1991-09 Bid Award to Arrow Industries, Inc. for Plastic Refuse Bags. ,
RESOLUTION NO. 9-91
t A ABSOLUTION OF THS VILLAGE COUNCIL OF NORTH PALM BEACH, FLORIDA,
ACCBPTING THB BID OF ARROW INDUSTRIES, DALLAS, TX, FOR POLYETHYLENE
REFUSE BAGS IN THS AMOUNT OF ;19,785.96, TO BS EXPENDED FROM
ACCOUNT NO. A0000-14130 (PLASTIC BAG INVENTORY).
BS IT RESOLVBD BY THB VILLAGB COUNCIL OF NORTH PALM BEACH, FLORIDA:
Section i. The bid of Arrow Industries, Dallas, TX, a copy of
which is attached to this Resolution, is hereby accepted by the
Village of North Palm Beach in accordance with its terms. The
appropriate Village officlals are hereby directed to advise said
bidder of this acceptance. The monies are to be expended from
Account No. A0000-14130 (plastic bag inventory).
Section 2. This Resolution shall take effect immediately upon
' passage.
PASSED AND ADOPTED THIS 28TH DAY OF FEBRUARY, 1991.
Mayor
ATTEST:
1
' PROPOSAL TO THE VILLAGE OF NORTH PAIM BEA(]i, FIARIDA
Gentl~n:
The undersigned, as bidder, does declare that no other person
other than the bidder herein named has any interest in this proposal
or in the contract to be taken, and it is made without any connection
with any other person or persons making proposal for the same article,
and is in all respects fair and without collusion or fraud.
The .undersigned further declares that he h9s carefully examined
the specifications and is thoroughly familiar with its provisions
and with the quality, type and grade of material called for.
The undersigned further declares that he proposes to furnish the
articles called for within specified time set in this proposal for
the follaaing price and guarantees that parts and service fo the articles
listed belay are avail able within the State of Florida, to wit:
DATE: r~I1, q ~ ~_
Item No. Description Artnunt - Unit Price Total
1. Polyethylene Bags per
Specifications
1a. Per shignent minimum 3,604 Boxes $ ~J~ $ ~q ~ S,nj (~/
1 b. Per shiixr~ent minimian 4, 805 Boxes $ , t~ x $(q j
1 c. Per shiprrnt minimum 6, 007 Boxes $ 5. ~ x $~. ~-( 3
2. Prices guaranteed until ~~~, ~ 199 c7-.
3. Vendor part number: •~ .
NOTE: All prices to be F.O.B. North Palm Beach, Florida.
Village forces will unload track.
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PROPOSAL TO THE VILLAGE OF NORTH PALM BEACH FLORIDA (Con'td.)
REhIARKS/EXCEPTIONS:
Officers of Corporation or Members of Partnership:
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v i cf1 ~~?in ~~~- V i CQ - ~fC~~m PO ~k 4s10~(4Sq 41t~ ~t
WITNESSES:
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ADDRESS:
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NAME TITLE ADDRESS
i SWORN STATEMENT UNDER SECTION 287.133(3)(a),
FLORIDA STATU'L'E~ ON PUBLIC ENTITY CRIMES
TIiIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER
AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted with Bld, Proposal or Contract No.
for t
2. This sworn statement is submitted by t.[~l_.if~lA) .~Yr~rD.l,~5jvt0~ , ~'ll C-
[namo oofneuUty submitting sworn statemec~nt)
whose business address is '1' t7 L1t) ~ ~ J i~U 6 7 ~ Q.QCtS~ ~5 ~d
(if applicable) !ts Federal Employer Identl$wUon Number (FEIN) !s ~ J -(7q ~ln~ a-1 .
(If the entity has no FEIN, include the Sodal Security Number of Uta individual signing this sworn
statement:
3. My name is C.N E iZ~L i,.tCCsit.t_ I ti end my relationship to the
(please plot name or Individual slgningJ
entity named above is _SP~E S C~,7Li~ I h-t A -rot
4. i understand that a 'public entity cNma" as defined la Paragraph 287.133(1)(8), ~]ortda statuees.
mesas a violation of any state or federal law by a ppeerson with reaped to and directly related to the
transaction of business with any public entity or with as aganey or political aubdivision of nay other
state or with the United States, Including, but not limited to, eay bid or ~ntrsa for goods or
services to be provided to any public entity or an agency or political subdivision of any other state
or o[ the United States and Involving antitrust, fraud, theft, bribery, collusion, racketeering,
conspirary, or material misrepresentation.
5. I understand that "convicted" or "conviction" as defined III Paragraph 287.133(1)(b) Florida Statutes
means a finding of guilt or a conviction of a pubUc entity crime, with or wi[hout an adjudication o[
guilt, !n any federal or state trial coon of rewrd relating to charges brought by indicunent or
information after July 1, 1989, as a result of a Jury verdict, nonJury trial, or entry of a plea of guilty
or nolo wntendere.
6. 1 understand that an 'affiliate' as defined In Paragraph 287.133(1)(x), Florda Statutes. means;
1. A predecessor or successor of a person oonvIaed of a pubUc entity crime: or
2. An entity under Ute control o[ say natural person who is active in the management of the
entity and who has been convicted oP a public entity alma The term 'affiUate" includes those
officers, direc[ors, executives, partners, shareholders, employees, members, and agents who are active
in the management of an affiliate The ownership by one parson otshares coasUtuting a conuolUag
interes[ in another person, or a pooling of equipment or Income among persons when not for fair
market value under as arm's length agreement, shall ba a prima facie case that one person controls
another person. A person who knowingly eaters into a Joint venture with a person who has been
convicted of a public entity crime is FloBda during the preceding 36 months shall be considered an
affiliate.
I understand that a 'person' as defined in Paragraph 287.133(1)~e), Florida Statutes. means any
natural person or entity organized under the laws o[ any state or o the United States with the legal
power to enter in[o a binding contract and which bids orappUes to bid oa contracts for [he provision
of goods or services let by a public entity, or which otherwise transacts or applies to transact business
with a public entity. The term 'person" includes those offtcers, directors, executives, partners,
shareholders, employees, members, and agents who era active in management of an entity.
8. Bazed on information and belief, the statement which I have marked below is true is relation to the
entity submitting this sworn statement. [Please Indicate which statement applies.]
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,~, Neither the entity submitting this sworn statement, nor any officers, directors, executives,
partners, shareholders, employees, members, or agents wbo are active in management of the entity,
nor any affiliate of the entity have been charged with and convicted o[ a public entity crime
subsequent to July 1, 1989.
The enci[y submitting this sworn statement, or one or more of the officers, directors,
executives, partners, shareholders, employees, members, or agents who are active In management of
the entity, or an affiliate of the entity has been charged with and convicted o[ a public entity crime
subsequent to July 1, 1989, A[~l~ [Please indicate which additional statement appUes,]
There has been a proceed(ngg concerning the conviction before a hearing officer of
[he StStale of Florida, Division of Administrative Hearings. The final order entered by the
hearing officer did not place the person or affllia[e on the convicted vendor list. (Please
attach a copy of the final order.]
The person or affiliate was placed oa Ute convicted vendor ltst. Thera has been a
subsequent proceeding before a hearing officer of the State of Florida, Division o[
Administrative Hearings. The final order entered by the hearing officer determined that it
was in [he public interest to remove the person or af811ato from the convicted vendor list.
(Please attach a copy of the llnal order.]
The person or affiliate has not bean placed on the convicted vendor list. [Please
describe any action taken by or pending with the Department of General Services.]
l_.S~151L_ Iy~l Ct.~sr-e~U
[slgnatttre]
Date: ~ I I Ill
STATE OF ~ S
COUNTY OF _ _ -L/J-3
PERSONALLY APPEARED BEFORE Iv1E, the undersigned authority,
~ ~~ C. ~~l_ ~ICC(A I l I 'e who, after first being sworn by mo, a~7ced his/her signa[ure
[name of Individual signingJ
in the space provided above on this
My commission expires:
i ~ "''"' ~~ MARY S. KHAN
Y~-J~t('1(~ t Matary Publio, State of Texas
.~;.,~ My Commission Expires 1117-93
Form PUR 7068 (Rev. 11/89)
day of~~~-""'1191~,
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