ITB 4568- City of Midland Downtown Security Cameras.pdf
PDF 1 MB Posted
- Solicitation number
- ITB - 4568
- Issued by
- Macomb County, Michigan
About this file
The document is an Invitation to Bid (ITB 4568) issued by the City of Midland, Michigan for a Downtown Security Camera Project. The city is seeking a contractor to furnish, install, program, test, and commission a complete video surveillance system using AXIS hardware. The project involves installing three multi-lens surveillance cameras at key downtown intersections (Main Street & Ashman, Main Street & McDonald, Main Street & Rodd) and extending the surveillance system to 120 McDonald Street. This includes point-to-point wireless integration, interior/exterior dome camera installation, and connecting the existing Paxton door access system into the city network. The mandatory pre-bid meeting is scheduled for August 12, 2025, at 10:00 AM, and sealed bids will be accepted until 2:00 PM on August 26, 2025.
The bid requires a 5% bid bond or certified check, and the successful contractor will need to provide performance and payment bonds for 100% of the contract price. The project scope includes fiber terminations, network switch installations, camera mounting, and integration into a centralized Network Video Recorder (NVR) system at City Hall. The NVR system must support 100 TB storage, 24/7 continuous recording with 30-day retention, remote viewing, and be scalable for future expansion. Additional requirements include complete fiber testing, camera aiming verification, manufacturer documentation, wiring labeling, as-built drawings, warranty documentation, owner training, and full system access passwords. The contractor will be responsible for all necessary permits, safety compliance, and coordinating with city staff throughout the project.
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CITY OF MIDLAND DOWNTOWN
SECURITY CAMERAS
BID NO. 4568
AUGUST 26, 2025
CITY OF MIDLAND DOWNTOWN SECURITY CAMERAS
TABLE OF CONTENTS PAGES
TITLE PAGE 1
TABLE OF CONTENTS 2
INVITATION TO BID 3
CITY OF MIDLAND STANDARD INSTRUCTIONS TO BIDDERS 4
PROPOSAL 5
TECHNICAL SPECIFICATIONS 7
1. PROJECT DESCRIPTION 7
a. PROJECT OVERVIEW 7
b. MANDATORY PRE-BID MEETING 7
c. SCOPE OF WORK 7
i. DOWNTOWN CAMERAS 7
ii. EXISTING INFRASTRUCTURE 7
iii. CONTRACTOR RESPONSIBILITIES 7
iv. 120 MCDONALD STREET 8
v. NETWORK VIDEO RECORDER (NVR) 8
vi. REQUIREMENTS 8
2. GENERAL INFORMATION 9
a. QUESTIONS AND CLARIFICATIONS 9
b. ADDENDA 9
c. BONDING 9
d. SCHEDULE & CONSTRUCTION PHASING 9
e. APPLICATIONS FOR PAYMENT 9
f. CHANGE ORDERS 10
3. WORK COVERED BY CONTRACT 11
4. WORK HOURS 11
ATTACHMENTS and EXHIBITS:
ATTACHMENT 1: SPECIAL PROVISIONS FOR CONSTRUCTION WORK
EXHIBIT A: EXISTING / AS-BUILT DRAWINGS (FOR REFERENCE ONLY)
INVITATION TO BID
CITY OF MIDLAND DOWNTOWN SECURITY CAMERAS
Sealed bids will be accepted until 2:00 PM, Tuesday, August 26, 2025 to provide the City of Midland with pricing for
Downtown Security Cameras, per the attached specifications and standard instructions. Technical questions shall be directed to Tyler Abbs, City of Midland Facilities Manager at tabbs@midland-mi.org.
Bid should be submitted in a sealed envelope clearly marked as “BID 4568 – CITY OF MIDLAND DOWNTOWN
SECURITY CAMERAS”. Bid submission can be delivered or mailed ATTN: Purchasing to City of Midland, Office of the City Clerk, 333 W. Ellsworth Street, Midland, MI 48640.
Mandatory pre-bid meeting will be held August 12th, 2025 at 10:00 AM at Midland City Hall, 333 W. Ellsworth Street, Midland, MI 48640.
A certified check or bid bond for a sum of not less than five percent (5%) of the amount of the Proposal will be required with each bid.
Bid documents are available for download at Bidnet Direct by SOVRA/MITN Purchasing Group.
Registration is required to view and download bid package and specifications; follow link at https://www.bidnetdirect.com/mitn. Information can also be obtained directly from the Purchasing Department which is part of the Finance Department at City Hall, Midland, MI or by emailing purchasing@midland-mi.org.
Invitation to Bid and all its pages, documents and attachments, including those added subsequently by written notice, submitted and properly executed, shall constitute the contract between the City of Midland and the successful vendor when approved and accepted by the City.
The City reserves the right to accept or reject all or any parts of any and all bids, to waive irregularities and to award in the best interests of the City of Midland.
Christina Evans
Christina Evans Accounting Manager Midland, Michigan
CITY OF MIDLAND, MICHIGAN
STANDARD INSTRUCTIONS TO BIDDERS
1. Receipt and Opening of Bids: Sealed bids will be accepted and date/time stamped upon receipt in the office of the City Clerk, City Hall, 333 West Ellsworth, Midland, MI 48640-5132, until the time indicated on the attached Invitation to Bid for goods or services listed in the specifications and will be publicly opened and read aloud.
2. Form of Bid: Bids shall be submitted on the enclosed form with any exceptions, deviations or modifications to the published requirements clearly noted and explained.
3. Submission of Bids:
A) Envelopes containing bids shall be sealed and clearly marked on the outside of the envelope with the name and address of the bidder, the title and bid number of the project, and the date and time of the scheduled bid opening.
B) Any bid received after the scheduled opening time will not be accepted and will be returned unopened.
C) Any bidder may withdraw their bid response by written request at any time prior to the scheduled bid opening.
D) Telephonic or faxed bids will not be accepted and telephonic, telegraphic, or faxed amendments to bids or withdrawals will not be accepted under any circumstances.
E) Unless otherwise specified, no bid may be withdrawn, changed, or modified in any way for a period of sixty (60) calendar days from the date of the bid opening.
F) Negligence on the part of the bidder in preparing the bid confers no rights for the withdrawal of the bid after opening.
G) Bids received prior to the time of bid opening will be securely kept unopened. No responsibility will attach to any officer or employee of the City for the premature opening of a bid not properly addressed or identified.
H) In case of a discrepancy between unit prices and their extensions, the unit price bid shall govern.
4. Brand Names: Wherever in the specifications or proposal form brand names, trade names, manufacturer, or catalog numbers are called, it is for establishing a grade or quality level only and the phrase “or equal” is deemed to follow unless a prequalified list or the term “only”, “no exceptions”, or similar phrase is included.
5. Taxes: The City of Midland is exempt from State and Federal taxes. However, property purchased by a contractor to be used in the construction, alteration, repair, or improvement of property owned by the City is taxable to the contractor. Therefore, the price bid for contracts other than construction contracts must be exclusive of taxes and will be so construed. Construction contracts will be construed to include all applicable taxes unless the contract specifies otherwise.
6. Acceptance of Bids: The City will award to the lowest, responsive, responsible vendor that meets the functional requirements and needs expressed by the specifications. Tie bids will be awarded based on the most favorable terms for payment and/or delivery schedule or other costs associated with the award process. Receipt of a purchase order or properly executed contract covering the materials or services as described in the bid will indicate the award of bid and contract of purchase.
7. City’s Rights: The City reserves the right to accept or reject any or all bids, to waive irregularities or defects, to award on a split-order or lump-sum basis, and accept other than the low bid when deemed to be in the City’s best interests.
8. Non Appropriations: The City shall be bound, hereunder, only to the extent that funds shall have been appropriated and budgeted or are otherwise available for the purpose of this contract. In the event that no funds or insufficient funds are appropriated and budgeted, or are otherwise unavailable by any means whatsoever in any fiscal period of payments due under this contract, then the City shall immediately notify the Contractor of such occurrence and this contract shall terminate the last day of the fiscal period for which appropriations were received without penalty or expense to the City of any kind, whatsoever.
9. Delivery: Bids shall include all delivery charges with terms of Freight Prepay - FOB Midland, MI.
10. Laws: The laws of the State of Michigan shall govern the rights, obligations, and remedies of the Parties under this bid and any agreement reached through this process. The City of Midland is a Michigan municipal corporation.
11. Disclosure: All of the information included in your bid response is subject to the “Freedom of Information Act” and may be disclosed in its entirety after the formal, public bid opening has been completed. Bid tabulations will be available MITN website, https://www.bidnetdirect.com/mitn subsequent to bid opening date.
12. Independent Price Determination: By submission of this proposal, the bidder certifies that the pricing structure offered has been arrived at independently without consultation, communication, or agreement of such prices for the purpose of restricting competition with any other bidder or competitor.
13. Acceptance of Materials: All components used in the manufacture or construction of materials, supplies, and equipment, and all finished goods, shall be new, the latest make/model, of the best quality, and highest grade workmanship. In the event the delivered material is found to be defective or does not conform to specifications, the City reserves the right to cancel the order upon written notice to the bidder and return the materials to the bidder at the bidder’s expense.
14. Non-Iran Linked Business: By signing bid/quote response form, I certify and agree on behalf of myself and the company submitting this proposal the following: (1) that I am duly authorized to legally bind the company submitting this proposal; and (2) that the company submitting this proposal is not an “Iran linked business,” as that term is defined in Section 2(e) of the Iran Economic Sanctions Act, being Michigan Public Act No. 517 of 2012; and (3) That I and the company submitting this proposal will immediately comply with any further certifications or information submissions requested by the City in this regard.”
PROPOSAL FOR
ITB 4568 – CITY OF MIDLAND DOWNTOWN SECURITY CAMERAS
AUGUST 26, 2025: 2:00 pm
Date ___________________
Name of Bidder ________________________________________________________________
Bidder’s Address ________________________________________________________________
Bidder’s Phone Number _____________________ Bidder’s Email _________________________
To: City of Midland Office of the City Clerk Attn: Purchasing 333 W. Ellsworth Street Midland, MI 48640-5132
Proposal for: ITB 4568 – CITY OF MIDLAND DOWNTOWN SECURITY CAMERAS
1. The undersigned, hereinafter called the Contractor, hereby declares that they have read the “Instruction to Bidders”.
The Contractor, hereby proposes to furnish all specified and necessary equipment, devices, provide supervision including all overhead and profit to meet the construction schedule; all in accordance with the project documents and other contract documents. Including:
Addendum No. __________, Dated __________
Fiber Terminations: DOLLARS ($_____________________)
Cabling, switches, Downtown street cameras: DOLLARS ($_____________________)
Point to Point For 120 McDonald: DOLLARS ($_____________________)
Cabling, switches, cameras for 120 McDonald: DOLLARS ($_____________________)
Installation & misc. equipment: DOLLARS ($_____________________)
LUMP SUM BASE BID PROPOSAL TOTAL
___________________________________________________ Dollars ($___________________________)
2. Construction completion schedule (Please note: This schedule shall be for 100% completion of project) The undersigned agrees, if awarded the contract, the project will be completed within _______ calendar days of construction start.
3. The undersigned has carefully examined the bidding and contract documents, and any and all Addenda issued, and agrees to be bound by all requirements thereof in the submission of this proposal, and in the performance of the contract if awarded this proposal.
4. The undersigned agrees that this proposal shall not be withdrawn until sixty (60) days after the time set for receipt of proposals.
5. Payment terms
a. Payment shall be made monthly utilizing AIA G702 & G703 forms. Final payment shall not be made till all punch list items have been accepted and all warranty, training and closeout documents have been received per the bid specifications.
6. Address, Legal Status and Signature of Bidder
The undersigned bidder does hereby designate the address given below as the legal address to which all notices, directions, or other communications may be served or mailed.
Address: ________________________________________________________________
City: ________________________ State: __________________ Zip: ________________
The undersigned bidder does hereby declare that the bidder has the legal status checked below:
_________ Individual
_________ Co-Partnership
_________ Corporation incorporated under the laws of the State of ________________________
This proposal is submitted in the name of: ________________________________________________
(Name of Bidder)
By: ____________________________________
Title: ____________________________________
Signed and sealed this ___________________ day of ___________________, 20_____.
Bids may be inspected at the bid opening or in the Procurement Office during normal business hours. Tabulations will be available at the MITN website subsequent to bid open date.
LATE BIDS WILL BE REJECTED.
ITB 4568 – CITY OF MIDLAND DOWNTOWN SECURITY CAMERAS
TECHNICAL SPECIFICATIONS
1. PROJECT DESCRIPTION
a. PROJECT OVERVIEW:
The City of Midland is looking for a contractor that will furnish, install, program, test and commission a complete video surveillance system designed around AXIS hardware.
The project involves the installation of three multi-lens surveillance cameras at key intersections in Downtown Midland, and an extension of surveillance system to 120 McDonald Street; including both point-to-point wireless integration, interior/exterior dome camera installation and connecting existing Paxton door access system into City network.
b. MANDATORY PRE-BID MEETING:
A mandatory pre-bid inspection will be held at Midland City Hall on August 12, 2025 at 10:00 AM at 333 W. Ellsworth St., Midland, MI 48640.
c. SCOPE OF WORK:
i. Downtown cameras
1. Contractor shall recommend best placement and the install three
(3) multi-lens surveillance cameras at the following intersections that allow for the best coverage of the downtown streets:
a. Main Street & Ashman Street
b. Main Street & McDonald Street
c. Main Street & Rodd Street
2. All cameras shall be wired and powered per manufacturer’s specifications and integrated into the central NVR.
ii. Existing infrastructure
1. A 12-pair fiber cable runs from the Northwood Galley at Main &
Ashman to a junction box mounted on the light pole located in front of Tavern on Main.
2. A 12-pair fiber cable runs from pole out to other junction boxes as shown in Exhibit A.
3. Existing City-owned fiber is available and shall be utilized.
iii. Contractor responsibilities
1. Perform all fiber terminations at each junction box, Northwood Gallery, County Building and City Hall as required to complete the camera network loop and have full integration into City network.
2. Install AXIS fiber network switches to support all cameras and 120 McDonald Street and configuration of systems.
3. Mount, power and network each multi-lens AXIS camera in waterproof enclosure of selected light poles.
4. Coordinate any required pole attachments and ensure all components are vandal-resistant and rated for outdoor use.
iv. 120 McDonald Street
1. Integrate point-to-point wireless bridge to 120 McDonald from new camera network.
2. Installation of one exterior camera mounted under the EIFS façade mounted to monitor the restrooms doors and point towards Main Street.
3. One interior camera installed facing the main glass entrance door by the exterior restrooms.
4. One interior camera installed facing the housekeeping closet area to pick up the back half of the corridor.
5. Connecting existing Paxton door access system into new point-to-point connection. Main Paxton panel is located in the basement of the building.
6. All cameras shall be wired and powered per manufacturer’s specifications and integrated into the central NVR.
v. Network Video Recorder (NVR):
1. Install a centralized AXIS NVR system in City Hall Server Room.
2. NVR System shall support
a. Minimum of 100 TB storage capacity
b. Ability to automatically overwrite the oldest stored recordings
c. Remote viewing, event based recording
d. 24/7 continuous recording for a minimum 30-day retention period
e. All cameras, network switches and recording systems shall be AXIS brand or approved equal
f. System shall be scalable for future expansion
g. Contractor shall provide system programming, IP configuration and initial camera commissioning
vi. Requirements:
1. Complete fiber testing report after termination
2. Camera aiming and force verification with City staff
3. Manufacturer documentation for all components
4. Labeling of all wiring at both end of each wire
5. As-built drawings including fiber paths, IP addressing and camera layouts
6. Warranty documentation with 1-year labor and 3-year hardware minimum
7. Minimum of two hour owner training of system
8. All passwords for complete access to cameras, switches and NVR
2. GENERAL INFORMATION:
a. QUESTIONS AND CLARIFICATIONS:
The City of Midland Official Point of Contact, for submission of questions and clarifications related to this ITB:
Tyler Abbs, City of Midland, Facilities Manager 333 Ellsworth St.
Midland, MI 48640
(989) 837-3370 tabbs@midland-mi.org
All inquiries and other correspondence or concerns regarding the ITB should be directed to the City of Midland’s Official Point of Contact are to be transmitted in writing via US Mail or email only. DO NOT CALL – the telephone number is provided for courier delivery purposes only.
b. ADDENDA:
Prior to the deadline for submission of proposals, City reserves the right to issue addenda to this ITB. All addenda issued to Contractor prior to date of receipt of proposals shall become a part of this proposal, and all proposals are include the work therein described. Proposers are responsible for ensuring receipt of all addenda and incorporating any changes into their proposal.
Proposer shall acknowledge receipt of any addenda. Addenda will be posted at Michigan Inter-Governmental Trade Network (MITN) Purchasing Group website and on the City of Midland website.
c. BONDING:
The successful Contractor shall furnish a performance bond in the amount of 100% of the contract price and security for the faithful performance of the project. The Contractor shall also provide a payment bond in the amount of 100% of the contract price as a security for payment of all persons or companies that supply materials and/or labor in connection with this project.
Surety bonds shall be provided through firms that are listed as approved on the U.S. Treasury Department’s Circular 570. This provision only applies if bid is over $50,000.00.
d. SCHEDULE & CONSTRUCTION PHASING:
Prior to the commencement of work, a preconstruction meeting shall be held between the contractor and the City of Midland to coordinate logistics, site access, and project phasing. The meeting will occur at a mutually agreed upon time and location.
At this meeting, the contractor shall submit a detailed construction schedule for review and approval by the City’s Facilities Manager. The schedule must clearly outline the sequencing of work, identify key milestone.
e. APPLICATIONS FOR PAYMENT:
The Contractor shall submit by the 25th of each month a progress payment application using AIA forms for Applications for Payment.
i. APPLICATION PREPARATION:
Complete every entry on the form. Include notarization and execution by a person authorized to sign legal documents on behalf of the contractor. The City will return incomplete applications without action.
1. Include amounts of change orders and construction change directives issued prior to the last day of the construction period covered by the application.
i. INITIAL APPLICATION FOR PAYMENT:
Administrative actions and submittals, that must precede or coincide with submittal of the first Application for Payment, include the following:
1. List of subcontractors
2. Contractor’s construction schedule (preliminary if not final)
3. Copies of permits
4. Copies of authorizations and licenses from governing authorities for performance of the work
5. Certificates of insurance and insurance policies
6. Performance and payment bonds
7. Health and safety plans
8. No earnest money, deposits, or down payments shall be issued to the contractor prior to the equipment being in the contractor’s possession. Payment will only be considered upon the City’s receipt of:
a. Photographic evidence verifying that the equipment has been received and is in the contractor’s custody; and
b. A valid and current Certificate of Insurance listing the City of Midland, value of the materials and location being stored.
ii. FINAL PAYMENT APPLICATION:
Administrative actions and submittals that must precede or coincide with submittal of the final Application for Payment include the following:
1. Completion of project closeout requirements
2. Completion of items specified for completion after Substantial
Completion
3. Ensure that unsettled claims will be settled
4. Ensure that incomplete work is not accepted and will be completed without undue delay
5. Transmittal of required project construction records to the City
6. Proof that taxes, fees, and similar obligations were paid
7. Removal of temporary facilities and services
8. Removal of surplus materials, rubbish, and similar elements
f. CHANGE ORDERS:
When latent or unforeseen conditions require modifications to the contract, the contractor may propose changes by submitting a request for a change to the City
i. Include a statement outlining the reason for the change and the effect of the change on the work. Provide a complete description of the proposed change. Indicate the effect of the proposed change on the contract sum and contract time.
ii. Change orders proposals will be completed on contractor provided forms. If change order is approved, the City will provide signed City document authorizing change order to proceed.
3. WORK COVERED BY CONTRACT
a. The contractor shall furnish all labor, materials, equipment, supervision, tools, testing and incidentals required to complete the installation. The installation will comply with all current applicable codes, safety standards.
b. Secure and pay for required permits, fees, and licenses necessary for proper execution and completion of required work, as applicable at time of quotation due date.
4. WORK HOURS
a. Unless otherwise stated below or elsewhere, the contractor shall have access to the work site for work activities during the following regular building operating hours:
i. Monday – Friday 8:00 AM to 5:00 PM
ii. Work outside these times can be schedule through the Facilities
Manager.
CITY OF MIDLAND, MICHIGAN
SPECIAL PROVISIONS FOR CONSTRUCTION WORK
1. Confined Space Entry Obligations:
a) All contractors and sub-contractors conducting permit-required confined space entry shall have a written permit-required space program meeting the requirements of the Michigan Occupational Safety and Health Administration (MIOSHA) General Industry Safety Standards Commission, Part 90.
Confined Space Entry; and Occupational Health Standards Commission, Part 490. Permit-Required Confined Spaces, as well as current confined space entry team training documentation and a rescue plan. Contractors shall provide written proof of that program, training records and rescue plan upon request, before the bid is awarded or at any time after the bid is awarded.
b) Contractors shall comply with all MIOSHA confined space standards and all other regulations concerning confined space entry at all times.
c) The City of Midland is in compliance with all MIOSHA standards pertaining to confined space entry.
A copy of the City of Midland Master Plan for Permit-Required Confined Space Entry can be obtained from the Human Resources Department in City Hall, 333 West Ellsworth, Midland, Michigan 48640.
2. Liquidated Damages:
a) If the contractor fails to finish the project prior to the completion date established in the contract including approved extensions, liquidated damages will be charged for each calendar day that the work remains incomplete. If no completion date is listed in the specifications, this clause will be null and void.
b) The amount of liquidated damages will be deducted from the money due the contractor prior to final payment or in the case where the remaining amount due is less than the total amount of liquidated damages, the City shall have the right to recover the difference from the contractor or the contractor’s surety.
c) Unless specifically amended or modified by the bid specifications, the schedule for liquidated damages shall be as follows:
CONTRACT AMOUNT
FROM TO LIQUIDATED DAMAGES
$ 0 $50,000 $100 per calendar day $50,001 $100,000 $200 per calendar day $100,001 $500,000 $300 per calendar day $500,001 and up $400 per calendar day
d) The amounts set forth in the above schedule are not to be considered punitive, but rather predetermined and reasonable amounts to compensate for the detriment to the public and to defray expenses incurred by the City due to delay in the completion of the project.
3. Bid Security:
a) A bid security, as a guarantee of good faith, in the form of a certified check, cashier’s check, or bidder’s bond may be required to be submitted for this project as indicated on the bid response form.
b) If alternate bids are being proposed, only one bid security will be required in the amount of the highest proposed total bid.
c) Such bid security will be returned to the unsuccessful bidders upon award of the bid and to the successful bidder upon approval by the City of the executed contract and any additional bonds required or to all bidders upon rejection of the bid in its entirety by the City.
d) Bid security shall be forfeited to the City as liquidated damages, not as a penalty, if the successful bidder fails or refuses to enter into a contract with the City according to the terms of the bid or fails to provide sufficient bonds and/or insurance certificates as required by the City and established in this specification document.
4. Insurance Certificate:
The successful vendor shall supply to the City prior to award an Insurance Certificate in the minimum amount prescribed below listing the City of Midland as “Additional Insured”. All certificates of insurance shall be on the standard ACCORD CERTIFICATE OF INSURANCE form showing the specific limits of insurance required. The contractor shall not commence any work on this project until a valid form has been delivered to the City and has been approved by the City Attorney.
Commercial General Liability Insurance The contractor shall procure and maintain during the life of this contract, Commercial General Liability Insurance on an occurrence basis with limits of liability not less than $1,000,000 per occurrence and $2,000,000 aggregate combined single limit, Personal Injury, Bodily Injury and Property Damage.
Coverage shall include the following: a) contractual liability; b) products and completed operations; c) independent contractors; d) broad form general liability extensions or equivalent; e) per contract aggregate.
Automobile Liability The contractor shall procure and maintain during the life of this contract, automobile liability insurance, including applicable No-Fault coverages, with limits of liability of not less than $1,000,000 per occurrence combined single limit bodily injury and property damage. Coverage shall include all owned, non-owned, and hired vehicles.
Workers Compensation Liability Insurance The contractor shall procure and maintain during the life of this contractor, Workers Compensation Insurance, including employers’ liability coverage in accordance with all applicable statues of the state of Michigan. Employer liability limits shall be at least $500,000/$500,000/$500,000.
5. Performance and Payment Bond The successful contractor shall furnish a performance bond in the amount of 100% of the contract price as security for the faithful performance of the project. The contractor shall also provide a payment bond in the amount of 100% of the contract price as security for payment of all persons or companies that supply materials and/or labor in connection with this project. Surety bonds shall be provided through firms that are listed as approved on the U.S. Treasury Department’s Circular 570.
6. Subcontractor Usage:
The City has the right of approval on subcontractors used for any City project. The use of ineligible vendors as subcontractors may cause the main contractor to be placed on the City’s list of ineligible vendors. The City does not pay subcontractors directly, that is the responsibility of the general. For a list of the City’s ineligible vendors, contact the City Purchasing Agent.
City of Midland APPENDIX XII
Contractor Safety Qualification Statement
Description of work or job name: Contract No.:
Contract Company: Owner/CEO: Phone:
Safety Officer: Title: Phone:
Contractor experience modification rate (EMR): OSHA Recordable Injury Incident Rate (past year):
We have received a written copy of and agree to follow the requirements of the City of Midland’s “Contractor Safety Program:”
Yes No Comments:
We have an active written safety program which will be provided to City representatives upon request.
Yes No Comments:
We understand the essential requirements of the following applicable safety regulations and agree to make a good faith effort to follow them. We further certify that these applicable regulations are readily accessible to employees:
Yes N/A
Yes N/A
a. Use of reflective safety vests h. Welding and cutting
b. Confined space entry i. Hazard communication (“right-to-know”)
c. Control of hazardous energy j. Alcohol and drug use
d. Elevated work k. Bloodborne pathogens
e. Excavations, trenches & shoring l. Respiratory protection
f. Personal protective equipment m. Other applicable regulations:
g. Work area protection and traffic control
Project-specific concerns of applicable safety regulations and safety control measures will be discussed and documented at the pre-project meeting with City representatives.
Important! The City reserves the right to request verification, in writing, of the contractor’s current safety program, training and certification records, and emergency response plans as applicable to the work being done.
Other comments:
We attest that the above information is true to the best of our knowledge and can be substantiated if requested.
Received by:
Contract Representative: Contracting Dept.:
Title: Date: Name: Date:
MI Contractor’s License No. (if applicable): Original to: Contracting Department Copy to: Contractor
4/05 GP
Contractor Project Safety Plan To be completed at pre-project meeting along with City contract representative.
Project name: _______________________________________Date:
* Must attach traffic control plan ** Must have copies of MSDSs for all hazardous chemicals on-site.
*Safety Concerns of the Job (check all that apply)
1.
Traffic control* 9.
Welding and cutting
2. Hazardous energy 10. Bloodborne infectious diseases
3. Excessive noise 11. Chemical exposures**
4. Hazardous chemicals 12. Trenching/excavations
5. Falling objects 13. Eye hazards
6. Confined space 14. Foot hazards
7. Elevated work 15. Hand hazards
8. Respiratory hazards 16. Other:
Safety Concern (see above)
Control measures (protective equipment, engineering controls, administrative controls, other measures)
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Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Arrow
Chad.Gohl Arrow
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
Chad.Gohl Ellipse
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Image
SteveP Polygon
SteveP Rectangle
SteveP Rectangle
SteveP Rectangle
SteveP Rectangle
SteveP Rectangle
SteveP Rectangle
SteveP Rectangle
SteveP Rectangle
SteveP Polygon
SteveP Rectangle
SteveP Rectangle
SteveP Rectangle
SteveP Rectangle
SteveP Polygon
SteveP Polygon
SteveP Polygon
SteveP Rectangle
SteveP Rectangle
SteveP Polygon
SteveP Rectangle
SteveP Rectangle
SteveP Polygon
SteveP Polygon
SteveP Polygon
SteveP Polygon
SteveP Rectangle
SteveP Rectangle
SteveP Rectangle
SteveP Polygon
SteveP Polygon
SteveP Rectangle
SteveP Rectangle
SteveP Polygon
SteveP Polygon
SteveP Polygon
SteveP Rectangle
SteveP Polygon
SteveP Polygon
SteveP Polygon
SteveP Rectangle
SteveP PolyLine
SteveP Window Sensor
SteveP Text Box W
SteveP Window Sensor
SteveP Text Box W
SteveP Window Sensor
SteveP Text Box W
SteveP Window Sensor
SteveP Text Box W
SteveP Window Sensor
SteveP Text Box W
SteveP Window Sensor
SteveP Text Box W
SteveP Window Sensor
SteveP Text Box W
SteveP Window Sensor
SteveP Text Box W
SteveP Window Sensor
SteveP Text Box W
SteveP Window Sensor
SteveP Text Box W
SteveP Window Sensor
SteveP Text Box W
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP PolyLine
SteveP Line
SteveP Line
SteveP Line
SteveP Text Box Main Fiber Feed
SteveP Text Box Drop Fiber
SteveP Text Box Cat 6 Copper
SteveP Ellipse
SteveP Ellipse
SteveP Ellipse
SteveP Ellipse
SteveP Ellipse
SteveP Ellipse
SteveP Ellipse
SteveP Ellipse
SteveP Text Box Nodes- Two 1-In 2-Out Five 1-In 1-Out The second 1/2 location TBD
SteveP Callout Patch made to County Fiber Loop
SteveP Image
SteveP Window Sensor
SteveP Text Box W
SteveP Text Box Speaker
SteveP Text Box WiFi Antenna davidh PolyLine davidh PolyLine davidh PolyLine davidh Ellipse davidh PolyLine davidh Typewritten Text 5 - PoE ports Use PoE injector
DavidH Polygon
DavidH Polygon
DavidH Text Box MCTV drop - Not throttled
DavidH Typewritten Text
DavidH Callout 100' between poles
DavidH Typewritten Text Notes:
Red Dot, w/lockable in-use cover painted black
File details come from the government source that posted it. Updated .