INVITATION TO BID (ITB)

BID 25-26-17

LIFT STATION # 7 PROJECT

Any person with a qualified disability requiring special accommodation at any public meeting, oral presentation and/or opening shall contact the Office of the City Clerk at (954) 457-1489, at least five (5) working days prior to the event. If you are hearing or speech impaired, please contact this office by using the Florida Relay Services which can be reached at 1 (800) 955-8771 (TDD).

The City of Hallandale Beach is committed to serving the needs of all its citizens and visitors. The City’s website has been designed to comply with Section 508 as well as 2.0 A and AA. Should there be any accessibility issues with any documents or a specific webpage on the City’s website, contact the Accessibility Coordinator James Buschman at (954) 457-1398 or riskmanagement@cohb.org.

BID DOCUMENT RELEASED SEPTEMBER 16, 2026

NON-MANDATORY PRE-BID MEETING

A sign-in sheet will be available to firms attending the meeting.

The Pre-Bid Meeting presents the opportunity for Firms to clarify anything within the ITB. No technical questions will be answered during this meeting.

SEPTEMBER 29, 2026 AT 11:00 A.M.

CITY OF HALLANDALE BEACH

CITY HALL COMMISSION CHAMBERS

400 SOUTH FEDERAL HIGHWAY

HALLANDALE BEACH, FL 33009

LAST DAY FOR QUESTIONS

All questions must be sent via email to kvohwinkel@cohb.org. All questions will be answered via addendum posted to the City’s website:

www.cohb.org/solicitations and DemandStar/ Euna OpenBids:

www.demandstar.com

OCTOBER 1, 2026 NO LATER THAN 5:00 P.M.

DUE DATE FOR BIDS

No late responses will be accepted. OCTOBER 21, 2026 NO LATER THAN 11:00 A.M.

RESPONSES MUST BE SUBMITTED ELECTRONICALLY

Respondents shall submit all proposal documents electronically through www.demandstar.com. The City is only accepting electronic submittals via DemandStar/Euna OpenBids at www.demandstar.com.

BID OPENING: The City will be opening at the City’s Commission Chambers.

OCTOBER 21, 2026 AT 11:10 A.M.

CITY OF HALLANDALE BEACH

CITY HALL COMMISSION CHAMBERS

400 SOUTH FEDERAL HIGHWAY

HALLANDALE BEACH, FL 33009

RECOMMENDATION OF AWARD AND CITY COMMISSION APPROVAL

Use the link provided to check updates on recommendation for award.

For information please visit:

https://www.cohb.org/16/City-Clerk

CITY OF HALLANDALE BEACH

400 SOUTH FEDERAL HIGHWAY

HALLANDALE BEACH, FL 33009

PH: 954-457-1331

WWW.COHB.ORG/SOLICITATIONS

City of Hallandale Beach, 400 South Federal Highway, Hallandale Beach, FL 33009 www.cohb.org/solicitations

TABLE OF CONTENTS PAGE NO.

COVER PAGE/TENTATIVE SCHEDULE 1

TABLE OF CONTENTS 2

SCOPE OF WORK 3

TERM OF CONTRACT 4

BID PRICE SHEET 4-5

MINIMUM QUALIFICATION REQUIREMENTS 6-8

INSTRUCTIONS FOR SUBMITTAL OF RESPONSES 9

BACKGROUND INFORMATION ON THE CITY OF HALLANDALE BEACH 9

DEFINITIONS 10

CONFLICT OF INTEREST 10

E-VERIFY 11

INSURANCE REQUIREMENTS 11

SECURITY BID BOND 10% 11

100% PAYMENT AND PERFORMANCE BOND 11

ELECTRONIC BID SUBMITTAL FORMAT 11-12

FORMS 12-32

AGREEMENT 33-72

GENERAL TERMS AND CONDITIONS 73-81

LOCAL VENDOR PREFERENCE 82

EXHIBIT A - BID PLANS

EXHIBIT B - TECHNICAL SPECIFICATIONS

EXHIBIT C - EASEMENT BETWEEN COHB AND JAI LEGACY HOLDINGS LLC

SCOPE OF WORK:

The City of Hallandale Beach (City) is soliciting bids from qualified and experienced firms (Proposers) to provide all labor, materials, equipment, and services necessary for the construction of the Sanitary Sewer Lift Station #7 Relocation Project. The work includes but is not limited to site, civil, mechanical, structural, and electrical improvements associated with the project.

The project consists of the construction of a new dual submersible sanitary sewer lift station and valve vault at a new site location within the City of Hallandale Beach.

The estimated budget for this project is $4,753,900.00.

The following Firm is excluded from bidding on this Project due to their involvement in the creation of the scope of work:

• KCI Technologies, Inc.

EXHIBITS FOR THIS ITB

This ITB contains the following which must be reviewed by proposing bidders:

• EXHIBIT A - BID PLANS

• EXHIBIT B - TECHNICAL SPECIFICATIONS

• EXHIBIT C - EASEMENT BETWEEN COHB AND JAI LEGACY HOLDINGS LLC

• Any addenda released

PROPOSERS ARE RESPONSIBLE TO CHECK THE CITY’S WEBSITE PRIOR TO SUBMITTING A

RESPONSE TO ENSURE THAT THE PROPOSING FIRM HAS A COMPLETE BID PACKAGE,

INCLUDING ANY ADDENDA.

PERMITS/LICENSES

Pursuant to Florida Statute Section 218.80, the City hereby discloses that the following licenses, permit and fees and their costs are issued by the City for construction. Licenses, permits and fees applicable to this Project are within the Fee Booklet, and must be obtained and/or paid by the awarded Bidder. The successful Bidder is responsible to identify and obtain all applicable licenses, permit and pay all such related fees. The costs of all licenses permits and their respective fees applicable to this Project are to be secured and paid for by the awarded Bidder.

TERM OF CONTRACT:

The term of the contract will be for three hundred sixty-five (365) days. Contract may be cancelled by the City within thirty (30) days with a written notice by the City of Hallandale Beach.

The Contractor shall not assign, transfer or sub-contract any work either in whole or in part, without prior written approval of the City.

The submittal responses shall be valid until City Commission awards a contract as a result of this Bid. City reserves the right, where it may serve the City of Hallandale Beach’s best interest, to request additional information or clarification from Bidder.

Notwithstanding anything to the contrary contained herein, the City of Hallandale Beach reserves the right to waive formalities in any proposal and further reserves the right to take any other action that may be necessary in the best interest of the City. The City further reserves the right to reject any or all proposals, with or without cause, to waive technical errors and informalities or to accept the proposal which in its judgment, best serves the City of Hallandale Beach.

The City Commission will award the contract to the lowest responsive, responsible Bidder.

BID PRICE SHEET:

I. Bidder must use the Bid Price Sheet below to submit Bidder’s price for this Project, unless a revised bid price sheet is released through an addendum.

II. Bidder must fill out Bid Price Sheet using numerical values only. “Not applicable”, “N/A”, “Included”, slashes, x-marks or similar are not acceptable. An amount of zero dollars ($0) is acceptable and indicates the corresponding description of work will be provided at a cost of zero dollars ($0). Deviations from the above will result in the Bidder being determined non-responsive and disqualified from the evaluation process.

III. Making revisions to the item numbers, descriptions, units, quantities or anything on the bid price sheet will result in the Bidder being determined non-responsive and disqualified from the evaluation process.

IV. Bidder must completely fill out each column below, i.e., unit price and total.

V. The Bid Price Sheet as submitted below constitutes as a formal offer from the Bidder for the solicitation’s scope of work. Bidder must hold the unit Bid Prices firm throughout the Contract period. Bidder guarantees response time necessary to have a crew return to correct unfinished or unsatisfactory services.

VI. The City reserves the right to increase, decrease, and/or choose the items and quantities below for the Project to meet its available budget using the unit prices provided below.

VII. The award will be to the lowest responsive responsible Bidder for Total Bid Amount.

VIII. The City reserves the right to waive any minor informality or irregularity, in the best interest of the City.

ITEM DESCRIPTION UNIT QTY UNIT COST AMOUNT

1 Mobilization/Demobilization LS 1 $ $ 2 Maintenance of Traffic LS 1 $ $ 3 New Lift Station & Appurtenances LS 1 $ $

4 Gravity Sewers (Including 8", 12" 18" and Manholes) LS 1 $ $

5 10" Force Main (incl. fittings, Air Release Valve (ARV)) LS 1 $ $

6 New Site Work (Including Landscaping, Fencing) LS 1 $ $

7 Sheet Piling (Trenching Along Casino Property) LS 1 $ $

Pavement Restoration - Asphalt Milling & Resurfacing (1") along NE 5 St., NE 4 Ct., NE 3 Ave, Casino Property

LS 1 $ $

9 Sodding Restoration - At Exist LS #7 Site, after Demolition/Abandonment LS 1 $ $

10 Disconnect interim Bypass Connection & Reconnect LS 1 $ $

11 Temporary Bypass Pumping LS 1 $ $ 12 Connect to Existing 8" x 8" Tee LS 1 $ $ 13 Erosion Control (Silt Fencing) LS 1 $ $

14 Pavement Marking - NE 5 St., NE 4 Ct. and NE 3 Ave. LS 1 $ $

15 Demolition - Existing LS #7 LS 1 $ $ 16 Permit Fee Allowance EA 1 $100,000.00 $100,000.00 17 New FPL Service Allowance EA 1 $10,000.00 $10,000.00 18 Supplemental Landscaping Allowance EA 1 $30,000.00 $30,000.00

PROJECT TOTAL (ITEMS 1-18) $

MINIMUM QUALIFICATION REQUIREMENTS (MQRs):

1. This ITB contains Minimum Qualification Requirements (MQRs) which the Proposer must meet for the Firm to be considered responsive.

2. If multiple firms submit under one proposal, all firms must provide and meet all MQRs.

3. Please read the MQRs to ensure the Firm meets these requirements prior to submitting a response to this ITB.

4. All Minimum Qualification Requirements (MQRs) must be submitted with Firm’s response.

5. Proposer(s) that do not comply with MQRs will be determined non-responsive and disqualified from the evaluation process and their Proposal will not be evaluated.

6. Proposer awarded the Contract will be required to maintain Minimum Qualification

Requirements during the term of the Contract and any Contract extensions.

MINIMUM QUALIFICATION REQUIREMENT # 1: SUNBIZ

a. Proposer must be incorporated through Sunbiz with a status of “Active”.

MINIMUM QUALIFICATION REQUIREMENT # 2: CONTRACTOR LICENSE

a. Bidder’s must be licensed as a Certified/Registered General Contractor licensed by State of Florida Department of Business and Professional Regulations. License will be verified through the following link: https://www.myfloridalicense.com/wl11.asp?mode=0&SID=

b. Proposing Firm must provide a copy of the applicable license(s) with Firm’s response.

MINIMUM QUALIFICATION REQUIREMENT # 3: 10% BID BOND REQUIREMENT

As per Procurement Code Section 23-7 (b) Security (bid bonds), each bidder must provide with the submission of the Bid a Security Bid Bond issued by a surety company licensed to do business in the state in an amount equal to ten percent (10%) of the Bid Price submitted. A Firm shall forfeit the Security Bid Bond if the Firm refuses or fails to execute the Agreement within fifteen

(15) calendar days from the Notice to Proceed.

MINIMUM QUALIFICATION REQUIREMENT # 4: BONDING CAPACITY LETTER

Provide documentation of bidder’s total and single project bonding capacity and the name and current financial rating (A.M. Best) of the surety company utilized by your Firm.

MINIMUM QUALIFICATION REQUIREMENT # 5: PRIME CONTRACTOR PREVIOUS EXPERIENCE

a. Please note that the information for the projects/contacts below must be the same as the projects/contracts provided within the Reference Form.

b. Proposing Firm, serving as the Prime Contactor, must have held three (3) contracts of similar size and scope as to the requested services outlined in this ITB within the past five

(5) years, 2021-2026.

c. Proposers must provide the information for MQR # 5 on the following chart(s):

Name and Location of Contract # 1:

Name of the Prime Firm that was awarded the Contract:

Date when Contract started:

Date when Contract was completed:

Name of entity for which services were provided to:

Updated contact name, phone and email for Project Manager where services were provided

Was your Firm the Prime Contractor awarded the Contract for the Project?

Yes No

Provide detailed information:

Name and Location of Contract # 2:

Name and Location of Contract # 3:

INSTRUCTIONS FOR SUBMITTAL OF RESPONSES:

Follow this link for support with DemandStar/Euna OpenBids:

https://network.demandstar.com/supplier-support/

a. Bidders shall submit all bid documents electronically through www.demandstar.com. An instructional guide on how to submit documents is included with this solicitation.

b. The City will maintain documentation on the City’s website at https://www.hallandalebeachfl.gov/417/Solicitation-Notifications for general public information and posting requirements.

c. For instructions on how to submit a response through DemandStar/Euna OpenBids please click the following link:https://www.hallandalebeachfl.gov/DocumentCenter/View/30418/DemandStar- Submittal-Instructions?bidId=. The link is also available on the Solicitation Notification page of the City’s website.

LATE PROPOSALS AFTER 11:00 AM WILL NOT BE ACCEPTED

BACKGROUND INFORMATION ON THE CITY OF HALLANDALE BEACH:

The City of Hallandale Beach is a City Manager/City Commission form of government. It serves an area of approximately 4.4 square miles with a population of approximately 39,000 off –season with an increase in population to approximately 50,000 during season. The City’s fiscal year begins October 1 and ends September 30.

The City provides the following services to its residents:

• Police, Fire and Rescue

• Construction and maintenance of streets, bridges, sidewalks, storm drainage, parks, community, and recreational facilities

• City planning, zoning, subdivision and building code regulation and enforcement

• Supervised recreation programs

• Redevelopment of commercial and residential neighborhoods

• Water, Sewer, Sanitation, and municipal cemetery services.

The City of Hallandale Beach is a Commission-Manager form of government, consisting of five (5) elected officials: a Mayor, a Vice-Mayor and three (3) Commissioners who establish legislative policies, which are then carried out by the City Manager. The Commissioners and Mayor are elected at-large during municipal elections that are held the first Tuesday of November in even numbered years. Commission members select the Vice-Mayor from their own membership following each election.

DEFINITIONS:

“Addenda or Addendum” means additional directions, modifications and alternations to solicitation which is issued as separate document prior to the time of receipt of Bids or proposals

“Award” means the acceptance of a proposal, offer or proposal by the proper authorized designee.

The City Commission must approve all awards over the designated spending authority of the City Manager, except for emergency purchases.

“Bidder” means any individual, Firm, qualified joint venture or corporation submitting a bid for this Project, acting directly or through a duly authorized representative.

“City’s Contract Administrator” means the City’s representative duly authorized by the City Commission and/or City Manager, to provide direction to the Consultant regarding services provided pursuant to this Bid and the Contract.

“City’s Project Manager” means the City’s representative duly authorized by the City Manager to provide direction to the Contractor regarding services provided pursuant to this Bid and the Contract.

“Consultant” the individual(s) or Firm(s) to whom the award is made and who executes the Contract Documents.

“Contract” and “Contract Documents” means the Agreement for this Project to be entered between the City and the Successful Proposer/Contractor.

“Contractor” the individual(s) or Firm(s) to whom the award is made and who executes the Contract

“Notice to Proceed” means the written notice given by the City to the Contractor of the date and time for work to start.

“Project Manager” means the Consultant’s representative authorized to make and execute decisions on behalf of the Consultant.

“Proposal/Response” means the proposal/response/Bid or submission, submitted by a Proposer.

“Proposer” means one who submits a Proposal in response to a solicitation. Interchangeable with “Operator”, “Bidder”, and “Firm”.

“Proposal/Bid Documents” the Request for Proposals, Instructions to Proposers, Technical specifications, plans and attachments and the proposed Contract Documents (including all Addenda issued prior to the opening of Proposals).

CONFLICT OF INTEREST:

If you are an employee, board member, elected official(s) or an immediate family member of any such person, please indicate the relationship on the Conflict-of-Interest Notification Requirement Questionnaire provided in the Form’s Section. Pursuant to the City of Hallandale Beach Code, ARTICLE VI. - CODE OF ETHICS, any potential conflict of interest must be disclosed and if requested, obtain a conflict-of-interest opinion or waiver from the City Commission prior to entering into a contract with the City of Hallandale Beach.

E-VERIFY:

The Proposer shall be responsible for complying with the E-Verify requirements in the contract and using the U.S. Department of Homeland Security’s E-Verify system to verify the employment of all new employees hired by the Proposer during the Agreement term. The Proposer is also responsible for e-verifying its sub-proposers, if any, pursuant to any agreement between the City and a State/Federal Agency and reporting to the City any required information.

INSURANCE REQUIREMENTS:

The awarded bidder(s) will be required to obtain and maintain the insurance requirements as set forth below in the City’s Form Agreement. Insurance requirements must be held for the life of the Contract. The Certificate of Insurance will be required to be provided within the time specified award of contract by the Commission. The requirements for insurance are stated below, City’s Form Agreement, Article 5.

SECURITY BID BOND 10%:

As per Procurement Code Section 23-7 (b) Security (bid bonds), each proposer must provide with the submission of the Bid a Security Bid Bond issued by a surety company licensed to do business in the state in an amount equal to ten percent (10%) of the Bid Price submitted. A Firm shall forfeit the Security Bid Bond if the Firm refuses or fails to execute the Agreement within fifteen

(15) calendar days from the Notice to Proceed.

PERFORMANCE AND LABOR MATERIALS PAYMENT BOND:

A Performance and Labor Materials Payment Bond in an amount equal to one hundred (100%) percent of total Contract amount awarded must be submitted by the Awarded Contractor within fifteen (15) days after receipt of Notification of Award. The Notification of Award is the day Commission meeting is held to award the contract. An original Performance and Labor Materials Payment Bond must be provided in an amount equal to 100% of the Contract price issued by a surety company licensed to do business in the State of Florida. (F.S. 255.05). On approval of any Contract change increasing the Contract price, Contractor shall ensure that the performance bond and payment bond are increased so that each reflects the total Contract price as increased.

ELECTRONIC BID SUBMITTAL FORMAT:

Proposer’s response must provide all information requested below items # 1 through # 4.

All items must be completed by the proposing Firm(s). Any subcontractors/subconsultants are not required to complete these items.

1. Title Page

a. Provide the ITB # and title, the Firm’s name; the name, address, telephone number and email of the contact person; and the date of the proposal. Only one (1) contact person is to be provided as the contact and will be contacted by the City.

If the proposed submittal is made up of more than one (1) Bidder, provide only one (1) contact person for the entire response.

2. Bid Price Sheet

a. Ensure the Bid Price Sheet is completed and submitted.

3. Minimum Qualification Requirements (MQRS)

a. If Firm does not provide all the required MQR information, Firm’s bid will not be reviewed/evaluated, and Firm’s submission will be disqualified and determined non-responsive.

4. Required Forms:

a. Please make sure all items from the Forms Section, Form A – Form R, are included in your proposal.

FORMS:

Proposer must complete and include all the following forms within the proposal submission.

Form A: Proposal Submitted by Form Form B: Variance Form Form C: Legal Proceedings Form Form D: Public Entity Crime Form Form E: Domestic Partnership Certification Form Form F: Conflict of Interest Notification Requirement Questionnaire Form G: Drug Free Workplace Form Form H: Anti-Kickback Affidavit Form I: Confidentiality Form Form J: Scrutinized Form Form K: Compliance with Foreign Entity Laws Form L: Byrd Anti-Lobbying Amendment Certification Form M: Non-Collusion Affidavit Form N: Americans with Disabilities Act Affidavit Form O: Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Form P: Affidavit of Compliance with Anti-Human Trafficking Laws Form Q: Acknowledgement of Addenda Form R: Reference Form

FORM A: PROPOSAL SUBMITTED BY

COMPANY:

ADDRESS:

CITY, STATE, ZIP:

TELEPHONE:

E-MAIL ADDRESS:

FEDERAL ID NUMBER:

NAME & TITLE PRINTED:

SIGNED BY:

We/I, the above signed hereby agree to furnish the item(s), service(s) and have read all attachments including specifications, terms and conditions and fully understand what is required.

The Solicitation, Specifications, Proposal Forms, and/or any other pertinent document form a part of this proposal and by reference made a part hereof. Signature indicates acceptance of all terms and conditions of the solicitation.

FORM B: VARIANCE FORM

The Proposer must provide and state all variances to this solicitation, specifications, the Terms and Conditions on this variance form (provide additional pages if necessary).

If variances are provided on the Variance Form, they will be reviewed by appropriate City Staff, the City Attorney, and the Risk Manager. If the Variances presented by the Firm are acceptable to the City, a City Agreement will be routed to the awarded Firm for execution by the authorized officer per Sunbiz. The Project Manager will manage the execution of the agreement process.

Variances requested to either the solicitation, Terms and Conditions and Agreement may result in the City rescinding award of Contract.

If Firm has no Variances, Firm must state “None” below. This form must be provided back in the Firm’s response.

FORM C: LEGAL PROCEEDINGS FORM

Proposing Firm must provide Items a - e with response. Provide all applicable documents per category checked as an attachment. Firm must ensure response is addressing by title for each item a-e below. If an item(s) is not applicable, Firm must check off “N/A” and authorized officer per Sunbiz to provide signature.

a. Arbitrations: List all arbitration demands filed by or against your Firm in the last five (5) years, and identify the nature of the claim, the amount in dispute, the parties, and the ultimate resolution of the proceeding.

Must include the disclosure of the court and case number.

☐ Check here and provide documentation ☐ Check here if Not Applicable (N/A)

b. Lawsuits: List all lawsuits filed by or against, your Firm in the last five (5) years, and identify the nature of the claim, the amount in dispute, the parties, and the ultimate resolution of the lawsuit. Must include the disclosure of the court and case number.

c. Other Proceedings: Identify any lawsuits, administrative proceedings, or hearings initiated by the National

Labor Relations Board, Occupational Safety and Health or similar state agencies in the past five (5) years concerning any labor practices or project safety practices by your Firm. Identify the nature of any proceeding and its ultimate resolution. Must include the disclosure of the court and case number.

d. Bankruptcies: Has your Firm or its parents or any subsidiaries ever had a Bankruptcy Petition filed in its name, voluntarily or involuntarily? (If yes, specify date, circumstances, and resolution).

e. Settlements: Identify all settlements for your Firm in detail in the last five (5) years.

The undersigned is authorized to execute this on behalf of the Firm and certify that the above referenced information is true, complete and correct.

Date: ____________________, 20___ Signed:

Entity: Name:

Title:

STATE OF

COUNTY OF

The foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, this ____ day of ______________, 20____, by _______________________________, as ____________________________ for _____________________________________________________, who is personally known to me or who has produced ________________________ as identification.

Notary Public Signature: State of Florida at Large (Seal) Print Name: My commission expires:

FORM D: PUBLIC ENTITY CRIME FORM

SWORN STATEMENT PURSUANT TO SECTION 287.133(2) (a), FLORIDA STATUTES, PUBLIC ENTITY CRIME INFORMATION

“A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid, proposal, or reply on a contract to provide any goods or services to a public entity; may not submit a bid, proposal, or reply on a contract with a public entity for the construction or repair of a public building or public work; may not submit bids, proposals, or replies on leases of real property to a public entity; may not be awarded or perform work as a Contractor, supplier, subcontractor, or consultant under a contract with any public entity; and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months following the date of being placed on the convicted vendor list.”

By: ______________________________________

Title: _____________________________________

Signed and Sealed ______day of _________, 20__

FORM E: DOMESTIC PARTNERSHIP CERTIFICATION FORM

Equal Benefits Requirements As part of the competitive solicitation and procurement process a Contractor seeking a Contract shall certify that upon award of a Contract it will provide benefits to Domestic Partners of its employees on the same basis as it provides benefits to employees' spouses. Failure to provide such certification shall result in a Contractor being deemed non-responsive.

Domestic Partner Benefits Requirement means a requirement for City Contractors to provide equal benefits for domestic partners. Contractors with five (5) or more employees contracting with City, in an amount valued over $75,000, provide benefits to employees’ spouses and the children of spouses.

The Firm providing a response, by virtue of the signature below, certifies that it is aware of the requirements of City of Hallandale Beach Procurement Code Section 23-14 (b) Domestic Partnership Benefits., and certifies the following:

Check only one box below:

1. The Contractor certifies and represents that it will comply during the entire term of the Contract with the conditions of Procurement Code Section 23-14 (b) Domestic Partnership Benefits., Domestic Partner Benefits Requirement of the City of Hallandale Beach, or

2. The Firm does not need to comply with the conditions of Procurement Code Section 23-14 (b) Domestic

Partnership Benefits. of the City of Hallandale Beach, because of allowable exemption: (Check only one box below):

The Firm’s price for the contract term awarded is $75,000 or less.

The Firm employs less than five (5) employees.

The Firm does not provide benefits to employees’ spouses nor spouse’s dependents.

The Firm is a religious organization, association, society, or non-profit charitable or educational institution or organization operated, supervised, or controlled by or in conjunction with a religious organization, association or society.

The Firm is a government entity.

The contract is for the sale or lease of property.

The covered contract is necessary to respond to an emergency.

The provision of Procurement Code Section 23-14 (b), would violate grant requirements, the laws, rules or regulations of federal or state law.

The undersigned is authorized to execute this on behalf of the Firm and certify that the above referenced information is true, complete and correct.

Date: ____________________, 20___ Signed:

Entity: Name:

Title:

STATE OF

COUNTY OF

The foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, this ____ day of ______________, 20____, by _______________________________, as ____________________________ for _____________________________________________________, who is personally known to me or who has produced ________________________ as identification.

FORM F: CONFLICT OF INTEREST NOTIFICATION REQUIREMENT QUESTIONNAIRE

If you are an employee, board member, elected official(s) or an immediate family member of any such person, please indicate the relationship below. Pursuant to the City of Hallandale Beach Standards of ethics any potential conflict of interest must be disclosed and if requested, obtain a conflict-of-interest opinion or waiver from the Board of Directors prior to entering a contract with the City.

1. Name of Firm submitting a response to this Solicitation.

2. Describe each affiliation or business relationship with an employee, board member, elected official(s) or an immediate family member of any such person of the City of Hallandale Beach or Hallandale Beach Community Redevelopment Agency; if none so state.

3. Name of City of Hallandale Beach or Hallandale Beach Community Redevelopment Agency employee, board member, elected official(s) or immediate family member with whom filer/respondent/Firm has affiliation or business relationship; if none so state.

4. Describe any other affiliation or business relationship that might cause a conflict of interest; if none so state.

Signature of person/Firm Date

FORM G: DRUG-FREE WORKPLACE FORM

The undersigned vendor in accordance with Florida Statute 287.087

Hereby certified that__________________________________________ does:

(Name of Business)

1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition.

2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.

3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1).

4. In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of or plea of guilty or nolo contendere to, any violation of Chapter 1893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction.

5. Impose a sanction on or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted.

6. Make a good faith effort to continue to maintain a drug-free workplace through I implementation of this section.

As a person authorized to sign the statement, I certify that this Firm complies fully with the above requirements.

DATE FIRM’S SIGNATURE

FORM H: ANTI-KICKBACK AFFIDAVIT

STATE OF _____________________)

) SS:

COUNTY OF ___________________)

I, the undersigned hereby duly sworn, depose and say that no portion of the sum herein solicitation will be paid to any employees of the City of Hallandale Beach and its elected officials, as a commission, kickback, reward, or gift, directly or indirectly by me or any member of my Firm or by an officer of the corporation.

The undersigned is authorized to execute this on behalf of the Firm and certify that the above referenced information is true, complete and correct.

Date: ____________________, 20___ Signed:

Entity: Name:

Title:

STATE OF

COUNTY OF

The foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, this ____ day of ______________, 20____, by _______________________________, as ____________________________ for _____________________________________________________, who is personally known to me or who has produced ________________________ as identification.

FORM I: CONFIDENTIALITY FORM

The Proposer must include any materials it asserts to be exempted from public disclosure under Chapter 119, Florida Statutes, in a separate document labeled "Attachment to ITB, Solicitation Number and Name - Confidential Material". The Proposer must identify the specific Statute that authorizes exemption from the Public Records Law.

Any claim of confidentiality on materials the Proposer asserts to be exempt from public disclosure and placed elsewhere in the proposal will be considered waived by the Proposer upon submission, effective after opening.

The Proposer should take special note of this as it relates to proprietary information that might be included in this solicitation.

Firm must check one of the following:

☐ This proposal does not include ANY confidential material.

☐ This proposal includes a separate document containing confidential material.

If neither of the above is selected, then any claim of confidentiality is waived.

I, __________________________________________, ________________________________ Name of authorized Officer and/or legal documentation, Title of _________________________________________________________________________ Name of Firm as it appears on Sunbiz and/or legal documentation hereby, attest that I have the authority to sign this form and certify that the Firm complies with the above requirements.

Signature Title

FORM J: SCRUTINIZED COMPANIES OR ENTITIES

(Name of Vendor) hereby certifies that it has not been placed on the discriminatory vendor list as provided in Section 287.134, Florida Statutes, and that it is not a “scrutinized company” pursuant to Sections 215.473 or 215.4725, Florida

Statutes. Contractor further represents that it is not, and for the duration of the Contract will not be, ineligible to contract with the City on any of the grounds stated in Section 287.135, Florida

Statutes. Contractor represents that it is, and for the duration of this Contract will remain, in compliance with Section 286.101, Florida Statutes

☐ Affirm

FORM K: COMPLIANCE WITH FOREIGN ENTITY LAWS

The undersigned, on behalf of the Firm listed below (“Firm”), hereby attests under penalty of perjury as follows:

1. Firm is not owned by the government of a foreign country of concern as defined in Section 287.138, Florida Statutes. (Source: § 287.138(2)(a), Florida Statutes)

2. The government of a foreign country of concern does not have a controlling interest in Firm. (Source: § 287.138(2)(b), Florida Statutes)

3. Firm is not organized under the laws of and does not have a principal place of business in, a foreign country of concern. (Source: § 287.138(2)(c), Florida Statutes)

4. Firm is not owned or controlled by the government of a foreign country of concern, as defined in Section 692.201, Florida Statutes. (Source: § 288.007(2), Florida Statutes)

5. Firm is not a partnership, association, corporation, organization, or other combination of persons organized under the laws of or having its principal place of business in a foreign country of concern, as defined in Section 692.201, Florida Statutes, or a subsidiary of such Firm.

(Source: § 288.007(2), Florida Statutes)

6. Firm is not a foreign principle, as defined in Section 692.201, Florida Statutes. (Source:

§ 692.202(5)(a)(1), Florida Statutes)

7. Firm is in compliance with all applicable requirements of Sections 692.202, 692.203, and 692.204, Florida Statutes.

8. (Only applicable if purchasing real property) Firm is not a foreign principal prohibited from purchasing the subject real property. Firm is either (a) not a person or Firm described in Section 692.204(1)(a), Florida Statutes, or (b) authorized under Section 692.204(2), Florida Statutes, to purchase the subject property. Firm is in compliance with the requirements of Section 692.204, Florida Statutes. (Source: §§ 692.203(6)(a), 692.204(6)(a), Florida Statutes)

Date: ____________________, 20___ Signed:

Entity: Name:

Title:

FORM L: BYRD ANTI-LOBBYING AMENDMENT CERTIFICATION

The undersigned [CONTRACTOR] certifies, to the best of his or her knowledge and belief, that:

1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the CONTRACTOR shall complete and submit Standard Form- LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.

3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

The CONTRACTOR certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C.

§ 38, Administrative Remedies for False Claims and Statements, apply to this certification and disclosure, if any.

COMPANY NAME:

NAME OF AUTHORIZED OFFICIAL TITLE

SIGNATURE OF AUTHORIZED OFFICIAL DATE

FORM M: NON-COLLUSION AFFIDAVIT

STATE OF _____________________)

) SS:

COUNTY OF ___________________)

I, the undersigned hereby duly sworn, depose and say that:

1. He/she is the Bidder that has submitted the attached bid proposal.

2. He/she is fully informed respecting the preparation and contents of the attached bid proposal and of all pertinent circumstances respecting such bid proposal.

3. Such bid proposal is genuine and is not a collusive or sham bid proposal.

4. Neither the said Bidder nor any of its officers, partners, owners, agent representatives, employees or parties in interest including this affiant, has in any way, colluded, conspired, or agreed, directly or indirectly, with any other bidder, firm or person, to submit a collusive or sham proposal in connection with the Agreement for which the attached bid proposal has been submitted or to refrain from proposing in connection with such Agreement, or has in any manner, directly or indirectly, sought by Agreement or collusion or communication or conference with any other bidder, firm or person to fix the price or prices in the attached bid proposal or of any other bidder, or to fix any overhead, profit or cost element of the bid proposal price or the bid proposal price of any other bidder, or to secure through any collusion, conspiracy, connivance or unlawful Agreement any advantage against the City of Hallandale Beach, Florida, or any person interested in the proposed Agreement.

5. The price or prices quoted in the attached bid proposal are fair and proper and are not tainted by any collusion, conspiracy, or unlawful Agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties of interest, including affiant.

The undersigned is authorized to execute this on behalf of the Firm and certify that the above referenced

Date: ____________________, 20___ Signed:

Entity: Name:

Title:

STATE OF

COUNTY OF

The foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, this ____ day of ______________, 20____, by _______________________________, as ____________________________ for _____________________________________________________, who is personally known to me or who has produced ________________________ as identification.

FORM N: AMERICANS WITH DISABILITIES ACT AFFIDAVIT

The undersigned swears that the information herein contained is true and correct and that none of the information supplied was for the purpose of defrauding the City of Hallandale Beach, Florida.

The Contractor shall not discriminate against any employee or applicant for employment because of physical or mental handicap in regard to any position for which the employee or applicant for employment is qualified. The Contractor agrees to comply with the rules, regulations and relevant orders issued pursuant to the Americans with Disabilities Act (ADA), 42 USC s. 12101 et seq. It is understood that in no event shall the City of Hallandale Beach be held liable for the actions or omissions of the Contractor or any other party or parties to the Agreement for failure to comply with the ADA. The Contractor agrees to hold harmless and indemnify the City of Hallandale Beach, its agents, officers or employees from any and all claims, demands, debts, liabilities or causes of action of every kind or character, whether in law or equity, resulting from the Contractor’s acts or omissions in connection with the ADA.

The undersigned is authorized to execute this on behalf of the Firm and certify that the above referenced information is true, complete and correct.

Date: ____________________, 20___ Signed:

Entity: Name:

Title:

STATE OF

COUNTY OF

The foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, this ____ day of ______________, 20____, by _______________________________, as ____________________________ for _____________________________________________________, who is personally known to me or who has produced ________________________ as identification.

FORM O: CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND

VOLUNTARY EXCLUSION

1. Contractor Covered Transactions

a. The prospective contractor certifies, by submission of this document, 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 State or Federal department or agency.

b. Has not within a three (3) year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

c. Is not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph 1(b) of this certification; and

d. Has not within a three (3) year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default.

2. Where the prospective contractor is unable to certify the above statement, the prospective contractor shall attach an explanation to this form.

The undersigned is authorized to execute this on behalf of the Firm and certify that the above referenced

Date: ____________________, 20___ Signed:

Entity: Name:

Title:

STATE OF

COUNTY OF

The foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, this ____ day of ______________, 20____, by _______________________________, as ____________________________ for _____________________________________________________, who is personally known to me or who has produced ________________________ as identification.

FORM P: AFFIDAVIT OF COMPLIANCE WITH ANTI-HUMAN TRAFFICKING LAWS

The undersigned, on behalf of the entity listed below (“Entity”), hereby attests under penalty of perjury as follows:

1. Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes. (Source: § 787.06 (14), Florida Statutes – Human Trafficking).

Date: ____________________, 20___ Signed:

Entity: Name:

Title:

FORM Q: ACKNOWLEDGEMENT OF ADDENDA

Instructions: Complete Part I or Part II, whichever is applicable.

The Proposer shall indicate below each Addendum received. The Proposer may contact the Procurement Division at 954-457-1331 or visit the City of Hallandale Beach website at https://www.hallandalebeachfl.gov/417/Solicitation-Notifications to confirm the number of addenda (if any) that have been issued.

PART I: Please list below each of the Addendum received in connection with this solicitation.

Please include the Addendum number, the title is not required.

Addendum #

PART II:

____ No Addendum was received in connection with this solicitation.

Authorized Signature: ____________________________________________ Date: __________

Print Name: _________________________________________ Title: _____________________

Firm Name: ___________________________________________________________________

FORM R: REFERENCE FORM

Please note that the three (3) references provided below must be the same as the projects/contracts provided for response to MQR # 5. THE BELOW FORM MUST

BE COMPLETED BY YOUR REFERENCE AND PROVIDED WITH YOUR PROPOSAL

SUBMISSION.

BID 25-26-17 LIFT STATION # 7 PROJECT

PROPOSING FIRM’S NAME(S):

PROJECT NAME:

NAME OF FIRM THAT AWARDED THE AGREEMENT:

WAS THE FIRM THE PRIME CONTRACTOR FOR THE PROJECT:

YES NO

Please answer the following questions regarding services provided by the Proposer named above.

1. Provide detailed information about the level of commitment of the Firm to your Project.

Did the Firm devote the time, and personnel necessary to successfully complete the entities needs?

Name of reference:

Phone:

Title of reference: E-mail Address:

Company/Employer:

2. Provide detailed information about the competence, accessibility, and responsiveness of the Firm’s personnel supervising and performing the work on the Project.

3. Provide detailed information about the Firm’s response time as required by your Agreement. Were there ever any issues and why.

4. Provide detailed information about the Firm’s success at minimizing any issues.

5. Provide details on what type of service the Firm provided? How satisfied are you with the end result?

6. What was the value of the Project?

7. Would you consider this Firm for this type of work in the future?

ADDITIONAL COMMENTS:

PERSON PROVIDING

REFERENCE (PRINT NAME):

PRINT TITLE:

SIGNATURE: _______________________________ Date: ____________________

AGREEMENT:

The agreement that follows is a form agreement and specific terms and conditions may be amended and/or negotiated to more accurately reflect the solicitation, accepted response and expectations of the parties prior to execution. The City reserves the right to negotiate terms more favorable to the City and to rescind award if a final agreement is not reached by the parties.

Firm must provide and state all Variances to this Bid, Specifications, the Terms and Conditions and City Form Agreement on this Variance Form.

If variances are provided on the Variance Form, they will be reviewed by appropriate City Staff, the City Attorney, and the Risk Manager. If the Variances presented by the Firm are acceptable to the City, a City Agreement will be routed to the awarded Firm for execution by the authorized officer per Sunbiz. The Project Manager will manage the execution of the agreement process.

Variances requested to either the Bid, the Terms and Conditions, Specifications and the City Form Agreement may result in the City rescinding award of contract.

The routing of the agreement for execution will be processed by the Project Manager.

CONTRACT

THIS IS A CONTRACT, made and entered into this _______________ day of

___________________________, 20____, by and between The City of Hallandale Beach, hereinafter referred to as CITY and ____________

_________________________________, hereinafter referred to as the

CONTRACTOR.

WITNESSETH, that the CONTRACTOR and the CITY, for considerations hereinafter name, agree as follows:

ARTICLE 1

SCOPE OF WORK

1.1 The CONTRACTOR hereby agrees to furnish all of the labor, materials, equipment and services necessary to perform all of the work described in the Bid Project including Drawings (Design Plans), Specifications and Addenda thereto for the project entitled:

The work to be provided is outlined and includes to BID 25-26-17 LIFT STATION # 7 PROJECT (Exhibit A), which is hereby incorporated and made part of this Agreement by reference and Proposal (Exhibit B) submitted by CONTRACTOR, which is hereby incorporated and made part of this Agreement by reference.

At the __________________ (date) 202_ City Commission Meeting the City Commission adopted Resolution # __________ awarded through BID 25-26-17 LIFT STATION # 7 PROJECT. The Contract value and per such Resolution # ____ shall not exceed $____________________. The contract value shall not exceed _______________ dollars ($000,000) for the fiscal year starting 10-1-20__ and ending 9-30-20__, unless approved by City Commission.

1.2 The CONTRACTOR and the City’s Project Manager will…