IFQ-26-12 Universal Filtration Pool Covers.pdf

IFQ-26-12 For additional information and clarification contact:

Department Name:

BID TITLE: Universal Filtration Pool Covers Contact Person:

Telephone #:

Email address for questions: abutler@mywinterhaven.com

Please quote on the following items:

Item Quantity Description Unit Cost Total Cost

A 11 1010W COVER 15' x 75' for main pool $_________ $_________

B 4 1010W COVER 15' 3" x 41' 6" for dive well $_________ $_________

C Shipping/delivery fees, if applicable. N/A or zero if no charge. $_________

**No Substitutions ** ***Please see attached Scope of Work for details***

Prices must be valid for 90 days.

Procurement Manager: Bethany Owen As soon as possible after awarding

We offer to sell / furnish you as above F.O.B., Winter Haven, Florida. Delivery / completion can be made in ______ days from receipt of order.

SIGNATURE:

PRINT NAME:

DATE:

**COMPANY NAME:

ADDRESS:

CITY/STATE

PHONE:

EMAIL:

**PAYMENT WILL BE RENDERED TO THE NAME AND ID APPEARING ON THE W-9.

Quotation must be received via our e-procurement platform, Mercell, NO LATER THAN 2:00 P.M., Decmber 2, 2025

INVITATION FOR QUOTE

CITY OF WINTER HAVEN

" An Equal Opportunity Employer"

DATE ISSUED: 11/17/2025

Delivery Wanted:

Parks, Recs & Culture/Aquatics

Adam Butler

863-268-6766

IFQ-26-12 Universal Filtration Pool Covers hschoonmaker Highlight

City of Winter Haven

IFQ-26-12

Intent

The City of Winter Haven, FL is seeking qualified vendors to provide high-quality pool covers for the Rowdy Gaines swimming pools located within the city. The pool covers are required to ensure safety, reduce maintenance costs, and conserve energy. The selected vendor will be responsible for supplying and delivering the pool covers as per the specifications outlined in this document. Installation is not required.

Minimum Qualifications

At a minimum, Vendor should meet the following qualifications:

a. Have been in the business of providing goods as described herein for a minimum of three (3) years.

b. Have the ability to obtain the minimum insurance requirements set for in the base agreement

Vendor Responsibilities

a. Expectations of performance

a. Provide 11 1010W pool cover with the following dimensions: 15' X 75'

b. Provide 4 1010W cover for dive well with the following dimensions: 15' 3" X 41' 6"

b. Location of performance: Rowdy Gaines Pool - 210 Cypress Gardens Blvd., Winter Haven, FL 33880

c. Materials and Equipment needed to perform.

i. Vendor must provide all equipment needed to perform the work

d. Point of contact - Vendor must provide a point of contact to communicate with the City project manager.

City's Responsibilities

At a minimum, City should provide and meet the following responsibilities:

a. City should provide a point of contact (City Project Manager) for this project.

b. City Project Manager should assist with planning, strategy, and objectives prior to performance of the

Work.

c. City Project Manager should promptly respond to issues and inquiries so as not to hinder the progress, completion, or compensation for the Work.

hschoonmaker Highlight hschoonmaker Highlight hschoonmaker Highlight hschoonmaker Highlight

Detailed Specifications

The pool covers should meet the following specifications:

A. Material:

o Durable, UV-resistant material such as reinforced polyethylene or polypropylene.

o Resistant to chlorine and other pool chemicals.

o Non-toxic and environmentally friendly.

B. Size and Fit:

o Custom-fit to the dimensions of the municipal pools. Exact measurements will be provided upon contract award.

o Must include a sufficient overlap to ensure complete coverage and secure fastening.

C. Safety Features:

o Must comply with ASTM F1346-91 standards for pool safety covers.

o Include safety features such as reinforced edges and secure anchoring systems to prevent accidental removal or displacement.

D. Insulation and Energy Efficiency:

o Provide thermal insulation to reduce heat loss and conserve energy.

o Must have a minimum R-value of 2.0.

E. Drainage:

o Include drainage panels or mesh sections to prevent water accumulation on the cover.

F. Warranty:

o Minimum 5-year warranty against material defects and workmanship.

Delivery Requirements

The vendor should adhere to the following delivery requirements:

A. Delivery Schedule:

o Deliver the pool covers within 30 days of receiving the purchase order.

o Coordinate delivery times with the City of Winter Haven to ensure minimal disruption to pool operations.

B. Packaging:

o Pool covers must be securely packaged to prevent damage during transit.

o Include clear labeling with the pool cover dimensions and installation instructions.

C. Shipping and Handling:

o All shipping and handling costs should be included in the bid price.

o Ensure that the delivery complies with all relevant transportation regulations and standards.

D. Inspection and Acceptance:

o The City of Winter Haven reserves the right to inspect the pool covers upon delivery to ensure they meet the specified requirements.

o Any covers that do not meet the specifications will be rejected and must be replaced at the vendor’s expense.

Additional Requirements

The vendor must also comply with the following additional requirements:

A. References:

o Provide at least three references from previous clients who have purchased similar products.

B. Compliance:

o Ensure that all products and services comply with local, state, and federal regulations.

C. Insurance:

o Maintain adequate insurance coverage, including general liability and workers' compensation, throughout the duration of the contract.

D. Documentation:

o Provide all necessary documentation, including user manuals, warranty information, and installation guides.

Evaluation Criteria

Bids will be evaluated based on the following criteria:

A. Compliance with the detailed specifications.

B. Quality and durability of the pool covers.

C. Vendor’s experience and references.

D. Cost-effectiveness of the bid.

E. Delivery and installation timeline.

F. Warranty and support services offered.

Submission Requirements

Vendors must submit the following information with their bid:

A. Completed bid form with detailed pricing.

B. Technical specifications and product literature for the proposed pool covers.

C. References from previous clients.

D. Proof of insurance coverage.

E. Any additional information that demonstrates the vendor’s capability to meet the City’s requirements.

All bids must be received by Tuesday, December 2, 2025 at 2pm, online at our E-Procurement website, Mercell.

https://app.negometrix.com/buyer/690

Late submissions will not be considered.

To schedule a site visit or for any questions or clarifications, please contact Adam Butler at:

abutler@mywinterhaven.com

We look forward to receiving your bid and working with a qualified vendor to enhance the safety and efficiency of our swimming pools.

Invitation For Quote (IFQ) Terms and Conditions 07-21-2025

1. Except for purchases of products, the successful contractor must carry Workers Compensation, General Liability, and Business Automobile insurance in an amount and form acceptable to the City with limits of no less than one-million dollars:

The Contractor shall not commence work until the required insurance is in force and evidence of insurance acceptable to the Owner has been provided to and approved by the Owner. As evidence of compliance with the insurance required herein, Contractor shall furnish Owner with

(a) a fully completed satisfactory Certificate of Insurance (ACORD Form 25 or equivalent) evidencing all coverage required herein Such evidence shall include thirty (30) days written notice of cancellation to the Owner for all coverage. Until such insurance is no longer required by this Contract, the Contractor shall provide the Owner with renewal or replacement evidence of insurance at least thirty (30) days prior to the expiration or termination of such insurance.

(1) Workers’ Compensation Insurance

(a) Such insurance shall be no more restrictive than that provided by the Standard Workers’

Compensation Policy, as filed for use in Florida by the National Council of Compensation Insurance, without restrictive endorsements. In addition to coverage for the Florida Workers’ Act, where appropriate, coverage is to be included for the Federal Employer’s Liability Act and any other applicable Federal or State law. The policy must be endorsed to provide the Owner with thirty (30) days’ notice of cancellation. The minimum amount of coverage (inclusive of any amount provided by an umbrella or excess policy) shall be:

(i) Part One: “Statutory”

(ii) Part Two: $500,000 Each Accident

$500,000 Disease-Policy Limit $500,000 Disease-Each Employee

(2) General Liability Insurance

(a) The minimum limits (inclusive of amounts provided by an umbrella or excess policy) shall be:

(i) $1,000,000 General Aggregate

(ii) $1,000,000 Products/Completed Operations Aggregate

(iii) $1,000,000 Personal and Advertising Injury

(iv) $1,000,000 Each Occurrence

(3) Automobile Liability Insurance

(a) Such insurance shall be no more restrictive than that provided by Section II (Liability

Coverage) of the most recent version of the standard Business Auto Policy (ISO Form CA 00 01) without restrictive endorsements, including coverage for liability contractually assumed, and shall cover all owned, non-owned, and hired autos used in connection with the performance of the work. The policy must be endorsed to provide the Owner with thirty (30) days’ notice of cancellation. Such insurance shall not be subject to any aggregate limit and the minimum limits (inclusive of any amounts provided by an umbrella or excess policy) shall be:

(i) $1,000,000 Each Occurrence - Bodily Injury and Property Damage Combined

In the event that the proposer/bidder does not own any vehicles that are used in the business, or titled in the business name, then the business auto requirement can be satisfied with a hired and non-owned automobile liability extension being added to the commercial general liability.

A copy listing the City as certificate holder must be furnished prior to starting work. The certificate holder should be listed as below:

City of Winter Haven Procurement PO Box 2277 Winter Haven, FL 33883

NOTE: You must have the required insurance during the course of this project/ contract.

Policy renewals should be mailed to the address above or emailed to:

procurement@mywinterhaven.com

2. Vendor is obligated to comply with Section 448.095, Fla. Stat., "Employment Eligibility." This includes, but is not limited to utilization of the E-Verify System. Please contact Procurement for more information if you are unsure of the requirements this imposes.

3. The Contractor acknowledges that Section 787.06 of the Florida Statutes requires each nongovernmental entity that is executing, renewing, or extending a contract with a public governmental entity to provide the governmental entity with an affidavit signed by an officer or authorized representative under penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services as those terms are defined by law. Contractor/Consultant agrees to furnish the City with the necessary affidavit signed by an officer or authorized representative of the Contractor/Consultant under penalty of perjury at any time and upon request.

4. The Contractor acknowledges that Section 287.138, Florida Statutes, prohibits a Florida governmental entity from entering into a contract that may grant or allow access to any individual’s personal identifying information unless the contracting entity furnishes an affidavit signed by an officer or representative under penalty of perjury concerning foreign countries of concern.

5. The City of Winter Haven reserves the right to reject any and all bids, to waive informalities, to re-advertise, and to enter into a contract determined to be in its best interest. Previous performance as reported on Contractor Evaluation Form(s) on file may be the basis for a decision by the City to either reject a bid or not award a bid as determined by the City in its best interests.

6. The City of Winter Haven has a Local Preference Ordinance for local vendors. Local vendors defined as having a physical location within the City of Winter Haven’s utility service area at which employees are located and from which business is regularly transacted.

7. The City of Winter Haven reserves the right to reject any and all bids, to waive informalities, to re-advertise, and to enter into a contract determined to be in its best interest, in accordance with the Terms and Conditions contained herein. The City reserves the right to award contract(s) to more than one Bidder, to split awards, to award contracts by item or group of items, to make partial awards, or to decrease or increase any or all quantities that is in the City's best interest.

b) Extension: In addition to any renewal options contained herein, the City has the right to extend any award resulting from this solicitation for the period of time necessary to release, award, and implement a replacement agreement for the commodities and/or contractual services provided.

Such extension shall be based upon the same prices, terms, and conditions.

8. Should this IFQ involve Federal funding, the City of Winter Haven will ensure compliance with all applicable federal and state laws and regulations. These include but are not limited to: OMB Circular A-102, attachment O; 2 CFR §200.318 – 200.327; s. 255.0525 and 287.055, Florida Statutes, Chapter 73C-23 Florida Administrative Code.

9. NOTE: Please upload all documents as one file for ease of access and to ensure receipt by the City.

PROTEST PROCEDURES

The City of Winter Haven encourages prompt and fair handling of all complaints and disputes with the business community. In order to resolve disputed matters in an equitable manner without fear of retribution on the part of a vendor or person, the following shall apply:

All informal Invitations For Quote shall include the following statement:

NOTE: THE FAILURE TO FOLLOW THE BID PROTEST PROCEDURE REQUIREMENTS WITHIN THE

TIME FRAMES PRESCRIBED HEREIN AS ESTABLISHED BY THE CITY OF WINTER HAVEN,

FLORIDA, SHALL CONSTITUTE A WAIVER OF BIDDERS PROTEST AND ANY RESULTING CLAIMS.

RIGHT TO PROTEST

Any aggrieved, actual or prospective bidder in connection with a solicitation or pending award of a bid or contract may protest to the Procurement Manager.

NOTIFICATION: Procurement shall post all recommendations of award available for review by the General Public on the City web site: https://app.negometrix.com/buyer/690 Vendors who are registered for that particular bid on the web site will be notified by email.

INITIAL NOTICE: Any person adversely affected by an intended decision or action with respect to the initial recommendation of award of any bid or action shall file with the City’s Procurement Manager a written notice of intent to file a protest. For the purpose of computation, the initial notice of intent to file a protest must be received by the Procurement Manager no later than three o’clock (3:00) p.m. on the third (3rd) workday following the e-mailing date of the notice of the initial recommendation of award (excluding Saturdays, Sundays and legal City holidays). In addition, a non-refundable protest bond (the “Bond”) in the amount of one thousand dollars ($1,000.00) in the form of a cashier’s check payable to the City of Winter Haven must be submitted with the initial notice of intent to file a protest. The initial notice of intent to file protest must be in writing and shall state the basis of the protest (recommendation of award protest or other) and clearly indicate that its purpose is to serve as the initial notice of intent to file a protest. Failure to clearly indicate its intent or failure to provide a Bond shall constitute a waiver of the right to seek any remedy provided under these protest procedures. Upon the timely receipt of an initial notice of intent to file a protest and the required Bond, the Procurement Manager shall toll (put on hold) any further actions related to the recommendation of award (except as noted below). Should the affected party decide to withdraw its initial notice of intent to file a protest during the tolled action the Bond will be refunded in full.

This is the only reason the City will refund the Bond other than a finding in favor of the protestor.

If during tolled action, the City Manager determines that an Emergency Purchase is necessary, as defined in this Procurement Manual, action may be taken to secure the goods or services.

FORMAL NOTICE: Any person who has filed an initial notice of intent to file a protest, as described above, shall file a formal written protest within ten (10) calendar days after the date of the filing of the initial notice of intent to file a protest. Any amendment to the formal written protest shall be in writing and received by the Procurement Manager within ten (10) calendar days of the date of the initial notice of intent to file a protest. No amendments to the protest will be allowed after the ten (10) calendars day period has expired.

The formal written protest shall contain the following:

1) City bid number and/or title (if applicable).

2) Name and/or address of the City department, division or agency affected (if known).

3) The name and address of the affected party, and the title or position of the person submitting the protest.

4) A statement of disputed issues of material fact. If there are no disputed material facts, the written letter must so indicate.

5) Concise statement of the facts alleged and of the rules, regulations, statutes ordinances and constitutional provisions entitling the affected party to the relief requested.

6) The statement shall indicate the relief to which the affected party deems himself/herself entitled.

7) Such other information as the affected party deems to be material to the issue.

PROTEST MEETING: The Procurement Manager will notify all parties and schedule a protest meeting.

The protest will be presented to the Protest Committee, which shall be made up of three (3) members consisting of the Assistant to the City Manager or designee who will serve as the Chairperson, the Assistant Director of Financial Services or designee and the Procurement Manager or designee. The City Attorney or designee shall be present and act in an advisory capacity to the Protest Committee. The Protest Committee shall meet with the protesting party within fourteen (14) workdays (excluding Saturdays, Sundays and legal City holidays) of receipt of the formal written protest. The response time may be extended, if necessary. All affected parties will be notified of the location, date and time of the Bid Protest meeting and will be allowed the opportunity to make their presentation to the Bid Protest Committee. The parties may bring a representative if they so choose. The Procurement Manager or designee shall present the background for the protest to the Committee. The purpose of the protest meeting is: 1) to question and review the basis of the protest; 2) to evaluate the facts and merits of the protest and 3) gather information in order to submit a recommendation to the City Manager. The agenda for the protest meeting will be:

1) The User Department will present the background as to why the recommendation for award was made or why the vendor was not selected.

2) The protesting party or their representative will speak to how they were adversely affected by the decision of the City of Winter Haven.

3) Any other affected parties or their representative will be given the opportunity for rebuttal and to present any facts that they deem are relevant to the protest.

4) During the meeting, the Protest Committee may ask questions of all parties as necessary.

The Protest Committee will render their recommendation in writing to the City Manager within five (5) workdays of the bid protest meeting. The City Manager may conduct an evidentiary hearing, if there are disputed issues of material fact. The City Manager will conduct a review and make a final written decision within ten (10) workdays after receipt of the recommendation; date of the hearing; or the review, whichever is later. The City Manager’s decision shall be final and binding. No further protests of the action in question will be heard by the City.

Any person who is aggrieved by the final and binding decision of the City Manager shall be entitled to a review of the final and binding decision by the 10th Judicial Circuit Court of Polk County, Florida by filing an appropriate petition with the Clerk of the Court within 30 calendar days following the rendering of the City Manager’s final and binding decision.

Affidavit of Prime Bidder

Non-Collusion: The Contractor is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; such Bid is genuine and is not a collusive or sham Bid;

neither the said Bidder nor any of his officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or has refrained from bidding in connection with such Contract; nor 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 or of any other Bidder; nor has fixed any overhead, profit or cost element of the Bid price, or the Bid price of any other Bidder; nor has secured through any collusion, conspiracy, connivance or unlawful agreement, any advantage against the City of Winter Haven or any person interested in the proposed Contract; and the price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.

Drug-Free Workplace: The Contractor certifies that it is a drug-free workplace and has a substance abuse policy in accordance with and pursuant to Section 440.102, Florida Statutes.

Affidavit Certification Immigration Laws: City of Winter Haven will not intentionally award City contracts to any contractor/consultant who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 1324 a(e) {Section 274a(e) of the IMMIGRATION AND NATIONALITY ACT (“INA”). City of Winter Haven may consider the employment by any contractor of unauthorized aliens a violation of Section 274a(e) of the INA. SUCH VIOLATION BY THE RECIPIENT OF THE EMPLOYMENT PROVISIONS CONTAINED IN SECTION 274A(e) OF THE INA SHALL BE GROUNDS FOR UNILATERAL CANCELLATION OF THE CONTRACT BY CITY OF WINTER HAVEN. The contractor/vendor attests that they are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration Act and subsequent amendments).

Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true:

Name – printed

Signature / Date

Title

Affidavit Regarding the Use of Coercion for Labor and Services

State of _________________ County of ________________

Name of Vendor: _____________________________________________________________

Address: ___________________________________________________________________

Phone Number & Email: ________________________________________________________

Authorized Representative’s Name: _______________________________________________

Authorized Representative’s Title: ________________________________________________

Effective July 1, 2024, Section 787.06(13), Florida Statutes, requires all nongovernmental entities executing, renewing, or extending a contract with a governmental entity to provide an affidavit signed by an officer or representative under penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services.

As the person authorized to sign on behalf of the vendor, I certify that the vendor identified above does not:

• Use or threaten to use physical force against any person;

• Restrain, isolate, or confine or threaten to restrain, isolate, or confine any person without lawful authority and against her or his will;

• Use lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined;

• Destroy, conceal, remove, confiscate, withhold, or possess any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person;

• Cause or threaten to cause financial harm to any person;

• Entice or lure any person by fraud or deceit; or

• Provide a controlled substance as outlined in Schedule I or Schedule II of Florida Statute 893.03 to any person for the purpose of exploitation of that person.

Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true.

Signature of_______________

The foregoing instrument was acknowledged before me this _____ day of ___________, 20____, by ____________________, as _____________of ______________ , a ________________, on behalf of the said _____________________ who is (___) personally known to me or (____) produced a _____________ driver’s license as identification.

Notary Public, State of ______________________ Commission no.: __________________________ My commission expires: ____________________

Affidavit Regarding Foreign Countries of Concern

State of _________________ County of ________________

Name of Vendor: _____________________________________________________________

Address: ___________________________________________________________________

Phone Number & Email: ______________________________________________________

Authorized Representative’s Name: _______________________________________________

Authorized Representative’s Title: ________________________________________________

Effective January 1, 2024, Section 287.138, Florida Statutes, prohibits a Florida governmental entity from entering into a contract that may grant or allow access to any individual’s personal identifying information unless the contracting entity furnishes an affidavit signed by an officer or representative under penalty of perjury concerning foreign countries of concern.

As the person authorized to sign on behalf of the vendor, I certify that:

• The vendor is not owned by the People’s Republic of China, the Russian Federation, the Islamic Republic of Iran, the Democratic People’s Republic of Korea, the Republic of Cuba, the Venezuelan regime of Nicolás Maduro, or the Syrian Arab Republic, or by any agency of or any other entity of significant control of any of such foreign country of concern.

• The government of the People’s Republic of China, the Russian Federation, the Islamic Republic of Iran, the Democratic People’s Republic of Korea, the Republic of Cuba, the Venezuelan regime of Nicolás Maduro, or the Syrian Arab Republic does not have a controlling interest in the vendor.

• The vendor is not organized under the laws of and does not have its principal place of business in the People’s Republic of China, the Russian Federation, the Islamic Republic of Iran, the Democratic People’s Republic of Korea, the Republic of Cuba, the Venezuelan regime of Nicolás Maduro, or the Syrian Arab Republic.

Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true.

Signature of_______________

The foregoing instrument was acknowledged before me this _____ day of ___________, 20____, by ____________________, as _____________of ______________ , a ________________, on behalf of the said _____________________ who is (___) personally known to me or (____) produced a _____________ driver’s license as identification.

Notary Public, State of ______________________ Commission no.: __________________________ My commission expires: ____________________

Scrutinized Companies Certification

Section 287.135, Florida Statutes states that a company is ineligible to, and may not, bid on, submit a proposal for, or enter into or renew a contract with the City for goods or services:

(a) In any amount if at the time of bidding on, submitting a proposal for, or entering into or renewing a contract if the company is on the Scrutinized Companies that Boycott Israel List, created pursuant to Section 215.4725, F.S. or is engaged in a boycott of Israel; or

(b) For One Million Dollars ($1,000,000.00) or more if, at the time of bidding on submitting a proposal for, or entering into or renewing a contract, the company is on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to s.

215.473, or is engaged in business operations in Cuba or Syria.

As the person authorized to sign on behalf of the firm, I certify that the firm identified below does not:

1. Does not participate in a boycott of Israel; and

2. Is not on the Scrutinized Companies that Boycott Israel List; and

3. Is not on the Scrutinized Companies with Activities in Sudan List; and

4. Is not on the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List;

and

5. Is not engaged in business operations in Cuba or Syria.

I understand that pursuant to section 287.135, Florida Statutes, the submission of a false certification may subject the company to civil penalties, attorney’s fees, and costs.

I further understand that any contract with the City for goods or services may be terminated at the option of the City if the company is found to have submitted a false certification or has been placed on the Scrutinized Companies that Boycott Israel List, has been placed on the Scrutinized Companies with Activities in Sudan list, has been placed on the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or is engaged in a boycott of Israel.

Submitting a false certification shall be deemed a material breach of contract. The City of Winter Haven shall provide notice, in writing, to the Contractor of the City’s determination that the Contractor provided a false certification. The Contractor shall have ninety (90) days following receipt of the notice to respond in writing and demonstrate that the determination of false certification was made in error. If the Contractor does not demonstrate within 90 days following receipt of the notice that the City’s determination of false certification was made in error then the City shall have the right to terminate the contract and bring a civil action against the company pursuant to § 287.135, Florida Statutes.

Firm Name _________________________________________________

Signature ________________________________________________

Name and Title _____________________________________________

Date __________________