CDBG-334_Gano_Avenue_Pest_Control.pdf

REQUEST FOR QUOTATION

24/25-098

CDBG-334 GANO AVENUE PEST CONTROL

Clay County

477 Houston Street

Green Cove Springs, FL 32043

RELEASE DATE: June 30, 2025

LAST DATE FOR INQUIRIES: July 15, 2025, 4:30 pm

BID DUE: July 18, 2025, 2:00 pm

RESPONSES MUST BE SUBMITTED ELECTRONICALLY TO:

https://secure.procurenow.com/portal/claycounty https://secure.procurenow.com/portal/%7bproject.government.code%7d

Clay County

REQUEST FOR QUOTATION

CDBG-334 Gano Avenue Pest Control

I. Introduction II. Scope of Work

III. Pricing Proposal IV. Supplier Questionnaire

Attachments:

A - Certificate of partial payment

B - Certificate of final payment

D - W-9 (2024)

E - EFT FORM

Request For Quotation #24/25-098 Title: CDBG-334 Gano Avenue Pest Control

1. Introduction

1.1. Summary

Clay County is requesting quotes from qualified pest control contractors to provide fumigation services for the following location:

334 Gano Avenue

Orange Park, FL 32073

1.2. Contact Information

If you need immediate assistance, at any point during the solicitation process, please email the

Purchasing Department at: Purchasing@Claycountygov.com in addition to the Purchasing Department

Staff Member listed below.

Lynne Laganella

Buyer

477 Houston St

Green Cove Springs, FL 32043

Email: lynne.laganella@claycountygov.com

Phone: (904) 284-6370

Department:

Grants

Department Head:

Megan Covey

Grants Manager

1.3. Timeline

Request Date June 30, 2025

Pre-Proposal Meeting (Mandatory) July 11, 2025, 1:00pm

334 Gano Avenue, Orange Park, FL 32073

Question Submission Deadline July 15, 2025, 4:30pm mailto:Purchasing@Claycountygov.com mailto:lynne.laganella@claycountygov.com tel:(904)284-6370

Question Response Deadline July 16, 2025, 4:30pm

Quotation Deadline July 18, 2025, 2:00pm

2. Scope of Work

2.1. Scope of Work

Clay County is requesting quotes from qualified contractors to provide fumigation services at the following location:

334 Gano Avenue, Orange Park, FL 32073

The home was built in 1966 and is 1,529 square feet.

The scope of work shall include, but not limited to:

1. Contractor shall assess the residence to determine the extent of infestation and appropriate fumigant services needed.

2. Contractor shall seal all crevices around windows and doors to limit the escape of the fumigant/chemicals.

3. The homeowner shall prepare the interior of the residence by removing all consumable items (food products), debris and plants and ensure no persons and/or pets are present during fumigation/chemical treatment.

4. Contractor shall verify all persons and/or pets have vacated the premises before fumigation begins and ensure no persons and/or pets enter until verified safe to do so.

5. Contractor shall ensure all devices are unplugged from outlets and all cabinet doors are propped open.

6. Contractor shall place warning signs in visible locations as applicable.

7. Contractor shall monitor gas concentration and after exposure, open structure to ventilate.

8. After ventilation, Contractor shall take air samples of structure interiors to ensure premises is safe to re-enter.

If any additional services are requested from the homeowner, the Contractor will be required to notify the County Project Manager or designee. No additional services shall be performed until the contractor receives written authorization from Clay County.

The County reserves the right to make an award either in part or completely, and/or to accept the bid that, in its judgment, will be in the best interest of the County; providing best value to the County with price, technical, and other applicable factors considered.

2.2. Grant Funded

This is a Federally Funded Project under Community Development Block Grant Entitlement Program funding by the Department of Housing and Urban Development (HUD).

The Contractor’s performance under the Contract shall be subject to 2 C.F.R. Part 200 – Uniform

Admirative Requirements, Cost Principles and Audit Requirements for Federal Awards.

The Federal Government has transitioned from the use of the DUNS Number (i.e., an identifier issued by

Dun and Bradstreet ) to the Unique Entity Identifier (UEI) as the primary means of entity identification for Federal awards government-wide. UEIs are required in accordance with 2 CFR Part 25, and the transition from DUNS to UEI has resulted in the UEI being issued by the Federal Government in

SAM.gov.

The Contractor is required to be familiar with and agrees to abide by all applicable State and Federal, or municipal emergency, safety and health codes, laws, rules, regulations or ordinances, including but not limited to all FEMA and the U.S. Department of Housing and Urban Development (HUD) provisions.

Additionally, the Contractor agrees to comply with all DEO guidelines.

The Consolidated Plan can be viewed at: https://www.claycountygov.com/community/community-services/cdbg

2.3. Contractor and Subcontractor Requirements

1. The Contractor shall be licensed to perform all work listed in the Scope of Work provided.

2. Contractor shall obtain all permits to complete the project in accordance with this Request for

Quotation.

3. All work will be performed in accordance with the most applicable state and local regulations.

4. The Contractor shall own or have full access to the appropriate personnel and equipment to complete the project requested.

5. The County reserves the right to approve all subcontractors for this contract. If subcontractors are to be utilized, the subcontractors must possess an active and valid license issued by the Florida

Department of Business and Professional Regulation in the appropriate category. Subcontractors may be added during the contract period only with PRIOR WRITTEN PERMISSION from the County, and only for reasonable cause, as judged by the County. Responsibility for the performance of the contract remains with the main Contractor exclusively.

6. The Contractor and subcontractors may be requested to provide a list of equipment with identification (i.e. serial #, VIN, etc.), personnel with their position (e.g. foreman, laborer, etc.), and percentage of work performed.

7. Contractors must have been in business for a minimum of 5 years doing similar work.

2.4. Site Inspections

It is incumbent upon all Bidders to examine the site and insure that they are aware of all conditions that may affect the contract work thereon and therein. The County will not be responsible for conclusions made by the Contractor. No claims for additional compensation will be considered on behalf of any

Contractor, subcontractor, materials suppliers or others on account of that person’s failure to be fully informed of all requirements of all parts of this Request For Quotes.

https://www.ecfr.gov/current/title-2/subtitle-A/chapter-I/part-25 https://sam.gov/content/home https://www.claycountygov.com/community/community-services/cdbg https://www.claycountygov.com/community/community-services/cdbg

2.5. Work Hours

Workdays and hours – Normal work hours of Monday through Friday, 7:30 a.m. to 5:00 p.m. unless approved by the County Project Manager or designee.

Any work performed outside of the normal County business hours will require prior County approval and payment to the County for all expenses incurred by the County may be required.

2.6. Permit & Fees

The Contractor shall comply with all applicable State and local laws, ordinances, codes, and regulations.

The Contractor is required to familiarize themselves with all permits required that pertain to the Scope of Work specified in this Request For Quotes, If a County permit is required, this project is not exempt from permit fees and permit fees must be paid to the County Building Department by the Contractor.

For questions about Clay County permitting please contact:

Clay County Building Department

Phone: (904) 269-6307

Email: permits@claycountygov.com

Website: https://www.claycountygov.com/government/building

All applicable permits, fees, licenses, and final County and municipality inspections are the responsibility of and will be paid for by the Contractor as specified in the plans.

All other permits, assessments, fees, bonds, and other charges as necessary to perform and complete the work of the awarded Contract are the responsibility of and will be paid for by the Contractor, including any related inspection fees. Utility service connection fees and required utility service fees, if any, will be paid for and coordinated by the Contractor. Utility service connection, if any shall be coordinated by the Contractor. Utility service connection fees shall be paid for by the County.

2.7. Clean up & Restoration of Site

Contractor shall remove all debris from site and dispose of the debris appropriately at the Contractors expense.

Contractor shall maintain work site in a safe manner, and daily clear construction debris.

2.8. Workmanship

Where not more specifically described in this document, workmanship shall conform to all of the methods and operations of best standards and accepted practices of the trade or trades involved, and shall include all items of fabrication, construction or installation regularly furnished or required for completion of the services.

2.9. Self-Performed Work

The awarded Contractor is required to self-perform with its own workforce a minimum of forty-percent

(40%) of the overall awarded Contract.

mailto:permits@claycountygov.com https://www.claycountygov.com/government/building

2.10. Damage to Public or Private Property

The Contractor is responsible for anything damaged due to the direct result of installation or construction. Remove all debris from site and dispose of appropriately at Contractor expense. If property (public or private) is damaged while Contractor is performing work specified or is removed for the convenience of the work, it shall be repaired or replaced at the expense of the Contractor in a manner acceptable to the County prior to the final acceptance of the work. Contractor will be responsible for applying and securing any permits that may be required to complete such repairs.

Contractor must provide protection necessary to prevent damage to property being repaired or replaced.

If the work site has any pre-existing damage, the Contractor shall notify the County Project Manager in writing. Failure to do so shall obligate the Contractor to make repairs per the above section. Any damage to property (public or private) caused by the action of the Contractor shall be repaired or replaced at the expense of the Contractor to the satisfaction of the County. Failure to restore said property within five (5) working days following notification will result in a deduction from the final payment invoice. All damages which occur as a result of the Contractor's application of materials shall be remedied by the Contractor at no additional cost to the County. Repairs made as a result of damage must be guaranteed for a period of thirty (30) days. Should the replacement be damaged within the thirty (30) day period, the Contractor shall replace the materials continually until the area is re-established.

Should the County have any expenses incurred due to the Contractor not restoring the property/damage within said time, any appropriate labor, material, and/or equipment use or rental to restore damaged property to its original condition will be deducted from the final Invoice prior to a payment being made.

2.11. Compliance with Occupation Safety and Health Act

The Contractor warrants that the product(s) and/or service(s) supplied to Clay County shall conform in all respects to the standards set forth in the Occupational Safety and Health Act (OSHA) of 1970 as amended and the failure to comply will be considered a breach of contract. Clay County shall be held harmless against any unsafe conditions and contractor employee incidents.

Contractor certifies that all material, equipment, services, etc., furnished in this Request For Quotes meets all OSHA requirements for the applicable Sectors. Contractor further certifies that, if the successful Bidder, and the material, equipment, service, etc., delivered or provided is subsequently found to be deficient in any OSHA requirement in effect on date of delivery or service fulfillment date, all costs necessary to bring the material, equipment, service, etc., into compliance with the aforementioned requirements shall be borne by the Bidder. All Personal Protective Equipment used by the Contractor and their employees shall be ANSI certified and meet OSHA standards.

2.12. Unsatisfactory Equipment and/or Services

The County will discuss all instances of unacceptable equipment and/or services with the awarded

Contractor. This shall be immediately rectified by the Contractor at no charge to the County, to include any labor and materials as it may apply.

During this time, the County may suspend service with the Contractor until the problem(s) are corrected or may elect to use another company on an emergency basis. A record of failure to perform or of an unsatisfactory performance may result in supplier debarment.

2.13. Payment

The Contractor may request payment no more than once monthly, based on the amount of work completed. All partial estimates and payments found to be in error shall be subject to correction in the estimates and payments subsequent thereto, and in the final estimate and payment. Payments will be made in accordance with the Florida Local Government Prompt Payment Act.

2.14. Term

Final Completion shall be obtained within fifteen (15) days from Notice to Proceed.

2.15. Performance Evaluation

A work performance evaluation will be conducted periodically to ensure compliance with the Contract.

2.16. Cancellation of Contract

If the awarded Contractor fails to maintain acceptable product quality or to perform adequately in accordance with the terms, conditions and specifications established in this Request for Quotes, the

County reserves the right to cancel the contract upon thirty (30) days written notice to the Contractor.

2.17. Additional Services

If the County and/or awarded Contractor identifies any additional services to be provided by Contractor that are not covered under the Agreement but are beneficial to the County, such additional services shall be mutually negotiated between the County and the Contractor.

3. Pricing Proposal

334 Gano Avenue

Line Item Description Quantity Unit of

Measure Unit Cost Total

1 All Inclusive Total Price 1 Lump Sum

TOTAL

4. Supplier Questionnaire

4.1. Response Acknowledgement *

I acknowledge the following:

I will respond to this solicitation in the manner that is being requested of me.

I am not to embed any documents within the questionnaire, as they may not be accessed / reviewed / evaluated.

When a document is required to be uploaded, it must be in PDF format and unlocked.

☐ Please confirm

*Response required

4.2. Legal Name *

Please enter your Company's Legal Name.

*Response required

4.3. Litigation, Investigations, and Disputes Disclosure (B)

If Bidder answered 'Yes' to Litigation, Investigations, and Disputes Disclosure (A), please provide a detailed explanation, including:

• Case caption and number

• Jurisdiction (court or administrative body)

• Brief description of the nature of the dispute

• Status or outcome (e.g., pending, settled, dismissed, judgment entered)

• Copies of legal documentation substantiating the information provided above

Important: Failure to fully disclose any relevant information, or any misrepresentation or omission of facts, may result in any remedy deemed to be in the best interest of the County.

4.4. Approved Designated Signee*

Please provide the full name, title, and email address of the authorized signee for your company.

*Response required

4.5. Company Primary Contact*

Please provide the following details for your Company's primary contact person:

A. Organization Primary Contact Name:

(First and Last Name)

B. Organization Primary Contact Role:

(Position or Title within the Organization)

C. Organization Primary Contact Phone Number:

(Include Area Code)

D. Organization Primary Contact Email Address:

(Please provide a valid and frequently monitored email address)

*Response required

4.6. Company Remittance Address*

Please provide your Company's remittance address.

The Address should include:

Street Address: This should include the building number, street name, and, if applicable, suite number.

City, State, and ZIP Code: The city and state should be fully spelled out (unless state abbreviations are standard), followed by the ZIP Code.

Example of a Complete Address:

John Doe

1234 Elm Street, Apt 5B

Springfield, IL 62704

*Response required

4.7. W-9*

Please download the W-9 below, complete, and upload.

• W-9_(2024).pdf

*Response required

4.8. EFT Authorization Form

Please download the below documents, complete, and upload.

• EFT_FORM.pdf

4.9. SunBiz Verification*

Please enter your EIN number below.

*Response required

4.10. E-Verify *

Please enter your Company's legal name.

*Response required

4.11. E-Verify *

Please download the below documents, complete, and upload.

• E-Verify_(1).pdf https://government-project.s3.us-west-2.amazonaws.com/26612/3c9ba02e-cf5c-4b5b-bab9-8e681a7ee333_W-9_%282024%29.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4EOHW6FKN%2F20250630%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250630T191954Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJHMEUCIQCFFIE%2Fq2tjrQG8gOYK7REtAy3Or5vobJF%2B7Du2x90xUgIgWmLuuoyYZhXXPK0NF9Elu82jC%2Fy13cQiCHAmcmL%2BUSsqjAUIw%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARACGgw4OTIzNjQ2ODc2NzIiDGzgTsulZ1qwzW3QECrgBKh7q6O1zDIaVMI9OvCX2iAxvjd7PeBp5qEjDKBmm%2FOuNR45%2BbD0%2Fv0Nw6%2FPvJLcBCp8wbriXhTZ2FI848M8jLVPG1w7O8MQSs759qJt38trutwcw5WdC1uJ9vNqUw4C9WYBSv0Ielo3TFm7qSIR0FEEAmhf0kFBS4ctg6XqFjOaYkFyPXWUMeCPELC9%2BqajRqXfEnZeW2OBd0B4VKS%2FOwICRvqCSCk%2BpoFNtz6blmbQ35HP3LjWmVMRZYeszwnAFLCAvdOML1Ujk4rV3dnN9mts57EXEDOsaxMuKPshRKx6E2NjyjfmDxmuqNndRxAn42kNFcXWRg9%2BRsmyQs94A64muaGNosER29h3fT3juESJ6SoByxPlx5UyzMYnW1RxM46RXgSP2zNBEZHiaK8DfL830HvvrzGQYj9hUEf2gBNDrTpDQNpe55A7ix9PVAKOgYvTXS2ZODe2QdxjVFaELF9UbSLN7gvq%2BcqF7I1R3IBnbmmowrP8eWgSX%2FcLUneOewJAOdTG9gTUL3ljONW3Eu4aI9gJILFPwIgMu1ThP7MRwNzetdhJyTjhTfF2ijbiIeLoD5%2FWGF45WfA%2BE17R4VQtawCLhogFR%2Bh9PFQkCW9xvgku06efxZ9CoRZ2wp7MhabNtXLNx0pQXQY%2FWezk3d1nmBeVYJfA8UL3cvIbK7DtTosEbrYvVMSrnBK4rVIEJDvXiIwMpGOB6VfsMxj0v2m8NFSOF1auBIhQLlZDQuumjFKVR1Hf77v4dciYX%2F%2BVMt4h%2FBSSc6YdjPRBObRDzBEEmxRTT404k%2B0NT7oWV09gMIGpi8MGOpsBpYZHVLG3IsGW7aY8tFmvT7nFshcUD3h0Jd2UcnqD26zknUnINuznjN7SyQcVv3TlR44g9zxoaAHD3llM8yMpzNJx6hZzFQtgQbONqggJ%2FyFggS0rBYK0Pisx%2B08YZCtCI2fK0joFCglnj8xNK2rW43TFJM%2BLyxBXpgmesfwDlHTrfvcAm677AJvAs90%2F13pT5qUZ64i4QD%2B5Pno%3D&X-Amz-Signature=8bd83690ec352ef7f6b22bb26fec32aea10bde7946c3d6d105299ff3818a8dae&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22W-9_%282024%29.pdf%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/26612/067f458f-ec41-461d-a7f5-ab49431f3f07_EFT_FORM.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4EOHW6FKN%2F20250630%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250630T191954Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJHMEUCIQCFFIE%2Fq2tjrQG8gOYK7REtAy3Or5vobJF%2B7Du2x90xUgIgWmLuuoyYZhXXPK0NF9Elu82jC%2Fy13cQiCHAmcmL%2BUSsqjAUIw%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARACGgw4OTIzNjQ2ODc2NzIiDGzgTsulZ1qwzW3QECrgBKh7q6O1zDIaVMI9OvCX2iAxvjd7PeBp5qEjDKBmm%2FOuNR45%2BbD0%2Fv0Nw6%2FPvJLcBCp8wbriXhTZ2FI848M8jLVPG1w7O8MQSs759qJt38trutwcw5WdC1uJ9vNqUw4C9WYBSv0Ielo3TFm7qSIR0FEEAmhf0kFBS4ctg6XqFjOaYkFyPXWUMeCPELC9%2BqajRqXfEnZeW2OBd0B4VKS%2FOwICRvqCSCk%2BpoFNtz6blmbQ35HP3LjWmVMRZYeszwnAFLCAvdOML1Ujk4rV3dnN9mts57EXEDOsaxMuKPshRKx6E2NjyjfmDxmuqNndRxAn42kNFcXWRg9%2BRsmyQs94A64muaGNosER29h3fT3juESJ6SoByxPlx5UyzMYnW1RxM46RXgSP2zNBEZHiaK8DfL830HvvrzGQYj9hUEf2gBNDrTpDQNpe55A7ix9PVAKOgYvTXS2ZODe2QdxjVFaELF9UbSLN7gvq%2BcqF7I1R3IBnbmmowrP8eWgSX%2FcLUneOewJAOdTG9gTUL3ljONW3Eu4aI9gJILFPwIgMu1ThP7MRwNzetdhJyTjhTfF2ijbiIeLoD5%2FWGF45WfA%2BE17R4VQtawCLhogFR%2Bh9PFQkCW9xvgku06efxZ9CoRZ2wp7MhabNtXLNx0pQXQY%2FWezk3d1nmBeVYJfA8UL3cvIbK7DtTosEbrYvVMSrnBK4rVIEJDvXiIwMpGOB6VfsMxj0v2m8NFSOF1auBIhQLlZDQuumjFKVR1Hf77v4dciYX%2F%2BVMt4h%2FBSSc6YdjPRBObRDzBEEmxRTT404k%2B0NT7oWV09gMIGpi8MGOpsBpYZHVLG3IsGW7aY8tFmvT7nFshcUD3h0Jd2UcnqD26zknUnINuznjN7SyQcVv3TlR44g9zxoaAHD3llM8yMpzNJx6hZzFQtgQbONqggJ%2FyFggS0rBYK0Pisx%2B08YZCtCI2fK0joFCglnj8xNK2rW43TFJM%2BLyxBXpgmesfwDlHTrfvcAm677AJvAs90%2F13pT5qUZ64i4QD%2B5Pno%3D&X-Amz-Signature=5c85900143796508c8f6439ced404ebc65076d575acc0e0b9e2cafc316444506&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22EFT_FORM.pdf%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/26612/6d7a0d7c-821d-49c6-bd01-3168d19ec223_E-Verify_%281%29.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4EOHW6FKN%2F20250630%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250630T191954Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJHMEUCIQCFFIE%2Fq2tjrQG8gOYK7REtAy3Or5vobJF%2B7Du2x90xUgIgWmLuuoyYZhXXPK0NF9Elu82jC%2Fy13cQiCHAmcmL%2BUSsqjAUIw%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARACGgw4OTIzNjQ2ODc2NzIiDGzgTsulZ1qwzW3QECrgBKh7q6O1zDIaVMI9OvCX2iAxvjd7PeBp5qEjDKBmm%2FOuNR45%2BbD0%2Fv0Nw6%2FPvJLcBCp8wbriXhTZ2FI848M8jLVPG1w7O8MQSs759qJt38trutwcw5WdC1uJ9vNqUw4C9WYBSv0Ielo3TFm7qSIR0FEEAmhf0kFBS4ctg6XqFjOaYkFyPXWUMeCPELC9%2BqajRqXfEnZeW2OBd0B4VKS%2FOwICRvqCSCk%2BpoFNtz6blmbQ35HP3LjWmVMRZYeszwnAFLCAvdOML1Ujk4rV3dnN9mts57EXEDOsaxMuKPshRKx6E2NjyjfmDxmuqNndRxAn42kNFcXWRg9%2BRsmyQs94A64muaGNosER29h3fT3juESJ6SoByxPlx5UyzMYnW1RxM46RXgSP2zNBEZHiaK8DfL830HvvrzGQYj9hUEf2gBNDrTpDQNpe55A7ix9PVAKOgYvTXS2ZODe2QdxjVFaELF9UbSLN7gvq%2BcqF7I1R3IBnbmmowrP8eWgSX%2FcLUneOewJAOdTG9gTUL3ljONW3Eu4aI9gJILFPwIgMu1ThP7MRwNzetdhJyTjhTfF2ijbiIeLoD5%2FWGF45WfA%2BE17R4VQtawCLhogFR%2Bh9PFQkCW9xvgku06efxZ9CoRZ2wp7MhabNtXLNx0pQXQY%2FWezk3d1nmBeVYJfA8UL3cvIbK7DtTosEbrYvVMSrnBK4rVIEJDvXiIwMpGOB6VfsMxj0v2m8NFSOF1auBIhQLlZDQuumjFKVR1Hf77v4dciYX%2F%2BVMt4h%2FBSSc6YdjPRBObRDzBEEmxRTT404k%2B0NT7oWV09gMIGpi8MGOpsBpYZHVLG3IsGW7aY8tFmvT7nFshcUD3h0Jd2UcnqD26zknUnINuznjN7SyQcVv3TlR44g9zxoaAHD3llM8yMpzNJx6hZzFQtgQbONqggJ%2FyFggS0rBYK0Pisx%2B08YZCtCI2fK0joFCglnj8xNK2rW43TFJM%2BLyxBXpgmesfwDlHTrfvcAm677AJvAs90%2F13pT5qUZ64i4QD%2B5Pno%3D&X-Amz-Signature=3ecc3cd243a072c04c55d82627954e47722b6809d0082d351acdd43adee1c527&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22E-Verify_%281%29.pdf%22&x-id=GetObject

*Response required

4.12. Conflict of Interest Disclosure: *

County Employee: Please mark yes or no if you work for Clay County as an employee.

☐ Yes

☐ No

*Response required

4.13. Conflict of Interest Disclosure: *

An outside personal economic relationship which affords present or future financial benefits to an employee, his family or to individuals with whom he has business or financial ties may be considered a conflict of interest requiring evaluation by the County Manager.

This certifies that neither my family nor myself are employees of the County and will benefit financially by doing business with Clay County.

☐ I certify that neither my family nor myself are employees of the County and will benefit financially by doing business with Clay County.

☐ I have a conflict of interest with the County and require a evaluation by the County Manager.

*Response required

4.14. Conflict of Interest Disclosure:*

Please identify yourself, family member or other conflict of interest.

Please enter N/A if this does not apply.

*Response required

4.15. Certificate of Insurance *

Provide certificate(s) of insurance.

Failure to provide proof of insurance may result in a Bidder being deemed non-responsive and therefore removed from consideration.

Please upload Insurance document(s) here.

*Response required

4.16. Workers' Compensation Exemption (A)*

Is Bidder currently exempt from carrying Workers’ Compensation insurance?

If Yes, Bidder must provide a valid Certificate of Election to be Exempt issued by the Florida Division of

Workers’ Compensation.

☐ Yes

☐ No

4.17. Workers' Compensation Exemption (B)

If Bidder Answered 'Yes' to Workers' Compensation Exemption (A), please upload a valid Certificate of

Election to be Exempt issued by the Florida Division of Workers’ Compensation here.

4.18. Section 287.05701, Florida Statutes - Prohibition against considering social, political, or ideological interests in government contracting*

Bidders are hereby notified of the provision of section 287.05701, Florida Statutes, as amended, that the

Clay County Board of County Commissioners will not request documentation of or consider a Bidder's social, political, or ideological interests when determining if the Bidder is a responsible Bidder.

The Bidder acknowledges they were notified of the provisions in section 287.05701, Florida Statutes.

☐ Please confirm

*Response required

4.19. Term Acknowledgement *

The Bidder acknowledges that they have thoroughly reviewed the term outlined in the Scope of Work.

☐ Please confirm

*Response required

4.20. Site Acknowledgement *

I acknowledge that I, the Contractor, have been provided an opportunity by the County to visit the site or have been informed that the site is open to the public, to insure that I am aware of all conditions that may affect the Contract work thereon and therein.

I acknowledge that the County will not be responsible for conclusions made by the Contractor.

I acknowledge no claims for additional compensation will be considered on behalf of any Contractor, Sub-Contractor, materials suppliers or others on account of that person’s failure to be fully informed of all requirements of all parts of this bid.

☐ Please confirm

*Response required

4.21. License / Certification List *

Please upload a copy of each current license or certification provided in the response above.

*Response required

4.22. Scrutinized Companies Certification*

Please download the below documents, complete, and upload.

• Scrutinized_Companies_Certi...

*Response required http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0200-0299/0287/0287.html https://government-project.s3.us-west-2.amazonaws.com/26612/665af7c5-4cfc-4990-aaa9-368d0aadd18b_Scrutinized_Companies_Certification_%283%29.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4EOHW6FKN%2F20250630%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250630T191954Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJHMEUCIQCFFIE%2Fq2tjrQG8gOYK7REtAy3Or5vobJF%2B7Du2x90xUgIgWmLuuoyYZhXXPK0NF9Elu82jC%2Fy13cQiCHAmcmL%2BUSsqjAUIw%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARACGgw4OTIzNjQ2ODc2NzIiDGzgTsulZ1qwzW3QECrgBKh7q6O1zDIaVMI9OvCX2iAxvjd7PeBp5qEjDKBmm%2FOuNR45%2BbD0%2Fv0Nw6%2FPvJLcBCp8wbriXhTZ2FI848M8jLVPG1w7O8MQSs759qJt38trutwcw5WdC1uJ9vNqUw4C9WYBSv0Ielo3TFm7qSIR0FEEAmhf0kFBS4ctg6XqFjOaYkFyPXWUMeCPELC9%2BqajRqXfEnZeW2OBd0B4VKS%2FOwICRvqCSCk%2BpoFNtz6blmbQ35HP3LjWmVMRZYeszwnAFLCAvdOML1Ujk4rV3dnN9mts57EXEDOsaxMuKPshRKx6E2NjyjfmDxmuqNndRxAn42kNFcXWRg9%2BRsmyQs94A64muaGNosER29h3fT3juESJ6SoByxPlx5UyzMYnW1RxM46RXgSP2zNBEZHiaK8DfL830HvvrzGQYj9hUEf2gBNDrTpDQNpe55A7ix9PVAKOgYvTXS2ZODe2QdxjVFaELF9UbSLN7gvq%2BcqF7I1R3IBnbmmowrP8eWgSX%2FcLUneOewJAOdTG9gTUL3ljONW3Eu4aI9gJILFPwIgMu1ThP7MRwNzetdhJyTjhTfF2ijbiIeLoD5%2FWGF45WfA%2BE17R4VQtawCLhogFR%2Bh9PFQkCW9xvgku06efxZ9CoRZ2wp7MhabNtXLNx0pQXQY%2FWezk3d1nmBeVYJfA8UL3cvIbK7DtTosEbrYvVMSrnBK4rVIEJDvXiIwMpGOB6VfsMxj0v2m8NFSOF1auBIhQLlZDQuumjFKVR1Hf77v4dciYX%2F%2BVMt4h%2FBSSc6YdjPRBObRDzBEEmxRTT404k%2B0NT7oWV09gMIGpi8MGOpsBpYZHVLG3IsGW7aY8tFmvT7nFshcUD3h0Jd2UcnqD26zknUnINuznjN7SyQcVv3TlR44g9zxoaAHD3llM8yMpzNJx6hZzFQtgQbONqggJ%2FyFggS0rBYK0Pisx%2B08YZCtCI2fK0joFCglnj8xNK2rW43TFJM%2BLyxBXpgmesfwDlHTrfvcAm677AJvAs90%2F13pT5qUZ64i4QD%2B5Pno%3D&X-Amz-Signature=f6b4c3671e631bc06832ee57a60115b5fa6cbdc5507cef500e6c7a389d65d1d4&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Scrutinized_Companies_Certification_%283%29.pdf%22&x-id=GetObject

4.23. Certification Regarding Debarment Suspension, Ineligibly * Please download the below documents, complete, and upload.

• CERTIFICATION_REGARDING_DEB...

*Response required

4.24. Byrd Anti-Lobbying Compliance and Certification Regarding Lobbying * Please download the below documents, complete, and upload.

• BYRD_ANTI_LOBBYING.docx.pdf

*Response required

4.25. Conflict of Interest Disclosure Form *

Please download the below documents, complete, and upload.

• CONFLICT_OF_INTEREST_DISCLO...

*Response required

4.26. Clay County Federal Purchasing Policy

Please download the below documents, and acknowledge receipt on the question below.

• 2023-2024-44_Resolution_and...

4.27. Clay County Federal Purchasing Policy*

I have read and acknowledge the documents(s) (Clay County Federal Purchasing Policy).

☐ Please confirm https://government-project.s3.us-west-2.amazonaws.com/26612/65836c3e-3ede-4526-b6a5-c3f4cb6db83d_CERTIFICATION_REGARDING_DEBARMENT_SUSPENSION_-_GRANTS.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4EOHW6FKN%2F20250630%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250630T191954Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJHMEUCIQCFFIE%2Fq2tjrQG8gOYK7REtAy3Or5vobJF%2B7Du2x90xUgIgWmLuuoyYZhXXPK0NF9Elu82jC%2Fy13cQiCHAmcmL%2BUSsqjAUIw%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARACGgw4OTIzNjQ2ODc2NzIiDGzgTsulZ1qwzW3QECrgBKh7q6O1zDIaVMI9OvCX2iAxvjd7PeBp5qEjDKBmm%2FOuNR45%2BbD0%2Fv0Nw6%2FPvJLcBCp8wbriXhTZ2FI848M8jLVPG1w7O8MQSs759qJt38trutwcw5WdC1uJ9vNqUw4C9WYBSv0Ielo3TFm7qSIR0FEEAmhf0kFBS4ctg6XqFjOaYkFyPXWUMeCPELC9%2BqajRqXfEnZeW2OBd0B4VKS%2FOwICRvqCSCk%2BpoFNtz6blmbQ35HP3LjWmVMRZYeszwnAFLCAvdOML1Ujk4rV3dnN9mts57EXEDOsaxMuKPshRKx6E2NjyjfmDxmuqNndRxAn42kNFcXWRg9%2BRsmyQs94A64muaGNosER29h3fT3juESJ6SoByxPlx5UyzMYnW1RxM46RXgSP2zNBEZHiaK8DfL830HvvrzGQYj9hUEf2gBNDrTpDQNpe55A7ix9PVAKOgYvTXS2ZODe2QdxjVFaELF9UbSLN7gvq%2BcqF7I1R3IBnbmmowrP8eWgSX%2FcLUneOewJAOdTG9gTUL3ljONW3Eu4aI9gJILFPwIgMu1ThP7MRwNzetdhJyTjhTfF2ijbiIeLoD5%2FWGF45WfA%2BE17R4VQtawCLhogFR%2Bh9PFQkCW9xvgku06efxZ9CoRZ2wp7MhabNtXLNx0pQXQY%2FWezk3d1nmBeVYJfA8UL3cvIbK7DtTosEbrYvVMSrnBK4rVIEJDvXiIwMpGOB6VfsMxj0v2m8NFSOF1auBIhQLlZDQuumjFKVR1Hf77v4dciYX%2F%2BVMt4h%2FBSSc6YdjPRBObRDzBEEmxRTT404k%2B0NT7oWV09gMIGpi8MGOpsBpYZHVLG3IsGW7aY8tFmvT7nFshcUD3h0Jd2UcnqD26zknUnINuznjN7SyQcVv3TlR44g9zxoaAHD3llM8yMpzNJx6hZzFQtgQbONqggJ%2FyFggS0rBYK0Pisx%2B08YZCtCI2fK0joFCglnj8xNK2rW43TFJM%2BLyxBXpgmesfwDlHTrfvcAm677AJvAs90%2F13pT5qUZ64i4QD%2B5Pno%3D&X-Amz-Signature=904bcad144edccf22337008c76dbbb02561d09d59a164e8fe2a97fbe6cc0ef57&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22CERTIFICATION_REGARDING_DEBARMENT_SUSPENSION_-_GRANTS.pdf%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/26612/79a5a4d3-ef5a-4564-8580-41bc895d3139_BYRD_ANTI_LOBBYING.docx.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4EOHW6FKN%2F20250630%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250630T191954Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJHMEUCIQCFFIE%2Fq2tjrQG8gOYK7REtAy3Or5vobJF%2B7Du2x90xUgIgWmLuuoyYZhXXPK0NF9Elu82jC%2Fy13cQiCHAmcmL%2BUSsqjAUIw%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARACGgw4OTIzNjQ2ODc2NzIiDGzgTsulZ1qwzW3QECrgBKh7q6O1zDIaVMI9OvCX2iAxvjd7PeBp5qEjDKBmm%2FOuNR45%2BbD0%2Fv0Nw6%2FPvJLcBCp8wbriXhTZ2FI848M8jLVPG1w7O8MQSs759qJt38trutwcw5WdC1uJ9vNqUw4C9WYBSv0Ielo3TFm7qSIR0FEEAmhf0kFBS4ctg6XqFjOaYkFyPXWUMeCPELC9%2BqajRqXfEnZeW2OBd0B4VKS%2FOwICRvqCSCk%2BpoFNtz6blmbQ35HP3LjWmVMRZYeszwnAFLCAvdOML1Ujk4rV3dnN9mts57EXEDOsaxMuKPshRKx6E2NjyjfmDxmuqNndRxAn42kNFcXWRg9%2BRsmyQs94A64muaGNosER29h3fT3juESJ6SoByxPlx5UyzMYnW1RxM46RXgSP2zNBEZHiaK8DfL830HvvrzGQYj9hUEf2gBNDrTpDQNpe55A7ix9PVAKOgYvTXS2ZODe2QdxjVFaELF9UbSLN7gvq%2BcqF7I1R3IBnbmmowrP8eWgSX%2FcLUneOewJAOdTG9gTUL3ljONW3Eu4aI9gJILFPwIgMu1ThP7MRwNzetdhJyTjhTfF2ijbiIeLoD5%2FWGF45WfA%2BE17R4VQtawCLhogFR%2Bh9PFQkCW9xvgku06efxZ9CoRZ2wp7MhabNtXLNx0pQXQY%2FWezk3d1nmBeVYJfA8UL3cvIbK7DtTosEbrYvVMSrnBK4rVIEJDvXiIwMpGOB6VfsMxj0v2m8NFSOF1auBIhQLlZDQuumjFKVR1Hf77v4dciYX%2F%2BVMt4h%2FBSSc6YdjPRBObRDzBEEmxRTT404k%2B0NT7oWV09gMIGpi8MGOpsBpYZHVLG3IsGW7aY8tFmvT7nFshcUD3h0Jd2UcnqD26zknUnINuznjN7SyQcVv3TlR44g9zxoaAHD3llM8yMpzNJx6hZzFQtgQbONqggJ%2FyFggS0rBYK0Pisx%2B08YZCtCI2fK0joFCglnj8xNK2rW43TFJM%2BLyxBXpgmesfwDlHTrfvcAm677AJvAs90%2F13pT5qUZ64i4QD%2B5Pno%3D&X-Amz-Signature=f0b1d049ed54817e1f8b28ce953cb2d43083b3f5f9c04457f1c9e55dbcf735e0&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22BYRD_ANTI_LOBBYING.docx.pdf%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/26612/f9e49a26-b5ce-4b9f-bd5e-73db6ebe946c_CONFLICT_OF_INTEREST_DISCLOSURE_FORM.docx.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4EOHW6FKN%2F20250630%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250630T191954Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJHMEUCIQCFFIE%2Fq2tjrQG8gOYK7REtAy3Or5vobJF%2B7Du2x90xUgIgWmLuuoyYZhXXPK0NF9Elu82jC%2Fy13cQiCHAmcmL%2BUSsqjAUIw%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARACGgw4OTIzNjQ2ODc2NzIiDGzgTsulZ1qwzW3QECrgBKh7q6O1zDIaVMI9OvCX2iAxvjd7PeBp5qEjDKBmm%2FOuNR45%2BbD0%2Fv0Nw6%2FPvJLcBCp8wbriXhTZ2FI848M8jLVPG1w7O8MQSs759qJt38trutwcw5WdC1uJ9vNqUw4C9WYBSv0Ielo3TFm7qSIR0FEEAmhf0kFBS4ctg6XqFjOaYkFyPXWUMeCPELC9%2BqajRqXfEnZeW2OBd0B4VKS%2FOwICRvqCSCk%2BpoFNtz6blmbQ35HP3LjWmVMRZYeszwnAFLCAvdOML1Ujk4rV3dnN9mts57EXEDOsaxMuKPshRKx6E2NjyjfmDxmuqNndRxAn42kNFcXWRg9%2BRsmyQs94A64muaGNosER29h3fT3juESJ6SoByxPlx5UyzMYnW1RxM46RXgSP2zNBEZHiaK8DfL830HvvrzGQYj9hUEf2gBNDrTpDQNpe55A7ix9PVAKOgYvTXS2ZODe2QdxjVFaELF9UbSLN7gvq%2BcqF7I1R3IBnbmmowrP8eWgSX%2FcLUneOewJAOdTG9gTUL3ljONW3Eu4aI9gJILFPwIgMu1ThP7MRwNzetdhJyTjhTfF2ijbiIeLoD5%2FWGF45WfA%2BE17R4VQtawCLhogFR%2Bh9PFQkCW9xvgku06efxZ9CoRZ2wp7MhabNtXLNx0pQXQY%2FWezk3d1nmBeVYJfA8UL3cvIbK7DtTosEbrYvVMSrnBK4rVIEJDvXiIwMpGOB6VfsMxj0v2m8NFSOF1auBIhQLlZDQuumjFKVR1Hf77v4dciYX%2F%2BVMt4h%2FBSSc6YdjPRBObRDzBEEmxRTT404k%2B0NT7oWV09gMIGpi8MGOpsBpYZHVLG3IsGW7aY8tFmvT7nFshcUD3h0Jd2UcnqD26zknUnINuznjN7SyQcVv3TlR44g9zxoaAHD3llM8yMpzNJx6hZzFQtgQbONqggJ%2FyFggS0rBYK0Pisx%2B08YZCtCI2fK0joFCglnj8xNK2rW43TFJM%2BLyxBXpgmesfwDlHTrfvcAm677AJvAs90%2F13pT5qUZ64i4QD%2B5Pno%3D&X-Amz-Signature=46655ebbdaf6da0990cefb4ec2697721b608a2d5ca692b329281194ca3a8fa6e&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22CONFLICT_OF_INTEREST_DISCLOSURE_FORM.docx.pdf%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/176798/a61ff92c-e5d1-44fa-8cce-0a0ca198e74f_2023-2024-44_Resolution_and_Federal_policy_BCC%2328_3.26.2024_%281%29.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4EOHW6FKN%2F20250630%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20250630T191954Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEMr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJHMEUCIQCFFIE%2Fq2tjrQG8gOYK7REtAy3Or5vobJF%2B7Du2x90xUgIgWmLuuoyYZhXXPK0NF9Elu82jC%2Fy13cQiCHAmcmL%2BUSsqjAUIw%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARACGgw4OTIzNjQ2ODc2NzIiDGzgTsulZ1qwzW3QECrgBKh7q6O1zDIaVMI9OvCX2iAxvjd7PeBp5qEjDKBmm%2FOuNR45%2BbD0%2Fv0Nw6%2FPvJLcBCp8wbriXhTZ2FI848M8jLVPG1w7O8MQSs759qJt38trutwcw5WdC1uJ9vNqUw4C9WYBSv0Ielo3TFm7qSIR0FEEAmhf0kFBS4ctg6XqFjOaYkFyPXWUMeCPELC9%2BqajRqXfEnZeW2OBd0B4VKS%2FOwICRvqCSCk%2BpoFNtz6blmbQ35HP3LjWmVMRZYeszwnAFLCAvdOML1Ujk4rV3dnN9mts57EXEDOsaxMuKPshRKx6E2NjyjfmDxmuqNndRxAn42kNFcXWRg9%2BRsmyQs94A64muaGNosER29h3fT3juESJ6SoByxPlx5UyzMYnW1RxM46RXgSP2zNBEZHiaK8DfL830HvvrzGQYj9hUEf2gBNDrTpDQNpe55A7ix9PVAKOgYvTXS2ZODe2QdxjVFaELF9UbSLN7gvq%2BcqF7I1R3IBnbmmowrP8eWgSX%2FcLUneOewJAOdTG9gTUL3ljONW3Eu4aI9gJILFPwIgMu1ThP7MRwNzetdhJyTjhTfF2ijbiIeLoD5%2FWGF45WfA%2BE17R4VQtawCLhogFR%2Bh9PFQkCW9xvgku06efxZ9CoRZ2wp7MhabNtXLNx0pQXQY%2FWezk3d1nmBeVYJfA8UL3cvIbK7DtTosEbrYvVMSrnBK4rVIEJDvXiIwMpGOB6VfsMxj0v2m8NFSOF1auBIhQLlZDQuumjFKVR1Hf77v4dciYX%2F%2BVMt4h%2FBSSc6YdjPRBObRDzBEEmxRTT404k%2B0NT7oWV09gMIGpi8MGOpsBpYZHVLG3IsGW7aY8tFmvT7nFshcUD3h0Jd2UcnqD26zknUnINuznjN7SyQcVv3TlR44g9zxoaAHD3llM8yMpzNJx6hZzFQtgQbONqggJ%2FyFggS0rBYK0Pisx%2B08YZCtCI2fK0joFCglnj8xNK2rW43TFJM%2BLyxBXpgmesfwDlHTrfvcAm677AJvAs90%2F13pT5qUZ64i4QD%2B5Pno%3D&X-Amz-Signature=7ab333973f1040b0d47729418fdc4a791a42884ec93c0ad46ec58e0534928748&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%222023-2024-44_Resolution_and_Federal_policy_BCC%252328_3.26.2024_%281%29.pdf%22&x-id=GetObject