2007-048 Village Hall LightingRESOLUTION 2007-48
A RESOLUTION OF THE VILLAGE COUNCIL OF THE VILLAGE OF
NORTH PALM BEACH, FLORIDA ACCEPTING THE PROPOSAL
SUBMITTED BY KASPER ELECTRICAL FOR SUPPLYING AND
INSTALLING LIGHTING FIXTURES AT VILLAGE HALL AND
AUTHORIZING THE MAYOR AND VILLAGE CLERK TO EXECUTE AN
AGREEMENT RELATING TO SUCH SERVICES; AND PROVIDING FOR
AN EFFECTIVE DATE.
WHEREAS, the Village issued an Request for Proposals for supplying and installing lighting
fixtures at Village Hall; and
WHEREAS, upon opening the proposals received, Village Administration recommended
accepting the proposal submitted by Kasper Electrical at a cest not to exceed $ 43,657.00; and
WHEREAS, the Village Council determines that the acceptance of the proposal recommended
by Village Administration is in the best interests of the Village.
NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE COUNCIL OF THE VILLAGE
OF NORTH PALM BEACH, FLORIDA as follows:
• Section 1. The foregoing recitals are ratified as true and incorporated herein.
Section 2. The Village Council of the Village of North Palm Beach, Florida, hereby accepts
the proposal submitted by Kasper Electrical ("Contractor") at a total cost not to exceed $
43,657.00, to be expended from Village Account No. K5500-66210. The Village Council further
authorizes the Mayor and Village Clerk to execute an agreement with the Contractor for the
performance of such services.
Section 3. This resohuion shall take effect immediately upon its adoption.
PASSED AND ADOPTED THIS 12th DAY OF APRIL. 2007.
,,,, .,
.• •. •~
(Tillage Sear';
MAYOR
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ATTEST;, ••, ~~
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VILLAGE CLE
CONTRACT FOR INSTALLATION OF VILLAGE HALL
LIGHTING
THIS CONTRACT is made as of the ~,~~~day of , 2007, by and
between the VILLAGE OF NORTH PALM BEACH, a Fl rida municipal corporation
(hereinafter referred to as "VILLAGE"); and Kasper Electrical, a Florida corporation
(hereinafter referred to as "CONTRACTOR"), whose Federal Employer Identification
Number is 59-2790828.
In consideration of the mutual promises contained herein and other good and valuable
consideration, the receipt and sufficiency of which is hereby acknowledged, the parties
agree as follows:
ARTICLE 1-SERVICES
The CONTRACTOR's responsibility under this Contract is to supply and install
specified lighting fixtures for Village Hall as outlined in the VILLAGE's Request for
Proposal, a copy of which is attached hereto as Exhibit "A" and incorporated herein by
this reference.
The Village's representative for this Contract is Charles Cangianelli, Community
Development Director.
ARTICLE 2-SCHEDULE
The CONTRACTOR shall commence its services upon issuance of a Notice to Proceed
by the Village and shall coordinate its work schedule with the VILLAGE.
ARTICLE 3-PAYMENTS TO CONTRACTOR
A. Generally - The VILLAGE agrees to compensate the CONTRACTOR in
accordance with the proposal submitted by the CONTRACTOR, a copy of which
is attached hereto as Exhibit "B" and incorporated herein by this reference. The
total and cumulative amount of this Contract shall not exceed the amount of funds
budgeted for these services.
B. Pa ments -Invoices received from the CONTRACTOR pursuant to this Contract
will be reviewed and approved by the VILLAGE's representative, indicating that
services have been rendered in conformity with the Contract and then will be sent
to the Finance Department for payment. Invoices will normally be paid within
thirty (30) days following the VILLAGE representative's approval.
C. Final Invoice - In order for both parties herein to close their books and records,
the CONTRACTOR will clearly state "final invoice" on the CONTRACTOR'S
final/last billing to the VILLAGE. This certifies that all goods have been
provided, all services have been properly performed and all charges have been
invoiced to the Village. Since this account will thereupon be closed, any and
other further charges if not properly included in this final invoice are waived by
the CONTRACTOR.
ARTICLE 4-TERMINATION
This Contract may be cancelled by the CONTRACTOR upon thirty (30) days prior
written notice to the VILLAGE's representative in the event of substantial failure by the
VILLAGE to perform in accordance with the terms of this Contract through no fault of
the CONTRACTOR. It may also be terminated, in whole or in part, by the VILLAGE,
with or without cause, upon thirty (30) days written notice to the CONTRACTOR.
Unless the CONTRACTOR is in breach of this Contract, the CONTRACTOR shall be
paid for services rendered to the VILLAGE's satisfaction through the date of termination.
After receipt of a Termination Notice, and except as otherwise directed by the
VILLAGE, the CONTRACTOR shall:
A. Stop work on the date and to the extent specified.
B. Terminate and settle all orders and subcontracts relating to the
performance of the terminated work.
C. Transfer all work in progress, completed work, and other materials related
to the terminated work to the VILLAGE.
D. Continue and complete all parts of the work that have not been terminated.
ARTICLE 5-PERSONNEL
The CONTRACTOR represents that it has, or will secure at its own expense, all
necessary personnel required to perform the services under this Contract. Such personnel
shall not be employees of or have any contractual relationship with the VILLAGE.
All of the services required hereunder shall be performed by the CONTRACTOR or
under its supervision, and all personnel engaged in performing the services shall be fully
qualified and, if required, authorized or permitted under state and local law to perform
such services.
The CONTRACTOR warrants that all services shall be performed by skilled and
competent personnel to the highest professional standards in the field.
ARTICLE 6-FEDERAL AND STATE TAX
The VILLAGE is exempt from payment of Florida State Sales and Use Tax. The
CONTRACTOR shall not be exempted from paying sales tax to its suppliers for
materials used to fill contractual obligations with the VILLAGE, nor is the
CONTRACTOR authorized to use the VILLAGE's Tax Exemption Number in securing
such materials.
The CONTRACTOR shall be responsible for payment of its own employees' payroll,
payroll taxes, and benefits with respect to this contract.
ARTICLE 7-INSURANCE
A. Prior to execution of this Contract by the VILLAGE, the CONTRACTOR shall
provide certificates evidencing insurance coverage as required by the Request for
Proposal. All insurance policies shall be issued by companies authorized to do
business under the laws of the State of Florida. The Certificates shall clearly
indicate that the CONTRACTOR has obtained insurance of the type, amount, and
classification as required for strict compliance with the Request for Proposal and
that no material change or cancellation of the insurance shall be effective without
thirty (30) days' prior written notice to the VILLAGE's representative.
B. The CONTRACTOR shall carry Workers' Compensation Insurance and
Employer's Liability Insurance for all employees as required by Florida Statutes.
C. All insurance, other than Worker'
CONTRACTOR shall specifically
Insured".
s Compensation, to be maintained by the
include the VILLAGE as an "Additional
ARTICLE 8-INDEMNIFICATION
The CONTRACTOR shall indemnify and save harmless and defend the VILLAGE, its
agents, servants, and employees from and against any and all claims, liability, losses,
and/or cause of action which may arise from any negligent act or omission of the
CONTRACTOR, its agents, servants, or employees in the performance of services under
this Contract.
The CONTRACTOR further agrees to indemnify, save harmless and defend the
VILLAGE, its agents, servants and employees from and against any claim, demand or
cause of action of whatsoever kind or nature arising out of any conduct or misconduct of
the CONTRACTOR its agents, servants, or employees not included in the paragraph
above and for which the VILLAGE, its agents, servants or employees are alleged to be
liable. Nothing contained in this provision shall be construed or interpreted as consent by
the VILLAGE to be sued, nor as a waiver of sovereign immunity beyond the waiver
provided in Section 768.28, Florida Statutes.
ARTICLE 9-REMEDIES
This Contract shall be governed by the laws of the State of Florida. Any and all legal
action necessary to enforce the contract will be held in Palm Beach County. No remedy
herein conferred upon any party is intended to be exclusive of any other remedy, and
each and every such remedy shall be cumulative and shall be in addition to every other
remedy given hereunder or now or hereafter existing at law or in equity or by statute or
otherwise. No single or partial exercise by any party of any right, power, or remedy
hereunder shall preclude any other or further exercise thereof.
ARTICLE 10-INDEPENDENT CONTRACTOR RELATIONSHIP
The CONTRACTOR is, and shall be, in the performance of all work, services and/or
activities under this Contract, an Independent Contractor, and not an employee, agent, or
servant of the VILLAGE. All persons engaged in any of the work, services and/or
activities performed pursuant to this Contract shall at all times, and in all places, be
subject to the CONTRACTOR'S sole direction, supervision, and control. The
CONTRACTOR shall exercise control over the means and manner in which it and its
employees perform the work, and in all respects the CONTRACTOR's relationship and
the relationship of its employees, agents, or servants to the VILLAGE shall be that of an
Independent Contractor and not as employees or agents of the VILLAGE.
The CONTRACTOR does not have the power or authority to bind the VILLAGE in any
promise, agreement or representation other than as specifically provided for in this
agreement.
ARTICLE ll-NONDISCRIMINATION
The CONTRACTOR warrants and represents that all of its employees are treated equally
during employment without regard to race, color, religion, disability, sex, age, national
origin, ancestry, marital status, or sexual orientation.
ARTICLE 12- ENFORCEMENT COSTS
If any legal action or other proceeding is brought for the enforcement of this Contract, or
because of an alleged dispute, breach, default or misrepresentation in connection with any
provisions of this Contract, the successful or prevailing party or parties shall be entitled
to recover reasonable attorney's fees, court costs and all expenses (including taxes) even
if not taxable as court awarded costs (including, without limitation, all such fees, costs
and expenses incident to appeals), incurred in that action or proceeding, in addition to any
other relief to which such party or parties may be entitled.
ARTICLE 13- NOTICE
All notices required in this Contract shall be sent by certified mail, return receipt
requested, and if sent to the VILLAGE shall be mailed to:
Charles Cangianelli, Community Development Director
Village of North Palm Beach
501 U.S. Highway One
North Palm Beach, FL 33408
With a copy to:
Jimmy Knight, Interim Manager
Village of North Palm Beach
501 U.S. Highway One
North Palm Beach, FL 33408
and if sent to the CONTRACTOR shall be mailed to:
Kasper Electrical
1125 Old Dixie Highway, Suite 9
Lake Park, Florida 33403
ARTICLE 14- ENTIRETY OF CONTRACTUAL AGREEMENT
The VILLAGE and the CONTRACTOR agree that this Contract sets forth the entire
agreement between the parties, and that there are no promises or understandings other
than those stated herein. None of the provisions, terms and conditions contained in
this Contract may be added to, modified, superseded or otherwise altered, except by
written instrument executed by the parties hereto. No change to the scope of services
set forth in the Request for Proposal shall be effective unless such change order is
presented in writing and approved by the VILLAGE in writing.
ARTICLE 15- WARRANTY/GUARANTY
CONTRACTOR warrants that its supply of goods and its performance of services under
this Contract will be free of defects in materials and workmanship for a period of one
hundred and eight (180) days following completion of those Services or as otherwise
provided in the Request for Proposal.
ARTICLE 16 -PROTECTION OF WORK AND PROPERTY
The CONTRACTOR shall continuously maintain adequate protection of all work from
damage, and shall protect the VILLAGE'S property from injury or loss arising in
connection with the Contract. Except for any such damage, injury, or loss, except that
which may be directly due to errors caused by the VILLAGE or employees of the
VILLAGE, the CONTRACTOR shall provide any necessary materials to maintain such
protection.
Until acceptance of the work by the VILLAGE, the VILLAGE'S property shall be under
the charge and care of the CONTRACTOR and the CONTRACTOR shall take every
necessary precaution against injury or damage to the work by the action of elements or
from any other cause whatsoever, and the CONTRACTOR shall repair, restore and make
good, without additional work occasioned by any of the above causes before its
completion and acceptance.
ARTICLE 17 - REPRESENTATIONS/BINDING AUTHORITY
The persons executing this Contract represent that they have the full power, authority and
legal right to execute and deliver this Contract and perform all of its obligations under
this Contract.
ARTICLE 18 -CONTRACT DOCUMENTS AND CONTROLLING PROVISIONS
This Contract consists of the Request for Proposal, the CONTRACTOR'S Response to
the Request for Proposal and this Contract. The CONTRACTOR agrees to be bound by
all the terms and conditions set forth in the aforementioned documents. To the extent that
there exists a conflict between this Contract and the remaining documents, the terms,
conditions, covenants, and/or provisions of this Contract shall prevail. Wherever
possible, the provisions of such documents shall be construed in such a manner as to
avoid conflicts between provisions of the various documents.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first
above written.
VILLAGE OF NORTH PALM BEACH
By:
EDWARD M. EI EY, MO,R`"'~~~~~~"'''~~a~
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(VILLAGE SEAL) ' ~ ~ Ji ~~, ~ 1, ~, ~ ~~
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ATTEST: ~ ~=~ ''~~.....,,,.,
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BY~
VILLAGE CLERK
CONTRACTOR:
Witnesses:
BY~~C Loww~to S h .~.
Print Name: Name:
Title: /,•t,sS~~wr+
Print Name:
KASPER ELECTRICAL INC. 1125 OLD DIXIE HWY #9
LAKE PARK, FL 33403 PHONE (561) 845-1660
LIC. # EC-0001409 FAX (561) 845-1575
PROPOSAL 'I
TO: Village Of North Palm Beach FROM: Kasper Electrical Inc
...501 U.S. Highway 1
~ JOB NAME: Village Hall Site Lighting
_. _ ~
NorthPalm~Beach"F1~3'3408 ` _ '~ -` _ Date: 4-3-2007. _ ..... __ ___. _
Attention: Charlie Cangianelli JOB LOCATION: NPB Driving Range
JOB PHONE: N/A
PROPOSAL TO INCLUDE:
Supply material and labor to install (8) 12' Pole with (8) 175watt metal halide fixtures. Run 1-20 amp 120-
volt circuit to control new pole lights and use existing time clock. Install (6)- Hadco floodlight ground
fixtures for new palm trees in front of city hall. These will be controlled by existing photocell in front of
building. Installation of (8) Pole Bases 2' - 6" wide by 4' deep.
4-17-07
Breakout cost for (8) poles, bases, and heads $ 22,000.00 .
...,
NOT INCLUDED IN PROPOSAL AMOUNT: TOTAL JOB COST $ 43,657.00
Permit, Patching or cutting of concrete, Foirty Three Thousand Siz Hundred Fifty-Seven
replacing of grass or shrubs. Dollars and xg/100
AUTHORIZED ~
SIGNATURE:_1~~='-~
ACCEPTANCE OF PROPOSAL
CONDITIONS OF PROPOSAL
SIGNATURE:
Net 30 days Date of signature:
VILLAGE OF NORTH PALM BEACH
REQUEST FOR PROPOSAL
12FP TITLE: Village Hall Lighting
SUBNIIT (1) ORIGINAL & (5) COPIES OF YOUR PROPOSAL
TO:
Village Manager's Office
Village of North Palm Beach
501 U.S. Highway One
North Palm Beach, FL 33408
Proposals must be received PRIOR TO 3.OOPM, Anri14, 2007.
Respondent Name• ~~~ ~7' l ~~'Fed
Address• ~ 10~ ~ C~L-1~ ~~ ~l `~ ~~
State•
Zi Code: ~~ `~ ~ 3
IF NOT PROPOSING,
Phone #: ~ f ~ ~ ~"' 1
Fax #: ~9 ~' ~~s~ ~ `7 ~~
POC Name: ~ee7nGil'~ `'~. ~~/F~~2P.I~.~'
POC Title: ~ P S 1 ~n ~'
PLEASE STATE REASON:
c~ ,l~-
KASPER ELECTRI~AI., INC.
11~~ O~..D llIXIXL~ HVl'~ #4
PFIOIYE (~aC-1~ $4S-1CefiQ
FAX (S6x) &4~-1575
I.IC # E~-UQQ#4Q9
Apri14, 2007
TO: Village of North Palm Beach
Village Manager
501 U.S. Hwy One
North Palm Beach, F133408
We are pleased to have the opportunity to submit our proposal to you for the Village Hall
Lighting Project. We have been in business and licensed in Palm Beach County for 25
Years. We are located in Lake Park, 10 minutes from the Village Hall. During Our 25
years in business, we have completed numerous lighting projects similar to this project.
We will complete all work relating to this project according to all applicable laws, rules,
regulations and ordinances of the Village of North Palm Beach, Palm Beach County, the
State of Florida and the United States.
Sincerely Yours
~~~
Leonard .Kasper Jr.
President
KA,SPER ELECTRICAL INC. 1125 OLD DIXIE HWY #9
LAKE PARK, FL 33403 PHONE (561) 845-1660
LIC. # EC-0001409 FAX (561) 845-1575
PROPOSAL
TO: Village Of North Palm Beach
501 U.S. Highway 1
North Palm Beach, Fl 33408
Attention: Charlie Cangianelli
PROPOSAL TO INCLUDE:
FROM: Kasper Electrical Inc
JOB NAME: Village Hall Site Lighting
Job Location City Hall
Date: 4-3-2007
Supply material and labor to install (8) 12' Pole with (8) 175watt metal halide fixtures. Run 1-20 amp 120- volt
circuit to control new pole lights and use existing time clock. Install (6)- Hadco floodlight ground fixtures for
new palm trees in front of city hall. These will be controlled by existing photocell in front of building.
Installation of (8) Pole Bases 2' - 6" wide by 4' deep.
NOT INCLUDED IN PROPOSAL AMOUNT: TOTAL JOB COST As per Above
Permit, Patching or cutting of concrete, FOR'PROPOSAL 43,657.00
replacing of grass or shrubs. .
AUTHORIZED
SIGNATURE
ACCEPTANCE OF PROPOSAL
CONDITIONS OF PROPOSAL
SIGNATURE:
Net 30 days Date of signature:
., ~.
EXHIBIT A
SCOPE OF SERVICES
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C<rcr.~i~' ~' /' /~o%.-L-t-s cz~-,_a'~x~-e~ 6~ccK -~o
~dec~-{-rz-~ cal /~aA~ ~' Com~~ o-~ ear-s-~in y
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~~ fie. feu ~ 1 ~ i ve. -~c~~. SRa~ ~a~s ~ s
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EXHIBIT B
PROPOSAL FORM
Respondent: / - ~~~~ ~ `~~'~ C~'U '~~ ~ '
.(Firm or Individual Name)
RFP Title: VILLAGE HALL LIGHTING
Date: " ~ ~ ~ / ~
(Proposal Submitted on)
THIS PROPOSAL IS SUBMITTED TO: VILLAGE OF NORTH PALM BEACH,
FLORIDA
1. The undersigned Respondent proposes and agrees, if this Proposal is accepted, to
enter into a standard contract with Village of North Palm Beach to perform and
famish all work, within the stated period of performance as outlined in the
proposal and in accordance with the other terms and conditions of the RFP and
the resulting contract.
2. Respondent accepts all of the terms and conditions of the RFP, and
any Addenda thereto. This Proposal will remain subject to acceptance for
sixty (60) days after the day of Proposal opening.
3. In submitting this Proposal, Respondent represents that:
a) Respondent has read and understands the requirements of this
RFP.
b) Respondent has familiarized itself with all of the pre-existing site
conditions, and has, to the greatest extent possible, considered
those factors as they relate to cost, progress, performance and
completion of the requirements of this RFP.
c) Respondent certifies that this Proposal is genuine and not made in
the interest of or on behalf of any undisclosed person, firm or
corporation and is not submitted in conformity with any agreement
or rules of any group, association, organization or corporation;
Respondent has not directly or indirectly induced or solicited any
other Respondent to submit a false or sham Proposal; Respondent
has not solicited or induced any person, firm or corporation to
refrain from proposing; and Respondent has not sought by
collusion to obtain for itself any advantage over any other
Respondent or over the Village.
4. Respondent agrees to perform all the work described in the specifications
including obtaining all necessary permits along with any additional work
identified in this Proposal, for the price and time Respondent provides
herein.
9
5. The Respondent further declares it understands that the Village reserves the right
in its sole discretion to reject any and all proposals, to re-advertise this RFP and
may elect to award a contract in any fashion which best serves the interest of the
Village.
6. Respondent certifies it is licensed to perform the requested services in the
State of Florili~and Pa1~B~a~ ~~ .Applicable License number(s):
7. Respondent covenants that it is qualified to do business in the Village of North
Palm Beach, Florida and, if required by law, will obtain a Village Business
License prior to commencing work, if it does not currently have a valid Business
License.
8. Respondent covenants that it is financially solvent to provide all necessary labor,
personnel, material and/or equipment necessary to complete the project in
accordance with the price and time stated in this Proposal. At the Village's
request, Respondent will provide proof of said solvency prior to commencing any
work.
9. In addition to the labor, materials and equipment identified in the Scope of
Services for this RFP, Exhibit "A" (which is included with this Proposal),
Respon~nt proposes the following additional labor, materials and/or equipment.
(Attach additional information as necessary).
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10. Respondent agrees to perform all the necessary work required of this `,
Proposal, including labor, equipment, and material as is additionally
identified, for a complete project lump sum price of:
~~ ~ ~~
(Written Dollar Amount)
11. Respondent agrees to perform, all the necessary work required of this Proposal.
within ~ u ~Q ~-~'' ~+P~umber of days from the date of a notice to
proceed from the Village or as `otherwise notified by the Village to commence the
work. 0 F ~i y.~ yes
I certify that I have read, understand and agree to the above.
Signature
Name (Printed)
Firm Name (if applicable)
ti
EXHIBIT C
RESPONDENT'S REFERENCES
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COMPANY NAME:
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ADDRESS: ,,,r~~ ~ ~~ ~ I J ~~ ~#C_~ LJ
+-~ ~-~ `~~ CONTACT PERSON: ~ ~ ~~~ ~ ~"L° ~~
rHONE NUMBER: l~o~ I ~ A,, ~ ~`
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PROJECT DESCRIPTION: ~-D~ ~ ~'~ ~
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COMPLETED ON TIME: Y S NO (Circle one)
COMPLETED WITHIN BUDGET: E5~ NO (Circle one)
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COMPANY NAME:
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ADDRESS: ~ ~~~ (J fl ~sC~l.~.~~__D~1 l ~2 ~ ~~-c.~_~. ~
ONE NUMBER: ~ CONTACT PERSON: ` ~ (t ~~ ~~ ~ F
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PROJECT DESCRII'TION: ~ ~ r~ ~ 1 ~ ~ ~ Y ~ `~~"~~ ~r I'~ ~~
NO (Circle one)
COMPLETED ON TIlVIE:
COMPLETED WITHIN BUDGET: ES NO (Circle one)
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ANY NAME: r I ~ ~ ~ ~ ~ ~ ~~~
COMP
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ADDRESS: ~ ~ ~ _
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PHONE NUMBER: _ CONTACT PERSON: ~ l.~i~i S ~~~'~
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PROJECT DESCRIPTION: ~
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COMPLETED ON TIlVIE: NO (Circle one)
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COMPLETED WITHIN BUDGET: S NO (Circle one) 3
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RESPONDENT'S REFERENCES " ~
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(Respondent's Name) L ~~'~-' C
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COMPANY NAME: ~ ~ ~
ADDRESS: ~ I S ~ P ~ ~~
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ER: ~ I ~ 3 ;S CONTACT PERSON: C.~ ~~ ~~=5 (~Y~ ~ ~ n E:~~,a
PHONE NUMB
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PROJECT DESCRIPTION: C~ ~
COMPLETED ON TIME: E'~~;~ NO (Circle one)
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COMPLETED WITHIN BUDGET: C~~ NO (Circle one) ~±
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COMPANY NAME: ~~~ 1 ~ ~~ ~a ~~ ~~ ~ ~..:~
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.ADDRESS: ~J' ~ S PC,I / ~~ ~ ~ ~~ArtC.P . ~~~ ~ ~'
PHONE NUMBER: ~~ -~-3~~'J CONTACT PERSON: ~-_
PROJECT DESCRIPTION: ~~~ ~-t p ~y~'~~~~"`Lr$: ~
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EXHIBIT D
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DRUG FREE WORKPLACE CERTIFICATION
If identical tie bids exist, preference will be given to the vendor who submits a certification with
their bid/proposal certifying they have adrug-free workplace in accordance with Section
287.087, Florida Statutes. The drug-free workplace preference is applied as follows: _
IDENTICAL TIE BIDS: 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 adrug-
free workplace program shall be given preference in the award process. Established'procedures
for processing tie bids will be followed if none of the tied vendors have adrug-free workplace
Prol•
As the person authorized to sign this statement, I certify that this firm complies fully with the _
following requirements:
1. This film publishes 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.
2. This firm informs employees about the dangers of drug abuse in the workplace,` the
business's policy of maintaining adrug-free workplace, any available drug counseling;
rehabilitation, and employee assistance programs, and the penalties that may be imposed
upon employees for drug abuse violations.
3. This firm gives each employee engaged in providing the commodities or contractual
services that are under bid a copy of the statement specified in subsection (1). _
4. In the statement specified in subsection (1), this firm notifies the employees that, as,.a
condition of working on the commodities or contractual services that are under bid, the;
employee will abide by the terms of the statement and will notify the employer of `any
conviction of, or plea guilty or nolo contendere to, any violation of chapter 893 or :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.
5. This firm imposes a sanction on or requires 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.
6. This firm will continue to make a good faith effort to maintain adrug-free workplace
through implementation of this section.
v
(Auth ed Sign •e) (Firm Name)