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Bid-PW-04-05-05-06 Clean Sweep & VacJune 26, 2014 CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Telephone: 863- 763 -3372 Fax: 863 -763 -1686 TO: Clean Sweep & Vac, LLC PO Box 3268 Stuart, FL 34995 ph 772 - 349 -9311 FROM: City of Okeechobee 55 SE 3rd Avenue Okeechobee, FL 34974 Letter of Understanding Relating to Street Sweeping Services Agreement July 1, 2013 (PW 03- 00- 05 -13) through June 30, 2018 This Letter of Understanding recognizes and amends the July 1, 2013 Street Sweeping contractual arrangement with Clean Sweep & Vac, LLC, only to the extent that the contractor has had reorganization due to the Toss of a partner and has reestablished the company's organization through a new FEIN, retaining its original name. The following is hereby agreed: Upon execution of this Letter of Understanding, Clean Sweep & Vac, LLC, through its ownership, understands and reaffirms that all of the terms and conditions provided for in contract #PW 03- 00 -15 -13 dated July 1, 2013, are valid and that Clean Sweep & Vac, LLC is bound to those terms and conditions the same as if there were no FEIN reorganization. The owner(s) agrees to abide to not only the terms and conditions set forth in the above mentioned agreement, but further affirms that, to the best of his /her knowledge, there were or are no irregularities, noncompliance or illegalities associated with the bidding process wherein Clean Sweep & Vac, LLC was awarded the contract. AS TO CITY OF OK C- HOBEE AS TO CLEAN SWEEP & VAC, LLC Signature Signatur Prinfed ame Titl Date: 7/3/i 1 Printed Name & Title Date: 7 7( /iq M M tt,a P.O. BOX 3268 STUART, FL 34995 COMMERCIAL CLEANSWEEPANDVAC.COM INDUSTRIAL FAX #772- 219 -0687 DAVE @CLEANSWEEPANDVAC.COM PH# 772 - 349 -9311 w Q r _J J Q LaL � w N Z w Q N O w J O w � o w <t = W w J U CO _J CC LTI N V w W O oC o?J rn Z D Q V CC V V) o Q w w > • 2 w w N � cc cc w I O m O • Z Q O `1 w w > Z = AND REMITTANCE TO: P.O. BOX 3268 STUART, FL 34995 w 0 Z J w Z w l7 z w 0 a 0 F- L) Z 0 w w J N Z 0 w CS 2 w Q 0 0 O 2 N 772-349-931.1 NOTICE: I REGRET TO INFORM YOU THAT MY BUSINESS PARTNER, JOSEPH TULLY, HAD A MAJOR HEART ATTACK AND PASSED AWAY. I HAVE SINCE PURCHASED ALL OF THE MEMBERSHIP ARGEEMNETS FOR CLEAN SWEEP & VAC, LLC FROM HIS WIDOW AND REFILED THE INFO TO THE IRS AND FLORIDA SUNBIZ. IN LUE OF THIS, THE IRS HAS DECIDED CHANGED OUR TAX ID #. MR. TULLY WAS GREAT MENTOR AND A GOOD FRIEND. I WOULD LIKE TO ASSURE YOU THAT ALL OF OUR DAY TO DAY OPERATIONS AND CONTACTS HAVE NOT CHANGED AND WE WILL CONTINUE TO HOLD ALL OF OUR SERVICES TO THE HIGHEST STANDARDS. THANK YOU FOR YOUR UNDERSTANDING. INCLUDED IS A COPY OF OUR NEW W9 FORM SHOULD YOU HAVE ANY QUESTIONS PLEASE ME DAVID BENARD, OPERATIONS MANAGER, 772 - 349 -9311 Form (Rev. August Department Internal WiligJ 2013) of the Treasury Revenue Service Request for Taxpayer identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type """iif See Specific Instructions on page 2. Name (as shown on your income tax return) CL -A &x.oCE.Q S \Ji L.LC Business name /disregarded entity name, if different from above Check appropriate box for federal tax classification: Exemptions Exempt payee Exemption code (if any) (see instructions): code (if any) • Individual /sole proprietor I C Corporation II S Corporation p 111 Partnership 111 Trust/estate X Limited liability company. Enter the tax classification (C =C corporation, S =S corporation, P= partnership). • from FATCA reporting • Other (see instructions) Address (number, street, and apt. or suite no.) P.c. Sax- 3D C05? Requester's name and address (optional) City, state, and ZIP code 51'UA(k- V , rt 3‘-t4Q List account number(s) here (optional) Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part 1 instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Certification Social security number IEmployer identification number 1.1 Z 0 Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below), and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt Certification instructions. You must cross out item 2 above if you have been because you have failed to report at interest and dividends on your tax return. interest paid, acquisition or abandonment of secured property, cancellation of generally, payments other than interest and dividends, you are not required to instructions on page 3. Sign Signature of Here U.S. person ► from FATCA reporting is correct. notified by the IRS that you are currently subject to backup withholding For real estate transactions, item 2 does not apply. For mortgage debt, contributions to an individual retirement arrangement (IRA), and sign the certification, but you must provide your correct TIN. See the General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. The IRS has created a page on IRS.gov for information about Form W -9, at www.irs.gov /w9. Information about any future developments affecting Form W -9 (such as legislation enacted after we release it) will be posted on that page. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, payments made to you in settlement of payment card and third party network transactions, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W -9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. Note. If you are a U.S. person and a requester gives you a form other than Form W -9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W -9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, • An estate (other than a foreign estate), or • A domestic trust (as defined in Regulations section 301.7701 -7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners' share of effectively connected taxable income from such business. Further, in certain cases where a Form W -9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W -9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income. Detail by Entity Name IvIsION CoRpoRATIoNs Page 1 of 2 Detail by Entity Name Florida Limited Liability Company CLEAN SWEEP & VAC, LLC Filing Information Document Number L13000049814 FEI /EIN Number 46- 3711210 Date Filed 04/01/2013 State FL Status ACTIVE Effective Date 05/15/2006 Last Event CONVERSION Event Date Filed 04/01/2013 Event Effective Date NONE Principal Address 8255 BUSINESS PARK DR PORT ST LUCIE, FL 34952 Changed: 05/16/2014 Mailing Address P.O. BOX 3268 STUART, FL 34995 Changed: 05/16/2014 Registered Agent Name & Address BENARD, DAVID 2201 SE INDIAN STREET UNIT M6 STUART, FL 34997 Authorized Person s Detail Name & Address Title MGR BENARD, DAVID 2201 SE INDIAN STREET UNIT M6 STUART, FL 34997 http: / /search. sunbiz. org/ Inquiry/ CorporationSearchlSearchResultDetail /Enti ... 6/13/2014 June 25, 2013 Clean Sweep & Vac, LLC David Benard, Manager 2201 SE Indian St. Unit M -6 Stuart, FL 34997 Dear Mr. Benard: CITY OF OKECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863-763-3372 Fax: 863-763-1686 The City Council awarded the Bid to your company, Clean Sweep & Vac, LLC. at the June 18, 2013 City Council Meeting for the Street Sweeping Bid. The work is to begin upon completion of all required documentation. Contract is for July 1, 2013 through June 30, 2018. I have enclosed two original contracts, both need to be signed and dated by you, as the owner. Please return both contracts to the City as soon as possible. Once the contract is signed, an original will be mailed back to you for your records. Please feel free to contact me if you have any questions, (863) 763 -3372, ext 225. Sincerely, David Allen Public Works Director CITY OF OKEECHOBEE CITY COUNCIL STREET SWEEPING Bid No. PW 03- 00 -05 -13 JAMES E. KIRK, MAYOR DEVIN MAXWELL MIKE O'CONNOR DOWLING R. WATFORD, JR. CLAYTON WILLIAMS BRIAN WHITEHALL, CITY ADMINISTRATOR TABLE OF CONTENTS PW 03- 00 -05 -13 Request for Proposal Advertisement form 1 Section I General Information 2 Section II Scope of Work 3 - 5 Section III Submission Requirements checklist 6 Section IV Bid Documentation 7 — 8 Section V Bidder's Qualification Questionnaire 9 -11 Section VI Bonding and Insurance Requirements 12 - 13 Section VII Contractual Agreement 14 - 18 Section VIII Rejection of Proposals 19 Section IX Miscellaneous 20 - 21 Attachments: A No Lobbying Affidavit 22 B Anti - Collusion Statement & No gift Statement 23 C Proposer's Certification 24 D Sworn Statement Pursuant to Section 287.133(2)(a), FL §On Public Entity Crimes 25 -26 E Conflict of Interest Disclosure Form 27 F Immigration law Certification 28 G Drug -Free Workplace Certification 29 H Utilization of Minority & Woman Owned Business Enterprises 78 REQUEST FOR PROPOSALS CITY OF OKEECHOBEE STREET SWEEPING PW 03- 00 -05 -13 Opening Date and Time: May 28, 2013 at 2:00 p.m. 1. The City of Okeechobee City Council is seeking proposals for limited street sweeping of approximately eleven (11) linear curb miles to be cleaned once a week, approximately fifteen (15) additional linear curb miles will be cleaned once every two (2) weeks, and monthly cleaning of the parking lot located behind City Hall. In order to be considered, bids must received by the City of Okeechobee, 55 S.E. Third Avenue, Okeechobee, Florida by May 28, 2013 at 2:00 p.m., at which time all responses to this request will be recorded in the presence of one or more witnesses. Any proposals received after the above noted time and date will not be opened or considered. This solicitation does not commit the City of Okeechobee to award any contracts, to pay any costs incurred in the preparation of a response to this Bid, or to contract for any services. The City reserves the right to reject any or all submittals received as a result of this solicitation, or to cancel in part or in its entirety this Bid, if it is in the best interest of the City to do so. City of Okeechobee is an Equal Opportunity Employer and Drug /Smoke Free Work Place. James E. Kirk, Mayor City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 1 SECTION I PW 03- 00 -05 -13 GENERAL INFORMATION All responses which comply with the requirements of this RFP will be considered. Submittals must be made in the official name of the firm or individual under which business is conducted (showing official business address) and must be signed in ink by a person duly authorized to legally bind the person, partnership, company, or corporation submitting the response to this RFP. Two clearly identified originals and one copy of your proposal submittal are required. Proposal submittals will be received by the General Services Department until 2:00 p.m. on May 28, 2013. Proposal submittals are to be mailed, Hand Delivered, and /or Express Mail to: City of Okeechobee General Services Department 55 S.E. Third Avenue Okeechobee, Florida 34974 The submitting offeror is required to have printed on the sealed envelope or wrapping containing their submission their company name and return address, the RFP Number, Title, Opening Date and Time. Proposals received after the date and time specified above shall be returned to the sender unopened. All proposals shall remain in effect for a period of Ninety (90) days after the last day on which proposals must be submitted. City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 2 SECTION II PW 03- 00 -05 -13 SCOPE OF WORK STREET SWEEPING 2. Remove from the surface of city streets all sand, paper, glass, litter, grass and other associated debris to the degree and extent associated with current standard of sweeping excellence. 3. Cleaning method shall be at the option of the contractor and my be power - operated equipment, hand - operated equipment or a combination of both. 4. Approximately eleven (11) linear curb miles (shown on the enclosed map in green) will be cleaned once a week, and approximately fifteen (15) additional linear curb miles will be cleaned once every two (2) weeks (shown on the enclosed map in yellow). PARKING LOT CLEANING The current municipal parking lot shall be cleaned once a month (shown on the enclosed map in orange) of all debris, trash, glass, cans, paper, dirt, sand and other refuse either thrown or otherwise accumulated or disposed of in that lot and behind car stops. Cleaning method shall be at the option of the contractor and may be by power - operated equipment, hand - operated equipment or a combination of both. Special Conditions 1. The City of Okeechobee is seeking a five year contract, with the option to renew on an annual basis thereafter, at the same and /or better terms and conditions, for street sweeping services. 2. Bidders may submit such additional information as to their qualifications, experience and expertise as they may feel necessary to establish their level of proficiency in this area. 3. Bidders shall maintain a minimum of one million dollars of liability insurance and appropriate workman's compensation insurance as mandated by the State of Florida. Bidder's shall submit proof of insurance each year while under contract with the City. 4. The City Administrator, or his designee, shall have approval authority over City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 3 all equipment used on City streets and parking lots. The contractor specifically agrees to remove and replace any equipment judged by the City to be poorly operating, excessively noisy or dirty, or in any other meaningful way disturbing to the public welfare or unacceptable of producing a satisfactory street sweeping function. 5. The sweeping equipment employed by the contractor shall be of a type designed as a heavy duty municipal type sweeper. The sweeping equipment shall be equipped with a water system to control dust. The sweeping equipment shall not exhibit an excessive noise level that could disturb adjacent property owners. 6. The contractor will provide the necessary sweeping equipment, operator (s), fuel, oil, and water for sweeping and all other items and supplies required to perform street sweeping operations. 7. The sweeping equipment used in the City shall be equipped with amber warning lights and an arrow board in order that the greatest level of protection is afforded to the traveling public. 8. All sweeping activities shall take place in the same direction as the flow of traffic. Any activities that take place in contrast to the flow of traffic will be considered as traffic hazard. 9. The contractor shall maintain versatility in his /her scheduling that would allow the sweeping at any time that best benefits the work. There will be parts of the work that can best be done in the daytime, other parts that can best be done at night and still others that could best be done in the very early morning hours. The contractor shall submit a proposed schedule to the City of planned work to be done. The City shall maintain the right to change the schedule so the maximum benefit can be achieved. 10. The contractor will notify the City upon completion of a cycle of work and the City agrees to provide inspection of the reported work within at least two (2) working days following the report of work completion. Any work not found to be satisfactory by the City shall be reported to the contractor within the same period. The contractor agrees to finish all work to the satisfaction of the City, at no additional cost, prior to receiving payment for such work. 11. The contractor shall provide the City with a written record, the design of which will be approved by the City, of the pertinent information relating to the activities or each sweeping shift. 12. The contractor shall have a supervisor available at all times who can be contacted by the City and who shall keep the City informed as to the City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 4 contractor's activities. 13. The contractor shall be responsible for the hauling and disposing of all sweeping debris. 14. Bidders are to visit the streets and parking Tots named in these specifications and to take note of any varying degrees of difficulty associated with the work. The contractor is to verify to his own satisfaction the mileage figures appearing in these specifications. The streets and lots, as described, are to be swept for the prices as bid on the proposal pages; whatever the degree of difficulty may be. 15. The contractor is to completely remove from the surface of the street and parking lot areas all sand, paper, glass, litter, grass and other associated debris to the degree and extent associated with current standard of sweeping excellence. Excellence in street sweeping shall be interpreted as a clean median line, free of any visible sand, paper, glass, litter, grass and other associated debris. The City shall be the sole judge as to the acceptability of the cleaning performed by the contractor. When, in the opinion of the City, inclement weather prevents adherence to the regular sweeping schedule for up to two (2) days in a given week, the City may require the areas affected to be swept within two (2) days without interruption of the regular sweeping schedule. 16. In the event a street rehabilitation or improvement project is in progress, that portion of the cleaning cycle will be deleted from the route. The section of the streets deleted may be re- entered at the first scheduled cleaning cycle following completion of the work. 17. Street sweeping service shall be measured for payment by the total number of curb miles. The miles shall be calculated to the nearest one -tenth (1/10) of a mile. The contractor must invoice the City on a monthly basis for the amount of service actually performed. Invoices shall state the area swept by street, number of curb miles and parking lot (s). 18. If any locations are added or deleted from the contract, the rate quoted shall be used to determine the adjusted contract price. The City reserves the right to add or delete locations from this contract at its opinion. 19. Either party shall have the right to cancel the contract upon sixty (60) days written notice. City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 5 SECTION III PW 03- 00 -05 -13 SUBMISSION REQUIREMENTS A. The proposer shall submit: 1. Submit proposal on your company's letterhead. 2. Bid form including qualifications in detail, which shall shall include information regarding licensing, experience, special qualifications, etc. 3. In addition to the Bid Form listed in Section IV, please complete the following forms that must be returned with your proposal: Attachment A - No Lobbying Affidavit Attachment B - Anti - Collusion Statement and No Gifts Statement Attachment C - Proposer's Certification Attachment D - Public Entity Crimes Attachment E - Conflict of Interest Disclosure Attachment F - Immigration Law Certification Attachment G - Drug Free Workplace Certification City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 6 SECTION IV PW 03- 00 -05 -13 BID FORM City Council City of Okeechobee, Florida 55 SE 3rd Avenue Okeechobee, FL 34974 C_ efiNSto E-CP SA/Ike. LL.0 (BIDDER'S COMPANY NAME) I have received the documents titled Street Sweeping, PW 03- 00 -05 -13 I have examined the bid documents and submit the following bid in which I agree: 1. To hold my bid open until an agreement has been executed between City of Okeechobee and accepted Bidder, until 90 days after bids are opened, whichever is longer. 2. To enter into and execute a Contract on the basis of this bid. 4. To accomplish the work included in, and in accordance with the Contract Documents, if this bid is accepted. 5. The effective start date for this contract will be July 1, 2013. 6. Regarding Compensation for the proposed work: if this bid is accepted, I will provide the services required on a unit price basis as reflected in the Bid Unit Price Schedule on pages 8 of this bid. 7. Regarding the Award of the Contract: if I am awarded a contract for this project, I understand that the award may be for all or any portion thereof of the items listed under the Bid Unit Price Schedule. City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 7 BID UNIT PRICE SCHEDULE PW 03- 00 -05 -13 STREET SWEEPING ITEM NO. DESCRIPTION MEASURE QUAN. UNIT PRICE AMOUNT 1 Street Sweeping Curb Mile 1086.8 $ 2 3 $ a74, QQ(o .`I 2 Parking Cleaning Each 12 $ SNC�. $ ]cuci... Total Bid NOTE: This bid is on a unit price basis. The total estimated amount is for bid comparison purposes only. The contractor should field verify the actual site conditions prior to time of bidding and before submitting the bid proposal. The contractor should read the special conditions and the requirements for insurance before submitting a bid proposal. The contractor should verify the quantities to be included in the contract. Date S /22.A S Bidder EAU Jt,.o ',LEP kf J,4C , L L C By Q By lJA�S� UE•-)A,� Title MAu A 696- Mailing Address 2C3 \ SC T b-f LAL ST. ST o g,,e r f C_ C) /1/4.) 1,7 34c°1 E -Mail AVE at CLEANSu0E:EPtAN'V .C.o W\ Office Number -7-1 —431 1 Fax Number `1 1 o"? - a IS- big -7 City of Okeechobee ADDENDUM 1 Project No. PW 03- 00 -05 -13 Public Works Department 8 SECTION V PW 03- 00 -05 -13 BIDDER'S QUALIFICATION QUESTIONAIRE THE UNDERSIGNED GUARANTEES THE TRUTH AND ACCURACY OF ALL STATEMENTS AND ANSWERS HEREIN CONTAINED: 1. How many years has your organization been in business providing street sweeping services? Ss.AseE .Docuo 7 see Aa 5 2. Have you ever failed to complete work awarded to you? If so, where and why? AO 3. The following are named as three (3) corporations or individuals for which you have performed work and to which you refer. C �-v 12E S zit-o2SKA.) �-zQC�v.F'T vete 6C 6T- 5rra[A 4. Have you personally inspected the proposed work and verified the quantities in the proposal. 1ES 5. Will you sublet part of this work? If so, give details. City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 9 6. What equipment do you own that is available for the work? 2. 1 `?Nk -O GOO = a9�t vrice.Z.bee. L /-c rR tJ,-zEE.'.R.S 1 Yet Ceo 2 10 ee..4. kE t o Ax S t.5 e E rECS 7. What equipment will you purchase for the proposed work? 8. What equipment will you rent for the proposed work? City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 10 9. State the true, exact, correct and complete name of the partnership, corporation or trade name under which you do business. (If corporation, state the name of the president and secretary. If a partnership, state the name of all partners. If a trade name, state the name of the individuals who do business under the trade name.) 40.7 Swc EP tf AC_ I L L C (Correct name of bidder) (a.) The business is a L L C (b.) The address of the principal place of business is: 2 Zo% SE r-I S.te+ .3 Sr. t.2 TT STS A(2X t FL (c.) The names of the corporate officers, or partners, or individuals doing business under a trade name are as follows: a EN Ale City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 11 SECTION VI PW 03- 00 -05 -13 BONDING AND INSURANCE REQUIREMENTS INDEMNITY [CONTRACTOR] shall defend, indemnify and hold harmless the City of Okeechobee and all of the City of Okeechobee's officers, agents, and employees from and against all claims, liability, loss and expense, including reasonable costs, collection expenses, attorneys' fees, and court costs which may arise because of the negligence (whether active or passive), misconduct, or other fault, in whole or in part (whether joint, concurrent, or contributing), of [VENDOR], its officers, agents or employees in performance or non - performance of its obligations under the Agreement. [CONTRACTOR] recognizes the broad nature of this indemnification and hold harmless clause, as well as the provision of a legal defense to the City of Okeechobee when necessary, and voluntarily makes this covenant and expressly acknowledges the receipt of such good and valuable consideration provided by the City of Okeechobee in support of these indemnification, legal defense and hold harmless contractual obligations in accordance with the laws of the State of Florida. This clause shall survive the termination of this Agreement. Compliance with any insurance requirements required elsewhere within this Agreement shall not relieve [CONTRACTOR] of its liability and obligation to defend, hold harmless and indemnify the City of Okeechobee as set forth in this article of the Agreement. Nothing herein shall be construed to extend the City of Okeechobee's liability beyond that provided in section 768.28, Florida Statutes. INSURANCE [CONTRACTOR] shall, at its sole cost and expense, procure and maintain throughout the term of this contract, Comprehensive General Liability, Worker's Compensation, and Commercial Automobile Liability insurance, including Employer Liability insurance, with minimum policy limits specified below Combined Single Limits, or to the extent and in such amounts as required and authorized by Florida law, and will provide endorsed certificates of insurance generated and executed by a licensed insurance broker, brokerage or similar licensed insurance professional evidencing such coverage, and naming the City of Okeechobee as a named, additional insured, as well as furnishing the City of Okeechobee with a certified copy, or copies, of said insurance policies. Certificates of insurance and certified copies of these insurance policies must accompany this signed contract. Said insurance coverages procured by [CONTRACTOR] as required herein shall be considered, and [CONTRACTOR] agrees that said insurance coverages it procures as required herein shall be considered, as primary insurance over and above any other insurance; or self — insurance, available to the City of Okeechobee, and that any other insurance, or self- insurance available to the City of City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 12 Okeechobee shall be considered secondary to, or in excess of, the insurance coverage(s) procured by [CONTRACTOR] as required herein. Worker's' Compensation: Coverage is to apply for all employees for statutory limits in compliance with the applicable state and federal laws. The policy must include Employers' Liability with a limit of $500,000 each accident, $500,000 each employee, $500,000 policy limit for disease. Commercial General Liability — Occurrence Form Required: (CONTRACTORNendor) shall maintain commercial general liability (CGL) insurance with a limit of not less than $500,000 each occurrence. If such CGL insurance contains a general aggregate limit, it shall apply separately to this location /project in the amount of $1,000,000. Products and completed operations aggregate shall be $1,000,000. CGL insurance shall be written on an occurrence form and shall include bodily injury and property damage liability for premises, operations, independent contractors, products and completed operations, contractual liability, broad form property damage and property damage resulting from explosion, collapse or underground (x, c, u) exposures, personal injury and advertising injury. Damage to rented premises shall be included at $100,000. Commercial Automobile Liability Insurance ( CONTRACTORNendor) shall maintain automobile liability insurance with a limit of not less than $1,000,000 each accident for bodily injury and property damage liability. Such insurance shall cover liability arising out of any auto (including owned, hired and non -owned autos). The policy shall be endorsed to provide contractual liability coverage. Nothing herein shall be construed to extend the City of Okeechobee's liability beyond that provided in section 768.28, Florida Statutes. Will need to be completed City of Okeechobee Project No. PW 03- 00 -05 -13 Public Works Department 13 SECTION VII PW 03- 00 -05 -13 AGREEMENT This AGREEMENT is dated as of the 1 day ofJctly in the year 2013, between the City of Okeechobee (CITY) and Olean w et p YQC°� t t (CONTRACTOR). CITY and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: Article 1. Work 1.1 The Work is describes as follows: street sweeping of approximately twelve and one half (12.5) linear curb miles to be cleaned once a week, approximately twelve (12) additional linear curb miles will be cleaned once every two (2) weeks, and monthly cleaning of the parking lot located behind City Hall. Article 2. Public Works Director 2.1 . PUBLIC WORKS DIRECTOR as named in the Contract Documents shall mean: The City of Okeechobee's Public Works Director 55 SE 3rd Avenue Okeechobee, FL 34974 Article 3. Contract time 3.1 The effective period for this contract is July 1, 2013 through June 30, 2018 with the option to renew on an annual basis thereafter at the same and or better terms and conditions for street sweeping services. Article 4. Contract Price 4.1 City shall pay CONTRACTOR for performance of the work in accordance with the unit prices listed in the contract documents CONTRACTOR's bid form on a project by project basis. Article 5. Workmanship CONTRACTOR shall in a good workman like manner, perform all work pursuant to the specifications and street sweeping specifications. Should CONTRACTOR fail to provide prudent and competent professional services, in like manner to other providers in the area, and if that failure causes damages, dissatisfaction or unnecessary costs to the CITY, this contract may be unilaterally terminated by the CITY as provided in Article 9 herein, and CONTRACTOR Shall not be entitled to further claims or sums due under this contract. City of Okeechobee ADDENDUM 1 Project No. PW 03- 00 -05 -13 Public Works Department 14 Article 6. Inspections and Corrections of Work All work by CONTRACTOR will be monitored by the Public Works Director, as listed in the specifications, or as directed by the City Administrator from time to time. Following each weekly service, CONTRACTOR shall notify the contact person in the CITY of completion of each of his or her areas of work for that week The CITY shall inspect the work, and if found that it has not been done satisfactorily, the work will be promptly corrected, at the expense of Article 7. Measurement and payment 7.1 Payment for the work, as further specified herein, shall include compensation to be received by the CONTRACTOR for furnishing tools, equipment, supplies, and manufactured articles, and for labor, operations, and incidentals appurtenant to the items of work being described, as necessary to complete the various items of the work in accordance with the requirements of the contract documents, including appurtenances thereto, and including all costs of compliance with the regulations of public agencies having jurisdiction, including Safety and Health Requirements of the Occupational Safety and Health Administration of the U.S. Department of Labor (OSHA). No separate payment will be made for any item that is not specifically set forth in the Bid Schedule, and all costs therefore shall be included in the prices named in the Bid Schedule for the various appurtenant items of work. 7.2 The total Unit Bid Price for each project shall cover all work required by the Contract Documents. All costs in connection with the proper and successful completion of the work, including furnishings all materials, equipment, supplies, and appurtenances; providing all construction equipment, and tools; and performing all necessary labor and supervision to fully complete the Work, shall be included in the Unit bid prices. All related and necessary work not specifically set forth as a pay item in the Bid shall be considered a subsidiary obligation of CONTRACTOR and all costs in connection therewith shall be included. 7.3 Payment for all work done based on the total number of curb miles calculated to the nearest one -tenth (1/10) of a mile. The CONTRACTOR must invoice the City on a monthly basis for the amount of service actually performed. Invoices shall state the area swept by street, number of curb miles and parking lot(s).. 7.4 The city reserves the right to add or delete areas at the sole discretion of the city. The rate quoted shall be used to determine the adjusted contract price. 7.5 Quantities necessary to complete the work as shown on the Drawings or as specified herein shall govern over those shown in the Proposal or Bid Documents. The CONTRACTOR shall take no advantage of any apparent error or omission in the Drawings or Specifications, and the Public Works Director shall be permitted to make corrections and interpretations as may be deemed necessary for fulfillment of the intent of the Contract Documents. City of Okeechobee ADDENDUM 1 Project No. PW 03- 00 -05 -13 Public Works Department 15 7.6 All estimated quantities stipulated in the Bid Form or other Contract Documents are approximate and supplied for the sole purpose of providing Bidder with a basis which will be used to determine the Base Bid and to obtain unit prices for approvals of progress payments for the Work done Article 8. CONTRACTOR's representations In order to induce City to enter into this Agreement, CONTRACTOR makes the following representations: 8.1 CONTRACTOR has familiarized himself with the nature and extent of the Contract Documents. Work locality, weather, and with all local conditions and federal, state, and local laws ordinances, rules, policies, and regulations that in any manner affect cost, progress, or performance of the work. 8.2 CONTRACTOR has given Public Works Director written notice of all conflicts, errors, or discrepancies that he has discovered in the contract documents, and the written resolution thereof by Public Works Director is acceptable to the contract. Article 9. Option to renew 9.1 It is understood that renewal of this contract is subject to availability of funds to the CITY annually, and the rebidding and award of this contract by the CITY Council. Thus, no guarantee express or implied is made as to renewal options under this contract. Article 10. Early Termination Should CONTRACTOR violate any provision of this contract, or if the level of service and performance being provided by CONTRACTOR does not meet the expectations of the CITY after providing attempts at curing such defects, the CITY may cancel this contract upon thirty (30) days written notice to CONTRACTOR without further liability therefore. Article 11. Contract Documents The contract documents which comprise the entire agreement between the City and the CONTRACTOR are made a part hereof and consist of the following: This Agreement • Certificates of Insurance • Notice of Award • Noticcs to Proceed NOT NEFQCO -Fcn� 5i72.EEr SVJC&p r3c Ccr»t4CT5 PC2 AAmovisTrar-oZ rvttIT t • Contractor's Bid Forms (including documentation accompanying the Bid and pp, o(sil3 documentation prior to Notice of Award). • Documentation submitted by contractor prior to Notice of Award. • Any modification, including Change Orders and Field Orders, duly delivered after execution of Agreement. City of Okeechobee ADDENDUM 1 Project No. PW 03- 00 -05 -13 Public Works Department 16 There are no contract documents other than those listed above in this Article 10. The contract documents may only be altered, amended, or replaced by a modification (as defined in Section 1 of the general conditions). Article 11. Miscellaneous 11.1 Terms used in this agreement which are defined in Article 1 of the general conditions shall have the meanings indicated in the general conditions. 11.2 No assignments by a party hereto of any rights under or interests in the contract documents will be binding on another party hereto without the written consent of the party sought to be bound, and any such assignment shall be void and of no effect; and specifically but without limitation, monies that may become due and monies that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the contract documents. 11.3 City and CONTRACTOR each binds himself, his partners, successors, assigns, and legal representatives to the other party hereto, his partners, successors, assigns, and legal representatives, in respect to all covenants, agreements, and obligations contained in the contract documents. 11.4 CONTRACTOR Upon its part, agrees to protect, indemnify and hold harmless the, its agents, officers and employees, from any and all liability to persons for claims, demands, suits, property damage, personal injuries or omissions of every and any nature of CONTRACTOR, its agents or employees, for performance of its obligations under this contract. It is specifically recognized and agreed that CONTRACTOR Is solely responsible for the manner, time and nature of the performance of its work under this contract, subject only to the terms of the contract, and the specifications which govern the quality of its performance. Thus, it is agreed that CONTRACTOR_is an independent CONTRACTOR in the furnishing of its services, and neither CONTRACTOR or any or its agents, employees or assigns shall ever consider to be an agent, servant or employee of the CITY. 11.5 CONTRACTOR shall provide insurance in as specified in Section VI, Bonding and Insurance Requirements of Request for proposal, City of Okeechobee Street Sweeping PW 03- 00- 05 -13. 11.6 CONTRACTOR agrees that all curbs, improvements, streets or other CITY or third party owned property that is damaged by personnel of CONTRACTOR or their equipment shall be repaired or replaced promptly, at the expense of CONTRACTOR. In witness whereof, the parties hereto have signed two (2) copies of this agreement. At least one counterpart each has been delivered to the City and CONTRACTOR. All portions of the City of Okeechobee ADDENDUM 1 Project No. PW 03- 00 -05 -13 Public Works Department 17 contract documents have been signed or identified by City and CONTRACTOR or by Public Works Director on their behalf. This agreement will be effective on ..hi ly I i a013 City Attest: Lane Gamiotea CMC City Clerk Addresses for giving notices: City City of Okeechobee 55 SE 3rd Avenue Okeechobee, FL 34974 CONTRACTOR (, E€ r yf \MC [c.0 Corporate Seal 0 CS --.00 By: Name:' 6C-NSAKIsN Title: /'''1 p MACE Attest: It ° `1- Title: eientta S J'1/t S NUcc 1.cciz e- CONTRACTOR G i 2 an svu.c..ef e aC ( SSE i n c� a st' un i F M -L, Shut. v' , J" L 31-4 ci - Approved as to form and Iej ality for the use and reliance of the City of Okeechobee only. John R. Cook, City Attorney City of Okeechobee ADDENDUM 1 Project No. PW 03- 00 -05 -13 Public Works Department 18 SECTION VIII PW 03- 00 -05 -13 REJECTION OF PROPOSALS 1 The City may reject a proposal if: a. The Proposer conceals any material fact in the proposal. b. The proposal does not strictly conform to the law or requirements of the proposal. c. The City may, however, reject any or all Proposals, whenever it is deemed in the best interest of the City to do so and may reject any part of a Proposal. The City may also waive any minor informalities or irregularities in any Proposal. d. Proposal Protest Procedure 1. Any Proposer that has submitted a formal proposal to City of Okeechobee, and who is adversely affected by the decision with respect to the award of the formal proposal, may file with the City Administrator's Office, City of Okeechobee, 55 SE Third Avenue , Okeechobee, FL 34974, a written Protest no later than forty -eight (48) hours (excluding Saturdays, Sundays and Legal Holidays) of the decision of the City of Okeechobee City Council to award the proposal. 2. The "Notice of Intent to File a Protest" document shall be in the form of a letter stating all grounds claimed for the Protest. Failure to do so shall constitute a waiver of all rights to seek any further remedies provided for under this Protest Procedure. 3. The City Administrator shall submit the protest statement and affidavits along with his or her own statement and affidavits in support of the award of the formal proposal to the City Council for a final determination of the protest. City of Okeechobee Project No. 03- 00 -05 -13 Fublic Works Department ly SECTION IX PW 03- 00 -05 -13 MISCELLANEOUS A. No Lobbying: All respondents are hereby placed on notice that any communication, whether written or oral, with City of Okeechobee elected officials or any City staff or outside individuals working with the City in respect to this request (with the exception of the General Services personnel designated to receive requests for interpretation or corrections or technical questions), is prohibited. These persons shall not be lobbied, either individually or collectively, regarding any request for bid, proposals, qualifications and /or any other solicitations released by the City. To do so is grounds for immediate disqualification from the selection process. All respondents must submit the attached No Lobbying Affidavit with their submittal stating that they and their subcontractor, sub - consultants and agents agree to abide by the no lobbying restrictions in order to be considered for this request. Any respondent that does not submit the required No Lobbying Affidavit will be automatically disqualified from further consideration. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. See Attachment A B. Collusion, Gratuities and Kickbacks: It shall be unethical for any respondent to collude with any other respondent or offer, give or agree to give any City Council member, City employee or City representative (including selection committee members) a gift, gratuity or an offer of employment in connection with any decision, approval, disapproval, recommendation or preparation of any part of the procurement process. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. See Attachment B C. Modifications: The City reserves the right to modify, alter or change the scope or other aspects of this solicitation. D. Level Playing Field: The contents of this solicitation are intended to provide a level playing field on which firms or individuals may base their responses. E. Public Entity Crime Affidavit: As requested by Florida Statute 287.133(2)(a), 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 on a contract with a Public Entity for the construction or repair of a public building or a public work, may not submit bids on leases of real property to a Public Entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant City of Okeechobee Project No. 03- 00 -05 -13 Public Works Department 20 under a contract with any Public Entity, and may not transact business with any Public Entity in excess of the threshold amount provided in s. 287.017 for Category Two for a period of 36 months from the date of being placed on the convicted vendor list. Any person must notify the City within 30 days after a conviction of a Public Entity crime applicable to that person or to an affiliate of that person. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. See Attachment B F Conflict of Interest: The award hereunder is subject to the provisions of Chapter 112, Florida Statutes. All respondents must disclose with their submission the name of any officer, director, employee or agent who is also a public officer, employee or an agent of the City of Okeechobee City Council, or any of its agencies. Furthermore, all respondents must disclose the name of any City officer, employee or agent who owns, directly or indirectly, an interest of five percent (5 %) or more in the firm or any of its parent companies or subsidiaries. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. See Attachment E G. Immigration Laws: Respondents must comply with all applicable immigration laws in their employment practices. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. See Attachment F H. Tie Proposals: Preference shall be given to businesses with drug -free workplace programs. Whenever two or more proposals which are equal with respect to quality and service are received by the City for the procurement of commodities or contractual services, a proposal received from a business that certifies that it has implemented a drug -free workplace program shall be given preference in the award process. Established procedures for processing tie proposals will be followed if none of the tied vendors has a drug -free workplace program. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. City of Okeechobee Project No. 03- 00 -05 -13 Public Works Department 21 ATTACHMENT A PW- 03- 00 -05 -13 NO LOBBYING AFFIDAVIT STATE OF FLORIDA COUNTY OF /fit a. v 717't7 This /3 day of , 20 /, /J•auzsb N a being first duly sworn, deposes and says that he /she is the authorized representative of 0/ CA jc) � �t f QS.� VAC',, (Name of contractor, firm or individual) respondent to the attached request for bid, proposal or qualifications and /or any other solicitation released by City of Okeechobee, and that the bidder and any of its agents agrees to abide by the City of Okeechobee no lobbying restrictions in regard to this solicitation. Affiant 0 Sworn to (or affirmed) and subscribed before me this /J day of 20 /3 , by Pa l; l6/ /1 ,,P . 4 a��ii'r' RENA J. THOMAS • ' 4 = Notary Public • State of Florida • s My Comm. Expires Jan 23, 2016 • �� - Commission • EE 162559 °''.,?;.� �••`' Bonded Through National Notary Assn. ariewermairgrom Personally Known Signature of Notary Public State of Florida -ev I / 1-7 Print, Type or Stamp Commissioned Name OR Produced Identification Type of Identification Produced City of Okeechobee Project No. 03- 00 -05 -13 Public Works Department 22 ATTACHMENT B PW- 03- 00 -05 -13 ANTI - COLLUSION STATEMENT & NO GIFTS STATEMENT Date: Anti - collusion statement: The below- signed Bidder has not divulged to, discussed, or compared his/her Bid with other Bidders and has not colluded with any other Bidder or parties to a Bid whatsoever. No gifts statement: No premiums, rebates, gifts or gratuities are permitted with, prior to, or after submission of the Bid. Any such violation will result in rejection of the Bid and removal from the Bid list(s). Firm Name: C-,...66kr —i Su,EEP X VA c_c-0 By(printed /typed): fJA4a. 1E..u=t‘t.� By (signature): - ,.r =...0 cl ____C2 Title: /HAlu ato EsC. Mailing Address: 2:2-0 t 'E L.A.sbx14ry 51--. U jvz7- /Lt —(o City, State, Zip: SruA41.T f FL 3yQQ`z Telephone No.: 113 — -3 L-IQ — 4 31 l City of Okeechobee Project No. 03- 00 -05 -13 Public Works Department 23 ATTACHMENT C PW- 03- 00 -05 -13 PROPOSER'S CERTIFICATION I have carefully examined this Request for Bids (BID) /Request for Proposals (RFP)/ Request for Qualifications (RFQ), which includes scope, requirements for submission, general information and the evaluation and award process. 1 acknowledge receipt of the following addenda. Addendum # / Date: 512 ./1'S Addendum # Date: Addendum # Date: Addendum # Date: Addendum # Date: Addendum # Date: I hereby propose to provide the services requested in the City's RFP and, if awarded, to enter into the attached draft contract. I agree that the terms and conditions of the City's RFP shall take precedence over any conflicting terms and conditions submitted with my proposal and agree to abide by all conditions of the RFP, unless a properly completed Exceptions to RFP form is submitted. I acknowledge that the City may not accept the proposal due to any exceptions. I certify that all information contained in my proposal is truthful to the best of my knowledge and belief. !further certify that lam duly authorized to submit this proposal on behalf of the company as its agent and that the company is ready, willing and able to perform if awarded a contract. I further certify, under oath, that this proposal is made without prior understanding, agreement, connection, discussion or collusion with any other person, company or corporation submitting a proposal for the same product or service; no gratuities, gifts or kick -backs were offered or given by the Bidder or anyone on its behalf to gain favorable treatment concerning this procurement; no City Council member, employee or agent of City of Okeechobee or of any other company is interested in said bid; and that the undersigned executed this Proposer's Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do ?"t. LE- ata c.9FFPV/ VAC,tC(` Name of Business urize ure A tho ii:T I � Signat Li 14 � Name & Title, Typed 2261 5E itob .r+,v T. A- Ca Mailing Address S T u 4A 21- ,FL .3c449'7 City, State & Zip Code .r2 - 3tJq -p, i /77.i' -D(9 -c fsi elephone Number /Fax Number /3 et ti C Leva ,°6+r.:b VAC . cow\ Email Address State of Florida County of Ma y7174 This„foregoing instrument was acknowledged before me this /-37, day of by a. uid 6i' a v d , who is personally known to me or produced as identification. City of Okeechobee Public Works Department 24 201-3 Signature of Notary Project No. 03- 00 -05 -13 ATTACHMENT D PW- 03- 00 -05 -13 SWORN STATEMENT PURSUANT TO SECTION 287.133 (2)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement iss�submitted to CITY OF OKEECHOBEE, FLORIDA by: A v z�k� EiV A,2. M •46.1 A loE' (print individual's name and title) for: LE AiV Sc,2Et. it) ✓14C LL. C (print name of entity submitting sworn statement) whose business address is: 22 0( S t ..i—sAx.M.1 ST, 171.7E T Y'�- to SruA2T CI' -1- I 7 and (if applicable) its Federal Employer Identification Number (FEIN) is: ZO - `IT 7 V (v 10 (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: - .) 1 understand that a "public entity crime" as defined in Paragraph 287.133(1)(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 or with an agency or political subdivision of any other state or of 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 of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentations. 3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(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 contendere. 4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means: A. A predecessor or successor of a person convicted of a public entity crime; or B. 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 36 months shall be considered an affiliate. City of Okeechobee Public Works Department 25 Project No. 03- 00 -05 -13 5. I understand that a "person" as defined in Paragraph 287.133(1)(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. 6. Based on information and belief, the statement which 1 have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies). Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. ❑ The entity submitting this sworn statement, or one or more of its 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 I, 1989. ri The entity submitting this sworn statement, or one or more of its 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. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list (attach a copy of the final order). I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. 1 ALSO UNDERSTAND THAT 1 AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR C TEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. Signature Sworn to and subscribed before me this Personally known day of OR Produced ldentification� oflden LINDA SCHRAM _ Notary Public - State of Florida • My Comm. Expires Jan 11, 2014 Commission # DD 939915 My Commissi SEAL OR ST City of Okeechobee Public Works Department cation 20 (3 26 Notary Public State of Florida Project No. 03- 00 -05 -13 ATTACHMENT E PW- 03- 00 -05 -13 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all bidders must disclose if any City of Okeechobee employee(s), elected official(s), or any of its agents is also an owner, corporate officer, director, agent, employee, etc., of their business. Indicate either "yes" (a city employee, elected official or agent is associated with your business), or "no ". If yes, give person(s) name(s) and position(s) with your business. YES NO X Name(s) Position(s) Firm Name: LC i S EE A SC( VAC) L. L.0 By (Printed): A ✓i 15£NA R� By (Signature): Title: A (ok-,e. Address: 720 l 5 E :EA/ 5T _ U„v z- (c STUA("cc F� 3y�r4'7 Phone Number: 39c — Q 3 ( ( City of Okeechobee Project No. 03- 00 -05 -13 Public Works Department 27 ATTACHMENT F PW- 03- 00 -05 -13 IMMIGRATION LAW CERTIFICATION City of Okeechobee will not intentionally award city contracts to any contractor who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 1324 a(e) (Section 274a(e) of the immigration and nationality act ( "INA ")). City of Okeechobee may consider the employment by any contractor of unauthorized aliens a violation of Section 274A(e) of the INA. Such violation by the recipient of the employment provisions contained in Section 274A(e) of the INA shall be grounds for unilateral cancellation of the contract by City of Okeechobee. Respondent attests that it is fully compliant with all applicable immigration laws, specifically relating to the 1986 immigration act and subsequent amendments. ,cA1-J orr P imCi LL c` Company ame Signature d-'( r.4 t ) A t E 4? Title /13 h---5 Date STATE FLORID COUNTY OF '\(\ Sworn to (or affir d) and! �ubscribed efore me this 1'3 day of , 20 L , by UPsv; \. \ P t ro-re. who is personally known or as produced F L- OL_ as,jdentification. (stamp) Tit Fl�� " ary ° , blic — State of Florida Notary Public - State of Florida My Comm. Expires Jan 11, 2014 Commission # DD 939915 City of Okeechobee Public Works Department 28 Project No. 03- 00 -05 -13 ATTACHMENT G PW- 03- 00 -05 -13 DRUG -FREE WORKPLACE CERTIFICATION THE BELOW SIGNED bidder /proposer CERTIFIES that it has implemented a drug -free workplace program. 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 work place and specifying the actions that will be taken against employees for violation 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 quote a copy of the statement specified in subsection 1. 4. In the statement specified in subsection 1, notify the employees that, as a condition of working on the commodities or contractual services that are under quote, the employee will abide by the terms of the statement and will notify the employer of any conviction or plea of guilty or nolo contendere to any 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, drug abuse assistance or rehabilitation program if such is available in the employee's community, by an employee who is 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 this statement, I certify that this firm complies fully with the above requirements. (� Date: 5" /t 3 /7 en -S Signature:_______n Company: CcE',ousc 7rci tint Name: VcNAA c..t. C Address: 22en St -Z-A/ Tay4STTitle: MIA YlCoE (2 ()psi- S'rU A Q.1-, L✓ L 3 Y 997 Phone Number: 71 a - 31./9 - 9 City of Okeechobee Project No. 03- 00 -05 -13 Public Works Department 29 ADDENDUM 1 PW- 03- 00 -05 -13 REVISED CURB MILE CALCULATIONS The City of Okeechobee is revising the estimated number of curb miles to be bid under this proposal to reflect correct curb mile data obtained using GIS information compiled utilizing the Okeechobee County Assessor's Office on -line GIS mapping tool. The correct mileage estimates are approximately twelve and Y2 (12.5) miles to be cleaned once per week and an addition al twelve (12) miles to be cleaned every two weeks. The monthly cleaning of the parking lot remains the same at one (1) cleaning per month. Detailed information for the streets and street lengths to be swept under this contract are listed below in Table 1. Okeechobee Street Sweeping Curb Miles. Additionally, an updated map of the streets to be swept is also attached to this addendum. In the case of conflicting information, the streets information included in Table 1. Okeechobee Street Sweeping Curb Miles, has precedence over the attached map. The original Request for Proposal, PW 03- 00 -05 -13 is therefore revised as follows: Paragraph 1, Page 1, REQUEST FOR PROPOSALS is amended to read: The City of Okeechobee City Council is seeking proposals for limited street sweeping of approximately twelve and one half (12.5) linear curb miles to be cleaned once a week, approximately twelve (12) additional linear curb miles will be cleaned once every two (2) weeks, and monthly cleaning of the parking lot located behind City Hall. Paragraph 4, page 3, SCOPE OFM WORK is amended to read: Approximately twelve and one half (12.5) linear curb miles (shown on the enclosed map in green) will be cleaned once a week, and approximately twelve (12) additional linear curb miles will be cleaned once every two (2) weeks (shown on the enclosed map in yellow). Item 1, Page 8, BID UNIT PRICE SCHEDULE is amended to read: ITEM NO. DESCRIPTION UNIT MEASURE EST. QUAN. UNIT PRICE AMOUNT 1 Street Sweeping Curb Mile 1068.8 $23 $ ?y 5�sa .ti , zfregeoi pork i►oE2; A revised BID UNIT PRICE SCHEDULE is included with this addendum to be utilized in submitting your bid for the project. Paragraph 1.1, Page 14, AGREEMENT is amended to read: The Work is describes as follows: street sweeping of approximately twelve and one half (12.5) linear curb miles to be cleaned once a week, approximately twelve (12) additional linear curb miles will be cleaned once every two (2) weeks, and monthly cleaning of the parking lot located behind City Hall. City of Okeechobee Public Works Department 1 ADDENDUM 1 Project No. PW 03- 00 -05 -13 A revised BID UNIT PRICE SCHEDULE is included with this addendum to be utilized in submitting your bid for the project. Table 1 City of Okeechobee Street Sweeping Curb Miles Weekly Street From To Length (ft) Curb Miles Parrott Ave (US -441)* N 14th St S 23rd St 20,160 7.6 Park St W 12th Ave E 13 Ave 9,400 3.6 South Park St W 7th Ave E 3rd Ave 2,900 1.1 W 6th Ave Park St (Hwy 70) S Park St 150 0.1 W 5th Ave Park St (Hwy 70) S Park St 150 0.1 W 4th Ave Park St (Hwy 70) S Park St 150 0.1 W 3rd Ave Park St (Hwy 70) S Park St 150 0.1 W 2nd Ave Park St (Hwy 70) S Park St 150 0.1 E 2nd Ave Park St (Hwy 70) S Park St 150 0.1 E 3rd Ave Park St (Hwy 70) S Park St 150 0.1 E 2nd Ave Total Weekly Curb Miles 13.0 Every Two Weeks Annual Weekly Curb Miles 676.0 Street From To Length (ft) Curb Miles W 6th Ave NW 4th St Park St 1,100 0.4 W 5th Ave NN 6th St Park St 1,900 0.7 W 5th Ave* S Park St SW 7th St 3,600 1.4 W 4th Ave NW 4th St Park St 1,200 0.5 W 4th Ave S Park St SW 4th St 1,100 0.4 W 4th Ave SW 5th St SW 6th St 400 0.2 W 3rd Ave NW 4th St Park St 1,200 0.5 W 3rd Ave S Park St SW 4th St 1,100 0.4 W 2nd Ave NW 6th St Park St 1,900 0.7 W 2nd Ave S Park St SW 10th St 3,300 1.3 E 2nd Ave NE 2nd St Park St 400 0.2 E 3rd Ave NE 2nd St Park St 400 0.2 E 3rd Ave S Park St SE 4th St 1,100 0.4 E 7th Ave NE 2nd St Park St 400 0.2 N 5th St NW 5th Ave NE 2nd Ave 1,900 0.7 N 4th St NW 6th Ave NE 2nd Ave 2,300 0.9 City of Okeechobee Public Works Department 2 ADDENDUM 1 Project No. PW 03- 00 -05 -13 N 3rd St NW 6th Ave NW 4nd Ave 700 0.3 N 3rd St NW 3rd Ave NE 2nd Ave 1,100 0.4 N 2nd St NW 5th Ave NE 4th Ave 2,600 1.0 S 3rd St* SW 5th Ave SE 3rd Ave 2,900 1.1 S 4th St* SW 5th Ave SE 6th Ave 5,400 2.0 S 6th St SW 7th Ave Parrott Ave (US -441) 4,000 1.5 S 7th St SW 2nd Ave Parrott Ave (US -441) 300 0.1 S 8th St SW 3rd Ave Parrott Ave (US -441) 700 0.3 Total Every two weeks Curb Miles 15.8 Annual Every Two Weeks Curb Miles 410.8 Total Annual Curb Miles 1086.8 *Includes Curbed Center Street Medians City of Okeechobee ADDENDUM 1 Project No. PW 03- 00 -05 -13 Public Works Department 3 A °RDD CERTIFICATE OF LIABILITY INSURANCE DATE (MM /ODYYYY) 5/15/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FRANKCRUM INSURANCE AGENCY, INC. 100 S. MISSOURI AVE. CLEARWATER FL 33756 CONTACT NAME: PFIONE FAX (A/C, No, Exty 1-800-277-1620 x4800 (A /C, No): 727- 797-0704 E -MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC# INSURER A: FRANK VVINSTON CRUM INSURANCE CO. 11600 INSURED FrankCrum 1- 800 - 277 -1620 100 S MISSOURI AVENUE CLEARWATER FL 33756 INSURER B: INSURER C: INSURER o: INSURER E: $ INSURER F: DAMAGE TO RENTED PREMISES (Ea occurrence) COVERAGES CERTIFICATE NUMBER: 224559 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS GENERAL UABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPUES PER: POLICY nPROJECT [LOC PRODUCTS - COMPIOP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALLOWNED AUTOS HIRED AUTOS SCHEDULED NON -OWNED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ _AUTOS PROPERTY DAMAGE (Per accident) $ _AUTOS $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ _ AGGREGATE $ DED 1 RETENTION $ $ A WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N NIA WC201300000 1/1/20',3 1/1/2014 X ORYUMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE 81,000,000 E.L, DISEASE - POLICY LIMIT $1 000,000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 0 more space is required) EFFECTIVE 06/11/2011, COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUM LEASED TO CLEAN SWEEP & VAC, LLC (CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. CERTIFICATE HOLDER CANCELLATION CLEAN SWEEP & VAC, LLC 2201 S.E. INDIAN STREET BUILDING M -6 STUART, FL 34997- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rn.cLhd- Ntfh Bid as re ACORD 25 (2010/05) O j1 , /.5ca L 7 /I'u Ci Lr,e t r ' �rt Rern ve r AA) he ORD name an logo are registered marks of ACORD See, /�'e/n�.ilf l' �Q a ±ea (P /dv / /oi( ©1988 2010 ACORD CORPORATION. All rights reserved. ACORL7 1,. - N CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDYYYY) 6/26/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FRANKCRUM INSURANCE AGENCY, INC. 100 S. MISSOURI AVE. CLEARWATER FL 33756 CONTACT NAME: PHOE FAX (ACNNo, EOtL 1- 600 - 277 -1620 x4800 (AC No): 727-797 -0704 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A. FRANK WINSTON CRUM INSURANCE CO. 11600 INSURED FrankCrum 1 -800 -277 -1620 100 S MISSOURI AVENUE CLEARWATER FL 33756 INSURER B: INSURER C: INSURER D: INSURER E: $ INSURER F: DAMAGE TO RENTED PREMISES (Ea occunenoe) COVERAGES CERTIFICATE NUMBER: 227028 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LiR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POUCY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occunenoe) $ CLAIMS -MADE OCCUR MED EXP (My one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY (PROJECT 1 -LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _AUTOS SCHEDULED NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accdent) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAR _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I 1 RETENTION $ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below / N/A WC201300000 1/1/2013 1/1/2014 OTH- TORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS) LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, B more space is required) EFFECTIVE 06/11/2011, COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUM LEASED TO CLEAN SWEEP & VAC, LLC (CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. CERTIFICATE HOLDER CANCELLATION CITY OF OKEECHOBEE 55 S.E. 3RD AVENUE OKEECHOBEE, FL 34974 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 2: -.—> -/ ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD © 1988-2010 ACORD CORPORATION. All rights reserved. INDUSTRIAL PH# 772 - 349 -9311 CLEAN SWEEP & VAC, LLC 2201 SE INDIAN ST. BLD M -6 STUART, FL 34997 CLEANSWEEPANDVAC.COM DAVE@CLEANSWEEPANDVAC.COM PROPOSAL FOR STREET SWEEPING SERVICES FOR THE CITY OF OKEECHOBEE COMMERCIAL FAX# 772 - 219 -0687 Clean Sweep & Vac, LLC fully understands the scope of work as well as the processes the work is to be completed in. Furthermore, we will do the best job possible to perform all services in a timely manner and within budgetary requirements. It is our privilege to say we have been keeping Florida clean for the past 15 years, helping keep cities and counties in compliance with all Storm Water regulations and requirements. We at Clean Sweep provide our customers with the best service possible by using equipment best suited for cleaning roadways of all debris. Recommended for use by the Environmental Protection Agency and NAPSA (North American Power Sweeping Association), our Tymco 600 regenerative air sweepers are able to clean pavement so well they usually measure what is left by the micron. This enables us to help reduce the discharge of pollutants into drainage systems to the maximum extent practicable. List of Equipment: 1. 1995 TYMCO 600 2. 1998 TYMCO 600 3. 2003 TYMCO 210 4. 2002 TYMCO 210 5. 2001 TYMCO 210 6. 2002 TYMCO 435 7. 1997 TYMCO 210 Operational plan All shifts are designated to certain days of the week to minimize exposure to traffic and reckless drivers. All shifts are to be performed on Monday thru Thursday morning before 5am to minimize noise complaints. Shifts to start at our site location with a pretrip inspection of machinery to assure that all lighting is properly working and all hydraulic and water systems are working as well. EXPERIENCE LIST (NEW) DATE NAME OF PROJECT / LOCATION 6/12/99 6/1/2006 & CURRENT CITY OF STUART STREET SWEEPING STUART, FL 7/1/07 TO PRESENT TRADITIONS PORT ST. LUCIE, FL ROADWAY AND PARKINGLOT CLEANING 2/10/2000 TO PRESENT CEMEX MATERIALS YARD MAINTENANCE FOR 12 SITES FROM VERO TO NORTH LAURDERDALE 5/19/09 TO PRESENT SIKORSKY AIRCRAFT/ RUNNWAY AND HELIPAD CLEANING WEST PALM BEACH, FL EXPERIENCE LIST (OLD) DATE NAME OF PROJECT / LOCATION 11/30/98 TO 11/30/05 MARTIN COUNTY ROADWAY CLEANING 10/26/01 TO 9/26/04 & CURRENT SINCE 2/1/2013 INDIAN RIVER COUNTY ROADWAY CLEANING 3/8/07 TO 9/1/08 MARTIN COUNTY AIRPORT RUNWAY CLEANING REFERANCE LIST 1. MILTON LIGGOT 2. JODI GORRINO 3. SUSAN PALMERI 4. TERRY COOK 5. MARK GAVITT 6. JOHN MOSELY OR DAVID TEXTERA CITY OF STUART TRADITIONS WITHAM FIELD AIRPORT INDIAN RIVER ROADS DEPT MARTIN COUNTY RDS DEPT SIKORSKY AIRCRAFT 772 - 288 -5341 772 - 345 -2801 772 - 463 -2869 772 - 770 -5085 772 - 288 -5657 561 -775 -5202 ESTIMATED RESPONSE FOR SERVICE CALL WITHIN 12 TO 24HRS DEPENDING ON WORK REQUESTED. MEMORANDUM To: Brian Whitehall, City Administrator From: Robin Brock, Executive Secretary Subject: Clean Sweep & Vac, LLC References Date: June 11, 2013 Clean Sweep & Vac, LLC submitted the following references: 1. City of Stuart — Contact: Milton Leggot Remarks: This is their second contract with the City and they do a good job. He has no complaints. 2. Indian River County — Contact: Terry Cooke Remarks: They do a super job, always meet special needs or requests, very cooperative, very pleasant to work with. 3. Sikorsky Aircraft — Contact: John Mosley Remarks: Very prompt, willing to come early and stay late, very cooperative. He wishes his employees were more like this company. o =z w -nm> mmo IOEz CC)® mi =mm E- m ƒ\\ m §mO / wxm _�0Q iz \> §k /§ /_-< oIk? °» \mzz O ® m Z 02= mm \0Z \° /71 -1§ o11 29§0 E \1 \7\~ §� /® - \ o >o\ Om /> /E C: / z > m ¥10 __ \ m \ §§§ § »fz2 Iaom \s 7� /$ =7 «-nz w \c 1mx w7 mz i u) i m = 40 > om-o > o g >> m } \a THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED BY RECEIPTING MACHINE. \ k 0 0 0 0 0 R k % ETOZ-ZTOZ P1 § z TA ) 0 BENARD, DAVID (732)349 -9311 Address: 2201 SE INDIAN STREET STUART, FL 34997 Activity: Street Sweeping Issued to: A CITY OF OKEECHOBEE BUSINESS TAX RECEIPT 55 SE 3rd Avenue, Okeechobee, FL 34974 October 1, 2012 - September 30, 2013 CLEAN SWEEP & VAC, LLC BENARD, DAVID 2201 SE INDIAN ST, UNIT M -6 STUART, FL 34997 No: 5960 Date: 7/01/13 Receipt Penalty App/TR Fee Bldg Insp. fire Insp. 10.00 BUSINESS TAX OFFICIAL VENDOR REQUEST FORM CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tele: 863- 763 -3372 extension 218 Fax: 863 -763 -1686 e -mail: pbumefte (d}.ciitvofokeechobee.com Status Information Ref. Sec. 2-290 Local Vendor Preference Local Business Other Sec. 2 -282 Definitions: Local Business is a business located within the Cityl County of Okeechobee VENDOR CONTACT INFORMATION: Vendor Name: ('L EA IJ St.-3 r er •cle >/ ,Ae__./ L.. C Street Address: 226 l E S".0 a s.tu 5T. U ),..T.-T- A - co PO Box: City /State: STo a e. T F L zip Code: t 3y9'9 7 COMMODITYISERVICE PROVIDED: (please list) n fio.Aw.1.y Ai. K- Ld,,.rL.6T CA-CAP 2- si cc S-T' ! -r EEP'r A7 [-, e-mail address: �ja.z E ca C c.EAau 5AL, ,o AIA uA c .colAA Tax Id Number. ar.) — (II-Mewl 1r Tele. Number. 7 - 3 414 - 9t 31 t Fax Number: 17Q- 419 - c -7 This form MUST BE ACCOMPANIED WITH A W -9 if this is a new vendor setup. pm, W -9 (Rev October 2007) Outtattns,i ul fix; Tlenklrj I'Iternel ,ievente Senate Request for Taxpayer Identification Number and Certification JUL 012013 Give form to the requester. Do not send to the IRS. Name (as shown on your Income tax return) Ru;•.Inose name, if different from above ua o Check appropriate box: t 1 I.ndiv■ual/Sole proprietor n Corporation LI Partnership yt. mired Iiabiiity company. Ester the tax classification (D =0 sreqarded entity, C.-corporation. P- partnership) ► 8 2 17.7 Otter :see instructions) ► c i Address 'number, street and apt. or suite rte.) a ZZO t SE —X_ f411 N S-r. t:.xL.■ M to City. state, and ZIP code N �T r FL ' Sry x+► __ 341g4.7. List account ntnT,ber(SI here klptonali Exempt :,aye.« Requester's name arid a Idre��' iopt onal; _Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid backup withholding. For individuals, this is your Social security number (SSN). However. for a resident alien. sole proprietor, or disregarded entity. see the Part 1 instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number. see How to get a TIN on page 3 Note. If the account is in more Than one name. sec the chart on page 4 for guidelines on whose number to enter. Social security number L_ or Part II Certification Employer identification number 16 Y97 f&vID Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me) and 2. I am not subject to backup withholding because: (a) I em exempt from backup withholding. or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report at interest or dividends, or lc) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. Fcr real estate transactions, item 2 does not apply. For mortgage interest paid. acquisition or abandonment of secured property. cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends. you are not required to sign the Certification. but you must provide your correct TIN. See the instructions on page 4. T _ Signature of / U.S. person Ile — Sign Here �---� CSC----- -eY General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report. for example, income paid to you, real estate transactions, mortgage interest you paid. acquisition or abandonment of secured property. cancellation of debt. or contributions you made to an IRA. Use Forrn W -9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting It (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding. or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable. you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected incorne. Note. If a requester gives you a form other than Form W•9 to request your 11N, you must use the requester's form if it is substantially similar to this Form W -9. Date le ti /Zola Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien, • A partnership. corporation, company, or association created 01 organized in the United States or under the laws of the United States, • An estate (other than a foreign estate), or • A domestic trust (as defined in Regulations section 301.7701 -7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners' share of alcorrle from such business. Further, in certain cases where a Form W -9 has not been received, a partnership is required to presume that a partner is a foreign person. and pay the withholding tax. Therefore, if you are a U.S person that is a partner in a partnership conducting a trade or business in the United States. provide Forrn W -9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income. The person who gives Form W -9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States is in the following cases: • The U.S. owner of a disregarded entity and not the entity. Cal. No. 10231x Forrn W -9 (Rev. 10..00 Co a so co lz = N CD ..a ca U' O O O Bid Tabulation Sheet Street Sweeping Bid Opening Bid No. PW- 03- 00 -05 -13 Bid Opening: May 28, 2013 at 2:00 p.m. Company Name ,tee; Clean Sweep & Vac, Inc. 2201 SE Indian Street Stuart, FL 34997 772 -349 -9311 All Seasons Landscape Contractors, Inc. PO Box 358 Ft. McCoy, FL 32134 352- 236 -4294 USA Services PO Box 520580 Longwood, FL 32752 407 - 339 -1800 Ameri Sweeps 2740 SW Martin Downs Blvd. Palm City, FL 34990 772- 221 -8040 Posted on May 28, 2013 at 3:15 p.m. To be Removed on June 4, 2013 at 3:15 p.m. Unit price $23.00 $55.00 $58.90 $23.93 Bid Amount (1086.8 curb miles Plus City Hall Pkg lot) $24,996.40 Annually (incl Parking lot) $60,974.00 Annually (incl $1200 /yr Pkg lot) $64,252.52 Annually (incl $240 /yr Pkg lot) $26,007.12 Annually (incl Parking lot) note: multiplication error on bid reflected $25,576.38 ak\culkiy. p oL_ J.Lo°' h-a- - tVvoLl Got,/ b idzk Street Sweeping Services Sign In Sheet May 28, 2013, 2:00 p.m. PW 03- 00 -05 -13 1. Company Name: rr\,2.s 5� Contact Person: (' r Phone Number: - Co I-1 Fax No. `n > - a> 1 - Q3 (1 e -mail: . (n yY\ 2. Company Name: Contact Person: Phone Number: Fax No. e -mail: 3. Company Name: Contact Person: Phone Number: Fax No. e -mail: 4. Company Name: Contact Person: Phone Number: Fax No. e -mail: 5. Company Name: Contact Person: Phone Number: Fax No. e -mail: 6. Company Name: Contact Person: Phone Number: Fax No. e -mail: 7. Company Name: Contact Person: Phone Number: Fax No. e -mail: Company Name: Contact Person: Phone Number: Fax No. e -mail: 9. Company Name: Contact Person: Phone Number: Fax No. e -mail: 10. Company Name: Contact Person: Phone Number: Fax No. e -mail: INDEPENDENT NEWSPAPERS OKEECHOBEE NEWS J STATE OF FLORIDA COUNTY OF OKEECHOBEE 107 S.W. 17th Street, Suite ll, Okeechobee, FL 34974 Before the undersigned authority personally appeared Tom Byrd, who on oath says he is Publisher of the Okeechobee News, a three times a week Newspaper published at Okeechobee, in Okeechobee County, Florida, that the attached copy of advertisement being a { `- in the matter of . ‘?..L_ t ;�.,A„,,4 (. ,,`,... in the 1.9th Judicial District of the Circuit Court of Okeechobee County, Florida, was published in said newspaper in the issues of -y !. " i ( �7 Affiant further says that the said Okeechobee News is a newspaper published at Okeechobee, in said Okeechobee County, Florida, and that said newspaper has heretofore been published continuously in said Okeechobee County, Florida each week and has been entered as second class mail matter at the post office in Okeechobee, in said Okeechobee County, Florida, for a period of one year next preceding the first publication of the attached copy of advertisement, and affiant fur- ther says that she has neither paid nor promised any person, firm or corporation any discount, rebate; com- mission or refund for the purpose of securing this advertisement for publication in the said newspaper. Toni Byrd Sworn to and subscribed before me this i1: day of 1-1.1.._ C (_::) - -_ AD Notary Public, State of Florida at Large ANGIE BRIDGES MY COMMISSION # EE 1776b3 EXPIRES: April 20, 2016 Bonded Thru Notary Public Unttenunter, (863) 763-3134 CITY OF OKEECHOBEE REQUEST FOR PROPOSALS STREET SWEEPING SERVICES Bid No. PW- 03- 00 -05 -13 The City of Okeechobee hereby requests PROPOSALS from qualified bid- ders for Street Sweeping Services. Sealed proposals will be received by the General Services Department at City Hall, Room 101, 55 SE 3rd Avenue, Okeechobee, FL 34974, no later than 2:00 p.m., on Tuesday, May 28, 2013 and delivered or mailed to: City of Okeechobee General Services Depart- ment, 55 S.E. Third Avenue Okeechobee, Florida 34974, at which time the proposals duly submitted will be opened and read aloud in the City Council Chambers, Room 200. The City will not assume any responsibility for propo- sals received past the bid opening time and any and all proposals received after this time and date will not be opened or considered. Proposals should be submitted in a separate sealed envelope marked "STREET SWEEPING SERVICES BID N0. PW -03- 00- 05 -13" and may be mailed, hand - delivered or express mailed to the address listed above. Facsimile or emailed bids will not be accepted. All bids must be accompa- nied by copy of license and proof of Insurance 0 not already provided to City. Proposal documents may be obtained from the General Services Depart- ment, or emailed by request to pburnettel8tiNofokeechobee,rom, during normal office hours, Monday - Friday, 8 a.m. to 4:30 . p.m., except holidays. Any questions concerning the Scope of Work should be directed to David Al- len Public Works Director, 863- 763-3372 ext. 225, email: dalfenCdciNOfokeechobee corn The City of Okeechobee reserves the right to reject any or all bids(s), with or without cause, to waive technical errors deemed most advantageous to the City. All bid(s) shall remain open for a period not to exceed ninety (90) days from the date of the bid opening. The City is an equal opportunity em- ployer. By: David Alien, Public Works Director 442670 ON 5/5/2013 PUBLIC NOTICE REQUEST FOR PROPOSALS STREET SWEEPING SERVICES Bid No. PW- 03- 00 -05 -13 The City of Okeechobee hereby requests PROPOSALS from qualified bidders for Street Sweeping Services. Sealed proposals will be received by the General Services Department at City Hall, Room 101, 55 SE 3rd Avenue, Okeechobee, FL 34974, no later than 2:00 p.m., on Tuesday, May 28, 2013 and delivered or mailed to: City of Okeechobee General Services Department, 55 S.E. Third Avenue, Okeechobee, Florida 34974, at which time the proposals duly submitted will be opened and read aloud in the City Council Chambers, Room 200. The City will not assume any responsibility for proposals received past the bid opening time and any and all proposals received after this time and date will not be opened or considered. Proposals should be submitted in a separate sealed envelope marked "STREET SWEEPING SERVICES BID NO. PW- 03- 00- 05 -13" and may be mailed, hand - delivered or express mailed to the address listed above. Facsimile or emailed bids will not be accepted. All bids must be accompanied by copy of license and proof of insurance if not already provided to City. Proposal documents may be obtained from the General Services Department, or emailed by request to pburnette cityofokeechobee.com, during normal office hours, Monday- Friday, 8 a.m. to 4:30 p.m., except holidays. Any questions concerning the Scope of Work should be directed to David Allen, Public Works Director, 863- 763 -3372 ext. 225, email: dailen�a cityofokeechobee com The City of Okeechobee reserves the right to reject any or all bids(s), with or without cause, to waive technical errors deemed most advantageous to the City. All bid(s) shall remain open for a period not to exceed ninety (90) days from the date of the bid opening. The City is an equal opportunity employer. By: David Allen, Public Works Director {t�,; Comoanv Name BIDDER NOTIFICATION FOR STREET SWEEPING SERVICES BID PW 03- 00 -05 -13 E -Mail Address 4 Fax # I Date meriswe pe s craig @amerisweeps.com 772 - 221 -8364 J 5/3/13 CleanSweep Parking Lot Services Henry@sweepFLclean.com 850- 936 -1047 /5/3/13 Clean Sweep & Vac, LLC dave @cleansweepandvac.com ✓ 772 -219 -0687 5/3/13 Pro Sweep, Inc. Fro--,,),/fr.,1( !In, . - arr, 1 408 -558 -1909 5/3/13 Star Cleaning, USA, Inc. info @powersweeping.net mo+0.rC (CQ_� n u51� the r�ai1 .��} d 954- 434 -6467 ✓ 5/3/13 5 /d03 ;USA Service michael @usaservicesfl.com ✓ 407- 339 -0241 5/3/13 All Seasons Landscape Contractors, Inci. infc>�'cr�al sca,, nslc ct��n (Ben) �,/ 352 -236 -4294 5/6/13 DBI Services clint.chehovich @dbiservices.com ✓ 570- 459 -4630 5/6/13 U.S.Si.u.pl ; I►'l.G met) Lu.ss ping nc.(o (Y.) ✓ i300-5q64 ,7q 5/1113 5191(3