CDBG_-_4087_Pinto_Road_Home_Rehabilitation_-_Water_Well.pdf

REQUEST FOR QUOTATION

25/26-002

CDBG - 4087 PINTO ROAD HOME REHABILITATION - WATER

WELL

Clay County

477 Houston Street

Green Cove Springs, FL 32043

RELEASE DATE: October 3, 2025

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

BID DUE: October 20, 2025, 4:00 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 - 4087 Pinto Road Home Rehabilitation - Water Well

I. Introduction II. Scope of Work

III. Pricing Proposal IV. Supplier Questionnaire

Attachments:

A - W-9 (2024)

B - EFT FORM

C - Certificate of partial payment

D - Certificate of final payment

Request For Quotation #25/26-002 Title: CDBG - 4087 Pinto Road Home Rehabilitation - Water Well

1. Introduction

1.1. Summary

The Clay County Board of County Commissioners is requesting quotes from qualified and licensed water well contractors for the abandonment of the existing residential well and the construction of a new potable water well located at 4087 Pinto Road, Middleburg, Florida.

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.

Wiluette Heard-Ware

Strategic Sourcing Analyst

477 Houston Street

4th Floor, Purchasing Dept

Green Cove Springs, FL 32043

Email: wiluette.heard-ware@claycountygov.com

Phone: (904) 269-6300

Department:

Grants

Department Head:

Megan Covey

Grants Manager

1.3. Timeline

Request Date October 3, 2025

Pre-Proposal Meeting (Mandatory) October 13, 2025, 1:00pm

Residential Home:

4087 Pinto Road

Middleburg, FL 32068

Question Submission Deadline October 15, 2025, 4:30pm

Question Response Deadline October 17, 2025, 4:30pm mailto:Purchasing@Claycountygov.com mailto:wiluette.heard-ware@claycountygov.com tel:(904)269-6300

Quotation Deadline October 20, 2025, 4:00pm

2. Scope of Work

2.1. Purpose

The Clay County Board of County Commissioners is requesting quotes from licensed

Contractors to abandon an existing well and install a new Salt and Pepper well at 4087 Pinto

Road, Middleburg, FL 32068, in full compliance with Florida Department of Environmental

Protection (DEP) regulations, St. Johns River Water Management District (SJRWMD) requirements, and Florida Department of Health standards.

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

2.2. Scope of Work

The Contractor shall furnish all labor, materials, equipment, permitting, and incidentals necessary to abandon the existing well and construct a new Salt and Pepper well for portable water to ensure a safe and reliable water source for the residence. The project shall include, but is not limited to the following:

A. Permitting and Pre-Construction

1. The Contractor shall:

a. Obtain all required permits from Clay County, the St. Johns River Water

Management District (SJRWMD), Florida Department of Health and any other applicable agencies prior to mobilization.

b. Maintain required setbacks per applicable permit requirements which shall include, but not limited to:

• Distances from Septic Systems

• Drain-Fields

• Surface Water Bodies

• Property lines

• Potential Sources of Contamination.

c. Coordinate with the County’s Project Manager or designee to confirm site access, staging area, and schedule.

B. Abandonment and Closure of Existing Well

1. Contractor shall:

a. Locate and positively identify the existing well.

b. Remove pumping equipment, casing, or other obstructions as necessary.

c. Ensure the well is abandoned in accordance with Rule 62-532.500, F.A.C., and the Florida Department of Health procedures, which may include, but not limited to:

• Disinfecting the well prior to sealing.

• Filling the well with approved grout or clean sand/cement slurry from bottom to top.

• Sealing the top to grade to prevent surface infiltration.

2. Submit an Abandonment Report as required by state and local regulations.

C. Drilling, Well Construction, and Equipment Installation

1. Contractor shall:

a. Drill a new well shaft to the required aquifer depth

b. Install casing and screen materials that meet ASTM/API standards, ensuring the casing is properly seated and sealed to prevent cross-contamination between aquifers.

c. Grout the annular space with approved sealing material to the required depth.

d. Pressure-test casing and seals to confirm integrity.

e. Furnish and install a properly sized submersible pump, motor, drop pipe, and electrical wiring.

f. Install a pressure tank and control switch sized to meet the potable water needs of the residence.

g. Provide all required electrical connections, conduit, and trenching.

h. Complete the installation with a sanitary well cap extending at least twelve inches (12) above finished grade.

D. Disinfection and Testing

1. Contractor shall:

a. Disinfect the well in accordance with Florida Department of Environmental

Protection (DEP), St. Johns River Water Management District (SJRWMD) and

Florida Department of Health.

b. Perform initial water quality testing for bacteria, nitrates, and any additional parameters required by the County or Florida Department of Environmental

Protection (DEP).

c. Conduct a pumping test to verify flow capacity and drawdown.

d. Provide certified water test results to applicable agencies and the County Project

Manager or Designee.

E. General Requirements and Site Restoration

1. Contractor shall:

a. Be responsible for ensuring safe work practices and site security during construction.

b. Restore all disturbed areas to pre-construction condition, including backfilling, grading, and sodding/seeding as appropriate.

c. Remove all debris from site and dispose of the debris appropriately at the

Contractor's expense.

2.3. Federally 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 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

2.4. 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. 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.

2.5. 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 Quotation, If a City/County permit is required, this project is not exempt from permit fees and permit fees must be paid 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.

2.6. Workmanship

The Contractor shall utilize the services of licensed, insured Contractors / Subcontractors and other craftsmen knowledgeable of all phases related to this project. The Contractor shall supervise all workmanship, including that of all Subcontractors, to ensure that it is of the highest grade and according to best standard practice.

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.

2.7. 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

2.8. 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.

2.9. 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.

2.10. 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.

2.11. Term

Substantial Completion shall be accomplished within sixty (60) days from Notice to Proceed.

The Contractor shall achieve Final Completion of the Project no less than thirty (30) calendar days after the delivery of the Punch List by the County to the Contractor.

2.12. 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.

The amount of such payments shall be the total value of the project work completed to the date of the estimate, based on the quantities and the Contract unit and/or lump sum prices, less an amount retained and less payments previously made. The amount retained shall be determined in accordance with Section 255.078, Florida Statutes.

2.13. 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.

2.14. 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.

2.15. Performance Evaluation

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

2.16. Warranty

The Contractor shall provide a warranty for all workmanship and material for a period of two (2) years unless a longer Manufacture warranty/guarantee time is given.

Warranty will begin from the date of Substantial Completion.

2.17. Liquidated Damages

The Contractor shall be assessed Liquidated Damages (LD) of $100.00 for each day past final completion date set by the contract.

2.18. 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.

2.19. Insurance Requirements:

a. Commercial General Liability

Coverage must be afforded under a Commercial General Liability policy with limits not less than:

• $1,000,000 each occurrence and $2,000,000 aggregate for Bodily Injury, Property

Damage, and Personal and Advertising Injury (project specific aggregate may be required for construction projects)

• $1,000,000 each occurrence and $2,000,000 aggregate for Products and Completed

Operations

• $50,000 each occurrence for Damage to Rented Premises

• $5,000 Medical Expenses (any one person)

Commercial and General Liability policy must include coverage for contractual liability and independent contractors.

b. Business Automobile Liability

Coverage must be afforded for all Owned, Hired, Scheduled, and Non-Owned vehicles for Bodily

Injury and Property Damage in an amount not less than $1,000,000 combined single limit each accident. If the Bidder does not own vehicles, the Bidder shall maintain coverage for Hired and

Non-Owned Auto Liability, which may be satisfied by way of endorsement to the Commercial

General Liability policy or separate Business Auto Liability policy.

c. Workers’ Compensation and Employer’s Liability

Any person or entity performing work for or on behalf of the County must provide Workers’

Compensation and Employer’s Liability insurance in limits not less than:

● Workers Compensation Statutory limits

● Employers Liability $100,000 Each Accident

$500,000 Disease Policy

$100,000 Disease-Each Employee

Exceptions and exemptions may be allowed by the County Manager, if they are in accordance with Florida Statutes.

The Bidder waives, and the Bidder shall ensure that its insurance carrier waives, all subrogation rights against the County, its employees, agents, boards, and commissions, for all losses or damages. The County requires the policy to be endorsed with WC 00 03 13 Waiver of our Right to Recover from Others or equivalent.

The Bidder must be in compliance with all applicable State and federal workers’ compensation laws, including the U.S. Longshore Harbor Workers’ Act and the Jones Act, if applicable.

For any Bidder who has exempt status as an individual, the County requires proof of Workers’

Compensation insurance coverage for that Bidder’s employees, leased employees, volunteers, and any workers performing work.

d. Property Coverage (Builder’s Risk) – Applies to Construction related Projects

Coverage must be afforded in an amount not less than 100% of the total Project value, including soft costs, with a deductible of no more than $25,000 each claim. Named Windstorm

Deductibles, if any, must be disclosed to the County.

Coverage form shall include, but not be limited to:

• All Risk Coverage including Flood and Windstorm with no coinsurance clause

• Waiver of Occupancy Clause Endorsement, which will enable the County to occupy the property/structure under construction/renovation during the activity

• Storage and transport of materials, equipment, supplies of any kind whatsoever to be used on or incidental to the project

• Equipment Breakdown for cold testing of all mechanized, pressurized, or electrical equipment

• LEG2 Coverage or equivalent

For installation of property and/or equipment, Builder’s Risk Installation insurance must be provided to include coverage for materials or equipment stored at the Project site, while in transit, or while stored at a temporary location. Coverage limit must be no less than replacement cost.

The Property Coverage (Builder’s Risk) policy shall insure the interests of the owner, contractor, and subcontractors in the property against all risk of physical loss and damage, and name the

County as a loss payee. Additionally, the County shall be named as an Additional Insured for its interest in the property/structure and for any materials purchased directly by the County. This insurance shall remain in effect until the work is completed and the property has been accepted by the County.

e. Professional Liability and/or Errors and Omissions – Applies to Projects involving

Professional Services

Coverage must be afforded for Wrongful Acts in an amount not less than $1,000,000 each claim and $1,000,000 aggregate.

Insurance must be kept in force until the third anniversary of the expiration or termination of any Contract that may be entered into between the parties.

f. Umbrella/Excess Insurance

If the Bidder’s primary insurance policy/policies do not meet the minimum requirements, the

Bidder may provide an Umbrella/Excess insurance policy to comply with the insurance requirements.

Providing and maintaining adequate insurance coverage is a material obligation of the Bidder.

Upon being awarded the Bid and prior to commencement of the Services, the successful Bidder must deliver valid certificates of insurance for the required insurance coverage to the County’s

Purchasing Department.

The certificates of insurance for the required coverages, with the exception of Workers’

Compensation, Employer’s Liability, and Professional Liability, shall name “Clay County, a political subdivision of the State of Florida, and The Board of County Commissioners, Clay

County, Florida, its employees, agents, boards and commissions, as their interests may appear” as “Additional Insureds”. The coverage shall contain no special limitation on the scope of protection afforded to the County, its employees, agents, officials, boards, and commissions.

The certificates of insurance shall indicate if coverage is provided under a claims-made or occurrence form. If any coverage is provided on a claimsmade form, the certificates of insurance will show a retroactive date, which should be the same date of the initial Contract or prior. The Contract number, Bid number, event dates, or other identifying reference must be listed on the certificates of insurance.

The Certificate Holder on the certificates of insurance should read as follows: “Clay County

Board of County Commissioners, P.O. Box 1366, Green Cove Springs, FL 32043” or as otherwise designated by the County’s Purchasing Department.

The certificates of insurance shall be provided to the County with a thirty (30) day notice of cancellation; ten (10) days’ notice if cancellation is for nonpayment of premium. In the event that the insurer is unable to accommodate the cancellation notice requirement, it shall be the responsibility of the Bidder to provide the proper notice. Such notification will be in writing by registered mail, return receipt requested, and addressed to the Certificate Holder. In the event the Contract term goes beyond the expiration date of any insurance policy, the Bidder shall provide the County’s Purchasing Department with an updated certificate of insurance no later than ten (10) days prior to the expiration of the insurance currently in effect. The County reserves the right to suspend the Contract until this requirement is met. If any required insurance coverage is canceled, terminated, or revoked, the Bidder agrees to immediately suspend its operations until replacement insurance is obtained and verified.

Any exclusions or provisions in the insurance maintained by the Bidder that excludes coverage for work or services contemplated under the Bid shall be deemed unacceptable, a material violation of the County’s Bidding requirements, and shall be considered a breach of any

Contract entered into after a Bid Award.

It is the successful Bidder’s responsibility to ensure that all independent and subcontractors comply with the insurance requirements. All coverages for independent and subcontractors shall be subject to all of the requirements stated herein. Any and all deficiencies are the responsibility of the Bidder.

The County Manager may modify the insurance requirements for particular projects and/or

Services.

2.20. Quotes

Pricing provided on quote(s) must remain valid for ninety (90) days.

3. Pricing Proposal

Items Not Identified in the Line Items below should be placed in the most appropriate category.

PRICING PROPOSAL

CDBG - 4087 Pinto Road Home Rehabilitation - Water Well

Line Item Description Quantity Unit of

Measure Unit Cost Total

1 Mobilization 1 Lump Sum

Well Abandonment

2 Abandonment of Existing Well. 1 Lump Sum

Well Construction

3 Construct New Salt & Pepper Well 1 Lump Sum

4 Installation of Pumps 1 Lump Sum

5 Construct and Install New Well Pad 1 Lump Sum

6 Galvanized Drop Pipe 1 Lump Sum

7 Submersible Wire 1 Lump Sum

8 Well Cap 1 Lump Sum

9 Pressure Tank 1 Lump Sum

10 Tie-in, Reconnect Water and Electric 1 Lump Sum

11 Site Restoration 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 (A)* Has Bidder (including any parent company, subsidiaries, affiliates, officers, directors, or key personnel) been involved in any litigation, arbitration, or administrative proceedings (past or pending) related to its business operations within the past ten (10) years?

If Yes, 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.

☐ Yes

☐ No

*Response required

4.4. 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.

4.5. Approved Designated Signee*

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

*Response required

4.6. 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

4.7. 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

4.8. W-9*

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

• W-9_(2024).pdf

*Response required

4.9. EFT Authorization Form

Please download the below documents, complete, and upload.

• EFT_FORM.pdf

4.10. SunBiz Verification*

Please enter your EIN number below.

*Response required

4.11. E-Verify *

Please enter your Company's legal name.

*Response required

4.12. E-Verify *

Please download the below documents, complete, and upload.

• E-Verify_(1).pdf

*Response required

4.13. Conflict of Interest Disclosure: *

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

☐ Yes

☐ No

*Response required

4.14. 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 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4.15. 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

4.16. 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

4.17. 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

*Response required

4.18. 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.

4.19. 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

4.20. Term Acknowledgement *

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

☐ Please confirm http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0200-0299/0287/0287.html

4.21. 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

4.22. Material Lead Time*

Are there any long lead times associated with obtaining the materials required to perform the work outlined in this informal quote?

☐ Yes

☐ No

4.23. Material Lead Time *

If yes, please provide a detail summary of the the lead times for the materials required to fulfill the work outlined in this Informal Quote.

If no, please state that there are no lead times for the materials required to fulfill the work outlined in this Informal Quote.

*Response required

4.24. License / Certification List *

Please list all current licenses and certifications held in the format listed below:

License Name:

License #:

Issuing Agency:

Expiration Date:

*Response required

4.25. License / Certification List *

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

4.26. Scrutinized Companies Certification*

Please download the below documents, complete, and upload.

• Scrutinized_Companies_Certi...

*Response required

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

• BYRD_ANTI_LOBBYING.docx.pdf

*Response required

4.28. Conflict of Interest Disclosure Form *

Please download the below documents, complete, and upload.

• CONFLICT_OF_INTEREST_DISCLO...

*Response required

4.29. Section 3 - Information and Instructions for Contractors & Subcontractors* A Section 3 “Right to Match” preference shall be afforded to enhance the opportunities and ensure that employment and other economic opportunities generated by certain HUD Housing and/or Community

Development Assistance funding shall, to the greatest extent feasible, and consistent with existing

Federal, State, and local law and regulations, be directed to low- and very-low income persons and to business concerns which provide economic opportunities to low- and very-low income persons of local businesses to receive awards of Clay County contracts.

A “Section 3 Business” is defined as a business that provides evidence of their Section 3 certification at the time the bid is offered to the County; evidence shall not be provided after the bid closing time.

When a qualified and responsive, non-Section 3 business submits the lowest price bid, and the bid submitted by one or more qualified and responsive Section 3 Business is within ten percent (10%) of the price submitted by the non-Section 3 business, then the Section 3 Business with the apparent lowest bid offer (i.e. the lowest Section 3 bidder) shall have the opportunity to submit, an offer to match the price(s) offered by the overall lowest, qualified and responsive bidder. In such instances, staff shall first verify if the lowest non-Section 3 bidder and the lowest Section 3 bidder are in fact qualified and responsive bidders. Next, the Purchasing Department shall determine if the lowest bidder meets the requirements of Section 287.087 F.S.

If the lowest Section 3 bidder meets the requirements of 287.087, F.S., the Purchasing Department shall invite the lowest Section 3 bidder to submit a matching offer to the Purchasing Department which shall be submitted within five (5) business days thereafter. If the lowest Section 3 bidder submits an offer that fully matches the lowest bid from the lowest non-Section 3 bidder tendered previously, then award shall be made to the Section3 bidder. If the lowest Section 3 bidder declines or is unable to match the lowest non- Section 3 bid price(s), then award will be made to the lowest overall qualified and responsive bidder. If the lowest Section 3 bidder does not meet the requirement of Section 287.087 F.S.

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and the lowest non- Section 3 bidder does, award will be made to the bidder that meets the requirements of the reference state law.

Bidder must complete and submit with their bid response the Affidavit and Certification for Claiming

Status as a Section 3 Business which is included as part of this solicitation and their current Section 3 certification.

Failure on the part of a Bidder to submit this Affidavit with their bid response will preclude said Bidder from being considered for Section 3 preference on this solicitation.

A Bidder who misrepresents the Section 3 Preference status of its firm in a bid submitted to the County will lose the privilege to claim Section 3 Preference status for a period of up to one (1) year.

If necessary, the contracting agency may conduct discussions with qualified and responsive bidders determined to be in contention for being selected for award for the purpose of clarification to assure full understanding of, and verify qualifications and responsiveness to solicitation requirements.

This project is subject to the provisions of Section 3 of the Housing and Urban Development Act of 1968

(12 U.S.C. 1701u). The purpose of Section 3 is to ensure that employment and other economic opportunities generated by certain HUD Housing and/or Community Development Assistance shall, to the greatest extent feasible, and consistent with existing Federal, State, and local law and regulations, be directed to low- and very-low income persons and to business concerns which provide economic opportunities to low- and very-low income persons

A Section 3 business concerned is defined as follows:

1. That is 51 percent or more owned by Section 3 residents; or

2. Whose permanent, full-time employees include persons, at least 30 percent of whom are currently

Section 3 residents, or within three years of the date of first employment with the business concern were Section 3 residents; or

3. That provides evidence of a commitment to subcontract in excess of 25 percent of the dollar award of all subcontracts to be awarded to business concerns that meet the qualifications set forth in section one or two above.

In conformance with Section 3 federal regulations (24 CFR Part 135), Clay County shall direct efforts to award Section 3 covered contracts, to the greatest extent feasible, to Section 3 business concerns in the order of priority listed below:

1. Category 1 businesses: Section 3 business concerns that provide economic opportunities for Section 3 residents in the service area or neighborhood in which the Section 3 covered project is located;

2. Category 2 businesses: Applicants (as this term is defined in 42 U.S.C. 12899) selected to carry out

HUD HOUSING AND/OR COMMUNITY DEVELOPMENT ASSISTANCE Youthbuild programs;

3. Category 3 businesses: Other Section 3 business concerns. A business concern seeking to qualify for a

Section 3 contracting preference shall certify that the business concern is a Section 3 business concern as described above.

Please download the below documents, complete, and upload.

• Affidavit_for_and_Cert_Sect...

*Response required

4.30. CDBG Supplemental Conditions for Construction Contracts* Please download the below documents, and acknowledge receipt on the question below.

• CDBG_Supplement.pdf

*Response required

4.31. CDBG Supplemental Conditions for Construction Contracts* I have read and acknowledge the document(s) for CDBG Supplemental Conditions for Construction

Contracts attached above.

☐ Please confirm

*Response required

4.32. Clay County Federal Purchasing Policy*

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

• 2023-2024-44_Resolution_and...

*Response required

4.33. Clay County Federal Purchasing Policy*

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

☐ Please…