN DF11 STORM tC-;M r'RGEIM(C PRIM CEDURE Tree Crews Terns and Conditlans Approved and Accepted by: Asplundh Tree t:xperi Co. Slga]ature Nance & TR1e Signature Name & Title Hated Customer Name s: The rates set Forth to the agreement shall be affective for one (1) year from date signed. REV 01/03/13 4113/2018 Detail by Entity Name 1rf -r - -;it ! Diy -31u [I : f rcr-. - 1 S�-arc r ! L!et.�il By Deco -e—, Wr tier 1 Detail by Entity Name Foreign Limited liability Company ASPLUNDH TREE EXPERT, LLC Filing Information Document Number M17000008565 FEUEIN Number 23-1277550 Date Filed 10/05/2017 State PA Status ACTIVE Principal Address 708 BLAIR MILL RD WILLOW GROVE, PA 19090 Mailing Address 708 BLAIR MILL RD WILLOW GROVE, PA 19090 Registered Agent Name & Address CT CORPORATION SYSTEM 1200 S PINE ISLAND RD PLANTATION, FL 33324 Authorized Person(s) Detail Name & Address Title PMGR GRAHAM, GEORGE E, JR 708 BLAIR MILL RD WILLOW GROVE, PA 19090 Title MGR, S, T BAUER, BRIAN R 708 BLAIR MILL RD WILLOW GROVE, PA 19090 Title MGR, ASST T SIMPSON, RONALD S 708 BLAIR IUIILL RD WILLOW GROVE. PA 19090 http ;lsearch.sinbiz.org/Inquiry-CorporationSearch,SearchResultDetail?inquirytype-EntityName&directionType=lniIial&search Name0rder-ASPLUN0HTREEEXPI 4112018 Detail by Entity Name http ?lsearch.sunbiz.orglinquiry'Corporation5earch.' Search ResWDetail?inquirytype=EwityName&directionType=Enitial MearchNameOrder=ASPLUNDHTREEEXPI 4.13, 2018 Detail by Entity Name `t{ r- ! 5 r_^ a - ris I Qetsil Bel rcttir•er: Nt.rter I Detail by Entity Name Foreign Profit Corporation ASPLUNDH TREE EXPERT CO, Filing Information Document Number 807001 FEI/EIN Number 23-1277550 Date Filed 0313011946 State PA Status INACTIVE Last Event WITHDRAWAL Event Date Filed 10/05/2017 Event Effective Date NONE Principal Address 708 BLAIR MILL ROAD WILLOW GROVE, PA 19090 Changed: 04/26/2006 Mailing Address 708 BLAIR MILL ROAD WILLOW GROVE, PA 19090 Changed: 04/26/2006 Registered Agent Name & Address NONE Registered Agent Revoked: 10/05/2017 Officer/Director Detail Name & Address Title Secretary, Treasurer BAUER, BRIAN R 23 CAMEO DRIVE RICHBORO. PA 18954 Title D ASPLUNDH, BRENT D 1356 MEADOWBROOK ROAD http;Nsearrh.s.inbiz.org/Inquiry/CorporaticnSearch Search ResultDetail?inquirytype=En,,ilyName&directionType=Initial&searchNanieCrder=ASPLUNDHTREEEXPI 4r 1312018 1 RYDAL, PA 19046 Title D ASPLUNDH, SCOTT M 1591 HAMPTON ROAD MEADOWBROOK, PA 19046 Title PID GRAHAM JR, GEORGE E 1820 VALLEY RD MEADOWBROOK, PA 19046 Title Asst. Treasurer SIMPSON, RONALD S 1760 LUDWELL DRIVE MAPLE GLEN, PA 19002 Anter Wal Repots View mage n PDF format Report Year Filed Date 2015 04/23/2015 2016 04/2812016 2017 04/2512017 Document Images 1')X.7 ^. 17 W thcrawa View mage n PDF format - A%NJA_ REPORT 6 A,'qNLJA- REPORT Viavv xmage n PDF Format View.rrage in PDF 'Orrnal T 1 ­ANNU A.- REPORT --ANNIJALREPORT View rrage n PDF format View mage n PDF format 13 A%t4J A, REPORT View irrage n POF 10 final 0. 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I1.32669 Seat I1icr pore car E-muik 352-333-9312 rcollins ri.Asr 1 w%1h. con? Ron Hullock rhallockl'�cycrsnhrncitr.crl�1� Re: Bid # 201308 —'Tree Trimming & Lime Clearing Scn,ices Jeff Porter Mayor Dear Mr. Collins: Patricia Fairclough vice mayor The City o1' Homestead would like to request an extension of this contract maintaining the sane terns and conditions of the current contract through Jon tiurge5s IJeccmber 31, 2017. Councilman Elvis R. Maldonado Please sign in the space afforded below as to your intentions regarding the Councilman extension of this Contract. Please subinit your response no later than close of business clay, Friday, September 29, 2017 via fax to 305-224-4639 or via: email Larry Roth Councilman to breis(c�cityollionic teacl.coiti. Stephen R. Shelley Councilman Jimmie L. Willidrrls, III CounCilnian George Gretsas City Manager 100 Civic Coors homestead, FL 33030 305-224-4100 v wvy.cityofh©mestead.com If you have airy questions please call me at 305-224-4620 or you can r;,ach ne viz email at bids.Cz?citvoffionjesteacl.com. Sincerely, �"' tt 1 d t 1 T- Carol McPatrick, C11PO, CPPB Procurement Manage r cc: Jerry Istracla Barbara Quinones Marmy Ciel William Branch f _ _ Region Manager Narne & Title Yes; we will extend our contract until Deceinber 31, 2017. Nance & Title No. we will not renew our contract Jeff Porter Mayor Stephen R. Shelley vice mayor Jenifer N. Bailey Councilwoman 1)cccniber 28, 1-017 Viet 1: -Mail and I ilx: 352-333-93 12 rcolliiis!tr AsClundii.con7 tion 1 lallock rhallock I ctasylundh.com Ronnie Collies Vice: President Asplundh Tree Expert rt Co. 106 SW 140"' "Terrace, 43 Jonesville. 1:1, 32669 Re: Bid #201308 - Tree Trimming & Litre Clearing Services Qcar. h•1r. Collins: The City or llomesiead Nvould like to NgLicst an exto-naion of this contract nlanitainim, the 5aule LerinS and conditions of the current ce}ntr'lief Ill't1u iNIal'C11 31" 2013. Jon Burgess CourTcilman Please sion in the space afforded below as to VOUr intmitions regarding the extension of this Contract. Please submit VOLir response no later than Close of Patricia Fairclough hLESiness day. ]Addy, December 29, 201.7 -vitt fax to 305-221-4639 or vii email to Councilwornon 1)Ids(Cl?Citw17i(}Cl3tStcad.Gi3133. Elvis R. Maldonado Councilman if you have any questions please call me at 305-224-4620 or you can reach ine 'Viii email at bid;� 3 vOf3�7171 tt_ 1?:C lnl. Larry Roth Councilman Since rely, George Grez6as4,- City Mona Carol McPatrick, CPPD, CPPB v Procurement Manager cc: Jeri'}= Estrada 100 Civic Court Barbara Quinotles Homestead, PL 33030 N-lai3ny Cid 305-224-4400 William Branch w6,vw.cityofhomestead.ccm Name c'�.° 'Title Yes: ie; will extend our conti'ac! until March 31, 201 g. Name & 1 itle No, wc wIII not renew our contract Jeff Porter Mayor Stephen R- Shelley Vice MOY(ir Jertiier N. Bailey Councilwoman April 5, 2018 Tia L-'-.Wail triad Fat:: 352-333-9312 rco�lnGc7 �1,��lunclh.cona Roan Hallock rhallocicll ras„,—,,p1qpdh.corn Ronnie Collins Vice President Asplundh "free lApert E:;o. 106 SW 140” Terrace, #3 Jonesville, FI... 32669 Re: Bid 9201308 —Tree Trinimino & Line Clearinn Services Dear Mr. Collins-. The City of llontcslcacl WOUld like to request art extension of illi_, contract maintaining the sante terms and conditions, of the ctfMI)t contract throtroh .lune 30, 2018. ton Burgess Please sign in the space afforded below as to your intentions regarding the Councilman extension of this Contract. Please submit your response no later than close of Patricia Fairclough business day, friday. April 13, 2018 via fax to 305-221-4639 or via email to Councilwoman i. bids;tx:�jt 'ofllotlleStecP£I.C(?I'Il. Elvis R. Malcloradolf'vou hrt�°e any ctu scions please call ine at305-224-4620 or you can reach me via Councilman einall at Mels Tlcig,of"harnestead.conl. Larry Roth Councilman Sincerely_ GOorge Gretsas Ilutrit-l1 7� tCify Manager Carol 1440atr'ick, CPPO, CPPB Procurement Manager cc: Jerry Estrada 100 Civic Court Barbara Quinofles Homestead, FL 33030 Manny Cid William Branch - ` Manager B ' ..__...�....._.._._9 Sas-zza-aao4 w wwAtyofhomi estedd.com Narne c Title Yes: %ve %vill extend our contract until .Juice 30, 2018. Nance & Title No. we will not renew our- contract