HomeMy WebLinkAboutSeminole County Tag Office 1986
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CITY OF WINTER SPRINGS, FLORIDA
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1126 STATE ROAD 434
WINTER SPRINGS. FLORIDA 32708
Telephone (305) 327-1800
May 9, 1986
Tag Office
Seminole County Tag Office
Seminole Plaza
Casselberry, Florida 32707
Dear Sir:
The City of Winter Springs is applying for title and City tag for a new
vehicle for the Recreation Department of the City of Winter Springs.
Enclosed please find: Application for Certificate of Title and/or Vehicle
Registration, Certificate of Motor Vehicle Sales Tax Exemption, Certificate
of Origin, proof of insurance, Ford ESP Super Seal Protection Registration
Form and invoice from Don Reid Ford, two checks totalling $15.40.
If there is any further information you may need, please let me know.
Yours truly,
CITY OF WINTER SPRINGS
~-;: ~
Mary T. Norton,
City Clerk
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APPLICATION FOR CERTIFICATE OF TITlE TITLE NUMBER
ANO/OR VEHICLE REGISTRATION
STATE OF FLORIDA
Owners Name Sex & DOB T ax Stamp
1 city of winter springs
Address DLH
2 400 North Edgemon Ave.
City or Town DLH
3 winter Springs, Florida 32708
Hereby states that he. she. or il is the lawful owner of the following described ~ AUDIT State Prevo Registered
motor vehicle and makes apPIiCalt:;JP' (ch.ck on. or both) ..
CERTIFICATE OF TITLE VEHICLE REGISTRATION Q"" .,
~
..
MAKE \ YEAR \ TYPE :::> Date Graded By Transaction Code
".
4 Ford 86 Pickup ~
MODEL \ CYL T IDENTIFICA TION NO
19
5. 6 lFTCRlOT6GUC35900 FLORIDA TAG NO
DATE OF PURCHAS~ 1 ST ATE PREv REGISTERED
6 86 NEW BHP WEIGHT
5-1- 0 USEO MSO CLASS CODE GvW
purchase
7. Above descflbed vehicle aC1urred by
from Don Reid Ford, Inc., 1875 S. Orlando Ave.,
(Namel (Address)
ApplicatIOn will not be accepted unless the following lien statements are completed.
IIWe certify that all liens on this vehicle are listed below. "None"
LIEN HOLDER LIENS
II no lien write "None" above
(purchase. gift. trade. inheritance. etc.)
Maitland, Fl 32751
(Zip)
DATE OF LIEN
snEET ADDRESS
9
CITY ANO STATE
(ZIp)
AMOUNT OF LIEN
10.
SIGNATURE
OF
APPLlCANT(S)
By
( Ignature of erson ning fa Applicantl
RICHARD ROZANS Y,CITY MANAGER
By
(Signature of Persons Signing for Applicant)
Subsvibed and Sworn to before me at I()../~~~J ~~
in the State of F ~~ This ~.z;S day of ~:~ . 19 ~
Notary Public ~~., ~ ~ Of F1 OllleA A' ai
. :>1',110 L I.
(SEAL) Date Commission expires MV GQMMISSlON f.~P1RFS APRIL 4. 1117
DEALER'S CERTlFICATLAND TRANSFER
I hereby cert,fy that the motor vehicle deSCribed above IS a new 6 used 0 vehicle and was acquired by me from
Ford Motor Co.
(Manufacturer. Dlstflbutor or Former Owner)
Dearborn, Michigan
(Address)
and hereby tr ansler all my rights. title and
interest in the said vehicle to _ The Above
(Dealer or Purchaser) (Address)
1 hereby warrant tllle to the said vehicle and cerllly there are no eXlsllng liens except as shown in Ihls application. I further certify that
the sales tax Imposed by Chapter 212. FIOfld:~~utes. upr.n tnls vehicle has been paid by Ihe purchaser thereof~8'09.1lJ-:" .23
Amount Sal~lil\. ~lWf~dj t\! Sales Tax Reg. No. ....0
Dealer UON RE lJ fO'RD. I, .C,
By ~ q:.-J~ Dealer license No G\Jr.i.l~j~
HSMV 82040 (REV 2;1141 550951
NOTE: Purchases holding Cenifcale of Exemption, such as stale agencies, counties, etc., or when vehicle is used for rental exclusivdy
should use this fonn. The purchase of motor vehicles to be offered for rent as living accommodations does nol qualify for exemption.
CERTIFICATE OF MOTOR VEHICLE SALES TAX EXEMPTION
5-1-86
Date
I cenify the motor vehicle described below has been purchased by:
Check One
X
A. person holding sales tax cenificate of exemption.
A. business for use exclusively for rental purposes.
and is exempted from the sales tax imposed by Chapter 212, Florida Statutes.
Ford
1986
Pickup
Make
Year
Type
lFTCR10T6GUC35900
Engine or J.D. Number
Model
Don Reid Ford, Inc., 1875 S. Orlando Ave., Maitland, Fl 32751
Name of Seller
Address
I. This space to be completed by purchaser holding Cenificate of Exemp io ;
City of winter Springs ' I I
By ~
Agency or OrganizalioJ.l Z tl t;as t
400-~Q~~R-~~QmQR-AvQ.S.R. 434,
Winter Springs, Florida 32708 04-00195-00-69
Address
Ccnificale of Exemption No.
2. This space to be completed by purchaser of vehicle to be used for rental purposes:
NOTE: The purchase of motor vehicles to be offered for rent as living accommodations does not qualify for exemption.
Sales Tax. Registration No.
"E" Tag No.
By
Finn Name
Address
550918
1111&1
DON REID FORD, Inc.
Highway 17 -92
(305) 644-7111
MAITLAND, FLORIDA 32751, ~y 1
DON REID'7 "1(11 ::' ") j!:~' I";"
FORD. INC, J[ .1.....11..., ,I::n.. ("I I..
17982
19 R6
63-9025
2631
PAY
$ 7.25
VOID AFTER 60 DAYS
TO THE
ORDER .
OF
Dept. of Hwy Safety & Motor Vehicles
i ·
\ ~ Winter Park Office 11
== Winter Park. Florida 32789
I Freedom.
1110 . 7 g B 2 u'
I: 2 b:i . gO 2521:
o . . 0 0 0 0 :i :i 7 III
vC-181-sPEC
DON REID FORD, Inc. - MAITLAND, FLORIDA 32751
DETACH BEFORE DEPOSITING
CHECK NO. CUST VENDOR NO.
Title Fee ?REFI 17982 7CTLI
City of Winter Springs CASH DISBURSEMENTS JOURNALS
ACCOUNT ACCT. NO AMOUNT
ACCOUNTS PAYABLE #02100 +
VEH. ACCT, REC, #01110 +
CUST. ACCOM, PAY, #02312 +
ACCTS, RECBLE, #0 1120 +
'J':lH\ + 7 ?t;
+
CASH I N BANK #01 001 - 7 25
CASH DISCOUNT #09700 -
-
HHIIlI'''OCC''''.'<('''O,O..CO cr,.... OHIO
DETACHED CHECK IS PAYMENT IN FULL OF ACCOUNT SHOWN ABOVE, IF INCORRECT RETURN WITHOUT ALTERATIONS.
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DECLARAnONS
Agreement No.
FMl 149
FLORIDA MUNICIPAL LIABILITY LlABIUTY SELF-INSURERS PROGRAM
L NAMED INSURED
Address:
City of Winter SDr1nas
1126 State Road 434
Winter SDrings, Fl 32708
II. COVERAGE PERIOD
From
III. COVERAGES
October 1. 1985
September 30, 1986
12:00 Midnight Standard Time
to
LIMITS OF LIABILITY FOR ANY OR ALL
COVERAGES OR ENDORSEMENTS
x Comprehensive General Liability
Bodily Injury
Property Damage
Personal Injury
x Law Enforcement Liability
'-
x (A)
x (B)
x (C)
x (D)
x (E)
x (F)
x (G)
x (H)
x (I)
x (J)
x (K)
x (L)
x (M)
x (N)
---!_ (0)
x
x
x
~
$100,000 - Each person
$200,000 - Each occurrence
ENDORSEMENTS
Completed Operations and Product Hazard
Contractual Liability (Designated Contracts Only)
Owners' and Contractors' Protective Liability
Host Liquor Law Liability I
Incidental Medical Malpractice Liability
Premises Medical Payments ............ $ 1.000 Each Person/$ 10.000 Each Accident
Fire Legal Liability .................... $ 50.000 Each Occurrence
Public Officials Errors and Omissions
Medicall Attendants Malpractice
Watercraft Liability
Personal Injury - Fellow Employee Exclusion
Automobile Liability
Automobile Physical Damage
Uninsured Motorists Protection .......... $ 35,000 Combined Single Limit of Liability
Automobile Medical Payments ........... $ 2,000 Per Person
Broad Form Property Damage
Specific Excess Endorsement
Estimated Annual Premium:
$ 87,643
Pro Rata Premium (PIR ·
.
. '4'
S
):
New Vehicle Invoice
INVOICE NQ
...2578
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HIGHWAY 17-92 I MAITLAND. FLORIDA 32751
TELEPHONE 644-8111
SOLD TO
ADDRESS
City of Winter Springs
400 North Edgemon Ave.
winter Springs, Florida 32708
DATE 5-1-86
SALESMAN FLEET DEPT. Jore
'"
NEW OR USED MODEL ID NO. AMOUNT
1 . 1986 Ford Ranger IFTCR10T6GUC35900 $ 7,559 .60
Reference: PO# 003578
PLEASE NOTE
Terms are NET 15 Days
Any over due amounts will be charged
interest based on Annual Percentage Rate.
5% STATE SALES TAX
LICENSE, TITLE & LIEN FEES
CASH SALE PRICE
CASH ON DELIVERY
550061
I /
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. ,SITY OF WINTER SPRINGS
/ 400 NORTH EDGEMON AVENUE
WINTER SPRINGS, FLORIDA 32708
(305) 327-1800
DEPMTMENT
REQUISITION
NO#
PURCHASE ORDER
NO: 0 0 3 5 7 8
2/3/86
DEPARTMENT:
Recreation
SIGNATURE:
~1i~.
lATE:
TENDOR NAME
Don Reid Ford
P.O. Box 5
1875 S. Orange Ave.
Maitland, FL 32751
DATE ORDERED
State Bid #070-00-864
Federal Employee 10 #59-1089464
Charge Line Code: 36-64.0
Amount: 7,559.60 Balance: 440.40
Charge Line Code:
Amount:
Balance:
Charge Line Code:
Amount:
Balance:
Char e Line Code:
Amount:
Balance:
Charge Line Code:
Amount:
Balance:
TOTAL: 7 559.60
CITY MANAGER
Approved ~isapproved
APproved~approved
Dat0/ :3 /10
(
Date 2-) y
FINANCE 0
I\"",,'mt, "Paid:
Check NO:
(--
EXTENDED
SERVICE
PLAN
Ford ESP Super Seal Protection Registration Form Certificate Number
Providing Lifetime Protection for Privately-Owned New Ford and Other Makes, Demonstrator, Lease, ~
Rental and Driver Education Cars and Light Trucks and Five-Year Protection for Commercial Vehicles Lat Eight Digits of VIN
VEHICLE OWNER CARD . DEALER PLATE
IMPRINT VEHICLE OWNERCAAD IN THIS SPACE, IF NO OWNERCARD IS AVAILABLE. 2 4 ~ \ii.LY~.~RY DEALER ~ ~
VIN. COLOR CODE AND DSO CODE MUST BE ENTERED ON THIS COPY J A C K 2 4 9/2/85
3500
04892-6
DON REID FORD
1875 S ORLANDO AVE
J f\ I T L i\ NO F L 32751
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VEHICLE MANUFACTURING DATE
I ..3 I dk:l I
MONTH YEAR
VEHICLE OWNER INFORMATION
DO
PLEASE TYPE OR PRINT CORRECT INFORMATION
VEHICLE PURCHASE DATE SUPER SEAL APPLICATION DATE
ClliTIkI I s-I !' I ?C~I
MONTH DAY YEAR MONTH DAY YEAR
CHECK AI!P.ROPRIATE lOX
r
RET~LPURCHASERANDAS~GNMENT
This form cannot be processed until after the Purchaser has taken
delivery of the vehicle. The dealer must complete the information
requested on this form and immediately mail Copy No. 1 to the
address below to validate the repair protection coverage.
ESP-SUPER SEAL ADMINISTRATION HEADQUARTERS
P.O. BOX 1909, DEARBORN, MICHIGAN 48121
PROGRAM OFFICIAL BILUNG
NAME:
SUPER SEAL CORROSION REPAIR
PROTECTION PROGRAM
PROGRAM OFFICIAL BIWNG
NUMBER: 77161
MAKE
MODEL
I iV C!
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CAA- <:. 7-, . . '; 0-"-'-
SElliNG DEALERSHIP AlIl'HQIIl6TION s~
:;-If.,!' t' n Ii l// n /./ {t.
, CITY
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STATE/ZIP
The Purcha8er undenltands that a copy of tha Super Seal repair protection plan certificate with inspection verification postcards
will be mailed to the address indicated under Vehicle owner information. If the address changes, it shall be the Purchaser's
responsibility to provide Super Seal Administration Headquarters with a correct forwarding address. If the Purchaser does not
receive a COpy of the certificate and the postcards within sixty (60) days, the Purchaser should contact the above named dealer.
If the Purchaser still does not receive a copy of the certificate and postcards. tha Purchaaer should write to ESP-Super Seel
Admllatndlon HeMIquIIrten, P.O. Box 1909. o.rbom, MI43121.
The Purchaser has received a copy of the Registration Application Form; has reed II1d
accepts the terms and conditions on both sides of the Purc~'s copy of this form.
PURCHASER'S SIGNATURE
CIIJ
DATE
D
I=:J
HEADQUARTERS USE ONLY
REPAIR PROTECTION TRANSFER FORM
OJ ITIIIJ
CITY OR TOWN STATE ZIP CODE
The protection period, upon transfer, is limited to eight years from date of manufacture on a prlva~ly-owned vehicle
for the lIUbaeQuent prlvate vehicle purchaser. and to the original five year protection period for Ih8 subsequent
purcha8er of a commercIBl vehicle. Upon transfer of the Super Seal Repeir Protection Plan the subsequent owner
will 8ISUIII8 all cuatDmer I8IPOIl8ibilities.
CIIJ
DATE
NO. l-WHITE-ESP-SUPER SEAL ADMINISTRATION HEADQUARTERS
INSTRUCTIONS FOR TRANSFER
1. Subsequent owner should call ESP-Super with a check or money order made out to
Seal Administration Headquarters at ESP-Super Seal Admin..,.tion Head-
1-800-521-3350 or in Michigan at quarter8for\he amount of '2S.CIO within 30
1-800-482-5507 to verify that the original days of official title tnInIfer. The transfer
purchaser has met the terms and conditions fee il not refundtlble.
(see back of form) and that the vehicle is still 4. The subsequent owner should retain the
eligible for the repair protection coverage. Goldenrod copy for hll own 1'8COfda.
2. The subsequent owner must complete the 5. The subsequent owner will receive
registration transfer information, sign and inspection verification postcards for the
date the form. remainder of the repair protection plan
3. The subsequent owner must mail the pink period at the 8dcIresa Indicated under
copy of the complete form to: subsequent owner Information. If the
ESP-Super SeeI AcIm1n11nt1on subsequent owner does not receive the
Headquarten inspection postcards within eo days, the
P.O. Bolt 1909 subsequent owner should contact Super
Dearborn, Michigan 48121 Seal AcImlnl8tratlon H..uarters.
NO.2-CANARY-OEALER NO.3-PINK AND NO. 4-GOLOENROO-cu8TOMER
r
(
SUBSEQUENT OWNER INFORMATION
Ii SUBSEOUENT OWNER'S SIGNATURE
. COPY D1STRIBUTlON- NO. A-IMPRINT OVERLAY
19f.
PA ",: " ':: N' 1G E"': R {~~ 11. L;,'
,_, ..:,.~. ' _, r
(Nor,.,: LUXURY)
AN L LiGHT TEUCK
(Un~~,,;.:~( -12,000 GVW)
PRE-Dh,iVERY SERVICE RECORD
o CHECK EMISSION CONTROL SYSTEM FOR LOOSE. MISSING OR
DAMAGED COMPONENTS. ALSO CHECK FOR AND CORRECT
LOOSE OR DISCONNECTED ELECTRICAL AND VACUUM
CONNECTIONS.
o CHECK AND TOP UP ALL FLUIDS TO SPECIFIED LEVELS- ENGINE
OIL. BRAKE MASTER CYLINDER. WINDSHIELD AND REAR WINDOW
WASHER RESERVOIRS. AUTOMATIC TRANSMISSION. POWER
STEERING (HOT). ENGINE COOLING SYSTEM,
o CHECK FUEL LINES FOFJ LEAKS. DAMAGE. AND PROPER
POSITIONING,
o INSTALL LOOSE ITEMS-SUCH AS WHEEL COVERS, CIGAR
LIGHTER. ANTENNA. LUGGAGE RACK, TRUCK EXTERIOR MIR.
RORS. ANTI-THEFT WHEEL LUG NUTS AND OTHER OPTIONAL
EQUIPMENT.
o CHECK OPERATION OF DOOR LATCHES.
o CHECK SEAT BELTS FOR PROPER INSTALLATION.
o CHECK OPERATION OF SEATBACK LATCHES,
. . ... ,
o CHECK AND TOP UP FLUID LEVELS IN MANUAL TRANSMIS-
SIONfTRANSAXLE.
o REMOVE SHIPPING BRACKETS - BRONCO II ONLY.
o REMOVE SPRING INSULATORS - F2501350 4x4 ONLY.
o ADJUST TIRE PRESSURES TO SPECIFICATION,
o CHECK STEERING GEAR AND FLEX COUPLING STEERING LINK.
AGE. AND SUSPENSION FOR DAMAGE OR LOOSE FASTENERS.
o TORQUE TRUCK DUAL WHEEL NUTS TO SPECIFICATION.
o CHECK FLUID LINES FOR DAMAGE. LEAKS AND PROPER
POSITIONING.
OWNERCARD AND DEALER
INFORMATION
nON RE~ XR9~~6J~~. :';"
Dealer~~~"~1'flC f' QRIDA ~Z7~l, I'
MA\IU\~VI ....
Address City Stale Zip Code
Owner's Name Ci ty of winter Sprinqs
Add 400 North Edgemon. Ave. ,
ress
City and Stat~inter SpringsZili'eode 32708
Vehicle Identification Number IFTCRIOT6GUC35900
... Engine Code
.
: Vehicle Data
.
.
: Ignition Key No. Trunk Key No. Stock No.
.....................................................................
,0 CHECK STEERING COLUMN LOCK.
o CHECK STARTING OF ENGINE IN PARK AND NEUTRAL.
o CHECK OPERATION OF HORN. WINDSHIELD WIPER AND WASHER.
LIGHTS. SIGNALS. HAZARD FLASHER AND INSTRUMENTS,
o CHECK THROTTLE OPERATION AND IDLE RETURN.
o CHECK CHOKE LINKAGE FOR FREEDOM OF MOVEMENT.
o CHECK OPERATION OF HEATER. AIR CONDITIONER, DEFROSTER.
VENTILATION SYSTEM, RADIO, SEAT BELT WARNING SYSTEM AND
ALL OTHER OPTIONAL EQUIPMENT.
o CHECK BRAKES (INCLUDING PARKING BRAKE AND WARNING
LAMP).
o CHECK STEERING CONTROL.
o CHECK DRIVEABILITYDURING ROADTEST(INCLUDING FAST IDLE
RETURN TO CURB IDLE DURING WARM-Up). IF AN OVERT IDLE
SPEED PROBLEM EXISTS, CHECK AND ADJUST ENGINE IDLE
SPEEDS (INCLUDING TV LINKAGE WHEN NECESSARY) OR PER.
FORM WARRANTY REPAIR TO CORRECT TO SPECIFICATIONS
SHOWN ON THE VEHICLE EMISSION CONTROL INFORMATION
DECAL.
o CHECK AUTOMATIC TRANSMISSION OR MANUAL TRANSMISSION
AND CLUTCH PERFORMANCE.
o CHECK FOR SQUEAKS AND RATTLES.
o CHECK FOR DRIVE BELT NOISE: TIGHTEN LOOSE BELTS.
o CHECK EXHAUST SYSTEM FOR LEAKS.
o WASH VEHICLE AND PERFORM DETAILED CLEAN UP OF INTE.
RIOR AND EXTERIOR.
o TOUCH UP MINOR PAINT BLEMISHES (BRUSH. AEROSOL CAN ANOI
OR SPOT POLISH).
o CHECK FOR NECESSARY OWNER INFORMATION MATERIAL IN
THE GLOVE COMPARTMENT.
o REMOVE PROTECTIVE COVERS (SEAT AND CARPET).
THE UNDERSIGNED AUTHORIZED PRE.DELlVERY SUPERVISOR
CERTIFIES THAT THIS VEHICLE HAS BEEN THOROUGHLY IN.
~~ECTED AN. THAT ALL 0 ,ERATIONtiS HA.AY;BEEN PERFORMED
1 1 ',.., .'11/7': r /{/ (Name)
1, .~v~L L~
, ORDANCE WITH THIS SERVICE RECORD. SHOP MANUAL
PR EDURES. AND APPLICABLE DEALER INSTRUCTIONS.
I UNDERSTAND IT IS A FORD MOTOR COMPANY SALES AND
SERVICE AGREEMENT REQUIREMENT THAT THIS RECORD BE
RETrJtl IN THE DEALERSHIP SERVICE FILE FOR THIS
VE '
"
Pre-Delivery Supervisor - Signature Date
------------
CITY OF WINTER SPRINGS
GENERAL FUND
PH. 305-327-1800
1126 S.R. 419/434
WINTER SPRINGS, FLORIDA 32708
11383
63-502 231
631
~ narida Natianal Bank
. . . 401 Highway 434 231
. WIn_ SprIngI, PL !27t18
May 7
19.86...-
TO THE
ORDER Of
I"
Department of Highway Safety and
Motor Vehicles
1~
PAY
III 0 0 ~ ~ 3 8 3 III
,.I: 0 b 3 ~ 0 50 2 31: 0 2 ~ 50000 b ~ III
- - - _. - - - - - - - - - - - _. o. _ - - - - - - - - - - 0 - - - - - - - - - - - - - - - -
M . w. >I _ ..........NO NO. eo.
DETACH AND RETAIN THIS STATEMENT
THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW. IF NOT CORRECT PLEASE NOTIFY US PROMPTLY NO RECEIPT DESIRED
CITY OF WINTER SPRINGS - GENERAL FUND
DATE
DESCRIPTION
AMOUNT
050586
City tag & Title for vehicle for Recreation Department
8.15
36-46.5
00111'
ool~m
@SDCorp
"1.
970083
11/06/97
PROPOSAL NO
'DA~E., .
AGREEMENT NO.
;"-. '.'
" .
'. . ;., 'CONCEPTSMAINTENANCEPROGRAM
Byahd betWeen:', . . ,
. .W~W~Gay Mechalli~al Coritr~ctor, I1Ic.
3220 West 39th Street
Orlando, F]orida'328~9:
The City of Winter Springs
1126 East State Road 434
Winter Springs, Florida 32708-2799
'. i""
CO~TRACTOR
:.,h"
. CUSTOMER
Services will be providedattheJollowina location(s): . " ,
See8thellllle 4 - "Spe~ial Services and:Provisions"
Contractor wil';pr'cividethe servicel;l iF:1 accordance with the schedules, terms and conditions
(~>n the pages which are:.attached arid ,listed beloW. .
" . I, ." .. . .'
Tvpe,ofSerViee: "
.' Concept Four
Agreef!lentcovEllage Will b.egin.on 11/01/'97 (date). The agreement price is $4,998.00 per
. year, to be paid $833~OOper bi-monthlv (every other month) in .advance beginning on the
effective. date. . .
.' .
This agreement Will be in effect from 11/011'97 (date) through ,10/311'98 (anniversary date).
During the warranty, "the agreement price will be $ per . The
warranty expires on . (date).
, . .
The cOverageincfude,din this agreement, including terms, conditions and schedules
attached, will constitute the entire agreement between us. This agreement is the property of
. Contractor and is provided;for" the Customeris use only. This agreement is subject to
management approval by Contractor. No waiver, change or modification of any terms or
Condi~ionssha" bepinding on Contractor' unless made in writing and.signed by authorized
rrlanager:rientof Contractor..: . .
This annual agreement shall yontinuein effect from year to year unless either party gives
written notice to'the'other' of intention not to renew thirty (30) days prior to any anniversary
date: . . '
CONTRACTOR
CUSTOMER
BY ;(avUtJ 'J#~
Autflorized Representative
~ 11/ /J {,,4 tJ /\11 ( L. G /Vt orf t3-
Name (Print)
Title
November 6, 1
Ti~~
II-IV- c;/j
Date
Date
FOUR
schedule(s):
@SDCorp
all be brought to
needed "extra
ice rates.
the agreed upon
.ons (97-012)
pts program of
@SDCorp
Attachment "A"
Equipment List:
City Hall = 1126 East State Road 434
5 ea
1 ea
1 ea
1 ea
1 ea
1 ea
1 ea
Lennox
Carrier
Lennox
Ruud
Rheem
Lennox
Sanyo
#CHAll-953-3G
Unknown
#CHAll-953-3G
#USND00380
#RSKA-A036JKOOO
#CHA24-953-1 G
#SAP121C
Fire Station #24 = 102 North Moss Road
2 ea
1 ea
Rheem
Trane
#RPLA 048JAZ
#TTR060CI00AO
Fire Station #26 = 850 Northern Way
1 ea
Lennox
#HP21651-4P
110 North Flamingo
()ffkJl.
1 ea
1 ea
Ruud
Ruud
#UBE-17J1 ONFDAI
#3UAFD-031
Air Handler
Condenser
Garage
1 ea
Ruud
#UAKA-024JAZ
Condenser
Breakroom
1 ea
GE
#A2C212DBVl
Water Plant #1
1 ea
1 ea
Carrier
Carrier
#38YKB024300
#FB4ANF024
Air Handler
Condenser
,-
.
..
Maintenance Building = 851 Northern Way
1 ea
lea
Ruud
Ruud
#RDB-2457ASI4
#UAKA-024JAZ
Air Handler
Condenser
East Sewer Plant = 1560 Winter Springs Blvd.
I ea
lea
I ea
Carrier
Carrier
Carrier
#38YRA0303IO
#FK4CNF002
#38TRA024
Air Handler
Condenser
West Sewer Plant = 1000 West State Road 434
I ea
I ea
I ea
I ea
Ruud
Ruud
Carrier
Carrier
#UEAB-I6IOBRS
#DUAHE-42JAS
#38TRA024321
#FK4CNFOO I
Air Handler
Condenser
Air Handler
Civic Center = 400 North Edgemon
I ea 3 Ton Rheem (Package)
2 ea 2 Ton Units, Unknown
Senior Center = 400 North Edgemon
I ea
I ea
Trane
Trane
#TT AI20B300AB
#TT A072A300A-I
Public Safety Building
4 ea
2 ea
I ea
I ea
I ea
Carrier
Carrier
Carrier
Carrier
Aaron
#50TJ-012-5I1
#50TJ-004-5I1
#50TJ-008-5I1
#50TJ-005-501
#RH-I3-2-FC>-I02
Park Complex
2 ea
2 ea
lea
I ea
Trane
Trane
Weatherking
Unknown
#TTJ724AIOOBC>
Unknown
#RA WD-075CAS
Unknown
Condensing Unit
Air Handler
Condensing Unit
Air Handler
ATTACHMENT "B"
.'
City of Winter Springs, Florida
Air Conditioning
Preventative Maintenance I Service
Checklist I Exhibit "A"
The preventative maintenance work is to be performed between the 10th and 15th of the month indicated.
Suction Pressure
Head Pressure
Electrical Connections (tightness)
Refrigerant (check for possible leaks)
Condensec Coil(s) I Motor(s)
- Lubricate Motor(s)
Clean Coil(s)
/
Entering
Leaving
. Evaporator Coil(s) I Motor(s) I Fi/ter(s)
Lubricate Blower Bearings
Lubricate Motor(s)
Replace Filter(s)
Check Belt(s)
Compressor(s) .
Motor(s) amps
Air Temperature
Motor(s) amps
Air Temperature
Clean:
Heating
Strip Heat
Heat Pumps
Exhaust Fans
Roof Drains
volts
volts
I
I
amps
amps
I
Entering
Leaving
Coil(s)
Blower Whee/(s)
Drain Pan(s)
Condensate Drain( s)
Algae Tablets
f<:tN Amps
(check controls / charge)
Lubricate Bearings
Lubricate Motor(s)
Check Belt(s)
Check & Remove All Debris
X Indicates work to be performed during that months inspection.
Jan. Mar. May Jul. Sept Nov.
x x
x x
x x
x x
x x
x x x x x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x x x x x
x x X I X X X
X X
X X
X X
X X
X X
X X
X X
X X X X
X
X
X X
X X
X X X X X X
X X X X X X
BUILDING:
City of Winter Springs, Florida
Air Conditioning
Preventative Maintenance I Service
Checklist I Exhibit "8"
LOCATION:
,
UNIT MODEL #: SERIAL #: UNIT #:
The preventative maintenance work is to be performed between the 10th and 15th of the month indicated.
The service person must report to the City's Purchasing Agent or his/her designated assistant when he/she
arrives to make the inspections or performs service.
Fill in the blanks and check off the items as completed.
Completed I COMMENTS
Comoressorls) . volts amps
volts amps
Suction Pressure /
Head Pressure /
Electrical Connections (tightness)
Refriaerant (check for possible leaks)
Condenser Coil(s} / Motor(s}
Lubricate Motor(s}
Clean Coil(s}
Motor(s} amps /
Air Temperature Entering
Leaving
Evaporator Coil(s} / Motor(s} / Filter(s}
Lubricate Blower Bearings
Lubricate Motor(s}
Replace Filter(s} Quantity ~~
Size
Type
Check Belt(s} Quantity
Size
Type
Motor(s} amps /
Air Temperature Entering .'
Leaving
Clean: Coil(s}
Blower Wheel(s}
Drain Pan(s}
Condensate Drain(s}
Algae Tablets Quantity
Heating
Strip Heat 'rWV Amps
Heat Pumps (check controls / charge)
Exhaust Fans Lubricate Bearings
Lubricate Motor(s}
Check Belt(s} Quantity
Size
Type
Roof Drains Check & Remove All Debris
This form must be filled out for the Preventative Maintenance_as scheduled and must
accompany your invoice for payment.
1.
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"-
M E C H A N I CA LCD NT R ACT 0 R, INC. 3220 West 39th Street · Orlando. Florida 32839 . Ale 407-841.4670
August 27, 1997
Mr. J.P. Petrencsik- Director of Purchasing
City of Winter Springs
1126 East S.R. 434
Winter Springs, Florida 32708
Subject: . RFP Number 97-012
Dear Mr. Petrencsik,
As outlined in RFP 97-012, any equipment that was not listed or was overlooked to be
added to the equipment list. Due to numerous units not being listed, units being included
more than once and other significant problems, W. W. Gay Mechanical has submitted the
following list of corrections that have been included on pages 16-20 of our proposal
package. We believe this will make it easier for you to understand our pricing for the
scope of work outlined.
City Hall
1) There is no longer one (1) Lennox CHAlOB-653-2G. This unit was replaced
and the new unit model number is CHA24-953-1 G. Note: Correction has
been made on on page 16.
2) The Carrier unit (model number unknown) and the Rheem unit (RSKA-
A036JKOOO) are both operating without filters. Both units were recently
replaced, but provisions for filters were not provided. Our pricing reflects
changing a 20x20xl filter, 6 times per year, in a filter back grille to be
installed at a later date. Our price does not included supplying the filter back
grilles.
3) Antenna Room- this is a building located at the rear of the facility. It is
currently serviced by a Sanyo ductless split system. Note: Correction has
been made on page 16.
Fire Station #24
The model numbers submitted are for the condensing units only. Each unit has a
corresponding air handler to be maintained. Our pricing includes maintenance of
these air handlers. Accurate model numbers of these air handlers will be
submitted for the record upon awardment of the agreement to W. W. Gay
Mechanical.
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Fire Station #26
The model number submitted is for the condensing unit only. Our price includes
maintenance of the corresponding air handler. The model number of the air
handler was not available.
110 North Flamio2o - 3 Facilities
All model numbers and equipment are accurate.
Water Plant #1
.I.t.,.
All model numbers and equipment are accurate.
Maintenance Duildine:
All model numbers and equipment are accurate.
East Sewer Plant
This facility contains two (2) split systems, and the specification lists one.
We have included the missing unit model number and our pricing includes
maintaining this unit.
West Sewer Plant
All model numbers and.equipment are accurate.
Civic Center
All model numbers and equipment are accurate.
Senior Center
The model numbers submitted are for the condensing units only. Each unit has a
corresponding air handler to be maintained. Our pricing includes maintenance of
these air handlers. Accuratemodel numbers of these air handlers will be
submitted for the record upon awardment of the agreement to W. W. Gay
Mechanical.
There are two (2) facilities that were not included on the original RFP, that are included
in our response. These facilities are the new Public Safety Building and the buildings
"
located at the baseball complex located west of the City Hall on S.R. 434. These
facilities are located on 19B of our proposal.
This concludes the changes and/or alterations to the original RFP. We believe this
supporting material will aid in understanding our proposal.
S e
Service Sales Executive
Central Florida Territory
. t.tl<,;
RF~ NO. 97-012
Page 8 of 20
Exhibit A & B
.. ~ '.
STATEMENT FOUND IN FLORIDA STATUTES 287.133
.~;ih.
A person or aff~iate who has been placed on the convicted vendor list following a
conviction for a public entity crime may not submit a bidon a contract to provide any goods
or services to a public entity, may not sumbit a bid on a contract with a public entity for the
construction or repair of a public building or public work, may not submit bids on leases or
real property to a public entity, may not be awarded or perform work as a contractor,
supplier, subcontractor, or consultant under a-contract with any public entity, and may not
transact business with any public entity in excess of the threshold amount provided in
Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being
placed on the convicted vendor list. II
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RFP NO. 97-012 Page 9 of 20
. ,- " Exhibit A & B
ITEM(S) REQUIRED Air Conditioner Preventative Maintenance Service, City Wide
USING CITY DEPARTMENT(S) Gerneral Services Departments
RFPS MUST BE SUBMITTED BY OR BEFORE:
The Invitation-For-RFP, General Conditions, Instructions to PROPOSER, Special
Conditions, Specifications, Addendums, and/or any other pertinent document, from a part
of this proposal and by reference are made a part hereof.
ANTI-COLLUSION STATEMENT: The undersigned Proposer had not divulged to,
discussed, or compared their RFP with other Proposers and has not colluded with any
other Proposer or parties to this RFP whatever.
. .t';'.~r.'
THIS PROPOSAL SUBMITTED BY:
COMPANY NAME w. w. Gay Mechanical Contractor, Inc.
TELEPHONE NO, . . . ~, 841-4670 AREA CODE 407
ADDRESS 3220 West 39th street
CITY nrl.::lnno
ZIP CODE 32809
BY:~ ~<~-
STATE Florida
(TO BE SIGNED IN INK)
DATE SIGNED August 27, 1997
J J
NAME & TITLE OF SIGNER
(PRINTED)
Dennis Carlton, Service Director
BASE RFP
$4,998.00 (Four Thousand Nine Huhdred Ninety Eight Dollars)
(WRITTEN)
PROPOSER'S TERMS Net 30
Proposer's NOTE: Proposer to state his terms as will apply in evaluation, recommendation
and award of this proposal. (If requested, Item by Item on the
following sheets, please state beside each Item RFP. If not stated, terms will be
considered NET).
RFP, NO. 97-012
. .' ,I . . ~
Page 10 of 20
Exhibit A & B
NOTE: SIGNATURE AND COMPANY NAME MUST BE THE SAME ON EACH OF
THE FOllOWING SHEETS OF THIS PROPOSAL AS THEY APPEAR
ABOVE.
Indicate Which: Individual: () Partnership: ( )
Corporation:~ Other: ( )
TO THE CITY COMMISSION OF THE CITY OF WINTER SPRINGS, FLORIDA:
. f~.'"
WE (I) THE ABOVE SIGNED HEREBY AGREE TO FURNISH THE FOllOWING ITEM(S)
CONDITIONS, SPECIFICATIONS, AND All ATTACHMENTS HERETO. WE (I) HAVE
READ All ATTACHMENTS INCLUDING THE SPECIFICATIONS AND FUllY
UNDERSTAND WHAT IS REQUIRED.
PROPOSER NOTE:
FUll DESCRIPTIVE LITERATURE MUST ACCOMPANY YOUR RFP, TO DETERMINE
APPROVED EQUAL AS CAllED FOR UNDER GENERAL CONDITIONS TO
PROPOSER, ITEM NUMBER SIX (6). H
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RFJ? NO.. 97-012
Page 11 of 20
EXhibit A & B
I .
CITY OF WINTER SPRINGS
AIR CONDITIONER MAINTENANCE SERVICES
The City of Winter Springs requires the services of a qualified, licensed firm
to perform on-site preventive maintenance services for all of the central air
conditioners at the various City facilities.
1.0 Scope of Service to be Provided
1.1 Perform a complete P(~..9heck (2) two times per year minimum
as outlined in Exhibit "A" checklist and provide complete report on
Exbibit liS" with your invoice.
1.2 Replace all disposable type air filters and wash all permanent
filters every other month. Perform regular inspections while on
site as outlined in Exhibit "A" checklist and provide complete
report on Exhibit liB" with your invoice.
1.3 In addition to the total co'st for the PM, please specify an hourly
rate for on-site repairs not covered under the Preventive
Maintenance Contract NOTE: Travel time to provide maintenance
and/or repair services will not be paid by the City.
1.4 On cost plus repairs of replacement should r~f1ect the actual parts
cost plus ~ % for overheard and profit. NOTE: A copy
of parts invoice from your vendor must accompany your invoice
for payment.
1.5 Provide additional repair services on an as needed basis. Repair
estimates for additional or emergency repairs are to include time
and materials charges and must be approved in advance by the
Purchasing Department with a City of Winter Springs Purchase
Order.
1.6 This is an annual Preventive Maintenance/Service contract, rates
to remain firm for a period of twelve (12) months, beginning on
October 1 and ending on September 30 of each year. This
agreement may by mutual written assent of the parties, be
extended for two (2) addition twelve (12' month periods or portion
~--~..:~-~'-'~"F--
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RF ~ NO. 97 - 0 12
Page 12 of 20
Exhibit A & B
thereof, up to a cumulative total of thirty-six (36) months.
1.7 Any and all question regarding the requirements of this quotation
must be directed to the General Services Department Mr. John
Ketteringham, at 407-327-1800 ext 329.
1.8 The age or exact size of an air conditioning unit may be unknown;
therefore, it is mandatory that all contractors visit the various
facilities to become familiar with the equipment. The vendor will
sign in with the receptionist at City Hall, 1126 East SR 434, prior
to visiting the area in order to bid on this RFP.
1.9 At a minimum, all. PM. 11rust be consistent with the checklist of
items in section 1.1 of this quotation. Additional services that
yoar firm may perform under the Preventive Maintenance/Service
Agreement may be included under separate cover.
1.10 The resulting Preventive Maintenance/Service contract will be
awarded to only one firm. The following factors will be considered
during the evaluation process: length of time in business, quality
of services (references),'response time, and proposal cost. There
will be no public opening of this RFP. ~~
2.0 QUOTATION SUBMITTAL
2.1 All bid documents are to be mailed to:
City of Winter Springs
Office of the City Clerk
1126 East SR 434
Winter Springs, FI. 32708
2.2 EXPERIENCE OF VENDOR - provide background, qualifications,
name, address and phone number of the individual or firm
responding to this quotation.
2.3 Provide names and qualifications of those persons that will be
working on the equipment
2.4 REFERENCES - provide three (3) curre(lt preventive maintenance
" ":-'/'~1~_~~~'W""
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RFP NO. 97-012
Page 13 of 20
Exhibit A & B
, '.
contract references.
2.5 EVALUATION AND AWARD - The City will award the preventive
maintenance contract to the lowest responsive and responsible
bidder. Due consideration' will be given to price, pervious
experience, and the ability of the firm to render the required
services.
2.6 INSURANCE - The bidder shall provide certificates of insurance
approved by the City with the following minimum coverage. All
insurance policies shall be with the insurers with an "An rating;
registered and Iicense.~LAp do business in the State of Florida.
1. - Workers' Compensation Insurance
$100,000.00/$500,000.00
2. General Liability - $5.000,000 Minimum to include:
a. General Aggregate- $500,000
b. Products-Completed Operation Aggregate 500,000
c. Personal & Advertising Injury JJ 500,000
d. Each Occurrence 500,000
e. Fire Damage 50,000
f. Medical Expense (Any One Person) 5,000
.
3. Upon award of the contract, all insurance certificates will be
endorsed to include the city as "additional insured". In the
cancellation clause the worked "ENDEAVOR" shall be
excluded and the number 30 inserted in the blank space
provided before the words c:day prior notice". All contractor
policies are to be considered primary to city coverage and
shall not contain con-insurance provisions.
2.7 PATENT INDEMNITY -The successful bidder shall indemnify and
hold harmless the City, its officers, agents, and employees
harmless from and against all claims, suits, action, damages or
causes of action arising during the term of the agreement for any
personal injury, loss of like of damage to property, or any action
as a result of the performance of the work for which the
agreement was entered into and frort] and against any orders,
'7". -~:'i::A~!'l!I!1T7'-'I\""---
, ,
RFP NO. 97 - 0 12
'.
Page 14 of 20
Exhibit A & B
judgements, or decrees, which may be entered thereto, and from
and against all costs, attorney's fees, expenses and liabilities
incurred in or by reason of the defense of any such claim, suit or
action, and the investigation thereof. Nothing in the agreement
shall be deemed to effect the rights, privileges and immunities of
the City as set forth in Florida Statutes 768.28,
2.8 TAXES - The City is exempt from the Florida Sales and Use Tax.
Although, any contractor who purchases materials which will be
used in the repair of City-owned property will not be exempted
From the State taxes on the materials and is responsible for
payment of any such taxes to his suppliers. All costs thereof shall
be deemed to be inclu~~~g in the prices offered for the work, but
shall exclude the cost of taxes not applicable.
The undersigned bidder hereby declares that after carefully examining the bid
terms, conditions, and specifications as well as survey the property for RFP
97-012 Preventive Maintenance Services does hereby submit the following
prices to the City of Winter Springs.
1. Total price for Preventative Maintenance service for all uhits, per the
following months and total for the year.
Cost Per Month
January $ 833.00
March $ 833.00
May $
833.00
July $ 833.00
September $ 833.00 November $ 833.00
Total for the year $
4998.00
2 Hourly rate for repairs not covered under the maintenance contract,
including overheard and profit with two (2) hour response time max. For
the following. .
3.
Cost plus Markup on parts percentage
35% Gross Profit (%)
This RFP proposal form is a mandatory form to ease bid tabulation and
analysis; however, it can be accomplished by additional supportive forms. A
representative must sign this proposal bid form below
JJ
Company Name w. w. Gay Mechanical Contractor,
. Authorized Signatured~1 ~
Inc.
DennJ.s Carlton Service Director
Namerritle (Print)' ,
3220 West 39th Street
Address
City/State/Zip Orlando, Florida 32809
Telephone Number (407) 841-4670
Emergency Telephone Number (407) 841-4670
Fax Number
(407) 648-5439
(407) 980-4222
Pager Number
Cell phone Number (407) 222-8839
RFP NO. 97-012
'. .
BUILDING LOCATION
1126 E. SR 434
City Hall
Space left for items missed:
MAKE I MODEL I
TONS OF UNITS
5 ea Lennox #CHA 11-953-3G
1 ea Carrier Unknown
1 ea Lennox #CHA 1 OB-653-2G
1 ea Lennox #CHA 11-953-3G
1 ea Ruud #USND0380
1'ea Rheem #RSKA-A036JKOOO
Page 16 of 20
Exhibit A & B
ANNUAL COST
$900.00
$120.00
N/A
$180.00
$72.00
$72.00
1 ea. Lennox #CHA24-953-1G $180.00
1 ea. Sanyo SAP121C
$48.00
~~
--------------------------------------------------------------------
----------------------~---------------------------------------------
102 N.Moss Rd.
Fire Station #24
Space left for items missed
2'ea Rheem #RPLA 048JAZ
1 ea Trane #TTR060C 1 DOAO
$192.00
$120.00
====================================================================
RFP NO. 97-012
r-fi50 Northern Way
'-Fire Station #26
110 North Flamiongo (office)
(garge)
(8reakroom)
Space left for items missing
1 ea Lennox #HP21651-4P
1 ea Rudd #U8E-17J10NFDAI
(Air Handler)
1 ea Ruud 3UAFD-031
CONDENSER
1 ea Ruud #UE88-1 01 0805
(Air Handler)
1 ea Ruud #UAKA-024JAZ
(Condenser))
1-ea ~F.iltrA2C212D8V1
Page 17 of 20
Exhibit A & B
$170 00
$72.00
$48.00
$36.00
~ ~
====================================================================
Water Plant #1
851 Northernway
Space left for items missing
1 ea Carrier #38YK8024300
- (Air Handler)
1 ea Carrier #F84ANF024
(Condenser)
$96.00
-------------------------------------------------------------------
-------------------------------------------------------------------
RFP NO. 97- 012
Maintenance Buiding
851 Northernway
Space for items missing
!I'j';,,:,,;;<J"~"qcJl
1 ea Ruud #RDB-2457AS14
(Air Handler)
1 ea Ruud #UAKA-024JAZ
(Condenser)
Page 18 of 20
Exhibit A & B
$66.00
-------------------------------------------------------------------
--------------------------~----------------------------------------
East Sewer Plant
1560 Winter Spriogs Blvd
. .t~c~;
1 ea Carrier #38YRA03031 0
(Air Handler)
1 ea Carrier #FK4CNF002
(Condenser)
1 ea. Carrier 38TRA024
$48.00
$72.00
--------------------------------------------------------------------
--------------------------------------------------------------------
~j
West Sewer Plant
1000 West SR 434
1 ea Ruud #UEAB-1610BRS
(Air Handler)
1 ea Rudd #dUAHE-042JAS
(Condenser)
1 ea Carrier #38TRA024321
(Air Handle)
1 ea Carrier #FK4CNF001
$84.00
$48.00
==================================================================
RFP NO.. 97 - 0 12
Page 19 of 20
Exhibit- A & B
Civic Center
400 N. Edgemon
1 ea 3 Ton Rheem (package)
$72.00
2 ea 2 Ton Units, Unknown
$96.00
. .!~-t"t'.,
--------------------------------------------------------------------
--------------------------------------------------------------------
Senior Center
400 N. Edgemon
$240.00
1 ea Trane #TT A 120B300AB
1 ea Trane #TTA072A300A-1
$180.00
.1.1
-------------------------------------------------------------------
-------------------------------------------------------------------
Should you find that we have overlooked any equipment make the necessary corrections
and note the location with the address.
"",,!,
RFP NO. 97-012
Public Safety Building
Park Complex
4 ea. Carrier 50TJ-O 12-511 $Q60 00
2 ea. Carrier 50TJ-004-511 $ 9 6. 00
1 ea. Carrier 50TJ-008-51I $180.00
lea. Carrier 50TJ-005-50 I $84.00
lea. Aaron RH-13-2-FO-l 02 $240.00
. !~jh'
2 ea. Trane TTJ724AIOOBO $96.00
(Condensing Unit)
2 ea. Trane Unknown
(Air Handler)
lea. Weatherking RA WD-075CAS
(Condensing Unit)
1 ea Unknown
(Air Handler)
Page 19B
$180.00
" .
--~--"""--7:;-~''''''''''''--~- .__~:~~ ,..."'~>it7T<t'"""!'C~;',->:.
City of Winter Springs, Florida
Air Conditioning
Preventative Maintenance I Service
Checklist I Exhibit "A II
The preventative maintenance work is to be performed between the 10th and 15th of the month indicated.
Suction Pressure
Head Pressure
Electrical Connections (tightness)
Refrigerant (check for possible leaks)
Condenser Coil(s} I Motor(s}
- Lubricate Motor(s}
Clean Coil( s)
I
Entering
Leaving
. Evaporato( Coil(s} I Motor(s} I Filter(s}
Lubricate Blower Bearings
Lubricate Motor(s)
Replace Filter(s)
Check Belt(s}
Compressor(s) .
Motor(s) amps
Air Temperature
Motor(s) amps
Air Temperature
Clean:
Heating
Strip Heat
Heat Pumps
Exhaust Fans
Roof Drain~
volts
volts
I
I
amps
amps
. I~."'l'..
I<JN Amps
(check controls I charge)
Lubricate Bearings
Lubricate Motor(s)
Check Belt(s}
Check & Remove All Debris
X Indicates work to be performed during that months inspection.
Jan. Mar. May Jul. Sept Nov.
x x
x x
x x
x x
x x
x x x x x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x x x x x
x x X J X X X
X X
X X
X X
X X
X X
X X
x x
x x x x
x
x
x x
x x
x x x x x x
x x x x x x
",'
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. .
BUILDING:
City of Winter Springs, Florida
Air Conditioning
Preventative Maintenance I Service
Checklist I Exhibit "S"
LOCATION:
UNIT MODEL #: SERIAL #: UNIT #:
The preventative maintenance work is to be performed between the 10th and 15th of the month indicated.
The service person must report to the City's Purchasing Agent or his/her designated assistant when he/she
arrives to make the inspections or performs service.
Fill in the blanks and check off the items as completed.
Completed r COMMENTS
Comoressor(s) . volts amps
volts amps
Suction Pressure /
Head Pressure /
Electrical Connections (tightness)
Refrigerant (check for possible leaks) . .f~tI ~!':
Condenser Coil(s) / Motor(s)
Lubricate Motor(s)
Clean Coil(s)
Motor(s) amps /
Air Temperature Entering
Leaving
Evaoorator Coil(s) / Motor(s) / Filter(s)
Lubricate Blower Bearings
Lubricate Motor(s) . ,
Replace Filter( s) Quantity II
Size
Type
Check Belt(s) Quantity
Size
Type , .
Motor(s) amps /
Air Temperature Entering ,-
Leaving
Clean: Coil(s)
Blower Wheel(s)
Drain Pan(s)
Condensate Drain(s)
Algae Tablets Quantity
Heating
Strip Heat /<MI Amps
Heat Pumps (check controls / charge)
Exhaust Fans Lubricate Bearings
Lubricate Motor(s)
Check Belt(s) Quantity
Size
Type
Roof Drains Check & Remove All Debris
This form must be filled out for the Preventative Maintenance ~as scheduled and must
accompany your invoice for payment.
1.
I. .',
City of Winter Springs, Florida
Air Conditioning
Preventative Maintenance I Service
Checklist I Exhibit "8"
SERVICE CO.:
DATE:
TECHNICIAN:
This form must be filled out per unit for the Preventative Maintenance as
scheduled and must accompany your invoice for payment.
REF. INV. #:
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This form must be filled out for the Preventative Maintenance as scheduled and must
accompany your invoice for payment.
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CORPORATE PROFILE
w.w. Gay Mechanical Contractor, Inc.
Headquarters
524 Stockton Street
Jacksonville, Florida 32204
904-388-2696
Brallch Offices
3220 West 39th Street
Orlando, Florida 32839
407 -841-4670
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515 S.E. 11th Place
Gainesville, Florida 32601
904-372-3963
5324 56th Commerce Park Blvd.
Tampa, Florida 32610
813-623-1911
Geographic Work Areas Central and North Florida, South Georgia
Annual Volume $85 - $100 Million
Average No. Of Employees 450 - 650
Maintenance, Design. and Construction in the following areas of expertise:
Heating, Ventilation, Air Conditioning and Refrigeration.
Automatic Temperature Controls
Computerized Energy Management Systems.
Plumbing and Power Piping.
Fire Protection Systems.
Test and Balance, NEBB Certified.
General and Mechanical Design and Construction.
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M ECHAN I CAL CO NTRACTo R, INC. 3220 West 39th Street · Orlando. Florida 32839. Ale 407.841-4670
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CORPORATE OVERVIEW
w. W. Gay Mecllullical COlltractor, Illc. is in our 34th year of operation and has an extensive
background ofwork experience in the commercial and industrial fields.
To provide some general information into our firm's background, we offer the following:
1. W. W. Gay Mechanical Contractor. Inc. was incorporated under the laws of the State of
Florida on September 1, 1962. .I-It-,.
2. Principal Offices:
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President:
Executive Vice President:
Secretary:
Assistant Secretary:
Treasurer:
Assistant Treasurer:
W.W. Gay
F.C. Houser
Eloise D. Gay
Shelva S. Wade
W.W. Gay
Kathryn S. Lee
3.
Key Personnel:
. W.W. Gay
F.C. Houser
Vincent 1. Wascak
David D. Boree, P.E.
Nandu Paryani
President
Executive Vice President
Vice President Estimating D~:vision
Vice President Commercial Division
President - W.W. Gay Fire Protection
4.
W.W. Gay Mechanical Contractor, Inc. is currently holding four ASME Boiler and Pressure
Vessel Code Stamps, i.e. "AA", Boiler Assembly; "PP", Power Piping; "V", Vnfired Pressure
Vessels; and "R", Repairs and Alterations to Pressure Vessels. These stamps enable us to
meet all of the code requirements involved in all types of projects.
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5.
W. W. Gay Mechanical Contractor, Inc. is qualified and fmancially able to accomplish the
following types of work from $1,000.00 to $50,000,000.00 costs:
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A. General and Mechanical Design and Construction.
B. Plumbing Design, Installations, Service and Maintenance.
C. Heating, Ventilating, and Air Conditioning Design and Construction.
D. Refrigeration and HV AC Service and Maintenance. "
E. Automatic Temperature Control Systems and Industrial Instrumentation Design and
Installation.
F. Comnuterized Enemv Management Sv~tem~ f)e~i{!n and In~tallation.
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M ECHAN I CAL CO NTRACTo R, INC. 3220 West 39th Street · Orlando. Aorida 32839. Ale 407-841-4670
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P.
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Power Piping Construction.
Equipment Installation and Erection.
Boiler Erection and Repair.
Precipitator Erection and Repair.
Tank Erection and Modification.
Condenser Erection and Repair.
Support Facilities.
Fire Protection Systems Design and Construction.
Testing and Balancing HV AS:'. Systems.
Building Automation Systems Design and Installation.
Building Security and Communication System Design, Installation, Service and
Mamtenance.
Underground Utilities Storage.
Cogeneration Design, Installation and Service.
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6. Contractor Licenses:
7.
8.
9.
Florida -
Florida -
Florida -
Florida -
Florida -
Florida -
Tennessee -
Georgia -
Georgia -
Georgia -
Mechanical Contractor - CMC008l40
General Contractor - CGC009279
Plumbing Contractor - CFCO 19184
Fire Protection Contractor - CMC008947
Pollutant Storage Systems Special Contractor - PCC050749
State Fire Marshall Certificate of Competency - 0002250447
Mechanical Contractor - 20301
Mechanical Contractor - CN004079
Plumbing Contractor - M0045l3
Fire Protection Contractor - 0097
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W. W. Gay Mechanical Contractor, Inc. is in compliance with Federal Law, has al
comprehensive Safety Policy and Hazardous Communication Program which includes a
written program, material safety data sheet files, initialjobsite training program, and ongoing
training updates both jobsite and office.
W.W. Gay Mechanical Service Department strives to provide the best in customer service
with a combination of planned preventive maintenance, practical energy efficiency measures, ~.1
strong management and cost control.
W.W. Gay Fire Protection, Inc. is very actively involved in fIre protection design and -I.
installation for all types of buildings, including industry, commercial and power plants. Our
engineers have worked in this field for many years.
10. W. W. Gay Mechanical Contractor, Inc. has in place a company wide drug testing
program for all employees and a written program for implementing the same.
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Pneumatic
Temperature Control
Electronic
Temperature Control
Refrigeration
Reciprocating
Refrigeration
Centrifugal
Refrigeration
Absorption
Refrigeration
Screw & Rotation
Refrigeration
Piping
Steam/Water
Piping
Boiler Service
Compressor Rebuild
Freezers Coolers
Re-tubing
AirlW ater Balance
Plug Gas Analysis
Water Treatment
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GA Y MECHANICAL CONTRACTOR, INC. 3220 West 39th Street. Orlando. Florida 32839. Ale 407-841-4670
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Preventative Maintenance Agreements
Reference List
. f~t.,.
Orlando International Airport
Contact: Carl Bartley
WOFL 35
Contact: Mike Mckee
Amsouth BankslKolI Services
Contact: Walter Butterworth
'![4g~~~~~.~~:~~Ii!:9i:!j.~J9i~~Ie:.~IJfjjf~!;~!~~~!!~~A~~~1 o~ INFJ:~
Naughton Insurance Svcs., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2700 University Blvd. W Bldg-B HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 10287 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
Jacksonville FL 32247-0287 COMPANIES AFFORDING COVERAGE
No
COMPANY
A Massachusetts Bay Ins. Co.
COMPANY
B Midwest Employers Casualty
W.W. Gay Mechanical Cont., Inc
524 stockton st.
Jacksonville FL 32204
COMPANY
C Insurance Co. Of Rorth America
COMPANY
D
:P:9.y,~g,~::::::::t:ff~t:lftI~lIffffIfIflI~:t:l{tt~:::ntf~tttm~@~t::ttiII~:~t~I::I::~:::::f:f:n:tt::ft:::IIttfl~~ttt:f::ttt~:ttt:::tfitifll{;tt:~llttlf:t::tltt:tli~mtIf!t&1:I:~!UtItt~tHJ1MM
nlls IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD '
INDICA TED, 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. .
CO TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY IXPlRAnON UMITa
LTR DATllMM/DDIYY) DATE IMM/DDIYY)
GENERAL UABlUTY GENEi">Al. AGGREOJ'.'l"E . :1 000,000
A X COMMERCIAL GENERAL LIABILITY LDZ5019484-00 . f~tl~~'. 09/12/96 09/12/97 PRODUCTS. COMPIOP AGG . 1 000 000
/mt~ CLAlMS MADE W OCCUR PERSONAL to ADV INJURY . 1 000 000
OWNER'S to CONTRACTOR'S RRtlT LIMITS APPLY PER PROJECT EACH OCCURRENCE . 1 000 000
CG2503 1185 FIRE DAMAGE (Any _ llrel . 50 000
MED EXP (Any _ ..-1 . 5,000
AUTOMOBILE UABlUTY
09/12/96 09/12/97 COMBINED SINGLE LIMIT . 1,000,000,
A X ANY AUTO ADZ5019485-00
ALL OWNED AUTOS BODILY INJURY
.
SCHEDULED AUTOS RONOWNED/HIRED CAR (Per pereonl
X HIRED AUTOS PHYSICAL DAMAGE: LIMIT BODILY INJURY
$
X NON.OWNED AUTOS $65,000-DED $1000 IPer accidentl
PROPERTY DAMAGE .
GARAGE UABlUTY AUTO ONLY. EA ACCIDENT .
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESa UABlUTY EACH OCCURRENCE $ 5,000,000
A X UMBRELLA FORM UHZ5019486-00 09/12/96 09/12/97 AGGREGATE . 5 000,000,
OTHER THAN UMBRELLA FORM
WORKERS COMPENSAnON AND
EMPLOYERS' UABlUTY
B THE PROPRlETORl INCL 4419-SA-FL 09/01/96 09/01/97 EL DISEASE - POLICY LIMIT . 1 000 000'
PARTNERSlEXECunVE
OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE . 1,000,000,
OTHER I
C Contractors Equip 106597762T051796 09/01/96 09/01/97 1,500,000
Rental Equipment 2S ,000 Ded. I
DESCRlPnON OF OPERAnONSILOCATIONSNEHlCLES/SPECIAL ITEMS
Any or All Operations
96-37 Louise
WWGAYME
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
EXPlRAnON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LII'T.
BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBUGAnON OR UABlUTY
OF ANY KIND UPON THE COMPANY,ITS AGENTS OR AEPAESENTAnvES. .
AUTHORIZED AEPAESENT A TIVE
W. W. Gay Mechanical
3220 W. 39th st.
Orlando, FL 32839
ACORD 25-S '(11951
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