Exhibit B- Emergency Response Form.pdf

PDF 193 KB Posted

Attached to
Mowing and Weed Control Services- Rapid Infiltration Basins
Solicitation number
143529
Issued by
Polk County, Florida

About this file

This is an Emergency Response Capability Form associated with a mowing and weed control services contract for rapid infiltration basins in Florida. The form requires bidders to provide comprehensive emergency contact information, including a primary contact, secondary contact, and 24-hour hotline details, all of which must be staffed continuously throughout the year. Bidders must certify their capability to respond to emergency service requests within two hours of notification, as specified in the solicitation. The form requests the operations location address and distance from the district, along with a certification that the bidder possesses the necessary personnel, equipment, and operational capability to meet the stated emergency response requirements.

Bidders must complete and submit this form with their bid response. The form emphasizes that failure to meet the required two-hour response time may constitute a material breach of contract. Additionally, the related contract opportunity specifies that contractors are prohibited from subcontracting any portion of the work, meaning all services must be performed directly by the awarded bidder.

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Text version

EXHIBIT B

Emergency Response Capability Form

Bid Number:

Bid Title:

List Emergency Contact Information

Contact Type Name Phone Number Email Address Primary Emergency Contact Secondary Emergency Contact 24-Hour Hotline, if applicable

NOTE: Emergency contacts must be available 24 hours per day, 7 days per week, for 365 days a year.

Emergency Response Capability The Bidder certifies the capability of responding to emergency service requests within the timeframe specified within the solicitation.

Required Response Time:

Two (2) Hours Other:____________

Operations Location

Address: __________________________________________________________

City/State/Zip: ______________________________________________________

Approximately ________ miles away from the District.

Business Information and Signature:

By signing below, the Bidder certifies they possess the personnel, equipment, and operational capability necessary to meet the emergency response requirements specified in the solicitation. Failure to meet the required response time may constitute a material breach of contract.

Business Name:

Signature:

Submit completed form with your bid response.

v.03.26

Bid Number:
Bid Title:
NamePrimary Emergency Contact:
Phone NumberPrimary Emergency Contact:
Email AddressPrimary Emergency Contact:
NameSecondary Emergency Contact:
Phone NumberSecondary Emergency Contact:
Email AddressSecondary Emergency Contact:
Name24Hour Hotline if applicable:
Phone Number24Hour Hotline if applicable:
Email Address24Hour Hotline if applicable:
Other:
Address:
CityStateZip:
Approximately:
Business Name:
Check Box1: Off
Check Box2: Off

File details come from the government source that posted it. Updated .