ITB-26-055-KY_-_Bid_Submittal_Package.pdf

INVITATION TO BID

ITB-26-055-KY

HADDONSTONE ORNAMENTAL LIMESTONE –

REMOVAL AND INSTALLATION

AT CRANES ROOST PARK

BID SUBMITTAL PACKAGE

BUSINESS INFORMATION: CONTACT INFORMATION:

Company Name (as it appears on the W9) Name of Owner/Partner/Officer

DBA, if applicable Title/Position of Owner/Partner/Officer

Business Address Contact Address (line 1)

Business City, State, Zip Contact Address (line 2, if applicable)

Business Telephone Number Contact City, State, Zip

Business Email Address Contact Telephone Number

F.E.I.N. Contact Email Address

U.E.I. Number (Replaced DUNS Number) SIGNATURE OF OWNER/PARTNER/OFFICER

FOR THIS SUBMITTAL TO BE CONSIDERED VALID

IT IS MANDATORY THAT THE SUBMITTAL BE SIGNED

IN THE SPACE PROVIDED ABOVE

HADDONSTONE ORNAMENTAL LIMESTONE –

The City reserves the right to accept any or all submittals, to waive informalities, and to reject all or any part of any submittals as they may deem to be in the best interest of the City.

This Bid Submittal Package is a mandatory form to ease tabulation and analysis; however, additional supportive forms can accompany it.

An officer or representative who has official authorization to sign on behalf of the company/vendor/business MUST sign this Form. Failure to sign in the space provided on the previous page will result in the submittal being rejected.

Submittals not received by the advertised due date and time (see Bidding Instruction

Terms and Conditions section) will be returned to the sender unopened.

Signing the Bid Submittal Package affirms that the original Solicitation document has not been altered in any way.

Respondents must acknowledge all issued addenda by confirming below. Failure to acknowledge may result in a non-responsive submittal.

The failure of a Respondent to submit/confirm acknowledgment of any addenda that affects price(s), is considered a major irregularity and may be cause for rejection of the Submittal.

The undersigned acknowledges receipt of all issued addenda:

☐ Please check box to confirm

IN THE SPACE PROVIDED ON THE FIRST PAGE

HADDONSTONE ORNAMENTAL LIMESTONE –

BID FORM

To: Procurement Division

City Hall, Suite 1030

CITY OF ALTAMONTE SPRINGS

225 Newburyport Avenue Altamonte Springs, FL 32701

The undersigned hereby declares that after carefully examining the solicitation documents bidder/proposer is fully aware of all conditions affecting such work/items, for which Bids were advertised to be returned by 11:00 a.m., Monday, March 16, 2026, does hereby submit the following bid/proposal for completion of said Work:

BASE BID AMOUNT

LUMP SUM GRAND TOTAL: $

IN THE SPACE PROVIDED ON THE FIRST PAGE

HADDONSTONE ORNAMENTAL LIMESTONE –

LIST OF REFERENCES

As per the General Specifications Section, below is a list of at least three (3) client/customer references including company name, contact person, and telephone number. The reference should be similar in scope/specifications (including size, cost, complexity/uniqueness, etc.) as the Work described in this solicitation. If the reference contact information is not correct, current, or unavailable, the City is not responsible for obtaining correct/current/available contact information and may elect to consider the reference as non-responsive. Therefore, the Bidder should make sure the reference contact information is correct, current, and available to the City.

Company Name:

Address:

City, State, Zip Code Contact Person Business Phone: Email Address:

Project/Svc/Item Description:

Contract/Order Amount: Completed/Delivered:

Company Name:

Address:

City, State, Zip Code Contact Person Business Phone: Email Address:

Project/Svc/Item Description:

Contract/Order Amount: Completed/Delivered:

3 Company Name:

Address:

City, State, Zip Code Contact Person Business Phone: Email Address:

Project/Svc/Item Description:

Contract/Order Amount: Completed/Delivered:

4 Company Name:

Address:

City, State, Zip Code Contact Person Business Phone: Email Address:

Project/Svc/Item Description:

Contract/Order Amount: Completed/Delivered:

5 Company Name:

Address:

City, State, Zip Code Contact Person Business Phone: Email Address:

Project/Svc/Item Description:

Contract/Order Amount: Completed/Delivered:

THIS FORM MUST BE COMPLETED AND RETURNED WITH THE BID SUBMITTAL PACKAGE

HADDONSTONE ORNAMENTAL LIMESTONE –

LIST OF SUB-CONTRACTORS

As per the Insurance Requirements Specifications Section, below is a list of Subcontractors and verification that the Subcontract is insured per the Insurance Requirements section of the ITB Solicitation Document.

Before the City can issue a purchase order and authorize the successful Bidder to proceed, the successful Bidder may be required to provide proof of insurance for any subcontractor, either by submitting a certificate of insurance indicating the successful Bidder as the insured for workers’ compensation statutory limits coverage, or individual certificates of insurance from each subcontractor. Certificates of exemption for these subcontractors will not be accepted in lieu of proof of coverage.

IF NO SUB-CONTRACTOR(S) EMPLOYED FOR THIS PROJECT

I certify that our Company as the prime vendor will perform all work and no subcontractors will be utilized for this solicitation/contract.

Signature Title Date

IF SUB-CONTRACTOR(S) WILL BE EMPLOYED FOR THIS PROJECT

Name of Sub-Contractor Business Address (City/State only)

Trade (brief description)

Insured per Section 5 (Indicate - Yes/No)

Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No

HADDONSTONE ORNAMENTAL LIMESTONE –

LIST OF SUPPLIERS

The Bidder bidding on the above-titled solicitation plans to use the material suppliers and materials as follows:

Name of Supplier Business Address (City/State only)

Materials Supplied (brief description)

HADDONSTONE ORNAMENTAL LIMESTONE –

CONFLICT OF INTEREST STATEMENT FORM

A. I am the of with a local office in [Insert Title] [Insert Company Name] and principal office in _.

B. The entity hereby submits an offer to ITB-26-055-KY, titled Haddonstone Ornamental Limestone – Removal/Installation at CRP.

C. The AFFIANT has made a diligent inquiry and provided the information in this statement affidavit based upon its full knowledge.

D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and time and that said above-stated entity has no financial interest in other entities submitting a proposal for the work contemplated hereby.

E. Neither the AFFIANT nor the above-named entity has directly or indirectly entered into any agreement, participated in any collusion or collusive activity, or otherwise taken any action which in any way restricts or restraints the competitive nature of this solicitation, including but not limited to the prior discussion of terms, conditions, pricing, or other offer parameters required by this solicitation.

F. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from participation in this solicitation or any contract to follow thereafter by any government entity.

G. Neither the entity nor its affiliates, nor anyone associated with them, have any potential conflict of interest because and due to any other clients, contracts, or property interests in this solicitation or the resulting project.

H. I hereby also certify that no member of the entity’s ownership or management or staff has a vested interest in any City Division/Department/Office.

I. I certify that no member of the entity’s ownership or management is presently applying, actively seeking, or has been selected for an elected position within the City of Altamonte Springs government.

J. In the event that a conflict of interest is identified in the provision of services, I, the undersigned will immediately notify the City in writing.

By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in, Conflict of Interest Statement Form, is truthful and correct at the time of submission.

AFFIANT SIGNATURE

Typed Name of AFFIANT

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 ________________________, who is personally known to me or has produced ______________________ as identification.

(stamp)

NOTARY PUBLIC

HADDONSTONE ORNAMENTAL LIMESTONE –

NON-COLLUSION/LOBBYING CERTIFICATION FORM

A. This sworn statement is submitted with Invitation to Bid number ITB-26-055-KY, titled Haddonstone Ornamental Limestone – Removal and Installation at Cranes Roost Park.

B. This sworn statement is submitted by ____________________________________ whose business address is [Name of entity submitting sworn statement] and (if applicable) its Federal Employer Identification Number (FEIN) is (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement.

C. My name is and my relationship to the above is ________________.

[Please print name of individual signing]

D. NON-COLLUSION PROVISION CERTIFICATION.

The undersigned hereby certifies, to the best of his or her knowledge and belief, that on behalf of the person, firm, association, or corporation submitting the bid certifying that such person, firm, association, or corporation has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action, in restraint of free competitive bidding in connection with the submitted bid. Failure to submit the executed statement as part of the bidding documents will make the bid nonresponsive and not eligible for award consideration.

E. LOBBYING CERTIFICATION.

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

1. No Federal and/or City 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 either directly or indirectly an officer or employee of the City, City Council Member of Congress in connection with the awarding of any City Contract.

2. If any funds other than Federal and/or City appropriated funds have been paid or will be paid to any person for influencing or attempting to influence a member of t h e City Council or an officer or employee of the City in connection with this contract, the undersigned shall complete and submit Standard Form-L “Disclosure Form to Report Lobbying”, in accordance with its instructions.

By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in, the Non-Collusion/Lobbying Certification Form, is truthful and correct at the time of submission.

AFFIANT SIGNATURE

Typed Name of AFFIANT

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 ________________________, who is personally known to me or has produced ______________________ as identification.

(stamp) NOTARY PUBLIC

HADDONSTONE ORNAMENTAL LIMESTONE –

HUMAN TRAFFICKING AFFIDAVIT

Instruction: “Contractor,” defined as any person or nongovernmental entity seeking to engage in business with the City of Altamonte Springs (“City”), must complete the following form.

The undersigned, on behalf of Contractor, hereby attests as follows:

A. Contractor understands and affirms that Section 787.06(13), Florida Statutes, prohibits the City from executing, renewing, or extending a contract to entities that use coercion for labor or services.

B. Contractor hereby attests, under penalty of perjury, that Contractor does not use coercion for labor or services as defined in Section 787.06(2), Florida Statutes.

I, the undersigned, am an officer or representative of the nongovernmental entity named below, and hereby represent that I: make the above attestation based upon personal knowledge; am over the age of 18 years and otherwise competent to make the above attestation; and am authorized to legally bind and make the above attestation on behalf of the Contractor. Under penalties of perjury, I declare that I have read the forgoing document and that the facts stated in it are true. Further Affiant sayeth naught.

Contractor:

Authorized Signature: Date: Printed

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 on behalf of the company/corporation. They ☐ are personally known to me or ☐ have produced as identification.

Signature of Notary Public

Name of Notary Typed, Printed or Stamped My Commission Expires:

HADDONSTONE ORNAMENTAL LIMESTONE –

FOREIGN COUNTRY OF CONCERN ATTESTATION

(PUR 1355)

This form must be completed by an officer or representative of an entity submitting a bid, proposal, or reply to, or entering into, renewing, or extending, a contract with a Governmental Entity which would grant the entity access to an individual’s Personal Identifying Information. Capitalized terms used herein have the definitions ascribed in Rule 60A-1.020, F.A.C.

______________________ is not owned by the government of a Foreign Country of Concern, is not organized under the laws of nor has its Principal Place of Business in a Foreign Country of Concern, and the government of a Foreign Country of Concern does not have a Controlling Interest in the entity.

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

Printed Name:

Title:

Signature: Date:

https://www.flrules.org/gateway/RuleNo.asp?title=GENERAL%20REGULATIONS&ID=60A-1.020 https://www.flrules.org/gateway/RuleNo.asp?title=GENERAL%20REGULATIONS&ID=60A-1.020

HADDONSTONE ORNAMENTAL LIMESTONE –

SUBMISSION CHECKLIST

Each Respondent shall furnish the information required in the Bid Submittal Package and each accompanying sheet thereof on which an entry is made.

The following items must be completed and included as part of your submittal. Failure to complete and return required forms may result in your Bid being deemed non-responsive and not considered for award.

Bid Submittal Package Documents Bid Submittal Forms:

Business & Contact Information completed & signed (Mandatory) Base Bid Grand Total

List of References List of Subcontractors List of Suppliers Conflict of Interest Statement Form – Notarized Non-Collusion/Lobbying Certification Form – Notarized Human Trafficking Affidavit – Notarized Foreign Countries of Concern Attestation

Other Requirements: See ITB Document – Minimum Qualifications Bid Guaranty / Bid Bond (Mandatory) General Contractor’s (GC) License E-Verify MOU (Memo of Understanding) included with submittal W-9 Form (signed & dated) included with submittal COI (Certificate of Insurance), Unendorsed, included with submittal Business Tax Receipt (BTR), or exemption, included with submittal Florida Division of Corporations (SunBiz) Registration included with submittal

HADDONSTONE ORNAMENTAL LIMESTONE –

BID SUBMITTAL LABEL

Cut along dotted line and tape or glue to a standard #10 envelope, mailing envelope, or box.

Company Name: Place Business Address: Postage Business Address: Here City/State/Zip: ______________________________

HAND DELIVER OR MAIL TO

PROCUREMENT DIVISION

CITY HALL, SUITE 1030

CITY OF ALTAMONTE SPRINGS

225 NEWBURYPORT AVENUE

ALTAMONTE SPRINGS FL 32701-3697

BID NUMBER: ITB-26-055-KY

BID TITLE: HADDONSTONE ORNAMENTAL LIMESTONE – REMOVAL AND INSTALLATION AT CRANES ROOST PARK Due Date: Mon., 3/16/2026 Due Time: 11:00 a.m.