2-FORMS 1-11 fillable.pdf

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Attached to
Citywide Electrical Services
Solicitation number
RFSQ-042-26-CC
Issued by
Leon County, Florida

About this file

RFSQ-042-26-CC: Citywide Electrical Services

This file contains a Request for Statement of Qualifications (RFSQ) issued by the City of Tallahassee, Florida for Citywide Electrical Services. The RFSQ consists of ten forms that establish qualification requirements and evaluation criteria for electrical contractors seeking to provide residential, commercial, and specialized electrical services to the city on a contract basis. Respondents must demonstrate they are licensed by the State of Florida as a certified or registered electrical contractor, have been in business for at least five years, maintain a minimum of two licensed journeyman electricians with five years of commercial experience, and have completed at least one government contract within the past five years. Responses must include an executive summary, company experience and past performance documentation, a minimum of three client references (with at least one from a government entity), personnel and licensing information, and various certifications and representations. The solicitation requires respondents to provide detailed project experience, financial information for fiscal year 2025, descriptions of technical knowledge and specializations, and complete personnel forms for all electricians expected to work on the contract.

The RFSQ does not establish fixed pricing but requires respondents to submit labor rates for various classifications of electrical personnel during both regular business hours (8:00 a.m. to 5:00 p.m. weekdays) and emergency/holiday hours. These rates will be included in the resulting contract but will not be used for award evaluation. Respondents must also certify compliance with Florida's drug-free workplace requirements, submit non-collusion affidavits, disclose any conflicts of interest, complete a responsible vendor review addressing regulatory and legal history, and provide proof of liability insurance meeting the contract requirements. The solicitation emphasizes independent pricing and that all quotes for individual projects must comply with competitive pricing standards without consultation or coordination with other contractors.

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RFSQ-042-26-CC Citywide Electrical Services

FORM 1

EXECUTIVE SUMMARY AND

STATEMENT OF QUALIFICATIONS (SOQ)

INSTRUCTIONS: Submit this form as part of Tab 1. In order to submit a response to this RFSQ, an affirmative or “Yes” response is necessary for each numbered paragraph under Statement of Qualifications. A “No” will result in a disqualification.

Statement of Qualifications Please Check

One

1. Is the Respondent licensed by the State of Florida as a certified* or registered electrical contractor? Check the applicable box.

Check the applicable box(es):

Certified

Registered

Provide license number and date of expiration or provide a copy of the license:

License Number______________________________________________________

Date of Expiration_____________________________________________________

Yes

No

2. Is the Respondent a licensed Master Electrician Contractor in the State of Florida?

3. Is the Respondent registered in the State of Florida as a:

(Check one of the boxes.)

Sole proprietorship/Individual ?

Partnership ?

Limited Liability Company?

Corporation (Inc.)?

Does your company currently employ personnel other than the owner?

Yes No

Definitions*

Certified Electrical Contractor - Certified electrical contractor license from the Florida Department of Business and Professional Regulation (DBPR).

Registered Electrical Contractor - Contractor with a license issued by a locality that allows holder to conduct business in that area.

4. Respondent shall have been in business as a certified or registered Electrical Contractor for at least five (5) years.

Number of years in business – performing electrical services:

5. Respondent must have or have had at least (1) contract with a governmental entity (federal/state/local) within the last five (5) years.

Please list the government entity (further detail and information will be requested on Form 2 and Form 3):

6. Respondent has a minimum of two (2) licensed journeyman electricians with at least five

(5) years of commercial electrical experience?

Definition of journeyman electrician, (please also refer to F.S. 489.5335):

An individual who has been issued a journeyman license by a county or municipality in Florida for the electrical trade, demonstrating competency through examination, training, and experience, and who is authorized to perform electrical work under the supervision of an electrical contractor.

Provide the Name and License number for at least two (2) of the licensed journeymen that will work under or service this contract. (further detail and information of the two below is requested on Form ____)

a. Name: _____________________________________________________________

License Number: ____________________________________________________

b. Name: _____________________________________________________________ License Number: _____________________________________________________

7. Has the Respondent performed electrical work for both residential and commercial clients?

Provide the number of electrical projects your firm completed in 2025: ______________ How many of the above were for commercial properties or buildings: _______________ How many of the above were for residential properties or buildings: ________________

Executive Summary

Please address or provide in brief, concise terms the following information below.

Name of Firm

Mailing Address of Firm

Physical Address of Firm

Name of Contact Person

Phone Number

Fax Number

Cell Phone Number

Email Address

Business Structure

If a joint venture or prime/subcontractor arrangement of two firms, indicate how the work will be distributed between the partners.

Proof of Liability Insurance.

Please attach a copy of your insurance certificate that meets the insurance requirements indicated in Section 4.1 in the DRAFT Contract attached to the RFSQ.

Total numbers and types of electricians:

Apprentice

Journeyman

Master Electricians

Management

Describe and explain any litigation, major disputes, contract defaults, and liens in the last ten (10) years. Attach any relevant documentation if any.

By my signature below, I certify that I am an authorized representative of the company named below, and that the information provided above is true and complete and accurate to the best of my knowledge, and has been submitted fairly, in good faith, and without collusion or fraud.

Name and Title Company Name

Signature Date

RFSQ-042-26-CC Electrical Services

RFSQ-042-26-CC Page 1 of 7

FORM 2

COMPANY EXPERIENCE AND PAST PERFORMANCE

SECTION 1 – COMPANY

Provide the following information regarding your firm’s experience and staffing available to perform services under a resultant contract with the City of Tallahassee.

1.1 COMPANY NAME:

RFSQ-042-26-CC Page 2 of 7

SECTION 2 -RELEVANT PROJECT EXPERIENCE AND PAST PERFORMANCE

Respondents shall provide information demonstrating relevant project experience, contract performance, and technical qualifications.

1. Government Contract Experience Respondent must provide proof of successfully competing at least one (1) government contract (federal, state, local), within the last five (5) years.

At least one Client Reference must verify this requirement using FORM 3 –

CLIENT REFERENCES.

Provide information about government contract below:

Project Title/Contract Name: ______________________________________________ Client/Agency Name:____________________________________________________ Contract Number: (if applicable)____________________________________________ Contract Start Date:______________________Contract End Date_________________ Description of work performed:

2. Contract Performance

a. List most significant contract Information in the last fiscal year (2025)

Contract Title:

Contract Value:

Client Name:

Scope Description and Project Complexity:

RFSQ-042-26-CC Page 3 of 7

Number of staff used:

b. Provide the

Respondent’s total net revenue for its most recently completed fiscal year (2025). If 2025 financials are not finalized, provide the most recent completed fiscal year and identify the period provided.

c. Liquidated Damages:

Within the past five (5) years, has the Respondent been assessed liquidated damages under any contract?

RFSQ-042-26-CC Page 4 of 7

d. If Yes above (c.), provide explanation and attach backup documentation with your response.

e. Have any contracts held by the Respondent been terminated, suspended or not renewed due to poor performance?

If Yes, provide additional information below, and attach any relevant documentation.

RFSQ-042-26-CC Page 5 of 7

Technical Knowledge and Experience

a. Describe the level of knowledge and experience working with residential and commercial electrical systems.

RFSQ-042-26-CC Page 6 of 7

b. Provide descriptions of any previous specialized electrical services provided for;

industrial clients; municipal utilities; plants and distribution systems.

RFSQ-042-26-CC Page 7 of 7

c. Provide level of knowledge and experience working with Variable Frequency Drives and with instrumentation equipment.

RFSQ-042-26-CC

FORM 3 - CLIENT REFERENCES

Respondent’s Name:

INSTRUCTIONS: Respondent is to complete Form 3 – Client Reference and have former clients complete CLIENT PAST PERFORMANCE QUESTIONNAIRE. Both portions of the form shall be submitted by Respondent under Tab 3.

NOTE: At least one CLIENT PAST PERFORMANCE QUESTIONNAIRE must be completed by a government entity, that was identified or referenced on Forms 1 and 2. Failure to provide the government client reference may result in a non-responsive determination. The CLIENT PAST PERFORMANCE QUESTIONNAIRE can not include the City of Tallahassee.

In the spaces provided below, the Respondent shall list all business names under which it has operated during the past five (5) years.

Client references will be utilized for the purposes set forth in RFSQ-042-26-CC, Section 2.4.3 Tab 3 – Client References.

The Respondent must submit Client Past Performance Questionnaires completed by a minimum of three

(3) separate, non-City of Tallahassee (City) clients.

Failure to submit completed Client Past Performance Questionnaires for three (3) separate, non-City clients may result in the Respondent being deemed non-responsive.

The non-City clients that have completed a separate Client Past Performance Questionnaire (Pages 2 and 3 of FORM 1 – CLIENT REFERENCES) are:

Name of Client Reference:

1. Government:

2.

3.

4.

5.

FORM 3

CLIENT PAST PERFORMANCE QUESTIONNAIRE

The below Respondent has identified you (or your firm) as a client reference for the City of Tallahassee Request for Statement of Qualification (RFSQ) – Citywide Electrical Services. This means that, within the past five (5) years, the Respondent has provided electrical services on your behalf. The information you provide will be used by the City’s evaluation committee in the review and scoring of the Respondent’s qualifications.

Please complete this form and return it to the Respondent, for inclusion in its solicitation response to the City of Tallahassee.

Respondent’s Name:

Respondent’s Previous Name, if different from the name indicated above:

The following shall be completed and signed by the Client:

Client’s Name:___________________________________________________________________

Client’s Address:

Client Contact’s Name:

Client Contact’s Title:

Client Contact’s Phone Number:

Client Contact’s E-mail Address:

Directions:

Please complete the following questions regarding the Respondent’s past performance for your organization.

1. For questions 1 through 3, please write your answer in the space provided.

2. For questions 4 through 8, please select a rating from the drop-down menu.

3. For question 9, please check Yes or No.

1. What services did the Respondent provide for your organization?

Answer:

2. What was the timeframe or the contract term that these services were provided?

Please include a beginning date (MM/DD/YY) to an end date (MM/DD/YY).

Answer:

4. What was the total dollar amount for the services performed or contract listed above?

Answer:

For Questions 4 through 8 please use the following rating:

Excellent, Above Average, Average, Poor. RATING

4. How would you rate the overall contract performance of the Respondent?

5 . How would you rate the Respondent’s ability to meet all of its deadlines (e.g., timely provision of services?)

6. How would you rate the Respondent’s the project/contract manager, and their ability to work with your organization?

7. How would you rate the performance of service provided to your organization by the Respondent?

8. How would you rate the Respondent’s responsiveness to your communications with them and their overall ability to resolve any issues?

For Question 9, rate by checking YES or NO:

9. Would you contract with this Respondent again? Please circle Yes or No. YES NO

By signing below, I certify that the Respondent provided the products and services as indicated above:

Signature of Client Representative Date

Printed Name and Title Date

FORM 4

Personnel & Licenses & Certifications

1. ELECTRICAL STAFF

Personnel Type Number of Electrical Staff Licensed Master Electricians

Licensed Journeyman Electricians

Apprentice/Helpers

2. TOTAL COMPANY STAFF

Staff Category Number of Staff Management

Field Personnel

Clerical/Administrative

3. INSTRUCTIONS:

In lieu of providing a resume for each employee/electrician expected to work on this contract, the Respondents may complete the form attached below for each such individual and include them under TAB 4. Ten copies of the form are attached below for your convenience.

If the Respondent elects to submit a resume instead, each resume must include all the information requested in the form below.

The Respondents may reproduce and submit additional copies of the form as needed for all employees/electricians who are expected to work under this Contract.

1.

Name and Title

Position within Organization Structure

Years with Firm or Duration of Employment

Education/Degree Or License No.

Number of Years as a Electrician

Relevant Certifications.

Provide copy of certification or registration with Florida Dept. of Professional Business and Regulation (DPBR) and a picture of the license number

Areas of practice specialization; if any

2.

Employment.

an Electrician

Provide copy of certification or registration with Florida Dept. of Professional Business and Regulation (DPBR)

3.

Provide copy of certification or registration with Florida Dept. of Professional Business and Regulation (DPBR)

4.

Provide copy of certification or registration with Florida Dept. of Professional Business and Regulation (DPBR)

5.

Provide copy of certification or registration with Florida Dept. of Professional Business and Regulation (DPBR)

6.

Provide copy of certification or registration with Florida Dept. of Professional Business and Regulation (DPBR)

7.

Provide copy of certification or registration with Florida Dept. of Professional Business and Regulation (DPBR)

8.

Provide copy of certification or registration with Florida Dept. of Professional Business and Regulation (DPBR)

9.

Provide copy of certification or registration with Florida Dept. of Professional Business and Regulation (DPBR)

10.

Provide copy of certification or registration with Florida Dept. of Professional Business and Regulation (DPBR)

Rev. 6.17.22

FORM 5

CERTIFICATION OF A DRUG-FREE WORKPLACE

Section 287.087 of the Florida Statutes provides that, whenever two or more bids, proposals, or replies that 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, proposal, or reply received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process. In order to have a drug-free 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 specifying the actions that will 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 a 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 in Subsection (1).

4) In the statement specified in Subsection (1), notify the employees, 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 the United States or any State, for a violation occurring in the workplace no later than five (5) days after such conviction.

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 who is so convicted.

6) Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section.

Please sign below and return this form to certify that your business has a drug-free workplace program.

As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. False statements are punishable at law.

BIDDER /RESPONDENT COMPANY NAME:

Indicate Drug-free Workplace Program status by entering an “X” in the appropriate field:

My company DOES___ / DOES NOT ___ have an active drug-free workplace program.

Authorized Signature

Print Name and Title

FORM 6

REPRESENTATIONS/CERTIFICATIONS

TAXPAYER IDENTIFICATION

Respondent must complete Federal Form W-9 and submit it with their bid.

OFFICIAL COMPANY INFORMATION AS REGISTERED (Type/Print)

COMPANY NAME:

MAILING ADDRESS:

(City) (State) (Zip Code + 4)

TELEPHONE NO.:

(Toll-Free Preferred) VOICE: EXTENSION:

OTHER: FAX:

WEBSITE URL:

COMPANY CONTACT FOR CONTRACT MANAGEMENT (Type/Print)

NAME:

TELEPHONE NO.:

(Toll-Free Preferred) VOICE: EXTENSION:

OTHER: FAX:

EMAIL ADDRESS:

PAYMENT REMITTANCE ADDRESS (Type/Print)

NAME:

MAILING ADDRESS:

(City) (State) (Zip Code + 4)

TELEPHONE NO.:

(Toll-Free Preferred) VOICE: EXTENSION:

OTHER: FAX:

EMAIL ADDRESS:

CONTACT FOR INVOICE INQUIRIES

NAME:

TELEPHONE NO.:

(Toll-Free Preferred) VOICE: EXTENSION:

OTHER: FAX:

EMAIL ADDRESS:

WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)

COMPANY NAME:

MAILING ADDRESS:

(City) (State) (Zip Code + 4)

EMAIL ADDRESS:

IFB-021-26-CC

NON-COLLUSION AFFIDAVIT OF RESPONDENT

State of , County of _, being first duly sworn, deposes and says that:

1) He/She is Respondent Integrator) that has submitted the attached SOQ: of (Title) (Name of Corporation)

2) He/She is fully informed respecting the preparation and contents of the attached submittal and of all pertinent circumstances respecting such submittal.

3) Said SOQ is genuine and is not a collusive or sham SOQ.

4) Further, the said Respondent nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other Respondent, integrator or person to submit a collusive or sham SOQ in connection with the Contract for which the attached RFSQ has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communications or conference with any other Respondent, integrator or person to fix the price or prices in the attached RFSQ or of any other Respondent, or to fix any overhead, profit or cost element of the RFSQ price or the RFSQ price of any other Respondent, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Tallahassee or any person interested in the proposed Contract; and

5) The price or prices quoted in the attached bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Respondent or any ·of its agents, representatives, owners, employees, or parties in interest, including this affiant.

(Signed)

(Title)

Subscribed and sworn to before me

This day of , 2026

Notary Public (Signature)

My Commission Expires:

THIS PAGE MUST BE SUBMITTED FOR RESPONSE TO BE CONSIDERED COMPLETE AND ACCEPTABLE.

FORM 7RFSQ-042-26-CC

FORM 8

CONFLICT OF INTEREST

Vendors are responsible for disclosing a current or reasonably foreseeable conflict of interest involving the City of Tallahassee. The City of Tallahassee seeks to avoid, neutralize or mitigate significant potential or actual organizational conflicts of interest. Respond to each of the six statements in the boxes below. Answering “Yes” will not necessarily disqualify a Vendor.

Select “Yes” if a potential conflict of interests exist or if you are uncertain whether a particular circumstance constitutes a potential conflict of interest. If ‘Yes’ is selected, you must provide an explanation on a separate document and attach to this form.

Select “No” if a potential conflict of interest does not exist.

Select “None known” only if (a) it is unduly burdensome to discover the correct response for reasons such as your workforce is so large that it is unreasonable to ascertain whether any potential conflict of interest exists and (b) you in fact do not have knowledge of any potential conflict of interest. If None Known is selected, provide an explanation on a separate document and attach to this form. The explanation must describe why it is unduly burdensome to answer Yes or No.

Yes No None Known

Potential Conflict of Interest

1. Employment by Vendor of a current City of Tallahassee employee or public official, or their family.

2. Employment by Vendor of a former City of Tallahassee public official, manager, department director.

3. Direct or indirect ownership of material personal financial interest in Vendor by a City of Tallahassee employee, public official or their family.

4. A past, present, or foreseeable payment or provision of anything of value by Vendor to a City of Tallahassee employee, public official or their family that could reasonably appear to influence the employee’s or public official’s actions or judgement.

5. An unfair competitive advantage existing in favor of Vendor with regard to a City of Tallahassee contract for which Vendor is competing. An unfair competitive advantage exists when the vendor competing for award of a contract obtained either (i) access to information that is not available to the public and which would assist the vendor in obtaining the contract or (ii) source selection information that is relevant to the contract but is not available to all competitors and that would assist the vendor in obtaining the contract.

6. Vendor, through any affiliates, subsidiaries, or other ongoing business relationships, has a potential or actual conflict between services that may be provided by Vendor to Citizens and the activities of the affiliate, subsidiary, or ongoing business relationship.

Print Vendor Name Print Position Title

Print Your Name Email Address and Phone Number

Signature and Date

DEFINITIONS:

Authorized Representative means representative of the vendor with knowledge of vendor’s operations and personnel sufficient to in good faith provide potential conflict of interest information on behalf of the vendor as detailed above.

Relative means father, mother, son, daughter, husband, wife, brother, sister, father-in-law, mother-in- law, son-in-law or daughter-in-law, cousin, niece, nephew and stepchildren.

Material Personal Financial Interest in a vendor means any position as owner, proprietor, manager, partner (active or silent), officer, director, shareholder or beneficiary of such vendor. A material personal financial interest does not, in most instances, pertain to ownership of a limited number of shares in publicly held firms, shares owned through a mutual fund, or personal bank accounts. However, direct or indirect ownership of more than five (5) percent of the total assets or capital stock of a vendor constitutes a material personal financial interest in such vendor.

SIGNATURE: By my signature below, I certify that I am an Authorized Representative of the Vendor named below, and that all of the information provided above is true and complete to the best of my knowledge:

ATTESTATION IN COMPLIANCE WITH SECTION 787.06(14), FLORIDA STATUTES

In accordance with Section 787.06(14), Florida Statutes, this attestation must be completed by an officer or representative of a nongovernmental entity that is executing, renewing or extending a contract with the City of Tallahassee.

The undersigned, on behalf of the nongovernmental entity referenced below (“Entity”), hereby attests under penalty of perjury that:

1. I am over eighteen years of age. The following information is given from my own personal knowledge.

2. I am an officer or representative of the Entity.

3. The Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes.

4. If, at any time in the future, Entity uses coercion for labor or services, Entity will immediately notify the City of Tallahassee and no contracts may be executed, renewed, or extended between the parties.

5. I am authorized to provide this attestation on behalf of Entity.

6. I have read the foregoing attestation and understand that I am affirming under penalties of perjury to the truthfulness of the statements made in this attestation and that the punishment for knowingly making a false statement in this attestation may subject me to criminal penalties. The statements above are made for the benefit of, and reliance by, the City of Tallahassee.

Nongovernmental Entity:

Printed Name: _________________________________________________________________

Title: ________________________________________________________________________

Signature: _____________________________________________________________________

Date: _________________________________________________________________________

Ver. 8/12/25 KC

FORM 9RFSQ-042-26-CC

FORM 10

RESPONSIBLE VENDOR REVIEW FORM

A contract can only be awarded to a “responsible vendor”. A responsible vendor has the capability in all respects to fully perform the contract requirements and the integrity and reliability that will assure good faith performance.

To assist in making this determination, Vendors responding to this Solicitation are required to fully and accurately answer each of the questions below. For each “Yes” answer to questions

1.1 through 1.8, Vendor must provide a detailed explanation and attach copies of any relevant document cited in the explanation. Answering “Yes” to questions 1.1 through 1.8 will not necessarily disqualify a Vendor from participating in this Solicitation. However, failure to provide additional information as requested by the City of Tallahassee may disqualify a Vendor.

The City of Tallahassee (COT) will base its determination of a Vendor’s responsibility on: (a) information provided by Vendor in response to this form; (b) information provided elsewhere in a Vendor’s response to the Solicitation (including financial information) and (c) information obtained from independent research (including information COT obtains from the internet or third parties, including System for Award Management (SAM)).

Vendors shall provide immediate written notice to COT if any time prior to contract execution, a Vendor learns that the information provided in connection with this form was erroneous when submitted or has become erroneous for reason of changed circumstances. Vendor must contact the Procurement Officer with any questions regarding this form.

1.0 Within the last ten (10) years, in the State of Florida or any State or Federal jurisdiction has the Vendor or any of its officers, directors or owner:

1.1 Been, subject to a revocation, suspension, disbarment, administrative complaint, sanction, fine, adverse action, or disciplinary action relating to any business or professional permit, certification, and/or license?

☐ Yes

☐ No

1.2 Been suspended, debarred, or disqualified from any government contracting process or agreed to voluntary exclusion from any government procurement process?

☐ Yes

☐ No

1.3 Been subject to formal monitoring agreement or corrective action plan as part of a contract with a government entity?

☐ Yes

☐ No

1.4 Been subject to an indictment, administrative proceeding, civil action or judgment in connection with any government contract?

☐ Yes

☐ No

1.5 Had a government contract terminated for cause? ☐ Yes

☐ No

1.6 Been convicted of a crime related to governmental or

nongovernmental contracting?

☐ Yes

☐ No

1.7 Been subject to governmental investigation relating to alleged violation of any statutory regulatory violation?

☐ Yes

☐ No

1.8 Had a judgement entered in a civil lawsuit based on an allegation of fraud?

☐ Yes

☐ No

2.0 Does the vendor have the necessary organization, experience, accounting and operational controls, and professional and technical skills to meet its obligations under the proposed contract with COT, taking into consideration all existing commercial and governmental business commitments?

☐ Yes

☐ No

3.0 General Information

Do you have an active State Term Contract (STC) or General Administrative Services (GSA) Contract similar to the scope of services for this solicitation. If yes, provide an attachment with links to the contract(s)

☐ STC

☐GSA

☐ Not Applicable

By my signature below, I certify that I am an authorized representative of the Vendor named below and that all of the information provided above is true and complete to the best of my knowledge.

Name and Title Vendor Name

RFP-042-26-CC

FORM 12

LABOR RATES

These rates a will not be used for award, they will be included in the resulting contract.

Provide labor hourly rate for normal business hours and labor hourly rate for emergency services in the table below. Hourly rates shall include all associated labor costs including wages, benefits, overhead and any other labor related costs.

These labor rates will not be evaluated. The awarded vendor’s rates will be included in the resulting contract.

Regular Business Hours (8:00 am – 5:00 pm during weekdays, except City Holidays)

Emergency Hours/Holidays* (any time outside regular business hours) Hourly Rate Hourly Rate

Entry Level Electrical Apprentice Helper

Skilled Level Journeyman Electrician Maintenance Electrician Service Electrician Master Advanced/Supervisory Master Electrician Lead Electrician/Lead Journeyman Foreman General Foreman

Management Electrical Contractor

*Holidays: Each year the City is closed for customary holidays. It shall be the responsibility of the Contractor to maintain a current holiday calendar for the City and County and stay informed of operating hours.

Typical Holiday Schedule – City of Tallahassee:

New Year’s Day

RFP-042-26-CC

Martin Luther King, Jr. Day Emancipation Day Memorial Day Independence Day Labor Day Veteran’s Day (observed) Election Day Thanksgiving Day Day after Thanksgiving Christmas Day

CERTIFICATION OF INDEPENDENT PRICING AND QUOTE REQUIREMENTS

The Respondent certifies that all quotes submitted for single projects against a resultant contract with the City will comply with the following:

a) Prices will be arrived at independently, without, for the purpose of restricting competition, any consultation, communication or agreement with any other contractor or competitor relating to those prices, the intention to submit a quote, or the methods or factors used to calculate the prices offered.

b) Prices will not be knowingly disclosed by the contractor, directly or indirectly, to any other contractor or competitor before the scheduled date and time for receipt of quotes by the City or an order is issued against a contract; and that

c) No attempt has or will be made by the Contractor to induce any concern to submit or not to submit a quote for the purpose of restricting competition.

d) Each signature on all quotes provided is considered to be a certification that Signatory is the person in the Contractor’s organization responsible for determining the prices being quoted for the project and has been authorized, in writing, to act as agent for the principal.

e) All quotes will be itemized and include a price or cost for each listed item or service.

f) Quotes shall not include separate line items for percentage markups related to administrative overhead or profit. Any overhead or profit shall be incorporated into the unit or line -item pricing.

Authorized Representative Name Authorized Representative Title

FORM 3 - CLIENT REFERENCES.pdf
Respondent’s Name:
INSTRUCTIONS: Respondent is to complete Form 3 – Client Reference and have former clients complete CLIENT PAST PERFORMANCE QUESTIONNAIRE. Both portions of the form shall be submitted by Respondent under Tab 3.
NOTE: At least one CLIENT PAST PERFORMANCE QUESTIONNAIRE must be completed by a government entity, that was identified or referenced on Forms 1 and 2. Failure to provide the government client reference may result in a non-responsive determination. T...
Directions:
FORM 5 - CERTIFICATION OF DRUG FREE WORKPLACE.pdf
FORM 2 - Certification of a Drug Free Workplace.pdf
FORM 2
CERTIFICATION OF A DRUG-FREE WORKPLACE
FORM 6 - REPRESENTATIONS CERTIFICATIONS.pdf
FORM 4- Representations Certifications.pdf
FORM 4
REPRESENTATIONS/CERTIFICATIONS
FORM 7 - NON COLLUSION AFFIDAVIT.pdf
FORM 5 - Non Collusion Affidavit of Respondent.pdf
NON-COLLUSION AFFIDAVIT OF RESPONDENT
FORM 8 - CONFLICT OF INTEREST.pdf
FORMS 1-7_Part5.pdf
FORM 3 - Vendor Conflict of Interest.pdf
DEFINITIONS:
License Number:
Date of Expiration:
Limited Liability Company:
Number of years in business performing electrical services:
Form 3:
that will work under or service this contract further detail and information of the two:
below is requested on Form:
Name:
undefined_3:
License Number_2:
Name_2:
License Number_3:
Has the Respondent performed electrical work for both residential and commercial:
Provide the number of electrical projects your firm completed in 2025:
How many of the above were for commercial properties or buildings:
Name of Firm:
Mailing Address of Firm:
Physical Address of Firm:
Name of Contact Person:
Phone Number:
Fax Number:
Cell Phone Number:
Email Address:
Business Structure If a joint venture or primesubcontractor arrangement of two firms indicate how the work will be distributed between the partners:
Proof of Liability Insurance Please attach a copy of your insurance certificate that meets the insurance requirements indicated in Section 41 in the DRAFT Contract attached to the RFSQ:
Total numbers and types of electricians Apprentice Journeyman Master Electricians Management:
Describe and explain any litigation major disputes contract defaults and liens in the last ten 10 years Attach any relevant documentation if any:
Name and Title:
Company Name:
Date:
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File details come from the government source that posted it. Updated .