RFQ_24_25-01_Marina_Isle_Seawall_Reconstruction_Attachments.pdf

City of Sanford | Finance Department | Purchasing Division 300 N. Park Avenue 2nd Floor Suite 236 Sanford, Florida 32771

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “A”

Statement of “No Bid Submittal”

If you do not intend to submit on this requirement, please complete and return this form prior to date shown for receipt of proposals to:

City of Sanford, Purchasing Division, 300 N. Park Avenue 2nd Floor Suite 236, Sanford, Florida 32771.

I/WE HAVE DECLINED TO SUBMIT A BID FOR RFQ 24/25-01, titled Marina Isle Seawall for the following reason(s): [Please place a check mark (✓) next to the reason(s) as applicable]

(✓) Reason

Bid requirements too "restrictive".

Insufficient time to respond to the Invitation for Bid.

We do not offer this service.

Our schedule would not permit us to perform.

Unable to meet requirements.

Unable to meet insurance or bond requirements.

Scope of Services unclear (please explain below).

Other (please specify below).

REMARKS:

Company Name: ________________________________________________________________________________________

Mailing Address: ________________________________________________________________________________________

Telephone Number: ___________________ Fax Number: ___________________ E-mail Address: _______________________

____________________________________ _________________________________ FEIN: ____________________

Authorized Signatory Printed Name

Title Date

Contracts and Construction Projects -

NO UNUSUAL

HAZARDS

(Under $25,000)

Contracts and Construction Projects -

NO UNUSUAL

HAZARDS

($25,000 to $99,999)

Contracts and Construction Projects -

NO UNUSUAL

HAZARDS

($100,000 to $500,000)

Contracts and Construction Projects (Over $500.000 and/or

UNUSUAL HAZARDS)

Professional Services (Construction Services, Architects

/ Engineers / Consultants, Professional Consultants, IT/Computer Systems Related)

(ANY SIZE)

COMMERCIAL GENERAL LIABILITY

General Aggregate $500,000 $1,000,000 $2,000,000 $3,000,000 $1,000,000 Products & Completed Operations Aggregate $500,000 $1,000,000 $2,000,000 $3,000,000 $1,000,000 Personal and Advertising Injury $500,000 $1,000,000 $1,000,000 $2,000,000 $1,000,000 Each Occurrence $500,000 $1,000,000 $1,000,000 $2,000,000 $1,000,000 Project Specific Aggregate (Per Job/Per Location) $2,000,000 $2,000,000 Sexual Harassment, abuse and molestation If applicable If applicable If applicable If applicable If applicable

GARAGE KEEPERS (when required) Aggregate THE CITY WILL ANALYZE ON A CASE-BY-CASE BASIS.

GARAGE LIABILITY (when required) Aggregate THE CITY WILL ANALYZE ON A CASE-BY-CASE BASIS.

Combined Single Limit $500,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000

If vehicles on site If vehicles on site

A. Workers Compensation Statutory* Statutory* Statutory* Statutory* Statutory* B. Employers' Liability

Employer's Liability/Accident $500,000 $500,000 $500,000 $1,000,000 $500,000 Disease Policy Limit $500,000 $500,000 $500,000 $1,000,000 $500,000

Including Fire, Wind & Flood as applicable 100% Completed Value 100% Completed Value

Bodily Injury & Property Damage $1,000,000 (if applicable) $1,000,000 (if applicable)

Policy Aggregate $500,000 (if applicable) $1,000,000 (if applicable) $1,000,000 (if applicable) $1,000,000 (if applicable) $1,000,000 Bodily Injury & Property Damage $500,000 (if applicable) $1,000,000 (if applicable) $1,000,000 (if applicable) $1,000,000 (if applicable) $1,000,000

Data Breach, Media Content, Privacy Liability, Network

$5,000,000 $5,000,000 $5,000,000

INSURANCE CARRIER FINANCIAL

STABILITY (AM BEST RATING)

DEFINITIONS

COMMERCIAL GENERAL LIABILITY

AUTOMOBILE LIABILITY

WORKERS' COMPENSATION AND

EMPLOYERS' LIABILITY

BUILDER'S RISK

POLLUTION LIABILITY

PROFESSIONAL LIABILITY / ERRORS &

OMMISSIONS LIABILITY

CYBER / PRIVACY LIABILITY

Edition: Mar 17, 2025

Designed to cover consumers of technology services or products.

Protects employer's exposures arising out of injuries sustained by employees.

Designed to cover property in the course of construction.

Designed to cover contamination of an environment by substances regarded as pollutants.

Protects the insured against liability claims arising out of damages caused by errors, ommissions, or failure to perform a service.

Protects the insured against liability claims for bodily injury and property damage due to negligence.

Protects the insured against financial loss because of legal liability for automobile-related injuries or property damage to others caused by an insured auto.

CYBER / PRIVACY LIABILITY

All Insurance carrier(s) must have a minimum financial rating of A-, VII or better. Financial Ratings can be verified at: www.ambest.com

NOTES OF IMPORTANCE

The City of Sanford must be named as Additional Insured on all policies EXCEPT workers' compensation and professional liability policies.

If Professional Liability is written on a Claims Made basis, coverage must be provided for not less than three(3) years after project completion.

* Statutory Workers Compensation may not be wavied.

Follow form umbrella or excess liability policies can supplement the underlying general and auto liability to satisfy the coverage limits required.

The above limits are minimum standards and this document is to be utilized as a guide only. Each Scope of Work and estimated cost should be reviewed to determine appropriate limits and/or exceptions. ANY CHANGES TO THE COVERAGE REQUIREMENTS DETAILED IN THIS DOCUMENT SHALL BE APPROVED BY CITY OF SANFORD CITY MANAGER OR ASSISTANT CITY MANAGER.

BUILDER'S RISK

POLLUTION LIABILITY

PROFESSIONAL LIABILITY / ERRORS AND OMMISSIONS LIABILITY

WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY

INSURANCE REQUIREMENTS MATRIX

MINIMUM INSURANCE LIMITS BY TYPE OF PROJECT / AGREEMENTS / EXPOSURE

AUTOMOBILE LIABILITY

http://www.ambest.com/ http://www.ambest.com/ http://www.ambest.com/ http://www.ambest.com/ http://www.ambest.com/ http://www.ambest.com/ http://www.ambest.com/ http://www.ambest.com/

SANFORD

It is noted that Professional Liability, builder's risk, garage keepers and garage liability is not required unless applicable conditions exist. If clarification is needed the CONTRACTOR must request clarification from the City of Sanford Purchasing Office.

Vendor, Contractor, bidder shall provide, to the City of Sanford "City," prior to commencing any work, a Certificate of Insurance which verifies coverage in compliance with the requirements. Any work initiated without completion of this requirement shall be unauthorized and the City will not be responsible.

The City reserves the right, as conditions warrant, to modify or increase insurance requirements as may be determined by the project, conditions and exposure.

> Certification Terms and Conditions

It is noted that the City has a contractual relationship with the named vendor, contractor or provider (collectively referred hereinafter as Contractor) applicable to a purchase order, work order, contract or other form of commitment by the City of Sanford, whether in writing or not and has no such contractual relationship with the Contractor's insurance carrier. Therefore, the onus is on the Contractor to insure that they have the insurance coverage specified by the City to meet all contractual obligations and expectations of the City. Further, as the Contractor's insurance coverage is a matter between the vendor and its insurance carrier, the City will turn to the Contractor for relief as a result of any damages or alleged damages for which the Contractor is responsible to indemnify and hold the City harmless. It is understood that the Contractor may satisfy relief to the City for such damages either directly or through its insurance coverage; exclusions by the insurance carrier notwithstanding, the City will expect relief from the Contractor.

a. The insurance limits required and otherwise referenced are minimum limits acceptable to the City. In addition, all contractor policies shall be considered primary to City coverage and shall not contain co-insurance provisions.

b. All policies, except for professional liability policies and workers compensation policies, shall name the City of Sanford as Additional Insured.

c. Professional Liability Coverage, when applicable, will be defined on a case by case basis.

d. Umbrella Policy / Excess Liability Policy: If applicable, any such policy must provide minimally “follow form” or broader coverage in excess of the underlying general and auto liability coverage.

e. Inthe event that the insurance coverage expires prior to the completion of the project, a renewal certificate shall be issued 30 days prior to the expiration date.

f. All limits are per occurrence and must include Bodily Injury and Property Damage.

g. All policies must be written on occurrence form, not on claims made form, except for Professional Liability.

h. Self-Insured retentions shall not be allowed on any liability coverage.

Section 00618 Insurance Requirements - City of Sanford, Florida

-) SANFORD

i. In the notification of cancellation: The City of Sanford shall be endorsed onto the policy as a cancellation notice recipient. Should any of the above-described policies of Sanford in accordance with the policy provisions.

j. Allinsurers must have an A.M. rating of at least A-VII.

k. It is the responsibility of the Prime CONTRACTOR to ensure that all sub-contractors retained by the Prime CONTRACTOR shall provide coverage as defined here in before and after and are the responsibility of said Prime CONTRACTOR in all respects.

|. Any changes to the coverage requirements indicated above shall be approved by the City of Sanford, City Manager or Assistant City Manager.

m. Address of "Certificate Holder" is City of Sanford; 300 N. Park Avenue;

Sanford, Florida 32771.

n. All certificates of insurance, notices etc. must be provided to the above address.

o. Inthe description of the certificate of insurance inlcude the solicitation number and proiect name.

Signature of Affiant Date

Typed or Printed Name of Affiant Title Name of Company

STATE OF FLORIDA

COUNTY OF

I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared

Qwho is personally known to me or { } who produced as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by by means of { } physical presence or { } online notarization on the __—_ day of

, 202_, the said person did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying thats/he has read the foregoing and that the statements and allegations contained herein are true and correct.

WITNESS my hand and official seal in the County and State last aforesaid this___ day of ,202_.

(Notary Public in and for the County and State Aforementioned)

SEAL My commission expires:

The City reserves the unilateral right to modify the Insurance requirements set forth at any time during the process of sol/citation or subsequent thereto.

or failure to submit this form may be grounds for disqualification of your submittal Revised 12/22/2022

3 of 3 Section 00618 Insurance Requirements - City of Sanford, Florida

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “C”

CONFLICT OF INTEREST STATEMENT

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 RFQ 24/25-01 Marina Isle Seawall.

C. The AFFIANT has made 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 City of Sanford 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 Attachment “C”, Conflict of Interest Statement, is truthful and correct at the time of submission.

AFFIANT SIGNATURE

Typed Name of AFFIANT

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

STATE OF FLORIDA

COUNTY OF __________________

I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared ________________________ { } who is personally known to me or { } who produced ________________________ as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by ______________________________________________ by means of { } physical presence or { } online notarization on the _____ day of _____________, 2025, the said person did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read the foregoing and that the statements and allegations contained herein are true and correct.

WITNESS my hand and official seal in the County and State last aforesaid this____day of ________________, 2025.

(Notary Public in and for the County and State Aforementioned)

SEAL My commission expires:

END OF SECTION

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment ‘D”

NON-COLLUSION AFFIDAVIT

The undersigned, by signing this document hereby certifies that the company named below hereby is or does:

1. States that the entity named below and the individual signing this document has submitted the attached bid or proposal:

2. He is fully informed respecting the preparation and contents of the attached proposal and of all pertinent circumstances respecting such proposal;

3. Said bid or proposal is genuine and is not a collusive or sham bid or proposal;

4. Neither the said bidder or proposer nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other bidder, proposer, firm or person to submit a collusive or sham bid or proposal in connection with the Contract for which the attached bid or proposal has been submitted or to refrain from bidding or proposing in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communications or conference with any other bidder, proposer, firm or person to fix the price or prices in the attached bid or proposal or of any other bidder of proposer, or to fix any overhead, profit or cost element of the bid or proposal price or the bid or proposal price of any other bidder or proposer, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the City of Sanford or any person interested in the proposed Contract.

5. The price or prices quoted in the attached bid or proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the bidder or proposer or any of its agents, representatives, owners, employees, or parties in interest, including the individual signing this document.

Bidder

Signature of Authorized Representative (Affiant) Date

Printed or Typed Name and Title of Authorized Representative (Affiant)

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared ________________________ { } who is personally known to me or { } who produced ________________________ as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by ______________________________________________ by means of { } physical presence or { } online notarization on the _____ day of _____________, 2025, the said person did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read the foregoing and that the statements and allegations contained herein are true and correct.

WITNESS my hand and official seal in the County and State last aforesaid this____day of ________________, Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “E”

Drug Free Workplace Certification

When applicable, the drug-free certification form below must be signed and returned with the RFQ response.

In order to have a drug-free workplace program, a business shall:

A. Publish a statement notifying employees that 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 employees for violations of such prohibition.

B. Inform employees about the dangers of drug abuse in the workplace, the business' 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.

C. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in the first paragraph.

D. In the statement specified in the first paragraph, notify the employees that, as a condition of working on the commodities or contractual services that are under bid, 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, Florida Statutes, or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction.

E. Impose 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 who is so convicted.

F. Make a good faith effort to continue to maintain a drug-free workplace through implementation of the foregoing provisions.

By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment “E, Drug-Free Workplace Certification, is truthful and correct at the time of submission.

Title

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared ________________________ { } who is personally known to me or { } who produced ________________________ as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by ______________________________________________ by means of { } physical presence or { } online notarization on the _____ day of _____________, 2025, the said person did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read the foregoing and that the statements and allegations contained herein are true and correct.

WITNESS my hand and official seal in the County and State last aforesaid this____day of ________________, PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE – (if applicable)

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

ATTACHMENT “F”

PROPOSAL AND ACCEPTANCE OF PROPOSAL TERMS AND CONDITIONS

I/we, the undersigned, as authorized signatory to commit the firm, do hereby accept in total all the terms and conditions stipulated and referenced in this RFQ document and do hereby agree that if a contract is offered or negotiated it will abide by the terms and conditions presented in the RFQ document or as negotiated pursuant thereto. The undersigned, having familiarized him/herself with the terms of the RFQ documents, local conditions, and the cost of the work at the place(s) where the work is to be done, hereby proposes and agrees to perform within the time stipulated, all work required in accordance with the scope of services and other documents including Addenda, if any, on file at the City of Sanford Purchasing Division for the price set forth herein in Attachment

“F” Proposal and Acceptance of Proposal Terms and Conditions. The signature(s) below are an acknowledgment of my/our full understanding and acceptance of all the terms and conditions set forth in this RFQ document or as otherwise agreed to between the parties in writing.

Bidder/Contractor Name: _____________________________________________________________________________________

Mailing Address: ____________________________________________________________________________

Telephone Number: ___________________ Fax Number: ___________________ E-mail Address: ______________________

____________________________________ _________________________________ FEIN: ______________________

Title_________________________________ ___________________________________

Date

COUNTY OF ___________________

I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared ________________________ { } who is personally known to me or { } who produced ________________________ as identification and acknowledged before me that s/he executed the same.

Sworn and subscribed before me, by __________________________________ by means of { } physical presence or { } online notarization on the _____ day of _____________, 2025, the said person did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read the foregoing and that the statements and allegations contained herein are true and correct.

WITNESS my hand and official seal in the County and State last aforesaid this____day of ________________, 2025.

PLEASE COMPLETE AND SUBMIT WITH YOUR RFQ RESPONSE

Failure to submit this form may be grounds for disqualification of your submittal

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “G”

Addendum Receipt Acknowledgement Certification

The undersigned acknowledges receipt of the following addenda to the solicitation document(s) (Give number and date of each):

Addendum No. Dated:

By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment “G”, Addendum Receipt Acknowledgement Certification, is truthful and correct at the time of submission.

Bidder/Contractor Name: _____________________________________________________________________________________

Mailing Address: ____________________________________________________________________________________________

Telephone Number: ___________________ Fax Number: ___________________ E-mail Address: ______________________

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “H”

Organizational Information

The Bidder must include a copy of their State Certificate of Good Standing/Articles of Incorporation, which lists the corporate officers. In addition to the aforementioned documents the Bidder/Bidder must include necessary information to verify the individual signing this proposal/bid and or any contract document has been authorized to bind the corporation. Examples include:

A. A copy of the Articles of Incorporation listing the approved signatories of the corporation.

B. A copy of a resolution listing the members of staff as authorized signatories for the company.

C. A letter from a corporate officer listing the members of staff that are authorized signatories for the company.

TYPE OF ORGANIZATION

(Please place a check mark (✓) next to applicable type)

Corporation Partnership Non-Profit

Joint Venture Sole Proprietorship Other (Please specify)

State of Incorporation

Principal Place of Business

(Enter Address)

Federal I.D. or Social Security

Number

By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment “H”, Organizational Information, is truthful and correct at the time of submission.

Bidder/Contractor Name: ________________________________________________________________________________

Mailing Address: ________________________________________________________________________________________

Telephone Number: ___________________ Fax Number: ___________________ E-mail Address: _______________________

___________________________________ _________________________________ FEIN: _____________________________

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “I”

Proposed Schedule of Subcontractor Participation

No Subcontracting (of any kind) will be utilized on this project. Solicitation Number: RFQ 24/25-01

Title: Marina Isle Seawall Total Project Amount: $

Subcontractor Minority

Code (if applicable)

Company Name

Address Phone, Fax, Email

Trade, Services or

Materials portion to be subcontracted

Percent (%) of

Scope/Contract

Federal ID Dollar Value

PERCENTAGE TOTALS FOR SUBCONTRACTOR PARTICIPATION

PERCENTAGE TOTALS FOR MINORITY SUBCONTRACTOR PARTICIPATION

Minority Code Code Description Minority Code Code Description

AA African American NA Native American

A Asian/Pacific Islander W Woman

H Hispanic SDVBE Service-Disabled Veteran

When applicable, the Bidder, will enter into a formal agreement with the subcontractors identified herein for work listed in this schedule conditioned upon execution of a contract with the City. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment “I”, Proposed Schedule of Subcontractor

Participation, is truthful and correct at the time of submission.

Bidder/Contractor Name: ________________________________________________________________________________

Mailing Address: ________________________________________________________________________________________

Telephone Number: ___________________ Fax Number: ___________________ E-mail Address: _______________________

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “J”

References Bidder shall submit as a part of their bid response, a minimum of five (5) of the most significant projects similar in size and scope which were performed within the last three (3) years. The contact person shall be someone who has personal knowledge of the

Bidder’s performance for the specific requirements listed and is aware the City may be contacting them.

Do not use the City of Sanford as a reference.

Project #1:

Project Name:

Type of Project/Service:

Address:

Contracting Agency/Client:

Contact Name and Phone #:

Contact Email Address and Fax #:

Contract Amount: Start Date: End Date:

Project #2:

Project Name:

Type of Project/Service:

Address:

Contracting Agency/Client:

Contact Name and Phone #:

Contact Email Address and Fax #:

Contract Amount: Start Date: End Date:

Project #3:

Project Name:

Type of Project/Service:

Address:

Contracting Agency/Client:

Contact Name and Phone #:

Contact Email Address and Fax #:

Contract Amount: Start Date: End Date:

Project #4:

Project Name:

Type of Project/Service:

Address:

Contracting Agency/Client:

Contact Name and Phone #:

Contact Email Address and Fax #:

Contract Amount: Start Date: End Date:

Project #5:

Project Name:

Type of Project/Service:

Address:

Contracting Agency/Client:

Contact Name and Phone #:

Contact Email Address and Fax #:

Contract Amount: Start Date: End Date:

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

Attachment “K”

Florida Public Entity Crimes Statement

SWORN STATEMENT UNDER SECTION 287.133(3) (a), FLORIDA STATUTES: THIS FORM MUST BE SIGNED IN

THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS.

A. This sworn statement is submitted with Bid, or Contract Number RFQ 24/25-01 Marina Isle Seawall.

B. This sworn statement is submitted by_________________________________________ whose business address is [Name of entity submitting sworn statement]

______________________________________________________________________ and (if applicable) it’s 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. I understand that a "public entity crime" as defined in section 287.133(l)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity in Florida or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.

E. I understand that "convicted" or "conviction" as defined in section 287.133(l) (b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contenders.

F. I understand that "affiliate" as defined in section 287.133(l) (a), Florida Statutes, means:

1. A predecessor or successor of a person convicted of a public entity crime; or

2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate” includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding thirty-six (36) months shall be considered an affiliate.

G. I understand that a "person" as defined in section 287.133(l) (e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity.

H. Based on information and belief, the statement, which I have marked below, is true in relation to the entity submitting this sworn statement. [Please indicate with a check mark (✓) which statement applies].

____ Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who is active in the management of the entity, nor any affiliate of the entity have been convicted of a public entity crime subsequent to July 1, 1989.

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

____ The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND [Please indicate which additional statement applies].

____ There has been a proceeding concerning the conviction before a judge or hearing officer of the State of Florida, Division of

Administrative Hearings, or a court of law having proper jurisdiction. The final order entered by the hearing officer or judge did not place the person or affiliate on the convicted contractor list. [Please attach a copy of the final order.]

____ The person or affiliate was placed on the convicted contractor list. There has been a subsequent proceeding before a court of law having proper jurisdiction or a judge or hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the judge or hearing officer determined that is was in the public interest to remove the person or affiliate from the convicted contractor list. [Please attach a copy of the final order.]

____ The person or affiliate has not been placed on any convicted vendor list. [Please describe any action taken by or pending with the State of Florida, Department of Management Services.]

By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment “K”, Public Entity Crimes Statement, is truthful and correct at the time of submission.

Title

I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared ________________________ { } who is personally known to me or { } who produced ________________________ as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by ______________________________________________ by means of { } physical presence or { } online notarization on the _____ day of _____________, 2025, the said person did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read the foregoing and that the statements and allegations contained herein are true and correct.

WITNESS my hand and official seal in the County and State last aforesaid this____day of ________________, Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “L”

Disputes Disclosure Form

Answer the following questions by answering "YES" or "NO". If you answer "YES", please explain in the space provided, please add a page(s) if additional space is needed.

1. Has your firm, or any of its officers, received a reprimand of any nature or been suspended by the

Department of Professional Regulation or any other regulatory agency or professional association within the last five (5) years? (Y/N)

2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years? (Y/N)

3. Has your firm had filed against it or filed any requests for equitable adjustment, contract claims or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business? (Y/N) Note: If yes, the explanation must state the nature of the request for equitable adjustment, contract claim or litigation, a brief description of the case, the outcome or status of suit and the monetary amounts or extended contract time involved.

I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation or falsification of facts shall be cause for forfeiture of rights for further consideration of the project identified.

Firm

Signature of Authorized Representative Date

Printed or Typed Name and Title of Authorized Representative

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “M”

Certification of Non-Segregated Facilities Form

The Bidder certifies that no segregated facilities are maintained and will not be maintained during the execution of this contract at any of its establishments.

The Bidder further certifies that none of its employees are permitted to perform their services at any location under the Bidder's control during the life of this contract where segregated facilities are maintained.

The Bidder certifies further that it will not maintain or provide for its employees any segregated facilities at any of its establishments, and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained.

As used in this certification, the term "segregated facilities" means any waiting rooms, work area, rest rooms and wash rooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, creed, color or national origin, because of habit, local custom, or otherwise.

The Bidder agrees that (except where it has obtained identical certification from proposed subcontractors for specific time periods) it will obtain identical certifications from proposed subcontractors prior to the award of subcontract exceeding $10,000 and that it will retain such certifications in its files.

Name of Bidder

Signature of Authorized Representative Date

Printed or Typed Name and Title of Authorized Representative

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “N”

COMPLIANCE WITH THE PUBLIC RECORDS LAW AFFIDAVIT

I. If and when the City of Sanford transmits records to the Contractor/Vendor which are exempt from public disclosure, the Contractor/Vendor shall execute an “Acknowledgement of Receipt of Exempt Public Records and Agreement to Safeguard” which will be provided with the exempt records. A sample form is attached for the bidder/proposer’s information.

II. Upon award recommendation or 30 days after opening, it is understood that all submittals shall become "public records" and shall be subject to public disclosure consistent with Chapter 119, Florida Statutes, and Section 24(a), Article 1 of the Constitution of the State of Florida, and other controlling law (collectively the “Public Records Laws”). If the City of Sanford (City) rejects all replies submitted in response to a competitive solicitation and provides notice of its intent to reissue the solicitation, the replies remain exempt from disclosure until the City provides a notice of intent to award or withdraws the reissued solicitation. If no award is made, responses are not exempt for longer than 12 months after the initial notice rejecting all responses.

Proposers/Bidders must invoke the exemptions to disclosure provided by law as applicable to the response to the solicitation, must identify the data or other materials to be protected, and must state the reasons why such exclusion from public disclosure is necessary. The submission of a proposal authorizes release of your firm’s credit data to the City.

If a Proposer/Bidder submits information exempt from public disclosure, the Proposer/Bidder must specifically and in detail identify with specificity which pages/paragraphs of their bid/proposal package are exempt from the Public Records Laws, identifying the specific exemption under the Public Records Laws that applies to each. The protected information must be submitted to the City in a separate envelope marked accordingly.

By submitting a response to this solicitation, the Proposer/Bidder agrees to defend, indemnify and hold the City harmless in the event the City litigates the public records status of the Proposer’s/Bidder’s documents this provision including the obligation to pay the full legal costs of the City including, but not limited to, attorney’s fees, court costs, and any and all other charges, regardless of what level of trial or appeal.

Proposer/Bidder

Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared ________________________ { } who is personally known to me or { } who produced ________________________ as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by ______________________________________________ by means of { } physical presence or { } online notarization on the _____ day of _____________, 2025, the said person did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read the foregoing and that the statements and allegations contained herein are true and correct.

WITNESS my hand and official seal in the County and State last aforesaid this____day of ________________, Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

Attachment “O”

Unauthorized (Illegal) Alien Workers Affidavit

The City of Sanford will not intentionally award publicly funded contracts to any Contractor who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 1324a(e) Section 274A (e) of the Immigration and Nationally Act (INA). The City of Sanford shall consider the employment by the Contractor of unauthorized aliens, a violation of Section 274A (e) of the INA. Such violation by the Contractor of the employment provisions contained in Section 274A (e) of the INA shall be grounds for immediate termination of this Agreement by the City of Sanford.

The Affiant identified below deposes and states that:

1. The below identified Contractor does not and will not during the performance of any contract resulting from the solicitation identified below employ illegal alien workers or otherwise violate the provisions of the federal Immigration Reform and Control Act of 1986.

2. Upon request of the City, it will provide copies of Immigration Form I-9 for each person associated with the above-named company who has been or is present at the designated jobsite associated with any work or project resulting from this solicitation.

Contractor

Printed or Typed Name and Title of Authorized Representative (Affiant)

STATE OF FLORIDA

COUNTY OF __________________

I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared ________________________ { } who is personally known to me or { } who produced ________________________ as identification and acknowledged before me that s/he executed the same. Sworn and subscribed before me, by ______________________________________________ by means of { } physical presence or { } online notarization on the _____ day of _____________, 2025, the said person did take an oath and was first duly sworn by me, on oath, said person, further, deposing and saying that s/he has read the foregoing and that the statements and allegations contained herein are true and correct.

WITNESS my hand and official seal in the County and State last aforesaid this____day of ________________, Phone: 407.688.5028 or 5030 | Fax: 407.688.5021

Solicitation

Number:

RFQ 24/25-01

REQUEST FOR QUALIFICATIONS (RFQ)

One (1) Time Contract

Due Date:

June 26, 2025

TITLE: MARINA ISLE SEAWALL

CONSTRUCTION PROJECTS Attachment “P”

The City of Sanford intends to pursue reimbursement of eligible Project costs from the Federal Emergency Management Administration (FEMA), therefore this Agreement is subject to compliance by Contractor with all applicable federal law, regulations, executive orders, FEMA policies, procedures, directives, and federal contract clauses, including but not limited to, the following:

Administrative, contractual, or legal remedies language. If the contract exceeds $250k, it must include administrative, contractual, or legal remedies for instances where contractors violate or breach contract terms, and provide for sanctions and penalties. This requirement does not have standard language, as it is typically found in the applicant/client’s typical construction contracts. Verify contract language covers remedies.

Termination for cause and for convenience. If the contract exceeds $10k, it must include language covering termination for cause and for convenience, including the manner by which it will be effected and the basis for settlement. This requirement does not have standard language, as it is typically found in the applicant/client’s typical construction contracts. Verify contract language covers termination for cause and for convenience.

Changes or Modifications to the contract. The contract language should include a clause or clauses addressing changes or modification to the contract that describes how, if at all, changes can be made by either party to alter the method, price, or schedule of the work without breaching the contract. This does not have standard language, as it is typically found in the applicant/client’s typical contracts. Verify language covers changes and modifications to the contract to include fees and approvals for additional services.

Small and Minority Businesses, Women’s Business Enterprises, and Labor Surplus Area Firms The City of Sanford encourages participation from small, minority-owned, women-owned, and labor surplus area business. Incorporation of these types of firms into the project team is encouraged.

Additionally, prime contracts are required, if subcontracts are to be let, to take the following affirmative steps 1 through 5 of this section.

(1)Placing qualified small and minority businesses and women's business enterprises on solicitation lists;

(2)Assuring that small and minority businesses, and women's business enterprises are solicited whenever they are potential sources;

(3) Dividing total requirements, when economically feasible, into smaller tasks or quantities to permit maximum participation by small and minority businesses, and women's business enterprises;

(4) Establishing delivery schedules, where the requirement permits, which encourage participation by small and minority businesses, and women's business enterprises;

(5) Using the services and assistance, as appropriate, of such organizations as the Small Business Administration and the Minority Business Development Agency of the Department of Commerce.

Federal Water Pollution Control Act The contractor agrees to comply with all applicable standards, orders, or regulations issued pursuant to the federal Water Pollution Control Act, as amended, 33 U.S.C. § 1251 et seq.

The contractor agrees to report each violation to the City of Sanford and understands and agrees that the City of Sanford will, in turn, report each violation as required to assure notification to the…