QR 40945 - Deep Creek Herbicide.pdf

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QR 40945 – Deep Creek Conservation Area Terrestrial Forestry Site Preparation
Solicitation number
ITB-11425
Issued by
Polk County, Florida

About this file

This is a Quote Request (QR 40945) issued by the St. Johns River Water Management District for terrestrial forestry site preparation at Deep Creek Conservation Area in St. Johns County, Florida. The project involves conducting a broadcast ground application of herbicides using a tractor or skidder-mounted herbicide spray rig across approximately 140 acres to target the eradication of Primrose Willow and Cogongrass. Responses are due by 2:00 PM on January 29, 2025. While no scheduled site visits are planned, contractors can contact the District Project Manager to arrange one with 24-hour notice. The project must be completed by September 15, 2025.

The total contract amount is not to exceed $25,000. The District will supply all herbicides, surfactants, and specify application rates. Contractors must provide equipment, personnel protective equipment, and labor. Key requirements include having a field supervisor with a valid Florida Pesticide Applicators License for Natural Areas who must be onsite during applications, minimum 5 years of relevant experience, and completion of at least two similar projects in the past three years. The contractor must provide GPS tracklogs to document coverage and submit weekly reporting forms detailing activities, wind speed, herbicide usage and contractor hours.

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January 16, 2025

Interested Firms

Re: Quote Request, 40945 – Deep Creek Conservation Area Terrestrial Forestry Site Preparation

Dear Contractor , The St. Johns River Water Management District (“District”) desires to procure a contractor to perform forestry site preparation by conducting a broadcast ground application of herbicides using a tractor or skidder-mounted herbicide spray rig across approximately 140 acres within the designated treatment areas at Deep Creek Conservation Area as outlined in the Statement of Work.

There is no scheduled site visits planned for this project; however, it is recommended that you contact the District Project Manager to schedule a site visit. You may contact Taylor Clark, District’s Project Manager at 386-329-4157 or via email at tclark@sjrwmd.com to schedule a site visit. Please provide at least a 24-hour notice to schedule.

Minimum Qualifications:

Respondents must meet the minimum qualifications below and all supporting documentation must be submitted with the response to this quotation request:

a. Proof of firm’s ability to do business in the state of Florida. (Respondent-provided documentation must be included with quote response.)

b. Contractor must provide a field supervisor with a valid Florida Pesticide Applicators License for Natural Areas and must be onsite during all herbicide applications. (Respondent provided documentation must be included with its Quote).

c. Respondent must have no less than five (5) years of experience on projects of the nature specified above.

d. Respondent must have completed at least two (2) projects of a similar nature (refer to the tasks outlined in the Statement of Work) in the past three (3) years by the individual, firm, or project manager assigned to the project. (District-provided form, Qualifications - Similar Projects Form)

e. Respondent must provide three (3) client references. At least two (2) of the references must be from the similar projects listed in sub-paragraph (c) above. No more than one (1) of the references may be from completed District projects. If a District project is cited, do not request a letter from District staff.

QR 40945

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WHERE TO DELIVER RESPONSE

Respondent must submit its Response in electronic format (no paper copies) either by: uploading to DemandStar directly at www.demandstar.com OR to Central Bidding directly at www.centralbidding.com (NOT BOTH); OR (2) delivering all files on a single pin/thumb/jump drive either by mail or hand delivery in a sealed envelope labeled as follows:

SEALED QUOTE – DO NOT OPEN

Respondent’s Name:

Quote Request: 40945 Opening Time: 2:00 p.m.

Opening Date: January 29, 2025

Breanna Pierce, Procurement Specialist St. Johns River Water Management District Office of Financial Services 4049 Reid Street Palatka, FL 32177

DO NOT SUBMIT YOUR QUOTE BY EMAIL OR MORE THAN ONCE – THIS WILL RESULT IN

THE QUOTE BEING REJECTED AS NON-RESPONSIVE.

Recommendation for award shall be based on the lowest quote that meets all requirements of this quote request.

If you need assistance or have any questions about submitting your quote, please email Breanna Pierce at BPierce@sjrwmd.com or call (386) 643-1168.

NOTE: Please check the box provided below if you are unable to provide a quotation for this project at this time and return this page by email to my attention at BPierce@sjrwmd.com.

I am unable to provide a quotation at this time for the following reason(s):

Respondent’s Signature Respondent’s Company Name http://www.demandstar.com/ http://www.centralbidding.com/ mailto:BPierce@sjrwmd.com

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The District is a political subdivision of the state of Florida, whose boundaries cover all or portions of 18 counties, and is tax exempt (Tax ID No. 85-8012643710C-3; expires March 31, 2028). Respondent shall provide an estimate of all applicable taxes and fees in its quote, including a list of taxes and fees that fall under the District’s exemption.

1. Opening of Quotes

a. The Florida Public Records Act, §119.071(1)(b), Fla. Stat., exempts sealed quotes from inspection and copying until such time as the District provides notice of an intended decision pursuant to §120.57(3)(a), Fla. Stat., or until 30 days after opening of quotes, whichever is earlier. This exemption is not waived by the public opening of quotes.

b. Unless otherwise exempt, Respondent’s quote is a public record that is subject to disclosure upon expiration of the above exemption. If any information submitted with the Quote is a trade secret as defined in §812.081, Fla. Stat., and exempt from disclosure pursuant to §815.04, Fla. Stat., Respondent must clearly identify any such material as “CONFIDENTIAL TRADE SECRET” in its submittal and explain the basis for such exemption. The District reserves the right, in its sole judgment and discretion, to reject a submittal for excessive or unwarranted assertion of trade secret confidentiality and return the submittal to Respondent.

c. Respondents shall bear all costs associated with preparing and submitting responses to this Quote Request. The District will, in no way, be responsible for these costs, regardless of the conduct or outcome.

2. Inquiries and Addenda

a. District staff are not authorized to orally interpret the meaning of the Quote Request package, or correct any apparent ambiguity, inconsistency, or error therein. In order to be binding upon the District, the interpretation or correction must be given by the Procurement Specialist and must be in writing. The Procurement Specialist may orally explain the District’s procedures and assist Respondents in referring to any applicable provision in the Quote Request documents, but the Respondent is ultimately responsible for submitting the quote in the appropriate form and in accordance with written procedures.

b. Every request for a written interpretation or correction must be received at least nine days prior to opening of quotes in order to be considered. Requests must be submitted by email to BPierce@sjrwmd.com. Interpretations, corrections, and supplemental instructions will be communicated by written addenda to this solicitation posted by Onvia DemandStar to all prospective Respondents (at the respective addresses furnished for such purposes) not later than five days prior to the date fixed for the Quote Request opening.

f. Submission of a quote constitutes acknowledgment of receipt of all addenda. Quotes will be construed as though all addenda had been received. Failure of the Respondent to receive any addenda does not relieve Respondent from any and all obligations under the quote, as submitted.

All addenda become part of the Agreement.

3. Award Procedures

a. Section 286.0113, Fla. Stat., exempts from being open to the public, any portion of a meeting at which: (1) a negotiation with a Respondent is conducted pursuant to a competitive solicitation;

(2) a Respondent makes an oral presentation as part of a competitive solicitation; (3) a Respondent answers questions as part of a competitive solicitation; or (4) negotiation strategies are discussed. Also, recordings of, and any records presented at, the exempt meeting are exempt from §119.07(1) and §24(a), Art. I of the State Constitution (Public Records) until such time as the District provides notice of an intended decision or until 30 days after opening the Quotes or final replies, whichever occurs earlier. A complete recording shall be made of any portion of an exempt meeting. No portion of the exempt meeting may be held off the record.

b. Pursuant to §286.0113 Fla. Stat., if the District rejects all quotes and concurrently provides notice of its intent to reissue the competitive solicitation, the recording and any records presented at any

- 4 -exempt meeting shall remain exempt from §119.07(1) and §24(a), Art. I of the State Constitution (Public Records) until such time as the District provides notice of an intended decision concerning the reissued competitive solicitation or until the District withdraws the reissued competitive solicitation. A recording and any records presented at an exempt meeting are not exempt for longer than 12 months after the initial District notice rejecting all quotes.

c. The District will examine the quotes to determine completeness. Obvious mismatches with regard to technical or commercial requirements will be rejected at this time.

d. If two or more quotes are equal in all respects, the Agreement will be awarded as follows: (1) to the Respondent that certifies compliance with §287.087, Fla. Stat., via the Drug-Free Workplace Form; or (2) by lot.

e. In the event the Successful Respondent(s) fail to enter into the Agreement or the Agreement with said Respondent is terminated within 90 days of the effective date, the District reserves the right to negotiate with the other respondents in ranked order, if available, and award an Agreement.

f. All Respondents will be notified of the District's intent to award or decision to award the Agreement. For the purpose of filing a protest under §120.57(3), Fla. Stat., the time period will commence as provided in “Notices and Services Thereof.”

4. Disqualification of Respondents

Any of the following causes will be considered as sufficient grounds for disqualification of a Respondent and rejection of the Quote:

a. Contacting a District employee or officer other than Alan Weaver, the procurement specialist assigned to this solicitation action, about any aspect of this Quote Request before the notice of intended decision is posted.

b. Submission of more than one quote response for the same subject matter by an individual, firm, partnership, or corporation under the same or different names;

c. Evidence of collusion among Respondents;

d. Submission of materially false information with the Quote;

e. Information gained through checking of references or other sources which indicates that Respondent may not successfully perform the Work;

f. Respondent is failing to adequately perform on any existing contract with the District;

g. Respondent has defaulted on a previous contract with the District;

h. The evidence submitted by Respondent, or the District’s investigation of Respondent, fails to satisfy the District that Respondent is properly qualified to carry out the obligations of the Agreement in a manner acceptable to the District and within the time period specified;

i. Any other cause that is sufficient to raise doubt regarding the ability of a Respondent to perform the Work in a manner that meets the District’s objectives for the Work.

5. Rejection of Quote

a. Quotes must be emailed to the specified location and received during the time specified on page 1 in order to be considered timely. Untimely quotes will not be considered. Quotes will be considered irregular and may be rejected if they show material omissions, alterations of form, additions not called for, conditions, limitations, unauthorized alternate quotes, or other material irregularities. The District may consider incomplete any quote not prepared and submitted in accordance with the provisions specified herein, and reserves the right to waive any minor deviations or irregularities in an otherwise valid Quote.

b. The District also reserves the right to reject any and all quotes when it determines, in its sole judgment and discretion that, it is not in its best interest to award the agreement.

http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=%22open%20government%22&URL=0100-0199/0119/Sections/0119.07.html

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6. Public Entity Crimes/Discriminatory Vendors

In accordance with §287.133 and §287.134, Fla. Stat., a person or affiliate who has been placed on the convicted or discriminatory vendor lists following a conviction for a public entity crime or placement on the discriminatory vendor list may not submit a quote, proposal, or reply on a contract to provide any goods or services to a public entity; may not submit a quote, 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 quotes, 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 Contractor under a contract with any public entity; and may not transact business with any public entity in excess of the threshold amount provided in §287.017 for CATEGORY TWO ($35,000) for a period of 36 months following the date of being placed on the convicted or discriminatory vendor lists.

7. Diversity Opportunities

The District is committed to the opportunity for diversity in the award and performance of all procurement activities. The District encourages its respondents to make a good faith effort to ensure that women and minority-owned business enterprises (W/MBE) are given the opportunity for maximum participation as second and lower tier participants. The District will assist Respondents by sharing information on W/MBEs to encourage their participation.

8. Prohibition Against Considering Social, Political, or Ideological Interest in Government Contracting

Notice is hereby provided that pursuant to Section 287.05701, Florida Statutes, the District (1) will not request documentation of or consider a Respondent’s social, political, or ideological interests when determining if the Respondent is a responsible respondent and (2) may not give preference to a Respondent based on the Respondent's social, political, or ideological interests.

9. Notices and Services Thereof

a) The District will publish notice of specifications and criteria, including addenda, intended agency decisions, or other matters pertinent to this solicitation on Onvia DemandStar at DemandStar.com, Vendor Registry at vendorregistry.com, Central Bidding at centralbidding.com or the District’s website at sjrwmd.com.

b) Notices will be posted for a minimum of 72 hours following the time at which they are deemed received. The time period for filing a Notice of Protest pursuant to §120.57(3), Fla. Stat., and Rule 28-110.003, Fla. Admin. Code, commences at the time notices are deemed received.

c) As a courtesy to Respondents, the District may send copies of the notices of intended agency decisions via email or facsimile to Respondent. These courtesy communications neither constitute official notice nor vary the times of receipt set forth above.

10. Protest Procedures

a) Pursuant to§120.57(3), Fla. Stat., and Rule 28-110.003, Fla. Admin. Code, any person adversely affected by the terms, conditions, or specifications contained in a solicitation, including addenda, must file a written Notice of Protest within 72 hours after its posting.

b) Pursuant to §120.57(3), Fla. Stat., and Rule 28-110.003, Fla. Admin. Code, any person adversely affected by a District decision or intended decision to award a contract, or to reject all quotes, proposals, or qualifications, must file a written Notice of Protest within 72 hours after posting of the decision or intended decision.

c) Pursuant to §120.57(3), Fla. Stat., and Rule 28-110.004, Fla. Admin. Code, the protester must also file a Formal Written Protest within ten days after the date the Notice of Protest is filed with the District. The Formal Written Protest must state with particularity the facts and law upon which the protest is based. Pursuant to §287.042(2)(c), Fla. Stat., any person who files an action protesting the decision or intended decision must post with the District Clerk at the time of filing the Formal Written Protest a bond, cashier’s check, or money order made payable to the St. Johns

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River Water Management District in an amount equal to one percent (1%) of the District’s estimated contract amount.

d) No additional time will be added for mailing. All filings must comply with Rule 28-106.104, Fla.

Admin. Code, and must be addressed to and received by the District Clerk at the District Headquarters in Palatka, Florida within the prescribed time periods. The District will not accept as filed any electronically transmitted facsimile pleadings, petitions, Notice of Protest, or other documents.

e) The District’s acceptance of pleadings, petitions, Notice of Protest, Formal Written Protest, or other documents filed by email is subject to certain conditions set forth in the District’s Statement of Agency Organization and Operation (issued pursuant to Rule 28-101.001, Florida Administrative Code), which is available for viewing at sjrwmd.com. These conditions include, but are not limited to, the document being in the form of a PDF or TIFF file and being capable of being stored and printed by the District.

f) Failure to file a protest within the time prescribed in §120.57(3), Fla. Stat., or failure to post the bond or other security required by law within the time allowed for filing a bond will constitute a waiver of proceedings under chapter 120, Fla. Stat. Mediation under §120.573, Fla. Stat., is not available.

Thank you for your consideration of this request.

Attachment A – Statement of Work Attachment B – Cost Schedule Attachment C – Qualifications: Documentation Forms & Similar Project(s) Attachment D – Insurance Requirements Attachment E – Human Trafficking Attestation

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ATTACHMENT A — STATEMENT OF WORK

DEEP CREEK CONSERVATION AREA

TERRESTRIAL FORESTRY SITE PREPARATION

I. Introduction

St. John’s River Water Management is requesting treatment of approximately 140 acres of forestry site prep herbicide applications. The following property information and objectives follow below.

Deep Creek Conservation Area is located in St. Johns County. This conservation area is composed of several tracts of land.

II. Objective

Perform forestry site preparation by conducting a broadcast ground application of herbicides using a tractor or skidder-mounted herbicide spray rig across approximately 140 acres within the designated treatment areas at Deep Creek Conservation Area (see Figure 1). The application should target the eradication of Primrose Willow (Ludwigia peruviana) and Cogongrass (Imperata cylindrica).

The District will supply herbicides, surfactants, and rates of application. These may include but are not limited to: Glyphosate, Triclopyr, and/or Imazapyr.

III. Location

George Miller Road Hastings, FL 32145; 29.701721, -81.483072

IV. Project Specifications

Contractor will perform treatments specific to the species of plant that is being treated within the target area and provide GPS tracklogs to the Project Manager to provide adequate coverage.

Contractor must provide a weekly reporting form to the Project Manager (See Figure 2). Monthly invoices will be submitted after the review for accuracy and approval of reports by the Project Manager.

Care should be taken to avoid all non-target species impacts and any incidences of overspray.

V. Equipment Requirements:

Contractor must have access to low ground pressure equipment (such as 4-wheel drive skidder, dual wheel tractor, or tracked machine) to pull implements due to soft ground with a calibrated herbicide spray rig capable of effective herbicide application in natural areas, cattle lands and forestry sites.

VI. Other Requirements

The field supervisor must have a valid Florida Pesticide Applicators License for Natural Areas and must be onsite during all herbicide applications. Contractor will also provide a daily progress report to document wind speed, herbicide usage, and contractor hours.

• Contractor shall schedule a meeting with the District Project Manager with two weeks of the contract effective date to coordinate project activities and timelines.

• Contractor shall provide equipment, personnel protective equipment and labor only to successfully complete project; no herbicide, surfactant or dye will be purchased by the Contractor. Any damage to Contractor equipment by site conditions will not be held liable to the Contractor and not the District.

• Contractor shall be responsible for removing all trash and debris associated with the project from the job site.

• Care should be taken by Contractor to ensure parked equipment and vehicles do not block roadways.

• Work area shall be kept clear of rubbish. Discharge of petroleum products or other harmful material shall be prohibited on the treatment site and all St. John’s River Water Management

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District property. Should any harmful material be discharged, the District’s Project Manager shall be immediately notified. Contractor shall be solely responsible for any and all costs associated with any resulting clean up and remediation.

• Due care shall be exercised against starting and spreading fires during operations by Contractor, and/or its employees. Contractor shall be held liable for all damage caused by such fires.

• Contractor shall repair or replace at his cost any damage to fences, cattle guards, gates, power lines, or other improvements.

• Contractor shall inform crew that this area is open to, and used by, the public. Care will be taken to ensure vehicles are operated at a safe speed while on the property.

• Contractor shall be responsible for complying with all federal, state, and local laws pertaining to project or project activities.

• District’s Project Manager will evaluate site treatments prior to billing. If work is found to be unsatisfactory, Contractor will be notified and has 45 days to resolve. If problems are not resolved within 45 days of notification, District Project Manager reserves right to offer remainder of contract to next lowest respondent.

• District reserves the right to award this contract on a per task basis or total job basis.

VII. Timeframe

Work shall begin within 14 days of notification from Project Manager, and the project shall continue until completion. If a team cannot be mobilized within 14 days of notification, the next responsive and responsible respondent will be awarded the contract. Project must be completed by September 15, 2025.

Contractor shall invoice per the awarded contract.

Exhibits:

Figure 1: Deep Creek Conservation Area Treatment Areas Figure 2: Weekly Contractor Reporting Form

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Figure 1: Deep Creek Conservation Area Treatment Areas

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Figure 2: Weekly Contractor Reporting Form

TERRESTRIAL PLANT CONTROL REPORT OF OPERATIONS

PROPERTY NAME: WO#:

CONTRACTOR: CONTRACT #:

VEGETATION: DATE:

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY TOATL HRS RATE $ TOTAL

CREW: $

TIME:

HERBICIDE/ADJUVANT GALLONS/POUNDS USED TOTAL

ACRES CONTROLLED:

HERBICIDE DILUENTS:&

CONCENTRATION (RATE PER ACRE)

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

DAILY ACTIVITIES/WINDSPEED:

COMMENTS, EXPLANATIONS, ETC: SUMMARY OF COST

CONTRACTUAL SERVICES: $

HERBICIDE AMOUNS RETURNED: (GALLONS/POUNDS)

SUBMITTED: APPROVED: GRAND TOTAL: $

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ATTACHMENT B — COST SCHEDULE

DEEP CREEK CONSERVATION AREA

TERRESTRIAL FORESTRY SITE PREPARATION

(Note: This form must be included with quote submittal)

DUE BY: NO LATER THAN 2:00 PM, JANUARY 29, 2025 - RESPONSES SHALL BE SUBMITTED

TO THE PROCUREMENT SPECIALIST AS IDENTIFIED ON THE FIRST PAGE OF THIS REQUEST.

Award shall be based on the lowest total quote cost, while meeting all requirements specified in the Quote Request. The quote shall include all labor, materials, equipment, site prep, and any necessary licensing, and insurance necessary to perform the work as described in the Statement of Work.

COST SCHEDULE – DEEP CREEK CONSERVATION AREA

TERRESTRIAL FORESTRY SITE PREPARATION

(Not to exceed the amount of $25,000.00)

Number of

Applicators/ Crew Members

Total Hours

Hourly Rate

Total Amount

FDACS Licensed Natural Area Terrestrial Applicator

Non-Licensed Terrestrial Applicator/Crew Member

Total Quote Amount

No Coercion for Labor or Services. The Respondent, a nongovernmental entity seeking to enter into a contract with the District, declares that it does not use coercion for labor or services as prohibited under Sec. 787.06, Fla. Stat.

VERIFICATION

UNDER PENALTIES OF PERJURY, I HEREBY DECLAREACKNOWLEDGE, as Respondent’s authorized officer or representative, that I have fully read the Respondent’s Quote, of which this Cost Schedule is a part, all facts stated in the Quote are true, and I understand all terms and conditions as set forth therein this quote, and upon award of such Quote, Respondent shall fully comply with such terms and conditions.

RESPONDENT (FIRM NAME)

ADDRESS

SIGNATURE TYPED NAME & TITLE

TELEPHONE NUMBER EMAIL ADDRESS

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ATTACHMENT C – QUALIFICATION FORMS

QUALIFICATION — GENERAL

(This form must be included with quote submittal)

As part of the quote request, Respondent shall complete the following so that the District can determine Respondent’s ability, experience, and facilities for performing the Work.

Name of Respondent:

Year company was organized/formed: __________________

Number of years Respondent has been engaged in business under the present firm or trade name:

Total number of years Respondent has experience in similar work as described in the District’s Statement of Work: ____________________

Has Respondent previously been engaged in the same or similar business under another firm or trade name? If so, please describe each such instance.

Has Respondent ever been adjudicated bankrupt, initiated bankruptcy, or been the subject of bankruptcy proceedings on behalf of the current entity submitting this quote or a prior entity that Respondent substantially operated or controlled? If yes, please describe the nature and result of those proceedings and the entity involved.

Describe the background/experience of the person or persons who will be primarily responsible for directing the Work that will be performed pursuant to this quote. This inquiry is intended to encompass the project manager and/or superintendent who will be engaged on a daily basis in directing performance of the Work.

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CERTIFICATE AS TO CORPORATION

(This form to be included in quote submittal)

The below Corporation is organized under the laws of the State of ; is authorized by law to respond to this Quote Request and perform all work and furnish materials and equipment required under the Agreement, and is authorized to do business in the state of Florida.

Corporation name:

Address:

Registration No.:

Registered Agent:

By:

(Official Title) (Affix corporate seal)

Attest:

The full names and business or residence addresses of persons or firms interested in the foregoing quote as principals or officers of Respondent are as follows (specifically include the President, Secretary, and Treasurer and state the corporate office held of all other individuals listed):

Identify any parent, subsidiary, or sister corporations involving the same or substantially the same officers and directors that will or may be involved in performance of the Project, and provide the same information requested above on a photocopy of this form.

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QUALIFICATIONS — SIMILAR PROJECTS

(This form to be included in quote submittal)

Respondent must have completed at least two (2) projects of a similar nature (refer to the tasks outlined in the Statement of Work) in the past three years by the individual, firm, foreman or project manager assigned to the project.

Completed Project 1:

Agency/Company:

Current contact person with Client/Project Owner:

Telephone: Email:

Address of Agency/Company:

Name of Project:

Total Project Cost: Start date: Completion date:

(month/year) (month/year)

Name(s) of assigned personnel:

Project Manager:

Others:

Completed Project 2:

Agency/Company:

Current contact person with Client/Project Owner:

Telephone: Email:

Address of Agency/Company:

Name of Project:

Total Project Cost: Start date: Completion date:

(month/year) (month/year)

Name(s) of assigned personnel:

Project Manager:

Others:

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QUALIFICATIONS — CLIENT REFERENCE

(This form to be included in quote submittal)

Respondent must provide three (3) client references. At least two (2) of the references must be from the similar projects list. No more than one (1) of the references may be from completed District projects. If a District project is cited, do not request a letter from District staff. (For similar projects listed above, simply state “Similar Project No. ___.”)

Client Reference 1:

Similar Project No. ______

Agency/company:

Current contact person at agency/company:

Telephone: E-mail:

Agency/Company Address:

Name of project:

Description:

Project manager:

Client Reference 2:

Similar Project No. ______

Agency/company:

Current contact person at agency/company:

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Client Reference 3:

Agency/company:

Current contact person at agency/company:

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DRUG-FREE WORKPLACE FORM

(This form required only in the event of a tie response)

The Respondent, (business name) , in accordance with §287.087, Fla. Stat., hereby certifies that Respondent does the following:

1. Informs 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

2. Publishes a statement notifying employees that

a. 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 its employees for violations of such prohibition.

b. as a condition of working on the contractual services that are the subject of this solicitation, 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 893, Fla. Stat., or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five days after such conviction.

3. Gives each employee engaged in providing the contractual services that are the subject of this solicitation a copy of the statement specified in paragraph 2, above.

4. Imposes 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 convicted of a violation listed in sub-paragraph 2.b., above.

5. Makes a good faith effort to continue to maintain a drug-free workplace through implementation of §287.087, Fla. Stat.

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

Title:

Date:

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ATTACHEMNT D — INSURANCE REQUIREMENTS

Consultant shall acquire and maintain until completion of the Work the insurance coverage listed below, which constitutes primary coverage. Consultant shall not commence the Work until the District receives and approves Certificates of Insurance documenting required coverage. Consultant’s General Liability policy shall include Endorsement CG 20 10 04 13, or equivalent, naming the St. Johns River Water Management District (the “District”) as Additional Insured. All required policies shall include:

(1) endorsement that waives any right of subrogation (Endorsement 24 04 05 09, or equivalent) against the District for any policy of insurance provided under this requirement or under any state or federal worker’s compensation or employer’s liability act; (2) endorsement to give the District no less than 30 days’ notice in the event of cancellation or material change. Certificates of Insurance must be accompanied by copies of the requested endorsements.

Any deductibles or self-insured retentions above $100,000 must be declared to and approved by the District. Approval will not be unreasonably withheld. Consultant is responsible for any deductible or self-insured retention. Insurance must be placed with insurers having an A.M. Best rating of A-V or greater.

District receipt of insurance certificates providing less than the required coverage does not waive these insurance requirements.

(a) Workers’ Compensation Insurance. Workers’ compensation and employer’s liability coverage, including maritime workers compensation, if applicable, in not less than the minimum limits required by Florida law. If Contractor claims an exemption from workers’ compensation coverage, Contractor must provide a copy of the Certificate of Exemption from the Florida Division of Workers’ Compensation for all officers or members of an LLC claiming exemption who will be participating in the Work. In addition, Contractor must provide a completed District “Affidavit (Non-Construction)” for non-construction contracts. Contractor is solely responsible for compliance with any Federal workers’ compensation laws such as Jones Act and USL&H Act, including any benefits available to any workers performing work on this project.

(b) General Liability. Commercial General Liability Insurance on an “Occurrence Basis,” with limits of liability for each occurrence of not less than $1,000,000 for personal injury, bodily injury, and property damage, with an aggregate of $2,000,000. Coverage shall include: (1) contractual liability, (2) products and completed operations, (3) independent contractors, and (4) property in the care, control, or custody of Contractor. Extensions shall be added or exclusions deleted to provide the necessary coverage.

(c) Automobile Liability. Minimum limits of $100,000/$300,000/$100,000.

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ATTACHMENT E — HUMAN TRAFFICKING ATTESTATION

Contractor Name: CONTRACTOR NAME (“Contractor”)

This form must be completed by an officer or representative of a nongovernmental entity executing, renewing, or extending a contract with the St. Johns River Water Management District, a governmental entity of the State of Florida, (“District”) in compliance with Section 787.06(13), Florida Statutes.

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

CONTRACTOR NAME

Printed Name: _______________________________________________________________________

Title: ______________________________________________________________________________

Signature: __________________________________________________________________________

Date: ____________________________

I acknowledge that Section 787.06(13), Florida Statutes, requires that, when a contract is executed, renewed, or extended between a nongovernmental entity (Contractor) and a governmental entity (the District) in the State of Florida, the nongovernmental entity must provide the governmental entity with an affidavit that the Contractor does not use coercion to employ any person for labor or services.

This signed attestation is provided to the District to comply with that requirement.

On behalf of Contractor, I hereby certify, assure, and affirm that Contractor does not use coercion for labor or services as prohibited under Sec. 787.06, Florida Statutes.

If, at any time in the future, Contractor does use coercion for labor or services, Contractor will immediately notify the District, and no contracts may be executed, renewed, or extended between the parties.

This attestation is made for the benefit of, and reliance by, the District.

b. Contractor must provide a field supervisor with a valid Florida Pesticide Applicators License for Natural Areas and must be onsite during all herbicide applications. (Respondent provided documentation must be included with its Quote).
ATTACHMENT C – QUALIFICATION FORMS
QUALIFICATION — GENERAL
(This form must be included with quote submittal)
DRUG-FREE WORKPLACE FORM

File details come from the government source that posted it. Updated .