Bid 2526-23 Specs.pdf

NOTICE TO RECEIVE SEALED BIDS

BID #2526-23

The Gulf County Board of County Commissioners will receive sealed bids from any qualified person, company or corporation interested in providing materials for the:

SALINAS PARK PICKLEBALL COURT CRACK REPAIR

This project includes repairing cracks and resurfacing of the two (2) original pickleball courts at Salinas Park in Gulf County, FL.

Completion date for this project will be 30 days from the date of the Notice to Proceed presented to the successful bidder.

Liquidated damages for failure to complete the project on the specified date will be set at $250.00 per day.

Please place YOUR COMPANY NAME, SEALED BID, and the BID NUMBER on the outside of your envelope and include the original bid plus 2 copies.

Bids will be received until 4:00 p.m. Eastern Time on July 22, 2026 at the Gulf County Clerk’s Office, 1000 Cecil G.

Costin Sr. Blvd, Room 149, Port St. Joe, Florida 32456, and will be opened and read aloud at a public meeting held in the Donald H. Butler Commission Chamber in the Robert M. Moore Administration Building, Gulf County Courthouse Complex, Port St. Joe, Florida on July 23, 2026 at 10:00 a.m. Eastern Time.

Requests may be submitted electronically through the County’s online bidding platform at https://www.centralauctionhouse.com/SignIn?redirect=/Category/10885/GulfCounty. Electronic requests must be received by the system prior to the deadline. The time recorded by the system shall be the official time of receipt. Late submissions will not be accepted. Paper-sealed bids may also be submitted to the Clerk’s Office as described above.

Bid specifications can be obtained on the County’s website www.gulfcounty-fl.gov or through the Gulf County Clerk’s Office. All bids shall remain firm for a period of sixty days after the opening. All bidders shall comply with all applicable State and local laws concerning licensing registration and regulation of contractors doing business to the State of Florida.

The bid must conform to Section 287.133(3) Florida Statutes, on public entity crimes. All questions must be submitted to Clay Kennedy at ckennedy@gulfcounty-fl.gov.

The Board of County Commissioners reserves the right to waive informalities in any bid, to accept and/or reject any or all bids, and to accept the bid that in their judgment will be in the best interest of Gulf County.

The Gulf County Board of County Commissioners is an Equal Opportunity Employer.

BOARD OF COUNTY COMMISSIONERS

GULF COUNTY, FLORIDA

/s/ Sandy Quinn, Chairman

Ad # Ad Date: 6/24/2026 Publish: Legals – The News Herald Invoice: GCBOCC

SECTION 1 – SCOPE OF WORK

1.1 SCOPE OF WORK:

The selected firm will be given written notification of being selected by the County. The County will negotiate and execute a contract with the selected firm prior to the beginning of the actual services.

1. The project site is located in Salinas Park (see attached map) located at 240 Cape San

Blas Road. The Parcel ID number is 06305-000R.

2. The scope of work for the pickleball courts include the following:

a. Contractor shall remove nets and post as necessary to clean courts and assure proper bonding of the new surface.

b. Contractor shall fill cracks with acrylic crack filler.

c. Contractor to provide and install Guardian Crack Repair System over cracks.

d. Contractor to provide and install per the manufacturer’s recommendation two (2) coats of acrylic colorcoating over entire area of courts.

e. Contractor to provide and install per manufacturer’s recommendation two

(2) coats of acrylic Color Concentrate (two tone) to provide in-depth color over court surface. Colors to match existing newer courts or selected by owner.

f. Contractor shall locate, mark, and paint two inch (2”) wide playing lines in accordance with U.S.A.P.A. regulations using white, textured, heavy-bodied, acrylic latex paint.

g. Contractor shall reinstall nets and posts.

3. All bidders are encouraged to visit the project site.

The County along with an evaluation team of County staff employees shall evaluate all responsive proposals. The County reserves the right to determine whether a proposal is responsive and to waive any technicalities or requirements contained therein.

The County reserves the right to negotiate a contract in which, the judgment of the County, would best serve the interest of Gulf County, including the right to withdraw from negotiations, the right to limit negotiations to a single proposer or to otherwise modify the scope of services or terms hereof without further notice.

Ultimately, the County shall reserve the exclusive option and right to award a contract which will result in the lowest or best cost (or greatest benefit) to and provide the best and most comprehensive services to and be in the best interest of Gulf County and meeting those needs and requirements presented by the Gulf County staff in the RFP.

SECTION 2 – PROCUREMENT RULES AND INFORMATION

2.1 Contact Person:

All questions regarding this Request should be directed in writing; preferably by email to Clay Kennedy at ckennedy@gulfcounty-fl.gov. Questions shall be submitted no later than 12:00 PM (Eastern) on July 14, 2026. Failure to submit requests in writing by the specified time shall not be grounds for a protest. Written requirements in the Request or its amendments are binding, but any oral communications between the bidder and the County are not.

2.2 CALENDAR EVENTS:

DATE/TIME ACTION

July 22, 2026 no later than 4:00 PM (Eastern) Proposal Submission Deadline July 23, 2026 at 10:00 AM (Eastern) Sealed proposals opened by County in Public Meeting

2.3 SUBMISSION OF PROPOSAL:

Each proposal shall be prepared simply and economically, providing a straightforward, concise delineation of the bidder’s capabilities to satisfy the requirements of this Request for Proposal. Fancy bindings, colored displays and promotional material are not desired.

Emphasis in each proposal must be on completeness and clarity of content. In order to expedite the evaluation of proposals, it is essential that proposers follow the format and instructions herein. The Contractor shall submit one (1) original and two (2) copies as stated above.

2.4 PROPOSAL OPENING:

Proposals are due at the time and date specified. Proposals received late will not be considered and will be marked as LATE.

Any person with a qualified disability requiring special accommodations at the proposal opening should contact Silvia Williams, Deputy County Administrator at (850) 229-6106 and or at swilliams@gulfcounty-fl.gov and a copy of your correspondence to info@gulfclerk.com at least five (5) working days prior to the event.

2.5 INSURANCE REQUIREMENTS:

Contractor shall at all times during the Contract period maintain in full force and effect workers compensation, comprehensive general liability, builder’s risk, comprehensive automobile liability, pollution liability insurance and/or environmental impairment liability insurance and other insurance as is appropriate for the services being performed hereunder by Contractor, its employees, subcontractors or agents. The amounts and types of workers compensation, comprehensive general liability, builder’s risk, comprehensive automobile liability, pollution liability insurance and/or environmental impairment liability insurance and other insurance shall conform to the following minimum requirements and all costs of such insurance shall be borne by the Contractor and its bid:

1. Worker’s Compensation Coverage must apply for all employees and statutory limits in compliance with the applicable state and federal laws. In addition, the policy must include the following:

a. Employer’s Liability with a minimum limit per accident in accordance with statutory requirements. Waiver of subrogation in lieu of additional insured is required.

2. Comprehensive General Liability Coverage must include:

a. $1,000,000 combined limited per occurrence for bodily injury, personal injury and property damage.

b. Contractual coverage applicable to this specific contract, including any hold harmless and/or indemnification agreement.

3. Comprehensive Automobile Liability Coverage must be afforded on a form no more restricted than the latest edition of the Comprehensive Automobile Liability Policy filed by the Insurance Services Office and must include:

a. $300,000 combined single limit per accident for bodily injury and property damage.

b. Owned Vehicles.

c. Hired and Non-Owned Vehicles.

d. Employee Non-Ownership.

4. Builder’s Risk insurance on a completed value basis, in the amount of the full insurable replacement cost thereof.

The Contractor policies are to contain and be endorsed to contain, the following provisions:

General Liability and Automobile Liability Coverage: are to have the County named as an additional insured.

General Liability and Automobile Liability Coverage policies shall also include “the County, its officers, officials, employees and volunteers are be covered as insureds as respects; liability arising out of the activities performed by on or on behalf of the Contractor, including the insured’s general supervision of the Contractor; products and completed operations of the Contractor; premises owned, occupied or used by the Contractor; or automobiles owned, leased, hired or borrowed by the Contractor. The coverage shall contain no special limitations or the scope or protections afforded the County, its officers, officials, employees or volunteers.

Pollution Liability Insurance and/or Environmental Impairment Liability Insurance: shall have the County named as an additional insured.

All coverages and policies shall be endorsed to state that coverage shall not be suspended, voided, canceled by either party, reduced in coverage limits except after no less than thirty

(30) days prior written notice by certified mail, return receipt requested, has been given to the County.

2.6 COST OF PREPARING PROPOSALS:

The County is not liable for any costs incurred by the proposer in responding to this RFP, including those for oral presentations.

2.7 DISPOSAL OF PROPOSAL:

All proposals become the property of the County and will be a matter of record. The County shall have the right to use all ideas, or adaptations of those ideas, contained in any proposal received in response to this RFP. Selection or rejection of this proposal will not affect this right. Any submitted proposal shall remain a valid proposal for sixty (60) calendar days after the submission date.

2.8 PROPOSAL RULES FOR WITHDRAWAL:

A proposal may not be withdrawn for a period of sixty (60) calendar days after the date of the RFP opening. Proposals may be modified or withdrawn by an appropriate document duly executed (in the manner that a Proposal must be executed) and delivered to the place where Proposals are to be submitted at any time prior to the opening of the Proposals.

2.9 REJECTION OF PROPOSAL:

The County reserves the right to accept or reject any and all proposals as may be deemed necessary by the County to be in its best interest. The County further reserves the right to waive any and all informalities, and reserves the right to reject all nonconforming, unresponsive, unbalanced or conditional Proposals. The County reserves the right to reject the Proposal of any Proposer if the County believes that it would not be in the best interest of the Project to make an award to that Proposer, because the Proposal is not responsive or responsible, or the Proposer is unqualified or of doubtful financial ability or fails to meet any other pertinent standard or criteria established by the County. The County also reserves the right to enter into contract negotiations with a qualified, responsible, and responsive Proposer who submits the best ranked proposal. If the County and the best Proposer cannot negotiate a successful contract the County may terminate such negotiations and begin negotiations with the qualified, responsible, and responsive Proposer who submits the next best ranked proposal. No Proposer shall have any rights against the County arising from such negotiations. Discrepancies in the multiplication of units of work and unit prices will be resolved in favor of the unit prices. Discrepancies between the indicated sum of any column of figures and the correct sum thereof will be resolved in favor of the correct sum.

Where numeric data is given both in Arabic numerals and in written language, and where there exists a discrepancy between an Arabic numeral and written language, the written language shall be presumed to be correct and the Arabic numeral presumed incorrect.

The County reserves the right to delete any Proposal items and the total Proposal shall be determined as the sum of the Proposal items awarded. In evaluating Proposals, the County will consider the qualifications of the proposers, whether or not the Proposals comply with the prescribed requirements, time of completion and other data, as may be requested in the Proposal form or prior to the Notice of Award.

2.10 VERBAL INSTRUCTIONS:

No negotiations, decisions, or actions shall be initiated or executed by the proposal as a result of any discussion with any county employee. Only those communications from proposers, which are signed and in writing will be recognized by the County, as duly authorized expressions on behalf of the Proposer. Oral and other interpretations or clarifications will be without legal effect.

2.11 SALES AND USE TAX:

The Proposer agrees that any and all applicable federal, state and local sales and use taxes that are incurred by the Proposer are included in the stated bid price for the Project. The County is tax exempt from federal excise and state sales tax.

2.12 PUBLIC ENTITY CRIMES:

The Proposer must sign and complete a Public Entity Crime Sworn Statement as defined under Section 287.133(a), F.S. A person or affiliate who has been placed on the convicted vendor list following a conviction of a public entity crime may not submit a proposal on a contract to provide any goods or services to a public entity, may not submit a proposal on a contract with a public entity for the construction or repair of a public building or public work, may not submit proposals on leases of real property to a public entity, may not be awarded or perform work as a consultant, supplier, or subcontractor, under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for Category Two for a period of 36 months from the date of being place on the convicted vendor list.

2.13 DRUG FREE WORKPLACE:

The Proposer must complete the County’s Drug Free Workplace Certification form, attached and made a part of the proposal. According to Gulf County policy, preference shall be given to businesses with drug-free work place programs. Whenever two or more proposals, which are equal with respect price, quality, and service, are received by the state or by any political subdivision for the procurement of commodities or contractual services, a proposal received from a business that certified that it has implemented a drug-free work place program shall be given preference in the award process. Established procedures for processing tie proposals will be followed if none of the tied vendors have a drug-free work place program.

2.14 ADDENDUMS:

The County may issue Addendums to modify the proposal as deemed appropriate.

Addendums and clarification to this RFP along with an Addendum Acknowledgement Form will be posted to the County’s website at www.gulfcounty-fl.gov. The Addendum Acknowledgement Form shall be signed by an authorized company representative, dated, and returned with proposal.

2.15 NOTICES:

Any notices to be given under this RFP shall be given by United States Mail, addressed to Proposer at its address stated herein, and to the County at its address stated herein.

Additional notice may also be given by facsimile in which case it shall be deemed that notice was provided on the date said facsimile was received. The party providing notice by facsimile shall confirm that the facsimile was received by the other party.

2.16 PROTEST:

Any person or entity whose proposal is rejected, in whole or in part, or who submits a proposal but is not awarded the contract, may protest such decision. Written notice of intent to file a protest must be submitted with Clerk’s office or Deputy County Administrator, Silvia Willams within twenty-four (24) hours after the Board’s declaration of its intention with regard to an award. Written protest must be submitted to the Clerk’s office or Deputy County Administrator, Silvia Williams, within ten (10) calendar days after filing written notice of intent.

SECTION 3 – CONTENTS OF PROPOSAL

This section contains instructions regarding the format of the RFP that are to be submitted.

3.1 FORMS

The bidder shall complete the attached bid form and include with the submittal all documents listed in Article 7 of the bid form.

SECTION 4 – AWARD OF PROPOSAL

The Board will award this RFP to the responsive proposer. In the event the best proposer is found to be non-responsive, the County may proceed to the next best responsive proposer and continue the award process.

SECTION 5 – TERMS AND CONDITIONS:

5.1 TERMINATION OF CONTRACT:

The County may terminate this Agreement at any time with or without cause, or with or without prior notice when it is in the best interest of the County.

5.2 CONTRACT TIME / LIQUIDATED DAMAGES:

The contract time for this work shall be thirty (30) calendar days. Contractor shall pay the County $250.00 for each calendar day that expires thereafter.

APPENDIX A – BID FORM

EJCDC® C-410, Bid Form for Construction Contracts.

Copyright © 2013 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page i

SALINAS PARK PICKLEBALL COURT CRACK REPAIR

BID NUMBER 2526-023

TABLE OF CONTENTS

Page

Article 1 – Bid Recipient

Article 2 – Bidder’s Acknowledgements

Article 3 – Bidder’s Representations

Article 4 – Bidder’s Certification

Article 5 – Basis of Bid

Article 6 – Time of Completion

Article 7 – Attachments to this Bid

Article 8 – Defined Terms

Article 9 – Bid Submittal

Copyright © 2013 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 1

ARTICLE 1 – BID RECIPIENT

1.01 This Bid is submitted to: Gulf County Board of County Commissioners Gulf County Clerk’s Office, Gulf County Courthouse 1000 Cecil G. Costin Sr. Blvd., Port St. Joe, FL 32456

1.02 The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with Owner in the form included in the Bidding Documents to perform all Work as specified or indicated in the Bidding Documents for the prices and within the times indicated in this Bid and in accordance with the other terms and conditions of the Bidding Documents.

ARTICLE 2 – BIDDER’S ACKNOWLEDGEMENTS

2.01 Bidder accepts all of the terms and conditions of the Instructions to Bidders, including without limitation those dealing with the disposition of Bid security. This Bid will remain subject to acceptance for 60 days after the Bid opening, or for such longer period of time that Bidder may agree to in writing upon request of Owner.

ARTICLE 3 – BIDDER’S REPRESENTATIONS

3.01 In submitting this Bid, Bidder represents that:

A. Bidder has examined and carefully studied the Bidding Documents, and any data and reference items identified in the Bidding Documents, and hereby acknowledges receipt of the following Addenda:

Addendum No. Addendum Date

B. Bidder has visited the Site, conducted a thorough, alert visual examination of the Site and adjacent areas, and become familiar with and satisfied itself as to the general, local, and Site conditions that may affect cost, progress, and performance of the Work.

C. Bidder is familiar with and has satisfied itself as to all Laws and Regulations that may affect cost, progress, and performance of the Work.

D. Bidder has carefully studied all reports of explorations and tests of subsurface conditions at or adjacent to the Site and all drawings of physical conditions relating to existing surface or subsurface structures at the Site.

E. Bidder has considered the information known to Bidder itself; information commonly known to contractors doing business in the locality of the Site; information and observations obtained from visits to the Site; the Bidding Documents; and any Site-related reports and drawings identified in the Bidding Documents, with respect to the effect of such information, observations, and documents on (1) the cost, progress, and performance of the Work; (2) the means, methods, techniques, sequences, and procedures of construction to be employed by Bidder; and (3) Bidder’s safety precautions and programs.

Copyright © 2013 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 2

F. Bidder agrees, based on the information and observations referred to in the preceding paragraph, that no further examinations, investigations, explorations, tests, studies, or data are necessary for the determination of this Bid for performance of the Work at the price bid and within the times required, and in accordance with the other terms and conditions of the Bidding Documents.

G. Bidder is aware of the general nature of work to be performed by Owner and others at the Site that relates to the Work as indicated in the Bidding Documents.

H. Bidder has given Engineer written notice of all conflicts, errors, ambiguities, or discrepancies that Bidder has discovered in the Bidding Documents, and confirms that the written resolution thereof by Engineer is acceptable to Bidder.

I. The Bidding Documents are generally sufficient to indicate and convey understanding of all terms and conditions for the performance and furnishing of the Work.

J. The submission of this Bid constitutes an incontrovertible representation by Bidder that Bidder has complied with every requirement of this Article, and that without exception the Bid and all prices in the Bid are premised upon performing and furnishing the Work required by the Bidding Documents.

ARTICLE 4 – BIDDER’S CERTIFICATION

4.01 Bidder certifies that:

A. This Bid is genuine and not made in the interest of or on behalf of any undisclosed individual or entity and is not submitted in conformity with any collusive agreement or rules of any group, association, organization, or corporation;

B. Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid;

C. Bidder has not solicited or induced any individual or entity to refrain from bidding; and

D. Bidder has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for the Contract. For the purposes of this Paragraph 4.01.D:

1. “corrupt practice” means the offering, giving, receiving, or soliciting of any thing of value likely to influence the action of a public official in the bidding process;

2. “fraudulent practice” means an intentional misrepresentation of facts made (a) to influence the bidding process to the detriment of Owner, (b) to establish bid prices at artificial non-competitive levels, or (c) to deprive Owner of the benefits of free and open competition;

3. “collusive practice” means a scheme or arrangement between two or more Bidders, with or without the knowledge of Owner, a purpose of which is to establish bid prices at artificial, non-competitive levels; and

4. “coercive practice” means harming or threatening to harm, directly or indirectly, persons or their property to influence their participation in the bidding process or affect the e execution of the Contract.

ARTICLE 5 – BASIS OF BID

5.01 Bidder will complete the Work in accordance with the Contract Documents for the following price(s):

Copyright © 2013 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 3

ITEM DESCRIPTION EST.

QTY.

UNIT BID UNIT

PRICE

BID PRICE

1 MOBILIZATION, BONDS AND INSURANCE (10% OF BID MAX) 1 LS

2 CLEAN COURTS TO ASSURE PROPER BONDING 1 LS

3 FILL CRACKS WITH ACRYLIC CRACK FILLER 1 LS

4 INSTALL GUARDIAN CRACK REPAIR SYSTEM 1 LS

5 INSTALL TWO (2) COATS OF ACRYLIC COLORCOATING OVER ENTIRE

COURT AREA – PER MANUFACTURER’S RECOMMENDATION

1 LS

6 INSTALL TWO (2) COATS OF ACRYLIC COLOR CONCENTRATE (TWO

TONE) OVER ENTIER COURT AREA – PER MANUFACTURER’S

RECOMMENDATION

1 LS

7 PAINT 2” WIDE PLAYING LINES IN ACCORDANCE WITH U.S.A.P.A. 1 LS

8 REINSTALL NETS AND POSTS 1 LS

Bidder acknowledges that (1) each Bid Unit Price includes an amount considered by Bidder to be adequate to cover Contractor’s overhead and profit for each separately identified item, and (2) estimated quantities are not guaranteed, and are solely for the purpose of comparison of Bids, and final payment for all unit price Bid items will be based on actual quantities, determined as provided in the Contract Documents.

ARTICLE 6 – TIME OF COMPLETION

6.01 Bidder agrees that the Work will be substantially complete and will be completed and ready for final payment before the dates or within the number of calendar days indicated in the Agreement.

6.02 Bidder accepts the provisions of the Agreement as to liquidated damages.

ARTICLE 7 – ATTACHMENTS TO THIS BID

7.01 The following documents are submitted with and made a condition of this Bid:

A. This item has been intentionally left blank;

B. List of Proposed Subcontractors;

C. Evidence of authority to do business in the state of the Project;

D. Contractor’s License No.: __________;

E. This item has been intentionally left blank;

F. Copies of Addenda

Copyright © 2013 National Society of Professional Engineers, American Council of Engineering Companies, and American Society of Civil Engineers. All rights reserved. Page 4

ARTICLE 8 – DEFINED TERMS

8.01 The terms used in this Bid with initial capital letters have the meanings stated in the Instructions to Bidders, the General Conditions, and the Supplementary Conditions.

ARTICLE 9 – BID SUBMITTAL

BIDDER: [Indicate correct name of bidding entity]

By:

[Signature]

[Printed name]

(If Bidder is a corporation, a limited liability company, a partnership, or a joint venture, attach evidence of authority to sign.)

Attest:

[Signature]

[Printed name]

Title:

Submittal Date:

Address for giving notices:

Telephone Number:

Fax Number:

Contact Name and e-mail address:

Bidder’s License No.:

(where applicable)

APPENDIX B - DRAWINGS

DRAWN:

SCALE:

DATE: PROJECT NO.

CHECKED:

SHEET

NO. REVISION:APPR.DATE:

C1

AS SHOWN

C. SMALLWOOD

C. SMALLWOOD

SALINAS PARK IMPROVEMENTS

GULF COUNTY BOCC

GULF COUNTY, FLORIDA

PROPOSED SITE PLAN - PICKLEBALL

RECENTLY

CONSTRUCTED

PICKLEBALL COURTS

EXISTING

PICKLEBALL COURTS

TO BE RESURFACED

STATE ROAD 30E

AutoCAD SHX Text

1 INCH =

AutoCAD SHX Text

AutoCAD SHX Text

20 FEET

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AutoCAD SHX Text GULF COUNTY BOCC ALL RIGHTS RESERVED. NO PART OF THIS DOCUMENT MAY BE REPRODUCED OR UTILIZED IN ANY FORM WITHOUT PRIOR WRITTEN AUTHORIZATION OF THE GULF COUNTY BOCC

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AutoCAD SHX Text

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AutoCAD SHX Text ckennedy Polygon

APPENDIX C – FORMS

PUBLIC ENTITY CRIMES

Sworn Statement Under Section 287.133(3)(a), Florida Statutes, on Public Entity Crimes

This form must be signed in the presence of a Notary Public or other officer authorized to administer oaths:

This sworn statement is submitted to The Board of County Commissioners, Gulf County, Florida by

(print individual’s name and title) for

(print name of entity submitting sworn statement)

Whose business address is and (if applicable) its Federal Employer Identification Number (FEIN) is

; (if the entity has no FEIN, include the Social Security Number of individual signing this sworn statement: ).

I understand that a “public entity crime” as defined in Paragraph 287.133(l((g), Florida Statutes, means a violation of any state or federal law by a person with respect to an directly related to the transaction of business with any public entity or with an agency or political; subdivision of any other state or of the United States, including, but not limited to, any bid or contract for good or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.

I understand that “convicted” or “conviction” as defined in Paragraph 287.133(l) (b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contenders.

I understand that an “affiliate” as defined in Paragraph 287.133(l) (a) Florida Statutes means:

A predecessor or successor of a person convicted of a public crime;

or; an entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term “affiliate” includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm’s length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate.

I understand that “person” as defined in Paragraph 287.133(l) (e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United Sates with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a pubic entity. The term “person” includes those officers, directors, executives, partners,\ shareholders, employees, members, and agents who are active in manage-ment of an entity.

Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. [Indicate which statement applies.]

Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989.

The entity submitting this sworn statement, or one or more of its or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989.

The entity submitting this sworn statement, or one or more of its or agents who are active in the management of the entity or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administration Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity Submitting this sworn statement on the convicted vendor list.

[Attach a copy of the final order.]

I understand that the submission of this form to the contracting officer for the Public Entity identified in Paragraph ONE (#1) above is for that Public Entity only, and that this form is valid through December 31 of the calendar year in which it is filed. I also understand that I am required to inform the Public Entity prior to entering into a contract in excess of the threshold amount provided in Section 287.017, Florida Statutes, for category two of any change in the information contained in this form.

Name of Bidder

By:

Title:

STATE OF

COUNTY OF

Sworn to and subscribed before me this day of , 202 .

Personally known to me , or produced the following identification as proof of identity. .

My Commission Expires:

Notary Public

Printed Notary Name Commission Expires:

DRUG FREE WORKPLACE CERTIFICATION

(This form must be completed and attached to proposal)

Identical tie bids: preference shall be given to businesses with drug-free work place programs. Whenever two or more bids which are equal with respect price, quality, and service are received by the state or by any political subdivision for the procurement of commodities or contractual services, a bid received from a business that certified that it has implemented a drug-free work place program shall be given preference in the award process. Established procedures for processing tie bids will be followed in none of the tied vendors have a drug-free work place program. In order to have a drug-free work place 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 work place 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 work place, the business’s policy of maintaining a drug-free work place, available drug counseling, rehabilitation providing 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 of contractual services that are under bid a copy of the statement specified in paragraph #1.

4. In the statement specified in paragraph #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 pleas of guilty or no contest to, and violation of Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the work place 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 work place through implementation of this section.

As the person authorized to sign this statement, I certify that this firm complies fully with the above requirements.

Company Name Authorized Signature

Federal I.D. Number or SSN Printed Name

ANTI-HUMAN TRAFFICKING AFFIDAVIT

DIRECTIONS: All nongovernmental entities that are or potentially will be contracting, renewing or extending contracts with ____________________________, must have an officer or representative fully execute this affidavit. Note, this is a mandatory requirement of s 787.06(13), Florida Statutes effective July 1, 2024.

I ____________________________ (insert name) as __________________________

(insert title) on behalf of _________________________________ (insert entity name) under penalty of perjury hereby attest as follows:

1. I am over 21 years of age and have personal knowledge of the matters set forth in this affidavit.

2. ____________________________________ (insert entity name) does not use coercion for labor or services as defined in s. 787.06(2)(a), Florida Statutes.

3. More particularly, __________________________________ (insert entity name) does not participate in any of the following actions:

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

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

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

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

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

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

g. Providing a controlled substance as outlined in Schedule I or Schedule II of

s. 893.03, Florida Statutes to any person for the purpose of exploitation of that person.

FURTHER AFFIANT SAYETH NAUGHT.

Printed Name:

Title:

Nongovernmental entity:

Date:

STATE OF ____________________

COUNTY OF __________________

SWORN TO AND SUBSCRIBED before me ____ in person or _____ remote notarization by _________________________ as _______________________ on behalf of ____________________________________________, who is personally known to me or who produced _______________________________ as identification this _________ day of _______________, 202___.

Notary Public (Notary Seal)