RFQ2601Final.pdf

Rev: 03/09/2018

City of DeLand

REQUEST FOR QUALIFICATIONS

RFQ-26-01

PROFESSIONAL ENGINEERING

CONTINUING CONSULTANT SERVICES FOR

STORMWATER MASTER PLANNING & ANALYSIS

City of DeLand 120 S. Florida Ave.

DeLand, Florida 32720

(321) 626-7000

TABLE OF CONTENTS

I. INTRODUCTION

II. SCOPE OF SERVICES

III. RECORD INFORMATION AND SITE VIEWING EVALUATION OF PROPOSALS

IV. SPECIAL TERMS AND CONDITIONS OF THE SOLICITATION

V. SUBMITTAL REQUIREMENTS

VI. EVALUATION CRITERIA

REQUEST FOR QUALIFICATIONS (RFQ)

RFQ-26-01

PROFESSIONAL ENGINEERING

CONTINUING CONSULTANT SERVICES FOR

STORMWATER MASTER PLANNING & ANALYSIS

I. INTRODUCTION

The City of DeLand (“City”) intends to solicit submissions from qualified consultants to provide statement of qualifications for a subject matter expert regarding standards and practices for engineering designs, planning, and modeling in support of stormwater related projects, including qualified Consultants to perform professional engineering services on a continuing contract basis.

II. SCOPE OF SERVICES

The purpose of this solicitation is to identify qualified consultants to provide the following scope of services, but the City reserves the right to modify, add or delete any services.

Services are as follows:

A. Stormwater Improvement Projects (typical work may include, but not be limited to)

1. Conventional and innovative designs for new construction, retrofits, and rehabilitation of stormwater infrastructure, conveyance, and treatment system projects.

2. Conventional and innovative best management practices (BMP) design.

3. Mitigation planning and design.

4. Permitting and compliance reporting with St. Johns River Water Management District (SJRWMD), Florida Department of Environmental Protection (FDEP), Florida Fish & Wildlife Commission (FWC), Army Corps of Engineers (ACOE) and other local, state, and federal agencies.

5. Post design/preconstruction services including bid support coordination and interface of the contract documents general conditions, special conditions, and contractor bid packages.

6. Construction support including shop drawing review, inspections, and reporting.

7. Floodplain related design/permitting experience.

8. Regional drainage systems for flood reduction and improvements.

9. Water quality BMP improvements and design.

10. Environmental and geotechnical feasibility for design.

11. Low impact design (LID) evaluation.

12. Assist City Staff to secure State & Federal grants for stormwater related projects.

B. Master Planning & Analysis (typical work may include, but not be limited to)

1. Hydrologic and hydraulic modeling /design of basins and sub-basins, with and without pollutant (nutrient budget) load analysis.

2. Drainage feasibility studies and design.

3. Mitigation planning and design.

4. Design assistance with meeting total maximum daily load (TMDL) and Basin Management

Action Plan (BMAP).

5. Floodplain related design/permitting experience, such as Letter of Map Changes and Map

Revisions (LOMCs and LOMARs).

6. Regional drainage systems for flood reduction and improvements.

7. Resiliency and vulnerability analyses and studies.

8. Assist City Staff to secure State & Federal grants for stormwater related projects.

The procurement of these services will be done by competitive selection and negotiation consistent with Chapter 287.055 of the Florida Statutes, "Consultants’ Competitive Negotiation Act," and City of DeLand Purchasing Policy.

Qualified responses will be reviewed and ranked by the City's Selection Committee at a Public Meeting. At this meeting, the Selection Committee may make a final selection of the firm or firms; or the Selection Committee may choose to shortlist a minimum of the three (3) top-ranked firms. If shortlisting is done, the shortlisted firms will be requested to make a presentation to the Selection Committee followed by an interview by the Selection Committee.

At least five (5) business days prior to the presentations/interviews the Selection Committee will provide those firms selected for a presentation/interview with a document that sets forth information regarding how the presentation and interview will be conducted, evaluated and ranked.

After the interviews, the Selection Committee will rank the finalists to determine the selected firm(s). The Negotiating Committee will then negotiate with the top-ranked firm(s). Selection will be made in accordance with the Florida “Consultants’ Competitive Negotiations Act” (§ 287.055, F.S.) and City of DeLand Purchasing Policy. The City reserves the right to revise, delete portions, and/or limit the scope of professional services and to reject any and all Responses.

Responses to this Request for Qualifications for Professional Engineering Continuing Consultant Services for Stormwater Master Planning & Analysis will be received until 2:00 PM on August 18, 2026.

Qualifications shall be submitted to the City of DeLand, Attn: Corey McMillen, 120 S. Florida Ave., DeLand, Florida 32720.

*NOTE: Please ensure that if you use a third-party carrier (DHL Express, FedEx, UPS, USPS, etc.) that they are properly instructed to deliver your bid only to the City of DeLand at the address above. To be considered, an RFQ must be accepted by the Purchasing Manager or designee no later than the closing date and time.

All firms and their agents are hereby placed on notice that they are not to contact members of the Deland City Commission or staff regarding this RFQ, with the exception of the designated liaison. Public meetings of the Selection Committee are the only acceptable forum for the discussion of merits of products/services requested by this Request for Qualifications and written correspondence in regards to this Request for Qualifications is to be submitted to the designated liaison.

The staff member designated as the liaison for this Request for Qualifications is Corey McMillen, Purchasing Manager, (386) 626-7078; e-mail mcmillenc@deland.org and purchasing@deland.org.

TIMELINE

Event Date

Solicitation Date July 28, 2026

Pre-Proposal Meeting N/A

Question Deadline August 11, 2026 @ 5:00 P.M.

mailto:mcmillenc@deland.org mailto:purchasing@deland.org

Submission Deadline August 18, 2026 @ 2:00 P.M.

III. RECORD INFORMATION AND SITE VIEWING

Complete package is available on DemandStar® (https://www.demandstar.com) & VendorLink https://www.myvendorlink.com/common/default.aspx.

You may also contact the Purchasing Manager office at:

City of DeLand – Finance Department Attn: Corey McMillen 120 S. Florida Ave.

DeLand, Florida 32720

(386) 626-7078 / Email: mcmillenc@deland.org

The City will not provide access to these sites before the Consultants submittal of their qualifications. Consultants that make the shortlist will be allowed limited access to the sites prior to their presentations and interviews.

1. All responses shall become the property of the City. The details of the sealed response documents submitted by a respondent will remain exempt from public inspection consistent with Chapter 119.071 of the Florida Statutes, General Exemptions from Inspection or Copying of Public Records.

2. All Consultants must acknowledge and conform to the statement on Public Entity Crimes prior to entering into a Contract with the City.

3. The City will not reimburse a respondent for any costs associated with preparation and submittal of responses to this solicitation.

4. Consultants acknowledge that all information contained within their responses are ultimately public records to the extent required by the State of Florida Public Records Laws.

5. Awards made pursuant to this Request for Qualifications are subject to the provisions of Chapter 112, Part III, Florida Statutes, "Code of Ethics for Public Officers and Employees.”

All respondents must disclose in their responses the name of any officer, director, or agent who is also an employee of the City. Furthermore, all Consultants must disclose the name of any City employee who owns, directly or indirectly, any interest of five percent (5%) or more in the Contractor’s firm or any of the respondent’s branches or subsidiaries.

6. Consultants, their agents, and associates shall not contact any City official or member of the City staff regarding this Request for Qualifications during the selection process. Failure to comply with this provision will result in disqualification of the Contractor. Only the designated liaison identified in this response may be contacted.

7. Contractor shall not discriminate with respect to age, race, color, gender, religion, disability, or national origin in any manner with regard to this solicitation.

8. The responsibility for determining the extent of the professional engineering services required rests solely with the respondent. Neither the City nor its representatives shall be responsible for determining the final scope of services that may be required.

https://www.demandstar.com/ https://www.myvendorlink.com/common/default.aspx mailto:mcmillenc@deland.org

9. All timely responses will be considered. Consultants are requested to clearly indicate any deviations from the submittal requirements.

10. Each Contractor is responsible for full and complete compliance with all laws, rules and regulations including those of the Federal Government, State of Florida and applicable local ordinances. Failure or inability on the part of the respondent to have complete knowledge and intent to comply with such laws, rules and regulations shall not relieve any Contractor from its obligation to honor its response and to perform completely in accordance with its response.

11. The City, at its discretion, reserves the right to waive minor informalities or irregularities in any response, request clarification of information from Consultants, to reject any and all responses in whole or in part, with or without cause, and to accept any response, which, in the City’s judgment, will be in the City's best interest.

12. Any interpretation, clarification, correction or change to the Request for Qualifications will be made by written addendum issued by the City Purchasing Manager or designee. Any oral or other type of communication concerning the Request for Qualifications shall not be binding upon the City.

13. Responses must be signed by an individual of the Contractor’s organization legally authorized to commit the Contractor’s organization to the performance of the services contemplated by this Request for Qualifications.

14. Any Responses submitted before the deadline may be withdrawn by written request received by the City before the time fixed for receipt of Responses. Withdrawal of any Response will not prejudice the right of the respondent to submit a new or amended Response as long as the City receives the Response by the deadline as provided herein.

15. For good and sufficient reason, up to forty-eight (48) hours before the advertised deadline, the City may extend the Response deadline.

16. Any consultant or subconsultant selected to prepare the design criteria package for this project will not be allowed to propose or perform design or consultant services as part of the design/build team.

17. E-VERIFY: In accordance with Florida State Law, Executive Order 11-116, any vendor or company that the City enters into contract with, or issues a purchase order, must utilize the E-Verify system.

18. Electronic submission is now available on VendorLink at www.myvendorlink.com.

19. Other Agencies: All Respondents awarded Contracts from this solicitation may, upon mutual agreement, permit any municipality or other governmental agency to participate in the Contract under the same prices, terms, and conditions. It is understood that at no time will any city or municipality or other agency be obligated for placing an order for any other city, municipality, or agency, nor will any city, municipality, or agency be obligated for any bills incurred by any other city, municipality, or agency. Further it is understood that each agency will issue its own purchase order to the awarded Respondent(s).

SCRUTINIZED CONSULTANTS

Awarded Contractor shall certify that it and its subconsultants are not on the Scrutinized Companies that Boycott Israel List. Pursuant to Section 287.135, F.S. If the Agreement is for http://www.myvendorlink.com/ more than $1,000,000 the Contractor further certifies that it and its subconsultants are also not on the Scrutinized Companies with Activities in Sudan, Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or engaged with business operations in Cuba or Syria as identified in Section 287.135, F.S.

For Contracts of any amount, if the City determines the Contractor submitted a false certification under Section 287.135(5) of the Florida Statutes, or if the Contractor has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, the City shall either terminate the Contract after it has given the Contractor notice and an opportunity to demonstrate the City’s determination of false certification was in error pursuant to Section 287.135(5)(a) of the Florida Statutes, or on a case-by-case basis the City may choose to maintain the Contract if the conditions of Section 287.135(4) of the Florida Statutes are met. For Contracts $1,000,000 and greater, if the City determines the Contractor submitted a false certification under Section 287.135(5) of the Florida Statutes, or if the Contractor has been placed on the Scrutinized Companies with Activities in the Sudan List, or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, the City shall either terminate the Contract after it has given the Contractor notice and an opportunity to demonstrate the City’s determination of false certification was in error pursuant to Section 287.135(5)(a) of the Florida Statutes, or on a case-by-case basis the City may choose to maintain the Contract if the conditions of Section 287.135(4) of the Florida Statutes are met.

The Contractor agrees to observe the above requirements for applicable subcontracts entered into for the performance of work under this Agreement.

As provided in Subsection 287.135(8), F.S., if federal law ceases to authorize these contracting prohibitions, this section shall become inoperative and unenforceable.

VI. SPECIAL TERMS AND CONDITIONS OF THE SOLICITATION

1. A Contractor with which the City successfully negotiates terms and conditions for the Work shall be required to enter into a contract with the City that incorporates the requirements of this Request for Qualifications and terms and conditions. If the parties cannot agree to the services and/or fees for the project, the City reserves the right to cease negotiations with the subject Contractor and initiate negotiations with the Second-ranked Contractor (and so on).

2. The successful Contractor shall hold harmless, indemnify and defend the City, its Council members, employees, representatives and agents against any claim, action, loss, damage, injury, liability, cost and/or expense arising out of or incidental to respondent’s services under this Agreement. Consideration for this indemnification provision will be included in the Contractor’s hourly rate.

3. The successful Contractor, prior to signing of the contract, and before starting work on any projects, shall be required to submit all certificates of insurance as follows:

a. Workers’ Compensation – Workers Compensation insurance providing statutory benefits as required in the State of Florida. The Contractor shall require any subcontractor to provide evidence of this coverage. Additionally, if the contract requires working on or around a navigable waterway, the Contractor and all sub-consultants shall provide evidence of United States Longshoremen’s and Harbor Workers (USL&H) coverage and contingent coverage of Jones Act (Marine Employers Liability) in compliance with Federal statutes or proof of exemption. The Contractor shall be responsible for compliance with these requirements by each subcontractor, Contractor or supplier when applicable.

b. Comprehensive General Liability and Auto Liability – Including but not limited to bodily injury, property damage, and personal injury with limits of not less than $1,000,000 combined single limit per occurrence including Contractual Liability incurred under this Contract.

c. Professional Liability Insurance – For errors and omissions in the amounts of $3,000,000 per claim.

4. Tie - Award of all tie rankings shall be made by the Purchasing Coordinator in accordance with State Statutes, which allows a respondent certified as a Drug-Free Workplace to have precedence. When evaluation of responses to solicitations results in the identical ranking with regards to the responses from two or more Consultants, the City shall determine the order of award using the following criteria in order of preference listed below (from highest priority to lowest priority):

a. Priority shall be given to the respondent certifying that it is a Drug-Free Workplace as defined within §287.087, Florida Statutes;

b. Should a tie still exist, priority shall be given until the tie is broken, to the respondent with the highest total of raw scores for each evaluation criteria, progressing from the highest weighted criteria to the lowest rated criteria. If multiple evaluation criteria have identical weights, the combined total weights of the identically weighted criteria shall be used;

c. In the event that a tie still exists after progressing through a-b, the decision shall be made by lot or coin toss. The drawing of lots or coin toss shall be conducted in the presence of the affected Consultants if they elect to be present.

V. SUBMITTAL REQUIREMENTS

Responses will be evaluated based on the written document submitted as the response to this RFQ; therefore, the response must give a clear, concise, and complete statement of qualifications. For reasons of maintaining fairness and for ease of evaluation, responses to this Request for Qualifications must comply with the following directions and must be presented in this format and in this order:

SUBMITTAL FORMAT:

Submittals shall be printed on 8-1/2 × 11-inch paper, bound in booklet style, typed in Arial, Century, Courier, or Verdana typeface, in at least 12-point size. Both sides of the page may be printed. Number all pages. Covers, tables of contents, and divider tabs will not be counted in the section page limits. Please submit four (4) paper executed signed copies with the original clearly marked and one (1) electronic copy on USB flash drive. Electronic submittal is also available via VendorLink. The booklet shall be divided and organized with tabs as follows:

Tab 1: Introduction (maximum 2 pages)

Provide the below information in the Introduction Letter: Provide no more than a two (2) page letter of introduction. The letter should highlight or summarize information that the Consultant deems appropriate as a cover letter, but at a minimum, this section should include the name, address, telephone number(s), and e-mail address of one person representing the Consultant to whom all correspondence should be directed.

1) Contractor’s Basic Information – Contractor’s name, mailing address, email address, and phone number(s).

2) Primary Contact Person – Name and contact information for the Contractor’s primary contact person. This person will be the contact person for all matters related to the response to this RFQ, scheduling, negotiating, and contracting.

3) Contractor’s Qualifications – Summary and highlights of the Contractor’s qualifications and ability to provide the services identified in the purpose and scope paragraph of this RFQ (Section II).

4) Additional Information - Additional information the Contractor believes relevant and important to his or her submittal not otherwise requested.

5) Required Forms:

Public Entity Crime Form

Non-Collusion Affidavit

Proposer’s Certification

Human Trafficking Affidavit

Drug-Free Workplace Form

W-9 Form

Statement of Litigation

Contractor Affidavit Regarding Scrutinized Company List

6) Authorized Signature – The Introduction Letter, which contains the above information (items 1-5), must be signed by an authorized officer of the Consultant, certifying that the Consultant will accept any awards made as a result of the said submission of the terms contained therein.

Tab 2: Project Team & Staff Credentials (Maximum 30 Points)

(maximum 2 pages excluding Organizational Chart and 1-page resume per team member)

1) Project Manager - Name, office location, background, education, and experience.

This person will be the contact person for all technical services performed by the Consultant for the City.

2) Key Team Members - Name, title/position, office location, background, education, and experience of each key team member. (individuals who will have major contract responsibilities and/or provide unusual or unique expertise), including key personnel from sub-consultants, identified on the Organizational Chart. Resumes shall include the following:

Role in this contract.

Experience (Years) - Total years of relevant experience and years of relevant experience with current Consultant.

Name and location of the Consultant where the person currently works, which must correspond with one of the Consultants listed on the Organizational Chart.

Education - Provide information on the highest relevant academic degree(s) received. Indicate the area(s) of specialization for each degree.

Current Professional Registration - Provide information on current relevant professional registration(s), including state and discipline.

Other Professional Qualifications - Provide information on any other professional qualifications relating to this contract, such as education, professional registration, publications, organizational memberships, certifications, training, and awards.

Relevant Projects - Provide information and status on projects in which the person had a significant role that demonstrates the person's capability relevant to their proposed role in this contract. These projects do not necessarily have to be any of the projects presented in Tab 3 if the person was not involved in any of those projects or the person worked on other projects that were more relevant than the team projects in Tab 3. Include the project title and location, year completed, type of professional services, year construction was completed (if applicable), brief description (scope, size, cost, etc.), and specific role, and indicate if the project is with the current Consultant. If any of the professional services or construction projects are not complete, indicate the status in the brief description.

Sub-consultants – Identify services to be provided by sub-consultants and provide the name and contact information for each sub-consultant’s contact person, including office location. Provide summaries of each sub-consultant’s experience relative to the portion of the services they intend to provide.

3) Organizational Chart – Graphical illustration of the service delivery structure depicting the team to include roles and responsibilities in relation to the scope of this RFQ. [One-page max, up to 11x17]

4) Project team continuity and work history

Tab 3: Technical Approach to Projects (Maximum 20 Points)

(maximum 2 pages)

1) Technologies applied – standard and innovative.

2) Experience with StormWise/Ponds/HEC-RAS software/software resources and capabilities

3) Compliance with Sec. 508 of the Rehabilitation Act and Sec. 255 of the Communication Act.

4) Communication skills (written and verbal); presentations, technical documents, reports, memorandums.

5) Technical methodology.

Tab 4: Quality Control (Maximum 10 Points) (maximum 3 pages)

1) Senior manager review process and availability.

2) QA/QC methods.

3) Budget tracking and billing procedures.

4) Scheduling and project management.

5) Personnel and subcontractor assignment.

Tab 5: Related Experience (Team and Subs) (Possible 30 points) (maximum 2 pages per project)

List up to six (6) projects (no more than 5 years old) that best illustrate the Team’s capability to perform similar work required by this RFQ. In responding, consider the related value and complexity of the project, how many of the proposed team members worked on the listed project, and how recently the project was completed.

1. Name, scope, size, location, and cost of the total project, and the scope of the Consultant’s portion.

2. Principal elements and special features of the project relevant to this RFQ.

3. Name(s) of the Consultant’s project manager and team members and their roles.

4. Describe any permitting and/or regulatory agency efforts/coordination.

5. Describe experience in supporting right‑of‑way acquisition needs.

6. Describe how scheduling, design, and construction project cost estimates are developed and updated.

7. Describe any innovation, cost‑savings/”value engineering.”

8. Describe any project maintenance/operational considerations.

9. Provide a one-page list of other projects that will be relative to this RFQ. Include the name of the project, the geographical location, and the cost.

Tab 6: References (Possible 10 points)

1. Successful execution of projects.

2. Responsiveness to client.

3. Accuracy of cost estimates and reasonable requests for change orders.

4. Timely accomplishment of required objectives.

VI. EVALUATION CRITERIA

In accordance with Section 287.055, Florida Statutes or most recent supplement, final rankings of the firm will be presented to The DeLand City Commission for approval and authorization to negotiate with top-ranked firms. Each response will be evaluated by the Selection Committee members and subjectively scored on Compliance with Instructions, Introduction, Organizational Profile and Sub-consultants, Experience, and Design Approach for a maximum of 100 points as outlined below. The format of the submittal constitutes part of the RFQ response.

Criteria

Project Team & Staff Credentials 30 Points Maximum

Technical Approach to Projects 20 Points Maximum

Quality Control 10 Points Maximum

Related Experience (Team and Subs) 30 Points Maximum

References 10 Points Maximum

TOTAL 100 Points (Maximum)

PUBLIC ENTITY CRIME FORM

Section 287.133(3)(a), Florida Statutes, on Public Entity Crimes:

A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid/quote/proposal on a contract to provide goods or services to a public entity, may not submit a bid/quote/proposal on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids/quotes/proposals on leases of rental property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list.

Acknowledged: _ ____________ Date:

NON-COLLUSION AFFIDAVIT

State of _________________)

County of_________________)

________________________________________________ being first duly sworn, deposes and says that:

(1) He/she is the _________________, (Owner, Partner, Officer, Representative or Agent) of

______________________________ __, the Contractor that has submitted the attached Proposal;

(2) He/she is fully informed respecting the preparation and contents of the attached Proposal and of all pertinent circumstances respecting such Proposal;

(3) Such Proposal is genuine and is not a collusive or sham Proposal;

(4) Neither the said Contractor nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Contractor, firm, or person to submit a collusive or sham Proposal in connection with the Work for which the attached Proposal has been submitted; or to refrain from bidding in connection with such Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or conference with any Contractor, firm, or person to fix the price or prices in the attached Proposal or of any other Contractor, or to fix any overhead, profit, or cost elements of the Proposal price or the Proposal price of any other Contractor, or to secure trough any collusion, conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person interested in the proposed Work;

(5) The price or prices quoted in the attached Proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Contractor or any other of its agents, representatives, owners, employees or parties in interest, including this affiant.

By:__________________________________

Signature of Individual

Printed Name of Individual

Title of Individual

Signed, sealed and delivered in the presence of:

Witness Witness

State of

County of ______________

The foregoing instrument was acknowledged before me this ________ day of _____________, 2026 by ________________________________________________, who is personally known to me or who has produced ___________________ as identification and who did (did not) take an oath.

WITNESS my hand and official seal.

NOTARY PUBLIC

(Name of Notary Public: Print, Stamp, or Type as Commissioned)

PROPOSER'S CERTIFICATION

IN WITNESS WHEREOF, the Proposer hereto has executed this Proposal Form this

______ day of _____________________, 2026.

By:__________________________________ Signature of Individual

Printed Name of Individual

Witness

Business Address

City/State/Zip

Business Phone Number Fax Number

State of

County of ______________

The foregoing instrument was acknowledged before me this ________ day of _____________, 2026 by ________________________________________________, who is personally known to me or who has produced ___________________ as identification and who did (did not) take an oath.

WITNESS my hand and official seal.

NOTARY PUBLIC

(Name of Notary Public: Print, Stamp, or Type as Commissioned)

CITY OF DeLAND

CONFIRMATION OF DRUG-FREE WORKPLACE FORM

In accordance with Section 287.087, Florida Statutes, "[w]henever two or more bids are equal with respect to price, quality, and service which are received by any political subdivision for the procurement of commodities or contractual services, a bid received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process. In order to have a drug-free workplace program, a business shall:

(1) 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.

(2) Inform 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.

(3) Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection one (1).

(4) In the statement specified in subsection one (1), 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 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.

(5) 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.

(6) Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section."

As the person authorized to sign the statement, I certify that this firm complies with the above requirements and the Florida Statutes Section 287.087. This form is in conjunction with The City of DeLand’s General Conditions, Drug-Free Workplace.

Business Name Bid Number and Name

Authorized Representative’s Signature Date

Name Position

CONTRACTOR AFFIDAVIT REGARDING SCRUTINIZED COMPANY LIST

Awarded Contractor shall certify that it and its subconsultants are not on the Scrutinized Companies that Boycott Israel List. Pursuant to Section 287.135, F.S. If the Agreement is for more than $1,000,000 the Contractor further certifies that it and its subconsultants are also not on the Scrutinized Companies with Activities in Sudan, Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or engaged with business operations in Cuba or Syria as identified in Section 287.135, F.S.

For Contracts of any amount, if the City determines the Contractor submitted a false certification under Section 287.135(5) of the Florida Statutes, or if the Contractor has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, the City shall either terminate the Contract after it has given the Contractor notice and an opportunity to demonstrate the City’s determination of false certification was in error pursuant to Section 287.135(5)(a) of the Florida Statutes, or on a case-by-case basis the City may choose to maintain the Contract if the conditions of Section 287.135(4) of the Florida Statutes are met.

For Contracts $1,000,000 and greater, if the City determines the Contractor submitted a false certification under Section 287.135(5) of the Florida Statutes, or if the Contractor has been placed on the Scrutinized Companies with Activities in the Sudan List, or the Scrutinized

Companies with Activities in the Iran Petroleum Energy Sector List, the City shall either terminate the Contract after it has given the Contractor notice and an opportunity to demonstrate the

City’s determination of false certification was in error pursuant to Section 287.135(5)(a) of the

Florida Statutes, or on a case-by-case basis the City may choose to maintain the Contract if the conditions of Section 287.135(4) of the Florida Statutes are met.

STATE OF FLORIDA

COUNTY OF __________________

BEFORE ME, the undersigned authority, personally appeared

____________________________________________, who, being by me first duly sworn, made the following statement:

1. The Business address of (name of bidder or contractor) is .

2. My relationship to ______________________________________(name of bidder or contractor) is (relationship such as sole proprietor, partner, president, vice president).

3. I understand that “Boycott of Israel” has the same meaning as defined in §215.4725, Florida Statutes, and means refusing to deal, terminating business activities, or taking other actions to limit commercial relations with Israel, or persons or entities doing business in Israel or in Israeli-controlled territories, in a discriminatory manner. A statement by a company that it is participating in a boycott of Israel, or that it has initiated a boycott in response to a request for a boycott of Israel or in compliance with, or in furtherance of, calls for a boycott of Israel, may be considered by the State Board of Administration to be evidence that a company is participating in a boycott of Israel. The term does not include restrictive trade practices or boycotts fostered or imposed by foreign countries against Israel.

4. I understand that “business operations” means, for purposes specifically related to Cuba or Syria, engaging in commerce in any form in Cuba or Syria, including, but not limited to, acquiring, developing, maintaining, owning, selling, possessing, leasing, or operating equipment, facilities, personnel, products, services, personal property, real property, military equipment, or any other apparatus of business or commerce.

5. __________________________ (name of the bidder or contractor) is not on the Scrutinized Companies that Boycott Israel List, created pursuant to s. 215.4725, Florida Statutes, or is engaged in a boycott of Israel.

6. __________________________ (name of the bidder or contractor) is not on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to s. 215.473, Florida Statutes.

7. __________________________ (name of the bidder or contractor) is not engaged in business operations in Cuba or Syria.

Signature

Sworn to and subscribed before me in the state and county first mentioned above on the ___________ day of ____________________, 20____.

(AFFIX SEAL or STAMP)

Notary Public

My commission expires:

http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0215/Sections/0215.473.html

HUMAN TRAFFICKING AFFIDAVIT

1. I am over the age of 18 and I have personal knowledge of the matters set forth herein and execute this affidavit in order to comply with the requirements of Section 787.06(13), Florida Statutes.

2. I currently serve in the capacity listed below on behalf of the company listed below.

3. The company listed below does not use coercion for labor or services, as those terms are defined in Florida Statute 787.06.

4. This declaration is made in accordance with Florida Statute 92.525. I understand that making a false statement in this declaration may subject me to criminal penalties.

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

Further Affiant sayeth naught.

Date executed __________________.

COMPANY

NAME OF BUSINESS ENTITY

SIGNATURE

NAME AND TITLE