Small Business Enterprise, as defined by FS 288.703 (1)

Or a:

Minority Business Enterprise, Please select one or more as applicable:

African American Asian American Woman Owned Hispanic American Native American

As defined in FS 288.703 (2) and (3), and that it has been certified by one of the following agencies as an MBE:

State of Florida, Department of Management Services, Office of Supplier Diversity

If not by DMS, who/self-report: _

If you are not a small or minority business enterprise, but intend to subcontract a portion of services or work described in this ITB to a small or minority business enterprise, please provide the following information:

Subcontractor Name Small/MBE Designation Estimated Dollar Value of Services

1. __ _ _ _

2. __ _ _

3. __ _ _

NAME OF BIDDER BID # AND TITLE

PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE

SIGNATURE DATE

If Bidder is NOT a small or minority business enterprise and/or does not intend to subcontract a portion of the services or work described in this ITB to a S/MBE, then Bidder shall indicate here:

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA BID

HVAC VARIABLE FREQUENCY DRIVE, MATERIALS & REPAIR SERVICES – BID #26-0113

ATTACHMENT B

SMALL/MINORITY BUSINESS ENTERPRISE CERTIFICATION FORM

Please complete if you are either a:

I cannot comply with this request.

Signature

Print Name

Title

Name of Bidding Company

I hereby understand and agree to the above statement.

Signature

Print Name

Title

Name of Bidding Company

Emergency Contact: _ _ _

Emergency Telephone Number: _ _ _

Home Telephone Number: _ _ _

Beeper or Cellular Phone Number _____________________________________

Office: _ _ Fax: _ _

Email _____________________________________________________________

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

HVAC VARIABLE FREQUENCY DRIVE, MATERIALS & REPAIR SERVICES – BID #26-0113

ATTACHMENT C

CONDITIONS FOR EMERGENCY/HURRICANE OR DISASTER

It is hereby made a part of this invitation to bid that before, during, and after a public emergency, hurricane, disaster, flood, or acts of God, that the municipal government, through the School Board of Sarasota County, shall require a “first priority” basis for goods and services.

It is vital and imperative that the majority of citizens are protected from any emergency situation which threatens public health and safety, as determined by the School Board of Sarasota

County.

Vendor/Contractor agrees to rent/sell/lease all goods and services to the School Board of

Sarasota County or other government entity as opposed to a private citizen on a first priority basis. The School Board of Sarasota County expects to pay a fair and reasonable price for all products in the event of an emergency, hurricane, or disaster. Vendor/Contractor shall furnish a

“24 hour” phone number in the event of such an emergency.

Location of Service:

Dates services were provided:

Type of service provided:

Contact Person:

Title: Telephone ( )

Email Address: Fax ( )

2. Company Name:

Location of Service:

Dates services were provided:

Type of service provided:

Contact Person:

Title: Telephone ( )

Email Address: Fax ( )

3. Company Name:

Location of Service:

Dates services were provided:

Type of service provided:

Contact Person:

Title: Telephone ( )

Email Address: Fax ( )

1. Company Name:

All bidders must have performed verifiable work providing HVAC variable frequency drive services as specified herein, within the most recent thirty-six (36) month period of time. Three (3) commercial references of comparable scope are required. The bidder agrees to provide references from customers other than the School Board of Sarasota County.

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

HVAC VARIABLE FREQUENCY DRIVE, MATERIALS & REPAIR SERVICES – BID #26-0113

ATTACHMENT D

COMMERCIAL REFERENCES

Company Name: __________________________________________________________________________

Experience: ______________________________________________________________________________

Indicate below the number of years (minimum of three years) the bidding company has been in business providing HVAC variable frequency services:

Number of months/years:

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

HVAC VARIABLE FREQUENCY DRIVE, MATERIALS & REPAIR SERVICES – BID #26-0113

ATTACHMENT E

SERVICE TECHNICIANS

Journeyman Helper

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Company Name

The Contractor must have a minimum of three (3) service technicians on staff who will respond to the SBSC at all times.

(check the box that applies) Names of Service Technicians