25-21-QT_-_Annual_Vehicle_Lift_Inspection_&_Certification_Services.pdf

REQUEST FOR QUOTE

25-21-QT

ANNUAL VEHICLE LIFT INSPECTION & CERTIFICATION SERVICES

Contact Person

Jessica Graham, CPPB Procurement/Contracts Manager

Phone: (772) 388 – 8231 Email: jessgraham@cityofsebastian.org

*Dates in this schedule occurring after the release date may be amended by the City.

The City reserves the right to delay or modify dates and will notify Proposers of all changes.

PROPOSED SCHEDULE

EVENT DATE TIME

RELEASE DATE: Thursday, August 7, 2025 -

QUESTION DEADLINE Monday, August 18, 2025 2:00 PM Local Time

QUOTE DUE DATE Thursday, August 28, 2025 2:00 PM Local Time

RECOMMENDATION OF AWARD

(If Applicable)

Wednesday, September 24, 2025 6:00 PM Local Time mailto:jessgraham@cityofsebastian.org

SECTION 1 – INSTRUCTIONS TO QUOTERS

1.1 PURPOSE

1.1.1 The City of Sebastian is seeking a qualified contractor to provide annual inspections, maintenance, and repair of vehicle lifts.

1.2 QUESTION DEADLINE

1.2.1 The deadline to submit questions will be Monday, August 18, 2025, at 2:00

PM local time. Any questions or communication regarding this solicitation must be emailed to the City’s Procurement/Contracts Manager at jessgraham@cityofsebastian.org.

1.2.2 The Quoter is responsible for checking for addenda associated with this solicitation.

1.3 ELECTRONIC QUOTE SUBMITTAL

1.3.1 All quotes must be submitted by the due date and time. The quote due date is Thursday, August 28, 2025, at 2:00 PM.

1.3.2 Quotes must be submitted using one (1) of the following methods:

A. Submitted via VendorLink portal (https://www.myvendorlink.com/)

B. Submitted via email to procurement@cityofsebastian.org

1.3.3 Quotes are due on the date and time indicated on the cover page or as amended by an addendum issued by procurement.

1.3.4 The Contractor is responsible for submitting their response by the time and date specified in the solicitation or subsequent addenda. The City shall not be responsible for delays caused by any occurrence.

1.3.5 At its sole discretion, the City may reject any and all Quotes or accept any Quote or portion thereof deemed to be in its best interest and to waive any non-substantial irregularities.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

mailto:kkillgore@cityofsebastian.org https://www.myvendorlink.com/ mailto:procurement@cityofsebastian.org

TABLE OF CONTENTS

SECTION 1 – INSTRUCTIONS 2

TABLE OF CONTENTS 3

SECTION 2 – SCOPE OF WORK 4

SECTION 3 – SPECIAL CONDITIONS 11

SECTION 4 – REQUIRED FORMS 15

• CONTACT INFORMATION SHEET 16

• CORPORATE RESOLUTION 17

• STATEMENT OF BIDDER’S QUALIFICATIONS 18

• NON-COLLUSION AFFIDAVIT OF PRIME BIDDER 20

• DRUG-FREE WORKPLACE PROGRAM 21

• CERTIFICATION REGARDING DEBARMENT AND SUSPENSION 22

• CERTIFICATION REGARDING SCRUTINIZED COMPANIES 23

• APPENDIX A, 44 C.F.R. PART 18 – CERTIFICATION REGARDING

LOBBYING

• CONTRACTING WITH ENTITIES OF FOREIGN COUNTRIES OF

CONCERN PROHIBITED AFFIDAVIT

• HUMAN TRAFFICKING AFFIDAVIT 26

• REFERENCE LIST 27

• ADDENDA ACKNOWLEDGEMENT 28

SECTION 5 – QUOTE PRICE FORM 29

SECTION 6 – PICTURES 31

SECTION 7 – SAMPLE SERVICE AGREEMENT 34

SECTION 2 – SCOPE OF WORK

2.1 SCOPE OF WORK

2.1.1 Lift Inspections and certifications should be performed annually during

October.

2.1.2 WORK TO BE PERFORMED BY THE CONTRACTOR

A. All inspections to be performed by a certified technician and perform the inspection per ALI Certification standards, qualifications must be included in the proposal.

B. All work to be in accordance with all city, state and federal guidelines.

C. All work to be in accordance with current ANSI requirements.

D. All work to be in accordance with manufacturer’s requirements.

2.1.3 Samples of the items to be inspected are: controls, wire rope, chains, sheaves, drums, alignment, upper and lower limits, if applicable. Structural components and mounting, all mounting bolts will be re-torqued. It is the responsibility of this contractor to ensure all vehicle lifts are inspected to industry and manufacturer standards and provide a complete/comprehensive inspection report for the equipment stating the lift is safe for use.

2.1.4 The duration of the inspection cycle provided by the Contractor shall not exceed 30 calendar days unless the work cannot be performed in the allotted time due to circumstances beyond the control of the City and/or the Contractor. Example: Conditions at the City’s facility that would prevent the safe execution of the described work to be performed.

2.1.5 The Contractor must notify the designated City contact at least forty-eight

(48) hours in advance of any needed site visit, unless it is an emergency.

2.1.6 Work Hours: Normal work hours are Monday through Friday from 7:00 AM to 2:30 PM.

2.1.7 Reporting Documents

A. All inspection reports must be typed. No handwritten reports will be accepted. This includes all inspection reports, questions, comments, and recommendations.

B. The Contractor is required to provide the documentation listed below for each lift listed under this contract. The annual inspection and certification service will not be considered complete until these documents are received.

i. A recertification certificate for each lift.

ii. A written report recognized by industry standard inspection criteria providing findings on lifts in accordance with ANSI/ALI ALOIM: 2020 Standard for Automotive Lifts - Safety Requirements for Operation, Inspection and Maintenance.

a. If the unit fails to pass inspection an itemized list of required and or recommended repairs to bring the equipment into compliance with ANSI/ALI ALOIM: 2020 Standard for Automotive Lifts - Safety Requirements for Operation, Inspection and Maintenance.

The contractor must provide a detailed quote, including parts and labor, to bring any lifts into compliance for inspection, and the quote must be approved prior to any repair work being completed.

iii. A current recertification sticker attached to a part of the lift at their respective locations.

2.2 LIFT INFORMATION

2.2.1 All lifts are located at the City of Sebastian Public Works Compound. The address is 505 Airport Drive W, Sebastian, FL 32958

2.2.2 Lift Descriptions:

Qty Make Model Size Additional

Information

4 Challenger CLHM-140 14,000 pounds

(each) Mobile system with four (4) individual lifts

2 Rotary SPOA10N8G0 10,000 pounds

1 Challenger 4015 XFX 15,000 pounds

2.3 REPAIR SERVICES

2.3.1 If deficiencies are found during the annual inspection and repairs are required, the CONTRACTOR shall submit a proposal and cost estimate.

2.3.2 During the lift’s service life, the City may require repairs. These repairs may also include diagnostic services. The City’s Project Manager shall request via telephone or email that the CONTRACTOR perform such services. The CONTRACTOR shall acknowledge this request with either a return call or email to the City’s Project Manager within twenty-four (24) business hours of the notification. If required, the CONTRACTOR shall troubleshoot and diagnose any issues and provide a cost estimate as outlined below to perform the needed work to return the machine to full operational service.

All cost estimates shall include, but not limited to, the following details:

A. Unique Proposal/Estimate Number (assigned by CONTRACTOR)

B. Date inspected.

C. Date cost estimate was prepared.

D. Diagnosis

E. Parts required, as well as direct costs plus the bid markup.

F. Labor – time required to perform work multiplied by the appropriate labor rate bid.

G. Timeframe for completion of repairs.

H. Total Price

2.3.3 The CONTRACTOR may only proceed with repairs upon approval of the cost estimate and issuance of a purchase order number. The CONTRACTOR shall perform all work within the timeframe specified within the cost estimate. The CONTRACTOR may perform only such work included in the approved cost estimate or as included in properly authorized amendments. Parts and material(s) installed by the CONTRACTOR shall be new, original equipment manufacturers (OEM) parts and materials or approved equals. The City’s Project Manager shall approve parts and materials manufactured by a company other than the original manufacturer before being utilized for the specific repair. The CONTRACTOR shall complete all required repair work to ensure and guarantee that the item(s) repaired is operable and functioning correctly. The City will not be responsible for paying for the CONTRACTOR’s labor or any parts or materials ordered and/or installed on the City’s equipment due to the CONTRACTOR’s misdiagnosis.

2.3.4 Original Invoices for Materials and/or Parts, including the cost‐plus percentage allowed per contract, must be submitted for payment; copies will not be acceptable.

2.3.5 Repairs and replacement: All estimates shall be submitted within 72 hours after the site visit, and work shall commence within 5 days of receipt of a request to proceed.

2.3.6 Emergency repairs and replacements: All emergency repairs or replacements should be responded to within 8 hours after the initial call/site visit, and work shall commence no later than 24 hours after receipt of a request to proceed.

2.3.7 Addition and removal of lifts: The City of Sebastian reserves the right to add or remove lifts from this agreement and will not be held to any minimum/maximum dollars for the term of this agreement.

2.4 Material Mark-Up

2.4.1 The cost of the materials shall be based on the Contractor's wholesale price from the supply house plus a maximum of a 10% percent markup. A markup on sales tax will not be allowed. The Contractor's invoices shall clearly show the manufacturer's part number, description, manufacturer cost, and percent markup cost. A copy of the supply house invoice shall be submitted with the Contractor's invoice. Contractor shall only be reimbursed for materials requested by the City and not for materials utilized by the Contractor in the normal course of the work covered under this Contract.

2.5 Contractor Requirements

2.5.1 Contractor shall provide all personal equipment and measurement tooling required to perform the lift inspections. Personal protective equipment, hard hat, safety glasses and suitable attire required to perform work in an industrial environment will be the responsibility of the Supplier and contract personnel.

2.5.2 Contractor’s employees must wear uniforms or other means to identify themselves as employees of the Supplier while on Orlando Utilities Commission properties

2.6 CONTRACTOR MINIMUM QUALIFICATIONS

2.6.1 Contractor must possess three (3) years of experience in providing vehicle lift inspections and certification.

2.6.2 Contractor must have been in business under the same FEIN number for the past three (3) years. Evidence should be submitted with the Quote submittal

2.6.3 If the Contractor’s business is located in Sebastian, FL, or Indian River County, they must provide a copy of their business tax receipt.

2.6.4 Contractors that do not meet the minimum requirements listed herein, as determined by the City, at its sole discretion, will be deemed non-responsive and not considered for award. All decisions made by the City are final.

2.6.5 No contract will be awarded to any proposer who, as determined by the

CITY, has an unsatisfactory performance record, inadequate experience, lack of organization, labor, and equipment to perform the required services, and is in arrears to the CITY on a debt or contract or is a defaulter on surety to the CITY or whether the proposer’s taxes or assessments are delinquent.

The City has the right to disqualify any proposer who does not meet any or all qualifications necessary, as determined by the City.

2.7 INSURANCE

2.7.1 The City of Sebastian is to be specifically included as an additional insured on all insurance certificates (except Worker's Compensation). Waiver of Subrogation is required for Commercial General Liability and Automobile Liability. A renewal certificate shall be issued thirty (30) days before said expiration date. The certificate shall provide a thirty (30) day notification clause in the event of cancellation or modification to the policy.

2.7.2 Before starting and until acceptance of the work by the City, Awarded Contractor shall, as a minimum mandatory condition precedent to this work, procure and maintain insurance of the types and to the limits specified below, at their own expense and without cost to the City, until final acceptance by the City of all products or services covered by the purchase order or contract.

2.7.3 The certificate holder shall read:

City Of Sebastian

1225 Main Street

Sebastian, FL 32958

2.7.4 Minimum coverage with limits and provisions are as follows:

A. Commercial General Liability: The contractor shall provide

Commercial General Liability insurance. This shall include premises/operations, personal & advertising injury, products, completed operations, contractual liability, specifically confirming and ensuring the indemnification and hold harmless clause of the contract. This insurance policy shall be considered primary to and not contributing to any insurance the City maintains. It shall name the City as an additional insured with a waiver of subrogation noted on the Certificate of Liability. The policy of insurance shall be written on an “occurrence” form.

The contractor shall obtain insurance which shall at least meet the following minimum limits:

a) Per Occurrence: $1,000,000

• General Aggregate: $2,000,000

B. Business Automobile: The contractor shall provide Business

Coverage Automobile Insurance, which shall protect the contractor from claims for damage for personal injury, bodily injury including accidental death, as well as claims for property damages which may arise from operations under this contract whether such operations are by himself or by anyone directly or indirectly employed by him.

Coverage shall include owned, non-owned, hired and rented vehicles.

The contractor shall obtain insurance which shall at least meet the

a) Bodily Injury and Property Damage:

• Combined Single Limit (each Accident): $1,000,000.00

C. Workers' Compensation: The contractor shall provide and maintain workers’ compensation insurance for all employees in the full amount required by statute and full compliance with the applicable laws of the State of Florida (Florida Statutes Chapter 440). Exemption certificates to this requirement are not acceptable.

The Contractor shall obtain insurance that shall at least meet the

a) State Worker’s Compensation: Statutory

b) Employer’s Liability: $1,000,000.00 Each Accident

$1,000,000.00 Disease, Policy Limit $1,000,000.00 Disease, Each Employee

D. Umbrella/ Excess Liability: The contractor shall provide umbrella/excess coverage with limits of no less than $1,000,000 excess of Commercial General Liability, Automobile Liability, and Employers Liability. *This coverage is optional if the Contractor has $2,000,000 General Aggregate under the Commercial General Liability Policy. **

2.7.5 An endorsement to the Commercial General Liability or Automobile Liability policy, covering Contractor’s or subcontractor’s liability for bodily injury, property damage and environmental damage resulting from sudden accidental and gradual pollution and related clean-up cost incurred by the Contractor that arise from the Goods delivered or Services (including transportation risk) performed by Contractor under this Contract is also acceptable.

2.7.6 The Contractor shall declare any self-insured retention or deductible over $5,000 for any policy. The City reserves the right to reject any self-insured retention or deductible over $5,000.

2.7.7 All insurance carriers shall be rated (A) or better by the most recently published A.M. Best Rating Guide. Unless otherwise specified, the contractor shall ensure that all subcontractors comply with the insurance requirements set forth in this Agreement. The City may request a copy of the insurance policy according to the nature of the project. The city reserves the right to accept or reject the insurance carrier.

SECTION 3 - SPECIAL CONDITIONS

3.1 AWARD

3.1.1. Award shall be made to the lowest, responsive, responsible contractor(s).

The City reserves the right to make multiple awards in its best interest. The City reserves the right to reject any and/or all Quotes and to waive any minor irregularity or technicality. Payment discounts will not be considered for Quote evaluation purposes.

3.1.2. At its sole discretion, the City reserves the right to reject all Quotes, waive all formalities, and disregard all nonconforming, non-responsive, or incomplete Quotes. The City expressly reserves the absolute right to determine the seriousness of any Contractor’s failure to conform to the requirements of the solicitation document. Contractors cannot utilize the City’s determination of the severity of any specific non-conformance as a basis to protest the award of any Quote. Quotes may be considered subject to rejection if, in the sole opinion of the City, there is a serious omission, unauthorized alteration of form, an unauthorized alternate Quote, incomplete or unbalanced unit price, or irregularities of any kind. The City may reject, as non-responsive, any or all Quotes where the Contractor fails to acknowledge receipt of addenda as prescribed.

3.1.3. The total contract expenditure shall not exceed $25,000 without prior approval from the City Council.

3.1.4. Service Contract: The awarded contract will be required to execute a service contract with the City. The Sample contract is included in Section 6.

3.2 LENGTH OF CONTRACT AND RENEWAL

The initial term of the Agreement is two (2) years. If agreed to in writing at least thirty days before the end of the initial term, the parties may renew the Agreement for three (3) additional terms of one (1) year.

3.3 PROJECT COORDINATION

3.3.1. A City project manager will oversee all assigned work to ensure adherence to schedules and service quality throughout the project’s progress and submittal of final payment. The project manager will periodically inspect the work performed to ensure compliance with the agreement's requirements.

If the requirements are not being met satisfactorily, the City shall require the contractor to correct any discrepancies, inconsistencies, or faults immediately at no additional cost. The contractor shall understand and agree to the following:

A. Contractor shall be solely responsible and assume all liability for the supervision, direction of all work, and for all means, methods, techniques, sequences, procedures, and coordination for all services under the agreement; contractor shall ensure enough personnel, materials, supplies, means of transportation, tools and equipment are made available to perform the services; and

B. Contractor shall at all times provide a responsible, knowledgeable, English-speaking worksite supervisor or representative who has decision-making authority; and

C. Contractor shall be solely responsible to the City for the acts and omissions of their subcontractors, agents, employees, and any other persons performing any service under this agreement; and

D. The practices, methods, and materials utilized in the work within or adjacent to any structure must conform to any applicable local, state, and federal regulations and codes.

3.4 SITE INSPECTION AND DUE DILIGENCE

3.4.1. Contractors must carefully examine the project specification and exercise due diligence regarding current and pre-existing conditions at the site.

3.4.2. Before submitting their Quote, the Contractor shall be responsible for visiting the project site and becoming familiar with any conditions that may affect the work.

3.4.3. Before the commencement of work, the contractor shall submit photographs and/or video recordings to the project manager to document any such pre-existing damage to the roadways, driveways, approaches, tree trucks or limbs, landscaping, sod, facilities, utilities, walls and ancillary improvements located at the project site and/or any surrounding areas to be accessed and/or utilized by the contractor.

3.4.4. Any damage to public and/or private property resulting either directly or indirectly from the execution of the project by the contractor shall be repaired or replaced at the sole expense of the contractor in a manner acceptable to the City.

3.4.5. Failure to properly document such pre-existing conditions and to submit said documentation as required may render the contractor liable to repair any such damage at no expense to the City.

3.4.6. No additional allowances shall be made due to the Contractor’s lack of knowledge of the project requirements and site conditions.

3.5 STOP WORK ORDER

The City may at any time, by written notice to the contractor, stop all or any part of the work for this Quote award. Upon receiving such notice, the contractor will take all reasonable steps to minimize additional costs during the period of work stoppage. The City may subsequently either cancel the stop work order, resulting in an equitable adjustment in the delivery schedule and/or the price, or terminate the work in accordance with the provisions of the Quote terms and conditions.

3.6 QUANTITIES

Any quantities identified in this Quote are estimates only and in no way obligate the City to purchase these amounts. The City reserves the right to re-negotiate prices if, during the agreement term, the City purchases more than the estimated quantities in this Quote.

3.7 PROTECTION OF PERSONS AND PROPERTY

3.7.1. While performing services for the City of Sebastian, the awarded contractor shall be responsible for any damage to the City of Sebastian property, personal property, or visitor property due to any negligence by the contractor, their employees, or other agents.

3.7.2. The contractor must reasonably attempt to avoid damage to City or private property under all conditions.

3.7.3. The awarded contractor agrees to repair or replace, at its own expense, any damage caused by the awarded contractor, their employees, or their agents.

3.7.4. The contractor must not drive or park equipment on grass, sidewalks, or patios.

3.7.5. Any damages, including damage to finished surfaces and spilled liquids, resulting from the performance of the Agreement shall be repaired and/or cleaned to the project manager's satisfaction.

3.7.6. Any public or private property damaged by the contractor or a representative during the services shall be repaired or replaced to the project manager's satisfaction at no cost to the City.

3.7.7. The project shall not be considered complete until incurred damages, if any, have been repaired and the worksite is cleaned to the project manager's satisfaction.

3.8 REMOVAL OF DEBRIS

The contractor shall keep the worksite free and clear of rubbish and debris at all times during the performance of services. Any material or waste generated by the contractor or its employees, agents, and Subcontractors shall be removed and disposed of by the contractor at its expense to the satisfaction of the City. The contractor assumes all liability for accidents due to debris, equipment, tools, and worksite hazards.

3.9 WARRANTY

The contractor shall warrant and guarantee all goods, labor, and services for no less than one (1) year from the date of acceptance and shall replace or repair all defects in material or workmanship during the warranty period. The contractor shall bear all labor, product replacement, mobilization, and transportation costs for warranted goods and services. Labor shall be warranted for no less than one (1) year from the acceptance date, and all rework shall be at no cost to the City of Sebastian. A “No Charge” invoice shall be submitted for all warranty repairs detailing the replaced goods, including dimensions and quantity. The contractor shall respond to all warranty requests within twenty-four (24) hours of notification.

Repeated failure to meet the established and repair timeframes will be considered unsatisfactory under the terms of this agreement. Excessive instances of unsatisfactory service shall be cause for default. Warranty repairs must be accomplished within the service response time of twenty-four (24) hours. They shall be fully completed to the satisfaction of the project manager and City within seven

(7) working days.

SECTION 4

REQUIRED

FORMS

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 16 of 58

CONTACT INFORMATION SHEET

DUE DATE: August 28, 2025 Quotes due on or before 2:00 PM LOCAL TIME

City of Sebastian ATTN: Procurement

Sebastian, Florida 32958

Check the Addenda for any revised opening dates before submitting your Quote. Quote(s) received after the date and time stated above will not be opened.

CONTACT:

Jessica Graham, CPPB

Procurement/Contracts Manager

(772) 388-8231 jessgraham@cityofsebastian.org

QT TITLE: Annual Vehicle Lift Inspection & Certification

QT NO.: 25-21-QT

Proposer Name and “Doing Business As”, if applicable:

Federal Tax Identification Number:

Unique Entity ID (SAM.GOV):

Address:

City: State: Zip Code:

Telephone No: Fax No:

E-Mail Address of Authorized Representative:

I certify that I have carefully examined the solicitation document and associated documents, including the Addenda, accompanying or made a part of this solicitation. I further certify that all information contained in this Quote is truthful to the best of my knowledge and belief and that I am duly authorized to submit this Quote on behalf of the proposer named above and that the proposer is ready, willing, and able to perform if awarded.

In compliance with this solicitation, and subject to all conditions herein, I hereby propose and agree to furnish the goods and /or services specified in the solicitation at the prices or rates in my Quote and prices will remain for a period of ninety (90) days to allow the City adequate time to evaluate the Quote.

Signature of Authorized Representative (Manual)

Name of Authorized Representative (Typed or Printed)

Title Date

Each Quote submittal must include the signature of an officer or employee with the authority to bind the contractor in the space(s) provided. If the individual is not listed on Sunbiz.org, a Corporate Resolution shall be provided. The Quote submittal shall be marked non-responsive if a Corporate Resolution cannot be provided.

The City reserves the right to reject any and all Quotes or to accept any Quote or portion deemed to be in the City's best interest and waive any non-substantial irregularities.

mailto:jessgraham@cityofsebastian.org

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 17 of 58

CORPORATE RESOLUTION

I, ___________________________________________, Board President of

______________________________, a corporation organized and existing under the laws of the

State of _____________________, hereby certify that at a meeting of the Board of Directors of the Corporation duly called and held on _____________________, 2025, at which a quorum was present and acting throughout, the following resolutions were adopted and are now in full force and effect:

RESOLVED that the following individual of this corporation is authorized to execute on behalf of this corporation bids and agreements, of which bids and agreements include a hold harmless and indemnification clause.

I further certify that the names of the officers of this corporation and any other persons authorized to act under this resolution and their official signatures are as follows:

NAME OFFICIAL SIGNATURE

IN WITNESS WHEREOF, I have hereunto subscribed my name as Board President and affixed the seal of the corporation this _____ day of ____________, 2025.

Board President Signature: __________________________________________________

STATE OF _________________

COUNTY OF _________________

The foregoing instrument was acknowledged before me, by means of ___ physical presence or

___ online notarization, this _______ day of _______________, _______ (year) by

_____________________________, who is personally known to me or who has produced

_______________________________ as identification and who did (did not) take an oath.

______________________ (Signature of Notary Public)

______________________ (Name of Notary – Typed, printed or stamped)

______________________ (Notary Seal / Serial Number)

______________________ (Date)

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 18 of 58

STATEMENT OF BIDDER’S QUALIFICATIONS

Solicitation Title:

Solicitation Number:

Name of Bidder:

Professional License Type and Number:

1. Contractor’s Compliance with Employment Eligibility Requirements (§448.095, Fla. Stat.

– E-Verify)

The E-Verify system is an internet-based system operated by the United States Department of Homeland Security that allows participating employers to electronically verify the employment eligibility of newly hired employees. Florida Statutes §448.095 provides that any person or entity that has entered or is attempting to enter into a contract with the City of Sebastian to provide labor, supplies or services must register with and use the E-Verify system to verify the work authorization status of all employees hired after January 1, 2021. Further, the contractor must maintain certain required employment compliance records of subcontractors for the duration of the contract with the City of Sebastian.

Contractor E-Verify Registration Number:

2. How long has your organization performed services under your present name?

3. How long has your company provided FIRE EXTINGUISHER SERVICES as a contractor or subcontractor?

4. Has your organization, any officer, or partner failed to complete any work awarded to you?

If so, where and why?

5. Has your company been in disputes or litigations in the last five (5) years over past or present projects? If so, describe the nature of the dispute or litigation and state the Owner's Name, Address, Telephone, and number of disputes or litigations. (Use additional sheets if necessary.)

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 19 of 58

6. Has the bidder’s organization or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulations or any other regulatory agency or professional association within the last five (5) years?

( ) YES ( ) NO

7. Has the bidder’s organization been declared in default, terminated, or removed from a contract or job related to the services your company provides in the regular course of business within the last five (5) years?

8. Has your organization filed any request for equitable adjustment, contract claims, protest, or litigation in the past five (5) years related to the services provided in the regular course of business?

I hereby certify that all statements made are true and I agree and understand that any misstatement or misrepresentation or falsification of facts shall be cause for forfeiture of rights for further consideration of this ITB for the City of Sebastian.

Signature of Contractor’s Authorized Official Date

Name and Title of Contractor’s Authorized Official

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 20 of 58

NON-COLLUSION AFFIDAVIT OF PRIME BIDDER

STATE OF _________________________________

COUNTY OF _________________________________

__________________________ , being duly sworn, deposes and says that:

(1) He/she is of, the (Title) (Firm/Company) bidder that has submitted the attached bid.

(2) He/she is fully informed respecting the preparation and contents of the attached bid and of all pertinent circumstances respecting such bid.

(3) Such bid is genuine and is not a collusive or sham bid.

(4) Neither the said bidder nor any of its officers, partners, owners, agent representatives, employees or parties in interest including this affiant, has in any way, colluded, conspired, or agreed, directly or indirectly, with any other bidder, firm or person, to submit a collusive or sham bid in connection with the Agreement for which the attached bid has been submitted or to refrain from proposing in connection with such Agreement, or has in any manner, directly or indirectly, sought by Agreement or collusion or communication or conference with any other bidder, firm or person to fix the price or prices in the attached bid or of any other bidder, or to fix any overhead, profit or cost element of the bid price or the bid price of any other bidder, or to secure through an collusion, conspiracy, connivance or unlawful Agreement any advantage against the City of Sebastian, Florida, or any person interested in the proposed Agreement.

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

(Signed)

(Title)

STATE OF _________________

COUNTY OF _________________

The foregoing instrument was acknowledged before me, by means of ___ physical presence or

___ online notarization, this _______ day of _______________, _______ (year) by

_____________________________, who is personally known to me or who has produced

_______________________________ as identification and who did (did not) take an oath.

______________________ (Signature of Notary Public)

______________________ (Name of Notary – Typed, printed or stamped)

______________________ (Notary Seal / Serial Number)

______________________ (Date)

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 21 of 58

DRUG FREE WORKPLACE PROGRAM

In accordance with Section 287.087, Florida State Statues, preference shall be given to businesses with drug-free workplace programs. Whenever two or more bids or replies are received by the City that are equal with respect to price, quality, and service for the procurement of commodities or contractual services, a bid 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. Established procedures for processing tie bids will be followed if none of the tied vendors have a drug-free workplace program. 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 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 Florida Statute, Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace, not 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.

As the person authorized to sign such statement, I certify that the firm complies fully with the above requirements and indicate the program was implemented.

Authorized Signature

Company

Date

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CERTIFICATION REGARDING DEBARMENT AND SUSPENSION

This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 13 CFR Part 145.

1. The Contractor (or subcontractor) 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 any Federal department or agency;

b. Have not within a three-year period preceding this application been convicted 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 public transaction; violation of federal or state antitrust statutes or commission 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) of this certification; and

d. Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default.

2. Where the prospective contractor is unable to certify to the above statement, the prospective contractor shall attach an explanation to this form.

3. The City of Sebastian will not make award to parties listed on the government wide exclusions in the System for Award Management (SAM).

Authorized Signature Address

Printed Name & Title City, State, Zip Code

Company Date

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CERTIFICATION REGARDING PROHIBITION AGAINST CONTRACTING WITH

SCRUTINIZED COMPANIES

I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit have been placed on the Scrutinized Companies that Boycott Israel List created pursuant to s. 215.4725 of the Florida Statutes, or are engaged in a boycott of Israel.

In addition, if this solicitation is for a contract for goods or services of one million dollars or more, I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit are on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to s. 215.473 of the Florida Statutes, or are engaged in business operations in Cuba or Syria as defined in said statute.

I understand and agree that the City may immediately terminate any contract resulting from this solicitation upon written notice if the undersigned entity (or any of those related entities of respondent as defined above by Florida law) are found to have submitted a false certification or any of the following occur with respect to the company or a related entity: (i) it has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, or (ii) for any contract for goods or services of one million dollars or more, it has been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or it is found to have been engaged in business operations in Cuba or Syria.

Printed Name & Title

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APPENDIX A, 44 C.F.R. PART 18 – CERTIFICATION REGARDING LOBBYING

Certification for Contracts, Grants, Loans, and Cooperative Agreements (To be submitted with each bid or offer exceeding $100,000.00)

The undersigned certifies, to the best of his or her knowledge, that:

1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement.

2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.

3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S.C. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure

The Contractor, ____________________________________________, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. Chap. 38, Administrative Remedies for False Claims and Statements, apply to this certification and disclosure, if any.

Signature of Contractor’s Authorized Official

Name and Title of Contractor’s Authorized Official

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CONTRACTING WITH ENTITIES OF FOREIGN COUNTRIES OF CONCERN

PROHIBITED AFFIDAVIT

The Contracting with Entities of Foreign Countries of Concern Prohibited Affidavit Form (“Form”) is required by Section 287.138, Florida Statutes (“F.S.”), which is deemed as being expressly incorporated into this Form. The Affidavit must be completed by a person authorized to make this attestation on behalf of the Bidder/Proposer for the purpose of submitting a bid, proposal, quote, or other response or otherwise entering into a contract with the City. The associated bid, proposal, quote, or other response will not be accepted unless and until this completed and executed

Affidavit is submitted to the City.

________________________________ does not meet any of the criteria set forth in Paragraphs 2 (a) – (c)

(Bidder's/Proposer's Legal Company Name) of Section 287.138, FS.

Pursuant to Section 92.525, F.S., under penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.

Print Name of Bidder's/Proposer's Authorized Representative: _________________________________

Title of Bidder's/Proposer's Authorized Representative: _________________________________

Signature of Bidder's/Proposer's Authorized Representative: _________________________________

Date: ________________________

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HUMAN TRAFFICKING AFFIDAVIT

In compliance with Section 787.06(13), Florida Statutes, this affidavit must be completed by an officer or representative of a nongovernmental entity that is executing, renewing, or extending a contract with the City of Sebastian (the “Governmental Entity”).

The undersigned, on behalf of the entity listed below (the “Nongovernmental Entity”), hereby swears or affirms as follows:

1. I am over eighteen (18) years of age. The following information is based on my own personal knowledge.

2. I am an officer or representative of______________________________________, a

Nongovernmental entity, and I am authorized to provide this affidavit on behalf of the

Nongovernmental Entity.

3. Neither Nongovernmental Entity, nor any of its subsidiaries or affiliates, uses coercion for labor or services, as such italicized terms are defined in Section 787.06, Florida Statutes, as may be amended from time to time.

4. If, at any time in the future, Nongovernmental Entity does use coercion for labor or services, Nongovernmental Entity will immediately notify Governmental Entity, and no contracts may be executed, renewed, or extended between the parties.

5. Nongovernmental Entity has read the foregoing attestation, confirms that the facts stated in it are true, and is made for the benefit of, and reliance by, Governmental Entity.

6. This declaration is made pursuant to Section 92.525(1)(c), Florida Statutes. I understand that making a false statement in this declaration may subject me to criminal penalties.

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING

ANTIHUMAN TRAFFICKING AFFIDAVIT AND THAT THE FACTS STATED IN IT ARE TRUE.

FURTHER AFFIANT SAYETH NOT.

Company Name

Printed Name & Title Date

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REFERENCE LIST

Bidder’s Name:

List a minimum of three (3) client references that can speak to the proposer’s experience and performance within the last five (5) years. At least two (2) of these references should be government entities with a minimum of 150 or more employees. The City will conduct Reference Checks for the provided references. If the contact information is incorrect or the reference does not respond, the proposer will lose points awarded for this criterion. Use additional sheets as necessary.

Reference #1

Company Name:

Location (City, State):

Contact Person:

Contact Number:

Email Address:

Dates of Service:

Services Provided:

Reference #2

Company Name:

Location (City, State):

Contact Person:

Contact Number:

Email Address:

Dates of Service:

Services Provided:

Reference #3

Company Name:

Location (City, State):

Contact Person:

Contact Number:

Email Address:

Dates of Service:

Services Provided:

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 28 of 58

ADDENDA ACKNOWLEDGEMENT

Bidder Name: Phone #:

Quote Title:

Annual Vehicle Lift Inspection & Certification Quote #: 25-21-QT

Bidder shall indicate below all Addenda received. Acknowledgment confirms receipt and understanding of the issued Addenda. Bidder understands that failure to acknowledge any addenda issued may cause their bid to be considered non-responsive. To verify the number of addenda (if any), a bidder may contact the Procurement Division at (772) 388-8231.

ADDENDUM # DATE RECEIVED

No Addenda was received in connection to this solicitation.

Print Preparer’s Name: Title:

Signature:

Date:

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 29 of 58

SECTION 5 – QUOTE PRICE FORM

Annual Vehicle Lift Inspection And Certification

Item Description Qty Annual Inspection &

Certification Cost

Make: Challenger

Model: CLHM-140

Size: 14,000 pounds (each)

Additional Info: Mobile system with 4 individual lifts

4 $

Make: Rotary

Model: SPOA10N8G0

Size: 10,000 Pound

2 $

Make: Challenger

Model: 4015 XFX

Size: 15,000 Pound

1 $

TOTAL BID PRICE $

Notes:

A. Pricing on ALL items on the bid price form is MANDATORY.

B. This pricing is all-inclusive. All rates include mobilization and demobilization costs, as well as the operator, supervision, maintenance, fuel, repairs, overhead, profit, insurance, and any other associated costs required to provide the requested services.

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 30 of 58

The Bid Prices shall remain good for ninety (90) days after the due date of this quote. The Bidder certifies that the price quoted represents and includes the entirety of the work, fees, profit, overhead, general requirements, general conditions, etc., of the project per the ITB documents. By affixing their signature to the Bid Price Sheet, the Bidder hereby states that they have read all proposal specifications, terms, and conditions outlined in the Invitation to Bid and agree to such. Bidder also declares that the individual signing this Bid Price Sheet has the legal capacity to sign on behalf of Bidder and to obligate Bidder contractually.

Bidder Name:

Signature: Date:

Print Name: Title:

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 31 of 58

SECTION 6 – PICTURES

Challenger (mobile)

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 32 of 58

Rotary Lift

Failure to complete and submit this form with your bid package may result in the rejection of your bid Page 33 of 58

Challenger

SECTION 7

SAMPLE SERVICE AGREEMENT

25-21-QT Page 35 of 58

CITY OF SEBASTIAN AGREEMENT FOR

ANNUAL VEHICLE LIFT INSPECTION & CERTIFICATION WITH

CONTRACTOR NAME

THIS AGREEMENT made and entered into the ________________by and between the City of Sebastian, Florida, whose address is 1225 Main Street, Sebastian, FL 32958, a municipal corporation of the State of Florida, hereinafter referred to as the "City" and Contractor Name (FEIN: xx-xxxxxxx), whose principal and local address is Contractor Address hereinafter referred to as the…