Material_Supplier_Acknowledgement_Form.pdf
PDF 32 KB Posted
- Attached to
- Omega Park CCUA Connection State and local contract opportunity
- Solicitation number
- 25/26-007
- Issued by
- Clay County, Miramar Beach CDP, Florida
About this file
This is a Material Supplier Acknowledgement Form issued by the Clay County Utility Authority (CCUA) for the Omega Park CCUA Connection project located in Middleburg, Florida. The form serves as acknowledgment that material suppliers will provide only materials compliant with CCUA's specifications, details, and Approved Materials Manual. The project requires furnishing and installing utility infrastructure including approximately 190 linear feet of 8-inch PVC gravity sewer main, 335 linear feet of 2-inch water service, and 484 linear feet of 2-inch force main, along with constructing a new lift station and decommissioning existing septic tanks. A mandatory pre-bid meeting is scheduled for October 30, 2025, at 1:00 PM at the park site, with bids due November 20, 2025, at 4:00 PM. The project timeline requires substantial completion within 120 days from the Notice to Proceed, with final completion expected within 150 calendar days. Contractors must have been in business for a minimum of five years performing similar work and may be required to provide equipment and personnel lists.
The form establishes that individual shop drawings are not required for materials listed in CCUA's Materials Manual; however, exceptions requiring individual shop drawings include alternate materials requested by the engineer, unlisted materials, and materials associated with pumping stations and plant installations. The total connection charges for the project amount to $27,670.30, which includes potable water capacity charges, alternative water supply surcharges, wastewater capacity charges, and environmental impact charges. A 5% bid bond is required, and evaluation will be based on the lowest responsive and responsible bid. Comprehensive insurance requirements include commercial general liability, business automobile liability, workers' compensation, and property coverage. Chen Moore and Associates serves as the engineering design firm for the project.
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Text version
Clay County Utility Authority 3176 Old Jennings Road
Middleburg, Florida 32068-3907 Telephone (904) 272-5999 Facsimile (904) 213-2469
Working together to protect public health, conserve our natural resources, and create long-term value for our ratepayers.
Shop Drawings and CCUA's Approved Materials List Form Material Supplier Acknowledgement
Date: ________________________
Project Name:
The undersigned does hereby acknowledge and agree to provide only materials which are in accordance with CCUA's specifications, details, and its Approved Materials Manual.
Acknowledged By:
Company Name:
Authorized Signature:
Title:
Address:
Telephone Number:
Contractor Name: __________________________
NOTE: (1) This form shall take the place of individual shop drawings for each item of materials with the following exceptions: any alternate materials requested by the Engineer; any material not listed in the CCUA's Materials Manual; and materials associated with pumping stations and plant installations. Those exceptions shall have an individual shop drawing submitted for CCUA's review and approval prior to any installation of said materials.
(2) This is CCUA's procedure and it does not preclude the design engineer from requiring additional submittals and shop drawings as he deems necessary for the project.
| Clay County Utility Authority |
| Middleburg, Florida 32068-3907 |
| Telephone (904) 272-5999 |
| Facsimile (904) 213-2469 |
| Working together to protect public health, conserve our natural resources, and create long-term value for our ratepayers. |
| Shop Drawings and CCUA's Approved Materials List Form |
| Material Supplier Acknowledgement |
| Date: |
| Project Name: |
| Company Name: |
| Title: |
| Address 1: |
| Address 2: |
| Address 3: |
| Telephone Number: |
| Contractor Name: |
File details come from the government source that posted it. Updated .