19-F. BID PROPOSAL-OFFEROR FORM.pdf

BID PROPOSAL

IFB No.:

PROJECT NAME:

1. Bid Price. Note that this sum represents the total of the prices shown in the following Bid Schedule.

Should the BIDDER make any errors in determining a line item total or in the summation of the line item totals in said Bid Schedule, upon discovery of the errors, the correct multiplication and/or sum, will be used by the County in determining the Bid Price of a BIDDER;

provided, however, the COUNTY shall not be liable for any failure to discover such errors: $

(DO NOT LEAVE BLANK)

2. Indemnification & Termination for Convenience (See GC 6.2 & 16.2.3): $ 200.00

3. Total Bid Price (Add the dollar amounts stated in the above lines.) $

(DO NOT LEAVE BLANK)

4. Allowances

A. Allowance Work in accordance with Article 21 of the General Conditions. $

(FOR COUNTY USE ONLY)

B. Other Allowances $

(FOR COUNTY USE ONLY)

5. Alternates ( ) $

6. Final Total Bid Price *: $

* The dollar amounts shown herein are to be utilized by the COUNTY as a guide to selecting the best qualified low BIDDER. The COUNTY reserves the right to award on more than one or none of the Alternates at its sole discretion. The actual total compensation paid BIDDER for the Project described in these Contract Documents may vary from the amount stated herein due to adjustments in pay quantity/ quantities resulting from changes in item quantity/quantities, and/or adjustments in pay quantity/quantities as otherwise permitted by these Contract Documents.

7. BIDDER acknowledges that included in the various items of the proposal, and in the Total Bid Price as indicated above, are costs for complying with the Florida Trench Safety Act.

The BIDDER further identifies the cost to be $ [IMPORTANT: this blank to be filled in by the BIDDER]. This cost is itemized in the Florida Trench Safety Act Certification and Disclosure Statement that is included in this proposal as Exhibit B. It is a MANDATORY REQUIREMENT that the Disclosure Statement be submitted with a bid.

8. The Total Bid Price quoted above represents the Bid Proposal of the BIDDER, exclusive of consideration of Reserves for Specified Allowances and of the Alternate(s) listed in any accompanying Alternative Bid Schedule. Pasco County may select one or more of any said Alternate(s) relative to determining the lowest and best bid proposal. The Final Total Bid Price will be computed by Pasco County to reflect all Reserves for Allowances, as well as the addition or deletion of any Alternate(s) selected by the COUNTY. Where an Alternative Bid Schedule is provided, A FAILURE TO SUBMIT A PRICE FOR EACH ALTERNATE WILL RESULT IN REJECTION OF

THE BID AS NONRESPONSIVE.

9. Legal name of the BIDDER: .

(This name must match the name on your current W9 Form. The W9 will be requested at the time of award. Designate with name, in typed or printed form, whether corporation, limited liability company, partnership, individual, or other type of legally recognized entity or person; if not a natural person, designate also the state or country of incorporation or other legal establishment, as applicable)

All fictitious names or aliases:

10. Local (to New Port Richey, Florida) business and mailing address of the BIDDER:

11. Primary business and mailing address of the BIDDER: Same as local address.

Contractor License No.

Federal Employer Identification Number (FEIN):

12. Business phone number of the BIDDER: ; Fax:

Email Address:

13. The BIDDER has been operating under the present trade name continuously since:

14. The BIDDER represents by execution of this document below that the BIDDER understands all the requirements associated with this Bid, that this is a serious Bid, and that the BIDDER will comply fully with all the stipulations included in the Bid Package.

The above-named BIDDER affirms and declares:

A. That the BIDDER, if an individual, is of lawful age, and that no other person, firm or corporation has any interest in this Proposal, or in the contract proposed hereby, except as expressly stated below (if none, so state):

B. That this Proposal is made without any understanding, agreement, or connection with any other person, firm or corporation making a Proposal for the same purpose, and is in all respects fair and without collusion or fraud except as expressly stated below:

C. That the BIDDER is not in arrears to the COUNTY upon debt or contract and is not a defaulter, as surety or otherwise, upon any obligation to the COUNTY except as expressly stated below:

D. That no officer or employee or person whose salary is payable in whole or in part from the

Treasury of the COUNTY is, shall be or shall become interested, directly or indirectly, as surety or otherwise in this Proposal, in the performance of this Contract, in the supplies, materials, equipment, and work or labor to which they relate, or in any portion of the profits thereof.

E. That the BIDDER is in compliance with Section 448.095(2), Fla. Stat. requiring CONTRACTOR and its SUBCONTRACTORS to register with and utilize the U.S.

Department of Homeland Security’s E-Verify program to verify the work authorization status of all newly hired employees and acknowledges that it will be required to maintain such compliance throughout the term of any Contract entered between the parties. The BIDDER also confirms that no public employer has terminated a contract with the BIDDER for failure to comply with Section 448.095(2), Fla. Stat. (2020) within the 12 months preceding the date this Certification Form is signed by the BIDDER.

F. That the BIDDER has received and carefully examined all Addenda issued prior to uploading its Bid Proposal and its Bid Proposal will be accordance with all Addenda prior to Bid Opening.

G. That the BIDDER has examined publicly available information regarding site conditions, observed the side, received responses to questions regarding the site conditions submitted to the Purchasing Department at the link for this solicitation at https://pasococountyfl.bonfirehub.com prior to the deadline for questions, and attended any site visits offered by the County. Based on that information, BIDDER is fully satisfied as to: (1) the nature and location of the Work; (2) the location of all existing utilities; (3) subsurface conditions; (4) the character, quality and quantity of all materials needed for the performance of the Work; (5) the kind and extent of the equipment, labor and other resources or facilities needed for the performance of the Work; (6) the general and local conditions, as well as all difficulties that may be encountered, including but not limited to weather conditions; and (7) all other items which may in any way affect or impact the Work or its performance.

H. That the BIDDER or any officer of the BIDDER has not been found guilty of a public entity crime or is on the convicted vendor list as set forth in Sections 287.132 and 287.133, F.S.

I. If claiming Local Vendor Preference, the Offeror certifies that they satisfy each of the following criteria at the time of their submission of a response to the solicitation necessary to qualify as a “Local Business”: a) a vendor, supplier, or contractor who does business in Pasco County by providing goods, services, or construction; and b) maintains a physical business address located within the jurisdictional limits of Pasco County in an area zoned for the conduct of such business; and c) which the vendor, supplier or contractor operates or performs business on a daily basis; and d) has for at least twelve (12) months prior to the bid or proposal opening date; and (e) provides a copy of their local business tax receipt. Post office boxes shall not be used for the purpose of establishing said physical business address.

Check the below box if applicable:

BIDDER is a Local Business located in Pasco County.

This local preference provision is not applicable to those solicitations involving the use of either State or Federal funds as indicated below:

State and/or Federal Funds are involved in this project.

https://pasococountyfl.bonfirehub.com/

Note: If claiming Local Vendor Preference, a valid Local Business Tax Receipt must be provided at the time the response is submitted in order to qualify for such consideration.

J. In executing this document, the undersigned represents that the BIDDER accepts the terms, conditions, mandates, and other provisions of the associated Instructions to Bidders, the Conditions of Contract, and the Agreement, said documents and their respective exhibits and attachments being the sole basis upon which the bidder makes this proposal.

K. By signing this Certification, I represent that I am of lawful age and have the authority to bind the Offeror for contract purposes. If someone other than the President of the corporation, or a member of a member-managed limited liability company, or the manager of a manager managed limited liability company, then one of the following must be submitted with this Certification:

1. If Offeror is a corporation (includes incorporated or company, or abbreviations thereof, in its name), and if other than the President of the corporation is signing this Certification, then one of the following must be submitted with this Certification:

a. a current corporate resolution naming the officer or person signing this Certificate as authorized to sign contracts on behalf of the company or,

b. a copy of the Board of Directors’ resolution or meeting minutes designating the officer or person signing this Certificate as authorized to sign contracts for the corporation, certified by the secretary of the corporation.

2. If Offeror is a limited liability company, then the following must be submitted with this Certification: a copy of the Operating Agreement of the limited liability company showing that that person signing this Certificate is authorized to sign contracts for the limited liability company.

L. Attached to this Bid Proposal is a copy of the Certificate of Status from the Florida

Secretary of State, Division of Corporations, which can be downloaded from https://dos.myflorida.com/sunbiz/search/.

https://dos.myflorida.com/sunbiz/search/

IN WITNESS WHEREOF, this Bid Proposal has been signed and sealed as of the date indicated below by the BIDDER.

BIDDER:

BY:

(Authorized Signature)

(Printed name of Signatory)

(Printed Title of Signatory)

(Signature Date)

PASCO COUNTY, FLORIDA

HUMAN TRAFFICKING AFFIDAVIT

Florida law requires completion of this form to execute, renew, or extend a contract with Pasco County (see section 787.06(13), Florida Statutes). This form must be completed by an officer or representative of the company or individual entering into, renewing, or extending a contract with Pasco County.

Under penalty of perjury, I hereby attest that based upon my personal knowledge, the below-named company or individual does not use coercion1 for labor2 or services,3 as those terms are defined in section 787.06, Florida Statutes.

Signature

Printed Name

Title

Name of Company if applicable

Date

STATE OF FLORIDA

COUNTY OF_____________________

The foregoing Human Trafficking Affidavit is sworn to (or affirmed) and subscribed before me under penalty of perjury by means of ☐ physical presence or ☐ online notarization, this ______day of________, (month) ________ (year), by _____________________________________________(name of person making statement).

(Signature of Notary Public - State of Florida)

(Print Commissioned Name of Notary Public)

☐ Personally Known OR ☐ Produced Identification

Type of Identification Produced

Definitions

1 “Coercion” means the following:

1. Using or threatening to use physical force against any person;

2. Restraining, isolating, or confining or threatening to restrain, isolate, or confine any person without lawful authority and against her or his will;

3. Using lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined;

4. Destroying, concealing, removing, confiscating, withholding, or possessing any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person;

5. Causing or threatening to cause financial harm to any person;

6. Enticing or luring any person by fraud or deceit; or

7. Providing a controlled substance as outlined in Schedule I or Schedule II of section 893.03, Florida Statutes, to any person for the purpose of exploitation of that person.

2 “Labor” means work of economic or financial value.

3 “Services” means any act committed at the behest of, under the supervision of, or for the benefit of another. The term includes, but is not limited to, forced marriage, servitude, or the removal of organs.

http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String&URL=0800-0899/0893/Sections/0893.03.html