2"~ South ~Miami CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM T HE CIT Y OF PLEASANT LIV I NG
To:
From :
Date:
Subject:
Background:
Amount:
Account:
Attachments:
The Honorable Mayor & Members of the City Commission
Steven J. Alexander, City Manager
Agenda Item No.: ~ March 3, 2015
A Resolution authorizing the City Manager to enter into a contract with
Leadex Corporation, to remodel the communications area of the Police
Department.
The Communications area of the Police Department operates 24 hours a
day 7 days a week and is also the first area seen by the public entering the
police facility. The current cabinets and desks are in disrepair with several
drawers and cabinets constantly having to be fixed to remain functional.
The intention is for the work to be completed in a two (2) day period; one
(I) day for tear-down and, one (I) day for installation.
The Police Department budgeted $10,000 from "Account 001-1910-521-
5210 (Supplies) FY20 15 budget for new desks, cabinets and book cases for
this area. A invitation to quote (ITQ) was issued and a review of the
proposal revealed Leadex was the second lowest bidder at $8,680 . The
lowest bidder "Miami Remodeling" failed to comply with signing two
required affidavits and was designated as non-responsive .
Decon Environmental & Engineering, Inc
Avanti's Construction Company, llC
lead ex Corporation
Mi ami Remodel ing and Additions
$8,680
001-1910-521-5210 with a current balance of $111,139.
Resolution
Bid Opening Report
Proposal Summary
Sun Biz Leadex
Pre-bid Sign-in Sheet
$ 22,755
$ 18,000
$ 8,680
$ 6,900
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
RESOLUTION NO. _____ _
A Resolution authorizing the City Manager to enter into a contract
with Leadex Corporation, to remodel the communications area of the
Police Department.
WHEREAS, the Communications area of the Police Department is in disrepair and in
need of new furniture; and,
WHEREAS, it is essential to maintain a functional work environment for the
Communications area which operates 24 hours 7 days a week; and,
WHEREAS, an invitation to bid (ITB) was issued; and Leadex Corporation was the
lowest most responsive bidder; and
WHEREAS, the funding for this budgeted project will come from the Police
Departments Supplies Account 001-1910-521-5210.
NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY
COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA THAT;
Section I. The City Manager is hereby authorized to negotiate and enter into a
contract with Leadex Corporation to provide and install custom made desks, cabinets and
shelves for an amount not to exceed $8,680 pursuant to the proposal given by the vendor. The
total amount of this cost will be charged to Police Supplies account 001-1910-521-5210.
Section 2. Severability: If any section, clause, sentence, or phrase of this resolution
is for any reason held invalid or unconstitutional by a court of competent jurisdiction, this
holding shall not affect the validity of the remaining portions of this resolution.
Section 3. Resolution shall take effect immediately upon adoption.
PASSED AND ADOPTED this _ day of ___ ---', 2015.
ATTEST:
CITY CLERK
READ AND APPROVED AS TO FORM,
LANGUAGE, LEGALITY AND
EXECUTION THEREOF:
CITY ATTORNEY
APPROVED:
MAYOR
COMMISSION VOTE:
Mayor Stoddard:
Vice Mayor Harris:
Commissioner Welsh:
Commissioner Liebman:
Commissioner Edmond:
South~Miami
ADDENDUM No. #1
Project Name: Police Department Communications Area
ITQNO. PD2015-02
Date: February 5, 2015
Sent: Fax/E-maillwebpage
This addendum submission is issued to clarify, supplement andlor modify the previously issued
Solicitation, and is hereby made part of the Documents. All requirements of the Documents not
modified herein shall remain in full force and effect as originally set forth. It shall be the sale
responsibility of the bidder to secure Addendums that may be issued for a specific solicitation.
Question #1:
Is there a completion time for the wOI'k to be completed!
Answer to Question #1:
The Communications Area is a 24/7 operation and it is the intention for the work to be completed in a
two (2) day period; one (I) day for tear-down and, one (I) day for installation. It is recommended the
contractor build the furniture off-site and scheduled a time and date for installation with the City's
Project Manager, (South Miami's Police Department's Communications Supervisor.), herein referred to
as "Project Manager."
Question #2:
Are the mail slots outside of the Communications Area included into the "Scope of Services!"
Answer to Question #2:
Yes, the mail slots are included and are listed in the Scope of Services as "New Mailboxes."
Question #3:
Are you open to a new design to the existing shelVing, counter tops and desk drawers!
Answer to Question #3:
For the purposes of preparing your quotation, the existing design will apply. After a contractor has
been awarded the project, minimal design changes are possible but cannot exceed the contractors
"Lump Sum Proposal" and, must be approved by the Project Manager.
2
Will the contractor be responsible for painting and touch-up of the walls?
Answer to Ouestion #4:
No, the City will be responsible for repainting and touch-up. If there is significant damage to the walls
and general areas caused by the contractor, the Project Manager will make the determination if the
contractor is responsible to repair the damage at no cost to the City.
Question #5
Is the visitor's lobby entrance to the Police Department and the counter top included into the Scope of
Services?
Answer to Question #5:
Yes, the visitor's lobby entrance and counter top under the protective glass is included into the Scope
of Services. PhotographS are included of this area and are a part of Addendum No. I. The bullet-proof
glass will not be removed so the counter top is not to be replaced. This counter top will be sanded, if
necessary, and the contractor will "Re-Formica" to match the same material and color as installed
inside the Communications Area.
The following estimated dimensions for the visitor's lobby entrance to the Police Department are
provided below:
• Counter Top:
• Pass-through window and counter top is:
• Right-side Counter:
• Left-side Counter:
• Trim:
• Left-side:
• Right-side
90 'N' L & 2 '/, H (Photo No. I);
13 'N' D (Photo No.2);
I 1/4" D (Photo No.3);
I 1/4" D (Photo No.4);
4" H x 3/,' D
14 '/, L (Photo No.5);
15 'j." L (Photo No.6)
Note: The measurements provided in the Scope of Services are estimated, does not
represent a firm commitment and should be used for planning purposes only. The
cont ... actor is responsible for their own measurements.
How many access points to the Communication Area exist?
Answer to Question #6:
Three access points exist: (I) Visitor's Lobby Entrance; (2) Parking Lot Entrance; (3) Sally Port Covered
Entrance. The City's Project Manager will coordinace entry points with the contractor during the
project.
Question #7:
Is a floor plan of the Communications Area available?
(@.' SUllth~MiJm i
CI TV OF SOUTH MI AMI
INVITATION TO QUOTE
ITQ NP020 1S-0 2
LUMP SUM PROPOSAL
SUBM ITIEO TO : Ci ty Clerk PROJ ECT: Po l ice Dep ar t m ent Communica tions A re a
Re novati o n
NAME : Maria Menendez, (Me ADDRES S,
CITY/STATE ,
ISSUE DATE:
6 130 Sunset Driv e
ADDR ESS: 6130 Sunset Dr ive So uth Miami, FI 33 143
CITV/STATE : Miami, Florida 33134 Tu esday, Janu a ry 21 .2015
PHONE : 305-663-6339 E-MAIL: sku IICk@sQu thmlamlfl.gov.
MANDA TOR Y PRE -QUOTE MEETIN G : Thurs day, Februa ry 5, 2015 at 10 AM DUE DATE : We dnes d a y. Fe bru ary 11 , 201 5 at 10 AM
QUOTE SUBMISSION REQUIREMENTS :
Quotes submitted after 10 AM on t he due da t e will not be accepted unless otherwise speci f ied i n the quote document
of a time change. All qu otes will be submitted to the City Cl erks Office in a sea led enve l ope. The l abe l on the on t he
envel ope needs t o read as fo llows:
Ci t y of South M ia mi
M ar ia M . M e n e nd e z, CMC
6 130 Su nse t Dri v e
So uth Mi ami, FI. 33143
Pr oj ect N am e: Pollee Department Communica tions Area Renovatio n
M us t input project n ame. If la bel d oes not have all infor ma t ion above y ou r quot e will no t be accep ted .
INSU RANCE REQUIREMENTS :
The CITY'S insurance requirements are attached (E xhibi t 1). As a condition of award, the awarded ve ndor must provide a
certificate of i nsurance nami ng t he city as add i tional insure d.
AFFIDAVITS REQU IRED WITH SUBMITTAL: (EIChlblt 21
Re spondents m ust comp l et e an d su bmit w ith you r quote affidavits provid ed in E)(h ibi t 2.
QUE STIONS :
Any Reques t s f o r addit iona l in f o r ma t ion o r q u est ions must be In wri t ing, emai/ed by 10 AM local t i me on Febru ary 9, 2015 to t ile
attention of Mr. Steven Kulick, Purchasing Manager at skull ck @southmlamlfl.gov .
SCOPE OF SERVICES DESCRIPT ION : ITO BE COMPLETED BY CITYI
REFER TO "SCOPE OF SERVIC£S," COpy ATIACHED
Bids will only b e accep t ed that i nclud e quot at ions d uring reg ul ar working hours.
DESCRIPTION OF WOR K TO BE PERFORMED BY CO NTRACTOR:
It em Numbe r It em Desc ripti o n Unit I Qty
Refe r to "Sc o~e of Servi ces."' Co p~ Attac h ed
1 LUMP SUM PROPOSAL
LUMP SUM TOTAL
Contractor shall fu r ni sh all materi al s and equipment necessary to secure completion of t h e work. Contractor sha ll be
compensated acco rd ing to the quot e su bmitted . Con tractor is res pon sible to secure all permits an d shou ld be reflected
in the lump Sum quote. Contractor may choose to submit a quot e on company letterhead bu t must be attached to this form .
M an dat o ry Pr e -Qu o t e M ee ting i s sch edu led Febru ary S, 2015 at 10 AM at City Hall Chamber s, 6130 Su nset Drive,
So uth M ia m i, Fl 33143 . Dea dline to submit is: Febru ary 11, 2015
Ph one: 954 -485-8800
Amount
££"55.00
£L,f O:).UU
Pri n tiTy p e N._.~m~.~' .:::~D~a;n~M;u;I;le;;~~::;;;;;;;;:::========:: Signature : _
E-mail : ec on .com ~:!~: ~~~~!)~~~8"'8rrOIC9'-------
Firm Name :
Address :
ng ln ee nng nco F.E .I.N. No.' .65 -0009930
C;ly: Ft. Laud erdal e S ia l.: FL
THl ()([CUTION OF THIS fORM CO NSTITUTES THE UNEQUIVOCAL OFfER OF PROPOSE R TO 8E 80UND 8V THE T£RMS OF ITS PROPOSAl. f AI LURE TO SIGN THIS SOliCIT ATION WHERE INDICATED A80VE 8Y AN
AUTHORIZED REPRE SE NT ATIVE SHAl l RENDER THE PROPOSAL NON-RESPONSIVE . THE cny MAY, HOW(VUI, IN ITS SO LE DISCRETION, ACCE PT ANV PROPOSAL THAT INCLUOES AN [)(EtonO DOCUMEN T WHI CH
UNEQUIVOCALLY BI NDS THE PROPOSER TO TH E TERMS OF ITS OfFER. THE c n v'S REQ UEST FOR QUOffS IS fOR THE l OWES T AND MOS T RESPONSIVE PRICE . THE CITV RESERVES TH E RIGH T TO AWAR D THE PROJECT
TO TH E f iRM CONS IDERED THE BEST TO SER VE THE CIN'S INTE REST.
ATTACHMENT #1 PUBLIC ENTITY CRIMES AND CONFLICTS OF INTEREST
Pursuant to the provisions of Paragraph (2) (a) of Section 287.133. Florida State Statutes -"A
person or affiliate who has been placed on the convicted vendor list following a conviction for a
public entity crime may not submit a Bid on a Contract to provide any goods or services to a
public entity. may not submit a Bid on a Contract with a pUblic entity for the construction or
repair of a public building or public work. may not submit bids on leases of real property to a
public entity. may not be awarded to perform work as a Contractor. supplier. Subcontractor.
or Consultant under a Contract with any public entity. and may not transact business with any
public entity in excess of the threshold amount Category Two of Section 287.017. Florida
Statutes. for thirty six (36) months from the date of being placed on the convicted vendor list".
The award of any contract hereunder is subject to the proviSions of Chapter I 12. Florida State
Statutes. BIDDERS must disclose with their Bids. the name of any officer. director. partner.
associate or agent who is also an officer or employee of the City of South Miami or its agencies.
SWORN STATEMENT PURSUANT TO SECTION 287.133 (3)(a).
FLORIDA STATUTES. ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY
PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
I. This sworn statement is submitted to .~iy_~f.~.out~iar11~ ________ . __ . __ .
[print name of the public entity]
by __ [)an Mu~er.y~<:~residenl ._ ... _ .. _ .... _. ___ .. ________ . _____ ........
[print individual's name and title]
for _.pe_~o~Environmenlal & Engineering Inc.
[print name of entity submitting sworn statement]
whose business address is .. _~652 NW. 31 sl Avenue
Fort Lauderdale, FL 33311
and (if applicable) its Federal Employer Identification Number (FEIN) is 65·0009930
(If the entity has no FEIN, include the Social Security Number of the individual signing this
sworn statement: ........ _ .. _ ..... ______ ... __ .. ____ ,)
2. I understand that a "public entity crime" as defined in Paragraph 287.133 (I )(g). Florida
Statutes. means a violation of any state or federal law by a person with respect to and
directly related to the transaction of business with any public entity or with an agency
or political subdivision of any other state or of the United States. including. but not
limited to . any bid or contract for goods or services to be provided to any public entity
or an agency or political subdivision of any other state or of the United States and
involving antitrust. fraud. theft, bribery, collusion. racketeering. conspiracy. or material
misrepresentation.
3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133 (I )(b).
Florida Statutes, means a finding of gUilt or a conviction of a public entity crime. with or
Page 2 of 10
without an adjudication of guilt, in any federal or state trial court of record relating to
charges brought by indictment or information after July I, 1989, as a result of a jury
verdict, non-jury trial, or entry of a plea of guilty or nolo contender.
4. I understand that an "affiliate" as defined in Paragraph 287.133 (I )(a), Florida Statutes,
means:
(a) A predecessor or successor of a person convicted of a public entity crime; or
(b) An entity under the control of any natural person who is active in the
management of the entity and who has been convicted of a public entity crime. The
term "affiliate" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in the management of an affiliate. The
ownership by one person of shares constituting a controlling interest in any person, or a
pooling of equipment or income among persons when not for fair market value under
an arm's length agreement, shall be a prima facie case that one person controls another
person. A person who knowingly enters into a joint venture with a person who has
been convicted of a public entity crime in Florida during the preceding 36 months shall
be considered an affiliate.
5. I understand that a "person" as defined in Paragraph 287.133 (I )(e), Florida Statutes,
means any natural person or entity organized under the laws of any state or of the
United States with the legal power to enter into a binding contract and which bids or
applies to bid on contracts for the provision of goods or services led by a public entity,
or which otherwise transacts or applies to transact business with a public entity. The
term "person" includes those officers. directors, executives. partners, shareholders.
employees. members, and agents who are active in management of an entity.
6. Based on information and belief, the statement which I have marked below is true in
relation to the entity submitting this sworn statement. [Indicate which statement
applies.]
_-,X-,-Neither the entity submitting this sworn statement. nor any of its officers.
directors, executives. partners, shareholders, employees, members. or agents who are
active in the management of the entity. nor any affiliate of the entity has been charged
with and convicted of a public entity crime subsequent to July I. 1989.
___ The entity submitting this sworn statement. or one or more of its officers,
directors, executives. partners. shareholders. employees. members. or agents who are
active in the management of the entity. or an affiliate of the entity has been charged with
and convicted of a public entity crime subsequent to July I. 1989.
___ The entity submitting this sworn statement. or one or more of its officers.
directors, executives. partners, shareholders, employees, members. or agents who are
active in the management of the entity. or an affiliate of the entity has been charged with
and convicted of a public entity crime subsequent of July I. 1989. However. there has
been a subsequent proceeding before a Hearing Officer of the State of Florida. Division
of Administrative Hearings and the Final Order entered by the Hearing Officer
determined that it was not in the public interest to place the entity submitting this
sworn statement on the convicted vendor list. {attach a copy of the final order.]
Page 3 of 10
Continuation of Attachment #2 Public Entity Crim es and Confficts
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING
OFFICER FOR THE PUBLIC ENTITY INDENTIFIED IN PARAGRAPH I (ONE) ABOVE IS
FOR THAT PUBLIC ENTITY ONLY, AND THAT THIS FORM IS VALID THROUGH
DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND
THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A
CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION
287 .017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY CHANGE IN THE
INFORMATION CONTAINED IN THIS FORM .
Sworn to and subscribed before me this
_X_ Personally known or
Produced identification
(Type of identification)
11 day of ---.F~~~IJClI}' ,20 15 --==~~~--------
Notary Public -State of Fl orida -------
My commiss ion expires 11 111 1201 7 -----------------
DorIO vOo\-~\G-\er (Printed, typed or stamped comm issioned name of notary public)
Form PUR 7068 (Rev .06f1 1/92)
."~~~,,,t::;>. OAN A POTGIETEA
t~· .. 'f.\ NOt ll), Public· St all 01 FlorlrJ.
\~' :;j My Comm . ExpIres Nov 11 , 2011
~:f. \rf.f.$ Commll1 lo n II FF 616 21 ,,,,,.11
Page 4 of 10
ATTACHMENT #2 "DRUG FREE WORKPLACE"
Whenever two or more Bids which are equal with respect to price. quality and service are
received by the State or by any political subdivisions 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
procedures for processing tie Bids will be followed if none of the tied vendors have a drug-free
workplace program . In order to have a drug-free workplace program . a business shall :
I. 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.
2. Inform employees about the dangers of drug abuse in the workplace. the business'
policy of maintaining a drug-free workplace. any available drug counseling. rehabilitation.
and employee assistance programs. and the penalties that may be imposed upon
employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that
are under Bid a copy of the statement specified in Subsection (I).
4 . In the statement specified in Subsection (I). notify 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 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.
5. 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.
6. Make a good faith effort to continue to maintain a drug-free workplace through
implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the
above requirements.
~ "> ~ PROPOSER's ::::~~==::::::;:::~~::::.. __ _ Signature :~ S::J -
Print Name: Dan Muller
Date: 02 /11 /2015
Pag e 5 of l0
ATTACHMENT #3 "No CONFLICT OF INTEREST/NoN COLLUSION AFFIDAVIT"
Submitted this _1_1 _day <>f.~: _'-'f''''eb'''r-''u'''a!..lryl.-____ ---'''<. 20 15 ..
The undersigned. as Bidder/Proposer. declares that the only persons interested in this RFP are named
herein; that no other person has any interest in this RFP or in the Contract to which this RFP pertains;
that this response is made without connection or arrangement with any other person; and that this
response is in every respect fair and made in good faith. without collusion or fraud.
The Bidder/Proposer agrees if this response/submission is accepted. to execute an appropriate CITY
document for the purpose of establishing a formal contractual relationship between the Bidder/Proposer
and the CITY. for the performance of all requirements to which the response/submission pertains.
The Bidder/Proposer states that this response is based upon the documents identified by the following
number: Bid/RFP
The full-names and residences of persons and firms interested in the foregoing bid/proposal. as
principals. are as follows:
N.lIIlC St, eet Add, css C,ty St.ltC ZiP
The Bidder/Proposer further certifies that this response/subm ission complies with section 4(c) of the
Charter of the City of Miami. Florida. that. to the best of its knowledge and belief. no Commissioner.
Mayor. or other officer or employee of the CITY has an interest directly or indirectly in the profits or
emoluments of the Contract, job. work or service to which the response/submission pertains.
Printed Name: Dan Muller -------------------------
Title: Vice President __ ~~~~L-____________ _
Telephone: _-"'9 :::.54.:.--'4;;:.8:::.5--"8"'8.::.00"-________ _
Company Name Decon Environmental & Engineering In c.
Continuation of Attachment #3No ConVict of inter/Non-Collusion Certification
Page 6 oftO
NOTARY PUBLIC : ~!=6y
STATE OF Florid a
COUNTY OF Sroward
----~~~----------
T he foregoin g instrument was acknow ledged before me this 11 th day of
Febru ary ,20 15 by,---=D-=a_n-cM:.:..u:;.I-'le_r ___________ (nam e of
person whose signature is being notarized) who is
SEAL
__ x _ Personally known to me, or
Personal identification :
Type of Identification Produced
d-Did take an oath, or
Did Not take an oath.
Dana Potgiete r
(Name of Notary Public: Print, Stamp
or type as commissioned .)
FAI LUR E TO COM PLETE, SIGN, & RET U RN TH IS FORM MAY D ISOUALIFY YOUR RESPONSE
Pag e 7 of 10
ATTACHMENT #4 "ACKNOWLEDGEMENT AND CONFORMANCE WITH OSHA
STANDARDS"
TO THE CITY OF SOUTH MIAMI
We, Decon Environmental & Engineering(Name of Contractor), hereby acknowl e dge and agree that
as Contractors for this Solicitation, as spe cified have the sole responsibility for compliance with all the
requirements of the Federal Occupational Safety and Health Act of 1970, and all State and local safety
and health regulations, and agree to indemnify and hold harmless the City of South Miami against any
and all liability, claims, damages, losses and expenses they may incur due to the failure of
(subcontractor's names):
RJS Cabinets Inc
10726 NW 53rd Sunrise 33351
to comply with such act or regulation ,
CONTRACTOR
BY : Dan Muller
Name
e
Title
~ f\ /-------:_ ~
FAILUR E T O CO MPL ET E, SIG N & RE TU RN THI S FOR M MA Y DISO UALI FY YO UR RES PO N SE
Page 8 ofl0
ATTACHMENT#5 "RELATED PARTY TRANSACTION VERIFICATION FORM"
Dan MullflL__________ __ __. individually and on behalf of Decon Environmental __ &_En.g~neering
("Firm")have Name of Representative CompanylVendorlEntity read the City of South Miami ("City")'s Code of Ethics.
Section 8A-1 of the City's Code of Ordinances and I hereby certify, under penalty of perjury that to the best of my
knowledge, information and belief:
(I) neither I nor the Firm have any conflict of interest (as defined in section 8A-I) with regard to the contract or
business that I. and/or the Firm, am(are) about to perform for, or to transact with. the
City. and
(2) neither I nor any employees, officers, directors of the Firm. nor anyone who has a financial interest greater
than 5% in the Firm, has any relative(s). as defined in section 8A-I, who is an employee of the City or who is(are)
an appointed or elected official of the City, or who is(are) a member of any public body created by the City
Commission, i,e., a board or committee of the City[See Note #1 below], and
(3) neither I nor the Firm. nor anyone who has a financial interest greater than 5% in the Firm, nor any member of
those persons' immediate family (i.e" spouse, parents, children, brothers and sisters) has transacted or entered
into any contract(s) with the City or has a financial interest, direct or indirect, in any business being transacted
with the city, or with any person or agency acting for the city, other than as follows:
---c--;cc--~;-------------------::----;-:---;c----:----:---(if
necessary use a separate sheet to supply additional information that will not fit on this line but make reference on
the line above to the separate sheet, i.e" "see attached additional information" and make reference to this
document and this paragraph on to the additional sheet which additional sheet must be signed under oath). [See
Note #1 below]; and
(4) no elected and/or appointed official or employee of the City of South Miami, or any of their immediate family
members (i.e., spouse, parents, children, brothers and sisters) has a financial interest. directly or indirectly, in the
contract between you and/or your Firm and the City other than the following individuals whose interest is set
forth following their use a separate names:
___________ _ ____ . __ ._. (if necessary use a separate
sheet to supply additional information that will not fit on this line but make reference on the line above to the
separate sheet, i.e., "see attached additional information" and make reference to this document and this paragraph
on to the additional sheet which additional sheet must be signed under oath). The names of all City employees and
that of all elected and/or appointed city officials or board members, who own, directly or indirectly, an interest of
five percent (5%) or more of the total assets of capital stock in the firm are as follows:
_ ~__________ _ ________ ~_ (if
necessary use a separate sheet to supply additional information that will not fit on this line but make reference on
the line above to the separate sheet, i.e" "see attached additional information" and make reference to this
document and this paragraph on to the additional sheet which additional sheet must be signed under oath), [See
Note #1 below]
(5) I and the Firm further agree not to use or attempt to use any knowledge, property or resource which may
come to us through our position of trust, or through our performance of our duties under the terms of the
contract with the City, to secure a special privilege, benefit, or exemption for ourselves, or others. We agree that
we may not disclose or use information, not available to members of the general public, for our personal gain or
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatol"'('s personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employeesi if the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the flnandal interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
benefit or for the personal gain or benefit of any other person or business entity, outside of the normal gain or
benefit anticipated through the performance of the contract.
(6) I and the Firm hereby acknowledge that we have not contracted or transacted any business with the City or
any person or agency acting for the City, and that we have not appeared in representation of any third party
before any
board, commission or agency of the City within the past two years other than as follows:
____ .. " __ ~ __ ~ __ ~ __________ o__ _ ______ ._0 _____ (if necessary use a separate sheet to supply
additional information that will not fit on this line but make reference on the line above to the separate sheet, i.e.,
"see attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be Signed under oath).
(7) Neither I nor any employees, officers, or directors of the Firm, nor any of their immediate family (i.e., as a
spouse. son. daughter, parent, brother or Sister) is related by blood or marriage to: (i) any member of the City
Commission; (ii) any city employee; or (iii) any member of any board or agency of the City other than as follows:
____ • _'0'_0 __ ~_o ____________ 00 (if necessary use a separate sheet to supply additional
information that will not fit on this line but make reference on the line above to the separate sheet, i.e., "see
attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be Signed under oath), [See Note #1 below]; and,
(8) No Other Firm, nor any officers or directors of that Other Firm or anyone who has a financial interest greater
than 5% in that Other Firm, nor any member of those persons' immediate family (Le., spouse, parents, children,
brothers and sisters) nor any of my immediate family members (hereinafter referred to as "Related Parties") has
responded to a solicitation by the City in which I or the Firm that I represent or anyone who has a financial
interest greater than 5% in the Firm, or any member of those persons' immediate family (i.e. spouse. parents,
children, brothers and sisters) have also responded. other than the following:
__ (if necessary use a separate sheet to supply additional
information thac will not fit on this line but make reference on the line above to the separate sheet, i.e., "see
attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath). [while the ethics code still applies, ifthe person executing
this (arm is doing so on behalf of a firm whose stock is publicly traded, the statement in this section (8) shall be
based solely on the signatory's personal knowledge and he/she is not required to make an independent
investigation into the Other Firm, or the Firm he/she represents, as to their officers, directors or anyone having a
financial interest in those Firms or any of their any member of those persons' immediate family.]
(9) I and the Firm agree that we are obligated to supplement this Verification Form and inform the City of any
change in circumstances that would change our answers to this document. Specifically, after the opening of any
responses to a solicitation, I and the Firm have an obligation to supplement this Verification Form with the name of
all Related Parties who have also responded to the same solicitation and to disclose the relationship of those
parties to me and the Firm.
(10) A violation of the City's Ethics Code, the giving of any false information or the failure to supplement this
Verification Form, may subject me or the Firm to immediate termination of any agreement with the City, and the
imposition of the maximum fine and/or any penalties allowed by law. Additionally, violations may be considered by
and subject to action by the Miami-Dade County Commission on Ethics. Under penalty of perjury, I declare that I
---~~--_.
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly tt"aded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors ofthe Firm,
or of any of their immediate family to any appointed or elected officials of the City. or to their immediate family members.
have made a diligent effort to investigate the matters to which 1 am attesting hereinabove and that the statements
made hereinabove are true and correct to the best of my Imowledge, information and belief.
Si grl<1rur c:C'>.
Print Name & Title: ~lIer , Vice President
Date : _---'0"'2:!../1-'-1!.!-/1-'-'5<--___ _
ATTACHED:
Sec . SA· I -Conflict of interest and code of ethics ordinance.
Municode Page IOf4
Sec. SA-I. -Confiict of interest and code of ethics ordinance.
Ca) Designation.
This section shall be designated and known as the "City of South Miami Conflict of Interest and Code of Ethics
Ordinance.1I This section shall be applicable to all city persannel as defined belaw, and shall also canstitute a
standard of ethical conduct and behavior far all autonomous personnel, quasi-judicial personnel, advisory
personnel and departmental personnel. The provisions of this section shall be applied in a cumulative manner. By
way of example, and not as a limitation , subsections (c) and (d) may be applied to the same contract or transaction .
(b) Definitions. For the purposes of this section the following definitions shall be effective:
(I) The term "commission members" shall refer to the mayor and the members of the city commission.
(2) The term Uautonomaus personnelu shall refer to the members of autonomous authorities, boards and agencies,
such as the city community redevelopment agency and the health facilities authority.
(3) The term "quasj.judicial personnel" shall refer to the members of the planning board, the environmental review
and preservation board, the code enforcement board and such other individuals, boards and agencies of the City as
perform quasi-judicial functions.
(4) The term "advisory personnel" shall refer to the members of those city advisory boards and agencies whose
sole or primary responsibility is to recommend legislation or give advice to the city commission :
(5) The term "departmental personnel" shall refer to the city clerk, the city manager. department heads , the city
attorney, and all assistants to the city clerk, city manager and city attorney, however titled .
(6) The term "employees" shall refer to all other personnel employed by the city.
(7) The term "compensation" shall refer to any money, gift, favor , thing of value or financial benefit conferred, or
to be conferred, in return for services rendered or to be rendered.
(8) The term "controlling financial interest" shall refer to ownership, directly or indirectly, of ten percent or more
of the outstanding capital stock in any corporation or a direct or Indirect interest of ten percent ar more in a firm,
partnership, or other business entity at the time of transacting business with the city.
(9) The term "immediate family" shall refer to the spouse, parents, children, brothers and sisters of the person
involved.
(10) The term "transact any business" shall refer to the purchase or sale by th e city of specific goods or services
for consideration and to submitting a bid, a proposal in response to a RFP, a statement of quali(icatlons in response
to a request by the city, or entering into contract negotiations for the provision on any goods or services,
whichever first occurs.
(e) Prohibition on transocting burineu with the city.
Note # I: While the ethics code stili applies, If the person executing this form hi doing 10 on behalf of a firm with more than
15 employees, the statement In this section shall be based solely on the signatory's perlonal knowledge and he/she Is not
required to make an Independent investigation as to the relationship of employees; I'the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an Independent investigation as to the relationship of employees or of those who have a Onanclallnterest In the Firm or of
the Onanclallnterest In the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their Immediate family to any appointed or elected officials of the City, or to their immediate family members.
No person included in the terms defined in paragraphs (b)( I) through (6) and in paragraph (b)(9) shall enter into
any contract or transact any business in which that person or a member of the immediate family has a financial
interest, direct or indirect with the city or any person or agency acting for the city, and any such contract,
agreement or business engagement entered in violation of this subsection shall render the transaction voidable.
Willful violation of this subsection shall constitute malfeasance in office and shall affect forfeiture of office or
position. Nothing in this subsection shall prohibit or make illegal:
(I) The payment of taxes, special assessments or fees for services provided by the city government;
(2) The purchase of bonds, anticipation notes or other securities that may be issued by the city through
underwriters or directly from time to time.
Waiver of prohibition. The requirements of this subsection may be waived for a particular transaction only by four
affirmative votes of the city commission after public hearing upon finding that:
(I) An open-to-all sealed competitive proposal has been submitted by a city person as defined in paragraphs (b}(2).
(3) and (4);
(2) The proposal has been submitted by a person or firm offering services within the scope of the practice of
architecture, professional engineering, or registered land surveying, as defined by the laws of the state and
pursuant to the provisions of the Consultants' Competitive Negotiation Act, and when the proposal has been
submitted by a city person defined in paragraphs (b)(2), (3) and (4);
(3) The property or services to be involved in the proposed transaction are unique and the city cannot avail itself
of such property or services without entering a transaction which would violate chis subsection but
for waiver of its requirements; and
(4) That the proposed transaction will be in the best interest of the city.
This subsection shall be applicable only to prospective transactions, and the dty commission may in no case ratify a
transaction entered in violation of this subsection.
Provisions cumulative. This subsection shall be taken to be cumulative and shall not be construed to amend or repeal
any other law pertaining to the same subject matter.
(d) Further prohibition on transacting business with the city.
No person included in the terms defined in paragraphs (b)( I) through (6) and in paragraph (b)(9) shall enter into
any contract or transact any business through a firm. corporation, partnership or business entity in which that
person or any member of the immediate family has a controlling financial interest. direct or indirect, with the city
or any person or agency acting for the City, and any such contract, agreement or business engagement entered in
violation of this subsection shall render the transaction voidable. The remaining provisions of subsection (c) will
also be applicable to this subsection as though incorporated by recitation.
Additionally. no person included in the term defined in paragraph (b)( I) shall vote on or participate in any way in
any matter presented to the City commission if that person has any of the following relationships with any of the
persons or entities which would be or might be directly or indirectly affected by any action of the City commission:
(I) Officer, director, partner, of counsel, consultant, employee, fiduciary or beneficiary; or
(2) Stockholder, bondholder, debtor, or creditor, if in any instance the transaction or matter would affect the
person defined in paragraph (b)( I) in a manner distinct from the manner in which it would affect the public
generally. Any person included in the term defined in paragraph (b)( I) who has any of the specified relationships
or who would or might, directly or indirectly. realize a profit by the action of the city commission shall not vote on
or participate in any way in the matter.
(E) Gifts,
(I )DefJnition. The term "gift" shall refer to the transfer of anything of economic value. whether in the form of
money, service, loan, travel. entertainment. hospitality, item or promise, or in any other form, without
adequate and lawful consideration.
(2)Exceptions. The provisions of paragraph (e)( I) shall not apply to:
a. Political contributions specifically authorized by state law;
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
IS employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an Independent investigation as to the relationship of employees; if the firm is a public:ly traded company,
the statement in this section shall be based solely on the signatoty's personal knowledge and he/she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest In the Firm or of
the financial interest in the Firrn of city employees, appointed officials or the immediate family members of elected and/or
appointed official ot' employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
b. Gifts from relati .... es or members of one's household. unless the person is a conduit on behalf of a third party to
the delivery of a gift that is prohibited under paragraph(3);
c, Awards for professional or civic achievement:
d. Material such as books, reports, periodicals or pamphlets which are solely informational or of an advertising
nature,
(3) Prohibitions. A person described in paragraphs (b)( I) through (6) shall neither solicit nor demand any gift. It is
also unlawful for any person or entity to offer, give or agree to give to any person included in the terms defined in
paragraphs (b)( I) through (6), or for any person included in the terms defined in paragraphs (b)( I) through (6) to
accept or agree to accept from another person or entity, any gift for or because of:
a, An official public action taken. or to be taken, or which could be taken. or an omission or failure to take a public
action;
b, A legal duty performed or to be performed, or which could be performed, ot' an omission or failure to perform
a legal duty;
c, A legal duty violated or to be Violated, or which could be violated by any person included in the term defined in
paragraph (b)( I); or
d, Attendance or absence from a public meeting at which official action is to be taken.
(4) Disclosure. Any person included in the term defined in paragraphs (b)(I) through (6) shall disclose any gift, or
series of gifts from anyone person or entity, having a value in excess of $25,00. The disclosure shall be made by
filing a copy of the disclosure form required by chapter 112, Florida Statutes, for "local
officers" with the city clerk simultaneously with the filing of the form with the clerk of the county and with the
Florida Secretary of State.
(I) Compulsory disclosure by employees of firms doing business with the city.
Should any person included in the terms defined in paragraphs (b)(l) through (6) be employed by a corporation,
firm, partnership or business entity in which that person or the immediate family does not have a controlling
financial interest, and should the corporation, firm, partnership or business entity have substantial business
commitments to or from the city or any city agency, or be subject to direct regulation by the city or a city agency,
then the person shall file a sworn statement disclosing such employment and interest with the clerk of the city.
(g) Exploitation of official position prohibited.
No person included in the terms defined in paragraphs (b )( I) through (6) shall corruptly use or attempt to use an
o((jcial position to secure special privileges or exemptions for that person or others.
(h) Prohibition on use of confidential information.
No person included in the terms defined in paragraphs (b)( I) through (6) shall accept employment or engage in
any business or professional activity which one might
reasonably expect would reqUire or induce one to disclose confidential information acquired by reason of an
official position. nor shall that person in fact ever disclose confidential information garnered or gained through an
official position with the city, nor shall that person ever use such information. directly or indirectly, for personal
gain or benefit,
(i) Conflicting employment prohibited.
No person included in the terms defined in paragraphs (b)(l) through (6) shall accept other employmen~ which
would impair independence of judgment in the performance of any public duties.
(j) Prohibition on outside employment.
(I) No person included in the terms defined in paragraphs (b)(6) shall receive any compensation for services as an
officer or employee of the city from any source other than the City, except as may be permitted as follows:
a. Generally prohibited. No full~time city employee shall accept outside employment, either incidental. occasional or
otherwise, where City time, equipment or material is to be used or where such employment or any part thereof is
to be performed on city time,
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and hefshe is not required to make
an independent investigation as to the relationship of employees 01" of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected andlor
appointed official or employee or as to the relationship by blood or marriage of employees. officers, or directors of the Firm,
at' of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members,
b. When permitted. A full~time city employee may accept incidental or occasional outside employment so long as
such employment is not contrary, detrimental or adverse to the interest of the city or any of its departments and
the approval required in subparagraph c. is obtained.
c. Approval of department head requ·wcd. Any outside employment by any full~time city employee must first be
approved in writing by the employee's department head who shall maintain a complete record of such
employment.
d. Penalty. Any person convicted of violating any provision of this subsection shall be punished as provided in
section I ~ I I of the Code of Miami-Dade County and. in addition shall be subject to dismissal by the appointing
authority. The city may also assess against a violator a fine not to exceed $500.00 and the costs of investigation
incurred by the city.
(2) All full-time city employees engaged in any outside employment for any person, firm, corporation or entity
other than the city, or any of its agencies or instrumentalities, shall file, under oath, an annual report indicating the
source of the outside employment, the nature of the work being done and any amount of money or other
consideration received by the employee from the outside employment. City employee reports shall be filed with
the city clerk. The reports shall be available at a reasonable time and place for inspection by the public. The city
manager may require monthly reports from individual employees or groups of employees for good cause.
(k) Prohibited investments.
No person included in the terms defined in paragraphs (b)( I) through (6) or a member of the immediate family
shall have personal investments in any enterprise which will create a substantial conflict between private interests
and the public interest.
(I) Certain appearances and payment prohibited;
(I) No person included in the terms defined in paragraphs (b)( I), (5) and (6) shall appear before any city board or
agency and make a presentation on behalf of a third person with respect to any matter, license, contract,
certificate. ruling, decision, opinion. rate schedule, franchise, or other benefit sought by the third person. Nor shall
the person receive any compensation or gift, directly or indirectly, for services rendered to a third person, who
has applied for or is seeking some benefit from the City or a city agency, in connection with the particular benefit
sought by the third person. Nor shall the person appear in any court or before any administrative tribunal as
counselor legal advisor to a party who seeks legal relief from the city or a city agency through the suit in question.
(2) No person included in the terms defined in paragraphs (b)(2). (3) and (4) shall appear before the City
commission or agency on which the person serves, either directly or through an associate, and make a
presentation on behalf of a third person with respect to any matter, license. contract, certificate, ruling. decision,
opinion, rate schedule, francbise, or other benefit sought by the third person. Nor shall such person receive any
compensation or gift, directly or indirectly, for services rendered to a third party who has applied for or is seeking
some benefit from the city commission or agency on which the person serves in connection with the particular
benefit sought by the third party. Nor shall the person appear in any court 01' before any administrative tribunal as
counselor legal advisor to a third party who seeks legal relief from the city commission or agency on which such
person serves through the suit in question.
(m) Actions prohibited when financial interests involved.
No person included in the terms defined in paragraphs (b) (I) through (6) shall participate in any official action
directly or indirectly affecting a business in which that person or any member of the immediate family has a
financial interest. A financial interest is defined in this subsection to include. but not be limited to, any direct or
indirect interest in any investment, eqUity, or debt.
(n) Acquiring financial interests.
No person included in the terms defined in paragraphs (b)( I) through (6) shall acqUire a financial interest in a
project, business entity or property at a time when the person believes or has reason to believe that the financial
interest may be directly affected by official actions or by official actions by the city or city agency of which the
person is an official, officer or employee.
(0) Recommending professjonal services.
Note # I: While the ethics code still applies, if the peYson executing this form Is doing so on behalf of a flym with more than
IS employees, the statement in this section shall be based solely on the signatory's peysonal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publidy traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an independent investigation as to the relationship of employees oy of those who have a financial interest in the Firm or of
the financial inteyest in the FiYm of city employees. appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or diYectors of the Firm,
or of any of their immediate famity to any appointed or elected officials of the City, or to their immediate family members.
No person included in the terms defined in paragraphs (b)( I) through (4) may recommend the services of any
lawyer or law firm, architect or architectural firm, pUblic relations firm, or any other person or firm, professional
or otherwise, to assist in any transaction involving the city or any of its agencies, provided that a recommendation
may properly be made when required to be made by the duties of
office and in advance at a public meeting attended by other city officials, officers or employees.
(p) Continuing application after city service.
(I) No person included in the terms defined in paragraphs (b)( I). (5) and (6) shall, for a period of two years after
his or her city service or employment has ceased, lobby any city official [as defined in paragraphs
(b)( I) through (6)] in connection with any judiCial or other proceeding, application, RFP, RFQ, bid. request for
ruling or other determination, contract, claim, controversy, charge, accusation. arrest or other particular subject
matter in which the city or one of its agencies is a party or has any interest whatever, whether direct or indirect.
Nothing contained in this subsection shall prohibit any individual from submitting a routine administrative request
or application to a city department or agency during the two-year period after his or her service has ceased.
(2) The provisions of the subsection shall not apply to persons who become employed by governmental entities,
50 I (c)(3) non-profit entities or educational institutions or entities, and who lobby on behalf of those entities in
their official capacities.
(3) The provisions of this subsection shall apply to all persons described in paragraph (pH I) whose city service or
employment ceased after the effective date of the ordinance from which this section derives.
(4) No person described in paragraph (p)( I) whose city service or employment ceased within two years prior to
the effective date of this ordinance shall for a period of two years after his or her service or employment enter
into a lobbying contract to lobby any city official in connection with any subject described in paragraph (pH I) in
which the city or one of its agencies is a party or has any direct and substantial interest; and in which he or she
participated directly or indirectly through decision, approval, disapproval. recommendation, the rendering of
advice, investigation, or otherwise, during his or her city service or employment. A person participated "directly"
where he or she was substantially involved in the particular subject matter through decision, approval, disapproval,
recommendation, the rendering of advice, investigation, or otherWise, during his or her city service or
employment. A person participated "indirectlyU where he or she knowingly participated in any way in the particular
subject matter through decision, approval, disapproval, recommendation, the rendering of advice, investigation, or
otherwise. during his or her city service or employment. All persons covered by this paragraph shall execute an
affidavit on a form approved by the city attorney prior to lobbying any city official attesting that the
reqUirements of this subsection do not preclude the person from lobbying City officials.
(5) Any person who violates this subsection shall be subject to the penalties prOVided in section BA-2(p).
(q) City attorney to render opinions on request.
Whenever any person included in the terms defined in paragraphs (b)(l) through (6) and paragraph (b)(9) is in
doubt as to the proper interpretation or application of this conflict of interest and code of ethics ordinance, or
whenever any person who renders services to the city is in doubt as to the applicability of the ordinance that
person, may submit to the city attorney a full written statement of the facts and questions. The city attorney shall
then render an opinion to such person and shall publish these opinions without use of the name of the person
advised unless the person permits the use of a name.
(Ord. No. 6·99-1680, § 2. 3·2-99)
Editor's note-Ord. No. 6·99-1680, § I. adopted 3·2·99, repealed §§ SA· I and 8A·2 in their entirety and replaced
them with new §§
BA-I and BA·2. Former §§ 8A-1 and BA-2 pertained to declaration of policy and definitions, respectively. and
derived from Ord. No. 634. §§ I (IA.I), I (IA-2) adopted Jan ... 11.1969.
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and hefshe is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees. appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
11
FLOOR PLAN:
1sT FLOOR & COMMUNICATIONS AREA
:f-._. ~iJ""=-'::1 , ,
J!
, ';
,
: r
" ----"----"-1···.·, . 1,':': cC,,~ ,'" ',' '~OZt:ILili
-"=~-------I
.,
, -
j
'.
"
z «
-' c..
iil: >,.-
~,
f-' -
(J) rr, -,
li:1
I
I
I
13
.... * .. ~
1 -
t
i'
l -"
Detail by Entity Name
etail by Entity Name
EADEX CORPORATION
IFONSEC,A. FRANK J.
SW49ST
IAMI. FL 33155
L49086
650170950
02/06/1990
FL
ACTIVE
IArl,ire,,,, Changed: 02/18/2009
IName & Address
ReportYear
2012
Filed Date
04/28/2012
Page 1 of3
http://search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inq... 2/1112015
Detail by Entity Name
2013 04/13/2013
2014 04/12/2014
Document Imaaes
04/12/2014 --ANNUAL REPORT
94/13/2013 --ANNUAL REPORT
04/28/2012 --ANNUAL REPORT
02116/2011 --ANNUAL REPORT
01/051?010 --ANNUAL REPORT
07116/2009 --ADDRESS CHANGE
02118/2009 --ANNUAL REPORT
03/11/2008 --ANNUAL REPORT
02/13/2007 --ANNUAL REPORT
02/03/2006 --ANNUAL REPORT
02/25/2005 --ANNUAL REPORT
06/10/2004 --ANNUAL REPORT
01/30/2003 --ANNUAL REPORT
03/22/2002 --ANNUAL REPORI
01/25/2001 --ANNUAL REPORT
03/20/2000 --ANNUAL REPOR1
03/1111999 --ANNUAL REPORT
02/18/1998 --ANNUAL REPORT
02/10/1997 --ANNUAL REPORT
04/25/1996 --ANNUAL REPORT
02/14/1995 --ANNUAL REPQfH
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View ~mage in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
View image in PDF format
C8Dyr1llnt ~S-) ail~ Pr"VnCY Poi:clcs
State of flo;:da, Depar:,.,cr'l cr Stat'2
Page 2 of3
I
I
I
I
I
I
I
I
I
I
I
I
I
J
I
I
I
J
I
I
I
http;llsearch.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inq... 2111/2015
2014 FLORIDA PROFIT CORPORATION ANNUAL REPORT
DOCUMENT# L49086
Entity Name: LEAD EX CORPORATION
Current Principal Place of Business:
2601 S W 69TH COURT
MIAMI, FL 33155
Current Mailing Address:
6535 S W49ST
MIAMI, FL 33155
FEI Number: 65-0170950
Name and Address of Current Registered Agent:
FONSECA, FRANK J.
6535 S W 49 ST
MIAMI, FL 33155 US
FILED
Apr 12, 2014
Secretary of State
CC6003658594
Certificate of Status Desired: No
The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE:~ __ ~~ __ ~~ ________________________________________ ~ __ _
Electronic Signature of Registered Agent Date
Officer/Director Detail :
Title DPS
Name FONSECA, FRANK J.
Address 6535 SW 49TH ST
City-State-Zip: MIAMI FL 33155
r hereby cerMy Ihal tI,e information indicated on this repor{ or suppiemeflfal reporllS true and accurale and thaI my electromc signiJture .~h<11J f/ave thl} .7ame legal effect as jf made under
oath, Ihall am 311 officer or director of the corporallon or Ille rocelVElf Of truslee empowered 10 exewte Ihls repor! as required by Chapler 607, Flon'da SlaMes; ilnd Illal my name appear.;
above, or on Clfl affachmenl Wllh all oiller I,ke empowered.
SIGNATURE: FRANK J FONSECA PRESIDENT 04/12/2014
Electronic Signature of Signing Officer/Director Detail Date
ITQ PD2015·02 Police Communications Area
NOTE: RESULTS ARE NOT FINAL UNTIL AN AWARD RECOMMENDTION BY THE CITY MANAGER
Public
Bid Package
Entity
Drug free
Conflicts of
Related (I) Proof Bidder Bid Price Bid Form Crimes and Interest & OSHA Stds Sun Biz I (10rg)
Conflicts of
Workplace
Collusion
Party of Ins
Interest
Miami
$6,900 Not Signed, Signed , No
X X X X X X X Remodeling No Notary Notary Re!
Leadel( Corp $8,680 X X X X X X X X X
Avanti's
Signed, No
$18,000 X X X X X Witness X X X Construction Re!
Signature
Decon
Environmental $22,755 X X X X X X X X X
Engineering
(1) Condition of Award 2/
Date:
ITQ Title:
ITQ No.:
Sout~iami
TI If (lT V OF PLEA SAN T lIVINC
Pre-Bid Conference
Sign-In Sheet
February 5, 2015
Police Dept. Communications Area
Renovation
PD2015-02
PI P . t C I I
Name/Title Company Name/ E-mail Address
~lIy Jlgeh 11~.f''''' () ~ CO 111 Eo v,,,.,,,,,.,,,, 14 I,., I
1 P J( ~ J of! < l' 11"" t1" S -e '" "Jt4'( J ~ 0 -e C;eM . (..0 fI1 t
1<o~~~ c..w ~o-r", v....t Y::.4\ ~a..tot::£\\lJ,\ f ~.,
2 O~f..li;iE;
14~ \ j2.~ll:$(I-.JCi e l..llClUtlO.' A.
/-~!C /l (,I 1< J ;:-(,1I\J~T(-A) f.l·~ L i:-A D 1:-)<: .-:: d l'1i o.cl\:h.o.-
3 /"'< ~r ~/?.AJ1 J <q;. 1...1:--,.1 Ol-:-·I....<(I.A.(J , ":"'01\..--
7?cJYLrO LJaff{-<5C-5 tLC .
4 ~c;~c; owctf{( €! h&.v.Jh.~
-e!e-.Ic.-r.rw6QcA-MA~~ UC
5 fJl A5Dt;5IA-M~@ bHA-~CL(It
~ \\ 'M' ~ CRJ)t>.rd)f~ IJ.( 9~J \H ~" rnA. 'y,~~,V',.ftJ~
6 l a~ IIcA... r:'f'I.h" dJI.;J -i-rJ;:;) ( }f' I. A/'1. CiY1'
7 AtfAV!.lJ..j: 8~61 /r}-f
8
9
10
II
X:\Purc has in g\Te m p lates\Pre B id Mee tin g\Pr e-Bi d Mee tin g S ig n-In Shee t.d oe
Telephone No.
qS"4
14 ~ ~ ~.g DO <e$"
/2-r
~ 7rtfo
. ~8oas~7
3"j'" ?iilJ'!? 7 '1 7'/
? 8 (; . 2:l1 0f?l
3Or-. (d:>7 ·b5~<.) 6
) 99\-6b lr~3 O~
CflY OF SOUTH MIAMI
INVITATION TO QUOTE
ITQ IIPD201!Hl2
LUMP SUM PROPOSAL
SUSMrrtED TO: Cfty Clerk PROJECT: Pollee De partment Communications Area
Renovation
NAME : Marla Menendez, CMe ADDRESS : 6UO Sunset Drive
ADDRESS: 6130 Sunset Drive CITY/STATE: So uth Miami, FI 33143
CITY/STATE: Miami, Florida 33134
PHONE: 305-663-6339
ISSUE DATE:
E-MAil:
Tuesday, January 27, 2015
sk ul ic k@sout hm ia m ifl.golJ .
MANDATORY PRE-QUOTE MEETING: Tbursday, February 5, 2015 at 10 AM DUE DATE: Wednesday, Februery 11, 2015 at 10 AM
QUOTE SUBMISSION REgUIREMHlTS:
Quotes submitted after 10 AM on tile due date will not be accepted unless otherwise specified in the quote document
of a time change. All quotes wilt be submitted to the City Clerks Office in II sealed envelope. Th e label on the on the
e nve lope needs to read as follows:
City of South Miami
Marla M. Menendez, CMC
6130 Sunset Drive
South Miami, Fl. 33143
Project Name: Police Department Communications Area Renovation
Must input project name. If label does not have all Information above your quote will not be accepted.
INSURANCE REQUIREMENTS j
The CITY'S insurance requirements are attache d (Exhibit I). As a condition of award, the awarded ve ndo r must provide a
ce rtificate of insurance naming the city as additional insured.
AFFIDAVITS REqUIRED WITH SUBMmAL: (Exhibit 2)
Respondents must complete and submit with your quote affidavits provided in Exhibit 2.
qUESTIONS:
Any Requests for additional information or questions must be In writing. emened by 10 AM local time on February 9, 2015 to the
attention of Mr. Steven Kulick, Purchasing Manager.t skullck~southmlamlfl.lov.
SCOPE OF SERVICES 0UCRIPTION : ITO BE COMPL£TEO By CfIY)
REFER TO "S COPE OF SERVICES," COPY ATTACHED
Bids will only be .. cc.eptcd that Include quotations durlns regular working hours.
DESCRIPllON OF WORK TO BE PERFORMED BY CONTRACTOR:
Item Number Item DescrlpUon Unit I Qty Amount
Refer to "Scope of Servtcesl " Copy: Attached ~."'D[),~
1 LUMP SUM PROPOSAL
I ~
LUMP SUM TOTAL 16.~
Contractor shall furnish all matenals and cqull)fn e nl necessary to secure cO lllpl e l ton of I ti l! w Olk . Contractor shalt be
t:Om l}p.n s ~I cd acwidilll! to the quo l e suhmitt e d . Contractor is re!o polI !.i lJl c to secure all pl~rmils and should be reflected
in the lump Sum quote . Contractor may ch oose to .s ubmil a quote on CO"'llany Ic ltClhcad bul must be attached to th is form.
Mandatory Pre-Quote Meeting Is sche dul e d Fe brua ry 5, 2015 at 10 AM at City H,n Chambe rs, 6130 Sunset Driv e ,
South Miami, R 33143. Deadline to submit k: February 11. 2015
Prl nt/Typ o NiIIllP.: Phono:
Signature:
E-mail:
Firm Name :
Addrea.:
TIlE EXECUTION OF THIS FORM CONSTTT\lTt.S TllE UN[QUIVOCAL OffER Of PROPOSER TO 8E BOUND 8Y 1l1£TERMS Of In; PROPOSAl. fAILURE TO SIGN OtIS SOUCrTAnoN WHERE INOlCAno ABOYf 8 Y AN
AuntofunD REPRlSt'NTATWE SHAll R[NOlR 1l1E PROPOSAl. NO N·RUPONSIVE. THE CITY MAY, HOWEVER, IN ITS 501.£ DISCRETION. AC((PT ANY PROPOSAl TllATINQUD E.$ AN EXEt\fT1l) DOCUMENTWH1(H
U/'IEQlIIVOCAllY &lHOS THe PflOf'05fR TOTllE TfRM5 Of m Of HR. 1ltf CITY'S REQUUT fORQUO'TfS 1:5 fCMI'Tltf LownT ANb MOST RUPONSM PflICf. ntt OTY Rf!fRYU THI! "1OH1' TO AWAAOTltt: PfIOIla
TOTIIE FIRM CONS10ER[0 TIlE BUTTO SERVE TllE erN's INTtRUT.
EXHIBIT 2
AFFIDAVITS AND FORMS
SUBMISSION REQUIREMENTS
I. Respondent's Sworn Statement Under Section 287.1 33(3)(AJ, Florida Statutes. on
Attachment #1 "Public Entity Crimes and Conflicts of Interest Affidavit,"
shall be completed and provided with the proposal submittal.
2. Neither the individual(s)/firm. nor any of his/her/its employees shall be permitted
to represent any client before the Commission or any Committee. department or
agency of the City, and shall agree not to undertake any other private
representation which might create a conflict of Interest with the City. The
individual(s)/firm may not represent any Commission member, individually, or, any
member of their family or any business in which the Commission member of their
family has an interest.
3. All proposals received will be considered public records. The City will consider all
quotations using such criteria as the CommisSion or City Manager may adopt at
either of their sole discretion. The individual(s)lfirm selected will be required to
enter into a formal agreement with the City in a form satisfactory to the City, prior
to the execution of which the City shall reserve all rights. including the right to
change its selection.
4. Respondent's Attachment #2 "Drug Free Workplace" form shall be
completed and provided with the proposal submittal.
5. Respondent's Attachment #3 "No Conflict of InterestlNon Collusion
Affidavit," shall be completed and provided with the proposal submittal.
6. Respondent's Attachment #4 "Acknowledgement and Conformance with
OSHA Standards," shall be completed and provided with the proposal submittal.
7. Respondent's Attachment #5 "Related party Transaction Verification
Form" shall be completed and provided with the proposal submittal.
Page I of 10
ATTACHMENT # I PUBLIC ENTITY CRIMES AND CONFLICTS OF INTEREST
Pursuant to the provisions of Paragraph (2) (a) of Section 287.133. Florida State Statutes -"A
person or affiliate who has been placed on the convicted vendor Ilst following a conviction for a
public entity crime may not submit a Bid on a Contract to provide any goods or services to a
public entity. may not submit a Bid on a Contract with a public entity for the construction or
repair of a public building or public work, may not submit bids on leases of real property to a
public entity. may not be awarded to perform work as a Contractor. supplier. Subcontractor.
or Consultant under a Contract with any public entity. and may not transact business with any
pubfic entity in excess of the threshold amount Category Two of Section 287.017. Flor ida
Statutes. for thirty six (36) months from the date of being placed on the convicted vendor list".
The award of any contract hereunder is subject to the provisions of Chapter 112. Rorida State
Statutes. BIDDERS must disclose with their Bids . the name of any officer. director. partner.
associate or agent who is also an officer or employee of the City of South Miami or Its agencies.
SWORN STATEMENT PURSUANT TO SECTION 287.133 (3)(a).
FLORIDA STATIJTES. ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY
PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
I. This sworn statement is submitted to ,--___ -:--:-_-:-::_-.,.-:-_____ _
\7 [print name of the public entity)
by~~QCueorA-~ue~
for '-{,~\ e:6~CPE\\----,'t:> kt?l""TIOOS .:u:l G
(prin t indivi d ua l's name and t itl e~]
(pr~t name oflJ,tity ~bmitting sw rn statement]
whose business address is loe::?> 'S~ \ \ d--~ f2. U V ~ -r ~ \ ~
H '~'Y\ f 3~lb
• f and (if applicable) its Federal Employer Identification Number (FEIN) is 3oo:s e!l 0 ~ c::> '
(If the entity has no FEIN. include the Social Security Number of the individual signing this
sworn statement: .)
2. I understand that a "public entity cr ime" as defined in Paragraph 287.133 (I)(g). Florida
Statutes. means a violation of any state or federal law by a person with respect to and
directly related to the transaction of business with any public entity or with an agency
or political subdivision of any other state or of the United States. including. but not
limited to • any bid or contract for goods or services to be provided to any public entity
or an agency or political subdivision of any other state or of the United States and
involving antitrust. fraud. theft, bribery. collusion. racketeering. conspiracy. or material
misrepresentation.
3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133 (I )(b).
Florida Statutes. means a finding of guilt or a conviction of a public entity crime. with or
Page 2 oflO
without an adjudication of guilt, in any federal or state trial court of record relating to
charges brought by indictment or information after July I, 1989, as a result of a jury
verdict, non-jury trial, or entry of a plea of guilty or nolo contender.
4. I understand that an "affiliate" as defined in Paragraph 287.133 (I )(a), Florida Statute;;.
means:
(a) A predecessor or successor of a person convicted of a public entity crime; or
(b) An entity under the control of any natural person who is active in the
management of the entity and who has been convicted of a public entity crime. The
term "affiliate" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in the management of an affiliate. The
ownership by one person of shares constituting a controlling interest in any person, or a
pooling of equipment or income among persons when not for fair market value under
an arm's length agreement, shall be a prima facie case that one person controls another
person. A person who knowingly enters into a joint venture with a person who has
been convicted of a public entity crime in Florida during the preceding 36 months shall
be considered an affiliate.
5. I understand that a "person" as defined in Paragraph 287.133 (I)(e), florldaSJ:;iliLtes.
means any natural person or entity organized undel' the laws of any state or of the
United States with the legal power to enter into a binding contract and which bids or
applies to bid on contracts for the provision of goods or services led by a public entity.
or which otherwise transacts or applies to transact business with a public entity. The
term "person" includes those officers. directors. executives, partners, shareholders,
employees. members. and agents who are active in management of an entity.
6. Based on information and belief, the statement which I have marked below is true in
relation to the entity submitting this sworn statement. [Indicate which statement
applies.]
Neither the entity submitting this sworn statement, nor any of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, nor any affiliate of the entity has been charged
with and convicted of a public entity crime subsequent to July I, 1989.
-,-__ The entity submitting this sworn statement. or one or more of its officers,
directors, executives, partners, shareholders, employees, members. or agents who are
active in the management of the entity, or an affiliate of the entity has been charged with
and convicted of a public entity crime subsequent to July I. 1989.
___ The entity submitting this sworn statement, or one or more of its officers,
directors, executives. partners, shareholders, employees, members, or agents who are
active in the management of the entity, or an affiliate of the entity has been charged with
and convicted of a public entity crime subsequent of July I, 1989. However. there has
been a subsequent proceeding before a Hearing Officer of the State of Florida, Division
of Administrative Hearings and the Final Order entered by the Hearing Officer
determined that it was not in the public interest to place the entity submitting this
sworn statement on the convicted vendor list. {attach a copy of the final order.]
Page 3 of 10
Continuation of Attachment #2 Public Entiry (rimes and Con{rKts
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING
OFFICER FOR THE PUBLIC ENTITY INDENTIFIED IN PARAGRAPH I (ONE) ABOVE IS
FOR THAT PUBLIC ENTITY ONLY, AND THAT THIS FORM IS VALID THROUGH
DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND
THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A
CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION
287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY CHANGE IN THE
INFORMATION CONTAINED IN THIS FORM.
Sworn to and subscribed before me this
Personally known or
Produced identifICation
(Type of identification)
day of ,20
Notary Public -State of
My commission expires
(Printed, typed or stamped commissioned name of notary public)
Form PUR 7068 (Rev.0611Iffl)
Page 4 of to
ATTACHMENT #f1. "DRUG FREE WORKPLACE"
Whenever two or more Bids which are equal with respect to price , quality and service are
received by the State or by any political subdivisions 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
procedures for processing tie Bids will be followed if none of the tied vendors have a drug-free
workplace program. In order to have a drug-free workplace program, a business shall:
I . 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.
2 Inform employees about the dangers of drug abuse in the workplace, the business'
policy of maintaining a drug-free workplace, any available drug counseling. rehabilitation,
and employee assistance programs, and the penalties that may be imposed upon
employees for drug abuse violations .
3. Give each employee engaged in providing the commodities or contractual services that
are under Bid a copy of the statement specified in Subsection (I).
4. In the statement spec ified in Subsection (I). notify 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 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 (S) days after such conviction.
S. 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.
6. Make a good faith effort to continue to maintain a drug-free workplace through
implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the
above requirements.
PROPOSER 's
Signature:
Print Name:
Date: a -() d=:Q \ S
Page 5 oflO
ATTACHMEN"t#3 "No CONFLICT OF INTEREST/NON COLLUSION AFFIDAVIT"
SlI bmi t te d t hi s --\!2-day o f
The undersigned. as Bidder/Proposer. declares that the only persons interested in th is RFP are named
herein; that no other person has any interest in this RFP or in the Contract to which this RFP pertains;
that this response is made without connection or arrangement with any other person; and that this
response is in every respect fair and made in good faith. without collusion or fraud.
The Bidder/Proposer agrees if this response/submission is accepted. to execute an appropriate CITY
document for the purpose of estabfishing a formal contractual relationship between the 8idderlProposer
and the CITY. for the performance of all requirements to which the response/submission pertains.
The Bidder/Proposer states that this response is based upon the documents identified by the following
number: Bid/RFP
The full-names and residences of persons and firms interested in the foregoing bid/proposal. as
principals. are as foilows:
The Bidder/Proposer further certlfoes that this response/submission complies with section 4(c) of the
Charter of the City of Miami. Florida, that. to the best of its knowledge and belief. no Commissioner.
Mayor. or other officer or employee of the CITY has an interest directly or indirectly in the profits or
emoluments of the ContraCt, job. work or service to which the response/submission pertains .
• ture:-e (2t
Printed Name: KO (O\E\Z.\l:)
Title: OUIJ ~\'2...
Telephone: -"1 ~~ ~e:,o 3'i:. <0-:1
Company Name ~~'i0PE \(L2f 4J1:L~'t"W
Continuation of Attachment #3No Conflict of interlNon-Collusion Certification
Page 60f10
NOTARY PUBLIC;
STATE Of
COUNlYOF
The foregoing instrument was acknowledged before me this __ .. __ day of
______ .. "__ _ ____ . 20 _____ "J __ """. "" .. " .. " .. _._" ."_" (name of
person whose signature is being notarized) who is
SEAL
Page 7 of 10
Penonally known to me. or
Personal identiflcatkln:
Type of Identification Produced
Did take an oadl. or
Did Not take an oath.
(Name of Notary Pubflc: Print. Stamp
or type a.~ commissioned.)
ATTACHMENT #4 "ACKNOWLEDGEMENT AND CONFORMANCE WITH OSHA
STANDARDS"
TO THE CITY OF SOUTH MIAMI
W e , ~ 1.tJ.l : 17~. 1_ (' , (Name of Contractor), hereby acknowledge and agree that
as C~¥;;ctt~i So li citatio , as s pecified have the sole responsibility for compliance with all the
requirements of the Federal Occupational Safety and Health Act of 1970, and all State and local safety
and health regulations, and agree to indemnify and hold harmless the City of South Miami against any
and all liability, claims, damages , losses and expenses they may incur due to the failure of
(subcontractor's names):
to comply with such act or regulation .
CONTRACTOR
~j~t f ~f!j~(vcr wb .l:o()(,{~
BY : g~tz:rD lk£lJ~iL
Na me
Title
Witness
f AILURE TO CO MP LETE SIGN & RETURN TH IS FORM tlbY DIS UALI FY YOUR RESPONSE
Page 8 ofl0
ATTACHMENT#5 "RELATED PARTY TRANSACTION VERIFICATION FORM"
I _ ' individually and on behalf of U U>L( l ~619 .. Ul:'feJ\ \ (!j;
("Fil'l ")h ave Name o(Representative CompanylVendorlEntity read the City~ South Miam i ("City")'s Code of Ethics,
Section SA-I of the City's Code of Ordinances and I hereby certify, under penalty of perjury that to the best of my
knowledge, information and belief:
(I) neither I nor the Firm have any connict of interest (as defined in section SA -I) with regard to the contract or
business that I. andlor the Firm, am(arc) about to perform for, or to transact with, the
City, and
(2) neither I nor any employees , offi cers, directors of the Firm, nor anyone who has a financial interest greater
than 5% in the Firm , has any relative(s), as defined in section SA-I, who is an employee of the City or who is(are)
an appointed or elected official of the City, or who is(are) a member of any public body created by the City
Commission, i,e" a board or committee of the City[See Note #1 below], and
(3) neither I nor the Firm, nor anyone who has a financial interest greater than 5% in the Firm, nor any member of
those persons' immediate family (i.e .• spouse, parents, children, brothers and sisters) has transacted or entered
into any contract(s) with the City or has a financial interest. direct or indirect. in any busine ss being transacted
with the city, or with any person or agency acting for the city, other than as follows:
_______ -,-___ --,-__ -,--,--__ -----,-___ --,-_-,--,-----,-_--,-----,-(if
necessary use a separate sheet to supply additional information that will not fit on this line but make reference on
the line above to the separate sheet, i.e., "see attached additional information" and make reference to this
document and this paragraph on to the additional sheet which additional sheet must be signed under oath). [See
Note # I below]; and
(4) no elected and/or appointed official or employee of the City of South Miami, or any of their immediate family
members (I.e ., spouse, parents, children, brothers and sisters) has a financial interest, directly or indirectly, in the
contract between you and/or your Firm and the City other than the following individuals whose interest is set
forth following their use a separate names :
-;-____ -;--:-:-_-:-:--:-_---,_-;-_-;-;-_::-_-:-:-;:_-;--_-:-_---: __ (if necessary use a separate
sh.eet to supply additional information that will not fit on this line but make reference on the line above to the
separate sheet, i.e ., "see attached additional information" and make reference to this document and this paragraph
on to the additional sheet which additional sheet must be signed under oath), The names of all City employees and
that of all elected and/or appointed city officials or board members, who own, directly or indirectly, an interest of
five percent (5%) or more of the total assets of capital stock in the firm ar e as follows:
_______ ;--__ -:--:-;:--,--...,.-.,.---:-_:---:::-_-:::-_-;-:--;:--,--_-,-------;-_ (if
necessary use a separate sheet to supply additional information that will not fit on this line but make reference on
the line above to the separate sheet, i.e ., "see attached additional information" and make reference to this
document and this paragraph on to the additional sheet which additional sheet must be signed under oath), [See
Note #1 below]
(5) I and the Firm further agree not to use' or attempt to use any knowledge. property or resource which may
come to us through our position of trust, or through our performance of our duties under the terms of the
contract with the City, to secure a special privilege, benefit, or exemption for ourselves, or others. We agree that
we may not disclo se or use information , not available to members of the general public, for our personal gain or
Note # I! While the ethk. code stJlI applies, If the person executing this form Is dolnr so on behatf of II. firm with more than
15 employees, the statement In this .ectlon shan be based solely on the sl",atory's personal knowledge .nd helshe Is not
required to make an Independent Inve'lItlgatlon as to the relationship of employees, If the flrm Is a publicly traded compeny,
the statement In this section shaJl be based solely on the signatory's personal knowledJO and he/she I. not required to make
an independent Investigdlon as to the relationship of employees or of those who have II. flnanclallnterest In the Firm or of
the flnanclal Interest In the Firm of city employees, appointed official. or the Immediate family members of elected andlor
appointed official or employee or as to the relatlon.hlp by blood or marriage of employees. omee", or directors of the Firm,
or of any of their Immediate family to any appointed or elected official, of the City, or to their-Immediate famlty members.
benefit or for the personal gain or benefit of any other person or business entity. outside of the normal gain or
benefit anticipated through the performance of the contract.
(6) I and the Firm hereby acknowledge that we have not contracted or transacted any business with the City or
any person or agency acting for the City, and that we have not appeared in representation of any thiJ'd party
before any
board. commission or agency of the City within the past t-No years other than as foHows:
._, _________ ..... ,__ _. __ ._ . _._. _._. _______ ._ .. _._. __ . ___ . (if necessa/)' use a separate sheet to supply
additional information that will not fit on this Hne but make reference on the line above to the separate sheet. i.e.,
"see attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath).
(7) Neither I nor any employees, officers, or directors of the Firm, nor any of their immediate family (i.e., as a
spouse. son, daughter, parent, brother or sister) is related by blood or marriage to: (i) any member of the City
Commission; (ii) any city employee; or (iii) any member of any board or agency of the City other than as follows:
._ ...... _ ... ". ______ .~ ______ . _____ ._._ . ___________ . _____ (if necessary use a separate sheet to supply additional
information that will not fit on this line but make reference on the line above to the separate sheet, i.e., "see
attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath), [See Note # I below]; and.
(8) No Other Firm. no,' any officers or directors of that Other Firm or anyone who has a financial interest greater
than 5% in that Other Firm, nor any member of those persons' immediate family (i.e., spouse, parents, children.
brothers and sisters) nor any of my immediate family members (hereinafter referred to as "Related Parties") has
responded to a solicitation by the City in which I or the Firm that I represent or anyone who has a financial
interest greater than 5% in the Firm. or any member of those persons' immediate family (i,e, spouse, parents,
children, brothers and sisters) have also responded, other than the follOWing:
____ (if necessary use a separate sheet to supply additional
information that will not fit on this line but make reference on the line above to the separate sheet, i.e., "see
attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath), [while the ethics code still applies, ifthe person executing
this form is doing so on behalf of a firm whose stock is publicly traded, the statement in this section (8) shall be
based solely on the signatory's personal knowledge and he/she is not required to make an independent
investigation into the Other Firm, or the Firm he/she represents, as to their officers, directors or anyone having a
financial interest in those Firms 01' any of their any member of those persons' immediate family.]
(9) I and the Firm agree that we are obligated to supplement this Verification Form and inform the City of any
change in circumstances that would change our answers to this document. Specifically, after the opening of any
responses to a solicitation, I and the Firm have an obligation to supplement this Verification Form with the name of
all Related Parties who have also responded to the same solicitation and to disclose the relationship of those
parties to me and the Firm.
(10) A violation of the City'S Ethics Code, the giving of any false information or the failure to stJpplement this
Verification Form, may subject me or the Firm to immediate termination of any agreement with the City, and the
imposition of the maximum fine and/or any penalties allowed by law. Additionally, violations may be considered by
and subject to action by the Miami-Dade County Commission on Ethics. Under penalty of perjur,.-, I declare that I
Note # I: While the ethics code :oltill applies, if the person executing this form Is doing so on behalf of a firm with more than
15 employees, the statement in this !lect;ion sha.ll be based solely on the signatory's personal knowledge and helshe Is not
required to make an Independent Investigation as to the relationship of employee..t; If the firm is a publicly trad~ company,
the statement In this sedion shaJl De based solely on the signatory's personal knowtedge and helshe Is not required to make
an independent investigation as to the relationship of employees or of those who have a finandal interest in the Firm or of
the finandallnterest in the Firm of city employees, appointed officials or the Imnlediate family members of elected and/or
appoInted official or employee or as to the relatloruhlp by blood or marriage of employees, officeT"$, or directors of the firm.
or of any of their Immediate family to any appointed or elected officials of the City, or to their immediate family membeM.
have made a dili ge nt effort to inv estigat e the matters to which I am attesting hereinabove and that the statements
made he r 'lu a u ru e and correct to the best of my knowledge , information and be li ef.
Signatu,.c.:<:::,=~~V:,:;;;:::=:::::'-' ____ _
Print Name & Title: J~VLn 6 I?JiD ~ o.uue:.~
Date: ---cl -\e -~O~5
ATIACHED :
Sec . 8A-1 -Conflict of interest and code o f ethics ordinan ce.
Municode Page 1014
Sec. SA-I. -Conflict of interest and code of ethics ordinance.
(a) Designation,
This section shall be designated and known .. the "City of South Miami Conflict of Interest and Code of Ethics
Ordinance." Thi s section shall be applicable to all city personnel as defined below, and shall also constitute a
standard of ethical conduct and behavior for all autonomous personnel, quasHudiciaf personnel, advisory
personnel and departmental personnel. Th e provisions of this section shall be applied in a cumulative manner. By
way of example, and not as a limitation, subsections (c) and (d) may be applied to the same contract or transaction.
(b) Definitions. For the purposes of this section the following definitions shall be effective:
(I) The term "commission members" shall refer to the mayor and the members of the city commission.
(2) The term tlautonomous personnel" shall refer to the members of autonomous authorities, boards and agencies.
such as the city community redevelopment agency and the heatth facilities authority.
(3) The term "quasi-judicial personnel" shall refer to the members of the planning board, the environmental review
and preservation board. the code enforcement board and such other individuals, boards and agencies of the city as
perform quasi-judicial functions .
(4) The term "advisory personnel" shall refer to the members of those city advisory boards and arencies whose
sale or primary responsibility is to recommend legislation or give advice to the city commission.
(5) The term "departmental personnel" shall refer to the city clerk , the city manager, department heads, the city
attorney. and all assistants to the city clerk. city manager and city attorney, however titled .
(6) The term "employees" shall refer to all other personnel employed by the city.
(7) The term "compensation" shall refer to any money. glft. favor. thing of value or financial benefit conferred, or
to be conferred, in return for services rendered or to be rendered.
(8) The term "controlling financial interest" s hall refer to own ership, directly or indirectly. of ten percent or more
of the outstanding capital stock in any corporation or a direct or indirect interest of ten percent or more in a firm,
partnership, or other business entity at the time of transacting business with the city.
(9) The term "immediate family" shall refer to the spouse. parents, children. brothers and sisters of the person
involved .
(10) The term "transact any business" shall refer to the purchas e or sale by the dty of specific goods or services
for consideration and to submitting a bid, a proposal in response to a RFP, a statement of qualification s in response
to a request by the city , or ente ring into contract negotiations for the provision on any goods or servic es.
whichever first occurs.
(c) Prohibition on tronMcting businesJ with the city,
Note # I: While the e thics code stili applies, If the penon executing this form Is doing 50 on behalf or. firm with more than
15 employees, the statement In this section shall be based solely on the sllnatory's personal knowtedge and heJshe Is not
required to make an Independent InvestJlatlon as to the relationship of employees; if the flrm Is a publicly traded company,
the statement In this section shall be based solely on the signatory's penonal knowledl'l' and he/she Is not required to make
an Independent Investtgatlon as to the relationship of employees 0,. of those who have. flnanclallnterest In the Firm or of
the financial Interest In the Firm of city employees, appointed officials or the Immediate fam ily member'S of elected andlor
appointed official or e mployee or as to the I"'elatlonshlp by blood or marrlap of employees, omcen, 0,. directors of the Firm.
or of any of their Immediate family to any appointed or elected officials of the City, or to theIr Immediate family members.
No person 'Included in the terms defined in paragraphs (b)( I) through (6) and in paragraph (b)(9) shall enter into
any contract or transact any business in which that person or a member of the immediate family has a financial
interest. direct or indirect with the city or any person or agency acting for the city, and any such contract,
agreement or business engagement entered in violation of this subsection shall render the transaction voidable.
Willful violation of this subsection shall constitute malfeasance in office and shall affect forfeiture of office or
position. Nothing in this subsection shall prohibit or make illegal:
(I) The payment of taxes, special assessments or fees for services provided by the city government;
(2) The purchase of bonds, anticipation notes or other securities that may be issued by the city through
underwriters or directly from time to time.
Waiver of prohibition. TIle requirements of this subsection may be waived for a particular transaction only by four
affirmative votes of the city commission after public hearing upon finding that:
(I) An open-to-all sealed competitive proposal has been submitted by a city person as defined in paragraphs (b)(2),
(3) and (4);
(2) The proposal has been submitted by a person or firm offering services within the scope of the practice of
architecture, professional engineering. or registered land surveying. as defined by the laws of the state and
pursuant to the provisions of the Consultants' Competitive Negotiation Act. and when the proposal has been
submitted by a city person defined in paragraphs (b)(2), (3) and (4);
(3) The property or services to be involved in the proposed transaction are unique and the city cannot avail itself
of such property or services without entering a transaction which would violate this subsection but
for waiver of its reqUirements; and
(4) That the proposed transaction will be in the best interest of the city.
This subsection shaH be applicable only to prospective transactions, and the dty commission may in no case ratify a
transaction entered in violation of this subsection,
Provisions cumulative. This subsection shall be taken to be cumulative and shall not be construed to amend or repeal
any other law pertaining to the same subject matter,
(d) Further prohibition on transacting busineu with the city.
No person included in the terms defined in paragraphs (b)( I) through (6) and in paragraph (b)(9) shall enter into
any contract or transact any business through a firm, corporation, partnership or business entity in which that
person or any member of the immediate family has a controlling financial interest. direct or indirect. with the city
or any person or agency acting for the City, and any such contract, agreement or business engagement entered in
violation of this subsection shall render the transaction voidable. The remaining provisions of subsection (c) will
also be applicable to this subsection as though incorporated by recitation.
Additionally, no person included in the term defined in paragraph (b)( I) shall vote on or participate in any way in
any matter presented to the city commission !f that person has any of the following relationships with any of the
pers.ons or entities. which would be or might be directly or indirectly affected by any action of the city commission:
(I) Officer, director, partner, of counsel, consultant, employee, fiduciary or beneficiary; or
(2) Stockholder. bondholder, debtor, or creditor, if in any instance the transaction or matter would affect the
person defined in paragraph (b)( t) in a manner distinct from the manner in which it would affect the public
generally. Any person included in the term defined in paragraph (b)( ') who has any of the specified relationships
or who would or might, directly or indirectty, realize a profit by the action of the city commission shall not vote on
or participate in any way in the matter.
(E) Gifts.
(I )Definition. The term "gift" shall refer to the transfer of anything of economic value, whether in the form of
money, service, loan, u·avel. entertainment, hospitality, item or promise, or in any other form, without
adequate and lawful consideration.
(2)Excepttons. The provisions of paragraph (e)( I) shall not apply to:
a. Political contributions specifically authorized by state law;
Note # I! While the ethlc5 code stili ilppllc'5, if the person executing this form is doing so on behalf of a firm with more than
IS employees, the statement in this se;::tion shall be based solely on the signatory's personal knowledge and he/<jhe is not
required to make an independent investigation as to the relationship of employees; If the firm Is a publicly traded company,
the statement In this section shalt be based solely on the signatory's personal knowf()d~ lind he/she is not required to make
an Independent InvestigatIon ,1;5 to the relationship of employees or of those who have a financial interest In the Firm or of
the finandal interest in the Fiml of city employees, appointed officials or the Immediate family memi>en of elected and/or
appolntoo official or employee or as to the relationship by blood or marriage of employees. offic:en, or dirocton of the Firm,
or of any of their immediate family to ilny appointe<l or elocted officials of the CIty, or to their lmnwdlate family mcmber'5.
b, Gifts from relatives or member') of one's household, unless the person 'IS a conduit on behalf of a third party to
the delivery of a gift that is prohibited under paragraph(3);
c. Awards for professional or civic achievement;
d. Material such as books, reports, periodical') or pamphlets which are solely informational or of an advertising
nature.
(3) Prohibnions. A penon described in paragraphs (b)( I) through (6) shall neither solicit nor demand any gift_ It is
also unlawful for any person or entity to offer, give or agree to give to any person included in the terms defined in
paragraphs (b)( I) through (6), or for any person Included in the terms defined in paragraphs (b)( I) through (6) to
accept or agree to accept from another' pe.rson or entity, any gift for or because of:
a. An official publlc action taken. or to be taken. or which could be taken, or an omission or failure to take a public
action;
b. A legal duty performed or to be performed, or which could be performed, or an omission or failure to perform
a legal duty;
c. A legal duty violated or to be violated, or which could be violated by any person included in the term defined in
paragraph (b)( I ); or
d. Attendance or absence from a public meeting at which official action is to be taken.
(4) Disclosure. Any person included In the term defined In paragraphs (b)(l) through (6) shall disclose any gIft, or
series of gifts from anyone person or entity, haVing a value in excess of $25,00, The disclosure shall be made by
filing a copy of the disclosure form reqlJired by chapter I 12, Florida Statutes, for "local
officers" with the city clerk simultaneously with the filing of the form wit.h the clerk of the county and with the
Florida Secretary of State.
(f) Compulsory disclosure by employees of firms doing business with the city.
Should any person included in the terms defined in paragraph, (b)( I) through (6) be employed by a corporation,
firm, partnership or business entity in which that person or the immediate family does not have a controlling
financial interest, and should the corporation, firm, pal'tnership or business entity have substantial business
commitments to or from the city or any city agency, or be subject to direct regulation by the dty or a city agency,
then the person shall file a sworn statement disclosing such employment and interest with the clerk of the city.
(g) Exploitation of official po,ition prohibited.
No person included in the terms defined in paragraphs (b )( I) through (6) shall corruptly use or attempt to use an
official position to secure special privileges or exemptions for that person or others.
(h) Prohibition on us .. of confidential information,
No person included in the terms defined in paragraphs (b)(l) through (6) shall accept employment or engage in
any business or professional activity which one might
reasonably expect would require or induce one to disclose confidential information acquired by t'eason of an
official position, nor shall that person in fact ever disclose confidential information garnered or gained through an
official position with the city, nor shall that person ever use such infor'mation, directly or indirectly, for personal
gain or benefit.
(i) Conflicting employment prohibited,
No person included in the terms defined in paragraphs (b)( I) through (6) shall accept other employment which
would impair independence of judgment in the performance of any public duties.
(j) Prohibition on outside employment.
(l) No person included tn the terms defined In paragraphs (b)(6) shall receive any compensation for services as an
officer or employee of the city from any source other than the city, except as may be permitted as follows:
a. Generally prohibited. No full·time city employee shall accept outside employment, either incidental, occasional or-
othenvise, where city time. equipment or material is to be used or where such employment or ,lOy part thereof is
to be performed on city time.
Note # I ~ While the eUlies code stili applies, if the person executing thi<; form is doing so on behalf of a firm with more than
I 5 employees, the statement in thi<; section shall be based solely on the signatory's personal knowledge and he/!ihc is not
required to make an independent investigation AS to the relationship of employees; if the tim) is 'ol publicly traded company,
the 'Statement in this section shall be base'! soJcly on the .. ii"Btory'-S personal knowledge and he/she is not required to make
an independent investigation a..: to the relationship of employees or of those who have a financial interest In the Firm or of
the financial interest in the Firm of city employees, "ppolnted officials or the immediate family membe,.... of elected and/or
appointed offidal or employee or as to the relationship by blood or marriage of employees, officeM, or directors of the Firm,
or of any of their immediate family to any appointed nr elected officials of the City, or to their immediate family members.
b. When permmed, A fuB-time city employee may accept incidental or occasional outside employment so long as
such employment is not contrary, detrimental or adverse to the interest of the city or any of its departments and
the approval required in subparagraph c. is obtained.
c. Approval of department head required. Any outside employment by any full-time city employee must first be
approved in writing by the employee's department head who shall maintain a complete record of such
employment.
d. Penalty. Any person convicted of violating any provision of this subsection shall be punished as provided in
section 1·11 of the Code of Miami-Dade County and, in addition shall be subject. to dismissal by the appointing
authority. The city may also assess against a violator a fine not to exceed $500.00 and the costs of investigation
incurred by the city.
(2) AI! full-time city employees engaged in any out.'iide employment for any person, firm, corporation or entity
other than the city, or any of its agencies or instrumentalities, shall file, under oath, an annual report indicating the
source of the outside employment, the nature of the work being done and any amount of money or other
consideration received by the employee from the outside employment. City employee reports shall be filed with
the city clerk. The reports shall be available at a reasonable time and place for inspection by the public. The city
manager may require monthly reports from individual employees or groups of employees fol' good cause.
(k) Prohibited investments.
No person induded in the terms defined in paragraphs (b)(l) through (6) or a member of the immediate family
shall have personal investments in any enterprise which will create a substantial conflict bet'Neen private interests
and the public interest.
(I) Certain opjJe<Jrances and payment prohibited.
(I) No person included in the terms defined In paragraphs (b)( I), (5) and (6) shall appear before any city bo.,-d Of-
agency and make a presentation on behalf of a third person with respect to any matter, license, contract,
certificate, ruling, decision, opinion, rate schedule, franchise, or other benefit sought by the third person. Nor shall
the person receive any compensation or gift. directly or indirectly, for sel-vices rendered to a third person, who
has applied for or is seeking some benefit from the city or a city agency, in connect.ion with the particular benefit
sought by the third person. Nor shall the person appear in any court or before any administrative tribunat as
counselor legal advisor to a party who seeks legal relief from the city or a city agency through the suit in question,
(2) No person included in the terms defined in paragraphs (b)(2), (3) and (4) shall appear before the city
commission or agency on which the person serves, either directly or through an associate, and make a
presentation on behalf of a third person with respect to any matter, license, contract, certificate, ruling, decision,
opinion, rate schedule, franchise, or other benefit sought by the third person. Nor shall sw:h person receive any
compensation or gift, directly or indirectly, for services rendered to a third party who has applied for or is seeking
some benefit from the city commission or agency on which the person serves in connection with the particular
benefit sought by the third party. Nor shall the person appear in any court 01' before any administrative tribuna! as
counselor legal advisor to a third party who seeks legal relief from the city commission or agency on which such
person serves through the suit in question.
(m) Actions prohibited when financial interests involved.
No person included in the terms defined in paragr-aphs (b) (I) through (6) shall participate in any official action
directly or indirectly affecting a business in which that person or any member of the immediate family has a
financial interest. A financial interest is defined in this subsection to include. but not be limited to, any direct or
indirect interest in any investment., equity, or debt.
(n) Acquiring financial intererts.
No person included in the terms defined in paragraphs (b)( I) through (6) shall acquire a financial interest in a
project, business entity or property at a time when the person believes or has reason to believe that the financial
interest may be directly affected by official actions or by official actions by the city or city agency of which the
person is an official, officer or employee.
(0) Recommending profeuional services.
Note # I: While the ethics code still applies, if the peNon executing this form is doing so on behalf of a firm with marc than
15 employeos, the .. t .... tement in this section shall be based solely on the signatory' .. personal knowledge and heishe is not
required to make an indopendent inve<>tigation as to the rclRtlon .. hip of employees; if the firm is a publicty traded company,
the statement in this section shall be ba~d solely on the signatory's perianal knowledKE' and heJ~he is not J'c<luired to make
an Independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the tinancial interest in the Firm of city employees, appointed officials or the immediate famity memben of elected and/or
appointed official or employee or a5 to the relationship by blood 01"" marriage of employees, officers, or director'i of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immedlo\te family member'i.
No person included in the terms defined in paragraphs (b)( I) through (4) may recommend the services of any
lawyer or law firm, architect or architectur-al firm, public relations firm, or any other person or firm. professional
or otherwise, to assist in any transaction involving the city or any of its agencies, provided that a recommendation
may properly be made when requir'ed to be made by the duties of
office and in advance at a public meeting attended by other city officials. officers or employees.
(p) Continuing opplicotion after city service.
(I) No person included in the terms defined in paragraphs (b)(I), (5) and (6) shall, for a period of two years after
his or her city service or employment has ceased, lobby any city oftlcial [as defined in paragraphs
(b)( I) tht'ough (6)] in connection with any judicial or other proceeding, application. RFP, RFQ. bid. request for'
ruling or other determination. contract, clalln, controversy, charge, accusation, arrest or other particular subject
matter in which the city 01-one of its agencies is a parcy or has any interest whatever-, whethel-direct or indirect.
Nothing contained in this subsection shall prohibit any individual from submitting a routine administrative request
or application to a city department or agency during the two-year period after his or her serlice has ceased.
(2) The provisions of the subsection shall not apply to persons who become employed by governmental entities,
501 (c)(3) non·.profrt entities or educational institutions or entities, and who lobby on behalf of those entities in
their officinl capacities.
(3) The provisions of this subsection shall apply to all persons described In paragraph (p)( I) whose city service or
employment ceased after the effective date of the ordinance from which this section denves.
(4) No person described in paragraph (p)( I) whose city serviGe or employment ceased within tw'o years prior to
the effective date of this ordinance shall for a period of wo years after his or her service or employment enter
into a lobbying contract to lobby any city official in connection with any subject described in paragraph (p)( I) in
which the City or one of its agencies is a party or has any direct and subst.1.ntial interest; and in which he 0" she
participated directly or indirectly through decision, approval, disapproval, recommendation, the rendering of
adVice, investigation, or otherwise, during his or her city serlice or employment. A person participated "directly"
where he or she was substancially involved in the particular subject maner through decision, approval, disapproval,
recommendation, the rendering of advice, investigation, or otherwise, during his 01' her city sertice or
employment. A person participated "indirectly" where he or she knowingly participated in any way in the particular
subject matter through decision, approval, disapproval. recommendation, the rendering of advice, investigation. or
othervtise. during his or her City serlice or employment, All persons covered by this paragraph shall e><ecute an
affidavit on a form approved by the city attorney prior to lobbying any city official attesting that the
requirements of this subsection do not preclude the person from lobbying city officials.
(5) Any person who violates this subsection shall be subject to the penalties provided in section SA-2(p).
(q) City attorney to render opinions on request.
Whenever any person included in the tel'ms defined in paragraphs (b)( I} through (6) and pal-agr-aph (b)(9) is in
doubt as to the proper interpretation or application of this conflict of inter'est and code of ethics ordinance, or
whenever any person who renders services to the city is in doubt as to the applicability of the ordinance that
person, may submit to the city attorney a full written statement of the facts and questions. The city attorney shall
then render an opinion to such person and shall pUbli'::ih these opinions without use of the name of the per<;on
advised unless the person permits the usc of a name.
(Ord No 6-99-/680. § 2. 3-2-99)
Edirnr's __ Ord. No. 6-99-1680, § I, adopted 3-2-99, repealed §§ SA-I and SA-2 in their entirety and replaced
them with new §§
8A-1 and 8A-2. Former §§ 8A-1 and 8A-2 pert.ained to declaration of policy and definitions, respectively, and
derived from Ord. No. 634, §§ I (I A-I), I (I A-2) adopted Jan ... II. 1969
Note #. I: While the ethics co<fe still 'lpplics, if the p€Non executing this form is doing so on b-ch3lf of a firm with more than
I 5 cmploye~. the statement in this section shall be based solely on the ~ignatory'5 personal knowtcdge and hcJshe is not
required to make an indeptmdent investigation as to the relationship of employees; if the finn is a publicly traded comp.any,
the statement in this set:tion shall bf~ based solely on the signatory's persona} knowledge and he/she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial intew-est in the Firm of city employees, appointed officials or the immediate family members of elocted andior
.ppointed official or employt~e or as to the relationship by blood or marriage of employee->, officers, or directors of the Firm,
or of any of their immC<1iate family to any appointed or elc<:t<,::d officials of the City, or to their immedll\tc family members.
Member Name
Bid Number
Bid Name
3 Document(s) found for this bid
9 Planholder(s) found
Supplier Name
Canyon Construction, Inc.
Construction Journal, Ltd.
Decon Environmental & Engineering
Decon Environmental & Engineering Inc.
Humanscale Corporation
isqlt -MAIN ACCT
miami remodeling @additions,inc
Spacesaver Corporation
VendorLink LlC
City of South Miami
ITQ-ITQ PR2015-02-0-2015/SK
Police Department
Communications Area
Renovation
Address 1
6538 Collins Ave
400 SW 7th Street
2652 N.w. 31st Ave.
2652 nw 31 ave.
4500 Lake Forest Drive
7786 sw 86 street (12-111)
12201 Research Parkway
City
Miami Beach
Stuart
Ft. Lauderdale
FT. Lauderdale
Cincinnati
miami
Orlando
State Zip Phone Attribut
1. Hisf
2.Sm.:
3.Wo
FL 33141 3057638869
FL 34994 8007855165
1. Sm.:
2.Wo
FL 33311 9544858800
FL 33311 9544858800
AB
OH 45242 8772271680
FL 33143 7863466834
AB
FL 32826 4074010031 1. Sm.
SOlll~jamj
.... " •• N ''lIA.I.NoI lin ...
CITY OF SOUTH MIAMI
INVITATION TO QUOTE
ITQ #PD201S-02
LUMP SUM PROPOSAL
SUBMITTED TO, City Clerk ~ROJECT: Police Department Communications Area
Renovation
NAME ,
ADDRESS,
CITY/STATE ,
PHONE,
Maria Menendez, CMC ADDRESS ,
CITY/STATE,
ISSUE DATE,
E·MAIL,
DUE DATE:
6130 Sunset Drive
6130 Sunset Drive South Miami, FI33143
Miami , Fl orida 33134
305·663·6339
Tuesday, January 27, 2015
skulick@southm lam lfl.gov,
MANDATORY PRE-QUOTE MEETING,
OUOTE SUBMISSION REQUIREMENTS'
Thursday, February 5, 2015 at 10 AM Wednesday, February 11, 2015 at 10 AM
Quotes submitted aft er 10 AM on the due date will not be accepted unless otherwise specified in the quote document
of a time change, All quotes will be su bm itted to the City Clerks Offi ce in a sealed envelo pe. Th e lab el on the on the
envelope need s to read as follows:
City of South Miami
Marla M. Menendez, CMC
6130 Sunset Drive
South Miami, Fl. 33143
Project Name: Pollee Department Communications Area Re ~
Must Input project name . If label does no t have all Infor mat ion above you r quote will not be accepted.
INSURANCE REQUIREMENTS:
Th e CITV'S Insurance requirements ar e attached (Exhibit 1). As a con dition of awa rd , the awarded vendor must provide a
certificate of Insurance nam ing the city as additional insured ,
AFFIDAVITS REQUIRED WITH SUBMITTAL, (EKhlb1121
Re spond en t s must complete and submit with your quote affidavits provided In Exh ibit 2.
QUESTIONS ,
Any Requests for additiona l information or question s mu st be In writing, emalled by 10 AM local time on February 9, 2015 to the
attention of Mr. Steven Kulick, Purchas !nl Manager at skullck@southmlamlfl.lov.
SCOPE OF SERVICES DESCRIPTION , (TO BE COMPLETED BY CITY)
REFER TO "SCOPE OF SERVICES," COPY ATTACHED
Skis will only be accepted that Include quotations durlnl regular working hours.
DESCRIPTION OF WORK TO BE PERFORMED BY CONTRACTOR ,
Item Number Item Description Unit I QIy
Refer to "Scope of Services ." Copy Attached
Amount
1 LUMP SUM PROPOSAL 1:'1 X . r.. >I () .
WMP SUM T17TAL 5/. (,., KrJ.
Co ntractor shal l (u rnl sh :111 mat eria ls and equipm ent nece ss ary to secure co mpl etion of the work, Contractor shall be
compensated accor ding to t he quote subm itted. Co ntractor Is res pon si ble to secu re all permits and should be reflected
in the lump Sum quo te , Contractor may choose to submit a qu ote on co mp any letterhead bu t must be attac hed to thi s form.
Mand at orv Pre·Quote Meeting Is scheduled February 5, 2015 ilt 10 AM at City Hall Chambers, 6130 Sunse t Drive,
South Miami. FL 33143, Deadline to submit Is: February 11 . 2015
PrlnVType Name : /. / II, DWS~c Phone :
Signature: Date : .;:; II .;)0 (5"
E·mall: T'J?4 ~ e" f f~ ?, Oil' Fax: c 0 ~
Firm Name : t;/-; ? ::>0 I F.E.I .N. No.' _ " .s: -0 7 70 <;7 5 (0)
Addrs .. : S AJ I C j . t?1 , City ' (!1/(!011 Stale' r=-L-
rv
THE fIIECU1l0N OF TH IS fORM CONSTITUTES THE UNEQUIVOCAL OFFER OF PROPOSER TO IE 10UNO IV THE TERMS Of IT S PROPOSAL fA ILURE TO SIGN TMI5 SOllCI TATION WHIRE INOICATEO AIOVE IV AN
AUTHOR IZEO REPR ES ENT .... TIVE SHAll RENO!R THE PROPOSAL NON·AlSPQHSIVE. THE CITY MAY , HOWE VER, IN ITS SOLE OISCRETION , AcaPT ANY PROPOSAL THAT INauolS AN ()(ECUTfO DOCUME NT WHICH
UNEQUIVOCALlY IINOS THE P1I0l'05f R TO THE TERMS OF ITS OffER . THE CITY'S REQUEST FOR QUOTlS IS FOR THE LOWES T ANO MOST RESPONSIVE PRICE . THE CITY RE SERVES 'flU RIGHT TO AWARD THE PROJECT
TO THE FIRM CONSIO(REO THE BEST TO SERVE THE CITY'S INTEREST.
EXHIBIT 2
AFFIDAVITS AND FORMS
SUBMISSION REQUIREMENTS
I. Respondent's Sworn Statement Under Section 287.133(3)(A), Florida Statutes, on
Attachment #1 "Public Entity Crimes and Conflicts of Interest Affidavit,"
shall be completed and provided with the proposal submittal .
2. Ne ither the individual(s)/firm, nor any of his/her/its employees shall be permitted
to represent any client before the Commission or any Committee, department or
agency of the City, and shall agree not to undertake any other private
representation which might create a conflict of Interest with the City. The
individual(s)/firm may not represent any Commission member, individually, or, any
member of their family or any business in which the Commission member of their
family has an interest.
3. All proposals received will be considered public records. The City will consider all
quotations us ing such criteria as the Commission or City Manager may adopt at
either of their sole discretion. The individual(s)/firm selected will be required to
enter into a formal agreement with the City in a form satisfactory to the City, prior
to the execution of which the City shall reserve all rights, including the right to
change its selection.
4. Respondent's Attachment #2 "Drug Free Workplace" form shall be
completed and provided with the proposal subm ittal .
S. Respondent's Attachment #3 "No Conflict of InterestiNon Coilusion
Affidavit," shall be completed and provided with the proposal submittal.
6. Respondent's Attachment #4 "Acknowledgement and Conformance with
OSHA Standards," shall be completed and provided with the proposal submittal. '
7. Respondent's Attachment #5 "Related Party Transaction Verification
Form" shall be completed and provided with the proposal submittal.
Page 1 of 10
I
SCOPE OF SERVICES
"South Miami Police Department Communications Area Renovation"
"Lump Sum Proposal"
The City of South Miami is seeking quotations from experienced and capable parties to remove
existing open shelving units, countertops, desk drawers and two mailbox areas located in the
South Miami Police Department's Communications Room located at 6130 Sunset Drive, South
Miami, FL 33143.
The work performed by the Respondent will consist of furnishing all labor (including
subcontractors), machinery, tools, means of transportation, supplies, equipment, materials,
permits, disposal of materials and services necessary to perform the following Work and should
be reflected in Respondents Lump Sum Quote. Permit fees are waived for permits issued by
the City of South Miami. Permit fees from other government entities, if required, shall be the
reasonability of the Respondent however, in all cases; it is the responsibility of Respondents to
secure any and all permits that may be required for this project.
The Contractor is responsible for the following:
New Open Shelving Units:
Removal of existing shelving and installation of new shelving units. Materials
quoted shall be plywood with Formica overlay, no exceptions.
New Counter Tops and Desk Drawers:
Removal of existing counter tops in all areas including desk drawers and
installation of new counter tops and desk drawers. All related hardware shall be
included, including but not limited to, latches, screws, nuts, bolts, pulls, knobs,
etc., including all related hardware to open and close the drawers . Materials
quoted shall be plywood with Formica overlay, no exceptions.
New Mailboxes:
Provide mailboxes with multiple slots, 7 rows with 8 sections in each row
containing a slot measuring 3"h x 8.S"w for the Primary area. The Secondary
area contains slots with the same dimensions however with 4 rows with S
sections in each row .
All work shall be performed during the following hours; Monday -Friday from 6:00 AM -5:00
PM, and all furniture to be Installed must be built offslte and brought to our location ready to
install to minimize downtime in the Police Communication work area .
SOUl~iami
TH E C ITY OF I'lfASANT ltVING
ADDENDUM No. #1
Project Name: Police Department Communications Area
ITQNO. PD2015-02
Date: February 5, 2015
Sent: Fax/E-mail/webpage
This addendum submission is issued to clarify. supplement andlor modify the previously issued
Solicitation , and is hereby made part of the Documents. All requirements of the Documents not
modified herein shall remain in full force and effect as originally set forth. It shall be the sole
responsibility of the bidder to secure Addendums that may be issued for a specific solicitation.
Question #1;
Is there a completion time for the work to be completed!
AnSwer to Question #1:
The Communications Area is a 24/7 operation and it is the intention for the work to be completed in a
two (2) day period ; one (I) day for tear-down and, one (I) day for installation. It is recommended the
contractor build the furniture off-site and scheduled a time and date for installation with the City's
Project Manager, (South Miami's Police Department's Communications Supervisor.), herein referred to
as UProject Manager."
Ques tion #2:
Are the mail slots outside of the Communications Area included into the "Scope of Services I"
Answer to Question #2:
Yes, the mail slots are included and are listed in the Scope of Services as "New Mailboxes ."
Quest ion #3 :
Are you open to a new design to the existing shelving , counter tops and desk drawers I
Answer to Question #3 :
For the purposes of preparing your quotation , the existing design will apply. After a contractor has
been awarded the project, minimal design changes are possible but cannot exceed the contr actors
"Lump Sum Proposal" and, must be approved by the Project Manager.
Date:
ITQ Title:
ITQ No.:
PI P . t Cl
NamelTifie
--:f II 'I J t9 <!.It" /I ~ -t" .....
1 p". J ot!c -f""11'f1t1" S 'it "-
TI If CITY OF PLEASANT LIVING
Pre-Bid Conference
Sign-In Sheet
February 5, 2015
Police Dept. Communications Area
Renovation
PD2015-02
Com )any Name/ E-mail Addn'ss
D ~c.cm Ell v 11-.,.,""" ''I f~ I
-:Jr4y.; e D 't! GO" • '"-0 ~ t
Tde lhone No.
C(!>-4
1.1.J t; b.g DO >eJI ~
l.2..r
1"7;......"..e~~ c.~~C1T" 4\.b4\ ~Et..to~\l.1C;f .. otJSo 7 "" 2 o~-..,_
41t1M' ~a:.a(lrJti e l.J IC'(1M.' ~ • a1'08sc.1
I-~ Ii': /> f ,; ,< J ;: v 1\1 :..,-c-A
J
f · r _ L ~-A D 1'.-/--<: d At (JI ••• I\:}. ____ 3 ,'; 2J;f J'j5 7 1/7,/
3 I' ,'t l ':::/1..I1J J1J('~ L ,F..1 \)r.-k <(I.A'I'7 . '70""..--
l~hJy tj-o WItt <sc-s tLC-. , '78' ·:£;l10t t!/ 4 ""f"OJ.M~"W~{.f €) bQJi ... .Jh ·~
5 -e!e...rc:..-"FI:W~ MA~C::l u...c
fJ1 A5D t ~ ~ b HA-J;-C Lt><.
sor,G:t>7'b)'S6
~~Q~~ IJ. ( ?~ J ~H~ '\. rDA. I.e" j" ,V'it JA ~ Q9f-6b~-3 vct 6
tlCA... ("'AI' ~ ,Ill.::) -i-rY:S I • I. A/"' .f 1JI1'
7 Atfp,,0~~Lt..M --
8
9
-------
10
-
11 ------
----.-------
X:IPurchasinglTemplateslPre Bid McetingIPre·13id Meeting Sign-In Shcetdoc
2
Question #4:
Will the contractor be responsible for painting and touch-up of the walls?
Answer to Question #4:
No, the City will be responsible for repainting and touch-up. If there is significant damage to the walls
and general areas caused by the contractor, the Project Manager will make the determination if the
contractor is responsible to repair the damage at no cost to the City.
Qyestion#5
Is the visitor's lobby entrance to the Police Department and the counter top included into the Scope of
Services?
Answer to Quest jon #5:
Yes, the visitor's lobby entrance and counter top under the protective glass is included into the Scope
of Services. Photographs are included of this area and are a part of Addendum No. I. The bullet-proof
glass will not be removed so the counter top is not to be replaced. This counter top will be sanded, if
necessary, and the contractor will "Re-Formica" to match the same material and color as installed
inside the Communications Area.
The following estimated dimensions for the visitor's lobby entrance to the Police Department are
provided below:
• Counter Top:
• Pass-through window and counter top is:
• Right-Side Counter:
• Left-side Counter:
• Trim:
• Left-side:
• Right-Side
90 '/," L & 2 ,/, H (Photo No. I);
13 '/," D (Photo No.2);
I 1/·4" D (Photo No.3);
11/4" D (Photo No.4);
4" H x '/.' D
14 y, L (Photo No.5);
15 '/," L (Photo No.6)
Note: The measu~ements p~ovided in the Scope of Se~ices a~e estimated, does not
~ep~esent a fi~m commitment and should be used fo~ planning purposes only. The
cont~acto~ is ~esponsible for thei~ own measu~ements,
Question #6:
How many access points to the Communication Area exist?
Answe~ to Question #6:
Three access points exist: (I) Visitor's Lobby Entrance; (2) Parking Lot Entrance; (3) Sally Port Covered
Entrance . The City's Project Manager will coordinate entry points with the contractor during the
project.
Quest jon #7:
Is a floor plan of the Communications Area available?
3
Answer to Ouestion #7:
Yes attached to Addendum No. I, is a floor plan of the entire first (I ,,) floor and Communications
Area.
Ouestion #8:
Does the City require a specific color for the new Formica?
Answer to Ouestion #8
The City's Project Manager will select colors, textures, etc., after a contractor has been awarded the
project. The contractor shall present color and texture options, if available, to the Project Manager
that does not exceed the contractors "Lump Sum ProposaL"
IT SHALL BE THE SOLE RESPONSIBILITY OF THE BIDDER TO SECURE
ADDENDUMS THAT MAY BE ISSUED FOR A SPECIFIC SOLICITATION.
4
PHOTOGRAPHS:
VISITOR'S LOBBY AREA
1 1
FLOOR PLAN:
1ST FLOOR & COMMUNICATIONS AREA
ATTACHMENT #1 PUBLIC ENTITY CRIMES AND CONFLICTS OF INTEREST
Pursuant to the provisions of Paragraph (2) (a) of Section 287.133. Florida State Statutes -"A
person or affiliate who has been placed on the conYlcted vendor list following a conviction for a
public entity crime may not submit a Bid on a Contract to provide any goods or servlcl!$ to a
public entity. may not submit a Bid on a Contract with a public entity for the construction or
repair of a public building or public work. may not submit bids on leases of real property to a
public entity. may not be awarded to perform work as a Contractor. supplier, SubcontractOr,
or Consulcant under a Contract with any public entity. and may not transact business with any
public entity In excess of the threshold amount Category Two of Section 287.0 I 7. Florida
Statutes, for thirty six (36) months from the date of being placed on the convicted vendor list".
The award of any contract hereunder Is subJect to the provisions of Chapter I 12. Florida State
Statutes. BIDDERS must disclose with their Bids. the name of any officer, directOr. partner.
associate or agent who is also an officer or employee of the City of South Miami or Its agencies.
SWORN STATEMENT PURSUANT TO SECTION 287.133 (3)(a).
FLORIPA STATUTES. ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY
PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
I. This sworn statement Is submitted to =-'C"-'IT'-Y"""'O:...F."S-"'O.."U'"cT'-'H-"M""IA"'M"'I'----:--o-_____ _
[print name of the public entity]
by FRANKJFONSECA~,P~.~E~P~R~E~S~ID~E~N~T~----__ -----------_
[print Individual's name and tide]
for LEAD EX CORPORATION
[print name of entity submitting sworn statement]
whose business address Is 2601 S W 69TH CT
MIAMI, FL 33155
and (If applicable) Its Federal Employer Identillcatlon Number (FEIN) Is 65-0170950
(If the entity has no FEIN, Include the SOCial Security Number of the Individual signing this
sworn statement: --------------------.)
2. I understand that a "public entity crime" as deflned In Paragraph 287.133 (I)(g), E12ril1a
StaNtes, means a violation of any state or federal law bf( a person with respect to and
directly related to the transaction of busln ass with any public entity or with an agency
or political subdivision of any other state or of the United States, including. but not
limited to • any bid or contract for goods or services to be provided to any pUblic entity
or an agency or political subdivision of any other state or of the United States and
Involving antitrust, fraud. theft, bribery. collusion. racketeering. conspiracy, or material
misrepresentation.
3. I understand that "convicted" or "conviction" as defined In Paragraph 287.133 (I)(b).
Aorlda Statutes. means a flndlng of guilt or a conviction of a public entity crime. with or
Page 2 oflO
without an adjudication of guilt, in any federal or state trial court of record relating to
charges brought by indictment or information after july I, 1989, as a result of a jury
verdict, non-jury trial, or entry of a plea of gUilty or nolo contender.
4. I understand that an "affiliate" as defined in Paragraph 287.133 (I )(a), Florida Statutes,
means:
(a) A predecessor or successor of a person convicted of a public entity crime; or
(b) An entity under the control of any natural person who is active in the
management of the entity and who has been convicted of a public entity crime. The
term "affiliate" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in the management of an affiliate. The
ownership by one person of shares constituting a controlling interest in any person, or a
pooling of equipment or income among persons when not for fair market value under
an arm's length agreement, shall be a prima facie case that one person controls another
person. A person who knowingly enters into a joint venture with a person who has
been convicted of a public entity crime in Florida during the preceding 36 months shall
be considered an affiliate.
5. I understand that a "person" as defined in Paragraph 287.133 (I )(e), Florida Statutes,
means any natural person or entity organized under the laws of any state or of the
United States with the legal power to enter into a binding contract and which bids or
applies to bid on contracts for the provision of goods or services led by a public entity,
or which otherwise transacts or applies to transact business with a public entity. The
term "person" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in management of an entity.
6. Based on information and belief, the statement which I have marked below is true in
relation to the entity submitting this sworn statement. [Indicate which statement
applies)/
~ Neither the entity submitting this sworn statement, nor any of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, nor any affiliate of the entity has been charged
with and convicted of a public entity crime subsequent to july I, 1989.
--::-__ The entity submitting this sworn statement, or one or more of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity. or an affiliate of the entity has been charged with
and convicted of a public entity crime subsequent to july I. 1989.
___ The entity submitting this sworn statement, or one or more of its officers,
directors. executives, partners. shareholders, employees. members, or agents who are
active in the management of the entity, or an affiliate of the entity has been charged with
and convicted of a public entity crime subsequent of july I, 1989. However, there has
been a subsequent proceeding before a Hearing Officer of the State of Florida, Division
of Administrative Hearings and the Final Order entered by the Hearing Officer
determined that it was not in the public interest to place the entity submitting this
sworn statement on the convicted vendor list. {attach a copy of the final order.]
Page 3 of10
Contlnuollon of Auaclunem #2 Public £nthy ClImes and Connlcb
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING
OFFICER FOR THE PUBLIC ENTITY INDENTIFIED IN PARAGRAPH I (ONE) ABOVE IS
FOR THAT PUBUC ENTITY ONLY, AND THAT THIS FORM IS VALID THROUGH
DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED . I ALSO UNDERSTAND
THAT I AM REQUIRED TO INFORM THE PUBUC ENTITY PRIOR TO ENTERING INTO A
CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION
287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY CHANGE IN THE
INFORMATION CONTAINED IN THIS FORM.
Sworn to and subscribed before me this /1 (~ day of Fe btl cJQ ,u./
J
,20 IS'
_x _ Personally known or
Producedldendflcatlon Notary Public -State of ....cFC-'L"'O"-'R""ID""A'--___ _
(Type of Idendncatlon)
My commission cxplres~~~
(PrInted, typed or stamped commissioned
Form PUR 7068 (Rev.06l11192)
Page 4 oflO
ATTACHMENT #2 "DRUG FIIl!I! WORKPLACE"
Whenever two or more Bids which are e<jual with respect to price. quality and service are
received by the State or by any political subdivisions for the procurement of commodities or
contractual services. a Bid received from a business that certlfles that It has Implemented a
drug-free workplace program shall be ctven preference In the award process. Established
procedures for processing tle Bids will be followed If none of the tled vendors have a drug-free
workplace program. In order to have a drug-free workplace program. a business shall:
I. Publish a statement notifying employees that the unlawful manufacture. dlstrlbutlon.
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. Inform employees about the dangers of drug abuse In the workplace. the business'
policy of maintaining a drug-free workplace. any available drug counseling. rehabllitatlon.
and employee assistance programs. and the penaltles that may be Imposed upon
employees for drug abuse violations .
3. Give each employee engaged In proViding the commodities or contractual services that
are under Bid a copy of the statement specified In Subsection (I).
.... In the statement specified In Subsection (I). notify the employees. that, as a condition of
working on the commodltJes 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 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.
S. 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 .
6. Make a good faith effort to continue to maintain a drug-free workplace through
Implementation of this section .
As the person authorized to sign the statement, I certify that this firm complies fully with the
above requirements.
PROPOSER's ~? /)
Signature: )V ""'Y: ,-.
"., Hmo '"'"~~" '''. H __ _
Date: .:;l.. t!..t.-L .1 0 I 5'
PageS orl0
ATTACHMENT #3 "No CONFUCT OF INTEREST/NoN COLLUSION AFFIDAVIT"
Submitted this JJ!!..day of /2e IlL (/ ~ ,20 / S-
TIle undersigned, as Bidder/Proposer. declares that the only persons Interested In this RFP Ire named
herein; that no other penon has any Interest In this RFP or In Ihe Contract to which this RFP pertains;
that IfIls response Is made without connection or arrangement with any other person; and that this
response Is In every respect fair and made In JOOcf faith, without collusion or fraud.
,
The BklderlPrnposer agrees If this response/submission Is accepted. to execute an appropriate CITY
document for the purpose of establishing a fonnal contractual relationship between the BldderlProposer
and the CITY. for the performance of all requirements to which the response/submission pertains.
The Bidder/Proposer staleS that this response Is based upon the documents Identlfled by the following
number: BlcllRFP
The full-names and residences of penons and Arms Interested In the foregoing bid/proposal. as
principals. are as follows:
2601 S W 69TH CT . MIAMI
The Bidder/Proposer further certlfles that this response/submission compiles with section 4(c) of the
Chaner of the City of Mlam~ Flortda. that. to the best of Its knowledge and belief. no Commissioner.
Mayor. or other officer or employee of the CITY has an Interest directly or indirectly In the profllS or
emoluments of the COntract, lob . work or service to which the response/submission pertains.
SlgnaWre: ~12('<r?-e--
PrInted Name: ~'-" F-,O",NooS<;E",C",A,,-, '-P"'.E'--_____ _
Title: PRESIDENT
Telephone: 305 .266 .2 028
Company Name LEADE X CORPO RATION
Contlnualion of Attachment #3No Conflja of in!er/Non-Vi//us/on Certifjcar/on
Page 6 oflO
NOTARY PUBUC:
STATE OF FLORIDA
COUNTY OF DADE ~~------------
1'7 Th e for ,oln g Instrum ent wa s acknowledged befor e me th is / I day of
E.e ~ . 20 I >" by FRA NK J . FO NSECA. PE . (name of
pers on Wh~ture Is being no ta rixed ) who Is
SEAL PEDRO JGOMeZ
MY COMMISSION I FF 134137
EXPIRES: JIIy 7. 201.
Bordt4 ThN Ht tlrt Ituitlt ~
~ers onally known IX> me, or
Personalldentlfkatlon:
Type of Identification Produced
Old lake an oatil, or
~ Old Not take an oatil.
iZ~~
(Name of Notary Public: Print. Stamp
or type u commlS$loned.)
FAILURE TO COMPLETE. SIGN, & RETURN THIS FORM MAY DISOUALIFY YOUR RESPONSE
Page 7 oflO
ATTACHMENT #4 "ACKNOWI.EDGEMENT AND CONFORMANCE WITH OSHA
STANDARDS"
TO THE CITY OF SOUTH MIAMI
We. LEAD EX CORPORATION , (Name of Contractor), hereby acknowledge and agree that
as Contractors for chis Solicitation, as specified have che sole responsibility for compliance wlch ali che
requirement> of che Federal Occupational Safety and Healch Act of 1970, and all State and local safety
and health regulations, and agree to Indemnify and hold harmless che City of Souch Miami against any
and all liability, claims, damages, losses and expenses chey may Incur due to che failure of
(subcontractor's names):
none
to comply with such act or regulation.
CONTRACTOR
LEADEX CORPORATION
FAILURE TO COMPLETE. SIGN. & RETURN THIS FORM MAY DISOUALIFY YOUR RESPONSE
Page 8 orlO
ATTACHMENT#5 "RELATED PARTY TRANSACTION VERIFICATION FORM"
h 2 qfYIL~] r o lY ~e "9.-. individually and on behalf of t...E A 0 G I-Co (lPOY'2Q kON
("Firm")have Nome of Representotive CompanylVendoriEntity read the City of South Miami ("City")'s Code of Ethics.
Section 8A-1 of the City's Code of Ordinances and I hereby certify. under penalty of perjury that to the best of my
knowledge, information and belief:
(I) neither I nor the Firm have any conflict of interest (as defined in section SA-I) with regard to the contract or
business that I, and/or the Firm. am(are) about to perform for. or to transact with, the
City. and
(2) neither I nor any employees. officers. directors of the Firm, nor anyone who has a financial interest greater
than 5% in the Firm, has any relative(s). as defined in section 8A-I. who is an employee of the City or who is(are)
an appointed or elected official of the City, or who is(are) a member of any public body created by the City
Commission, i.e., a board or committee of the City[See Note # I below], and
(3) neither I nor the Firm. nor anyone who has a financial interest greater than 5% in the Firm , nor any member of
those persons' immediate family (i.e .. spouse. parents. children. brothers and sisters) has transacted or entered
into any contract(s) with the City or has a financial interest, direct or indirect, in any business being transacted
with th e City. o r with IIny pe rson O f' age ncy acting ~o r th e city. othe r th ft n li S fo ll o w s:
I Y D I V ,f' (if
necessary use a separate sheet to supply additional information that will not fit on this line but make reference on
the line above to the separate sheet, Le., "see attached additional information" and make reference to this
document and this paragraph on to the additional sheet which additional sheet must be Signed under oath). [See
Note #1 below]; and
(4) no elected andlor appointed official or employee of the City of South Miami, or any of their immediate family
members (Le., spouse, parents, children , brothers and sisters) has a financial interest, directly or indirectly, in the
contract between you and/or your Firm and the City other than the following individuals whose interest is set
forth following their use a separate names: t'V
-;-___ -,-_:-::-:--:c-:-_---,-_-:-_-:-;;--_-;:-__ {)o-:-fY-;-_-e..-;==-_-,-_-;-__ (if necessary use a separate
sheet to supply additional information that will not fit on this line but make reference on the line above to the
separate sheet, Le., "see attached additional information" and make reference to this document and this paragraph
on to the additional sheet which additional sheet must be signed under oath). The names of all City employees and
that of all elected and/or appointed City officials or board members, who own, directly or indirectly. an interest of
five percent (5%) or more of the total assets of capital stock in th e firm are (I S fo llows:
_______ -,-___ .,.-~-_,__-,----'-/-',y--=O'--'c-/y'----e= . (if
necessary use a separate sheet to supply additional information that will not fit on this line but make reference on
the line above to the separate sheet, i.e., "see attached additional information" and make reference to this
document and this paragraph on to the additional sheet which additional sheet must be signed under oath). [See
Note # I below]
(5) I and the Firm further agree not to use or attempt to use any knowledge . property or resource which may
come to us through our pOSition of trust. or through our performance of our duties under the terms of the
contract with the City, to secure a special privilege , benefit. or exemption for ourselves. or others. We agree that
we may not disclose or use information, not available to members ofthe general public. for our personal gain or
Note # I: While the ethics code still applies. if the person executing this form is doing so on behalf of a. firm with more than
I S employees, the statement In this section shall be based solely on the signatory's personal knowledge and helshe is not
required to make an independent investigation as to the relationship of employees; if the firm Is a publicly traded company,
the statement in this section shaU be based solely on the signatory's personal knowledge and helshe Is not required to make
an independent investigation as to the relationship of employees or of those who have a tinanclallnterest in the Firm or of
the financial Interest in the Firm of city employees, appointed officials or the Immediate family members of elected andlor
appointed official or employee or as to the relationship by blood or marriage of employees. officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected omcials of the City, or to their immediate family members.
I
benefit or for the personal gain or benefit of any other person or business entity, outside of the normal gain or
benefit anticipated through the performance of the contract.
(6) I and the Firm hereby acknowledge that we have not contracted or transacted any business with the City or
any person or agency acting for the City, and that we have not appeared in representation of any third party
before any
board, commission or agency of the City within the past two years other than as follows:
-,--,---_--,-----,-___ --,--_---,_---,,------'tV,C-'---'O"--.:fY--,--e.---=-_,------, ___ (if necessary use a separate ,sheet to supply
additional information that will not fit on this line but make reference on the line above to the separate ,sheet, i.e.,
"see attached additional information" and make reference to this document and this paragraph on to th!'J additional
sheet which additional sheet must be signed under oath), .1
(7) Neither I nor any employees, officers, or directors of the Firm, nor any of their immediate family (i.e., as a
spouse, son, daughter, parent, brother or sister) is related by blood or marriage to: (i) any member of the City
Commission; (ii) any city employee; or (iii) any member of any board or agency of the City other than as follows:
---, ___ ----, __ c-_-,---_---,-----,..!rY'-'c--'O.c..-:...I'Vc-:::;..e..--==-__ (if necessary use a separate sheet to supply additional
information that will not fit on this line but make reference on the line above to the separate sheet, i.e., "see
attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath), [See Note #1 below]; and,
(8) No Other Firm, nor any officers or directors of that Other Firm or anyone who has a financial interest greater
than 5% in that Other Firm, nor any member of those persons' immediate family (i.e ., spouse, parents, children,
brothers and sisters) nor any of my immediate family members (hereinafter referred to as "Related Parties") has
responded to a solicitation by the City in which I or the Firm that I represent or anyone who has a financial
interest greater than 5% In the Firm, or any member of those persons' immediate family (I.e. spouse, parents,
children, brothers and sisters) have also resp o nd e d, other than the following:
/11 D /V ..A--
-cc-----:----::----:,----:----:---,----,,--:---(if necessary use a separate sheet to supply additional
information that will not fit on this line but make reference on the line above to the separate sheet, i.e., "see
attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath). [while the ethics code still applies, Ifthe person executing
this form is doing so on behalf of a firm whose stock is publicly traded. the statement in this section (8) shall be
based solely on the signatory's personal knowledge and he/she is not required to make an independent
investigation into the Other Firm, or the Firm he/she represents, as to their officers, directors or anyone having a
financial interest in those Firms or any of their any member of those persons' immediate family.]
(9) I and the Firm agree that we are obligated to supplement this Verification Form and inform the City of any
change in circumstances that would change our answers to this document. Specifically, after the opening of any
responses to a solicitation, I and the Firm have an obligation to supplement this Verification Form with the name of
all Related Parties who have also responded to the same solicitation and to disclose the relationship of those
parties to me and the Firm.
(10) A violation of the City's Ethics Code. the giving of any false information or the failure to supplement this
Verification Form, may subject me or the Firm to immediate termination of any agreement with the City, and the
imposition ofthe maximum fine and/or any penalties allowed by law. Additionally, violations may be considered by
and subject to action by the Miami·Dade County Commission on Ethics. Under penalty of perjury, I declare that I
Note # I: While the ethics code stili applies, if the person executing this form Is dolns so on behalf of a firm with more than
15 employees, the statement In this section shall be based solely on the slsnatory's personal knowtedse and he/she is not
required to make an Independent Investigation as to the relationship of employees; If the firm Is a publicly traded company,
the statement in this section shaJl be based solely on the signatory's personal knowledge and he/she Is not required to make
an independent Investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial Interest In the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their Immediate family to any appointed or elected officials of the City, or to their immediate family members.
have made a diligent effort to investigate the matters to which I am attesting hereinabove and that the statements
made he reinabove are tr Ie . ,d correct to the best of my knowledge, information and belief.
Signature: ---=£;.,.,.~~.;a.:;;6~-=----
Print Name & Tit
Date: ;;L
ATTACHED:
Sec. BAM I M Conflict of interest and code of ethics ordinance.
Municode Page 10(4
Sec. SA-I. -Conflict of interest and code of ethics ordinance.
(a) Designation.
This section shall be designated and known as the "City of South Miami Conflict of Interest and Code of Ethics
Ordinance." This section shall be applicable to all city personnel as defined below, and shall also constitute a
standard of ethical conduct and behavior for all autonomous personnel, quasHudicial personnel, advisory
personnel and departmental personnel. The provisions of this section shall be applied in a cumulative manner. By
way of example, and not as a limitation, subsections (c) and (d) may be applied to the same contract or transaction .
(b) Definitions. For the purposes of this section the following definitions shall be effective:
(I) The term "commission members" shall refer to the mayor and the members of the city commission.
(2) The term "autonomous personnel" shall refer to the members of autonomous authorities, boards and agencies,
such as the city community redevelopment agency and the health facilities authority.
(3) The term "quasHudicial personnel" shall refer to the members of the planning board, the environmental review
and preservation board, the code enforcement board and such other individuals. boards and agencies of the city as
periorm quasiMjudicial functions.
(4) The term "advisory personnel" shall refer to the members ofthose city advisory boards and agencies whose
sole or primary responsibility Is to recommend legislation or give advice to the city commission.
(5) The term "departmental personnel" shall refer to the City clerk. the city manager, department heads. the city
attorney. and all assistants to the city clerk, city manager and city attorney, however titled.
(6) The term "employees" shall refer to all other personnel employed by the city.
(7) The term "compensation" shall refer to any money, gift, favor. thing of value or financial benefit conferred, or
to be conferred, in return for services rendered or to be rendere d .
(B) The term "controlling financial interest" shall refer to ownership, directly or indirectly. of ten percent or more
of the outstanding capital stock in any corporation or a direct or indirect interest of ten percent or more in a firm,
partnership, or other business entity at the time of transacting business with the city.
(9) The term "immediate family" shall refer to the spouse, parents. children. brothers and sisters of the person
involved .
(10) The term "transact any business" shall refer to the purchase or sale by the city of specific goods or services
for consideration and to submitting a bid, a proposal in response to a RFP. a statement of qualifications in response
to a request by the city. or entering into contract negotiations for the provision on any goods or services.
whichever first occurs.
(c) Prohibition on transacting business with the city.
Note # I: While the ethics code stili applies, If the penon executing this form is doing 50 on behalf of a firm with more than
15 employees, the statement In this section shall be based solely on the signatory's personal knowtedge and he/she Is not
required to make an Independent investigation as to the relationship of employees; if the firm Is a publicly traded company,
the statement In this section shall be based solely on the signatory's penonal knowledge and he/she is not required to make
an Independent Investigation as to the relationship of employees or of those who have a flnanclal interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employeet, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their Immediate family members.
No person included in the terms defined in paragraphs (b)(l) through (6) and in paragraph (b)(9) shall enter into
any contract or transact any business in which that person or a member of the immediate family has a financial
interest, direct or indirect with the city or any person or agency acting for the city, and any such contract,
agreement or business engagement entered in violation of this subsection shall render the transaction voidable.
Willful violation of this subsection shall constitute malfeasance in office and shall affect forfeiture of office or
position. Nothing in this subsection shall prohibit or make illegal:
(I) The payment of taxes, special assessments or fees for services provided by the city government;
(2) The purchase of bonds, anticipation notes or other securities that may be issued by the city through
underwriters or directly from time to time.
Waiver of prohibition. The requirements of this subsection may be waived for a particular transaction only by four
affirmative votes of the city commission after public hearing upon finding that:
(I) An open-to-all sealed competitive proposal has been submitted by a city person as defined in paragraphs (b)(2),
(3) and (4);
(2) The proposal has been submitted by a person or firm offering services within the scope of the practice of
architecture, professional engineering, or registered land surveying. as defined by the laws of the state and
pursuant to the provisions of the Consultants' Competitive Negotiation Act. and when the proposal has been
submitted by a city person defined in paragraphs (b)(2), (3) and (4);
(3) The property or services to be involved in the proposed transaction are unique and the city cannot avail itself
of such property or services without entering a transaction which would violate this subsection but
for waiver of its requirements; and
(4) That the proposed transaction will be in the best interest of the city.
This subsection shall be applicable only to prospective transactions, and the city commission may in no case ratify a
transaction entered in violation of this subsection.
Provisions cumufative. This subsection shall be taken to be cumulative and shall not be construed to amend or repeal
any other law pertaining to the same subject matter.
(d) Further prohibition on transacting business with the city,
No person included in the terms defined in paragraphs (b)(l) through (6) and in paragraph (b)(9) shall enter into
any contract or transact any business through a firm, corporation, partnership or business entity in which that
person or any member of the immediate family has a controlling financial interest, direct or indirect, with the city
or any person or agency acting for the city. and any such contract, agreement or business engagement entered in
violation of this subsection shall render the transaction voidable. The remaining provisions of subsection (c) will
also be applicable to this subsection as though incorporated by recitation.
Additionally, no person Included in the term defined in paragraph (b)(l) shall vote on or participate in any way in
any matter presented to the city commission if that person has any of the following relationships with any of the
persons or entities which would be or might be directly or Indirectly affected by any action ofthe city commission:
(I) Officer, director, partner, of counsel. consultant, employee, fiduciary or beneficiary; or
(2) Stockholder, bondholder, debtor, or creditor, if in any instance the transaction or matter would affect the
person defined in paragraph (b)( I) in a manner distinct from the manner in which it would affect the public
generally. Any person included in the term defined in paragraph (b)( I) who has any of the specified relationships
or who would or might, directly or indirectly. realize a profit by the action of the city commission shall not vote on
or participate in any way in the matter.
(E) Gifts,
(I )De(lnition. The term "gift" shall refer to the transfer of anything of economic value, whether in the form of
money, service. loan, travel. entertainment, hospitality. item or promise. or in any other form, without
adequate and lawful consideration.
(2)Exceptions. The provisions of paragraph (e)(l) shall noupply to:
a. Political contributions specifically authorized by state law;
Note #. I: While the ethics code still applies, if tfle person executing this form is doing so on behalf of a firm with more than
IS employees, the statement in this section shall be based solely on the signatory's personal knowtedge and he/she Is not
required to make an independent investigation as to the relationship of employees; If the firm Is a publicly traded company,
the statement In this section shall be based solely on the signatory's personal knowtedge and he/she Is not required to make
an Independent investigation as to the relationship of employees or of those who have a flnanclallnterest in the Firm or of
the financial interest In the Firm of city employees, appointed officials or the Immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers. or directors of the Firm,
or of any of their Immediate family to any appointed or elected officials of the City, or to their immediate family members.
b. Gifts from relatives or membe rs of one's household, unless the person is a conduit on behalf of a third party to
the delivery of a gift that is prohibited under paragraph(3);
c. Awards for professional or civic achievement;
d. Material such as books, reports, periodicals or pamphlets which are solely informational or of an advertising
nature.
(3) Prohibitions . A person described in paragraphs (b)( I) through (6) shall neither solicit nor demand any gift. It is
also unlawful for any person or entity to offer, give or agree to give to any person includ ed in the terms defined in
paragraphs (b)( I) through (6), or for any person included in the terms defined in paragraphs (b)( I) through (6) to
accept or agree to accept from another person or entity, a ny gift for or because of:
a. An official public action taken, or to be taken, or which could be taken, or an omission or failure to take a public
action;
b. A legal duty performed or to be performed, or which could be performed, or an omission or failure to perform
a legal duty; •
c. A legal duty violated or to be violated, or which could be violated by any person included in the term defined in
paragraph (b)( I); or
d. Attendance or absence from a public meeting at which official action is to be taken,
(4) Disclosure. Any person included in the term defined in paragraphs (b)( I) through (6) shall disclose any gift, or
series of gifts from anyone person or entity, having a value in excess of $25.00. The disclosure shall be made by
filing a copy of the disclosure form required by chapter I 12, Florida Statutes, for "local
officers" with the city clerk simultaneously with the filing of the fo rm with the clerk of the county and with the
Florida Secretary of State.
(f) Compulsory disclosure by employees of firms doing business wilh Ihe cily.
Should any person included in the terms defined in paragraphs (b)(l) through (6) be employed by a corporation,
firm, partnership or business entity in which that person or the immediate family does not have a controlling
financial interest, and should the corporation, firm, partnership or business entity have substantial business
commitments to or from the city or any city agency, or be subject to direct regulation by the city or a city agency,
then the person shall file a sworn statement discloSing such employment and interest with the clerk of the City.
(g) Exploilollon of officiol posillon prohibiled,
No person included in the terms defined in paragraphs (b )( I) through (6) shall corruptly use or attempt to use an
official position to secure special privileges or exemptions for that person or others,
(h) Prohlbilion on use of confidenllal Informallon.
No person included in the terms defined in paragraphs (b)( I) through (6) shall accept e mployment or engage in
any business or professional activity which one might
reasonably expect would require or induce one to disclose confidential information acquired by reason of an
official position, nor shall that person in fact ever disclose confidential information garnered or gained through an
official position with the city, nor shall that person ever use such information, directly or indirectly, for personal
gain or benefit.
(i) Confllcllng employmenl prohlblled,
No person included in the terms defined in paragraphs (b)(l) through (6) shall accept other employment which
would impair Independence of judgment In the performance of any public duti es,
(j) Prohlbilion on oUlside employmenl.
(I) No person included in the terms d e fined in paragraphs (b)(6) shall receive any compensation for services as an
officer or employee of the city from any source other than the City, except as may be permitted as follows :
a. Generally prohibited. No full-time city employee shall accept outside employment, either incidental, occasional or
otherwise, where city time, equipment or material is to be used or where such employment or any part thereof is
to be performed on city time,
Note ## I : While the ethics code still applies, If the person executing this (orm is doing so on behalf o( a firm with more than
IS employees, the statement In this section shall be based solely on the signatory's personal knowledge and he/she Is not
required to make an independent investigation as to the relationship of employeesj If the firm Is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an Independent investigation as to the relationship o( employees or o( those who have a financial Interest in the Firm or o(
the flnanciallnterest in the Firm o( city employees, appointed officials or the Immediate (amity members of elected andlor
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors o( the Firm,
or o( any o( their Immediate family to any appointed or elected officials o( the City, or to their immediate (amily members.
b. When permitted. A full-time city employee may accept incidental or occasional outside employment so long as
such employment is not contrary, detrimental or adverse to the interest of the city or any of its departments and
the approval required in subparagraph c. is obtained.
c. Approval of department head required. Any outside employment by any full-time city employee must first be
approved in writing by the employee's department head who shall maintain a complete record of such
employment.
d. Penalty. Any person convicted of violating any provision of this subsection shall be punished as provided in
section 1-11 of the Code of Miami·Dade County and, in addition shall be subject to dismissal by the appointing
authority. The city may also assess against a violator a fine not to exceed $500.00 and the costs of investigation
incurred by the city.
(2) All full-time city employees engaged in any outside employment for any person, firm, corporation or entity
otiler than the city, or any of its agencies or instrumentalities, shall file, under oath, an annual report indicating the
source of the outside employment, the nature of the work being done and any amount of money or other
consideration received by the employee from the outside employment. City employee reports silall be filed with
the city clerk. The reports shall be available at a reasonable time and place for inspection by the public. The city
manager may require monthly reports from individual employees or groups of employees for good cause ..
(k) Prohibited investments.
No person included in the terms defined in paragraphs (b)(I) through (6) or a member of the immediate family
shall have personal investments in any enterprise which will create a substantial conflict between private interests
and the public interest.
(I) Certain appearances and payment prohibited.
(I) No person included in the terms defined in paragraphs (b)( I), (5) and (6) shall appear before any city board or
agency and make a presentation on behalf of a third person with respect to any matter, license, contract,
certificate, ruling, decision, opinion, rate schedule, franchise, or other benefit sought by the third person. Nor shall
the person receive any compensation or gift, directly or indirectly, for services rendered to a third person, who
has applied for or is seeking some benefit from the city or a city agency, in connection with the particular benefit
sought by the third person. Nor shall the person appear in any court or before any administrative tribunal as
counselor legal advisor to a party who seeks legal relief from the city or a city agency through the suit in question.
(2) No person included in the terms defined in paragraphs (b)(2), (3) and (4) shall appear before the city
commission or agency on which the person serves, either directly or through an associate. and make a
presentation on behalf of a third person with respect to any matter, license. contract, certificate, ruling, decision,
opinion, rate schedule, franchise. or other benefit sought by the third person. Nor shall such person receive any
compensation or gift, directly or indirectly, for services rendered to a third party who has applied for or is seeking
some benefit from the city commission or agency on which the person serves in connection with the particular
benefit sought by the third party. Nor shall the person appear in any court or before any administrative tribunal as
counselor legal advisor to a third party who seeks legal relieffrom the city commission or agency on which such
person serves through the suit in question.
(m) Actions prohibited when financial Interest. Involved.
No person included in the terms defined in paragraphs (b) (I) through (6) shall participate in any official action
directly or indirectly affecting a business in which that person or any member of the immediate family has a
financial interest. A financial interest is defined in this subsection to include, but not be limited to, any direct or
indirect interest in any investment, equity, or debt.
(n) Acquiring financial Interests.
No person included in the terms defined in paragraphs (b)( I) through (6) shall acquire a financial interest in a
project, business entity or property at a time when the person believes or has reason to believe that the financial
interest may be directly affected by official actions or by official actions by the city or city agency of which the
person is an official, officer or employee.
(0) Recommending professional services.
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and hefshe is not
required to make an independent investigation as to the relationship of employees; If the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and hefshe is not required to make
an Independent investigation as to the I"elationshlp of employees or of those who have a finandallnterest in the Firm or of
the financial interest In the Firm of city employees, appointed officials or the immediate family members of elected andfor
appointed official or employee 01" as to the relationship by blood or marriage of employees, officers, or directors of the Fil"m,
or of any of their Immediate family to any appointed or elected officials of the City, or to their Immediate family members.
No person included in the terms defined in paragraphs (b)(l) through (4) may recommend the services of any
lawyer or law firm, architect or architectural firm, public relations firm, or any other person or firm, professional
or otherwise, to assist in any transaction involving the city or any of its agencies. provided that a recommendation
may properly be made when required to be made by the duties of
office and in advance at a public meeting attended by other city officials. officers or employees.
(p) Continuing application after city service.
(I) No person included in the terms defined in paragraphs (b)( I). (5) and (6) shall. for a period of two years after
his or her city service or employment has ceased, lobby any city official [as defined in paragraphs
(b)( I) through (6)) in connection with any judicial or other proceeding. application, RFP. RFQ, bid, request for
ruling or other determination, contract, claim, controversy. charge, accusation, arrest or other particular subject
matter in which the city or one of its agencies is a party or has any interest whatever, whether direct or indirect,
Nothing contained in this subsection shall prohibit any individual from submitting a routine administrative request
or application to a city department or agency during the two-year period after his or her service has ceased,
(2) The provisions ofthe subsection shall not apply to persons who become employed by governmental entities,
50 I (c)(3) non-profit entities or educational institutions or entities, and who lobby on behalf ofthose entities in
their official capacities,
(3) The provisions of this subsection shall apply to all persons described in paragraph (p)( I) whose city service or
employment ceased after the effective date ofthe ordinance from which this section derives,
(4) No person described in paragraph (p)(l) whose city service or employment ceased within two years prior to
the effective date of this ordinance shall for a period of two years after his or her service or employment enter
into a lobbying contract to lobby any city official in connection with any subject described in paragraph (p)(l) in
which the city or one of its agencies is a party or has any direct and substantial interest; and in which he or she
participated directly or indirectly through decision, approval, disapproval, recommendation, the rendering of
advice, investigation, or otherwise, during his or her city service or employment, A person participated "directly"
where he or she was substantially involved in the particular subject matter through decision, approval, disapproval,
recommendation, the rendering of advice, investigation, or otherwise, during his or her city service or
employment, A person participated "indirectly" where he or she knowingly participated in any way in the particular
subject matter through decision, approval. disapproval, recommendation, the rendering of advice, investigation, or
otherwise, during his or her city service or employment, All persons covered by this paragraph shall execute an
affidavit on a form approved by the city attorney prior to lobbying any city official attesting that the
requirements of this subsection do not preclude the person from lobbying city officials.
(5) Any person who violates this subsection shall be subject to the penalties provided in section BA-2(p).
(q) City attorney to render opinions on request.
Whenever any person included in the terms defined in paragraphs (b)( I) through (6) and paragraph (b)(9) is in
doubt as to the proper interpretation or application of this conflict of interest and code of ethics ordinance, or
whenever any person who renders services to the city is in doubt as to the applicability of the ordinance that
person, may submit to the city attorney a full written statement of the facts and questions, The city attorney shall
then render an opinion to such person and shall publish these opinions without use of the name of the person
advised unless the person permits the use of a name,
lOrd. No. 6-99-1680, § 2, 3-2-99)
Editor's note-Ord. No. 6-99-16BO, § I, adopted 3-2-99, repealed §§ BA-I and BA-2 in their entirety and replaced
them with new §§
BA-I and BA-2. Former §§ BA-I and BA-2 pertained to declaration of policy and definitions, respectively, and
derived from Ord. No, 634, §§ I (lA-I), I (IA-2) adopted)an .. .11,1969.
Note # I: While the ethics code still applies, If the person executing this fOl'"m is doing so on behalf of a firm with mOl'"e than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she Is not
required to make an Independent Investigation as to the relationship of employees; If the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an independent Investigation as to the relationship of employees or of those who have a financial Interest in the Firm or of
the financial Interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their Immediate family to any appointed or elected officials of the City, or to their Immediate family members.
CONTRACT FOR
South Miami Police Department Communications Area Renovation
THIS CONTRACT, entered into this __ day of , 20~ by the CITY OF SOUTH MIAMI
through its Manager, both of whom shall be hereinafter referred to as the "CITY" where applicable; located at
6130 . Sunset Dr ive, South Miami, Fl. E-mail: salexander@southmiamifl.gov and
with an office and principal place of business located at
_______ ~, and an e-mail address of (hereinafter called the "CONTRACTOR").
WITNESSETH:
WHEREAS, the CITY is in need of South Miami Pollee Department Communications Area Renovation; and
WHEREAS, the CITY desires to retain the CONTRACTOR to provide the required good and/or services
based on the CONTRACTOR's representations that it is qualified and capable of providing said goods and/or
services in a professional and timely manner and in accordance with the CITY's goals and requirements; and
WHEREAS, the CONTRACTOR has agreed to provide the required goods and/or services in accordance
with the terms and conditions set forth herein.
NOW, THEREFORE, in consideration of the mutual covenants and agreements herein contained, the
parties agree as follows:
1) Engagement Of Contractor: Based on the representations of the CONTRACTOR as set out in the
following "checked" documents the CITY hereby retains the CONTRACTOR to provide the goods and/or services set
forth in said proposal, quote or response to solicitation, whichever is applicable, as modified by the Contract
Documents defined below (all of which is hereinafter referred to as the Work").
(Check the box Immediately preceding the document des cribed below to Indicate that su ch document Is part of this contract)
o Contractor's response to the CITY's written solicitation; or
o Contractor's proposal or quote, or if none,
D As described in paragraph 2 below.
2) Contract Documents: The Contract Documents shall include this Contract and the following
"checked documents", as well as any attachments or exhibits that are made a part of any of the "checked
documents" .
(Check the box Immediately preceding the document described below to Indicate that such document Is part of thi s contract)
D General Conditions to Contract,
D Supplementary Conditions,
a "Other Documents" referring to in this contract and signed by the parties,
D Solicitation documents ("hereinafter referred to as "Bid Documents" including
any request for bid, request for proposal or similar request)
D Scope of Services,
D Contractor's response to the CITY's Bid Documents,
a Contractor's proposal or quote,
a CITY's Insurance & Indemnification Requirements,
D Payment Bond,
o Performance Bond,
This Contract and the General Conditions to Contract, Supplementary Conditions, the Solicitation, Scope of
Services and "Other Documents", if any are "checked documents", shall take precedent over the response to the
CITY's Bid Documents, the proposal or the quote, if any. The "checked documents" are attached hereto and made
a part hereof by reference.
3) Date of Commencement: The CONTRACTOR shall commence the performance of the Work under this
Contract on or if no date is set then on a date to be specified in a Notice to Proceed, or
Purchase Order, (hereinafter referred to as the "Work Commencement Date"), and shall complete the
performance hereunder within days or the length of time set forth in the Contract Documents,
whichever is the shorter period of time. Time is of the essence.
4) Primary Contacts: The Primary Contact Person in charge of administering this Contract on behalf of
the CITY is the City Manager ("Manager"), assistant Manager, or the Manager's designee, who shall be designated
in a writing signed by the Manager. The Primary Contact Person for the CONTRACTOR and his/her contact
information is as follows: Name: ______________ "e-mail: ; Fax: _ . Street Address:
5) Scope of Services: The goods and/or services to be provided are as set forth in the "checked
documents" .
6) Compensation: The CONTRACTOR's compensation for the performance of this contract (hereinafter
referred to as the Contract Price) shall be one of the following indicated by a checked box 0 $ _____ or as
set forth in 0 CONTRACTOR's response to the City's written solicitation, if any, Of, if none, then as set out in 0
CONTRACTOR's proposal or quote, whichever is applicable, and as modified by the Contract Documents.
7) Hours of Work: In the event that this contract requires the performance of services, the cost of
performing the Work after regular working hours, and on Sunday and legal holidays, if required by the City, at any
time during the course of the Work, is included in the Contract Price and no additional compensation shall be
received in such event. However, nothing contained herein shall authorize work on days and during hours that are
otherwise prohibited by ordinance unless specifically authorized or instructed in writing by the Director, the
Director's assistant or designee.
8) Time Provisions: The term of this Contract shall commence on the Work Commencement Date and
shall continue for _ days or until __ or unless earlier terminated according to the Contract Documents.
Notwithstanding the foregoing, this Contract may be extended if the extension is in writing and signed by the City
Manager. An extension of the term of this Contract is at the CITY's sole and absolute discretion but in no event
may the term of the contract exceed five years.
9) Termination: This contract may be terminated without cause by the CITY with 30 days of advanced
written notice. This provision supersedes and takes precedence over any contrary provisions for termination
contained in the Contract Documents.
10) Applicable Law and Venue: Florida law shall apply to the interpretation and enforcement of th'is
Contract. Venue for all proceedings shall be in Miami-Dade County, Florida.
11) Insurance, Indemnification & Bonding: CONTRACTOR shall comply with the insurance,
indemnification and bonding requirements set forth in the Contract Documents.
12) Liquidated Damages: In the event that the CONTRACTOR shall fail to complete the Work within the
time limit set forth in the Contract Documents, or the extended time limit agreed upon, in accordance with the
procedure as more particularly set forth in the Contract Documents, liquidated damages shall be paid at the rate of
$N/A dollars per day until the Work is completed.
13) Jury Trial Waiver: The parties waive their right to jury trial.
14) Entire Agreement, Modification, and Non~waiver: The Contract Documents constitute the entire
agreement of the parties and supersedes any prior agreements, written or oral. The Contract Documents may not
be modified or amended except in writing, signed by both parties hereto. The Contract Documents, in general, and
this paragraph, in particular, shall not be modified or amended by any acts or omissions of the parties. No failure
to exercise and no delay in exercising any right, power or privilege shall operate as a waiver. No waiver of the
Contract Documents, in whole or part, including the provisions of this paragraph, may be implied by any act or
omission.
15) Public Records: CONTRACTOR and all of its subcontractors are required to comply with the public
records law (s.119.0701) while providing goods and/or Services on behalf of the CITY and the CONTRACTOR, under
such conditions, shall incorporate this paragraph in all of its subcontracts for this Project.
16) Background Screening. All personnel and volunteers that will provide any service that might occur
within 100 feet of any children involved in any City or its Agency's related activity must be in compliance with Level
II Background Screening and fingerprinting requirements as per, Florida Statute Ch. 435 prior to the scheduled
start of any employee or volunteer. CONTRACTOR shall prevent any and all of its personnel, including volunteers,
from engaging in any related activities without having passed a background screening to the satisfaction of the
City.
17) Drug Free Workplace. The CONTRACTOR shall comply with the Drug Free Workplace policy set forth
in the City of South Miami's Personnel Manual which is made a part of this Contract by reference.
18) TRANSFER AND ASSIGNMENT. None of the Work under this contract shall be subcontracted or
assigned without prior written consent from the City which may be denied without cause.
19) NOTICES. All notices given or required under this contract shall be deemed sufficient if se nt by a
method that provides written evidence of delivery, including e-mail and facsimile transmission and delivered to the
CONTRACTOR or his designated contact person. Return of mail, sent to the address contained herein for the
parties or their contact persons, as not deliverable or for failure to claim the mail shall be deemed received on the
date that the mail is returned to sender.
IN WITNESS WHEREOF, the parties, have executed this Contract, on or before the date first above
written, with full knowledge of its content and significance and intending to be lega lly bound by the terms hereof.
Wit ~~
By: l ~~
ATTESTED:
By : ______ _
Maria Menendez
City Clerk
Read and Approved as to Form, language,
Legality and Execution Thereof:
By: ________ _
City Attorney
[Individual o I ty's name)
CITY OF SOUTH MIAMI
By: ________ _
Steven Alexander
City Manager
1.01
A.
B.
EXHIBIT I
Insurance Requirements
!!:t~.Ynl!l~e
Without limiting its liability, the contractor, consultant or consulting firm (hereinaher referred to as
"FIRM" with regard to Insurance and Indemnification requirements) shall be required to procure and
maintain at its own expense during the life of the Contract, insurance of the types and in the minimum
amounts stated below as will protect the FIRM, from claims which may arise out of or result from the
contract or the performance of the contract with the City of South Miami. whether such claim is against
the FIRM or any sub-contractor, or by anyone directly or indirectly employed by any of them or by
anyone for whose acts any of them may be liable.
No insurance required by the CITY shall be issued or written by a surplus lines carrier unless authorized
in writing by the CITY and such authorization shall be at the CITY's sole and absolute discretion. The
FIRM shall purchase insurance from and shall maintain the insurance with a company or companies
lawfully authorized to sell insurance in the State of Florida, on forms approved by the State of Florida, as
will protect the FIRM, at a minimum, from all claims as set forth below which may arise out of or result
from the FIRM's operations under the Contract and for which the FIRM may be legally liable, whether
such operations be by the FIRM or by a Subcontractor or by anyone directly or indirectly employed by
any of them, or by anyone for whose acts any of them may be liable: (a) claims under workers'
compensation, disability benefit and other similar employee benefit acts which are applicable to the Work
to be performed; (b) claims for damages because of bodily injury, occupational sickness or disease, or
death of the FIRM's employees; (c) claims for damages because of bodily injury, sickness or disease, or
death of any person other than the FIRM's employees; (d) claims for damages insured by usual personal
injury liability coverage; (e) claims for damages, other than to the Work itself, because of injury to or
destruction of tangible property, including loss of use resulting there from; (I) claims for damages because
of bodily injury, death of a person or property damage arising out of ownership. maintenance or use of a
motor vehicle; (g) claims for bodily injury or property damage ariSing out of completed operations; and
(h) claims involving contractual liability insurance applicable to the FIRM's obligations under the Contract.
1.02 Firm's Insurance Generally. The FIRM shall provide and maintain in force and effect until all the Work to
be perlormed under this Contract has been completed and accepted by CITY (or for such duration as is otherwise
specified hereinafter). the insurance coverage written on Florida approved forms and as set forth below:
1.03 Workers' Compensation Insurance at the statutory amount as to all employees In compliance with the
"Workers' Compensation Law" of the State of Florida including Chapter 440, Florida Statutes, as presently written
or hereafter amended, and all applicable federal laws. In addition, the policy (ies) must include: Employers' Liability
at the statutory coverage amount. The FIRM shall further insure that all of its Subcontractors maintain appropriate
levels of Worker's Compensation Insurance.
1.04 Commercial Comprehensjye General Liability insurance with broad form endorsement, as well as
automobile liability, completed operations and products liability, contractual liability, severability of interest with
cross liability provision, and personal injury and property damage liability with limits of $1,000,000 combined single
limit per occurrence and $2,000,000 aggregate, including:
• Personallnlury: $1,000,000;
• Medical Insurance: $5,000 per person;
• Property Damage: $500,000 each occurrence;
• Automobile Liability: $1,000,000 each accident/occurrence.
• Umbrella: $1,000,000 per claim
1.05 Umbrella Commercial ComprehenSive Genera! Liability insurance shall be written on a Florida approved
form with the same coverage as the primary insurance policy but in the amount of $1 ,000,000 per claim and
/I
$2,000,000 Annual Aggregate. Coverage must be afforded on a form no more restrictive than the latest edition of
the Comprehensive General Liability policy, without restrictive endorsements, as filed by the Insurance Services
Office. and must include:
(a) Premises and Operation
(b) Independent Contractors
(c) Products andlor Completed Operations Hazard
(d) Explosion, Collapse and Underground Hazard Coverage
(e) Broad Form Property Damage
(I) Broad Form Contractual Coverage applicable to this specific Contract, including any hold harmless
and/or indemnification agreement.
(g) Personal Injury Coverage with Employee and Contractual Exclusions removed, with minimum limits of
coverage equal to those requirecl' for Bodily Injury Liability and Property Damage liability.
1.06 Business Automobile Liability with minimOm limits of One Million Dollars ($1,000,000.00) plus an
additional One Million Dollar ($1,000,000.00) umbrella per occurrence combined single limit for Bodily Injury
Liability and Property Damage Liability. Umbrella coverage must be afforded on a form no more restrictive than
the latest edition of the Business Automobile liability policy, without restrictive endorsements, as filed by with the
state of Florida. and must include:
(a) Owned Vehicles.
(b) Hired and Non-Owned Vehicles
(c) Employers' Non-Ownership
1.07 SUBCONTRACTS: The fiRM agrees that if any part of the Work under the Contract is sublet, the
subcontract shall contain the same insurance provision as set forth in section 5.1 above and 5.4 below and
substituting the word Subcontractor for the word fiRM and substituting the word fiRM for CITY where
applicable.
1.08 fire and Extended Coverag\lJnsurance !Buildm" Risk). If APPLICABLE:
A. In the event that this contract involves the construction of a structure, the CONTRACTOR shall
maintain, with an Insurance Company or Insurance Companies acceptable to the CITY, "Broad!! form/All
Risk Insurance on buildings and structures, including Vandalism & Malicious Mischief coverage, while in the
course of construction, including foundations, additions, attachments and all permanent fixtures belonging
to and constituting a part of said buildings or structures. The policy or policies shall also cover
machinery, if the cost of machinery is included in the Contract, or if the machinery is located in a building
that is being renovated by reason of this contract. The amount of insurance must, at aU times, be at least
equal to the replacement and actual cash value of the insured property. The policy shall be in the name of
the CITY and the CONTRACTOR, as their interest may appear, and shall also cover the interests of all
Subcontractors petiorming Work.
B. All of the provisions set forth in Section 5.4 herein below shall apply to this coverage unless it would be
dearly not applicable.
1.09 Miscellaneous:
A. If any notice of cancellation of insurance or change in coverage is issued by the insurance company or
should any insurance have an expiration date that will occur during the period of this contract, the FIRM
shall be responsible for securing other acceptable insurance prior to such cancellation, change. or
expiration so as to provide continuous coverage as specified in this section and so as to maintain
coverage during the life of this Contract.
B. All deductibles must be declared by the fiRM and must be approved by the CITY. At the option of the
CITY, either the fiRM shall eliminate or reduce such deductible or the fiRM shall procure a Bond, in a
form satisfactory to the CITY covering the same.
C. The policies shall contain waiver of subrogation against CITY where applicable, shall expressly provide
that such policy or policies are primary over any other collectible insurance that CITY may have. The
CITY reserves the right at any time to request a copy of the required policies for review. All policies
shall contain a "severability of interest" or "cross liability" clause without obligation for premium
payment of the CITY as well as contractual liability provision covering the Contractors duty to indemnify
the City as provided in this Agreement.
D. Before starting the Work, the fiRM shall deliver to the CITY and CONSULTANT certificates of such
insurance. acceptable to the CITY, as well as the insurance binder. if one is issued, the insurance policy,
including the declaration page and all applicable endorsements and provide the name. address and
2
I
telephone number of the insurance agent or broker through whom the policy was obtained , The insurer
shall be rated A.VII or better per A.M . Best's Key Rating Guide, latest edition and authorized to issue
insurance in the State of Florida. All insurance policies must be written on forms approved by the State
of Florida and they must remain in full force and effect for the duration of the contract period with the
CITY . The FIRM may be required by the CITY, at its sole discretion, to provide a "certified copy" of the
Policy (as defined in Article I of this document) which shall include the declaration page and all required
endorsements, In addition, the FIRM shall deliver, at the time of delivery of the insurance certificate, the
following endorsements:
(I) a policy provision or an endorsement with substantially similar provisions as follows:
"The City of South Miami is an additional insured. The insurer shall pay all sums that the City of
South Miami becomes legally obligated to pay as damages because of 'bodily injury", 'property
damage' , or "personal and advertising injury" and it will provide to the City all of the coverage
that is typically provided under the standard Florida approved forms for commercial general
liability coverage A and coverage BI';
(2) a policy prov ision or an endorsement with substantially similar provisions as follows:
"This policy shall not be cancelled (including cancellation for non-payment of premium),
terminated or materially modified without first giving the City of South Miami ten (10) days
advanced written notice of the intent to materially modify the policy or to cancel or term inate
the policy for any reason . The notification shall be delivered to the City by certified mail, with
proof of delivery to the City."
3
Indemnification Requirement
A The Contractor accepts and voluntarily incurs all risks of any injuries, damages, or harm which
might arise during the work or event that is occurring on the CITY's property due to the negligence or other fault
of the Contractor or anyone acting through or on behalf of the Contractor.
S, The Contractor shall indemnify. defend, save and hold CITY, its officers, affiliates. employees,
successors and assigns, harmless from any and all damages, claims. liability. losses. claims, demands. suits, fines,
judgments or cost and expenses, including reasonable attorney's fees, paralegal fees and investigative costs
incidental there co and incurred prior to, during or following any litigation, mediation, arbitration and at all
appellate levels, which may be suffered by, or accrued against, charged to or recoverable from the City of South
Miami, its officers, affiliates, employees, successors and assigns, by reason of any causes of actions or claim of any
kind or nature, including claims for injury to, or death of any person or persons and for the loss or damage to any
property ariSing out of a negligent error, omission, misconduct, or any gross negligence, intentional act or harmful
conduct of the Contractor, its contractor/subcontractor or any of their officers, directors, agents, representatives,
employees, or assigns, or anyone acting through or on behalf of any of them, arising out of this Agreement,
incident to it, or resulting from the performance or non-performance of the Contractor's obligations under this
AGREEMENT.
C. The Contractor shall pay all claims, losses and expenses of any kind or nature whatsoever, in
connection thereWith, including the expense or loss of the CITY and/or its affected officers, affiliates, employees,
successors and assigns, including their attorney's fees, in the defense of any action in law or equity brought against
them and arising from the negligent error, omission, or act of the Contractor, its Sub-Contractor or any of their
agents, representatives, employees, or assigns, and/or arising out of, or incident to, this Agreement, or incident to
or resulting from the performance or non-performance of the Contractor's obligations under this AGREEMENT.
D. The Contractor agrees and recognizes that neither the CITY nor 'Its officers, affiliates,
employees, successors and assigns shall be held liable or responSible for any claims, including the costs and
expenses of defending such claims which may result from or arise out of actions or omissions of the Contractor,
its contractor/subcontractor or any of their agents, representatives, employees, or assigns, or anyone acting
through or on behalf of the them, and arising out of or concerning the work or event that is occurring on the
CITY's property. In reviewing, approving or rejecting any submissions or acts of the Contractor, CITY in no way
assumes or shares responsibility or liability for the acts or omissions of the Contractor, its
contractor/subcontractor or any of their agents, representatives, employees, or assigns, or anyone acting through
or on behalf of them.
E. The Contractor has the duty to provide a defense with an attorney or law firm approved by the
City of South Miami, which approval will not be unreasonably withheld.
Contractor's Responsibility Prior to Receiving a Notice to Proceed
Prior to the City issuing a Notice to Proceed, the contractor shall deliver a copy (either hard copy or, preferably,
electronically) of the policy, including the declaration page of the policy and all endorsements to the policy and that
the contractor shall provide the City with the name, address, including email address, and phone number of the
contractor's insurance agent.
The Contractor's insurance agent must provide the City with evidence that the insurer issuing the policy, is
licensed and authorized to do business in Florida, with policy documents that have been approved by the State of
Florida and that the insurance carrier is not issuing the policy as a surplus lines carrier. It shall also request a
citation to the page number of the policy, or the form number of the endorsement that meets the following City
insurance requirements, and request that he or she highlight the relevant language of the portion of the policy
and/or the endorsements that, in his or her estimation, meets these requirements:
4
The endorsements or the policy must provide or show that:
a) the city is an additional insured;
b) coverage includes contractual liability;
c) the City will be provided at least 10 days advanced notice of any cancellation of the policy. including cancelation
for non-payment of premium and at least 30 days' advanced notice of any material changes to the policy or of
cancellation for any reason other than non-payment; and
d) either policy provision or an endorsement providing that the policy is primary and non-contributory, such as an
endorsement that provides that the vendor's policy is primary over all of the city's applicable insurance and that
treats the city's policies as excess coverage.
It may be that some of these provisions are combined into one endorsement or contained in the policy itself.
If the policy does not have an advanced notice of cancellation provision that supplies the City with advanced
notice, the contractor can still comply with the insurance requirement if the contractor provides the city with
proof that the policy premium has been paid In full and provided the contractor pays a monitoring fee, currently
set at $25 per month .
5 It
So ut~iami
'''' \f1,'" .".~ .. ~ lNIf«;
CITY OF SOUTH MIAMI
INVITATION TO QUOTE
ITQ #PD2015 -02
LUMP SUM PROPOSAL
SUBMITTEO TO, City Clerk PROJECT, Police Department Communications Area
Renovation
NAME,
ADDRESS,
CITY/STATE ,
PHONE,
Marla Mene ndez, eMe ADDRESS,
CITY/STATE,
ISSUE DATE,
E-MAIL'
6130 Sunset Dri ve
6130 Sunset Drive So uth Miami. FI33143
Miami, Florida 33134
305 -663-6339
Tuesdav, January 27, 2015
sk ull ck@sou th mlaml fl .f!ov.
MANDATORY PRE-QUOTE MEETING, Thursday, Fe brua ry S. 2015 at 10 AM DUE DATE: Wednesday, February 11, 2015 at 10 AM
QUOTE SUBMISSION REqUIREMENTS:
Quotes su bmitted a fter 10 AM on the due dat e will not be accepted unless oth erwise speci fi ed in the qu ote document
of a ti me change. All quotes will be submitted t o th e City Clerks Office In a sealed envelop e. The label on th e on the
en velope needs to read as follows:
City of South Miami
Marla M . Menendez, (Me
6130 Sunset Drive
South Miami, FI. 33143
Project Name: Police Department Communications Area Renoyatlon
Must Input project name , If label d oes not have all Info rmatio n above yo ur quote will not be accepted.
INSURANCE REQUIREMENTS,
The CITY'S Insurance requ irements are attached (EKhlblt 1). A s a con d It Ion o f awa rd, the awa rd ed vendor must provIde a
ce rtIficate of Insurance nam ing the city as additional Insured.
AFFIDAVITS REqUIRED WITH SUBMITTAL, IExnlbl. 21
Respondents must complete and submit with your quote affidavits pro vIde d In ExhibIt 2,
qUESTIONS,
Any Requests f or additional Information or qu es t ions must be In writing, emalled by 10 AM local time on February 9, 2015 to the
attention of Mr. Steven Kulick. Purchasing Manager at skullck@southmlamlfl.gov.
SCOPE OF SERVICES DESCRIPTION , ITO BE COMPLETED BY CITYI
REFER TO "SCOPE OF SERVICES," COPY ATIACHED
Bids will o nlv be accepted that Indude quotations during regular working hours.
DESCRIPTION OF WORK TO BE PERFORMED BY CONTRACTOR ,
Item Number item Description Unit I Qty
Refer t2 "Scope of Servlce ~'" COPlt Atta~bed
Amount
1 LUMP SUM PROPOSAL 1'1 ~l", Uvu, uu
, .,~
, 'J~i
-' " 1,_,-", -,,,,,,t ." '1'Il'IiA'" ill " , i' ILUMP '$UM ,TOTAU
Contractor shall furnish all materials and equlpnHmt necessa ry to sec u re co mple t ion o f th C! Walk . Contractor shall be
co mpensa ted acco rd ing to the quot e submitted . Co ntractor Is r C!s pon ~l ble to sec u re a ll permIts and shou ld be relt ec t ed
in Ihe Lump Sum quo t e. Contractor may choose to submIt a quo tt' on company Ieltc lhca d but must be a!tached t o t his form .
Mandatory Pre-Quote Meeting is sc h edu l ed February 5, 2015 at 10 AM at City Hall Chamb ers, 6130 Sunset Drive,
South M iami, FL 33143. Dcatlllnp to submit is : February 11, 201S
PrinVType Namo :
Slgn"ture:
E-mail :
Firm Name:
Address:
4I IIM S CQRI\CE N
r I....,.,
C I r,})¥11
AVANTIIS CONSTRUCTION COMPANY LtC
11976 NW 24th Street
CORAL SPRINGS, FL 33065
Phone:
Date :
Fax :
F,E.I ,N, No "
City '
02/10/2 015
954 -272-6391
46-3 5 87188
State:
'!,JJp '. v,yv , VV'
THI fX€CUnON Of THIS FORM CONSTITUTES THE UNEQUNOCAlOffER OF PROPOSER TO IE BOUN~ BY THE TERMS OF ITS f'ROPOSAl. FAilURE TO SIGN THIS SOUCfTATION WHERE INDICATED ABOVE BY AN
AUT HO RIZED RlPREUHTATIVE SHAU REN DER THE PROPOSAL NO N·RESPONSIVE . THE my MAY , HOWEVER , IN ITS SOU OISClI.£TION , ACCEPT ANY PROPOSAL THAT INCLUDES AN U£CUTEO DO CU MENT WHKH
UNiQUIVOCALLY BINDS THE PROPO SER TO THE TERMS OF ITS OffER . THE crn's REqu eST FOR QUOTfS IS fOR THE lOWEST AND MOST RESPONSI VE PRICE . THE cm RESERVU1HE RIGHT TO AWARD THE PROJECT
TO THE FIRM CONSIDERED THE BEST TO S!RVE THE CITY'S INTEREST .
SCOPE OF SERVICES
"South Miami Police Department Communications Area Renovation"
"Lump Sum Proposal"
The City of South Miami is seeking quotations from experienced and capable parties to remove
existing open shelving units, countertops, desk drawers and two mailbox areas located in the
South Miami Police Department's Communications Room located at 6130 Sunset Drive, South
Miami, FL 33143.
The work performed by the Respondent will consist of furnishing all labor (including
subcontractors), machinery, tools, means of transportation, supplies, equipment, materials,
permits, disposal of materials and services necessary to perform the following Work and should
be reflected in Respondents Lump Sum Quote. Permit fees are waived for permits issued by
the City of South Miami. Permit fees from other government entities, if required, shall be the
reasonability of the Respondent however, in all cases; it is the responsibility of Respondents to
secure any and all permits that may be required for this project.
The Contractor is responsible for the following:
New Open Shelving Units:
Removal of existing shelving and installation of new shelving units. Materials
quoted shall be plywood with Formica overlay, no exceptions.
New Counter Tops and Desk Drawers:
Removal of existing counter tops in all areas including desk drawers and
installation of new counter tops and desk drawers. All related hardware shall be
induded, induding but not limited to, latches, screws, nuts, bolts, pulls, knobs,
etc., including all related hardware to open and close the drawers. Materials
quoted shall be plywood with Formica overlay, no exceptions.
New Mailboxes:
Provide mailboxes with multiple slots, 7 rows with 8 sections in each row
containing a slot measuring 3"h x 8.5"w for the Primary area. The Secondary
area contains slots with the same dimensions however with 4 rows with 5
sections in each row.
All work shall be performed during the following hours; Monday -Friday from 6:00 AM -5:00
PM, and all furniture to be installed must be built offsite and brought to our location ready to
install to minimize downtime in the Police Communication work area.
The City reserves the right to award the project to the contractor with the lowest, most
responsive, responsible Proposal, as determined by the City, subject to the right of the City, or
the City Commission, to reject any and all proposals, and the right of the City to waive any
irregularity in the Proposals or RFP procedure and subject also to the right of the City to award
the Project, and execute a contract with a Respondent or Respondents, other than to one who
provided the lowest Proposal Price.
CONTRACT FOR
South Miami Police Department Communications Area Renovation
THIS CONTRACT, entered into this ~ day of ~~EBRUAR:~~, 20~ by the CITY Of SOUTH MIAMI
through its Manager, both of whom shall be hereinafter referred to as the "CITY" where applicable; located at
6130 Sunset Drive, South Miami, FL. E-mail: salexander@southmiamifl.gov and
AVANTIS CONSTR~c:TI"<::t::_<:OMPfu"\:," with an office and principal place of business located at
11976 NW 24th Stf~an e~mail address of "_~"~_~~" ___ (hereinafter called the "CONTRACTOR").
coracelin70@yahoo.com
WITNESSETH:
WHEREAS, the CITY is in need of ~ollttUYlial11L.P9lic;:g De:nartment CommuJIi.~ations Area Renovatio.n; and
WHEREAS, the CITY desires to retain the CONTRACTOR to provide the required good and/or services
based on the CONTRACTOR's representations that it is qualified and capable of providing said goods and/or
services in a professional and timely manner and in accordance with the CITY's goals and requirements; and
WHEREAS, the CONTRACTOR has agreed to provide the required goods and/or services in accordance
with the terms and conditions set forth herein.
NOW, THEREFORE, in consideration of the mutual covenants and agreements herein contained, the
parties agree as follows:
1) Engagement Of Contractor: Based on the representations of the CONTRACTOR as set out in the
following "checked" documents the CITY hereby retains the CONTRACTOR to provide the goods and/or services set
forth in said proposal, quote or response to solicitation, whichever is applicable, as modified by the Contract
Documents defined below (all of which is hereinafter referred to as the Work").
(Check the box immediately preceding the document described below to indicate tnat such document is part of this contract)
o Contractor's response to the CITY's written solicitation; or
o Contractor's proposal or quote, or if none,
o As described in paragraph 2 below.
2) Contract Documents: The Contract Documents shall include this Contract and the following
"checked documents", as well as any attachments or exhibits that are made a part of any of the "checked
documents" ,
(Check the bOl( immediately preceding the document described below to indicate that such document is part of this contract)
o General Conditions to Contract,
o Supplementary Conditions,
o "Other Documents" referring to in this contract and signed by the parties,
o Solicitation documents ("hereinafter referred to as "Bid Documents" induding
any request for bid, request for proposal or similar request)
o Scope of Services,
o Contractor's response to the CITY's Bid Documents,
Q Contractor's proposal or quote,
o CITY's Insurance & Indemnification Requirements,
o Payment Bond,
[] Performance Bond,
This Contract and the General Conditions to Contract, Supplementary Conditions, the Solicitation, Scope of
Services and /lather Oocuments", if any are "checked documents", shall take precedent over the response to the
CITY's Bid Documents, the proposal or the quote, if any. The "checked documents" are attached hereto and made
a part hereof by reference.
3) Date of Commencement: The CONTRACTOR shall commence the performance of the Work under this
Contract on or if no date is set then on a date to be specified in a Notice to Proceed, or
Purchase Order, {hereinafter referred to as the "Work Commencement Date")' and shall complete the
performance hereunder within __ days or the length of time set forth in the Contract Documents,
whichever is the shorter period of time. Time is of the essence.
4) Primary Contacts: The Primary Contact Person in charge of administering this Contract on behalf of
the CITY is the City Manager ("Manager"), assistant Manager, or the Manager's designee, who shal! be deSignated
in a writing signed by the Manager. The Primary Contact Person for the CONTRACTOR and his/her contact
information is as follows: Name: __________ . _ e-mail: ; Fax: Street Address:
----:-~-----.--.~ .
5) Scope of Services: The goods and/or services to be provided are as set forth in the "checked
documents" .
6) Compensation: The CONTRACTOR's compensation for the performance of this contract (hereinafter
referred to as the Contract Price) shall be one of the following indicated by a checked box 0 $_. ___ . or as
set forth in 0 CONTRACTOR's response to the City's written solicitation, if any, or, if none, then as set out in 0
CONTRACTOR's proposal or quote, whichever is applicable, and as modified by the Contract Documents.
7) Hours of Work: [n the event that this contract requires the performance of services, the cost of
performing the Work after regular working hours, and on Sunday and legal holidays, if required by the City, at any
time during the course of the Work, is included in the Contract Price and no additional compensation shall be
received in such event. However, nothing contained herein shall authorize work on days and during hours that are
otherwise prohibited by ordinance unless specifically authorized or instructed in writing by the Director, the
Director's assistant or designee,
8) Time Provisions: The term of this Contract shall commence on the Work Commencement Date and
shall continue for _ days or until __ or unless earlier terminated according to the Contract Documents.
Notwithstanding the foregoing, this Contract may be extended if the extension is in writing and signed by the City
Manager, An extension of the term of this Contract is at the CITY's sale and absolute discretion but in no event
may the term of the contract exceed five years.
9) Termination: This contract may be terminated without cause by the CITY with 30 days of advanced
written notice, This provision supersedes and takes precedence over any contrary provisions for termination
contained in the Contract Documents,
10) Applicable law and Venue: Florida law shall apply to the interpretation and enforcement of this
Contract. Venue for all proceedings shall be in Miami-Dade County, Florida.
11) Insurance, Indemnification & Bonding: CONTRACTOR shall comply with the insurance,
indemnification and bonding requirements set forth in the Contract Documents,
12) liquidated Damages: In the event that the CONTRACTOR shall fail to complete the Work within the
time limit set forth in the Contract Documents, or the extended time limit agreed upon, in accordance with the
procedure as more particularly set forth in the Contract Documents, liquidated damages shall be paid at the rate of
$N/A dollars per day until the Work is completed.
13) Jury Trial Waiver: The parties waive their right to jury trial.
14) Entire Agreement, Modification, and Non~waiver: The Contract Documents constitute the entire
agreement of the parties and supersedes any prior agreements, written or oral. The Contract Documents may not
be modified or amended except in writing, signed by both parties hereto. The Contract Documents, in general, and
this paragraph, in particular, shall not be modified or amended by any acts or omissions of the parties. No failure
to exercise and no delay in exercising any right, power or privilege shall operate as a waiver. No waiver of the
Contract Documents, in whole or part, including the provisions of this paragraph, may be implied by any act or
omission,
15) Public Records: CONTRACTOR and all of its subcontractors are required to comply with the public
records law (s.119.0701) while providing goods and/or Services on behalf of the CITY and the CONTRACTOR, under
such conditions, shall incorporate this paragraph in all of its subcontracts for this Project.
16) Background Screening. All personnel and volunteers that will provide any service that might occur
within 100 feet of any children involved in any City or its Agency's related activity must be in compliance with Level
II Background Screening and fingerprinting requirements as per, Florida Statute Ch. 435 prior to the scheduled
start of any employee or volunteer. CONTRACTOR shall prevent any and all of its personnel, including volunteers,
from engaging in any related activities without having passed a background screening to the satisfaction of the
City.
17) Drug Free Workplace. The CONTRACTOR shall comply with the Drug Free Workplace policy set forth
in the City of South Miami's Personnel Manual which is made a part of this Contract by reference,
18) TRANSFER AND ASSIGNMENT. None of the Work under this contract shall be subcontracted or
aSSigned without prior written consent from the City which may be denied without cause.
19) NOTICES. All notices given or required under this contract shall be deemed sufficient if sent by a
method that provides written evidence of delivery, including e-mail and facsimile transmission and delivered to the
CONTRACTOR or his designated contact person. Return of mall, sent to the address contained here in for the
parties or their contact persons, as not deliverable or for failure to claim the mail shall be deemed received on the
date that the mail is returned to sender.
IN WITNESS WHEREOF , the parties, have executed this Contract, on or before the date lirst above
written, with full knowledge of its conte nt and significance and intending to be legally bound by the terms hereof.
[Individual ,o r entity's name) /
Witnessed: I
By: By : L. iI'/ ( G'· u (
ATIESTED:
By : ---,_,..-,-_---, __
Maria Menendez
City Clerk
Read and Approved as to Form, language,
legality and Execution Thereof:
By: ________ _
City Attorney
[name of signatory)
CITY OF SOUTH MIAMI
By: __ ----,_-,-__ _
Steven Alexander
City Manager
1.01
A.
B.
EXHIBIT I
Insurance Requirements
Insurance
Without limiting its liability, the contractor, consultant or consulting firm (hereinafter referred to as
"FIRM" with regard to Insurance and Indemnification requirements) shall be required to procure and
maintain at its own expense during the life of the Contract, insurance of the types and in the minimum
amounts stated below as will protect the FI RM. from claims which may arise out of or result from the
contract or the performance of the contract with the City of South Miami, whether such claim is against
the FIRM or any sub-contractor, or by anyone directly or indirectly employed by any of them or by
anyone for whose acts any of them may be liable.
No insurance required by the CITY shall be issued or written by a surplus lines carrier unless authorized
in writing by the CITY and such authorization shall be at the CITY's sale and absolute discretion, The
FIRM shalf purchase insurance from and shall maintain the insurance with a company or companies
lawfully authorized to sell insurance in the State of Florida, on forms approved by the State of Florida, as
will protect the FIRM, at a minimum, from all claims as set forth below which may arise out of or result
from the FIRM's operations under the Contract and for which the FIRM may be legally liable, whether
such operations be by the FIRM or by a Subcontractor or by anyone directly or indirectly employed by
any of them, or by anyone for whose acts any of them may be liable: (a) claims under workers'
compensation, disability benefit and other similar employee benefit acts which are applicable to the Work
to be performed; (b) claims for damages because of bodily injury, occupational sickness or disease, or
death ofthe FIRM's employees; (c) claims for damages because of bodily injury, sickness or disease, or
death of any person other than the FIRM's employees; (d) claims for damages insured by usual personal
injury liability coverage; (e) claims for damages, other than to the Work itself, because of injury to or
destruction of tangible property, including loss of use resulting there from; (f) claims for damages because
of bodily injury, death of a person or property damage arising out of ownership, maintenance or use of a
motor vehicle; (g) claims for bodily injury or property damage arising out of completed operations; and
(h) claims involving contractual liability insurance applicable to the FIRM's obligations under the Contract.
1.02 Firm's Insurance Generally. The FIRM shall provide and maintain in force and effect until all the Work to
be performed under this Contract has been completed and accepted by CITY (or for such duration as is otherwise
specified hereinafter), the insurance coverage written on Florida approved forms and as set forth below:
1.03 W9rkers' Compensatio[l Insurance at the statutory amount as to all employees in compliance with the
"Workers' Compensation Law" of the State of Florida including Chapter 440, Florida Statutes, as presently written
or hereafter amended, and all applicable federal laws. In addition, the policy (ies) must include: Employers' Liability
at the statutory coverage amount, The FIRM shall further insure that all of its Subcontractors maintain appropriate
levels of Worker's Compensation Insurance,
1.04 Commercial Comprehensive General Liability insurance with broad form endorsement, as well as
automobile liability, completed operations and products liability, contractual liability, severability of interest with
cross liability provision, and personal injury and property damage liability with limits of $1 ,000,000 combined single
limit per occurrence and $2,000,000 aggregate, including:
• Personal Injury: $1,000,000;
• Medical Insurance: $5,000 per person;
• Property Damage: $500,000 each occurrence;
• Automobile Liability: $1,000,000 each accidentioccurrence.
• Umbrella: $1,000,000 per claim
1.05 Umbrella Commercial Com!::>rehensive General Liability insurance shall be written on a Florida approved
form with the same coverage as the primary insurance policy but in the amount of $1 ,000,000 per claim and
$2,000,000 Annual Aggregate. Coverage must be afforded on a. form no more restrictive than the latest edition of
the Comprehensive General liability policy, without restrictive endorsements, as filed by the Insurance Services
Office, and must include:
(a) Premises and Operation
(b) Independent Contractors
(c) Products andlor Completed Operations Hazard
(d) Explosion. Collapse and Underground Hazard Coverage
(e) Broad Form Property Damage
(1) Broad Form Contractual Coverage applicable to this specific Contract. including any hold harmless
and/or indemnification agreement.
(g) Personal Injury Coverage with Employee and Contractual Exclusions removed, with minimum limits of
coverage equal to those required for Bodily Injury Liability and Property Damage liability.
1.06 Business Automobile liability with minimum limits of One Million Dollars ($1.000.000.00) plus an
additional One Million Dollar ($1.000.000.00) umbrella per occurrence combined single limit for Bodily Injury
Liability and Property Damage Liability. Umbrella coverage must be afforded on a form no more restrictive than
the latest edition of the Business Automobile Liability policy. without restrictive endorsements, as filed by with the
state of Florida. and must include:
(a) Owned Vehicles.
(b) Hired and Non-Owned Vehicles
(c) Employers' Non-Ownership
1.07 SUBCONTRACTS: The FIRM agrees that if any part of the Work under the Contract is sublet, the
subcontract shall contain the same insurance provision as set forth in section 5.1 above and 5,4 below and
substituting the word Subcontractor for the word FIRM and substituting the word FIRM for CITY where
applicable.
1.08 Fire i\l.l(LE~I~D_d~d Coverage Il1suLllilld.B.u.i!d_ers' Ri;!s11C~PPllQ"jl.l~:
A. In the event that this contract involves the construction of a structure, the CONTRACTOR shall
maintain, with an Insurance Company or Insurance Companies acceptable to the CITY, "Broad" form/AU
Risk Insurance on buildings and structures, including Vandalism & Malicious Mischief coverage. while in the
course of construction. including foundations, additions, attachments and all permanent fixtures belonging
to and constituting a part of said bUildings or structures. The policy or poliCies shall also cover
machinery, if the cost of machinery is included in the Contract, or if the machinery is located in a building
that is being renovated by reason of this contract. The amount of insurance must, at all times, be at least
equal to the replacement and actual cash value of the insured property. The policy shall be in the name of
the CITY and the CONTRACTOR. as their interest may appear. and shall also cover the interests of all
Subcontractors performing Work.
B. All of the provisions set forth in Section S.4 herein below shall apply to this "Coverage unless it would be
clearly not applicable.
1.09 Miscellaneous:
A. If any notice of cancellation of insurance or change in coverage is issued by the insurance company or
should any insurance have an expiration date that will occur during the period of this contract, the FIRM
shall be responsible for securing other acceptable insurance prior to such cancellation. change, or
expiration so as to provide continuous coverage as specified in this section and so as to maintain
coverage during the life of this Contract.
B. All deductibles must be declared by the FIRM and must be approved by the CITY. At the option of the
CITY. either the FIRM shall eliminate or reduce such deductible or the FIRM shall procure a Bond. in a
form satisfactory to the CITY covering the same.
C. The policies shall contain waiver of subrogation against CITY where applicable. shall expressly provide
that such policy or policies are primary over any other collectible insurance that CITY may have. The
CITY reserves the right at any time to request a copy of the required policies for review. All policies
shall contain a "severability of interest" or "cross liability" clause without obligation for premium
payment of the CITY as well as contractual liability provision covering the Contractors duty to indemnify
the City as provided in this Agreement.
D. Before starting the Work. the FIRM shall deliver to the CITY and CONSULTANT certificates of such
insurance, acceptable to the CITY, as well as the insurance binder, if one is issued, the insurance policy,
including the declaration page and all applicable endorsements and provide the name, address and
2
telephone number of the insurance agent or broker through whom the policy was obtained. The insurer
shall be rated A.VII or better per A.M. Best's Key Rating Guide, latest edition and authorized to issue
insurance in the State of Florida. All insurance policies must be written on forms approved by the State
of Florida and they must remain in full force and effect for the duration of the contract period with the
CITY. The FIRM may be required by the CITY, at its sole discretion, to provide a "certified copy" of the
Policy (as defined in At1:icle I of this document) which shall include the declaration page and all required
endorsements. In addition. the FIRM shall deliver, at the time of delivery of the insurance certificate, the
following endorsements:
(I) a policy provision or an endorsement with substantially similar provisions as follows:
"The City of South Miami is an additional insured. The insurer shall pay all sums that the City of
South Miami becomes legally obligated to pay as damages because of 'bodily injury", 'property
damage' , or "personal and advertising injury" and it will provide to the City all of the coverage
that is typically provided under the standard Florida approved forms for commercial general
liability coverage A and coverage B";
(2) a policy provision or an endorsement with substantially similar provisions as follows:
"This policy shall not be cancelled (including cancellation for non-payment of premium),
terminated or materially modified without first giving the City of South Miami ten (10) days
advanced written notice of the intent to materially modify the policy or to cancel or terminate
the policy for any reason. The notification shall be delivered to the City by certified mail, with
proof of delivery to the City."
3
Indemnification Requirement
A. The Contractor accepts and voluntarily incurs all risks of any injuries, damages, or harm which
might arise during the work or event that is occurring on the CITY's property due to the negligence or other fault
of the Contractor or anyone acting through or on behalf of the Contractor.
B. The Contractor shall indemnify, defend, save and hold CITY. its officers, affiliates, employees,
successors and assigns. harmless from any and all damages, claims, liability. losses, claims. demands, suits, fines,
judgments or cost and expenses. including reasonable attorney's fees. paralegal fees and investigative costs
incidental there to and incurred prior to, during or following any litigation, mediation, arbitration and at all
appellate levels, which may be suffered by, or accrued against, charged to or recoverable from the City of South
Miami. its officers. affiliates, employees. successors and assigns, by reason of any causes of actions or claim of any
kind or nature. including claims for injury to, or death of any person or persons and for the loss or damage to any
property arising out of a negligent error, omission, misconduct, or any gross negligence, intentional act or harmful
conduct of the Contractor, its contractor/subcontractor or any of their officers. directors, agents, representatives,
employees, or assigns, or anyone acting through or on behalf of any of them, arising out of this Agreement,
incident to it, or resulting from the performance or non-performance of the Contractor's obligations under this
AGREEMENT.
C. The Contractor shall pay all claims, losses and expenses of any kind or nature whatsoever, in
connection therewith, including the expense or loss of the CITY and/or its affected officers, affiliates, employees.
successors and assigns, including their attorney's fees, in the defense of any action in law or equity brought against
them and arising from the negligent error. omission. or act of the Contractor, its Sub-Contractor or any of their
agents, representatives, employees, or assigns, and/or arising out of, or incident to, this Agreement, or incident to
or resulting from the performance or non-performance .,f the Contractor's obligations under this AGREEMENT.
D. The Contractor agrees and recognizes that neither the CITY nor its officers, affiliates,
employees. successors and assigns shall be held liable or responsible for any claims. including the costs and
expenses of defending such claims which may result from or arise out of actions or omissions of the Contractor,
its contractor/subcontractor or any of their agents, representatives, employees, or assigns, or anyone acting
through or on behalf of the them, and arising out of or concerning the work or event that is occurring on the
CITY's property. In reviewing, approving or rejecting any submissions or acts of the Contractor, CITY in no way
assumes or shares responsibility or liability for the acts or omissions of the Contractor, its
contractor/subcontractor or any of their agents, representatives, employees, or assigns, or anyone acting through
or on behalf of them.
E. The Contractor has the duty to provide a defense with an attorney or law firm approved by the
City of South Miami. which approval will not be unreasonably withheld.
Contractor's Responsibility Prior to Receiving a Notice to Proceed
Prior to the City issuing a Notice to Proceed, the contractor shall deliver a copy (either hard copy or, preferably.
electronically) of the policy, including the declaration page of the policy and all endorsements to the policy and that
the contractor shall provide the City with the name, address, including email address, and phone number of the
contractor's insurance agent.
The Contractor's insurance agent must provide the City with evidence that the insurer issuing the policy, is
licensed and authorized to do business in Florida, with policy documents that have been approved by the State of
Florida and that the insurance carrier is not issuing the policy as a surplus lines carrier. It shall also request a
citation to the page number of the policy, or the form number of the endorsement that meets the following City
insurance requirements, and request that he or she highlight the relevant language of the portion of the policy
and/or the endorsements that, in his or her estimation, meets these reqUirements:
4
The endorsements or the policy must provide or show that:
a) the city is an additional insured;
b) coverage includes contractual liability;
c) the City will be provided at least 10 days advanced notice of any cancellation of the policy, including cancelation
for non-payment of premium and at least 30 days' advanced notice of any material changes to the polky or of
cancellation for any reason other than non-payment; and
d) either policy provision or an endorsement providing that the policy is primary and non-contributory, such as an
endorsement that provides that the vendor's policy is primary over all of the city's applicable insurance and that
treats the city's policies as excess coverage.
It may be that some of these provisions are combined into one endorsement or contained in the policy itself.
If the policy does not have an advanced notice of cancellation provision that supplies the City with advanced
notice, the contractor can still comply with the insurance requirement if the contractor provides the city with
proof that the policy premium has been paid in full and provided the contractor pays a monitoring fee, currently
set at $25 per month.
5
EXHIBIT 2
AFFIDAVITS AND FORMS
SUBMISSION REQUIREMENTS
I. Respondent's Sworn Statement Under Section 287.133(3)(A), Florida Statutes, on
Attachment #1 "Public Entity Crimes and Conflicts of Interest Affidavit,"
shall be completed and provided with the proposal submittal.
2. Neither the individual(s)lfirm, nor any of his/herrits employees shall be permitted
to rep·resent any client before the Commission or any Committee, department or
agency of the City. and shall agree not to undertake any other private
representation which might create a conflict of interest with the City. The
individual(s)lfirm may not represent any Commission member, individually. or. any
member of their family or any business in which the Commission member of their
family has an interest.
3. All proposals received will be considered public records. The City will consider all
quotations using such criteria as the Commission or City Manager may adopt at
either of their sole discretion. The individual(s)/firm selected will be required to
enter into a formal agreement with the City in a form satisfactory to the City, prior
to the execution of which the City shall reserve all rights. including the right to
change its selection.
4. Respondent's Attachment #2 "Drug Free Workplace" form shall be
completed and provided with the proposal submittal.
5. Respondent's Attachment #3 "No Conflict of InterestfNon Collusion
Affidavit," shall be completed and provided with the proposal submittal.
6. Respondent's Attachment #4 "Acknowledgement and Conformance with
OSHA Standards," shall be completed and provided with the proposal submittal.
7. Respondent's Attachment #S "Related Party Transaction Verification
form" shall be completed and provided with the proposal submittal.
Page 1 of 10
ATTACHMENT#I PUBLIC ENTITY CRIMES AND CONFLICTS OF INTEREST
Pursuant to the provisions of Paragraph (2) (a) of Section 287.133. Florida State Statutes -"A
person or affiliate who has been placed on the convicted vendor list following a conviction for a
public entity crime may not submit a Bid on a Contract to provide any goods or serlices to a
pUblic entity. may not submit a Bid on a Contract with a public entity for the construction or
repair of a public building or public work, may not submit bids on leases of real property to a
public entity. may not be awarded to perform work as a Contractor. supplier. Subcontractor.
or Consultant under a Contract with any public entity. and may not transact business with any
public entity in excess of the threshold amount Category Two of Section 287.017. Florida
Statutes. for thirty six (36) months from the date of being placed on the convicted vendor list".
The award of any contract hereunder is subject to the provisions of Chapter I 12. Florida State
Statutes. BIDDERS must disclose with their Bids, the name of any officer. director, partner.
associate or agent who is also an officer or employee of the City of South Miami or its agencies.
SWORN STATEMENT PURSUANT TO SECTION 287.133 (3)(a).
FLORIDA STATUTES. ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY
PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
I. This sworn statement is submitted to AVfu~TI ·..:'~NSTRUCT:.()~-.c:?~::~Y~LC __
[print name of the public entity]
by~IILLIfu'lS CORACELIN, PROJECT~ "lANA~~~ __ .~~ __ ~~_~~_~~_~_~ __ . ____ _
[print individual's name and title]
for AVANTI 'S CONSTRUCTION COMPM!Y LLC -----------------------p---
[print name of entity submitting sworn statement]
whose business address is 11976 NW 21th Street Coral Springs, FL 33065
and (if applicable) its Federal Employer Identification Number (FEIN) is _~"-~ 3 5 ~~8~ __ ~~~~~~ ___ ~ __ _
(If the entity has no FEIN. include the Social Security Number of the individual signing this
sworn statement: ~ __ ._~ ___ . ______ ~~ ____ ._._~_~ ____ .. ___ ~_~~ .. _.)
2. I understand that a "public entity crime" as defined in Paragraph 287.133 (I )(g). Florida
Statutes. means a violation of any state or federal law by a person with respect to and
directly related to the transaction of business with any public entity or with an agency
or political subdivision of any other state or of the United States. including. but not
limited to , any bid or contract for goods or serlices to be provided to any public entity
or an agency or political subdivision of any other state or of the United States and
involving antitrust. fraud. theft, bribery. collusion. racketeering, conspiracy, or material
misrepresentation.
3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133 (I )(b),
Florida Statutes. means a finding of guilt or a conviction of a public entity crime. with or
Page 2 of 10
without an adjudication of guilt, in any federal or state trial court of record relating to
charges brought by indictment or information after July I, 1989, as a result of a jury
verdict, non-jury trial, or entry of a plea of guilty or nolo contender.
4. I understand that an "affiliate" as defined in Paragraph 287.133 (I )(a), Florida Statutes,
means:
(a) A predecessor or successor of a person convicted of a public entity crime; or
(b) An entity under the control of any natural person who is active in the
management of the entity and who has been convicted of a public entity crime. The
term "affiliate" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in the management of an affiliate. The
ownership by one person of shares constituting a controlling interest in any person, or a
pooling of equipment or income among persons when not for fair market value under
an arm's length agreement, shall be a prima facie case that one person controls another
person. A person who knowingly enters into a joint venture with a person who has
been convicted of a public entity crime in Florida during the preceding 36 months shall
be considered an affiliate.
5. I understand that a "person" as defined in Paragraph 287.133 (I )(e), Florida Statutes,
means any natural person or entity organized under the laws of any state or of the
United States with the legal power to enter into a binding contract and which bids or
applies to bid on contracts for the provision of goods or services led by a public entity,
or which otherwise transacts or applies to transact business with a public entity. The
term "person" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in management of an entity.
6. Based on information and belief, the statement which I have marked below is true in
relation to the entity submitting this sworn statement. [Indicate which statement
applies.]
x Neither the entity submitting this sworn statement, nor any of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, nor any affiliate of the entity has been charged
with and convicted of a public entity crime subsequent to July I, 1989.
___ The entity submitting this sworn statement, or one or more of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, or an affiliate of the entity has been charged with
and convicted of a public entity crime subsequent to July I, 1989 .
..,,-__ The entity submitting this sworn statement, or one or more of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, or an affiliate of the entity has been charged with
and convicted of a public entity crime subsequent of July I, 1989. However, there has
been a subsequent proceeding before a Hearing Officer of the State of Florida, Division
of Administrative Hearings and the Final Order entered by the Hearing Officer
determined that it was not in the public interest to place the entity submitting this
sworn statement on the convicted vendor list. {attach a copy of the final order.]
Page 3 of 10
Continuation of Attachment #2 Publi c Entity Crimes and Connicts
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING
OFFICER FOR THE PUBLIC ENTITY INDENTIFIED IN PARAGRAPH I (ONE) ABOVE IS
FOR THAT PUBLIC ENTITY ONLY. AND THAT THIS FORM IS VALID THROUGH
DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND
THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A
CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION
287.017. flORIDA STATUTES. FOR CATEGORY TWO OF ANY CHANGE IN THE
INFORMATION CONTAINED IN THIS FORM.
, [signature]
Sworn to and subscribed before me this 1 0 day of February • 20 15
--~----~--------
x Personally known or
Produced identification
(Type of identification)
Notary Public -State of .Lk;.,JL""o :..<.l .:..:''1''''<.A.;=. ______ _
My commission expires -+-/'---h-l-'L--
(Printed. typed or stampe blic)
Form PUR 7068 (Rev.0611IN2) /ri1':'\'~~, MARCANTHONY TULLOCH
,': .', MY COMMISSION. EE852059
'.~ .w .. ,/ EXPIRES November 15, 2018
(-401) 398-0153 FkHkt~NotalyStmCO.cOfll
Page 4 oflO
ATTACHMENT #2 "DRUG FREE WORKPLACe"
Whenever two or more Bids wh ich are equal with respect to price, quality and service are
received by the State or by any political subdivisions 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
procedures for processing tie Bids will be followed if none of the tied vendors have a drug-free
workplace program. In order to have a drug-free workplace program, a business shall:
I . 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.
2. Inform employees about the dangers of drug abuse in the workplace, the business'
policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation,
and employee assistance programs, and the penalties ,that may be imposed upon
employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that
are under Bid a copy of the statement specified in Subsection (I).
4. In the statement specified in Subsection (I), notify 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 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 .
5 . 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 .
6. Make a good faith effort to continue to maintain a drug-free workplace through
implementation of this section.
~ the person authorized to sign the statement, I certify that this firm complies fully with the
above reqUirements.
PROPOSER's /1 \ I )
Signature: ~W=~_·...:'--=--_.......:~~::.;:~ _____ _
Print Nam e: WILL I AM S CORACEL I N
Date: 0 2/1 0 /2015
Page 5 oflO
ATTACH MENT #3 "No CONFLICT OF I N TEREST/NoN C O LLU SI O N AFF IDAVI T"
Submi tted this ~da y Of,_F_E_B_R_U_A_R_Y ______ -'. 20 15
The undersigned. as Bidder/Proposer. declare s that the only persons interested in this RFP are named
herein; that no other person has any interest in this RFP or in the Contract to which this RFP pertains ;
that this response is made without conn ection or arra ngement with any other person; and that this
respon se is in every respect fair and made in good faith. without collusion or fraud .
The Bidder/Proposer agrees if thi s respons e lsubmission is accepted, to execute an appropriate CITY
document for the purpose of esta blishing a form a l contractual relationship between the Bidder/Propo se r
and the CITY. for the performance of all requireme nts to which the responsc!submission pertains .
The BidderlProposer states that thi s res ponse is based upon the documents identified by the following
number: BidlRFP
The full .names and res idenc e s of persons a nd fi r ms inte rested in the foregOing bidlproposal, a s
prinCipals , are as follows:
Naille Street Add , e55 City Stdtc Z,p
The BidderiProposer further certifies that this responsc!subm ission complies with section 4(c) of the
Charter of the City of Miami, Florida, that, to th e best of its knowledge and b eli ef, no Commissioner,
Mayor. or other officer or employee of the CITY has an inter est directly or indirectly in the profits or
emoluments of the Contract, job, work or servi ce to which the responsc!submission pertains .
Sign atu re: _(:..:ld~,k"-'-,=i,--.....:Cl...+l"'''' .u1t ... ....<4!L------
Printed N a me: WILLI AM S CO RA CELIN
Title: OWNER
Tel e phon e: 954 -668-3043
C o mpa ny N ame AVANT I 'S CONSTR UCTION COMPANY LLC
Continuation of Attachme nt #3No ConVict of inter/NOll-Collu sion Certi{tcation
P a ge 6 of 10
NOTARY PUBLIC:
STATE OF FLORIDA
MIAMI DADE
COUNTY OF
The foreRoing instrument was acknowl edged before me this lO day of
P EBR I Al m .20 15 by WTl.I.TAM S CORJlCEr.1W (nam e of
person whose signatur e is being notarized) who Is
SEAL
x Personally known t o me. or
Per sonal identificati on:
Type of Identification Produced
.;' Did tak e an oath. or
--Did Not take an tG.th.
~\'~ MARCANTHONY T ~7'" ,I I {~),1' ), MY COMMISSION' EE852 ~. (; ,
\ 'if EXPIRES November 1 ame f otary Public: Print. Stamp
, .<if " • F\o(IdlINOI6I't S.rnct (.01.,....'.. pe as commissioned.)
FAILURE TO COMPLETE, SIGN, & RETURN THIS fORM MAY DISOUALIFY YOUR RESPONSE
Page 7 o f' 10
ATTACHMENT #4 "ACKNOWLEDGEMENT AND CONFORMANCE WITH OSHA
STANDARDS"
TO THE CITY OF SOUTH MIAMI
We, AVANT I 'S CONSTRUCTION COMPANY, (N&ine of Contractor), hereby acknowledge and agree that
as Contractors for this Solicitation, as specified have the sole responsibility for compliance with all the
requirements of the Federal Occupational Safety and Health Act of 1970, and all State and local safety
and health regulations, and agree to indemnify and hold harmless the City of South Miami against any
and all liability, claims, damages, losses and expenses they may incur due to the failure of
(subcontractor's names):
to comply with such act or regulation.
BY: WILLIAMS CORACELIN
Name
OPERATIONS MANAGER
Title
Witness
FAILURE TO COMPLETE. SIGN, & RETURN THIS FORM MAY DISOUALIFY YOUR RESPONSE
Page 8 of 10
ATTACHMENT#S "RELATED PARTY TRANSACTION VERIFICATION FORM"
I WILLIAMS CORACELIN ,individuall and on behalf of AVPu'lTI 'S CONSTRDCTION COMPANY .._________ Y __ __ ~~~ _________ _
{"Firm")have Nome of Representative Compony/VendoriEntity read the City of South Miami ("City")'s Code of Ethics,
Section 8A-1 of the City's Code of Ordinances and I hereby certify, under penalty of perjury that to the best of my
knowledge. information and belief:
(I) neither I nor the Firm have any conflict of interest (as defined in section 8A-I) with regard to the contract or
business that I, and/or the Firm, am(are) about to perform for. or to transact with. the
City, and
(2) neither I nor any employees, officers, directors of the Firm, nor anyone who has a financial interest greater
than 5% in the Firm, has any relative(s), as defined in section SA-I. who is an employee of the City or who is(are)
an appointed or elected official of the City, or who is(are) a member of any public body created by the City
Commission, i.e" a board or committee of the City[See Note #1 below], and
(3) neither I nor the Firm, nor anyone who has a financial interest greater than 5% in the Firm, nor any member of
those persons' immediate family (Le., spouse, parents, children, brothers and sisters) has transacted or entered
into any contract(s) with the City or has a financial interest, direct or indirect, in any business being transacted
with the city, or with any person or agency acting for the city, other than as follows:
_ ______________________ _____ (if
necessary use a separate sheet to supply additional information that will not fit on this line but make reference on
the line above to the separate sheet. i.e., "see attached additional information" and make reference to this
document and this paragraph on to the additional sheet which additional sheet must be signed under oath). [See
Note #1 below]; and
(4) no elected and/or appOinted official or employee of the City of South Miami, or any of their immediate family
members (Le., spouse, parents, children, brothers and sisters) has a financial interest, directly or indirectly, in the
contract between you and/or your Firm and the City other than the following individuals whose interest is set
forth following their use a separate names:
________ ._~_ ._ .. _ ... , __ (if necessary use a separate
sheet to supply additional information that will not fit on this line but make reference on the line above to the
separate sheet, i.e., "see attached additional information" and make reference to this document and this paragraph
on to the additional sheet which additional sheet must be signed under oath). The names of all City employees and
that of all elected and/or appointed city officials or board members, who own, directly or indirectly, an interest of
five percent (5%) or more of the total assets of capital stock in the firm are as follows:
______ ~___ ._ . (if
necessary use a separate sheet to supply additional information that will not fit on this line but make reference on
the line above to the separate sheet, i.e" "see attached additional information" and make reference to this
document and this paragraph on to the additional sheet which additional sheet must be signed under oath). [See
Note #1 below]
(5) I and the Firm further agree not to use or attempt to use any knowledge, property or resource which may
come to us through our position of trust. or through our performance of our duties under the terms of the
contract with the City, to secure a special privilege, benefit, or exemption for ourselves, or others. We agree that
we may not disclose or use information, not available to members of the general public. for our personal gain or
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
I S employees, the statement in this section shall be based solely on the signatory's personal knowledge and heJshe Is not
required to make an independent investigation as to the relationship of employees; if the firm Is a publicly traded company,
the statement in this section shaH be based solely on the signatory's personal knowledge and helshe is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
LLC
benefit or for the personal gain or benefit of any other person or business entity. outside of the normal gain or
benefit anticipated through the performance of the contract.
(6) I and the Firm hereby acknowledge that we have not contracted or transacted any business with the City or
any person or agency acting for the City. and that we have not appeared in representation of any third party
before any
board, commission or agency of the City within the past 000 years other than as follows:
__ ..... _. ____ .. ____ .. _.__ .... _._~ __ . __ ."' ... __ (if necessary use a separate sheet to supply
additional information that will not fit on this line but make reference on the line above to the sepatate sheet. i.e.,
"see attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath).
(7) Neither I nor any employees, officers, or directors of the Firm, nor any of their immediate family (i.e., as a
spouse, son. daughter, parent, brother or sister) is related by blood or marriage to: (i) any member of the City
Commission; (ii) any City employee; or (iii) any member of any board or agency of the City other than as follows:
. ____ . __ (if necessary use a separate sheet to supply additional
information that will not fit on this line but make reference on the line above to the separate sheet, i.e., "see
attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath). [See Note #1 below]; and.
(8) No Other Firm, nor any officers or directors of that Other Firm or anyone who has a financial interest greater
than 5% in that Other Firm, nor any member of those persons' immediate family (Le., spouse, parents, children,
brothers and sisters) nor any of my immediate family members (hereinafter referred to as "Related Parties") has
responded to a solicitation by the City in which I or the Firm that I represent or anyone who has a financial
interest greater than 5% in the Firm, or any member of those persons' immediate family (Le. spouse, parents,
children, brothers and sisters) have also responded, other than the following;
_._ (if necessary use a separate sheet to supply additional
information that will not fit on this line but make reference on the line above to the separate sheet. i.e., "see
attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath). [while the ethics code still applies. if the person executing
this form is doing so on behalf of a firm whose stock is publicly traded, the statement in this section (8) shall be
based solely on the Signatory's personal knowledge and he/she is not required to make an independent
investigation into the Other Firm, or the Firm he/she represents, as to their officers, directors or anyone having a
financial interest in those Firms or any of their any member of those persons' immediate family,]
(9) I and the Firm agree that we are obligated to supplement this Verification Form and inform the City of any
change in circumstances that would change our answers to this document. Specifically, after the opening of any
responses to a solicitation, I and the Firm have an obligation to supplement this Verification Form with the name of
all Related Parties who have also responded to the same solicitation and to disclose the relationship of those
parties to me and the Firm.
(10) A violation of the City'S Ethics Code, the giving of any false information or the failure to supplement this
Verification Form. may subject me or the Firm to immediate termination of any agreement with the City, and the
imposition of the maximum fine and/or any penalties allowed by law. Additionally. violations may be considered by
and subject to action by the Miami-Dade County Commission on Ethics, Under penalty of perjury, I declare that I
Note # I: While tne ethics code still applies. if the person executing tnls form is doing 50 on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent Investigation as to the relationship of employees; if the firm Is a publicly traded company,
the statement In this section shall be based solely on the signatory's personal knowledge and helshe is not required to make
an independent investigation as to the relationship of employees or of those wno have a financial interest in the Firm or of
the financial interest in the Firm of city employees. appointed officials or the immediate family members of elected andfor
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
have made a diligent effort to investigate the matters to which I am attesting hereinabove and that the statements
made hereinabove are true and correct to the best of my knowledge, information and belief.
Signature: u.../~l C'"",,.. IL =
Print Name & Title :WI LLIAM S CORACELIN , OPS MANAGER
Date: 02/10/2015
ATTACHED:
Sec. SA· I • Conflict of interest and cod e of ethics ordinance.
Municode Page IOf4
Sec . SA-I. -Conflict of interest and code of ethics ordinance.
(a) Des/gnation.
This section shall be designated and known as the "City of South Miami Conflict of Inte rest and Code of Ethics
Ordinance." This section shall be applicable to all City personnel as defined below. and shall also constitute a
standard of ethical conduct and beh avio r for all autonomous personnel, quasi-judici al pers o nnel. advisory
personnel and departmental personnel. The provisions of this section shall be applied in a cumulative manner. By
way of example, and not as a limitation. subsections (c) and (d) may be applied to the same contract or transaction .
(b) Definitions. For the purposes of this section the following definitions shall be effective:
(I) The term "commission members" shall refer to the mayor and the members of the city commission.
(2) The term "autonomous personnel" shall refer to the members of autonomous authorities, boards and agencies,
such as the city community redevelopment agency and the health facilities authority.
(3) The term IIq uasi-judicial personnel" shall refer to the members of the planning board, the environmental review
and preservation board, the code en force ment board and such other individuals, boards and agencies of the city as
perform quasi-judicial functions.
(4) The term "advisory personnel" shall refer to the members of those city advisory boards and agencies whose
sole or primary responsibility is to recommend legislation or give advice to the city commission .
(5) The term "departmental personnel" shall refer to the city clerk. the City manager. department heads. the city
attorney, and all assistants to the city clerk. city manager and city attorney, however titled .
(6) The term "employees" shall refer to all other personnel employed by the city.
(7) The term "compensation" shall refer to any money, gift. favor. thing of value or financial benefit conferred. or
to be conferred, in return for services rendered or to be rendered.
(8) The term "controlling financial interest" shall refer to ownersh ip, directly o r indirectly. of ten percent or more
of the outstanding capital stock in any corporation or a dire ct or indirect interest of ten percent or more in a firm ,
partnership, or other business entity at the time of transacting business with the city.
(9) The term uimmediate family" shall refer to the spouse, parents. children, brothers and sisters of the person
involved .
(10) The term "transact any business" shall refer to the purchase or sale by the city of specific goods or services
(or consid er ation and to submitting a bid. a proposal in response to a RFP. a statement of qualifications in response
to a request by the city. or entering into contract negotiations for the provision on any goods or services,
whichever first occurs .
(c) Prohibition on transacting business with the city.
Note # I: Whil e the ethics code still applies, If the person executing this form Is doing so on behalf of a finn with more than
15 employees, the statement In this section shall be based solely on the signatory's personal knowledge and he/she Is not
required to make an Independent Investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement In this section shaJl be based solely on the signatory's pe nonal knowledge and he/she Is not required to make
an Independent Investigation as to the relationship of employees or of those who have a flnandallnterest In the Firm or of
the flnanclallnterest In the Firm of city employees, appointed otnclals or the Immediate family members of elected andlor
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their Immediate family to any appointed or elected offidals of the City, or to their immediate family members.
No person included in the terms defined in paragraphs (b)( I) through (6) and in paragraph (b)(9) shall enter into
any contract or transact any business in which that person or a member of the immediate family has a financial
interest, direct or indirect with the city or any person or agency acting for the city, and any such contract.
agreement or business engagement entered in violation of this subsection shall render the transaction voidable.
Willful violation of this subsection shall constitute malfeasance in office and shall affect forfeiture of office or
position. Nothing in this subsection shall prohibit or make illegal:
(I) The payment of taxes, special assessments or fees for services provided by the city government;
(2) The purchase of bonds, anticipation notes or other securities that may be issued by the city through
underwriters or directly from time to time.
Waiver of prohibition. The requirements of this subsection may be waived for a particular transaction only by four
affirmative votes of the city commission after public hearing upon finding that:
(I) An open-to-all scaled competitive proposal has been submitted by a city person as defined in paragraphs (b)(2),
(3) and (4);
(2) The proposal has been submitted by a person or firm offering services within the scope ofthe practice of
architecture. professional engineering. or registered land surveying. as defined by the laws of the state and
pursuant to the provisions of the Consultants' Competitive Negotiation Act, and when the proposal has been
submitted by a city person defined in paragraphs (b)(2), (3) and (4);
(3) The property or services to be involved in the proposed transaction are unique and the city cannot avail itself
of such property or services without entering a transaction which would violate this subsection but
for waiver of its requirements; and
(4) That the proposed transaction will be in the best interest of the city.
This subsection shall be applicable only to prospective transactions, and the city commission may in no case ratify a
transaction entered in violation of this subsection.
Provisions cumulative. This subsection shall be taken to be cumulative and shall not be construed to amend or repeal
any other law pertaining to the same subject matter.
(d) Further prohibition on transacting business with the city.
No person included in the terms defined in paragraphs (b)( I) through (6) and in paragraph (b)(9) shall enter into
any contract or transact any business through a firm, corporation, partnership or business entity in which that
person or any member of the immediate family has a controlling financial interest. direct or indirect, with the city
or any person or agency acting for the city, and any such contract, agreement or business engagement entered in
violation of this subsection shall render the transaction voidable. The remaining provisions of subsection (c) will
also be applicable to this subsection as though incorporated by recitation.
Additionally, no person included in the term defined in paragraph (b)( I) shall vote on or participate in any way in
any matter presented to the city commission if that person has any of the following relationships with any of the
persons or entities which would be or might be directly or indirectly affected by any action of the city commission:
(I) Officer, director, partner, of counsel, consultant. employee, fiduciary or beneficiary; or
(2) Stockholder, bondholder, debtor, or creditor, if in any instance the transaction or matter would affect the
person defined in paragraph (b)(l) in a manner distinct from the manner in which it would affect the public
generally. Any person included in the term defined in paragraph (b)( I) who has any of the specified relationships
or who would or might, directly or indirectly, realize a profit by the action of the city commission shall not vote on
or participate in any way in the matter.
IE) Gifts_
(I )Deftnition. The term Itgift" shall refer to the transfer of anything of economic value, whether in the form of
money. service, loan, travel, entertainment, hospitality, item or promise, or in any other form, without
adequate and lawful consideration.
(2)Exceptions. The provisions of paragraph (e)( I) shall not apply to:
a. Political contributions specifically authorized by state law;
Note # I: While the ethics code still applies. if the person executing this form is doing so on behalf of a firm with more than
IS employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; If the firm Is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she Is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the Immediate family members of elected andlor
appointed official or employee or as to the relationship by blood or marriage of employees. officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their Immediate family members.
b. Gifts from relatives or members of one's household, unless the person is a conduit on behalf of a third party to
the delivery of a gift that is prohibited under paragraph(3);
c. Awards for professional or civic achievement;
d. Material such as books, reports, periodicals or pamphlets which are solely informational or of an advertising
nature,
(3) Prohibitions. A person described in paragraphs (b)( I) through (6) shall neither solicit nor demand any gift. It is
also unlawful for any person or entity to offer, give or agree to give to any person included in the terms defined in
paragraphs (b)( I) through (6). or for any person included in the terms defined in paragraphs (b)( I) through (6) to
accept or agree to accept from another person or entity, any gift for or because of:
a, An official public action taken, or to be taken, or which could be taken. or an omission or failure to take a public
action;
b. A legal duty performed or to be performed, or which could be performed. or an omission or failure to perform
a legal duty;
c. A legal duty violated or to be violated, or which could be violated by any person included in the term defined in
paragraph (b)( I); or
d. Attendance or absence from a public meeting at which official action is to be taken.
(4) Disclosure. Any person included in the term defined in paragraphs (b)( I) through (6) shall disclose any gift, or
series of gifts from anyone person or entity. having a value in excess of $25,00. The disclosure shall be made by
filing a copy of the disclosure form required by chapter 112, Florida Statutes, for "local
officers" with the city clerk simultaneously with the filing of the form with the clerk of the county and with the
Florida Secretary of State.
(I) Compulsory disclosure by employees of firms doing business with the city.
Should any person included in the terms defined in paragraphs (b)( I) through (6) be employed by a corporation.
firm, partnership or business entity in which that person or the immediate family does not have a controlling
financial interest, and should the corporation, firm, partnership or business entity have substantial business
commitments to or from the dry or any city agency, or be subject to direct regulation by the city or a dty agency,
then the person shaH file a sworn statement disclosing such employment and interest with the clerk of the dty,
(g) Exploitation of official position prohibited.
No person included in the terms defined in paragraphs (b )( I) through (6) shall corruptly use or attempt to use an
official position to secure special privileges or exemptions for that person or others.
(h) Prohibition on use of confidential information.
No person included in the terms defined in paragraphs (b)( I) through (6) shall accept employment or engage in
any business or professional activity which one might
reasonably expect would require or induce one to disclose confidential information acquired by reason of an
official position. nor shall that person in fact ever disclose confidential information garnered or gained through an
official pOSition with the city, nor shall that person ever use such information, directly or indirectly, for personal
gain or benefit.
(i) Conflicting employment prohibited.
No person included in the terms defined in paragraphs (b)( I) through (6) shall accept other employment which
would impair independence of judgment in the performance of any public duties.
(j) Prohibition on outside employment.
(I) No person included in the terms defined in paragraphs (b){6) shall receive any compensation for services as an
officer or employee of the city from any source other than the city, except as may be permitted as follows:
a. Generally prohibited. No fun~time city employee shall accept outside employment, either incidental. occasional or
otherwise, where city time, eqUipment or material is to be used or where such employment or any part thereof is
to be performed on city time,
Note # I t While the ethics code still applieli, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section snail be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement in this section shaH be based solely on tne signatory's personal knowledge and hefshe Is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their Immediate family to any appointed or elected officials of the City, or to their immediate family members.
b. When permitted. A full-time city employee may accept incidental or occasional outside employment so long as
such employment is not contrary, detrimental or adverse to the interest of the city or any of its departments and
the approval required in subparagraph c. is obtained.
c. Approval of department head required. Any outside employment by any full-time City employee must first be
approved in writing by the employee's department head who shall maintain a complete record of such
employment.
d. Penalty. Any person convicted of violating any provision of this subsection shall be punished as provided in
section I-I I of the Code of Miami-Dade County and, in addition shall be subject to dismissal by the appointing
authority. The city may also assess against a violator a fine not to exceed $500.00 and the costs of investigation
incurred by the city.
(2) All full-time city employees engaged in any outside employment for any person, firm, corporation or entity
other than the city. or any of its agencies or instrumentalities. shall file. under oath, an annual report indicating the
source of the outside employment, the nature of the work being done and any amount of money or other
consideration received by the employee from the outside employment. City employee reports shall be filed with
the City clerk. The reports shall be available at a reasonable time and place for inspection by the public, The city
manager may require monthly reports from individual employees or groups of employees for good cause. '
(k) Prohibited investments.
No person included in the terms defined in paragraphs (b)( I) through (6) or a member of the immediate family
shall have personal investments in any enterprise which will create a substantial conflict between private interests
and the public interest.
(I) Certain appearances and payment prohibited.
(I) No person included in the terms defined in paragraphs (b)( I). (5) and (6) shall appear before any city board or
agency and make a presentation on behalf of a third person with respect to any matter, license, contract.
certificate. ruling, decision. opinion, rate schedule, franchise. or other benefit sought by the third person. Nor shall
the person receive any compensation or gift, directly or indirectly, for services rendered to a third person, who
has applied for or is seeking some benefit from the city or a city agency, in connection with the particular benefit
sought by the third person. Nor shall the person appear in any court or before any administrative tribunal as
counselor legal advisor to a party who seeks legal relief from the city or a city agency through the suit in question.
(2) No person included in the terms defined in paragraphs (b)(2). (3) and (4) shall appear before the city
commission or agency on which the per~on serves, either directly or through an associate, and make a
presentation on behalf of a third person with respect to any matter, license, contract, certificate, ruling. decision,
opinion, rate schedule, franchise, or other benefit sought by the third person. Nor shall such person receive any
compensation or gift, directly or indirectly, for services rendered to a third party who has applied for or is seeking
some benefit from the city commission or agency on which the person serves in connection with the particular
benefit sought by the third party. Nor shall the person appear in any court or before any administrative tribunal as
counselor legal advisor to a third party who seeks legal relief from the city commission or agency on which such
person serves through the suit in question.
(m) Actions prohibited when financial interests involved.
No person included in the terms defined in paragraphs (b) (I) through (6) shall participate in any official action
directly or indirectly affecting a business in which ·that person or any member of the immediate family has a
financial interest. A financial interest is defined in this subsection to include, but not be limited to, any direct or
indirect interest in any investment, equity, or debt,
(n) Acquiring financial interests.
No person included in the terms defined in paragraphs (b)( I) through (6) shall acquire a financial interest in a
project, business entity or property at a time when the person believes or has reason to believe that the financial
interest may be directly affected by official actions or by official actions by the city or city agency of whIch the
person is an official, officer or employee,
(0) Recommending profeSSional services.
Note # I: While the ethics code stili applies, jf the person executing this form is doing 50 on behalf of a firm with more than
IS employees, the statement In this sectfon shall be based solely on the signatary's personal knowledge and he/she Is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Finn or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City. or to their immediate family members.
No person included in the terms defined in paragraphs (b)( I) through (4) may recommend the services of any
lawyer or law firm, architect or architectural firm. pUblic relations firm, or any other person or firm, professional
or otherwise, to assist in any transaction involving the city or any of its agencies, provided that a recommendation
may properly be made when required to be made by the duties of
office and in advance at a public meeting attended by other city officials, officers or employees.
(p) Continuing application ofter city service.
(I) No person included in the terms defined in paragraphs (b)( I), (5) and (6) shall, for a period of two years after
his or her city service or employment has ceased, lobby any City official [as defined in paragraphs
(b)( I) through (6)] in connection with any judicial or other proceeding, application, RFP, RFQ, bid, request for
ruling or other determination, contract, claim, controversy, charge. accusation, arrest or other particular subject
matter in which the city or one of its agencies is a party or has any interest whatever, whether direct or indirect.
Nothing contained in this subsection shall prohibit any individual from submitting a routine administrative request
or application to a City department or agency during the two-year period after his or her service has ceased.
(2) The provisions of the subsection shall not apply to persons who become employed by governmental entities,
SO I (c)(3) non-profit entities or educational institutions or entities. and who lobby on behalf of those entities in
their official capacities.
(3) The prOVisions of this subsection shall apply to all persons described in paragraph (p)( I) whose city service or
employment ceased after the effective date of the ordinance from which this section derives.
(4) No person described in paragraph (pH I) whose City service or employment ceased within two years prior to
the effective date of this ordinance shall for a period of two years after his or her service or employment enter
into a lobbying contract to lobby any city official in connection with any subject described in paragraph (p)( I) in
which the city or one of its agencies is a party or has any direct and substantial interest; and in which he or she
participated directly or indirectly through decision, approval, disapproval. recommendation. the rendering of
advice. investigation, or otherwise. during his or her city service or employment. A person participated "directly"
where he or she was substantially involved in the particular subject matter through decision. approval, disapproval,
recommendation, the rendering of advice, investigation. or otherwise, during his or her city service or
employment. A person participated "indirectly" where he or she knOWingly participated in any way in the particular
subject matter through decision. approval, disapproval, recommendation, the rendering of advice, investigation, or
otherwise, during his or her city service or employment. All persons covered by this paragraph shall execute an
affidavit on a form approved by the city attorney prior to lobbying any city official attesting that the
requirements of this subsection do not preclude the person from lobbying City officials.
(5) Any person who violates this subsection shall be subject to the penalties provided in section SA-2(p),
(q) City attorney to render opinions on request,
Whenever any person included in the terms defined in paragraphs (b)( I) through (6) and paragraph (b)(9) is in
doubt as to the proper interpretation or application of this conflict of interest and code of ethics ordinance. or
whenever any person who renders services to the city is in doubt as to the applicability of the ordinance that
person. may submit to the city attorney a full written statement of the facts and questions. The city attorney shall
then render an opinion to such person and shall pUblish these opinions without use of the name of the person
advised unless the person permits the use of a name.
(Ord, No, 6-99-1680, § 2, 3-2-99)
Editor's note-Ord, No, 6-99-1680, § I, adopted 3-2-99, repealed §§ 8A-1 and SA-2 in their entirety and replaced
them with new §§
8A-1 and SA-2. Former §§ 8A-1 and 8A-2 pertained to declaration of policy and definitions. respectively. and
derived from Ord, No, 634, §§ I (I ",-I), I (I A-2) adopted Jan, "II, 1969.
Note # I: While the ethics code still applies, ir the person executing this (arm is doing so on behalf of a firm with more than
I S employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly tt"aded company.
the statement in this section shaH be based solely on the signatory's personal knowledge and he/she is not required to make
an independent investigation as to the relationship of employees or or those who have a financial interest in the Firm 01" of
the financial interest in the Firm or city employees, appointed officials or the immediate family members or elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm.
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
South~MiJmi
fHE ClT'Y Of-PlEASAN"l lIVIr-;G
ADDENDUM No. #1
Project Name: Police Department Communications Area
ITQNO. PD2015-02
Date: February 5, 2015
Sent: FaxlE-mail/webpage
This addendum submission is issued to clarify, supplement andlor modify the previously issued
Solicitation. and is hereby made part of the Documents. All requirements of the Documents not
modified herein shall remain in full force and effect as originally set forth. It shall be the sole
responsibility of the bidder to secure Addendums that may be issued for a specific solicitation.
Question #1:
Is there a completion time for the work to be completed?
Answer to Question # I:
The Communications Area is a 24/7 operation and it is the intention for the work to be completed in a
two (2) day period; one (I) day for tear-down and. one (I) day for installation. It is recommended the
contractor build the furniture off-site and scheduled a time and date for installation with the City's
Project Manager, (South Miami's Police Department's Communications Supervisor.), herein referred to
as "Project Manager."
Question #2:
Are the mail slots outside of the Communications Area included into the "Scope of Services?"
Answer to Question #2:
Yes, the mail slots are included and are listed in the Scope of Services as "New Mailboxes."
Question #3:
Are you open to a new design to the existing shelving, counter tops and desk drawers?
Answer to Question #3:
For the purposes of preparing your quotation, the existing design will apply. After a contractor has
been awarded the project, minimal design changes are possible but cannot exceed the contractors
"Lump Sum Proposal" and, must be approved by the Project Manager.
2
Questior!.it1:
Will the contractor be responsible for painting and touch-up of the walls?
Answer to Question #4:
No, the City will be responsible for repainting and touch-up. If there is significant damage to the walls
and general areas caused by the contractor, the Project Manager will make the determination if the
contractor is responsible to repair the damage at no cost to the City.
Question #5
Is the visitor's lobby entrance to the Police Department and the counter top included into the Scope of
Services?
Answer to Question #5:
Yes, the visitor's lobby entrance and counter top under the protective glass is included into the Scope
of Services. Photographs are included of this area and are a part of Addendum No. I. The bullet-proof
glass will not be removed so the counter top is not to be replaced. This counter top will be sanded, if
necessary, and the contractor will "Re-Formica" to match the same material and color as installed
inside the Communications Area.
The following estimated dimensions for the visitor's lobby entrance to the Police Department are
provided below:
• Counter Top:
• Pass-through window and counter top is:
• Right-side Counter:
• Left-side Counter:
• Trim:
• Left-side:
• Right-side
90 '/," L & 2 y, H (Photo No. I);
I 3 'A" D (Photo No.2);
I 114" D (Photo No.3);
11/4" D (Photo No.4);
4" H X 3/4" D
14 y, L (Photo No.5);
IS,/;" L (Photo No.6)
Note: The measurements provided in the Scope of Services are estimated, does not
represent a firm commitment and should be used for planning purposes only. The
contractor is responsible for their own measurements.
How many access points to the Communication Area exist?
Answer to Question #6:
Three access points exist: (I) Visitor's Lobby Entrance; (2) Parking Lot Entrance; (3) Sally Por"t Covered
Entrance. The City's Project Manager will coordinate entry points with the contractor during the
project.
Question #7:
Is a floor plan of the Communications Area available?
3
Answer to Ouestion #7:
Yes attached to Addendum No. I, is a floor plan of the entire first (I ,,) floor and Communications
Area.
Ouestion #8:
Does the City require a specific color for the new Formica?
Answer to Ouest jon #8
The City's Project Manager will select colors, textures, etc., after a contractor has been awarded the
project. The contractor shall present color and texture options, if available, to the Project Manager
that does not exceed the contractors "Lump Sum Proposal."
IT SHALL BE THE SOLE RESPONSIBILITY OF THE BIDDER TO SECURE
ADDENDUMS THAT MAY BE ISSUED FOR A SPECIFIC SOLICITATION.
•
_~ __ ~-,~'.~::o_--;:_~~:,_ --=.,,~_ ~= '--'~ __ :_.~_=;::: ~;;': __ -,; ~ C I'~l-{'(' 1 I"ll·a) l< E:".'()\ ~-\,{'() l~~: j
WIIli.<lillS Conlcelin .1
J6l~SWl''l~\'',:~f\H1~', 1,' 11o)lJ
O.'~~ c/ il"lh-n:tn'l-'" ! 1. 1'1;1)
. ~.,., ~·Aa'.,fu·.'t (,'m,"~UJ ",) .'I):tlcll,
,j 1(,),,, lot,,1 >!~"QI.'~.W. R~P1 f, ... !:T'nr'i~'1 'f>!if!<'
1(("" '16-A:lf·tJ. 1,) 1(,A~I-!\
J_~ 1 .. :c; ~ H:~" .,' "j,t;",,,,-~, "r 16-.';,. I I
S<.I!HIUU En",lrQ"'Il<)n! .. l M;'''.<l~',,''nt C<)n'lp .. n~, Inc,
(~r1:ift~. that !Iol~ CQUIU' ~orI1PU"s...tth
N# ~''''', .",t I """ .. ,,1., 'I, H'li.
-'!..'.'F'~ ';(tJ"_'j'_
("<>' \,.,1.".1,.. J';'-~' ~: ~,,,;;.~ r,,,, 1':;-; .... """"i"",",,,;,,, h" ... ~,,,
'.~y:-, ~'!,J'~'\. ".,f.:; (~I~~II.r[(-"~'i • :~~f ",~:::, "'_'~!.'.! "(~':'~J _. J
,?f'C;~~ilC",i"""BR~OWAWIY'COtTl\lr'(';to'~t::"l3tJ~INE§§'cTJA5{:'RECEIP1'~ill{''''''"':0''''"~',f; I r 115 S, Andrews Ave" Rm, A-100, FI. Lauderdale, FL 33301-1895 -954-831-4000 I
, VALID OCTOBER 1,2013 THROUGH SEPTEMBER 30, 2014 !
DBA:
Business Name: AV1\N'I'IS CONSTRUCTION CO~IPANY LLC
Owner Name: PURNlMA AVANTl MAHARAJH
Business Locatiori: 11976 NI1 24 ST
Business opened:04 / 17/2014
Slate/Counly/CertlReg:CGC1513 2 53
Exemption Code: CORAL SPRINGS
BUBiness Phone:
Rooms Se~ts Employeos
1
Machlnos Proresslonals
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT
WHEN VALIDATED
Mailing Address:
This lax Is levied for the privilege of dotng business wilhln Broward Counly and Is
non-regulalory In nature, You musl meet all Counly andlor Munlclpalily planning
and zonIng requirements. This BusIness Tax Receipt musl be transferred when
the business is sold, business name has changed or you have moved the
business location, This receipt does not Indical. that Ihe business Is legal or thai
it IS in compliance with Stale or local laws and regulations.
AVANTIS COIISTRUC"rION COHPANY LLC
11976 Nl'I 24 ST
Receipt ff028-13-00007632
Paid 04/17/2014 13.50
CORAL SPRINGS, FL 33065
2013 -2014
t , ,
I,
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
.' CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW"
CONSTRUCTION INDUSTRY EXEMPTION
,his certifies that the IndilJfdualltsted below hes elected to be exempt from Florida Workers' CompensatIon law.
EFFECTIVE DATE: 4/10/2014
PERSON: MAHARAJH
FEIN: 463587188
BUSINESS NAME AND ADDRESS:
AVANTI'S CONSTRUCTION CC
11976 NW 24TH STREET
CORAL SPRINGS FL
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL
CONTRACTOR
EXPIRATION DATE: 4/912016
PURNIMA A
33085
I'>U(wan! to Chaplef «0.05(1 4}. F.S., no OfficE-r of a co.'pO(llllorl who elects exemption (rom tilill Chaplet by fillng.1 oerUficate of ekc.:C¢<l under 1hls sectfon may
rlQll'OQQvef bmefils orcomf)eno!atiOO undar!hls chaplM. PiJ'$Uant tQ Chap!&; 440_05(12), f',S., Cel1iflcateQ Of ekldloo to ba IJxem?l .. appty ooJy within lfla &oope
of Ow buSIness or tnldQ Bated 00 the rloUce €if elect/oolO bt exempt. PtntJant (0 Chapter -440.(l5{13), F.B., Nolk.es of eledJoo 10 be exempl8M ctMICil!e.s of
elecUoo 10 b& ~)(&0"IPt &hall be ~ubjeclll) revocatiOn (t, at any Urne ener the Mng 01 the nol;C9 0( the l!&IJartCe crUll) (.J;rtiti<:a!e, the pl!($OO nsmedoo lIle lloUc;:e. or
CEf1fficala no ~l)n9l!r meelg Il"ItlI'l1qUt/&1OOl115 cfthts ooetiM for ts.sU4Jl~ at a cartifieale. ll'Io ~pBrtmen' shaft revoke a certificate tltlllly urne COf fUilure of the
~ nElmed 0(\ Ihe certificate to meet fhe 'equ!ramElflig of !hIs wdloo.
DFS-F2-DYVC-262 CERTIFICATE OF ElECTION TO SE EXEMPT REVISED 01·12 QUESTIONS? (850}413-1609
,
"
;1
1,')
r'1
l··
()
T
.C m ;:n
ffI
"-.
~
~
~.
~
~
~. :;.
~
%
."
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 _ 954-831-4000
VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30, 2015
DBA:
Business Name: AVk'JC'IS CONSTRUCTION COMPANY LLC Receipt #-18 0-261139
. "GENERAL CONtRACTOR (GENERAL Busmess Type:CONTP_'_CTOR)
Owner Name: ?D&'l'IMA A.V~"iITI tt'lAF_~JB. Business Opened:04 117 12014
StatefCounty/CertJReg:CGC 15132 5 3 Business Location: S101 NW 101 AVE
Tp..MAR.~C Exemption Code:
Business Phone:
Rooms Seats Machines ProfessIonals
For Vendir,g Busln6S$ ~ty
Number of Machines: Vending Type:
Tax Am~-~~t!T~~~er Fee r NSF F~~ ---I Penalty Prior Years Collection Cost Total Paid
2 1 (';0 3 00: r'\ ..... ,0 I Ii (',,"'\ :', (j'", 3" ..... .:;: I' ." _, v • ..., ..... ".,., ,,_~_ ., • ..., ....
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT
WHEN VALIDATED
Mailing Address:
This tax is levied for the privilege of doing Ol,;Stness vvith:n 8ro .. vard Co~nty and is
non-regulatory in nature. You must meet an Cocoi>' andiar Municipality planning
and zoning requirements. This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location. This receipt does not indicate that the business is legal or that
it is in oompliance with State or local laws and regulations.
]>~~IA1-J'l'IS CO~SL?JJCTION COMPP .. .I",iJY LLC
8101 i>n .. J 101. A\T£
Receipt #O~-~4-00000902
Paid~~/~4/20~4 34.05
T~~YAC,?L 33321
2014 -2015
BROWARDCOUNTY LOCAL BUSINESS TAX RECEIPT
\/ \ \ \~
-. '<
~
\
\
,
BID OPENING REPORT
Bids were opened on: Wed nesday , February 11,2015 after: lO:OOam
FOI': ITO # PD 2015-02 -Police Dept Communication Area Renovation
COMPANIES THAT SUBMITTED PROPOSALS: AMOUNT:
I, A VANTI'S CONSTRUCTIN COMPANY, LLC
2. DECON EN VIRONMENTAL & E NGINEERING , INC.
3 . LEADEX CORPORATION ?; 6 '{; I), /),0
4. MIAMI REMODELING AND ADDITIONS {, I 9 tJ (), D_6
_________________________________________________ L _________ .__ ___
THE ABOVE OIDS HA VE NOT OEEN CHECKED.
TilE BIDS ARE SUBJECT TO C ORRECTION AFTER THE BIDS HAVE BEEN COMPLETELY REVI EW E D.
Maria M. Menendez
C it y Clcrk:-::--;-:--;:-________ _
Print N~mc Witncss:~v-e. I!J.J_
Print Name /
Witn ess :':-; 0 £(1 We t ? !r?r
Print Name . Signature