RFP-26-013-KY_Proposal_Submittal_Package.pdf

REQUEST FOR PROPOSAL

RFP-26-013-KY

PYROTECHNIC SHOWS

PROPOSAL SUBMITTAL FORM

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

Business City, State, Zip Contact City, State, Zip

Business Telephone Number Contact City, State, Zip

Business Email Address Contact Email Address

F.E.I.N.

U.E.I. Number (Replaced DUNS Number)

ALL FORMS SHOULD BE COMPLETED, SIGNED WHERE INDICATED, NOTARIZED WHERE

INDICATED, AND RETURNED WITH SUBMISSION

PROPOSAL SUBMITTAL FORM (Continued)

Proposer (Business) Name:

Proposal Amount Annual Services

Red, Hot and Boom (RHB) Pyrotechnic Show Enter your all-inclusive price for 1 show annually $

Light Up the Holidays (LUH) Pyrotechnic Show Enter your all-inclusive price for 1 show annually $

Annual Services Grand Total Enter sum of RHB + LUH $

The Annual Services Grand Total will be used to determine each Proposer's score for "Price".

Special Services - As Needed Little League Opening Night Pyrotechnic Show.

Enter proposal price for 1 show.

Tentatively scheduled for August 2027 and August 2028. Dates subject to change. Enter your all-inclusive price for one Little League Opening Night Pyrotechnic show. Enter rate for one year only. Do not add price for both years combined. $

FOR THIS SUBMITTAL TO BE CONSIDERED VALID, IT IS MANDATORY THAT THIS FORM BE

SIGNED IN THE SPACE PROVIDED ON THE FOLLOWING PAGE

PROPOSAL SUBMITTAL FORM (Continued)

The undersigned hereby declares that after examining the Proposal Documents for which proposals were advertised to be returned by 11:00 a.m. on Friday, October 24, 2025 does hereby submit a response to the proposal and warrants that:

a. The undersigned is an officer of the organization.

b. The undersigned is authorized to offer a proposal in full compliance with all requirements and conditions, as set forth in the Solicitation.

c. The undersigned has fully read and understands the Solicitation and has full knowledge of the scope, nature, quantity and quality of the work to be performed; and the requirements and conditions under which the work is to be performed.

d. The undersigned, by signing below, is also signing a Truth-In-Negotiation certificate as required by Florida Statutes 287.055(5)(a).

e. If the proposal is accepted, a contract will be issued as proposed subject to any revisions mutually agreed upon by the City and the vendor.

By signing below the Bidder hereby acknowledges receipt of any and all Addenda posted. The City reserves the right to accept any or all proposals, to waive informalities, and to reject all or any part of any proposal as they may deem to be in the best interest of the City. This Proposal Submittal Form is a mandatory form. An officer or representative who has official authorization to sign proposals MUST sign this Proposal Submittal Form. Failure to sign in the space provided below will result in the proposal being rejected. Proposals not received by advertised due date and time will be returned to the sender unopened. Signing the Proposal Submittal Form affirms that the original Request for Proposal document has not been altered in any way.

Proposer (Business) Name:

Name of Owner/Partner/Officer:

Title/Position of Owner/Partner/Officer:

Signature/eSignature of Owner/Partner/Officer:

Business Telephone:

Fax Telephone:

Email Address:

FOR THIS SUBMITTAL TO BE CONSIDERED VALID, IT IS MANDATORY THAT THIS FORM BE SIGNED IN

THE SPACE PROVIDED ABOVE

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 RFP-26-013-KY, titled Pyrotechnic Shows.

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

NON-COLLUSION/LOBBYING CERTIFICATION FORM

A. This sworn statement is submitted with Invitation to Bid Number RFP-26-013-KY Pyrotechnic Shows.

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 th 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

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:

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

LIST OF REFERENCES

As per the General Specifications section, below is a list of at least five (5) client/customer references. Each reference should be similar in scope/specifications (including size, cost, complexity/uniqueness, etc.) as the project/work/service/item 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.

Company Name:

Address:

Contact Person Business Phone: Email Address:

Project/Svc/Item Description:

Contract/Order Amount: Completed/Delivered:

Company Name:

Address:

Contact Person Business Phone: Email Address:

Project/Svc/Item Description:

Contract/Order Amount: Completed/Delivered:

3 Company Name:

Address:

Contact Person Business Phone: Email Address:

Project/Svc/Item Description:

Contract/Order Amount: Completed/Delivered:

4 Company Name:

Address:

Contact Person Business Phone: Email Address:

Project/Svc/Item Description:

Contract/Order Amount: Completed/Delivered:

5 Company Name:

Address:

Contact Person Business Phone: Email Address:

Project/Svc/Item Description:

Contract/Order Amount: Completed/Delivered: