Exhibits_B_-_E.pdf

Consulting MSA WO REV 061820 Page 1 of 1

CONSULTING MSA WORK ORDER#_______

Seminole County, Florida Board of County Commissioners

Master Agreement No. Dated: ______

Master Agreement Title:______________________________________________________________________________

Project Title: ___________________

Consultant:

Address:

ATTACHMENTS TO THIS WORK ORDER:

[ ] EXHIBIT A – Proposal/Scope of Services [ ] EXHIBIT C – Supplemental Conditions [ ] EXHIBIT B –Fee Schedule [ ] EXHIBIT D

Attachments to this Work Order, as indicated above, are incorporated by reference as if they had been set out in their entirety. Consultant shall complete the Work in accordance with this Work Order, the Attachments, and the Master Agreement, as amended (if applicable). In the event of a conflict between this Work Order, its Attachments, and the Master Agreement, the Master Agreement will govern.

TIME FOR COMPLETION: The Consultant shall commence with the Work, in accordance with this Work Order, as provided herein, upon receipt of an executed copy of this Work Order, and shall complete all Work within (__) calendar days of the Effective Date shown below. Consultant’s failure to complete the Work in accordance with this Work Order is grounds for Termination of this Work Order and the Master Agreement for Cause.

The County shall compensate the Consultant (a fixed fee of / an amount not-to-exceed) $ for satisfactory completion of the Work. Payment(s) must be made to the Consultant, in accordance with the Contract Documents.

IN WITNESS WHEREOF, the Consultant and County have executed this Work Order, for the purposes stated herein, on this day of , 20___, which is the Effective Date of this Work Order. An executed copy of this Work Order serves as Notice to Proceed for the Consultant to begin work. Upon execution by both parties, this Work Order will be incorporated under the Master Agreement. (THIS SECTION TO BE COMPLETED BY THE COUNTY)

SEMINOLE COUNTY: CONSULTANT:

By: By:

Signature – County Representative Signature – Consultant Representative

Date: Date:

Printed Name: Printed Name:

Title: Title:

(Authorized by Section 3.554, Seminole County Admin Code)

As authorized for execution by the Board of County Witness:

Commissioners on , 20 , if applicable. Signature

Witness: Printed Name:

Signature

Printed Name:

OC #: OM #:

EXHIBIT B

Contract Pricing

“Truth in Negotiations” Certificate

This is to certify that, to the best of my knowledge and belief, the wage rates and other factual unit costs supporting the compensation (as defined in section 287.055 of the Florida Statues

(otherwise known as the “Consultants’ Competitive Negotiations Act” or CCNA) and required under

CCNA subsection 287.055 (5) (a)) submitted to Seminole County Purchasing and Contracts Division, Contracts Section, either actually or by specific identification in writing, in support of PS-4968-23/RTB

– Master Services Agreement for Construction Engineering and Inspection (CEI) Services for

Construction Projects Less Than $4,000,000.00 are accurate, complete, and current as of

(Date)**.

This certification includes the wage rates and other factual unit costs supporting any Work

Orders or Amendments issued under the Agreement between the Consultant and the County.

Firm: ____________________________________

Signature:

Name:

Title:

Date of execution***:

* Identify the proposal, request for price adjustment, or other submission involved, giving the appropriate identifying number (e.g., PS No.).

** Insert the day, month, and year when wage rates were submitted or, if applicable, an earlier date agreed upon between the parties that is as close as practicable to the date of agreement on compensation.

*** Insert the day, month, and year of signing.

(End of certificate)

EXHIBIT D

Agreement Name:

Agreement Number:

AFFIDAVIT OF E-VERIFY REQUIREMENTS COMPLIANCE

The CONSULTANT/CONTRACTOR agrees to comply with section 448.095, Florida Statutes, and to incorporate in all subcontracts the obligation to comply with section 448.095, Florida Statutes.

1. The CONSULTANT/CONTRACTOR shall utilize the U.S. Department of Homeland Security’s E-Verify system to verify the employment eligibility of all new employees hired by the CONSULTANT during the term of the Agreement and shall expressly require any subcontractors performing work or providing services pursuant to the Agreement to likewise utilize the U.S. Department of Homeland Security’s E- Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the Agreement term.

2. That the CONSULTANT/CONTRACTOR understands and agrees that its failure to comply with the verification requirements of Section 448.095, Florida Statutes or its failure to ensure that all employees and subcontractors performing work under Agreement Number are legally authorized to work in the United States and the State of Florida, constitutes a breach of this Agreement for which Seminole County may immediately terminate the Agreement without notice and without penalty. The CONSULTANT/CONTRACTOR further understands and agrees that in the event of such termination, the CONSULTANT/CONTRACTOR shall be liable to the county for any costs incurred by the County as a result of the CONSULTANT’S/CONTRACTOR’S breach. DATED this day of , 20 .

Consultant Name

By:

Print/Type Name:

Title:

STATE OF

COUNTY OF

Sworn to (or affirmed) and subscribed before me by means of □ physical presence OR □ online notarization, this ____ day of , 20 , by (Full Name of Affiant).

Print/Type Name Notary Public in and for the County and State Aforementioned My commission expires:

E-Verify Affidavit Revised 5/19/2021

EXHIBIT E