HomeMy WebLinkAbout2022 12 12 Consent 307 - West WRF Temporary Belt Press Rental Contract Modification • CONSENT AGENDA ITEM 307
,n m=ared CITY COMMISSION AGENDA I DECEMBER 12, 2022 REGULAR MEETING
1959
TITLE
West WRF Temporary Belt Press Rental Contract Modification
SUMMARY
This activity is part of the reliability and resiliency improvements implemented at the
West WRF during treatment facility rehabilitation. The rehabilitation of treatment Unit
#1 has taken longer than anticipated due to labor and supply chain challenges
specifically impacting utility piping materials, valves, and skilled labor to complete
infrastructure improvements. Contract negotiations with the prime contractor were
extended. Hurricanes Ian and Nicole provided significant rainfall that increased
influent flows to the treatment facility.
The temporary belt press is required during the cleaning and rehabilitation of
treatment Unit#1 to mixed liquor inventory and to provide additional reliability while
the remaining rehabilitation work on treatment Unit#1 is completed. During the
cleaning and rehabilitation of treatment Unit#1, treatment Unit#2 will treat 100% of
the flow coming into the facility.The treatment process is sensitive to changes in
mixed liquor inventory and a high inventory can impact final effluent quality. The
rental press will allow continual processing of solids and finer adjustments to the
treatment process. The result will be additional reliability so the facility can continue
to produce public access RCW.
Invitation to Bid (ITB)#07-21 JN for the West Water Reclamation Facility Temporary
Belt Press was awarded on September 27, 2021 to Merrell Bros, Inc. The temporary
disk filter rental needs to be extended for an additional six months at a cost of
$12,450 per month per the contract terms (total of$74,700). This timeframe will allow
for cleaning of the West WRF Unit# 1 in December, completion of critical repairs to be
accomplished from January through March, and a three month contingency as needed
through June 2023.
RECOMMENDATION
Staff recommends the City Commission approve a contract modification to Merrell
Brothers, Inc., in the amount of$74,700 ($12,450 per month)for a total of six months.
Additionally, authorization for the City Manager and City Attorney is requested to
prepare and execute any and all applicable contract documents consistent with this
Agenda item.
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127
• CONSENT AGENDA ITEM 306
,Ro�oaTed CITY COMMISSION AGENDA I SEPTEMBER 27, 2021 REGULAR MEETING
1454
TITLE
West WRF Temporary Belt Press, Vendor Selection and Award
SUMMARY
The West WRF is located in the western part of the City and provides
wastewater treatment service and reclaimed water to the City's reclaimed
water distribution system. A temporary belt press is needed during
rehabilitation of treatment Unit#1 to maintain mixed liquor inventory.
During the cleaning and rehabilitation of treatment Unit#1, treatment Unit
#2 will treat 100% of the flow coming into the facility. The treatment process
is sensitive to changes in mixed liquor inventory and a high inventory can
impact final effluent quality. The rental press will allow continual processing
of solids and finer adjustments to the treatment process resulting in more
reliability.
Invitation to Bid (ITB) #07-21 JN for West Water Reclamation Facility
Temporary Belt Press was advertised on September 3, 2021 and bids received
on September 17, 2021 . The ITB outlined the equipment specifications and
performance requirements. The prices are based on mobilization to the West
WRF, demobilization from the West WRF, and a six (6) month rental with the
option to rent the equipment longer if required. A total of three bids were
received as shown in the Bid Tabulation below:
VENDOR MOB/DEMOB MONTHLY COST TOTAL COST
,COST
Merrell Bros, Inc. $8,975 ($12,450 $83,675
Charter Machine $16,500 $19,500 $133,500
Company
Eagle Dynamic $28,000 $17,675 $134,050
Solutions, LLC
Preparation for cleaning and construction of the treatment Unit #1 repairs is
anticipated to begin in October with repairs completed by March 2022. The
belt press will be delivered to the West WRF as soon as practical.
128
RECOMMENDATION
Staff recommends the City Commission award a contract to Merrell Bros, Inc.
in the amount of$83,675 plus a two month project contingency ($12,450 per
month) for a total of$108,575 for the rental of a temporary belt press.
Additionally, in the event an agreement with the first ranked proposer is
unable to be completed, authorize the City Manager and City Attorney to
negotiate with the second ranked proposer, which is Charter Machine
Company. in the amount of$133,500 plus a two month project contingency
for a total of$172,500. Finally, authorization for the City Manager and City
Attorney is requested to prepare and execute any and all applicable contract
documents consistent with this Agenda item.
129
WEST WRF TEMPORARY BELT PRESS 00300-1
SECTION 00300
MANDATORY BIDFORMS
(Mandatory Forms must be submitted with the bid. Failure to submit forms may
disqualify the proposer from the ITB.)
I'ART I GENERAL
1.01 Description
The following Bid is hereby made to the City of Winter Springs, hereafter called the OWNER.
Bid is submitted by:
Legal Name(indicate whether sole proprietorship,partnership, or corporation):
/ f 1
Chgra e r G�i r1C Cori, of` o fa-1 i o A
Address:
2Slei�_ �iVL �"�'VG�etl N�. 03PNO
Contact Name:
Ghr�s�np o
Cell
Contact Phone Number:
(73 S�{8 '4yo0 (73�Z§-7Y8q
Contact E-Mail Address:
Ghc; CA\arte t^ac�iAen. GoM
1.+02 The Undersigned:
A. Acknowledges receipt of.-
1.
f1_ Project Manual for WEST WRF TEMPORARY BELT PRESS,
2. Addenda:
Number dated
Number . dated.
B. Has examined the site and all Bidding Documents and understands that in
submitting his Bid, he waives all right to plead any misunderstanding regarding
the same.
C. Agrees:
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WEST WRF TEMPORARY BELT PRESS 00300-2
1. To hold this Bid open for 60 calendar days after the bid opening date.
2. To furnish the goods and/or services specified in this ITB at the prices
quoted in my responsive bid and in compliance with the Bidding
Documents.
3. To accept the provisions of the Instructions to Bidders.
4. To negotiate a contract with the OWNER incorporating the bid
amounts.if selected on the basis of this Bid.
5. To receive a City Purchase Order issued by the OWNER at the
submitted Bid.Price.
6. To accomplish the work in accordance with the contract documents
and this Project Manual.
7_ To deliver the equipment as required by the specifications and as
indicated in his proposal document.
D. Certifies:
1. That all information contained in this bid is truthful to the best of my knowledge
and belief.
2. That I am duly authorized to submit this bid on behalf of the vendor and that the
vendor is ready, willing, and able to perform if awarded the bid.
1.03 Stipulated Amount
A. Base Bid Price
I will provide the belt press under this project for a minimum Six-Month Total Rental Amount
(Monthly R £
f/ent multiplied by 6)o
e*_heIn rCal Seve4l t/f/i7 Dollars($ ll7 00 ) and a
One-Time belt press Mobilization/Demobilization Amount of..
S X JeM dAV5,?4d 4e hyn040(Dollars($ Arl 500.
The Bidder hereby agrees to perform all work as required by this Project Manual for the
,bllowing Unit Prices. Work for which there is not a Pay Item will be considered incidental to
the Contract and no additional compensation will be allowed. The OWNER, at his sole option
and discretion, may choose to add or deduct from the unit prices set forth below. The Bidder
shall be paid for actual quantities completed in accordance with the contract documents. The
following is the order of precedence which will be used in case of conflicts within the Bid
Submittal provided by each Bidder: Unit Price, Total Price, Total Base Bid (See attached Bid
Form).
1.04 Bid Submittals
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WEST WRF TEMPORARY BELT PRESS 00300-3
A. Completed and signed bid price form and other Mandatory forms in this Section.
B. I have attached all other Mandatory Forms in this Section.
1.05 Submittal
RESPECTFULLY SUBMITTED,signed and sealed this /,,'A day of ,2021.
Bidder
By:
Title
ATTEST: SECRETARY SEAL
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BID TABULATION
The Bidder hereby indicates the following total units and total prices which represent all materials,
labor, equipment, transportation, performance of all operations relative to performance of the
project, overhead, and costs of all kinds and profit to complete the work items in accordance with
the Project Manual, plans, and permits.
Work for which there is not a listed item below shall be considered incidental to the Contract and
no additional compensation will be allowed. The detailed Schedule of Values shall be provided by
the lowest responsible bidder and be included with their executed contract, as attached.
ITEM
No. DESCRIPTION QUANTITY I UNITS UNIT COST TOTAL COST
Belt Press
1 Mobilization/Demobilization 1 LSQ�
_ /6�Soo.
2 Belt press,per month rental 6 Month /q S-vo DDD DD
TOTAL
Belt press,additional per month rental beyond 6
months As Needed pQ To Be Determined
(Rate may not exceed rate quoted for minimumsQQ
6 month term) '
TOTAL BID: ,� 1 ,1/ �/ / /
�h.,«*SswJwrd IV( DOLLARS
(16 Words)
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SCRUTINIZED COMPANY CERTIFICATION
Florida Statutes, Sections 287.135 and 215.473
Pursuant to Section 287.135, Florida Statutes (2017), a company is ineligible to, and may not,
bid on, submit a proposal for, or enter into or renew a contract with the City for goods or services
of
(a) Any amount if, at the time of bidding on, submitting a proposal for, or entering
into or renewing such contract, the company is on the Scrutinized Companies that
Boycott Israel List, created pursuant to s. 215.4725, or is engaged in a boycott of
Israel; or
(b) One million dollars or more if, at the time of bidding on, submitting a proposal
for,or entering into or renewing such contract,the company:
1. Is on the Scrutinized Companies with Activities in Sudan List or the
Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List,
created pursuant to s. 215.473;or
2. Is engaged in business operations in Cuba or Syria.
Subject to limited exceptions provided in state law,the City will not`contract for the provision of
goods or services with any scrutinized company referred to above. The Contractor must submit
this required certification form attesting that it is not a scrutinized company and is not engaging
in prohibited business operations.
The following shall be grounds for termination of the contract at the option of the awarding
body:
The company is found to have submitted a false certification; been placed on the Scrutinized
Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran
Petroleum Energy Sector List;been placed on the Scrutinized Companies that Boycott Israel List
or is engaged in a boycott of Israel;or been engaged in business operations in Cuba or Syria.
The City shall provide notice, in writing, to the Contractor of any determination concerning a
false certification. The Contractor shall have five (5) days from receipt of notice to refute the
false certification allegation. If such false certification is discovered during the active contract
term, the Contractor shall have ninety (90) days following receipt of the notice to respond in
writing and demonstrate that the determination of false certification was made in error. If the
Contractor does not demonstrate that the City's determination of false certification was made in
error then the City shall have the right to terminate the contract and seek civil remedies pursuant
to Section 287.135,Florida Statutes.
THIS CERTIFICATION FORM MUST BE COMPLETED AND INCLUDED IN YOUR
BID RESPONSE. FAILURE TO SUBMIT THIS FORM AS INSTRUCTED SHALL
RENDER YOUR BID SUBMITTAL NON-RESPONSIVE.
a. The Vendor, owners, or principals are aware of the requirements of Section 287.135,Florida
Statutes;and
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WEST WRF TEMPORARY BELT PRESS 00300-6
b. The Vendor,owners,or principals are eligible to participate in this solicitation and not listed
on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel; and
c. For contracts of one million dollars or more,the Vendor, owners, or principals are eligible
to participate in this solicitation and not listed on the Scrutinized Companies with Activities
in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy
Sector List and, further, are not engaged in business operations in Cuba or Syria; and
d. If awarded the Contract, the Vendor, owners, or principals will immediately notify the City
in writing if any of its company, owners,or principals: are placed on the Scrutinized
Companies that Boycott Israel List,the Scrutinized Companies with Activities in Sudan
List, or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List;
engage in a boycott of Israel;or engage in business operations in Cuba or Syria.
f
r
(Authorized Signature)
GIglfe< iflyeLl-l�� Lp
(Printed Name and Title)
(Name of Vendor)
STATE OF
COUNTY OF /yIi o���tS�►x
The foregoing instrument was acknowledged before me by means of OQ
physical presence or (__) online notarizat* n, this /,3�' day of fi e� �f- .
2021, byW4 e Avt"nr.th the _U.rt AWf,;& of
,,,,,cc
(
who io s personally known to me or (_) who produced
as identification.
Notary Public
Print Name: , 0 CL V1 yl N
My Commission expires: C a oa-Li
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NON-COLLUSION AND CONTINGENT FEES AFFADAVIT
State of Florida
County of SC h'1 i/1 p�� being
first duly sworn,deposes and says that: / 1 /
He / She is 6jCe lore-co,o% of /! 7« , 6c�'i� o v V the
Proposer that has submitted the attached Bid;
He/ She is fully informed respecting the preparation and contents of the attached Bid and of all
pertinent circumstances respecting such Bid;
Such Bid is genuine and is not a collusive or sham Bid;
Neither the said proposer nor any of its officers, partners, owners, agents, representatives,
employees or parties in interest, including this affiant, has in any way colluded, conspired,
connived or agreed, directly or indirectly with any other proposer, firm or person to submit a
collusive or sham Bid in connection with the contract for which the attached Bid has been
submitted or to refrain from bidding in connection with such Contract, or has in any manner,
directly or indirectly, sought by agreement or collusion or communication or conference with
any other Proposer, firm or person to fix the price or prices in the attached Bid or of any other
Proposer, or to fix any overhead, profit or cost element of the Bid price or the Bid price of any
other Proposers, or to secure through any collusion, conspiracy, connivance or unlawful
agreement any advantage against the City of Winter Springs or any person interested in the
proposed Contract;
The price or prices quoted in the attached Bid are fair and proper and are not tainted by any
collusion, conspiracy, connivance or unlawful agreement on the part of the Proposer or any of its
agents,representatives, owner's employees, or parties in interest, including this affiant; and
The proposer nor any of its officers, partners, owners, agents, representatives, employees or
parties in interest, including this affiant, have not employed or retained any company or person,
other than a bona fide employee working solely for the proposer to solicit or secure this
agreement and that proposer has not paid or agreed to pay any person, company, corporation,
individual, or firm, other than a bona fide employee working solely for the proposer any fee,
commission,percentage, gift, or other consideration contingent upon or resulting from the award
or making of this agreement. For the breach or violation of this provision,the City shall have the
right to terminate the agreement without liability and, at its discretion, to deduct from the
contract price, or otherwise recover,the full amount of such fee, commission,percentage, gift,*r
consideration. l !
uthor'zed ignatu e)
; �� .�r.'P U.P.
(Printed N�e and Title)
C441-ArR4ldC Com 4p
(Name of Vend r)
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STATE OF
COUNTY Of _ /)71 o�
The foregoing instrument was acknowledged before me by means of ( physical
presence or (__j online gotarization, this /-Tt'h day of - Seftr+6er , 2021, by
the t ice R/Y_Siyea of
( .who is pers nally known to me or (_) who produced
as identification.
Notary lic
Print Name: 150—
u V1 V)
My Commission expires: 0 S Q-7
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DRUG-FREE WORKPLACE CERTIFICATION
In accordance with Florida Statues 287.087, preference shall be given to businesses with
drug-free workplace programs. Whenever two or more bids which are equal with respect
to price, quality, and service are received by the State or by any political subdivision for
the procurement of commodities or contractual services, a bid received from a business
that certifies that it has implemented a drug-free workplace program shall be given
preference in the award process.
Established procedure for processing the bids will be followed if none of the tied vendors
have a drug-free work place program.
In order to have a drug-free workplace program, a business shall:
a. Publish a statement notifying employees that the unlawful manufacture,distribution,
Dispensing,possession,or use of a controlled substance is prohibited in the workplace
and specifying the actions that will be taken against employees for violations of such
prohibition.
b. Inform employees about the danger of drug abuse in the workplace,the business's policy
maintaining a drug-free workplace, any available drug counseling,rehabilitation,and
employee assistance programs, and the penalties that may be imposed upon employees
for drug abuse violations.
c. Give each employee engaged in providing the commodities or contractual services that
are under bid a copy of the statement specified in subsection(a).
d. In the statement specified in subsection(a),notify the employees that, as a condition of
working on the commodities or contractual services that are under bid/proposal,the
employee will abide by the terms of the statement and will notify the employer of any
conviction of,or plea of guilty or nolo contender to,any violation of Chapter 893 or of
any controlled substance law of the United States or any state, for a violation occurring in
the workplace no later than five(5)days after such conviction.
e. Impose a sanction on,or require the satisfactory participation in a drug abuse assistance
or rehabilitation program if such is available in the employee's community,by any
employee who is so convicted.
£ Make a good faith effort to continue to maintain a drug-free workplace through
implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with
the above requirements.
C&r lel- c4�e_ Poo
(Company) /
-- P
(Signature&Title)
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CONFLICT OF INTEREST CERTIFICATION
Before me, the undersigned authority, personally appeared, who was duly sworn,
deposes, and
//states: J�
I am the Ytlt 117S/dt4 f of7tAt[A with a local office in
t tVeWeA 41.3 and principal office in /Ne/or A/S,
11 City and State City and State
The above-named entity is submitting an ITB for the City of Winter Springs described as:
City of Winter Springs
ITB#07-21 JN
WEST WRF TEMPORARY BELT PRESS RENTAL
The Affiant has made diligent inquiry and provides the information contained in this
Affidavit based upon his own knowledge and thereof the following;
a. The Affiant states that only one submittal for the above bid is being submitted and that
the above-named entity has no financial interest in other entities submitting bids for the
same project.
b. Neither the Affiant nor the above-named entity has directly or indirectly entered into any
agreement,participated in any collusion, or otherwise taken any action in restraints of
free competitive pricing in connection with the entity's submittal for the above bid. This
statement restricts the discussion of pricing data until the completion of negotiations if
necessary and execution of the Contract for this project.
c. Neither the entity nor its affiliates,nor anyone associated with them, is presently
suspended or otherwise ineligible from participation in contract letting by any local,
State, or Federal Agency.
d. Neither the entity, nor its affiliates, nor anyone associated with them have any potential
conflict of interest due to any other clients, contracts,or property interests for this project.
e. I certify that no member of the entity's ownership or management is presently applying
for an employee position or actively seeking an elected position with the City of Winter
Springs.
f. I certify that no member of the entity's ownership or management,or staff has a vested
interest in any aspect of the City of Winter Springs.
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g. In the event that a conflict of interest is identified in the provision of services, I,on behalf
of the above-named entity,will immediately notify the City of Winter Springs.
y9y- ySW
(Authorized Signature) Name of Business Phone&Fax Number
(Printed Name and Title) Business Mailing Address City, State,Zip
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CERTIFICATION A: (Debarment, Suspension and other responsibility matters—Primary
Covered Transactions)
The prospective primary participant certifies to the best of its knowledge and belief that its
principals:
a. Are not presently debarred, suspended,proposed for debarment,declared ineligible,or
voluntarily excluded from covered transactions by any Federal debarment or agency;
b. Have not within a three-year period preceding this proposal,been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or performing a public(Federal, State,or local)
transaction or contract under a public transaction; violation of Federal or State antitrust statutes
or commission of embezzlement,theft, forgery, bribery, falsification, or destruction of records,
making false statements,or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity(Federal, State, or local)with commission of any of the offenses enumerated
in paragraph(1)(b) of this certification; and
d. Have not within a three-year period preceding this application/proposal had one or more
public transactions(Federal, State,or local)terminated for cause or default.
Where the prospective primary participant is unable to certify to any of the statements in this
certification,such prospective participant shall attach an explanation of this proposal.
Instructions for Certification (A)
By signing and submitting this proposal,the prospective primary participant is providing the
certification set out below;
a. The inability of a person to provide the certification required below will not necessarily
result in denial of participation in this covered transaction. The prospective participant shall
submit an explanation of why it cannot provide the certification set out below. The certification
or explanation will be considered in connection with the department or agency's determination
whether to enter into this transaction. However, failure of the prospective primary participant to
furnish a certification or any explanation shall disqualify such person from participation in this
transaction.
b. The certification in this clause is a material representation of fact upon which reliance
was placed when the department or agency determined to enter into this transaction. If it is later
determined that the prospective primary participant knowingly rendered an erroneous
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certification, in addition to other remedies available to the Federal Government,the department
or agency may terminate this transaction for cause or default.
C. The prospective primary participant shall provide immediate written notice to the
department or agency to which this proposal is submitted if at any time the prospective primary
participant learns that its certification was erroneous when submitted or has become erroneous
by reason of changed circumstances.
d. The terms covered transaction,debarred, suspended, ineligible, lower tier covered
transaction,participant,person, primary covered transaction,principal,proposal,and voluntarily
excluded, as used in this clause,have the meanings set out in the Definitions and Coverage
sections of the rules implementing Executive Order 12549. You may contact the department or
agency to which this proposal is being submitted for assistance in obtaining a copy of these
regulations.
e. The prospective primary participant agrees by submitting this proposal that, should the
proposed covered transaction be entered into,it shall not knowingly enter into any lower tier
covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily
excluded from participation in this covered transaction, unless authorized by the department or
agency entering into this transaction.
f. The prospective primary participant further agrees by submitting this proposal that it will
include the clause titled"Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion—Lower Tier Covered Transaction,"provided by the department or agency
entering into this covered transaction,without modification, in all lower tier covered transactions
and in all solicitations for lower tier covered transactions.
g. A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or
voluntarily excluded from the covered transaction,unless it knows that the certification is
erroneous. A participant may decide the method and frequency by which it determines this
eligibility of its principals. Each participant may, but is not required to,check the Non-
procurement List.
h. Nothing contained in the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification required by this clause. The
knowledge and information of a participant is not required to exceed that which is normally
possessed by a prudent person in the ordinary course of business dealings.
i. Except for transactions authorized under paragraph(6)of these instructions, if a
participant in a covered transaction knowingly enters into a lower tier covered transaction with a
person who is suspended, debarred, ineligible,or voluntarily excluded from participation in this
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transaction, in addition to other remedies available to the Federal Government,the department or
agency may terminate this transaction for cause of default.
Certification B: (Debarment,Suspension,Ineligibilitv and Voluntary Exclusion—Lower
Tier Covered Transactions)
a. The prospective lower tier participant certifies,by submission of this proposal,that
neither it nor its principals is presently debarred, suspended,proposed for debarment, declared
ineligible,or voluntarily excluded from participation in this transaction by any Federal
department or agency.
b. Where the prospective lower tier participant is unable to certify to any of the statements
in this certification, such prospective participant shall attach an explanation to this proposal.
Instructions for Certification(B)
By signing and submitting this proposal,the prospective lower tier participant is providing the
certification set out below.
a. The certification in this clause is a material representation of fact upon which reliance
was placed when this transaction was entered into. If it is later determined that the prospective
lower tier participant knowingly rendered an erroneous certification,in addition to other
remedies available to the Federal Government,the department or agency with which this
transaction originated may pursue available remedies, including suspension and/or debarment.
b. The prospective lower tier participant shall provide immediate written notice to the
person to whom this proposal is submitted if at any time the prospective lower tier participant
learns that its certification was erroneous when submitted or has become erroneous by reason of
changed circumstances.
C. The terms covered transaction, debarred, suspended, ineligible, lower tier covered
transaction,participant,person,primary covered transaction,principal,proposal,and voluntarily
excluded,as used in this clause,have the meanings set out in the Definitions and Coverage
sections of rules implementing Executive Order 12549. You may contact the person to which
this proposal is submitted for assistance in obtaining a copy of these regulations.
d. The prospective lower tier participant agrees by submitting this proposal that, should the
proposed covered transaction be entered into, it shall not knowingly enter into any lower tier
covered transaction with a person who is debarred, suspended, declared ineligible,or voluntarily
excluded from participation in this covered transaction,unless authorized by the department or
agency with which this transaction originated.
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e. The prospective lower tier participant further agrees by submitting this proposal that it
will include this clause title"Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion—Lower Tier Covered Transaction,"without modification, in all lower tier
covered transactions and in all solicitation for lower tier covered transactions.
f A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or
voluntarily excluded from the covered transaction, unless it knows that the certification is
erroneous. A participant may decide the method and frequency by which it determines the
eligibility of its principles. Each participant may but is not required to, check the Non-
procurement List.
g. Nothing contained in the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification required by this clause. The
knowledge and information of a participant is not required to exceed that which is normally
possessed by a prudent person in the ordinary course of business dealings.
h. Except for transactions authorized under paragraph(5)of these instructions, if a
participant in a lower covered transaction knowingly enters into a lower tier covered transaction
with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation
in this transaction, in addition to other remedies available to the Federal Government,the
department or agency with which this transaction originated may pursue available remedies
including suspension and/or debarment.
Applicant: r Date:
Signature of Authorized Certifying Official: Title: p
UrCC [ reSI'd eA
END OF SECTION
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SECTION 00300
MANDATORY BID FORMS
(Mandatory Forms must be submitted with the bid. Failure to submit forms may
disqualify the proposer from the ITB.)
PART 1 GENERAL Z3 ORIGINAL
1.01 Description
The following Bid is hereby made to the City of Winter Springs, hereafter called the OWNER.
Bid is submitted by:
Legal Name (indicate whether sole proprietorship,partnership, or corporation):
4
A d ess:
C ntact Name:
(a eq,I � C� N
Vritacthone Number: _
C ntact E-Mail Address:
1.02 The Undersigned:
A. Acknowledges receipt of:
1. Project Manual for WEST WRF TEMPORARY BELT PRESS.
2. Addenda:
Number r __, dated Q !3
Number , dated
B. Has examined the site and all Bidding Documents and understands that in
submitting his Bid, he waives all right to plead any misunderstanding regarding
the same.
C. Agrees:
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1. To hold this Bid open for 60 calendar days after the bid opening date.
2, To furnish the goods and/or services specified in this ITB at the prices
quoted in my responsive bid and in compliance with the Bidding
Documents.
3, To accept the provisions of the Instructions to Bidders.
4, To negotiate a contract with the OWNER incorporating the bid
amounts, if selected on the basis of this Bid.
S, To receive a City Purchase Order issued by the OWNER at the
submitted Bid Price.
6, To accomplish the work in accordance with the contract documents
and this Project Manual.
7. To deliver the equipment as required by the specifications and as
indicated in his proposal document.
D. Certifies:
1. That all information contained in this bid is truthful to the best of my knowledge
and belief.
2. That I am duly authorized to submit this bid on behalf of the vendor and that the
vendor is ready, willing, and able to perform if awarded the bid.
1,03 Stipulated Amount
A. Base Bid Price
I will provide the belt press under this project for a minimum Six-Month Total Rental Amount
(Monthly Rent multiplied by 6) o£ j`�
ON F,HWVA� 00A hSXVf64Sf4lt a ($ 10(oI o� Janda
One-Time belt press Mobilization/Demobilization Amount of..
"f""Wr f 61601_7' VS4Nb Dollars ($ 2 !S_i OUD ).
The Bidder hereby agrees to perform all work as required by this Project Manual for the
following Unit Prices. Work for which there is not a Pay Item will be considered incidental to
the Contract and no additional compensation will be allowed. The OWNER, at his sole option
and discretion, may choose to add or deduct from the unit prices set forth below. The Bidder
shall be paid for actual quantities completed in accordance with the contract documents. The
following is the order of precedence which will be used in case of conflicts within the Bid
Submittal provided by each Bidder: Unit Price, Total Price, Total Base Bid (See attached Bid
Form).
1.04 Bid Submittals
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BID TABULATION
The Bidder hereby indicates the following total units and total prices which represent all materials,
labor, equipment, transportation, performance of all operations relative to performance of the
project, overhead, and costs of all kinds and profit to complete the work items in accordance with
the Project Manual,plans,and permits.
Work for which there is not a listed item below shall be considered incidental to the Contract and
no additional compensation will be allowed. The detailed Schedule of Values shall be provided by
the lowest responsible bidder and be included with their executed contract, as attached.
ITEM
No. DESCRIPTION QUANTITY UNITS UNIT COST TOTAL COST
Belt Press
I MobIlization/Demobilization 1 LS ' 000 g� �W
2 Belt press,per month rental 6 Month 1-71 V76 6 l o g Obb
TOTAL0IOU
Belt press,additional per month rental beyond 6 --�,
months As Needed �� ��y To Be Determined
(Rate may not exceed rate quoted for minimum
6 month term.)
TOTAL BID:
fI FT`F
(CNV IfuN � —F oLcP- '(f"(k S W DOLLARS
(In Words)
$ R34lon
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A. Completed and signed bid price form and other Mandatory forms in this Section.
B. I have attached all other Mandatory Forms in this Section.
1.05 Submittal �{-
RESPECTFULLY SUBMITTED, signed and sealed this day of SSI'` ', 2021.
Bidder
By:
P./►f-R.VI N 9"WN J r Title
ATTEST: SECRETARY SEAL
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SCRUTINIZED COMPANY CERTIFICATION
Florida Statutes, Sections 287.135 and 215.473
Pursuant to Section 287.135, Florida Statutes (2017), a company is ineligible to, and may not,
bid on, submit a proposal for, or enter into or renew a contract with the City for goods or services
of:
(a) Any amount if, at the time of bidding on, submitting a proposal for, or entering
into or renewing such contract, the company is on the Scrutinized Companies that
Boycott Israel List, created pursuant to s. 215.4725, or is engaged in a boycott of
Israel; or
(b) One million dollars or more if, at the time of bidding on, submitting a proposal
for, or entering into or renewing such contract, the company:
1. Is on the Scrutinized Companies with Activities in Sudan List or the
Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List,
created pursuant to s. 215.473; or
2. Is engaged in business operations in Cuba or Syria.
Subject to limited exceptions provided in state law, the City will not contract for the provision of
goods or services with any scrutinized company referred to above. The Contractor must submit
this required certification form attesting that it is not a scrutinized company and is not engaging
in prohibited business operations.
The following shall be grounds for termination of the contract at the option of the awarding
body:
The company is found to have submitted a false certification; been placed on the Scrutinized
Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran
Petroleum Energy Sector List; been placed on the Scrutinized Companies that Boycott Israel List
or is engaged in a boycott of Israel; or been engaged in business operations in Cuba or Syria.
The City shall provide notice, in writing, to the Contractor of any determination concerning a
false certification. The Contractor shall have five (5) days from receipt of notice to refute the
false certification allegation. If such false certification is discovered during the active contract
term, the Contractor shall have ninety (90) days following receipt of the notice to respond in
writing and demonstrate that the determination of false certification was made in error. If the
Contractor does not demonstrate that the City's determination of false certification was made in
error then the City shall have the right to terminate the contract and seek civil remedies pursuant
to Section 287.135, Florida Statutes.
THIS CERTIFICATION FORM MUST BE COMPLETED AND INCLUDED IN YOUR
BID RESPONSE. FAILURE TO SUBMIT THIS FORM AS INSTRUCTED SHALL
RENDER YOUR BID SUBMITTAL NON-RESPONSIVE.
a. The Vendor, owners, or principals are aware of the requirements of Section 287.135,Florida
Statutes; and
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b. The Vendor, owners, or principals are eligible to participate in this solicitation and not listed
on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel; and
c. For contracts of one million dollars or more,the Vendor, owners, or principals are eligible
to participate in this solicitation and not listed on the Scrutinized Companies with Activities
in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy
Sector List and, further, are not engaged in business operations in Cuba or Syria; and
d. If awarded the Contract, the Vendor, owners, or principals will immediately notify the City
in writing if any of its company, owners, or principals: are placed on the Scrutinized
Companies that Boycott Israel List,the Scrutinized Companies with Activities in Sudan
List, or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List;
engage in a boycott of Israel; or engage in business operations in Cuba or Syria.
(Authorized Signature)
alVin V-7V lc�r.
(Printed Name and Title)
t-6 wfy/fmc
(Name of Vendor)
STATE OF � l�-
COUNTY OF C fi �—
The foregoing instrument was acknowledged before me by means o4�'physical presence or �) online notarization, this day Qf
2021, by M,.(IM 111WbWfl Ir theCl d of
-G kyo C/ { [ , a
(�) who is personally known to me or (__) who produced
as identification.
Notary Public
Lynn R. Felberg ,,
Notary Public Print Name: Y1 t�1 I'a r—q
Columbia County, GEORGIA
My Commission expires: 3
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NON-COLLUSION AND CONTINGENT FEES AFFADAVIT
State of Florida
County of �p�l� _ being
first duly sworn, and says that: ,,�
He / She is MA(LVI N I WN J2,Pl f .6"L-6- N nI�M(G slums ie
Proposer that has submitted the attached Bid;
He / She is fully informed respecting the preparation and contents of the attached Bid and of all
pertinent circumstances respecting such Bid;
Such Bid is genuine and is not a collusive or sham Bid;
Neither the said proposer nor any of its officers, partners, owners, agents, representatives,
employees or parties in interest, including this affiant, has in any way colluded, conspired,
connived or agreed, directly or indirectly with any other proposer, firm or person to submit a
collusive or sham Bid in connection with the contract for which the attached Bid has been
submitted or to refrain from bidding in connection with such Contract, or has in any manner,
directly or indirectly, sought by agreement or collusion or communication or conference with
any other Proposer, firm or person to fix the price or prices in the attached Bid or of any other
Proposer, or to fix any overhead, profit or cost element of the Bid price or the Bid price of any
other Proposers, or to secure through any collusion, conspiracy, connivance or unlawful
agreement any advantage against the City of Winter Springs or any person interested in the
proposed Contract;
The price or prices quoted in the attached Bid are fair and proper and are not tainted by any
collusion, conspiracy, connivance or unlawful agreement on the part of the Proposer or any of its
agents, representatives, owner's employees, or parties in interest, including this affiant; and
The proposer nor any of its officers, partners, owners, agents, representatives, employees or
parties in interest, including this affiant, have not employed or retained any company or person,
other than a bona fide employee working solely for the proposer to solicit or secure this
agreement and that proposer has not paid or agreed to pay any person, company, corporation,
individual, or firm, other than a bona fide employee working solely for the proposer any fee,
commission, percentage, gift, or other consideration contingent upon or resulting from the award
or making of this agreement. For the breach or violation of this provision,the City shall have the
right to terminate the agreement without liability and, at its discretion, to deduct from the
contract price, or otherwise recover, the full amount of such fee, commission,percenta- _ gift, or
consideration. P7 `
(Authorized Signature)
M obi n w n J r,,l° I clad
(Printed Name and Title)
(Name of Vendor)
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STATE OF gf()Vq l 0-
COUNTY OF CD ba^k 1 4;
The foregoing instrument was acknowledged before me by means of physical
presence .or ( ) online notarization, this � day of T2021, by
Alafvv /) Jr the pree1 eAf— of
(: who is personally known to me or U who produced
as identification.
Notary ublic f
Lynn R. Felberg Print Name: _ n ►�l I�
Notary Public ' 7
Columbia County, GEORGIA My Commission expires: Z (I
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DRUG-FREE WORKPLACE CERTIFICATION
In accordance with Florida Statues 287.087, preference shall be given to businesses with
drug-free workplace programs. Whenever two or more bids which are equal with respect
to price, quality, and service are received by the State or by any political subdivision for
the procurement of commodities or contractual services, a bid received from a business
that certifies that it has implemented a drug-free workplace program shall be given
preference in the award process.
Established procedure for processing the bids will be followed if none of the tied vendors
have a drug-free work place program.
In order to have a drug-free workplace program, a business shall:
a. Publish a statement notifying employees that the unlawful manufacture, distribution,
Dispensing,possession, or use of a controlled substance is prohibited in the workplace
and specifying the actions that will be taken against employees for violations of such
prohibition.
b. Inform employees about the danger of drug abuse in the workplace, the business's policy
maintaining a drug-free workplace, any available drug counseling, rehabilitation, and
employee assistance programs, and the penalties that may be imposed upon employees
for drug abuse violations.
c. Give each employee engaged in providing the commodities or contractual services that
are under bid a copy of the statement specified in subsection(a).
d. In the statement specified in subsection (a), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid/proposal, the
employee will abide by the terms of the statement and will notify the employer of any
conviction of, or plea of guilty or nolo contender to, any violation of Chapter 893 or of
any controlled substance law of the United States or any state, for a violation occurring in
the workplace no later than five (5) days after such conviction.
e. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance
or rehabilitation program if such is available in the employee's community, by any
employee who is so convicted.
f. Make a good faith effort to continue to maintain a drug-free workplace through
implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with
the above requirements.
ft Lit;-- bYA "M t G CdW-Ft d nes
(Company)
(Si n ture &Tit
M Zvi n 811 w n Jr.
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CONFLICT OF INTEREST CERTIFICATION
Before me, the undersigned authority, personally appeared, who was duly sworn,
deposes, and states:
I am the PgJ5C►t) T(NS o lc-�-1`f oar
of '�-(a(� 1��{IWEM(C, with a local office in
and principal office in 9;YANS 1. 6I111C
City and State City and State
The above-named entity is submitting an ITB for the City of Winter Springs described as:
City of Winter Springs
ITB #07-21 JN
WEST WRF TEMPORARY BELT PRESS RENTAL
The Affiant has made diligent inquiry and provides the information contained in this
Affidavit based upon his own knowledge and thereof the following;
a. The Affiant states that only one submittal for the above bid is being submitted and that
the above-named entity has no financial interest in other entities submitting bids for the
same project.
b. Neither the Affiant nor the above-named entity has directly or indirectly entered into any
agreement,participated in any collusion, or otherwise taken any action in restraints of
free competitive pricing in connection with the entity's submittal for the above bid. This
statement restricts the discussion of pricing data until the completion of negotiations if
necessary and execution of the Contract for this project.
c. Neither the entity nor its affiliates, nor anyone associated with them, is presently
suspended or otherwise ineligible from participation in contract letting by any local,
State, or Federal Agency.
d. Neither the entity, nor its affiliates, nor anyone associated with them have any potential
conflict of interest due to any other clients, contracts, or property interests for this project.
e. I certify that no member of the entity's ownership or management is presently applying
for an employee position or actively seeking an elected position with the City of Winter
Springs.
f. I certify that no member of the entity's ownership or management, or staff has a vested
interest in any aspect of the City of Winter Springs.
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g. In the event that a conflict of interest is identified in the provision of services, I, on behalf
of the above-named entity, will immediately notify the City of Winter Springs.
F��, 640t E DtlIVAIMCl SO&�77W1 o 0)e(go-7731
(Authorized Signature) Name of Business Phone&Fax NumbertOO)2t9- '4R Z
Marti ri &wn Jr deaf 5%5 5 Pir-tre bt. 6VC031 fir. 3 v&-oc)
(Printed Name and Title) Business Mailing Address City, State, Zip
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CERTIFICATION A: (Debarment, Suspension and other responsibilit, matters—Prima n
Covered Transactions)
The prospective primary participant certifies to the best of its knowledge and belief that its
principals:
a. Are not presently debarred, suspended,proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal debarment or agency;
b. Have not within a three-year period preceding this proposal, been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or performing a public(Federal, State, or local)
transaction or contract under a public transaction; violation of Federal or State antitrust statutes
or commission of embezzlement,theft, forgery, bribery, falsification, or destruction of records,
making false statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity(Federal, State, or local)with commission of any of the offenses enumerated
in paragraph(1) (b) of this certification; and
d. Have not within a three-year period preceding this application/proposal had one or more
public transactions (Federal, State, or local)terminated for cause or default.
Where the prospective primary participant is unable to certify to any of the statements in this
certification, such prospective participant shall attach an explanation of this proposal.
Instructions for Certification (A)
By signing and submitting this proposal,the prospective primary participant is providing the
certification set out below;
a. The inability of a person to provide the certification required below will not necessarily
result in denial of participation in this covered transaction. The prospective participant shall
submit an explanation of why it cannot provide the certification set out below. The certification
or explanation will be considered in connection with the department or agency's determination
whether to enter into this transaction. However, failure of the prospective primary participant to
furnish a certification or any explanation shall disqualify such person from participation in this
transaction.
b. The certification in this clause is a material representation of fact upon which reliance
was placed when the department or agency determined to enter into this transaction. If it is later
determined that the prospective primary participant knowingly rendered an erroneous
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certification, in addition to other remedies available to the Federal Government, the department
or agency may terminate this transaction for cause or default.
C. The prospective primary participant shall provide immediate written notice to the
department or agency to which this proposal is submitted if at any time the prospective primary
participant learns that its certification was erroneous when submitted or has become erroneous
by reason of changed circumstances.
d. The terms covered transaction, debarred, suspended, ineligible, lower tier covered
transaction,participant,person,primary covered transaction,principal,proposal, and voluntarily
excluded, as used in this clause,have the meanings set out in the Definitions and Coverage
sections of the rules implementing Executive Order 12549. You may contact the department or
agency to which this proposal is being submitted for assistance in obtaining a copy of these
regulations.
e. The prospective primary participant agrees by submitting this proposal that, should the
proposed covered transaction be entered into, it shall not knowingly enter into any lower tier
covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily
excluded from participation in this covered transaction, unless authorized by the department or
agency entering into this transaction.
f. The prospective primary participant further agrees by submitting this proposal that it will
include the clause titled"Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion—Lower Tier Covered Transaction,"provided by the department or agency
entering into this covered transaction,without modification, in all lower tier covered transactions
and in all solicitations for lower tier covered transactions.
g. A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or
voluntarily excluded from the covered transaction, unless it knows that the certification is
erroneous. A participant may decide the method and frequency by which it determines this
eligibility of its principals. Each participant may, but is not required to, check the Non-
procurement List.
h. Nothing contained in the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification required by this clause. The
knowledge and information of a participant is not required to exceed that which is normally
possessed by a prudent person in the ordinary course of business dealings.
i. Except for transactions authorized under paragraph (6) of these instructions, if a
participant in a covered transaction knowingly enters into a lower tier covered transaction with a
person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this
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transaction, in addition to other remedies available to the Federal Government, the department or
agency may terminate this transaction for cause of default.
Certification B: (Debarment, Suspension,Inelipibililt and Voluntary Exclusion—Lower
Tier Covered Transactions)
a. The prospective lower tier participant certifies,by submission of this proposal, that
neither it nor its principals is presently debarred, suspended,proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any Federal
department or agency.
b. Where the prospective lower tier participant is unable to certify to any of the statements
in this certification, such prospective participant shall attach an explanation to this proposal.
Instructions for Certification M)
By signing and submitting this proposal,the prospective lower tier participant is providing the
certification set out below.
a. The certification in this clause is a material representation of fact upon which reliance
was placed when this transaction was entered into. If it is later determined that the prospective
lower tier participant knowingly rendered an erroneous certification, in addition to other
remedies available to the Federal Government,the department or agency with which this
transaction originated may pursue available remedies, including suspension and/or debarment.
b. The prospective lower tier participant shall provide immediate written notice to the
person to whom this proposal is submitted if at any time the prospective lower tier participant
learns that its certification was erroneous when submitted or has become erroneous by reason of
changed circumstances.
C. The terms covered transaction, debarred, suspended, ineligible, lower tier covered
transaction,participant,person,primary covered transaction,principal,proposal, and voluntarily
excluded, as used in this clause,have the meanings set out in the Definitions and Coverage
sections of rules implementing Executive Order 12549. You may contact the person to which
this proposal is submitted for assistance in obtaining a copy of these regulations.
d. The prospective lower tier participant agrees by submitting this proposal that, should the
proposed covered transaction be entered into, it shall not knowingly enter into any lower tier
covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily
excluded from participation in this covered transaction, unless authorized by the department or
agency with which this transaction originated.
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e. The prospective lower tier participant further agrees by submitting this proposal that it
will include this clause title"Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion—Lower Tier Covered Transaction,"without modification, in all lower tier
covered transactions and in all solicitation for lower tier covered transactions.
f. A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or
voluntarily excluded from the covered transaction, unless it knows that the certification is
erroneous. A participant may decide the method and frequency by which it determines the
eligibility of its principles. Each participant may but is not required to, check the Non-
procurement List.
g. Nothing contained in the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification required by this clause. The
knowledge and information of a participant is not required to exceed that which is normally
possessed by a prudent person in the ordinary course of business dealings.
h. Except for transactions authorized under paragraph (5) of these instructions, if a
participant in a lower covered transaction knowingly enters into a lower tier covered transaction
with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation
in this transaction, in addition to other remedies available to the Federal Government,the
department or agency with which this transaction originated may pursue available remedies
including suspension and/or debarment.
Applicant: Date:
DlNft t(, S t Ck'r(0W 11140.r14n &Z tdn
i} t e of Auth �rt ying Off i Title:
END OF SECTION
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EAGLE
DYNAMIC SOLUTIONS.
15 September 2021
City of Winter Springs, FL- City Hall
ATTN: Holly Queen
1126 East S.R. 434
Winter Springs, FL 32708
Subject: Bid No. ITB 07-21 JN —West WRF Temporary Belt Press Rental
To whom it may concern:
Eagle Dynamic Solutions is pleased to submit a bid for the rental of a belt press to dewater
biosolids from a domestic wastewater treatment facility. Eagle will provide a 2M trailer
mounted belt press equipped with complete controls, hydraulics, a polymer feed system, a
sludge feed pump, and a sludge cake conveyor capable of loading tractor trailers. Eagle will also
provide 1 set of filter belts (on press) and a spare set of belts. This pricing is included in the
monthly rental cost. Please see the below proposed pricing for the complete scope mentioned
in the bid.
Please contact me at 706-955-5152 or aconcepcion@eagledynamicsolutions.com if you have
any questions or if I can be of further assistance.
l�
Sincerely,
Angelica Concepcion
Technical Sales Representative
P.O. Box 2990,5105 Pierce Court, E
- S i
Evans,GA 30809 www.eagledynamicsolutions.com
706.860.7737
) (; �4
Dredging Separations Beneficial Reuse Materials Handling Transportation& 160
Have Materials Sales In Plant Services Recycling!Disposal
DYNAMIC SOLATIONS
Eagle Dynamic Solutions to provide:
- (1) trailer mounted 2M belt press with press belts
- Conveyor to load a tractor trailer
- Technician to commission, train
- Spill containment
- Spare set of belts
- 8k lull or equivalent for setup/ breakdown (available for EDS technician to use)
City of Winter Haven, FL to provide:
- Electrical supply& hook up: 480V 3 phase @ 100 amps
- Clean wash water supply: 100 gpm @ 80 psi
- Filtrate discharge acceptance
- Dewatered cake disposal
- Emulsion polymer
- Routine maintenance (cleaning, greasing, oil, etc.)
Rates
Mobilization, set up, break down, & demobilization___________............___$28,000 lump sum
Monthly Rental
2M Belt Press
(6 month minimum rental)___________________ ___________________________________$15,675 per month
Conveyor
(6 month minimum rental).......................................................$2,000 per month
Total Monthly Rental............................................................................$17,675 per month
Additional set of belts after 1St set & spare set are used__________________ $4,000 lump sum
P.O. Box 2990, 5105 Pierce Court,
Evans,GA 30809 ;�}! + www.eagiedynamicsolutions.com
706.860.7737 (; 4
Dredgirg Separatiu., Beneficial Rause Materials Handling Transportation& 161
Raw Materials Sales In Plant Services Rerycling/Dispaaal
DYNAMIC SOLUTIONS
Terms& Conditions
1. Pricing is effective for 90 days from date listed above.
2. Rental period is based on 24 hours per day, 30 days per month.
3. Executed lease agreement (attached)
4. Security deposit due prior to shipment of rental units.
5. Security deposit can be used to repair damaged equipment or applied to outstanding
balance at the end of the project only after all other invoices have been paid and
equipment has been deemed not damaged by EDS.
6. Rentals rates are FOB Evans, GA.
7. Technician rate based on 12 hours per day; includes wages, per diem, housing, and
vehicle. Anticipate 1 day travel each way. To be invoiced weekly for charges.
8. Terms Net 30.
9. Mobilization and Demobilization includes transportation to & from project site. It does
not include technician fee.
10. Technician rates do not reflect any prevailing wage rates.
11. All terms and conditions are based on equipment availability.
12. In the event equipment is returned to EDS and additional deconning is necessary,
deconning will be charged at a rate of$1,000 per day.
13. If payment is with a credit card, a 3.5%transaction fee applies to any credit card
payments.
P.O. Box 2990,5105 Pierce Court,
Evans,GA 30809 www.eagiedynamicsolutions.com
706.860.7737
Dredging Separations Beneficial Hesse Materials Handling Transportation& 162
new Materials Sales In plant Services Her,cling/Disposal
WEST WRF TEMPORARY BELT PRESS 00300-1
SECTION 00300
MANDATORY JUD FORMS
(Mandatory Forms must be submitted with the bid. Failure to submit forms may
disqualify the proposer from the ITB.)
PART 1 GENERAL
1.411 Description
The following Bid is,hereby made to the City of Winter Springs, hereafter called the OWNER,
Bid iSSUbmitted by:
Legal Name(indicate whether sole proprietorship, partnership,or cu oratio :
Address.-
Contact Name:
Contact Phone Nwnber:
Contact P-Mail Address:
1:.02 The Undersigned.-
A. Acknowledges.recelpt of:
L Project Manual for WEST WRF"TEMPORARY BELT PRESS.
2. Addenda.-
Number . I , dated 461--tv
Number__,dated ..
B. Has examined, the site and all Bidding Documents and understands that in
submitting his Bid, he waives all right to plead any misunderstanding regarding
file Same,
C, Agrees:
September 2021 Mandatory Bid Forms
163
WEST WRV TFMPURARV-QELT.PRESS. 00300-1
1 To:hold this Bid open for 60 calendar days after the bid opening date.
?. To furnish the goods:and/or services specified in this ITB at theprices
quoted in my responsive bid and in compliance with the RAdding
Documents.
3. `1'o accept the provisions of the Instructionsto Bidders.
4. To negotiate a contract with the OWNER i'ncorporat'ing: the bid
amounts, if selected:on the basis of this Bid.
5, To receive a City Purchase Order issued by the 0"..ER at the
submitted Bid Price.
6. To accomplish the work in accordance with the contract documents
and this.Project Manual,
7. To deliver the equipment as .required by the specifications and as
indicated in his proposal documenL
D. Certifies:
1. 'That all information:contained in this bid is truthful to the best of my knowledge
and belief.
2. That 1 am :duly authorized to submit this`bid on behalf of the vendor and that tiie
vendor is ready,will ing,and able to perform if awarded the Iiia.
1.03 Stipulated Amount,
A Base Bid Price
I will provide the belt press under this project for a minimum Six-Month Total Rental Amount
(Monthly Rent multiplied by G)of:
riw.+oubDol tars($ and a
One-Time belt press Mobilization/Demobilization Amount of-,
, _ Dollars($ 11' .city
The Bidder hereby agrees to perform all work as required by this Project Manual. for the
following Unit Prices. Work for which there is not a Pay Item will be considered incidental to
the Contract and no additional compensation will be allowed.. The OWNER, at his sole option
and discretion, may choose to add or deduct from the unit prices set forth below. 'The Bidder.
shall: be paid for actual .quantities completed in accordance with the contract documents. The
following is the order of precedence which will, be used in case of conflicts within the Bid
Submittal provided by each Bidder: Unit Price, Total Price, 'Total Base Bid" (See attached Bid
Form).
1.04 Bid Suibmittals
Septernber 3021 Mandatory Bid Forms
164
WEST WRF TEMPORARY OUT PRESS 00300-3
A:. Completed and signed bid price form and other Mandatory forms in this Section.
B. I have attached atl.other:Mandatory perms in this Section.
1.0.5
Submittal
RESPECTFULLY SUBMITTED,signed and scaled this Q day of +2021,
Bidder
By:
ATTEST; SECRETARY SEAL
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September 2021 Mandatory Bid Forms
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BID TABULATION
The Bidder hereby indicates the following total obits and:total prices Which,represent;allmaterials,
labor= equipment, transportation, perrormance. o#` all operations relative to performance of the
project, overhead, and costs of all kinds and profit to complete the worlt items in accordance with
the Project Manual,plaits,and permits.
Work for which there is not a listed item below shall be considered incidental to the Contract and
no additional compensation will be allowed. The detailed Schedule of Values shall be provided by
the lowest responsible bidder and be included with theirexecuted ecuted contract, as attached.
lum
DE 8('1111P110\11 QUAiti'17"N 1"V,1v% U-ill.(.'OST 1.01-'%L.C()ST
Belt Press
I Mbbtlizatioti/Detnobilizatioti I LS + ,
2 Belt press par month rental Month ���,(l s 00
�1�.cyC4
....... t.
TOTAL
Bait press,s Adittc nal.per nionth rental bgond 6
trio ihs
{hate tray flat cut ed Tate'quoted tlir nututituni !k5 i�t ded b,.Cs C To,Be I terntincd
TOTAL fall):
r�>3�-3 ► -rtes ssuc fou DOLLARS
Gln Words}
September 2021 Mandatary Bid Forms
166
WEST WRF TEMPORARY BELTYKESS oh-100--;j;
SCRUTINIZED COMPANY CERTIFICATION
Florida 11;7.135 .n -
I , Statutes, SectimdM.473
Pursuant to Section 287.135, Florida StaWtes (2017), a company is itteligible to, and may not,
bid on,.submit a.proposal for,or enter into or renew a contract with the City forgoods or services
0 f,
(a) Any amount if,.:at the time of bidding on,, submitting a proposal for, or entering
into or .renewing such contract, the company is on the Scrutinized Companies that
Boycott Israel List, created :pursuant to s. 215.4725, or is. onga&d -in A boycott of
Israel;-or
(b) One million dollars or more if, at the time of bidding on, submitting a proposal
for.or entering into orrenewing such contract,the oorapuny,
1. Ison the Scrutinized tompanies with Activities in Sudan List or the
Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List,
created pursuant to s. 215.473,or
2. Is engaged in business operations in Cuba pr Syria:
Subject to,limited exceptions provided in,state law,the City will not contract.f6r the provision of
goads or services with any,scrutinized company referred to above. The Contractor must submit
this required certification form attesting that it is not a scrutinized,company and is not engaging
in prohibited business(operations.
The following shall bo grounds for termination of the: contract at the option of the awarding
body:
The company, is found to have submitted' :a false certification, been placed on the Scrutinized
Companies with Activities ire Sudan List or the Scrutinized Companies with.Activitiesmithe IF"
Petroleum Energy Sector List;been placed on the Scrutinized,Companies that Roycott Isiael T.ist
or is engaged in a boycott of Israel*, or been crioaged in business operations in. Cuba or Syria.
The City $hall provide notice., in writing, to the Contractor of any determination eoncerning a
tillse certification. The Contractor shall have five (5) days from. receipt of-notice to refute the
false certification allegation. If such false certification is discovered during, the, active coatract
term., the Contractor shall have ninety (90) days. following receipt or the notice to respond In
writing and demonstrate that the determination of false certification.was, made in error. If the
Contractor does not demonstrate that the Citv'.q deteri-nin4on of fidse,tertirication was made in
error then the City shall have the right la terminate the contract and seek civil remedies pursuant
to Section 297,13$, Florida Statutes,
THIS CERTIFICATION FORM MUST BE COMPLF.U.1) AND INCLUDED IN Y0tjR
810 RESPONSE. FAILURE. TO SUBMIT THIS FORM AS INSTRUCTED SHALL
RENDER YOUR BID SUBMITIAL NON-RESPONSIVE.
a. The Vendor, owners,-or principals are aware of the requirements of Section 28.7.05,Florida
Statutes;and
Sppteinber 2021 Mandatory Bid Fornts
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WEST WRF TEMPORARY BELT PRESS 00300-6
bF The Vendor,owners,or principals are eligible to participate:in.this.solicitation and not;listed
on the Scrutinized C;ompa'ies that Boycott Israel List or engaged in a boycott of'.Israel;and
c. For contracts of one rniflto dollars or rfiore,the Vendor,owners, or principals are ligibtc
to participate in this solicitation and not listed on the Scrutinized Companies with Activities
in Sudan List or the Scrutinized Companies with Activities in the.Iran.Petroleum l nergy
Sector List and, further,are not engaged in business operations.in Cuba.or Syria;and
d. If awarded the Contract,the Vendor, owners or principals will immediately notify the City
in writing if any of its company,owners, or principals: are placed on the Scrutinized
Companies that Boycott Israel List, the Scrutinized Companies.with Activities in Sudan
List,or tho Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List,
engage in,a boycott of Israel; or engage in business operations.in Cuba or Syria:
LOA
(Authorized Signature)
(Printed.Name and Title)
0 LA+CtsS..
- -- - —
(Name of Vendor)
S'rAtT CST'_T,cMali
C Ot NTY OF mx>
Theforegoing instrument was acknowledged before me by means of _(�)
physical presence or (� onlin+e notarization, this * day of ���
2021,, by �tivmlj _t'n21_A_ �C.GOO of
U who is personally Known to me or who, produced
as.identification.
�t4i1gA4Alr3 Sp�`Avt
,�rdi*ek .E aA tn$U
l�otar
y ubl.ic
Print Name:_UKj_3jArK 1�
tk
lyly Commission expires: 1,1 1z za
" fS818S.d#E###..it1:a
September 2021 Mandatory Bid Forms
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WEST WRF TP.,M-PQJRARY BELT PRESS 00300-7
NON-COLLUSION AND CONTINGENT FEES AFFADAVff
State of RorW bra
County of . 140'.,Ao.o being
Aurst duly sworn,deposes and says that:
He its cftee jb.)4zoss D%W*%P-T ofjr...
_W1.,p the
Proposer that has submitted the attached Bid:
He 1 She is fully informed respecting the preparation and contents of the attached Bid and of all
pertinent circumstances respecting squch Bid.,
Such Bid is,genuine and is not a collusive.or sham Bid;
Neither the said, proposer nor any of its officers, partners, owners, agents, repftsefflatives,
employees or parties in interest, including this affiant, has in any way colluded, conspiredi
connived or agreed, directly or indirectly with;any other proposer, firm or person to submit a
collusive or sham Bid in conmetion with the contract for which the attached Bid .has been
submitted, or to -rdrain fiom bid4ing in connection with such Contract; or has in any manner,
directly or indirectly, sought by agreement or collusion or communication or conflerence with
any other Proposer,firm or person to fix the price or prices: fn the attached Bid or of any other
Proposer, or to fix airy overhead, profit or cost element of the Rid price:or the Bid price of any
other 'Proposers, or to secure throughany collusion, conspiracy, connivance or pplawful
h
agreement any advantage against te C I ity of Winter Springs or any person interested in the.
proposed Contract;
Tice pried or prices; quoted in.the attached Bid are f4ir and proper and are not. tainted by any
collusion,conspiracy,connivance or unlawful agreement on the pad.of the Proposer or any of its
agents,representatives,owner's employees,or patties in interest., including this affiant;.and
The proposer nor any or its of ricers, partners, owners,, agents, :representatives, employees or
parties in interest, including this affiant, have not employed or retained any company or person,
other than a, bona fide employee working solely for the :proposer to solicit, or secure this
agreement and that proposer has not paid or agreed to pay any person, company-,, corporation,
individual., or firm, other than a bona fide employee:working solely for the proposer e
roposer an y fee,
commission, percentage,git or other consideration contingent upon or resulting from the award,
.or snaking of this agr"ent. For thebreach or violation of this provision,.the City shall.have the
right to: terminate the agreement without liability And, at its discretion, to deduct from the
contract prim or otherwise recover,the full.amount of such.fee, commission, Pc entage, gift-, or
consideration.
(Akithorind Signature)
_Dy,LW ts;0orw c 4,4.p.
(Printed:lame and
(Name of Vendor)
Septetnber 7021 Mandatory Bid Forms
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WE, WRF TEMPORARY BELT PRESS 00300-8
STAn OF z:upy,,sA
COUNTY OF poo _The foregping instrument was acknowledged before me by means of ) physical
presence pt onlinenotarization, thist?�'`� day o Vie" �� '2ti2i, by
_- 35 �.3 Sn+ r�4 tie C.4.Ct.c ,. of
(�k) who is personally known to me or (!) who produce4
its identi cation-
ary
FontNarne:.
r��`•� ,� � tih a4 My COMInxssion expires: 111," d.0
O�
1111IAllifi11,1
5eptembo 20271 Mandatory Bid Forms
170
WEST WWF TEMPORARY SULT PRESS 00300-9
DRUG-FREE WORKPLACE CERTIFICATION
In accordance with Florida Statues..287.()87*,,,preferetice shall be given to businesses with
drug-freeI
, workplace programs, Whenever two or more bids which are equal with respect
t( tee are received by the State-or by any political -sub ision,for
Y price, quality, and service div
the procurement, of commodities or contractual services, a bid received from a business
that. certifies that it has implemented -a drug-free. workplace program shall be given
prdfmnce in the award process.
Established procedure for processing the bids,will be;'followed if none of the tied vendors
hawk a drug-free work place program.
In order to have a drug-free workplace program,a business shall
a. Publish a statement notifying employees that the unlawful manufactures,distribution,
Dispensing, possession,or use of a controlledsubstance is prohibited in the workplace
and specifying the actions that,will be taken against employeesI for violations of such
prohibition.
b. Inf
,or m employves about t} danger of drug abuse in the workplace,,the businesss policy
maintaining a drug.-ifive workplace, any available drug counseling,rehabilitation, and
employee assistance programs,and the penalties that may be imposed uponemployees
for drug-abuse violations.
c. Give-cub:ernplqyee engaged`iti providing.the commodities or contractual services that
are under bid a copy:of the statement specified in subsection (a).
In the statement s pl(Y-ye-es'that,asai,,otiditioiiof
specified in subsection(a),not' the em
working,on the commodities or contractual services that are under bid/proposid, the
employee will abide by:the term of the statement and.will-notify the employer of any
conviction of,or plea of guilty,or nolo oontender,to,any violation of Chapter 891 or of
any controlled substance law of the United.States or any state,for a violation OWUrring in
the workplace no later.than five(5)days after such conviction.
e. Impose a sanction on,or require the satisfactory participation in-a drug abuse.assistance
or rehabilitation program if such is available in the em0loype's poinnionity, by any-
employee who is so convicted.
E Make a izo.od faith effort to cotitirtue to maintain a drug-free workplace through
implementation of this section.
As the person authorized tQ sign the statement,,I certify that-this firm complies fully with
the above requirements,
{Company)
coop
(Signature&Title)
sptom '2071 Mxpdatory Bi.d Forms
P
171
w.EsT wgrrEMPORARY BELT PRESS 00300-10
CONFLICTOF INTEREST CERTIFICATION
Before me.' w
the undersigned. authority, personally appeared. who " duly sworn,
deposes,arid states:
I am the t�wwrlc-j __jAr. Atw. if- with a local office in
'W and principal office in _
. rwo, dal
City and State City and State
The above-named entity is"sublalittingmn 1T8 for the City-of Winter Spring de scribed as,
City Of Winter Springs
ITB*07-21 ,1N,
WEST WRF TEMPORARY BELT PRIUM, RENTAL
The Aftnt has: made diligent :inquiry and provides the itifonnation contained in this
Affidavit:based upon his own knowledge aridthereof the following,;
a. The Affiant states that only one submittal f-br the above bid is being submitted and that
the above-nam ed entity has no financial interest in other entities submitting bids f0t the
same project.:
b- Neither the Affiant not the above-named entity has, dinmtly or indirectly entered into any
-agreement, participated:iii any co-fusion,or otherwise taken any action in restraints,of
ftee competitive pricing,in connection with the entity's submittal for the Above-bid, This
statement restricts the discussion of pricing data until the completion of negotiatigns if
necessary and execution of the Contract for this project.
c. Neither the entity n6r itsafrfliates,nor-anyone associated with thein,is presently
suspended or otherwise ineligible from participation in:contraot lettin by any local,
State, or Federal Agency.
:d. Neither the.entity,nor is affiliates,nor anyone associated with them,have.any potential
oonflictof interest due to any other clients,, contracts.,or property interests for this project.,
e. Lcertify that no member of theentity's ownership or management is prcsently Applying
ibr ail employee position or actively seeking an elected.position with the City of Winter
springs.
f, I oert4 that:no inembet of the entity's ownership or management,orshift'has a vested
interest in any aspect of the City of Winter Springs.
September 2.02.1 Mandatory Bid Forth&
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WEST WRF TEMPORARY BEL"[ PUESS O0,300-11
g. In the event that a conflict of interest is identified in.the provision of services,:1,on behalf
of the above-named entity, will immediately notify the City of Winter Springs.
i'�n£itlr�i.. �. TaYC.. 4'®i'��17$t.. FS7`4-r►�t�° '?47�ti
(Authorized Signature) Name of Business Phone&Fax Number
(Printed Dame and Title) Business'Mailing Address City,State,Zip
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CERTMCA_TION, A4. (llebarknent,$.Ospension and other resimnsibility matters—Primate
Covered.Transactions)
The prospective primary participant certifics to the best of its knowledge and belief that its
principals:,
a. Are not presently debarred,,,.suspended,proposed for debarmont,declarcd ineligible,or
voluntarily excluded front covered transactions by any Federal debarment.oragency..
b, Have not within a three-year period preceding this prnposal,,been convicted sof or had a
civii judgment rendered of aingt them fbr commission of fraud or a criminal offense in
connection with obtaining,attempting to dbtaio.or performing a public(Federal,State,or local)
transaction or contract under a.public transaction, violation of Federalor:State antitrust statutes
issionofeiiibe.zz.1enVnt, thtft,.fb,r,gery 1b falsification, or destruction of record
or,comnit ,bri cry,
making false statements,or receiving a6len property;
C, Are,not presently indicted for or otherwise criminally or civilly charged by.%
governmental entity(Federal,.State or local)with commission ofany of the offenses enumerated
in paragraph(1)(b)of this certification:and
& Have not within a three-year period preceding this applicatiort/proposal had one or t1tore
public transac.tiont(Federal,state';or local):terminated fortause or defatilt.
Where the prospective primary partic.ipant is unable to certify touy of the statern ats in this
certification,such prospective participant shalt attach an explanation of this proposal.
Instructions for Certifigatign CA�
By signing and submitting this:proposal.the prospective primary participant is providing the
certification set out below;
a, The inability of a person to provide the certification required,below will not necessarily
result in den idt of participation 'sn this covered transaction, The prospective.participant shall
submit an explanation orwhy it cannot provide the certification set out below. The ceTtificati6n,
or:explanation wit.[ be considered in,cotmectio
n with the department or-agency's determination,
whether to enter into:this transaction, However,failure of the prospoetivc'pritoary:patticipant,to
fumish,a.certification or any explanation shall disqualify such person from participation in this.
transaction.
b. The certification in this clause is,a material representation,of Qct upon which reliance
was placed:when the department or agency determined to enter into this transaction. If it is later
detormined that the prospective Primary participant knowingly rendered an erroneous,
September 2021 Mandatory Bid Forms
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certification,in addition to other remedies available to the Federal Government,the department
ot:agency may terminate this transaction for cause or default.
C. The prospwive prnary participant t shall provide I'm mediate written
to the
department or agency to which this proposal is subpiittedifat any tinne the prospective prinutry
participant learns that its certification was erroneous when submitted or has become erroneous
by reason of changed circumstances,
d, The terms covered transaction,debarred, suspended, ineligible,,lower tier covered
transaction;.participant,person; primary covered transaction,principal,proposal,and voluntarily
excluded', as used in this elause, have:the meanings iset opt in the Definitions and Coverage
sections of the rules implementing Executive Order 12549. You 4y contact the department or
agency to.whieeh this proposal is being submitted t6rz assistance in obtaining a copy of Owso
regulations,
e. The prospective primary participant agrees by submittingthis proposal that, should the
proposed,covered transaction be entered into, it shall not knowingly enter into any lower tier
.covered transaction with a person who is debarred,suspended,declared ineligible,or voluntarily
excluded from participation in this covered transaction,unless authorized by the department or
agency entering into this transaction.
11e prospective primary n
. participant further agrees bysubrnitti g this proposal that it will
iholWe the clause titled V'ertification Regarding Deburmeni,Suspension,Ineligibility and
,
Voluntary Exclusion—Lower Tier Covered Transaction,'provided.by the department or agency
entering into this covered transaction, withoot modific4 Win,inall lowertiercovered transactions
and in all.solicitations-for lower tiercovered.transactions.
9. A participant ut 0 covered transaction may rely uporl'a certification of a prospective
participant in a lower tier covered transaction that it Is.not debarred,suspended,,.ineligible,or
voluntarily excluded from the covered transaction,unless.it knows that the certifitcatioh:is
ororicous. A participant may decide the method and frequency by which it determines this
eligibility of its priftelpWN.. Fach participant may,but is not.required to,check the Non-
procurement List.
h: Nothing ontained in,the foregoing shall be construed to require establishment of a
system of records in order torender in good faith the certification required by this clause. "fhe
knowle4geand information(if a participant is nottequired.to exceed thatwhi.6h is normally
Possessed by a prudent person in the ordinary course of business dealings.
i. Fxcept for transactions;autbojiy&,d under paragraph(6)of these instructions.. if a
participant in covered transaction knowingly enters into a tower tier covered transaction with a
person who is suspended,debarred, ineligible, or voluntarily excluded from participation in this
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transaction,in addition to other remedies available to the Federal Government,the department or
agency may terminate this transaction for cause of'default.
Certification B;.(Debarment,Suspension,Ineligibility and Voluntary Exclusion—Lowe
Tier. Covered Transactions)
a. The prospective lower tier porti4Apant certifies..by submission.ofthis proposal,that
neither it,nor its principals is presently debarred, suspended,proposed for debarment,declared
ineligible,or voluntarily excluded from participation in thistransaction by any Federal
department or agency.
b. Where the prospective lower tier participant is unable to certify to anyof the statements
in.this certification-,such prospective participant shall attach an explanation tie this proposal..
Instructions for Certification.(B
By signing and d submittitig this proposal,the prospective lower tier participant is providing the
certifuzation set:out below.
4. The certification in this clause is a material representation of fact upon which reliance
was placed when this transaction,was entered into. If it is later determined that the prospective
lower tier participant knowingly rendered an erroacous cerfificatioq,in addition to other
remedies available to the Federal Government,the department or agency with which this
transaction originated may pursue aval0able re-medics,including suspension and/or debarment.
b,. The prospective lower tier participant shall provide immediate written notice to the
pmoh:to whom this proposal is submitted if at any On 'the prospective4owet tier participant
any tiny the.
learns that its.certification Was erroneous when submitted or has become orroneous by reason of
changed circgm' stanccs. I
C. The terms covered transaction, debarred,suspendcd,,ineligible, lower tier covered
transaction,participant,person- primary covered transaction.. principal,proposal,andvoluntarily
excluded, as used in this clause,have the meanings set out"in the Definitions and Coverage
sections ofrules implementing Executive I Order. 12549. Younfty contact the person to which
this proposal,is submitted for assistance in obtaining copy of these regulation&
d. The prospective lower,tier Participant agrees by submitting.this proposal th4 should the
proposed covered transaction be entered into,.it shall not knowingly enter into any lower tier
covered tr4risaction,with a person who is debarred,.suspended,declared in.40figi6jr,or voluntarily
excluded from participation in this covered transacOon,.unless author. y the efeparti rient or
agency wi hich'this transaction originated.
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C. The prospective lower tier participant further agrees by submitting this proposal that it
will include this clause title"Certification Regarding Debarment;Suspension, Ineligibility and
Voluntary Exclusion–Lower Tier Covered Transaction."without modification,in all lower tier
covered transactions and in all solicitation for lower tier covered transactions.
f. A participant in..a covered transaction.may rely upon.a certification of a prospective
participant in a lower tier covered transaction that it not debarred,suspended, ineligible;,or
voluntarily,excluded from the covered transaction, unless it knows that the:certification is
erroneous. A pa`tticipattt may decide the method andfrequency by which.it determines the
eligibility of its principles. .E ch participant may but is notrequired to,check the:Non-
procurement Dist,
g, Nothing contained in the;foregoing shall be construwd to require establishment.of a
system of records in order to render in good faith the certilicatto n requited try this.clause. The
knowledge and information ofa participant is riot required to exceed that which. is normally
possessedby a prudent person in the ordinary:course of business dealings..
h, :Except for transactions au#wi7ed under paragraph(5) of these instructions,if a,
participant in a lower,covered transaction knowingly enters into a lower tier covered transaction
with a person.who is suspended,debarred, ineligible,or voluntarily occluded from participation
in this transaction,in addition to other hunedies available to the Federal Government,the
department or,agency with which this transaction originated may pursue available remedies
including suspension and/car debarment.
Applicant: Date:�—
IvAex 13rvs:
Sign orized Certifying Official: Title:
EMD OF SECTION
September 2021 _ Mandatory Bid Forms
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