Bid_4124AH_Milk_and_Milk_Products_for_Food_Service_-_REQUIRED_FORMS.pdf
PDF 3 MB Posted
- Attached to
- Milk and Milk Products for Food Service
- Solicitation number
- 4124AH
- Issued by
- Marion County, Florida
About this file
This document is a comprehensive bid packet for Bid 4124AH Milk and Milk Products for Food Service, issued by The School Board of Marion County, Florida. The bid solicits a three-year contract for milk and milk products to be delivered to county schools, covering items such as skim white milk, 1% white milk, chocolate milk, strawberry milk, low-fat soy milk, cottage cheese, sour cream, and yogurt. The contract term runs from July 1, 2025, through June 30, 2028, with electronic bid submissions required by May 7, 2025, at 2:00 PM. Bidders must provide detailed pricing, product specifications, and distribution facility information, and are required to use refrigerated vehicles with delivery windows between 6:00 a.m. and 2:00 p.m.
Vendors must be established firms with at least two years of continuous business experience in milk product distribution, possessing necessary warehouse facilities, delivery equipment, and financial capacity to serve all county schools. The bid emphasizes the "Buy American" provision, requiring over 51% of agricultural components to be domestically sourced. Vendors must submit comprehensive documentation, including current Health Department inspection reports, nutritional information, ingredient lists, and food allergy worksheets. While no specific budget range is provided, the bid indicates significant volume potential. The contract includes provisions for monthly price adjustments based on Federal Milk Marketing Order minimum prices, and compliance requirements include E-Verify employment eligibility verification and background screening. The School Board reserves the right to cancel the contract due to funding issues or poor performance, and the procurement does not specify explicit set-aside designations for disadvantaged enterprises.
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An Equal Opportunity School District 4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
The School Board of Marion County, Florida Purchasing Department 2091 NE 35th Street Ocala, FL 34479
INVITATION TO BID
BIDDER ACKNOWLEDGEMENT
(Template Rev. 89VL)
Bid Number: 4124AH Posting Date: April 4, 2025
Bid Title: Milk and Milk Products for Food Service, Three Year Term Contract Term: July 1, 2025 through June 30, 2028
Deadline for Receipt of Bid Responses: Wednesday, May 7, 2025 at 2:00 PM
Board Approval Date: June 24, 2025
Firm Name (Legal Name of Corporation) Fictitious Name or d/b/a
Firm Name - Physical Address to include City, State & Zip Code
Fictitious Name or d/b/a - Physical Address to include City, State & Zip Code
Firm Name - Mailing Address to include City, State & Zip Code
Federal Employee Identification No. or Social Security No.
Area Code/Telephone Number #
Fax No. E-mail Address:
ANTI-COLLUSION: The signed bidder certifies that he or she has not divulged, discussed or compared his or her bid with other bidders and has not colluded with any other bidder or parties to a bid. (NOTE: No premiums, rebates, or gratuities are permitted either with, prior to, or after any delivery of material. Any such violation will result in the cancellation and/or return of materials (as applicable) and the removal from the bid list(s).
I certify that I am the owner or an authorized officer or agent for the above company and that the information supplied herein, including all pages attached, is correct; and that neither the applicant nor any person or concern in any connection with the applicant as a principal officer, so far as is known, is now debarred or otherwise declared ineligible by The School Board of Marion County, Florida (“School Board”), from bidding for furnished materials, supplies or services to the School Board.
The undersigned represents and warrants by signing this document that employee background investigations will be adhered to in accordance with §1012.32, Fla. Stat. (2024).
Authorized Signature (Manual)
Authorized Signature (Type or Printed) and Title
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
BIDDER QUALIFICATIONS
Bidder shall be an established firm, licensed and insured within the State of Florida, whose sole or primary business is the provision and delivery of milk and milk products to commercial (business/institutional) accounts. Bidder shall have been continuously doing business as the same legal entity within the State of Florida for a minimum of two (2) years in the accomplishment of the type of services reference herein. In addition, successful experience with one (1) or more other school districts within the State of Florida shall be required. As a condition of award, determination shall be made and substantiated to the satisfaction of the School Board that all products as proposed are in conformance to bid specifications, meet established quality standards, and are suitable for use within the District.
In regards to service requirements, The School Board of Marion County, Florida has established minimum qualification criteria and, at its sole discretion, may request the apparent successful bidder to provide evidence demonstrating that it has the experience and capacity to produce, procure, store, and deliver all specified products in the required volume. The criteria used to determine such responsibility shall include, but not limited to, the following:
Physical Facilities – Bidder shall possess warehouse distribution facilities required to safely and securely store specified products. Bidder’s facilities and operating practices must, at all times, be in compliance with, any and all Federal, State, and Local Statute, Regulation, or Ordinance. This provision shall also apply to all processing and packaging facilities utilized in the performance of this contract.
Delivery Equipment – Bidder shall possess and maintain, by ownership or long term lease, vehicular equipment necessary to effect efficient day-to-day delivery schedules at time of commencement of services. The delivery fleet shall be clean, free of insects and rodents, and be adequate for delivering all specified products.
Financial Capacity – Bidder shall have financing adequate to produce, purchase, store, and deliver all specified products. In the event deficiencies in the areas of product production, warehousing, delivery and/or personnel are apparent or other adverse financial findings regarding the bidder are identified, the School Board may request additional information that would demonstrate the bidder’s financial ability to comply with the requirements of this bid.
Reliability – Bidder’s service level shall be determined in terms of delivery promptness, accuracy of pricing procedures, correct order delivery, protection of product, and proper communication with each delivery site. Current and past performance with the District and/or other commercial accounts shall be considered in determination of service level.
Accounting Practices – Bidder shall have the capability to provide accurate, reliable and timely invoices, statements, utilization reports, credits, and other data necessary to accomplish cost audits on items being purchased.
SBMC Food and Nutrition Services
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
Food Allergy Worksheet Legend
Each product must have this form completed and signed in order to be considered for award. In addition, a complete and legible food/nutrition label and ingredient list must also be provided for each product. Please refer to Special Condition W-3a.
Does this product contain any of the following ingredients? YES NO
Dairy: Dairy Products including: ammonium caseinate, artificial butter flavor, butter, butter fat, butter oil, buttermilk, calcium caseinate, casein, caseinates, cheese, cream, cottage cheese, curds, custard, hydrolysates, lactalbumin (phosphate), lacto globulin, lactose, lactulose, magnesium caseinate, milk (derivative, powder, protein, solids, malted, condensed, evaporated, dry, whole, low-fat, milk-fat, non-fat, skimmed, and goat’s milk), nougat, protein caseinate, pudding, rennet casein, sour cream, whey (hydrolysate and concentrate), yogurt
Eggs: Egg products including: albumin, apovitellin, avidin, conalbumin, custard, egg (white, yolk dried, powdered solids, frozen, and imitation), egg substitutes, eggnog, flavoprotein, globulin, livetin, mayonnaise, meringue, ovalbumin, ovomucin, ovomucoid, ovomuxoid, Simplesse, surimi
MSG: Monosodium Glutamate
Peanuts: Beer nuts, chopped nuts, cold pressed peanut oil, defatted peanut, expelled or extruded peanut oil, granulated peanuts, ground nuts, hydrolyzed plant protein, hydrolyzed vegetable protein, marzipan, monkey nuts, mixed nuts, nougat, Nu-nuts, nut pieces, peanut (roasted, butter, flour, and flakes)
Shellfish & Fish: Shellfish and Fish including: Abalone, ammonium alginate, anchovies, calcium alginate, carageenan seaweed, clams, cockle, crawfish, fish stock, Imodium inosinate, imitation crab, lobster, mollusks, octopus, oysters, potassium alginate, prawns, propylene glycol alginate, scallops, shrimp, snails, sodium alginate, surimi, squid, vegetable gum: seaweed, Worcestershire sauce alginate
Soy: Soy products including: Chee-fan, deep fried mature soy seed, fermented soybeans, hamanatto, hydrolyzed soy/plant/vegetable protein, immature green soy seed, katjap, metaiuza, miso, natural flavoring, natto, shoyu sauce (soy sauce), soy albumin, soy bean curd, soy hydrolysates, soy (flour, grits, milk, nuts, oil, protein, protein concentrate and isolate), soy sprouts, soybean, sufu, tao-cho, tao-si, taotjo, teriyaki sauce, Tamari, Tempeh, textured vegetable protein (TVP), tofu, whey-soy drink, vegetable (gum, oil, and starch), and Worcestershire sauce
Tree Nuts: Tree nuts products including: almonds, brazil nuts, acponata, cashews, chestnuts, filbert/hazelnuts, hickory nuts, macadamia nuts, marzipan/almond paste, nougat, artificial nuts, nut butters, nut meal, oil, paste, pieces, pecans, pesto, pine nuts, pistachios, walnuts
Wheat: Wheat products including: atta, bel ahar, bread flour, bran (wheat), bread crumbs (wheat), bulgar, cake flour, cereal extract, couscous, cracker, dextrin, durum, enriched flour, farina, fillers, food starch (modified), gelatinized food starch, graham flour, ground spices, gluten (wheat), graham, high gluten or protein flour, kamut flour, laubina, leche alim, malt, malted cereal, maltodextrin, Minchin, multi-grain flour, natural flavoring, seitan, semolina, spelt, superamine, tricale, vegetable starch, vital gluten, vitalia macaroni, whole wheat flour, wheat (puffed and rolled), wheat germ, wheat meal, wheat protein powder, wheat starch, wheat tempeh, and winter wheat flour
Vendor Name: ______________________________________________________________________________________
Name of Product corresponding to this worksheet: ________________________________________________________
BUY AMERICAN CERTIFICATION
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
To Bidders, By the requirements of the Richard B. Russell National School Lunch Act’s (NSLA) Buy American provision that school food authorities (SFAs) must follow these guidelines when purchasing food and food products for use in the Child Nutrition Programs. Section 104(d) of the William F. Goodling Child Nutrition Reauthorization Act of 1998 (Public Law 105-336) added a new provision, Section 12(n) of the NSLA (42 USC 1760(n)), requiring SFAs to purchase domestically grown and processed foods, to the maximum extent practicable. Section 12(n) of the NSLA defines “domestic commodity or product” as one that is produced and processed in the United States substantially using agricultural commodities that are produced in the United States. The legislation notes that “substantially” means that over 51% of the final processed product consists of agricultural commodities that were grown domestically. There are two situations which may warrant a waiver to permit purchases of foreign food products include:
1) the product is not produced or manufactured in the U.S. in sufficient and reasonable available quantities of a satisfactory quality; and
2) competitive bids reveal the costs of a U.S. product is significantly higher than the foreign product. Definition of end products is a two-part test to define end product:
a) the product must be manufactured in the United States; and
b) the cost of domestic components must exceed 50 percent of the cost of all the components. On behalf of The
School Board of Marion County, Florida, we require that suppliers certify the percentage of U.S. content in products supplied to us. If you are unable or unwilling to make such certification, we will not be able to purchase products from you.
Please complete one form per product.
We certify that our: _____________________________
Product Name: ________________________________
Manufacturer Name: ____________________________ has at least __________ % U.S. content.
Print Name: _____________________________________________, Title: _________________________________
Company Name: ________________________________________________________________________________
Signature: ________________________________________________________________Date: _________________
FOR EXAMPLE:
We certify that our:
Product Name: Tomatoes
Manufacturer Name: Hunts
Has at least ___85__ % U.S. content.
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
SPECIFICATIONS
Bidders are to bid on fresh fluid milk, Grade A, pasteurized, homogenized, and fortified with Vitamins A and D. Milk and milk products shall meet pasteurization, percent of nonfat milk solids, as promulgated by Florida laws, State
Board of Health, requirements of Marion County Health Department and accepted standards of the milk industry.
All items furnished under this bid shall be identified as having been officially inspected for wholesomeness and sanitation under the Florida Department of Agriculture Regulation Program.
Skim White Milk: Milk fat content 0.5% or less Nonfat milk solids minimum 8.25%
1% White Milk: Milk fat content shall be 1% Nonfat milk solids minimum 8.25%
Non-Fat or Low Fat Milk fat content minimum .5%, max. 1% Chocolate Milk: Nonfat milk solids minimum 8.25% Nutritive sweeteners and chocolate flavoring
Non-Fat or Low Fat Milk fat content minimum .5%, max. 1% Strawberry Milk: Nonfat milk solids minimum 8.25% Nutritive sweeteners and strawberry flavoring
Low Fat Soy Milk: Low Fat Soy milk, made from soybeans, 100%
Lactose and dairy free
Low Fat Cottage Cheese: Small curd, a soft, uncured cheese made from pasteurized skim milk
Low Fat Sour Cream: Grade A pasteurized, cultured
Low Fat Yogurt: Grade A, made from pasteurized cream and cultured with lactic acid producing bacteria. Milk fat content minimum .5% maximum 2%, non-fat solids minimum 8.25%
TYPE OF CONTAINER: Milk cartons shall be gable-top, ½ pint leak proof disposable cartons, or another type container pre-approved by the Director of Food and Nutrition Services.
PRINTING ON MILK CARTONS: The School Board of Marion County, Florida is interested in side panel promotions relating to nutrition and healthy lifestyles. Enhanced graphic paperboard cartons increase sales and consumption of milk products according to recent studies. Submit samples for approval of the Director of Food and Nutrition Services. No other product or advertisement shall be advertised on the carton through the contract period or any possible renewals.
SAMPLES: Bidders are required to provide samples, at no expense to the District, with their bid submission for each item bid. Samples will be evaluated by the Food and Nutrition Service Department. Each lot of samples must be labeled with bidder’s name (Company Name), bid number, and item number.
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
PROPOSAL FORM
Download Bid 4124AH Milk and Milk Products - PROPOSAL FORM from myvendorlink.com, where you downloaded this bid document. Complete the PROPOSAL FORM document and upload the completed Excel file and all required forms to complete your bid submission. (PROPOSAL FORM IS FILLABLE)
ONLY ELECTRONIC SUBMISSIONS OF THIS BID WILL BE ACCEPTED. (MAILED, EMAILED, OR DELIVERED
IN PERSON BID SUMISSIONS WILL NOT BE ACCEPTED.)
SAMPLES OF ITEMS ARE TO BE DELIVERED TO CENTRAL WAREHOUSE/PURCHASING DEPARTMENT
2091 NE 35TH STREET, OCALA, FL 34479 – PRIOR TO THE BID OPENING DATE OF MAY 7, 2025.
Before submitting his or her bid, each bidder is required to carefully examine the invitation to bid specifications and requirements thoroughly and to completely familiarize oneself with all of the terms and conditions that are contained within this bid to ensure a completed bid submission. Ignorance on the part of the bidder will in no way relieve him or her of any of the obligations and responsibilities which are a part of this bid.
[THIS SPACE IS INTENTIONALLY LEFT BLANK]
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
We, the undersigned, do hereby certify that these prices include all labor and material and will hold the pricing mechanism appearing in this solicitation fixed for a period after School Board approval for three (3) years from July 1, 2025 through June 30, 2028. We further realize the estimated quantities given are for evaluation purposes only and no guarantee of purchase is expressed or implied.
Division of Corporations Registration Requirements
Companies incorporated within the State of Florida must furnish their Florida document number.
Companies incorporated in any other state must furnish their applicable document number. All corporations or other legal entities must be registered to do business in the State of Florida and have an active status in order to be eligible to do business with the School Board. The specific requirements for registration are found in §607, Fla. Stat. (2024). To register with the State of Florida, visit: www.Sunbiz.org
Company: ________________________________________________
Per: ___________________________________________ (Print name)
Authorized Signature: _______________________________________
Address: __________________________________________________
City/State/Zip: ______________________________________________
Dunn & Bradstreet # ________________________________________
Federal I.D. # ______________________________________________
Division of Corporations Registration Number: ___________________
The state incorporated in: _____________________________________
Occupational License Number or Contractor Certification (Only use if required)
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
PURCHASE ORDER MAILING NAME AND ADDRESS
Company Name: ____________________________________________________________________
Mailing Address: ____________________________________________________________________
City: _________________________________ State: __________________ Zip: _________________
Telephone: _______________________________ Fax: _____________________________________
Contact Name: ____________________________ Contact Title: ______________________________
Purchase Order E-mail address: ________________________________________________________
REMITTANCE NAME AND ADDRESS FOR PAYMENT
Company Name: ____________________________________________________________________
Mailing Address: ____________________________________________________________________
City: _________________________________ State: __________________ Zip: _________________
Telephone: _______________________________ Fax: _____________________________________
Contact Name: ____________________________ Contact Title: ______________________________
Contact Email Address: ______________________________________________________________
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
BIDDER’S QUALIFICATION STATEMENT
MUST BE COMPLETED TO BE CONSIDERED A RESPONSIBLE BIDDER
COMPANY NAME: ________________________________________________
1. Bidder has been in business continuously since: ________________________________
2. Bidder has had experience in work comparable with that required under the proposed contract:
As a prime contractor for ___________ years / As a subcontractor for __________ years
3. Following is a partial list of work the bidder has completed in the last five (5) years) which is similar in character and in magnitude to that required in the proposed Contract:
YEAR OWNER LOCATION CONTRACT AMOUNT
4. Furnish references for information concerning the work listed above:
NAME COMPANY TITLE CITY/STATE PHONE #
5. Provide email addresses for each person listed in item 4:
6. List the supervisory personnel to be employed by the bidder and available for work on this project (Project
Manager, Principal Foreman, Superintendents):
NAME TITLE YEARS EXPERIENCE
7. List Subcontractors – Name, address and years of experience, if you will be utilizing subcontractors on any portion of this project.
NAME Address YEARS EXPERIENCE
8. Name and title of person filling out form:
NAME TITLE
If you need additional space, please submit a separate sheet with appropriate headings.
AD-1048 OMB No. 0505-0027 Expiration Date: 09/30/2025
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions
The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. § 552a, as amended). This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, and 2 CFR §§ 180.300, 180.335, Participants' responsibilities. The regulations were amended and published on August 31, 2005, in 70 Fed. Reg. 51865-51880. Copies of the regulations may be obtained by contacting the Department of Agriculture agency offering the proposed covered transaction.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0505-0027. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The provisions of appropriate criminal or civil fraud, privacy, and other statutes may be applicable to the information provided.
(Read instructions on page two before completing certification.)
A. The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency;
B. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.
ORGANIZATION NAME PR/AWARD NUMBER OR PROJECT NAME
NAME(S) AND TITLE(S) OF AUTHORIZED REPRESENTATIVE(S)
SIGNATURE DATE
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.
USDA is an equal opportunity provider, employer, and lender.
https://www.usda.gov/oascr/how-to-file-a-program-discrimination-complaint mailto:program.intake@usda.gov
Instructions for Certification
(1) By signing and submitting this form, the prospective lower tier participant is providing the certification set out on page 1 in accordance with these instructions.
(2) The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the Department or agency with which this transaction originated may pursue available remedies, including suspension or debarment.
(3) The prospective lower tier participant must provide immediate written notice to the person(s) to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
(4) The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person, ""primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549, at 2 CFR Parts 180 and 417. You may contact the Department or agency to which this proposal is being submitted for assistance in obtaining a copy of those regulations.
(5) The prospective lower tier participant agrees by submitting this form that, should the proposed covered transaction be entered into, it may not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the Department or agency with which this transaction originated.
(6) The prospective lower tier participant further agrees by submitting this form that it will include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.
(7) A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the General Services Administration’s System for Award Management Exclusions database.
(8) Nothing contained in the foregoing shall be construed to require establishment of a system of records to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
(9) Except for transactions authorized under paragraph (5) of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the Department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.
Form AD-1048 (REV 12/22)
This form is available electronically. OMB Control No. 0505-0027
Expiration Date: 04/30/2022
Certification Regarding Drug-Free Workplace Requirements (Grants) AD-1049 Alternative I – For Grantees Other Than Individuals
The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. § 552a, as amended). This certification is required by the regulations implementing §§ 5151-5160 of the Drug-Free Workplace Act of 1998 (Pub. L.100-690, Title V, Subtitle D: 41 U.S.C. § 8101 et seq.), and 2 C.F.R. Parts 182 and 421. The regulations were amended and published on June 15, 2009, in 74 Fed. Reg. 28150-28154 and on December 8, 2011, in 76 Fed. Reg. 76610-76611. Copies of the regulations may be obtained by contacting the Department of Agriculture agency offering the grant.
According to the Paperwork Reduction Act of 1995 an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0505-0027. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The provisions of appropriate criminal, civil, fraud, privacy, and other statutes may be applicable to the information provided.
(Read instructions on page three before completing certification.)
A. The grantee certifies that it will or will continue to provide a drug-free workplace by:
1. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee’s workplace and specifying the actions that will be taken against employees for violation of such prohibition;
2. Establishing an ongoing drug-free awareness program to inform employees about –
a. The dangers of drug abuse in the workplace;
b. The grantee’s policy of maintaining a drug-free workplace;
c. Any available drug counseling, rehabilitation, and employee assistance programs; and
d. The penalties that may be imposed upon employees for drug-abuse violations occurring in the workplace.
3. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph A.1.
4. Notifying the employee in the statement required by paragraph A.1 that, as a condition of employment under the grant, the employee will –
a. Abide by the terms of the statement; and
b. Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction;
5. Notifying the agency in writing, within ten calendar days after receiving notice under subparagraph A.4.b from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant;
6. Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph A.4.b, with respect to any employee who is so convicted –
a. Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; 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;
7. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs
A.1 through A.6.
B. The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant:
PLACE OF PERFORMANCE (Street Address, City, County, State, Zip Code)
Check if there are workplaces on file that are not identified here.
ORGANIZATION NAME PR/AWARD NUMBER OR PROJECT NAME
NAME(S) AND TITLE(S) OF AUTHORIZED REPRESENTATIVE(S)
SIGNATURE(S) DATE
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible agency or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint (https://www.ascr.usda.gov/filing-program-discrimination-complaint-usda-customer) and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442.
Form AD-1049 (REV 10/19) https://www.ascr.usda.gov/filing-program-discrimination-complaint-usda-customer https://www.ascr.usda.gov/filing-program-discrimination-complaint-usda-customer
Instructions for Certification
(1) By signing and submitting this form, the grantee is providing the certification set out on pages one and two in accordance with these instructions.
(2) The certification set out on pages one and two is a material representation of fact upon which reliance is placed when the agency awards the grant. If it is later determined that the grantee knowingly rendered a false certification, or otherwise violates the requirements of the Drug-Free Workplace Act, the agency, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act.
(3) Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file in its office and make the information available for
Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee’s drug-free workplace requirements.
(4) Workplace identifications must include the actual address of buildings (or parts of buildings) or other sites where work under the grant takes place. Categorical descriptions may be used (e.g., all vehicles of a mass transit authority or State highway department while in operation, State employees in each local unemployment office, performers in concert halls or radio studios).
(5) If the workplace identified to the agency changes during the performance of the grant, the grantee shall inform the agency of the change(s). If it previously identified the workplaces in question, see paragraph (3) above.
(6) Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-Free Workplace common rule apply to this certification. Grantees’ attention is called, in particular, to the following definitions from these rules:
• “Controlled substance” means a controlled substance in Schedules I through V of the Controlled Substances Act, 21 U.S.C.
§ 812, and as further defined by 21 C.F.R. §§ 1308.11-1308.15.
• “Conviction” means a finding of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes.
• “Criminal drug statute” means a Federal or non-Federal criminal statute involving the manufacture, distribution, dispensing, use, or possession of any controlled substance.
• “Employee” means the employee of a grantee directly engaged in the performance of work under a grant, including: (i) all
“direct charge” employees (ii) all “indirect charge” employees unless their impact or involvement is insignificant to the performance of the grant and, (iii) temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee’s payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement, consultants or independent contractors not on the grantee’s payroll, or employees of subrecipients or subcontractors in covered workplaces).
Form AD-1049 (REV 10/19) http:1308.11-1308.15
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
CONFIDENTIAL, PROPRIETARY, OR TRADE SECRET MATERIAL STATEMENT
The School Board of Marion County, Florida (“School Board”) takes its public records responsibilities as provided under §119, Fla. Stat. (2024) and Article 1, Section 24 of the Florida Constitution, very seriously.
If Proposer considers any portion of the documents, data or records submitted in response to this solicitation to be confidential, trade secret or otherwise not subject to disclosure pursuant to §119, Fla.
Stat. (2024), the Florida Constitution or other authority, Proposer must also simultaneously provide the School Board with a separate redacted copy of its response. This redacted copy shall contain the School Board solicitation name, number, and the name of the Proposer on the cover, and shall be clearly titled “Redacted Copy.” The Redacted Copy shall be provided to School Board at the same time Proposer submits its response to the solicitation and must only exclude or obliterate those exact portions that are claimed confidential, proprietary, or trade secret. In compliance with §119.07(1)(e), Fla. Stat. (2024), Proposer must “state the basis for the exemption” that he/she “contends is applicable to the record, including the statutory citation to an exemption created or afforded by statute.”
Proposer shall be responsible for defending its determination that the redacted portions of its response are confidential, proprietary, trade secret or otherwise not subject to disclosure. Further, Proposer shall protect, defend, and indemnify the School Board for any and all claims arising from or relating to Proposer’s determination that the redacted portions of its response are confidential, proprietary, trade secret or otherwise not subject to disclosure.
The School Board will make no effort to verify whether or not the redacted material is exempt from §119, Fla. Stat. (2024). That determination is totally the responsibility of the Proposer.
If the Proposer fails to submit a Redacted Copy with its response, the School Board is authorized to produce the entire documents, data or records submitted by Proposer in answer to a public records request for these records.
I have read and understand my responsibilities regarding any purported confidential, proprietary or trade secret material contained in this proposal.
After reading the above statement, please initial next to the appropriate statement below:
__________ I have not included a redacted copy of our proposal.
__________ I have included a redacted copy of our proposal along with this original.
Signature of Proposer Signing Agreement
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
Acknowledgment of Addenda Check: (Yes) or (No)
(Date of Receiving Addendum)
Addendum #1 Yes _____ No _____ Date Received:
Addendum #2 Yes _____ No _____ Date Received:
Addendum #3 Yes _____ No _____ Date Received:
Addendum #4 Yes _____ No _____ Date Received:
Addendum #5 Yes _____ No _____ Date Received:
Company Name
Signature
Address
City State Zip Code
Date
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
STATEMENT OF NO BID
If you are not bidding on this service/commodity, please complete and upload to www.myvendorlink.com.
Failure to respond may result in deletion of vendor's name from the bidder's list for The School Board of Marion County, Florida.
COMPANY NAME: _____________________________________________________
ADDRESS: ___________________________________________________________
CITY: ______________________STATE: ___________________ZIP: _____________
CONTACT PERSON: __________________________TELEPHONE: ______________
We, the undersigned, have declined to bid on your Bid No. 4124AH Milk and Milk Products, Three
Years Term Contract because of the following reasons:
We do not offer this product or the equivalent.
Insufficient time to respond to the invitation to bid.
Remove our name from this bid list only.
Our product schedule would not permit us to perform.
Unable to meet bond requirements.
Other. (Specify below)
REMARKS:
SIGNATURE: ______________________________________ DATE: _________________ (m/d/yyyy)
4124AH Milk and Milk Products for Food Service Rev 89VL – 2-4-
PLEASE READ ALL TERMS AND CONDITIONS OF THIS BID SO THAT YOU DO NOT MISS IMPORTANT
INFORMATION THAT MAY AFFECT YOUR BID SUBMISSION.
NOTE: THE LIST BELOW MAY NOT BE INCLUSIVE OF ALL REQUIREMENTS. USE THE BELOW LIST
AS A CHECKOFF LIST TO ENSURE THESE ITEMS ARE NOT MISSING.
REQUIRED:
Invitation to Bid Page (Bidder Acknowledgement Page) __________
Specification & Proposal Form(s) __________
Proposer’s Statement of Principal Place of Business __________
Confidential, Proprietary or Trade Secret Material Statement __________
Acknowledgement of Addenda __________
Drug Free Workplace Certification __________
Certification Regarding Debarment __________
Manufacturer’s Authorization(s) __________
Bidders Qualification Statement __________
Food Allergy Worksheet __________
Health Department Inspection Report __________
Florida Milk Dealer Permit __________
Nutritional Analysis __________
W-9 Form (not in packet, must be downloaded) __________
IF REQUIRED BY ORDINANCE:
Occupational License __________
IF APPLICABLE:
Bid or Performance Bond __________
Statement of No Bid __________
| Bid 4124AH Milk and Milk Products for Food Service - REQUIRED FORMS.pdf |
| Debarment Form AD-1048 from USDA |
| Drug-Free Workplace Certification AD-1049 form USDA |
| Bid 4124AH Milk and Milk Products for Food Service - REQUIRED FORMS |
| PLACE OF PERFORMANCE Street Address City County State Zip Code: |
| Check: Off |
| Check if there are workplaces on file that are not identified here: |
| ORGANIZATION NAME: |
| PRAWARD NUMBER OR PROJECT NAME: |
| NAMES AND TITLES OF AUTHORIZED REPRESENTATIVES: |
| SIGNATURES: |
| DATE: |
File details come from the government source that posted it. Updated .