4-1.1 Exhibits.pdf

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Attached to
DISPATCH NETWORK RE-DESIGN
Solicitation number
26-011
Issued by
Broward County, Florida

About this file

This is an RFP exhibits package from the South Florida Regional Transportation Authority (SFRTA) for RFP No. 26-011, a Dispatch Network Redesign Project. The project scope includes assessing the existing Dispatch and Positive Train Control (PTC) networks and recommending a consolidated, secure, and resilient network design spanning six data centers and forty-nine wayside locations. Deliverables include discovery and assessment documentation, draft and final network redesigns with topology diagrams and VLAN design, a testing and staging laboratory build with configuration validation, deployment-ready configurations, final documentation, and knowledge transfer. The contract term is six months commencing from the issuance of a Notice to Proceed. Proposals are due pursuant to Section 1.4 of the Instructions to Offerors, with proposals remaining irrevocable for 180 days after the due date.

The evaluation criteria allocate 40 points for Qualifications and Experience, 25 points for Project Approach, 15 points for Project Schedule, and 20 points for Cost. Pricing is structured as a lump sum for seven line items covering project phases from kickoff through final acceptance, with optional hourly rates for Senior Network Engineer, Project Manager, and Network Engineer positions at estimated hours of 100, 100, and 300 respectively, plus a not-to-exceed travel and lodging allowance of $5,000. All pricing must include labor, engineering, project management, travel, lodging, equipment, software, documentation, testing, overhead, insurance, taxes, and profit. Proposers must submit three project references, a Contractor's Qualification Certification form, Drug Free Workplace Certificate, Truth-in-Negotiation Certificate, E-Verify compliance affidavit, and Human Trafficking Affidavit. Contractor performance will be evaluated periodically during the contract term using a standardized evaluation form assessing work quality, schedule adherence, safety compliance, and operational impact.

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Exhibit 1

RFP 26-011 EX-1 OF 1

EVALUATION CRITERIA

RFP No. 26-011

DISPATCH NETWORK REDESIGN PROJECT

The criteria below will be used to evaluate each Proposal. There are four (4) criteria, with points assigned to each according to their relative importance to the overall evaluation process for this

RFP.

1) QUALIFICATIONS AND EXPERIENCE (Maximum 40 Points)

Describe the Proposer’s qualifications and experience on projects of similar size, scope, and duration, along with evidence of satisfactory completion, both on time and within budget.

Describe the qualifications and relevant experience of the proposed Project Manager and key staff to be assigned to this project.

2) PROJECT APPROACH (Maximum 25 Points)

Proposer shall demonstrate knowledge and understanding of the Project and SFRTA’s needs.

Describe the methodology and approach to be used to successfully complete the Project. Explain how the Proposer plans to complete the Work with minimal impact to operations along the South Florida Rail Corridor.

3) PROJECT SCHEDULE (Maximum 15 Points)

The Proposer shall include a Project Schedule with sufficient detail to show how it proposes to meet the Contract Time or complete the Project earlier. Identify the Proposer’s ability to acquire long lead time items.

4) COST (Maximum 20 points)

Proposers shall be assigned a Preliminary Score using the formula provided below: Preliminary Score = Technical Proposal Score + Price Proposal Score

The Price Reply Score = a x 20= S b where:

a = dollar amount of the lowest price proposal b = dollar amount of price proposal to be rated S = Price Proposal Score

Exhibit 1

RFP 26-011 EX-1 OF 1

Price of Lowest Price Proposal x Maximum Points Available = Awarded Price Score Price of Proposal Being Rated

Example: The total points for price in this RFP is twenty (20) points. If the cost of the lowest accepted proposal is $100,000, they would be awarded twenty (20) points. If the second lowest accepted proposal is $125,000 they would be awarded sixteen (16) points.

$100,000 = .80 X 20 = 16 points $125,000

The Price Proposal score will then be added to the Technical Proposal Score to obtain the Preliminary Score for each Proposer.

The highest ranked Proposer will be the Proposer with the highest Preliminary Score.

Exhibit 2

RFP 26-011 EX-2 OF 1

PROPOSAL FORM

RFP NO. 26-011

DIDPATCH NETWORK RE-DESIGN

OFFEROR:

REPLIES WILL BE DUE PURSUANT TO SECTION 1.4 OF THE INSTRUCTIONS TO

OFFERORS AND MAY NOT BE WITHDRAWN WITHIN ONE HUNDRED EIGHTY

(180) DAYS AFTER SUCH DATE.

The PROPOSER CERTIFIES that this proposal is made without prior understanding, agreement or connection with any corporation, firm, or person submitting a proposal for the same contractual services and is in all respects fair and without collusion or fraud. The PROPOSER agrees to abide by all conditions of the Contract Documents and certifies that it is authorized to sign this proposal and that the proposal is in compliance with all requirements of the Request for Proposal including, but not limited to, certification requirements.

The PROPOSER further declares that it has examined the Contract Documents and all addenda thereto, and that it understands the requirements of the Work to be performed and all of the requirements in the Request for Proposal.

The PROPOSER certifies that it has completed this form in compliance with the requirements in the solicitation documents and has made no changes to this Price Proposal Form other than to fill in the required information.

The PROPOSER certifies neither the bidding firm nor any of its officers is on the United States comptroller General’s List of Ineligible Contractors for Federally Financed or Assisted Projects.

The PROPOSER agrees, if this bid is accepted, to contract with the South Florida Regional Transportation Authority, an agency of the State of Florida, to furnish all necessary labor, materials, equipment, tools, apparatus, and all other items necessary to complete, for the amount bid and within the time limits specified, the Work covered by this bid and other Contract Documents for the project entitled: RFP 26-011 DISPATCH NETWORK RE-DESIGN.

Authorized Signature Printed Name

Addenda: Provide signature and date for each Addenda received.

1. 2. 3.

4. 5. 6.

Exhibit 3

RFP 26-011 EX-3 OF 3

PRICE PROPOSAL

DISPATCH NETWORK REDESIGN

RFP NO. 26-011

Description Price

Project Kickoff, Project Management Plan, Schedule, and Discovery Initiation

Discovery & Assessment completed, including assessments, inventories, current-state documentation, and Discovery Report

Draft Network Redesign including topology diagrams, routing architecture, VLAN design, migration strategy, and Design Package

Final Design Review completed and written approval received from SFRTA

Laboratory Build, Configuration Validation, and Successful Testing completed with approved Lab Validation Report

Configuration Development completed, including deployment-ready configurations, templates, and cutover schedules, Final Documentation, Initial Cutover Support, Project Closeout, Knowledge Transfer, and Final Acceptance

TOTAL LUMP SUM PRICE FOR LINE ITEMS 1-7 $___________________________

Hourly Rates (For Potential Optional Services Only)

Position

Estimated Hours

Hourly Rate

Total

Senior Network Engineer

$___________/hr.

Project Manager

Network Engineer

TOTAL NTE PRICE FOR LINE ITEMS 8-10 $________________________________

Description

Unit of Measure

Unit Cost

Price

Travel and Lodging

NTE

$5000.00

$5000.00

TOTAL NTE PRICE FOR LINE ITEMS 1-11 $_________________________________

• Prices shall include all labor, engineering, project management, travel, lodging, equipment, software, documentation, testing, overhead, insurance, taxes, profit, and all other costs necessary to complete the Scope of Work.

Contractor

Authorized Person (Print or Type) Title

Address

Telephone

Signature

County Of State Of Affix Corporate Seal (If Applicable)

The foregoing instrument was acknowledged before me on this ______ day of _______, 20____

By __________________________________________________________________________

___ An individual acting in their own right;

___ __________________ of ________________________________ Title Corporation/Company a _________________ Corporation, on behalf of the corporation.

State

___ Acknowledging partner/agent on behalf of _______________________________ a partnership. Name of partnership

This person is personally known me or has produced ________________________ as identification and who (did/did not) take an oath.

____________________________________ Place Notary Seal Here Signature of Person Taking Acknowledgment

In lieu of Stamp: ______________________ ______________________________ Type or Print Name Title

Expiration Date

Exhibit 4

RFP 26-011 EX4-1 OF 4

CONTRACTOR’S QUALIFICATION CERTIFICATION

Firm Name:_______________________________________________________________

Address:__________________________________________________________________

City,State,Zip:_____________________________________________________________

Telephone: ( ) _____________________ Fax: ( ) __________________

Contact Person:____________________________Title:____________________________

E-Mail Address:_________________________________________

FEID # _____________ DUNS # __________________

1. DBE Certified Yes ___ No ___ Yes Classification: __________________________

Certified By:________________________________________________________________

2. Specify the principal product or service offered by your firm:

3. Identify the area(s) which the business serves:__ Miami-Dade__ Broward __ Palm Beach __Florida __Other__________________

4. Date business was established:______________ Occupational License:____________

5. Type of Business:

A. ___Sole Proprietor Name_________________________________________________________________________ Home Address__________________________________________________________________ Home Phone ________________________ Cell Phone_________________________________ Professional license/Certificate of Competency#_______________________________________

B. ___Partnership Are the owners of the business lawful, permanent residents of Florida? ___Yes ___No Provide the name, residential address and telephone number of all owners of the business.

Partners Name Res. Address Phone Number Cell Number

Professional license/Certificate of Competency #:_____________________________________ Name in which license/Certificate of Competency is issued:_____________________________

RFP 26-011 EX4-2 OF 4

C. ___Corporation Incorporated in the state of ___________ Date______________

Officer’s Names Title Location

Professional license/Certificate of Competency #: ___________________________________

Name in which license/Certificate is Issued________________________________________

6(a). List each contract completed by you during the last five (5) years, or if less than five (5) contracts have been completed in the last five (5) years, list the last five (5) contracts completed for which liquidated damages or other contractually stipulated sums or damages were assessed against you for failure to complete the work on time or for any other breach of contract by you. For each such contract, provide a brief description of the work performed, the initial contract amount, the dollar amount at completion, date completed, and the name and telephone number of the owner’s representative.

Contract Number

Description of Contract

POC &

Phone

Initial Amount

Closeout Amount

Date Completed

6(b). For the last five (5) years, list each contract under which the owner has called upon your surety to complete the work, has terminated for default, or sued to complete performance or recover damages. If fewer than five (5) contracts have been so affected during the last five (5) years, list the last five (5) contracts to be so affected. For each such contract, provide the same information as required in (a) above, and in addition, provide the name and contract person with telephone number of your surety.

RFP 26-011 EX4-3 OF 4

Contract Number

Description of Contract

POC & Phone Initial Amount

Closeout Amount

Date Comp

Surety POC & Phone No.

6(c). List the details of any litigation which your firm has been involved with for the past five

(5) years (Attach pages if necessary).

7. List three (3) major contracts similar in scope currently underway or completed within the last five (5) years

Project No. and Title Owner Value Percent Complete

Contact Person and E-mail

RFP 26-011 EX4-4 OF 4

I, ___________________________________, ____________________________________, OF

____________________________________, CERTIFY THE INFORMATION PROVIDED ON

THIS QUALIFICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

Signature Affix Corporate Seal

COUNTY OF _______________________________

STATE OF _______________________________

The foregoing instrument was acknowledged before me on this ______ day of _______, ______ By __________________________________________________________________________

___ An individual acting in their own right;

___ __________________ of ________________________________ Title Corporation/Company a _________________ Corporation, on behalf of the corporation.

State

___ Acknowledging partner/agent on behalf of _______________________________ a partnership. Name of partnership

This person is personally known me or has produced ________________________ as identification and who (did/did not) take an oath.

____________________________________ Place Notary Seal Here Signature of Person Taking Acknowledgment

In lieu of Stamp: ______________________ ______________________________ Type or Print Name Title

Exhibit 5

RFP 26-011 EX5-1 OF 2

DRUG FREE WORKPLACE CERTIFICATE

The undersigned vendor hereby certifies that it will provide a drug-free workplace program by:

1. Publishing a statement notifying its employees that the unlawful manufacture, distribution, dispensing, possession, or use of controlled substance is prohibited in the Bidder’s workplace, and specifying the actions that will be taken against employees for violations of such prohibition;

2. Establishing a continuing drug-free awareness program to inform its employees about:

a. The dangers of drug abuse in the workplace;

b. The Bidder’s policy of maintaining a drug-free workplace;

c. Any available drug counseling, rehabilitation, and employee assistance programs;

d. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;

3. Giving all employees engaged in performance of the contract a copy of the statement required by paragraph 1;

4. Notify all employees, in writing, of the statement required by paragraph 1, that as a condition of employment on a covered contract, the employee shall:

a. Abide by the terms of the statement;

b. Notify the employer in writing of the employee’s conviction under a criminal drug statute for a violation occurring in the workplace no later than five calendar days after such conviction;

5. Notifying South Florida Regional Transportation Authority in writing within ten calendar days after receiving notice under subdivision 4(a) above, from an employee or otherwise receiving actual notice of such conviction. The notice shall include the position title of the employee;

6. Within thirty (30) calendar days after receiving notice under paragraph 4 of a conviction, taking one of the following actions with respect to an employee who is convicted of a drug abuse violation occurring in the workplace:

a. Taking appropriate personnel action against such employee, up to and including termination; or

b. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a federal, state or local health, law enforcement, or other appropriate agency; and

7. Making a good faith effort to maintain a drug-free workplace program through implementation of paragraphs 1 through 6.

Exhibit 5

RFP 26-011 EX5-2 OF 2

Firm: ________________________________________________ (Please print or type)

By: ________________________________________________ Authorized Signature

Name of Authorized Signature Date

Affix Corporate Seal (If Applicable) County Of State Of

The foregoing instrument was acknowledged before me on this ______ day of _______, ______ By __________________________________________________________________________

___ An individual acting in their own right;

___ __________________ of ________________________________ Title Corporation/Company a _________________ Corporation, on behalf of the corporation.

State

___ Acknowledging partner/agent on behalf of _______________________________ a partnership. Name of partnership

This person is personally known me or has produced ________________________ as identification and who (did/did not) take an oath.

____________________________________ Place Notary Seal Here Signature of Person Taking Acknowledgment

In lieu of Stamp: ______________________ ______________________________ Type or Print Name Title

Exhibit 6

RFP 26-011 EX6-1 OF 1

TRUTH-IN-NEGOTIATION CERTIFICATE

For the work described as:

DISPATCH NETWORK RE-DESIGN

I hereby certify that I am the title) and duly authorized representative of the Firm whose name is and whose address is: .

In connection with the Firm's bid or price proposal for this firm fixed price, negotiated or change order contract which is to be submitted to the South Florida Regional Transportation Authority (SFRTA) for approval, I hereby certify, to the best of my knowledge, information, and belief, that:

(a) The wage rates and other factual unit costs supporting the Firm's compensation, as set forth in the bid or proposal, are accurate, complete and current as of the time of the contracting;

(b) It is my understanding and the understanding of the Firm I here represent that if any of the items of compensation under the above-mentioned contract were increased due to the furnishing of inaccurate, incomplete or non-current wage rates or other units of costs, the SFRTA is entitled to an adjustment in all appropriate items of compensation, including profit, to exclude any significant sum by which the price was increased because of the defective data. It is also my understanding and that of the Firm I here represent that the SFRTA’s right of adjustment includes the right to a price adjustment for defects in cost or pricing data submitted by a prospective or actual subcontractor.

(c) It is my understanding and the understanding of the Firm I here represent that if additions are made to the original price of the contract, such additions may be adjusted to exclude any significant sums where it is determined the price has been increased due to inaccurate, incomplete or non-current wage rates and other factual costs.

Date Signature_______________________

Sworn to and subscribed to before me this day of , 20 . Official Seal must be affixed.

Signature of Notary Public ____________________________________

My Commission Expires ____________________________________

(SEAL)

Exhibit 7

RFP 26-011 EX7-1 OF 2

SOUTH FLORIDA REGIONAL TRANSPORTATION AUTHORITY (SFRTA)

COMPLIANCE WITH THE U.S. DEPARTMENT OF HOMELAND SECURITY

U.S. CITIZENSHIP AND IMMIGRATION SERVICES

EMPLOYMENT ELIGIBILITY VERIFICATION (E-VERIFY)

THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY

PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.

This sworn statement is submitted to: South Florida Regional Transportation Authority.

by ___________________________________________________________________________ (print individual’s name and title) for ___________________________________________________________________________ (print name of entity submitting sworn statement) whose business address is: ________________________________________________________ and (if applicable) it’s Federal Employer Identification Number (FEIN) is __________________ (if the entity has no FEIN, include Social Security Number of the individual signing this sworn statement:

I, being duly first sworn state:

That the above name firm, corporation or organization is in compliance with and agree to continue to comply with, and assure that any sub-contractor, or third party contractor under this project complies with all applicable requirements of the laws listed below including, but not limited to, those provisions pertaining to employment, provisions or programs and services, transportation, communication, access to facilities, renovations, and new construction.

Pursuant to Section 448.095, Florida Statutes, all contractors providing labor, supplies, or services to the SFRTA are required to register with and use the U.S. Department of Homeland Security’s E-Verify system to verify the work authorization status of all employees hired during the term of an agreement with SFTRA to provide labor, supplies, or services and must, upon request, provide evidence of compliance with this provision.

Contractors shall also require all subcontractors performing work under an agreement to provide labor, supplies, or services to SFRTA to use the E-Verify system for any employees they may hire during the term of the agreement. Subcontractors shall provide the contractor with an affidavit

Exhibit 7

RFP 26-011 EX7-2 OF 2

stating the subcontractor does not employ, contract with, or subcontract with an unauthorized alien, as stated in Section 448.095, Florida Statutes. Contractor shall provide a copy of such affidavit to the SFRTA upon receipt and shall maintain a copy for the duration of the agreement.

The E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigration Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). Authority for use of the E-Verify program by Federal contractors and subcontractors is covered by the terms of Subpart 22.18, “Employment Eligibility Verification”, of the Federal Acquisition Regulation (FAR) and in Executive Order 12989, as amended.

(Signature)

Sworn to and subscribe before me this ______ day of __________________________, 20_____

Personally known _______________________________________________________________ or produced identification: Notary Public, State of ___________

_______________________________ My Commission Expires _________ (Type of Identification)

(Printed, typed or stamped commissioned name of Notary Public)

Exhibit 9

RFP 26-011 EX9-1 OF 1

SOUTH FLORIDA REGIONAL TRANSPORTATION AUTHORITY

NO SUBMITTAL NOTICE

Dear Vendor/Firm:

The Procurement Department of the South Florida Regional Transportation Authority has solicited your participation for RFP NO. 26-011, entitled DISPATCH NETWORK RE-DESIGN. Please complete this form only if you do not intend to submit a proposal on this project. SFRTA is interested in improving its competitive bid process and your comments are important to this endeavor. Thank you for your assistance.

I do not intend to bid on this project because:

( ) Do not have the necessary equipment, labor, and capital required.

( ) Do not have the experience necessary to perform the work.

( ) Heavy workload makes bidding impossible at this time.

( ) Unable to get bonding and/or special insurance.

(Be specific) _______________________________________________________

( ) Insufficient time to complete the work.

( ) General Conditions/Specifications contains requirements which I do not understand. (Explain) _______________________________________________

( ) General Conditions/Specifications contains requirements with which I disagree.

(Explain) _________________________________________________________

Comments: _____________________________________________________________

( ) Retain my name on SFRTA’s vendor list ( ) Remove my name from SFRTA’s vendor list

(Company Name) (Signature)

Exhibit 10

RFP 26-011 EX10-1 OF 5

AGREEMENT NO. 26-011

BETWEEN

AND

FOR

DISPATCH NETWORK RE-DESIGN

RFP 26-011 EX10-2 OF 5

AGREEMENT NO. 26-011

BETWEEN

FOR

This is an Agreement, by and between SOUTH FLORIDA REGIONAL TRANSPORTATION AUTHORITY, hereinafter referred to as “SFRTA”, ____________________________, a ______________, authorized to and doing business in the State of Florida, hereinafter referred to as “CONTRACTOR” or “CONSULTANT.”

RECITALS

A Request for Proposal was advertised by SFRTA as RFP No. 26-011, for DISPATCH NETWORK RE-DESIGN, and CONTRACTOR was determined to be the most qualified responsive and responsible respondent;

NOW, THEREFORE, IN CONSIDERATION of the promises, mutual covenants and obligations herein contained, and subject to the terms and conditions hereinafter stated, the parties hereto agree to the Agreement as follows:

ARTICLE I

SERVICES

CONTRACTOR covenants and agrees to perform all services and other obligations of

CONTRACTOR set forth in the Contract Documents, as defined in the RFP. The Contract Documents are hereby incorporated and made a part of this Agreement by this reference.

ARTICLE II

RFP 26-011 EX10-3 OF 5

TERM

The period of performance shall be for a term of six (6) months commencing on the date of SFRTA’s issuance of a Notice to Proceed.

ARTICLE III

COMPENSATION

1. SFRTA agrees to pay the CONTRACTOR compensation as specified in the CONTRACT

DOCUMENTS the total not-to-exceed amount of ________________________________.

2. SFRTA, during any fiscal year, shall not expend money, incur any liability or enter into any contract which, by its terms, involves the expenditure of money in excess of the amounts budgeted as available for expenditure during such fiscal year. Any contract, verbal or written, made in violation of this subsection is null and void and no money may be paid on such contract.

ARTICLE IV

NOTICES

Whenever either party desires to give notice to the other, it must be given by written notice, sent by certified U.S. mail, with return receipt requested, facsimile transmission, express delivery service or hand delivery, addressed to the party for whom it is intended, at the place last specified, and the place for giving of notice shall remain such until it shall have been changed by written notice in compliance with the provisions of this paragraph. For the present, the parties designate the following as the respective places for giving of notice:

CONTRACTOR:

Attn: _____________________

RFP 26-011 EX10-4 OF 5

SFRTA:

South Florida Regional Transportation Authority 801 N.W. 33rd Street Pompano Beach, FL 33064 Attn: Corey Fleming

WITH COPY TO:

South Florida Regional Transportation Authority Teresa Moore, General Counsel 801 N.W. 33rd Street Pompano Beach, FL 33064

RFP 26-011 EX10-5 OF 5

IN WITNESS WHEREOF, the parties have made and executed this Agreement on the respective date under each signature:

ATTEST: SOUTH FLORIDA REGIONAL

TRANSPORTATION AUTHORITY

_______________________________ By_____________________________________

DAVE J. KUBICEK RAQUEL A. REGALADO, CHAIR

EXECUTIVE DIRECTOR

_______ DAY OF __________________, 2026

Approved as to form by:

ANTHONY J. CARIVEAU TERESA J. MOORE, General Counsel Chief Contracting Officer

ATTEST: (CONTRACTOR NAME)

WITNESS PRESIDENT OR VICE-PRESIDENT

_______ DAY OF _________________, 2026

Exhibit 11

RFP 26-011 EX11-1 OF 1

Subcontractor’s Certificate of Previous Payment

Note: The Prime Contractor shall attach this statement to current payment invoices, completed by each Subcontractor whose work appears on the previous payment invoice.

KNOW ALL MEN BY THESE PRESENTS, That (name) representing , whose address is , with the title of , whom after being first duly sworn, upon oath deposes and says that pursuant to the provisions of the contract for:

AGREEMENT NO. 26-011

that all monies due him, in accordance with the agreed upon payment schedule, have been paid to him by , the Firm.

NOTARY STATEMENT

STATE OF FLORIDA COUNTY OF

The foregoing instrument was acknowledged before me this _______ day of , 20 , by who is personally known to me or who has produced as identified and who did/did not take an oath.

WITNESS my hand and official seal, this day of ___________________, 20 .

Signature of Notary

My Commission Expires

Exhibit 13

RFP 26-011 EX13-1 OF 3

Contractor Performance Evaluation

SFRTA will periodically evaluate the Contractor’s performance utilizing the Contractor Performance Evaluation Form in Exhibit 13. This evaluation will be done at an interval no less than once per year during the Contract Term. For contracts with a term less than one year, the evaluation may be performed intermittently as determined by SFRTA. The SFRTA assigned evaluator shall complete the Contractor Performance Evaluation Form and provide a copy to the Contractor for review and response. Written Contractor responses will be incorporated into the evaluations. In any instances where the performance is below satisfactory, the Contractor will have thirty (30) days to provide a written response to SFRTA.

RFP 26-011 EX13-2 OF 3

CONTRACTOR PERFORMANCE EVALUATION FORM

CONTRACTOR:______________________________________________________

ADDRESS:_________________________________________________________

PROJECT NAME:____________________________________________________

CONTRACT NO.____________________ AWARD DATE:____________________

EVALUATION NO._____ DATE:__________ PERIOD COVERED:______TO______

EVALUATED BY:____________________________________________________

(Signature & Title)

CONTRACTUAL ACTUAL *

PRICE:

COMPLETION DATE:

TIME TO COMPLETE

Ratings:

E = Excellent G = Good S = Satisfactory U = Unsatisfactory N/A = Not Applicable

* = For Final Evaluation Only. Actual includes contractual plus all Amendments and Change orders.

RFP 26-011 EX13-3 OF 3

EVALUATION OF CONTRACTOR'S PERFORMANCE

EVALUATED ITEM EVALUATION NO.

1 2 3 4

Quality of Contractor's Work

Adherence to Contract Specs/Scope of Services

Quality of Subcontractor's Work

Quality of Project Manager/Supervisory Personnel

Protection of SFRTA Property

Minimal interference with SFRTA Operations

Timely submission of Reports, Project Schedules and Deliverables

Adherence to Project Schedule

Compliance with Safety Standards

Communication with SFRTA Project Manager

Attendance at Project Meetings

Cooperation with Other Contractors

Timely Notification of Possible Delays

* * * OVERALL EVALUATION * * *

COMMENTS: _______________________________________________________

*NOTE: PLEASE ATTACH BACKUP DOCUMENTATION FOR ALL EVALUATIONS

RATED BELOW SATISFACTORY OR AS REQUESTED BY PROCUREMENT.

Exhibit 17

RFP 26-011 EX17-1 OF 1

HUMAN TRAFFICKING AFFIDAVIT

Florida Statutes §787.06(13) requires all nongovernmental entities executing, renewing, or extending a contract with a governmental entity to provide an affidavit signed by an officer or representative of the nongovernmental entity under penalty of perjury that the nongovernmental entity does not use coercion for labor or services as defined in that statute. The South Florida Regional Transportation Authority “SFRTA”) is a governmental entity for the purposes of this statute.

As the officer or representative of _________________________________ (the “Company), I certify that the Company does not, for labor or services,

• Use or threaten to use physical force against any person;

• Restrain, isolate, or confine or threaten to restrain, isolate, or confine any person without lawful authority and against his or her will;

• Use 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 towards the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined;

• Destroy, conceal, remove, confiscate, withhold, or possess any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification, of any person;

• Cause or threaten to cause financial harm to any person;

• Entice or lure any person by fraud or deceit;

• Provide controlled substances as outlined in Schedule I or Schedule II of Florida Statutes

§893.03 to any person for the purpose of exploitation of that person.

Under penalty of perjury, I hereby declare and affirm that the above stated facts are true and correct.

_______________________________ “Company”

By: ____________________________________

Print Name: _____________________________

Print Title: _______________________________

STATE OF _______________

COUNTY OF _____________

The foregoing instrument was sworn to and subscribed before me by means of

☐ physical presence or online notarization, this _______ day of _____________________, 2025, by __________________________________, as ________________________ of [insert company name], a __________________________________, who is personally known to me, or produced _______________________________ as identification.

Notary Public Signature [AFFIX NOTARY SEAL] Print Notary Name:__________________ My commission expires:______________

Exhibit 20

RFP 26-011 EX20-1 OF 2

REFERENCE CHECK FORM – THREE (3)

REFERENCES REQUIRED

RFP 26-011

Name of Proposer (Contractor) being provided a reference:

Note: To be completed and signed by the person providing the reference. REFERENCES MUST

NOT INCLUDE SFRTA.

CLIENT/CONTACT INFORMATION:

NAME OF COMPANY PROVIDING A REFERENCE: ________________________________________

REFERENCE ADDRESS: ____________________________________________________________________

CONTACT NAME AND TITLE: _________________________________________________________________

PHONE NUMBER: EMAIL: ___________________________________

1. Describe in detail the type of project, work performed and value of the contract by the referenced vendor.

2. Quality of Contractor’s work concerning no more than two (2) project examples:

3. Degree of Contractor’s cooperation with team (internal and external)

4. Project and deliverables on time and within Budget?

Exhibit 20

RFP 26-011 EX20-2 OF 2

5. If change orders or amendments were issued on the projects above, what percent of work constituted the amendments or change orders?

6. Were there any problems or delays with the projects that were influenced by the Contractor? If so, please provide examples.

7. Overall rating – “1 through 10 with 10 being the highest rating” with rationale as to rating

8. Would you work with Contractor again? Yes/ No – rationale as to why please place a signature below. PLEASE DO NOT TYPE SIGNATURE.

Signed: _______________________________________________________________________ Title: _________________________________________________________________________ Date: _________________________________________________________________________

PROPOSAL FORM RFP NO. 26-011
Hourly Rates (For Potential Optional Services Only)
REFERENCE CHECK FORM – THREE (3) REFERENCES REQUIRED
RFP 26-011
CLIENT/CONTACT INFORMATION:

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