HomeMy WebLinkAboutCity of Tamarac Resolution R-2014-015Temp. Reso. 12443
February 12, 2014
Page 1 of 4
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-2014
A RESOLUTION OF THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA, AWARDING RFP 13-17R
TO AND APPROVING AN AGREEMENT WITH SAFE AIR
CORPORATION FOR THE TAMARAC VEHICLE EXHAUST
SYSTEM PROJECT IN ACCORDANCE WITH RFP 13-17R
FOR A CONTRACT IN THE AMOUNT OF $120,389.59; A
CONTINGENCY IN THE AMOUNT OF $18,058.00 WILL BE
ADDED TO THE PROJECT ACCOUNT, FOR A TOTAL
PROJECT BUDGET OF $138,447.59; AUTHORIZING AN
EXPENDITURE FROM THE APPROPRIATE ACCOUNTS;
AUTHORIZING BUDGET AMENDMENTS FOR PROPER
ACCOUNTING PURPOSES; PROVIDING FOR
CONFLICTS; PROVIDING FOR SEVERABILITY; AND
PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the City of Tamarac is responsible for maintaining and operating a
fleet of vehicles and fire equipment; and
WHEREAS, the City of Tamarac is committed to the safety and well-being of City
employees; and
WHEREAS, it has been determined that the vehicle exhaust systems at Fire
Station No. 15 located at 6000 Hiatus Road, Fire Station No. 41 located at 7501 NW
88th Avenue, and the Fleet Maintenance Facility located at 6011 Nob Hill Road require
improvements; and
WHEREAS, on June 16, 2013 the City published RFP No. 13-17R for Tamarac
Vehicle Exhaust System Project, incorporated herein by reference and on file in the
office of the City Clerk; and
WHEREAS, the City received and opened three (3) submittals, and an
Evaluation Committee, facilitated by the Purchasing and Contracts Manager and
Temp. Reso. 12443
February 12, 2014
Page 2 of 4
comprised of the of the Assistant Fire Chief --Operations, Asst. Director of Public Works/
City Engineer, Public Works Operations Manager, Fleet Supervisor, and Management &
Budget Analyst II, reviewed and evaluated the submittals; and
WHEREAS, the Evaluation Committee evaluated the submittals per RFP 13-17R
and subsequently ranked the submittals based on the total scores, a copy of the
Evaluation Tabulation is hereto attached as Exhibit 1; and
WHEREAS, based upon the Evaluation Scores, the top ranked firm is Safe Air
Corporation; and
WHEREAS, the Director of Public Services and the Purchasing and Contracts
Manager recommend the City of Tamarac execute an Agreement with Safe Air
Corporation for the Tamarac Vehicle Exhaust System Project; and
WHEREAS, the City Commission of the City of Tamarac deems it to be in the
best interest of the citizens and residents of the City of Tamarac to execute an
Agreement with Safe Air Corporation for the Tamarac Vehicle Exhaust System Project.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA THAT:
SECTION 1: The foregoing "WHEREAS" clauses are hereby ratified and
confirmed as being true and correct and are hereby made a specific part of this
Resolution upon adoption hereof. All Exhibits attached hereto are incorporated herein
and made a specific part of this resolution.
SECTION 2: The City Commission HEREBY awards RFP No. 13-17R to
Safe Air Corporation, and approves an Agreement between the City of Tamarac and
Temp. Reso. 12443
February 12, 2014
Page 3 of 4
Safe Air Corporation ("The Agreement"), and the appropriate City officials are hereby
authorized to execute the Agreement, hereto attached as "Exhibit 2", respectively, for
the Tamarac Vehicle Exhaust System Project.
SECTION 3: An expenditure for a contract amount of $120,389.59; a
contingency in the amount of $18,058.00 will be added to the project account, for a total
project budget of $138,447.59 for said purpose is hereby approved.
SECTION 4: Funding for the Tamarac Vehicle Exhaust System Project for
a contract amount of $120,389.59; a contingency in the amount of $18,058.00 will be
added to the project account, for a total project budget of $138,447.59, which is
available in Project Number FR13A in the Capital Equipment Fund and the General
Capital Project Fund.
SECTION 5: The City Manager, or his designee, are hereby authorized to
make changes, issue change orders in accordance with section 6-147 (j) of the City
Code, and close the contract award including, but not limited to making final payment
within the terms and conditions of the contract and within the contract price.
SECTION 6: All budget amendments for proper accounting purposes are
hereby authorized.
SECTION 7: All resolutions or parts of resolutions in conflict herewith are
hereby repealed to the extent of such conflict.
SECTION 8: If any clause, section, other part or application of this
Resolution is held by any court of competent jurisdiction to be unconstitutional or invalid,
in part or application, it shall not affect the validity of the remaining portions or
applications of this Resolution.
Temp. Reso. 12443
February 12, 2014
Page 4 of 4
SECTION 9: This Resolution shall become effective immediately upon its
passage and adoption.
PASSED, ADOPTED AND APPROVED this j �` day of 2014.
HARRY DRESSLER
MAYOR
ATTEST:
PATRICIA TEU L, CMC
CITY CLERK
RECORD OF COMMISSION VOTE:
MAYOR DRESSLER
DIST 1: COMM. BUSHNELL
DIST 2: VICE MAYOR GOME
DIST 3: COMM. GLASSER44
I HEREBY CERTIFY THAT I HAVE
APPROVED THIS RESOLUTION
AS TO FORM
September 27, 2013
TR 12443 - EXHIBIT 1
VEHICLE EXHAUST SYSTEMS RFP 13-17R
Committee Evaluation Totals
`
,roposer's Name
Air Vacuixrn
Clan �►1ir
Safe Air Corp.
Corp.
tart�ete
No Conflict of Interest
X
X
X
Proposed Cost
$79,561
$98,593.05
$98,161
` QC1al
es once
M1X 20
ollS
Assistant Fire Chief, Operations
15
16
20
Asst. Director of PS/PW - City Engineer
12
17
15
Operations Mgr, PS/PW
12
20
20
Fleet Superintendant
12
17
15
Management & Budget Analyst II
17
17.5
20
Services to Be Provided
(Max 30 points)
Assistant Fire Chief, Operations
15
20
30
Asst. Director of PS/PW - City Engineer
18
28
22
Operations Mgr, PS/PW
20
29
25
Fleet Superintendant
23
26
23
Management & Budget Analyst II
26
1 30 1
28.5
Qula� #
q P. taseriEx
C..t.
ertise Max„30„ Dints
P { }
Assistant Fire Chief, Operations
15
25
30
Asst. Director of PS/PW - City Engineer
22
25
25
Operations Mgr, PS/PW
15
30
25
Fleet Superintendant
18
25
25
Management & Budget Analyst II
26.5
26.2
30
Cost,(Price) (IV
ax 20 points)
Assistant Fire Chief, Operations
20
16.14
16.21
Asst. Director of PS/PW - City Engineer
20
16.14
16.21
Operations Mgr, PS/PW
20
16.14
16.21
Fleet Superintendant
20
16.14
16.21
Management & Budget Analyst II
20
16.14
16.21
TOTAL POINTS
Assistant Fire Chief, Operations
65
77.14
96.21
Asst. Director of PS/PW - City Engineer
72
86.14
78.21
Operations Mgr, PS/PW
67
95.14
86.21
Fleet Superintendant
73
84.14
79.21
Management & Budget Analyst II
89.5
89.84
94.71
366.5
432.4
434.55
TOTAL°FNMN
.;
3
2
1
AGREEMENT
BETWEEN THE CITY OF TAMARAC
AND
SAFE AIR CORPORATION
THIS AGREEMENT is made and entered into this /o�day of 014
by and between the City of Tamarac, a municipal corporation with principal offi s
located at 7525 N.W. 88th Ave., Tamarac, FL 33321 (the "CITY") and Safe Air
Corporation, a Florida corporation with principal offices located at 850 S. Tamiami Trail,
Sarasota, FL 34230 (the "Contractor") to provide and install vehicle exhaust systems at
Fire Station No. 15, Fire Station No. 41, and the Public Services Fleet Services
Maintenance Building, Tamarac, FL.
Now therefore, in consideration of the mutual covenants hereinafter set forth, the City
and Contractor agree as follows:
1) The Contract Documents
The Contract Documents consist of this Agreement, RFP Document No. 13-17R,
including all conditions therein, (General Terms and Conditions, Special
Conditions and/or Special Provisions), Scope of Work, all addenda, the
Contractor's RFP original proposal plus proposal addendums No. 4085 and 4107
dated 10/23/2013 and 11/15/2013 respectively (Exhibit 1), and all modifications
issued after execution of this Agreement. These contract documents form the
Agreement, and all are as fully a part of the Agreement as if attached to this
Agreement or repeated therein. In the event that there is a conflict between 13-
17R as issued by City, and Contractor's Proposal, 13-17R as issued by City shall
take precedence over the Contractor's Proposal. Furthermore, in the event of a
conflict between this document and any other Contract Document, this Agreement
shall prevail.
2) The Work
2.1. The Contractor shall perform all work for the City required by the contract
documents as set forth below:
2.1.1 Contractor shall furnish all labor, materials, and equipment
necessary to complete the scope of work, as outlined in the
contract documents.
2.1.2 Contractor shall supervise the work force to ensure that all workers
conduct themselves and perform their work in a safe and
professional manner. Contractor shall comply with all OSHA safety
rules and regulations in the operation of equipment and in the
performance of the work. Contractor shall at all times have a
competent field supervisor on the job site to enforce these policies
Agreement
and procedures at the Contractor's expense.
2.1.3 Contractor shall provide the City with seventy-two (72) hours written
notice prior to the beginning of work under this Agreement and prior
to any schedule change with the exception of changes caused by
inclement weather.
2.1.4 Contractor shall comply with any and all Federal, State, and local
laws and regulations now in effect, or hereinafter enacted during
the term of this Agreement, which are applicable to the Contractor,
its employees, agents or subcontractors, if any, with respect to the
work and services described herein.
3) Insurance
3.1. Contractor shall obtain at Contractor's expense all necessary Insurance in
such form and amount as specified in the original bid document or as
required by the City's Risk and Safety Manager before beginning work
under this Agreement including, but not limited to, Workers'
Compensation, Commercial General Liability, Builder's Risk, and all other
Insurance as required by the City, including Professional Liability when
appropriate. Contractor shall maintain such Insurance in full force and
effect during the life of this Agreement. Contractor shall provide to the
City's Risk and Safety Manager certificates of all Insurances required
under this section prior to beginning any work under this Agreement. The
Contractor will ensure that all subcontractors comply with the above
guidelines and will retain all necessary insurance in force throughout the
term of this agreement.
3.2. Contractor shall indemnify and hold the City harmless for any damages
resulting from failure of the Contractor to take out and maintain such
Insurance. Contractor's Liability Insurance policies shall be endorsed to
add the City as an additional insured. Contractor shall be responsible for
payment of all deductibles and self-insurance retentions on Contractor's
Liability Insurance policies.
4) Time of Commencement and Substantial Completion
4.1 The work to be performed under this Agreement shall be commenced
after City execution of the Agreement and not later than ten (10) days after
the date that Contractor receives the City's Notice to Proceed. The work
shall be substantially completed within (120) calendar days from issuance
of City's Notice to Proceed, subject to any permitted extensions of time
under the Contract Documents. For the purposes of this Agreement,
completion shall mean the issuance of final payment.
4.2 During the pre -construction portion of the work hereunder, the parties
agree to work diligently and in good faith in performing their obligations
hereunder, so that all required permits for the construction portion of the
work may be obtained by City in accordance with the Schedule included in
Agreement
the Contract Documents. In the event any delays in the pre -construction or
construction portion of work occur, despite the diligent efforts of the parties
hereto, and such delays are the result of force majeure or otherwise
outside of control of either party hereto, then the parties shall agree on an
equitable extension of time for substantial completion hereunder and any
resulting increase in general condition costs.
5) Contract Sum
The Contract Sum for the above work is One Hundred Twenty Thousand Three
Hundred Eighty Nine Dollars and fifty-nine cents ($120,389.59).
6) Payments
Payment will be made monthly for work that has been completed, inspected and
properly invoiced. A retainage of ten percent (10%) will be deducted from monthly
payments until 50% of the project is complete. Retainage will be reduced to five percent
(5%) thereafter. Retainage monies will be released upon satisfactory completion and
final inspection of the work. Invoices must bear the project name, project number, bid
number and purchase order number. City has up to thirty (30) days to review, approve
and pay all invoices after receipt. The Contractor shall invoice the City and provide a
written request to the City to commence the one (1) year warranty period. All necessary
Releases of Liens and Affidavits and approval of Final Payments shall be processed
before the warranty period begins. All payments shall be governed by the Florida
Prompt Payment Act, F.S., Part VII, Chapter 218.
7) Remedies
7.1 Damages: The City reserves the right to recover any ascertainable actual
damages incurred as a result of the failure of the Contractor to perform in
accordance with the requirements of this Agreement, or for losses sustained by
the City resultant from the Contractor's failure to perform in accordance with the
requirements of this Agreement.
7.2 Correction of Work: If, in the judgment of the City, work provided by the
Contractor does not conform to the requirements of this Agreement, or if the
work exhibits poor workmanship, the City reserves the right to require that the
Contractor correct all deficiencies in the work to bring the work into conformance
without additional cost to the City, and / or replace any personnel who fail to
perform in accordance with the requirements of this Agreement. The City shall
be the sole judge of non-conformance and the quality of workmanship.
8) Change Orders
8.1 Without invalidating the contract, without any monetary compensation, and
without notice to any surety, the City reserves and shall have the right to make
increases, decreases or other changes to the work as may be considered
necessary or desirable to complete the proposed construction in a satisfactory
manner. The Contractor shall not start work pursuant to a change order until the
change order setting forth the adjustments is approved by the City, and
executed by the City and Contractor. Once the change order is so approved, the
Contractor shall promptly proceed with the work. All Change Orders shall
Agreement
include overhead and profit, not to exceed five percent (5%) and five percent
(5%) respectively.
8.2 The Contract Price constitutes the total compensation (subject to authorized
adjustments, if applicable) payable to the Contractor for performing the work. All
duties, responsibilities and obligations assigned to or undertaken by the
Contractor shall be at Contractor's expense without change in the Contract
Price or Time except as approved in writing by the City.
8.3 The Contract Price and/or Time may only be changed by a Change Order. A
fully executed change order for any extra work must exist before such extra
work is begun. Any claim for an increase or decrease in the Contract Price shall
be based on written notice delivered by the party making the claim to the other
party promptly (but in no event later than 15 days) after the occurrence of the
event giving rise to the claim and stating the general nature of the claim. The
amount of the claim with supporting data shall be delivered (unless the City
allows an additional period of time to ascertain more accurate data in support of
the claim) and shall be accompanied by claimant's written statement that the
amount claimed covers all known amounts to which the claimant is entitled as a
result of the occurrence of said event. No claim for an adjustment in the
Contract Price will be valid if not submitted in accordance with this Paragraph.
8.4 The Contract Time may only be changed by a Change Order. A fully executed
change order must exist prior to extension of the contract time.
8.5 Any claim for an extension of the Contract Time shall be based on written notice
delivered by the party making the claim to the other party no later than fifteen
(15) days after the occurrence of the event giving rise to the claim. Notice of the
extent of the claim shall be delivered with supporting data and stating the
general nature of the claim. Contractor hereby agrees to waive rights to recover
any lost time or incurred costs from delays unless Contractor has given the
notice and the supporting data required by this Paragraph.
8.6 Extensions of time shall be considered and will be based solely upon the effect
of delays to the work as a whole. Extensions of time shall not be granted for
delays to the work, unless the Contractor can clearly demonstrate that such
delays did or will, in fact, delay the progress of work as a whole. Time
extensions shall not be allowed for delays to parts of the work that are not on
the critical path of the project schedule. Time extensions shall not be granted
until all float or contingency time, at the time of delay, available to absorb
specific delays and associated impacts is used.
8.7 In the event satisfactory adjustment cannot be reached by City and Contractor
for any item requiring a change in the contract, and a change order has not
been issued, the City reserves the right at its sole option to terminate the
contract as it applies to these items in question and make such arrangements
as City deems necessary to complete the work. The cost of any work covered
by a change order for an increase or decrease in the contract price shall be
determined by mutual acceptance of a Guaranteed Maximum Price by City and
Contractor. If notice of any change in the contract or contract time is required to
be given to a surety by the provisions of the bond, the giving of such notice shall
4 Agreement
be the Contractor's responsibility, and the amount of each applicable bond shall
be adjusted accordingly. The Contractor shall furnish proof of such adjustment
to the City Failure of the Contractor to obtain such approval from the Surety may
be a basis for termination of this Contract by the City.
9) No Damages for Delays
ALL TIME LIMITS STATED IN THE CONTRACT DOCUMENTS ARE OF THE
ESSENCE OF THE AGREEMENT. EXCEPT AS PROVIDED HEREIN, NO CLAIM
FOR DAMAGES OR ANY CLAIM OTHER THAN FOR AN EXTENSION OF TIME
SHALL BE MADE OR ASSERTED AGAINST THE CITY BY REASON OF ANY
DELAYS. Contractor shall not be entitled to an increase in the construction cost or
payment or compensation of any kind from City for direct, indirect, consequential,
impact or other costs, expenses or damages including but not limited to costs of
acceleration or inefficiency, arising because of delay, disruption, interference or
hindrance from any cause whatsoever, whether such delay, disruption, interference be
reasonable or unreasonable, foreseeable or unforeseeable, or avoidable or
unavoidable; provided, however, that this provision shall not preclude recovery of
damages by Contractor for hindrances or delays due solely to fraud, bad faith or active
interference on the part of City or its agents. In addition, if Contractor is delayed at any
time in the progress of the Work by an act or neglect of the City's employees, or
separate contractors employed by the City, or by changes ordered in the Work, or by
delay authorized by the City pending arbitration, then the Contract Time shall be
reasonably extended by Change Order, and the Guaranteed Maximum Price shall be
reasonably increased by Change Order in order to equitably increase the general
conditions component of the Guaranteed Maximum Price. Furthermore, if Contractor is
delayed at any time in the progress of the Work by labor disputes, fire, unusual delay in
deliveries, adverse weather conditions not reasonably anticipated, unavoidable
casualties or other causes beyond the Contractor's control, or by other causes which
the City and Contractor agree may justify delay, then the Contract Time shall be
reasonably extended by Change Order. Otherwise, Contractor shall be entitled only to
extensions of the Contract Time as the sole and exclusive remedy for such resulting
delay, in accordance with and to that extent specifically provided above. No extension
of time shall be granted for delays resulting from normal weather conditions prevailing
in the area as defined by the average of the last ten (10) years of weather data as
recorded by the United States Department of Commerce, National Oceanic and
Atmospheric Administration at the Fort Lauderdale Weather Station.
10) Waiver of Liens
Prior to final payment of the Contract Sum, a final waiver of lien shall be
submitted by all suppliers, subcontractors, and/or Contractors who worked on the
project that is the subject of this Agreement. Payment of the invoice and acceptance of
such payment by the Contractor shall release City from all claims of liability by
Contractor in connection with the agreement.
11) Warranty
Contractor shall provide a Limited Life Time Warranty for all air cleaners,
blowers, hose reels, and controls providing the equipment is being maintained in
Agreement
accordance with Safe Air/Maintenance procedures and that replacement filters are
provided by Safe Air Corporation or approved OEM Supplier except for equipment
failure due to misuse, abuse, or acts of nature such as electrical or storm damage.
12) Indemnification
12.1 The Contractor shall indemnify and hold harmless the City, its elected and
appointed officials, employees, and agents from any and all claims, suits,
actions, damages, liability, and expenses (including attorneys' fees) in
connection with loss of life, bodily or personal injury, or property damage,
including loss of use thereof, directly or indirectly caused by, resulting
from, arising out of or occurring in connection with the operations of the
Contractor or its officers, employees, agents, subcontractors, or
independent Contractors, excepting only such loss of life, bodily or
personal injury, or property damage solely attributable to the gross
negligence or willful misconduct of the City or its elected or appointed
officials and employees. The above provisions shall survive the
termination of this Agreement and shall pertain to any occurrence during
the term of this Agreement, even though the claim may be made after the
termination hereof.
12.2 Nothing contained herein is intended nor shall be construed to waive
City's rights and immunities under the common law or Florida Statutes
768.28, as amended from time to time.
12.3 The City and Contractor recognize that various provisions of this Agreement,
including but not limited to this Section, provide for indemnification by the
Contractor and requires a specific consideration be given there for. The
Parties therefore agree that the sum of Ten Dollars and 00/100 ($10.00),
receipt of which is hereby acknowledged, is the specific consideration for
such indemnities, and the providing of such indemnities is deemed to be part
of the specifications with respect to the services to be provided by
Contractor. Furthermore, the City and Contractor understand and agree that
the covenants and representations relating to this indemnification provision
shall serve the term of this Agreement and continue in full force and effect as
to the City's and the Contractor's responsibility to indemnify.
13) Non -Discrimination & Equal Opportunity Employment
During the performance of the Contract, the Contractor shall not discriminate
against any employee or applicant for employment because of race, religion, color,
gender, national origin, sex, age, marital status, political affiliation, familial status, sexual
orientation, or disability if qualified. The Contractor will take affirmative action to ensure
that employees are treated during employment, without regard to their race, religion,
color, gender or national original, or disability. Such actions must include, but not be
limited to, the following: employment, promotion; demotion or transfer; recruitment or
recruitment advertising, layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship. The Contractor shall
agree to post in conspicuous places, available to employees and applicants for
employment, notices to be provided by the contracting officer setting forth the provisions
Agreement
of this nondiscrimination clause. The Contractor further agrees that he/she will ensure
that Subcontractors, if any, will be made aware of and will comply with this
nondiscrimination clause.
14) Independent Contractor
This Agreement does not create an employee/employer relationship between the
Parties. It is the intent of the Parties that the Contractor is an independent contractor under
this Agreement and not the City's employee for any purposes, including but not limited to, the
application of the Fair Labor Standards Act minimum wage and overtime payments, Federal
Insurance Contribution Act, the Social Security Act, the Federal Unemployment Tax Act, the
provisions of the Internal Revenue Code, the State Worker's Compensation Act, and the State
Unemployment Insurance law. The Contractor shall retain sole and absolute discretion in the
judgment of the manner and means of carrying out Contractor's activities and responsibilities
hereunder provided, further that administrative procedures applicable to services rendered
under this Agreement shall be those of Contractor, which policies of Contractor shall not
conflict with City, State, or United States policies, rules or regulations relating to the use of
Contractor's funds provided for herein. The Contractor agrees that it is a separate and
independent enterprise from the City, that it had full opportunity to find other business, that it
has made its own investment in its business, and that it will utilize a high level of skill
necessary to perform the work. This Agreement shall not be construed as creating any joint
employment relationship between the Contractor and the City and the City will not be liable for
any obligation incurred by Contractor, including but not limited to unpaid minimum wages
and/or overtime premiums.
15) Assignment and Subcontracting
Contractor shall not transfer or assign the performance required by this
Agreement without the prior consent of the City. This Agreement, or any portion thereof,
shall not be subcontracted without the prior written consent of the city.
16) Notice
Whenever either party desires or is required under this Agreement to give notice
to any other party, it must be given written notice either delivered in person, sent by
U.S. Certified Mail, U.S. Express Mail, air or ground courier services, or by messenger
service, as follows:
City Manager
City of Tamarac
7525 N.W. 88th Avenue
Tamarac, FL 33321
With a copy to the City Attorney at the following address:
Goren, Cherof, Doody & Ezrol, P.A.
3099 East Commercial Blvd., Suite 200
Fort Lauderdale, FL 33308
Agreement
CONTRACTOR:
Safe Air Corporation.
850 S. Tamiami Trail
Sarasota, FL 34230
(941) 955-0911
17) Termination
17.1 Termination for Convenience: This Agreement may be terminated by
the City for convenience, upon seven (7) days of written notice by the
terminating party to the other party for such termination in which event the
Contractor shall be paid its compensation for services performed to
termination date, including services reasonably related to termination. In
the event that the Contractor abandons this Agreement or causes it to be
terminated, Contractor shall indemnify the city against loss pertaining to
this termination.
17.2 Default by Contractor: In addition to all other remedies available to the
City, this Agreement shall be subject to cancellation by the City for cause,
should the Contractor neglect or fail to perform or observe any of the
terms, provisions, conditions, or requirements herein contained, if such
neglect or failure shall continue for a period of thirty (30) days after receipt
by Contractor of written notice of such neglect or failure.
Public Records
18.1 The City of Tamarac is a public agency subject to Chapter 119, Florida
Statutes. The Contractor shall comply with Florida's Public Records Law.
Specifically, the Contractor shall:
18.1.1 Keep and maintain public records that ordinarily and necessarily
would be required by the City in order to perform the service;
18.1.2 Provide the public with access to such public records on the same
terms s that the City would provide the records and at a cost that
does not exceed that provided in chapter 119, Fla. Stat., or as
otherwise provided by law;
18.1.3 Ensure that public records that are exempt or that are confidential
and exempt from public record requirements are not disclosed
except as authorized by law; and
18.1.4 Meet all requirements for retaining public records and transfer to the
City, at no cost, all public records in possession of the contractor
upon termination of the contract and destroy any duplicate public
records that are exempt or confidential and exempt. All records
stored electronically must be provided to the City in a format that is
compatible with the information technology systems of the agency.
18.2 The failure of Contractor to comply with the provisions set forth in this
Article shall constitute a Default and Breach of this Agreement and the City
shall enforce the Default in accordance with the provisions set forth in
Article 17, "Termination", herein.
e _ 8 Agreement
19) Agreement Subject to Funding
This agreement shall remain in full force and effect only as long as the
expenditures provided for in the Agreement have been appropriated by the City
Commission of the City of Tamarac in the annual budget for each fiscal year of this
Agreement, and is subject to termination based on lack of funding.
20) Venue
This Agreement shall be governed by the laws of the State of Florida as now and
hereafter in force. The venue for actions arising out of this agreement is fixed in
Broward County, Florida.
21) Signatory Authority
The Contractor shall provide the City with copies of requisite documentation evidencing
that the signatory for Contractor has the authority to enter into this Agreement.
22) Severability; Waiver of Provisions
Any provision in this Agreement that is prohibited or unenforceable in any
jurisdiction shall, as to such jurisdiction, be ineffective to extent of such prohibition or
unenforceability without invalidating remaining provisions hereof or affecting validity or
enforceability of such provisions in any other jurisdiction. The non -enforcement of any
provision by either party shall not constitute a waiver of that provision nor shall it affect
the enforceability of that provision or of the remainder of this Agreement.
23) Uncontrollable Circumstances
23.1 Neither the City nor Contractor shall be considered to be in default of this
Agreement if delays in or failure of performance shall be due to
Uncontrollable Forces, the effect of which, by the exercise of reasonable
diligence, the non -performing party could not avoid. The term
"Uncontrollable Forces" shall mean any event which results in the
prevention or delay of performance by a party of its obligations under this
Agreement and which is beyond the reasonable control of the
nonperforming party. It includes, but is not limited to fire, flood, earthquakes,
storms, lightning, epidemic, war, riot, civil disturbance, sabotage, and
governmental actions.
23.2 Neither party shall, however, be excused from performance if
nonperformance is due to forces, which are preventable, removable, or
remediable, and which the nonperforming party could have, with the
exercise of reasonable diligence, prevented, removed, or remedied with
reasonable dispatch. The nonperforming party shall, within a reasonable
time of being prevented or delayed from performance by an uncontrollable
force, give written notice to the other party describing the circumstances
and uncontrollable forces preventing continued performance of the
obligations of this Agreement.
9 Agreement
24) Merger; Amendment
This Agreement constitutes the entire Agreement between the Contractor and
the City, and negotiations and oral understandings between the parties are merged
herein. This Agreement can be supplemented and/or amended only by a written
document executed by both the Contractor and the City.
25) No Construction Against Drafting Party
Each party to this Agreement expressly recognizes that this Agreement results
from the negotiation process in which each party was represented by counsel and
contributed to the drafting of this Agreement. Given this fact, no legal or other
presumptions against the party drafting this Agreement concerning its construction,
interpretation or otherwise accrue to the benefit of any party to the Agreement, and
each party expressly waives the right to assert such a presumption in any proceedings
or disputes connected with, arising out of, or involving this Agreement.
26) Contingent Fees
Contractor warrants it has not employed or retained any company or person, other
than a bona fide employee working solely for Contractor to solicit or secure this
Agreement and that it has not paid or agreed to pay any person, company, corporation,
individual or firm, other than a bona fide employee working solely for Contractor, any fee,
commission, percentage, gift or any other consideration contingent upon or resulting from
the award or making of this Agreement.
Balance of Page Intentionally Left Blank
Agreement
IN WITNESS WHEREOF, the parties have made and executed this Agreement on the
respective dates under each signature. CITY OF TAMARAC, signing by and through its
Mayor and City Manager, and CONTRACTOR, signing by and through its President duly
authorized to execute same.
CITY O T MARAC
F TA HA R DRESSL
0 ER, MAYOR
: ate
ESTABLISHED'. 4=
�OO 1963
AT �y'., SEAL :'� i ael C. Cernech, City Manager
w ��•
Patricia A. Teufel, CM ' " Date
City Clerk
�3 Approv d/to rm and legal sufficiency:
Date
ATTEST:
Signatu of Corporat a ary
Wayne A. Lutz
Type/Print Name of Corporate Secy.
(CORPORATE SEAL)
Cei►'1110111
SAFE AIR CORP.
pan —am e
x
Signature of President
Laura J. Lutz
Type/Print Name of President
0- 1 3�
Date
Agreement
CORPORATE ACKNOWLEDGEMENT
STATE OF 0eW
SS
COUNTY OF 1 MCOL- cam :
I HEREBY CERTIFY that on this day, before me, an Officer duly authorized in the State
aforesaid and in the County aforesaid to take acknowledgments, personally appeared
Laura Lutz, President of Safe Air Corp., a Florida Corporation, to me known to be the
person(s) described in and who executed the foregoing instrument and acknowledged
before me that he/she executed the same.
WITNESS my hand and official seal this
day of , 2844
3
Signature of Notary Public
State of Reba at Large
Touron Clayton new'-wrT
Notary Public
New JNMy -
My Cornrnision Epp m 5-8-201 i
No. 242001
Print, Type or Stamp
Name of Notary Public
❑ Personally known to me or
�j� Produced Identification
Type of I.D. Produced
DID take an oath, or
DID NOT take an oath
Agreement
EXH I BIT 1
Safe Air Corporation
, irFiltradon &EhW"nmental Products
July 24, 2013
City of Tamarac
Purchasing & Contracts Division
Room 108 Attn: J. Nicotra
7525 NW 88`h Avenue
Tamarac, FL 33321
Subject: RFP-13-17R/Vehicle Exhaust System Project
We would like to thank you for the opportunity to work with City of Tamarac in a
continued effort to protect your County fire fighters and personnel from the carcinogenic
effects of vehicle exhaust emissions in your fire stations.
We are confident that we can play a continued and critical role in providing you with a
user friendly turn key solution that will be a valuable part of your Department's Health
and Safety Plan for years to come.
Safe Air Corp has been designing, installing and servicing air filtration and
environmental systems for over fifteen years. As owner, I have 35 plus years of personal
experience in the industry. I started at the age of 16 in a family company called Anti -
Pollution Equipment Corp. where I started as a service technician and later moved up to
co-owner. In the late 80's I co-founded P1ymoVent Corporation and was instrumental in
the design and development of the Fire Vehicle Exhaust Extraction market in the U.S.
Safe Air Corp's qualifications are second to none. We have installed more vehicle
exhaust extraction systems in Florida fire stations than any other manufacturer or dealer
in the state; our systems are still in service after nearly two decades. We have provided
local fire department references as you requested but have many more if you would like
them to be made available. We'd like to invite you to visit Margate FD in Broward
County to witness firsthand the quality and workmanship of the same system that we
would be providing your Dept.
Safe Air Corp is the exclusive dealer for Airflow System in the State of Florida and has
fully trained service personnel and will have a parts depot located in Hollywood, Florida
to service your equipment and filter needs. We will provide on -site service to your
stations when needed. Safe Air Corp. will provide a limited life time warranty on your
system as long as the original equipment replacement filters are utilized. Safe Air Corp.
will be providing in this bid our new state of the art service dispatch system which will
remotely monitor the operation of your central ventilation system and will give both Safe
Air Corp and the Fire Dept. notification of when service is needed. This control system
monitors critical functions such as loss of power, dirty filter, fire alarm, and three other
custom tailored alarms.
The City of Tamarac area has special code requirements that Safe Air Corp. has worked
with many times. The drawings are produced and sealed by a Florida State licensed
professional engineer. This alliance allows us to work with your County building dept. in
a more efficient manner to expedite the permit process. Safe Air Corp.'s building
contractor number is CBC#1256765 and is a MBE Corporation in good standing. Please
see business qualifications and certificates in Tab 1. All other qualifications related to
companies or products can be seen in enclosed tabs.
Safe Air Corp. has never had any litigations or unresolvable disputes. Our ability to
communicate with our customers and our ability to meet specific deadlines with quality
products and services eliminates conflicts and misunderstandings.
In closing, we would like the opportunity to meet with the evaluation committee to allow
us an oral presentation of our proposal at which time we will bring in samples of our
equipment which will include the air cleaners/hose reel system to be provided, electrical
controllers and the auto dispatch system. Also, we will have for your questioning the key
members of Safe Air Corp. and its subcontracting principals. We look forward to
working with City of Tamarac in a growing relationship of a mutual benefit. Thank you
for the opportunity to serve you.
Sincerely,
Wayne A. Lutz
CEON.P. of Sales
P.O. Box 3077 Sarasota Florida 34230-3077
Email: safeairkmonmouth.com
800-798-8820
P.O. Box 3077
Sarasota, FL 34230-3077
Ph:941.955-0911 Fax: 941-955-0910
info@safeairco.com
Project Approach and Management
Safe Air Corp is very familiar with providing the scope of work and services that the City
of Tamarac requires. Our many years of experience allow us to efficiently manage all
aspects of the project. The following is a project walk thru that will outline the milestone
and the completion of the project.
1. Pre -Project Conference — Safe Air Corp will hold a pre -project conference that will
include all installation and project managing personnel that will be utilized on the
project along with all responsible parties of the City of Tamarac. This pre -project
meeting will outline in detail the specific stations that the county wishes to start with
along with any details, which may be pertinent to their installation and or
interruption of power if applicable to install upgraded electrical service.
2. Station Demolition/Installation Timeline — It will require approx. one week for
mobilization, demolition and removal from site of existing system in Station 15 &
41. It will require approx. one week to install each station. This includes the
mounting of the air cleaners, service or upgrading of existing exhaust systems and
the installation of the electrical systems. The timeline for all stations to be complete
would be approx. 6 weeks if we utilize only one installation team. If a more
aggressive installation schedule is required, Safe Air Corp. can mobilize two
installation teams to meet earlier completion.
3. Start-up- Safe Air will provide a start-up and inspection to this project where
members of the City of Tamarac will complete a job walk thru to approve final
inspection and testing of the installed system. A checklist will be provided for final
approval and sign off of completion.
4. Filter Maintenance — Safe Air will provide a filter change out service which will
consist of the replacement of pre -filters three times a year, replacement of primary
HEPA filters and activated carbon filters once a year. This filter change out will be
monitored by the Safe Air Corp auto dispatch system. The auto dispatch system will
enhance the value and quality of service we provide while reducing the counties cost
of ownership for this system.
Sarasota / Miami / Jacksonville / Melbourne / Navarre
Favaroc F,�;ruhasfija and Gorittacts Division
............... ... w—.- .... . .... —1. . .... .....
PRICE PROPOSAL FORM
RFP 13-17R
TAMARAC VEHICLE EXHAUST SYSTEM PROJECT
The Proposer, hereby declares that he or she has carefully examined and understands the
Scope of Work and instructions contained herein, and does hereby agree to furnish all
labor, materials, tools, supervision, equipment, mobilization, and to sustain all expenses
incurred in performing the work, including required insurance and bonding, if applicable. In
the event of latent mathematical errors, Proposer recognizes these are clerical errors and
may be corrected by Owner.
Modification of this Price Proposal Form or use of another type Proposal Form by
Contractor other than the information requesting below, shall not be accepted.
NOT TO EXCEED COST FLEET MAINTENANCE $
7
NOT TO EXCEED COST — FIRE STATION NO, 41
NOT TO EXCEED COST — FIRE STATION NO. 15
GRAND TOTAL FOR (3) FACILITIES
SUBMITTED BY:
$
$
,�
Company Name: t� "o —"-A !2t.z -r C 4
Address:
Z
City: State: Zip:"341,"20, "L 177
,
Email:
I"he City of Tamarac desires to have the ability to use a city credit card for payment.
Will your firm accept a Visa credit card as payment from the City of Tamarac?
Yes 1, No
NOTE: To be considered eligible for award, one (1) original of this Proposal Form
must be submitted with the Proposal.
Bill To:
City of Tamarac
7525 NW 88th Avenue
Tamarac, FL 33321
Quotation
Proposal Date: 10/23/2013
Proposal: #4085
Terms
Net 30
FOB
Columbus OH
REP
Attn: Jim Nicotra 954-597-3570
Item
Description
Qty.
Rate
Total
EQUIP/INSTALL
Project : Tamarac RFP 13-17R- Provide option to base bid for equipment
1
20,254.00
20,254.00
and installation of Airflow Systems air cleaning devices in Fleet
Maintenance Facility bays located at 6011 Nob Hill Road
(2) AF-FHAC-2500-240 Airflow Air Cleaner for fire station- 2500 cfm 1 hp
240V MERV 11/16/CP
(2) KF-102-700-031 Koch Filter XLB-SC Multi Pleat Extended 24"x24"x4"
MERV-8
(2) KF-111-600-101 Koch Filter Dura Max 4V high capacity mini pleat filter
24"x24"x12" MERV-15
(2) KF-111-801-001 Koch Filter Durapure extended surface carbon filter
24"x24"xl2"
(1) SA-WD-4E-UL SafeAir Master Fan Controller 120vac/1ph
(1) SA-WD-EMD SafeAir Email Dialer for Internet Alarms
(4) SA-WD-VTK-2 SafeAir Vehicle Transmitter kit for wireless vehicle start
of system - lighter plug style
(1) SA-WD-SLH SafeAir Strobe Light Horn for gas detection system
yellow/red /94 db horn
(1) SA-WD-FAR SafeAir Alarm Relay for smoke alarm and shutdown of
fans
(4) SA-WD-EFRS Exhaust Fan Relay Switch for starting of exhaust fans
120-240 vac 1 ph up to 2 hp
(1) HA-1309AO042 ES Point Toxic Gas Monitor Base Unit 24 AC/DC for
W D-4E-U L
All necessary ductwork
All necessary mechanical installation
All necessary electrical connection
All necessary hardware
All inbound freight
If tax exempt, please provide tax exemption certification.
Total
$20,254.00
Thank you.
PO Box 3077 Sarasota, FL 34230-3077
PH: 941-955-0911 Fax: 941-955-0910
(800)798-8820 info@safeairco.com
Quotation
> u r p rp r a r I a n Proposal Date: 11/15/2013
Proposal: 4107
Bill To:
City of Tamarac Terms REP
7525 NW 88th Avenue Net 30 RB
Tamarac, FL 33321
FOB
Dallas TX
Attn: Jim Nicotra 954-597-3570
Item Description Oty, Rate Total
AF-1000-D 1000 cfm above ceiling air cleaner. Includes 2" polyester prefilter, 95% 1 2,468.24 2,468.24
main filter (39 sq.ft.), 1/2" charcoal after -filter, ODOR/EX deodorizer
cartridge, 1/2 Hp motor, 115/1/60Hz (7.4 amps), 2 speed wall switch, (1)
1/2 dia.outlet, and (2) 8" dia.inlets.
DISC -PC Preferred Customer Discount-20.00%-493.65
If tax exempt, please provide tax exemption certification. Total $1, 974.59
Thank you.
PO Box 3077 Sarasota, FL 34230-3077
PH: 941-955-0911 Fax: 941-955-0910
(800)798-8820 info@safeairco.com
Cit o(Tamarac __--_._--_- _ __----_ ____.__ _ ___.---- Purchasing and Contracts Division
PROPOSAL CHECKLIST
BEFORE SUBMITTING YOUR PROPOSAL, MAKE SURE YOU...
L� 1. Carefully read the General Terms & Conditions, Special Conditions and the
General Requirements.
Provide a Technical Proposal
3. Return Price Proposal Form (Use of a Price Proposal Form other than the Form
contained herein, may be grounds for submittal rejection).
t5.
Fill out and sign the Non -Collusive Affidavit and have it properly notarized.
Sign the Certification page. Failure to do so will result in your Bid being
deemed non -responsive.
[�] Fill out the Offeror's Qualification Statement and Reference Form.
Sign the Vendor Drug Free Workplace Form.
Fill out and detail information the List of Sub -Contractors Form
9. Fill out and sign the Certified Resolution.
Include all necessary Financial Statements
1. Include Proof of Insurance.
Provide any additional documentation requested within this RFI Document.
3. Provide copy of appropriate License(s) to perform the work.
1 Fill out and return the Trench Safety Form, if applicable.
15. Submit ONE (1) Original AND the number of copies requested in the Proposal
Instructions. Clearly mark the sealed container with the PROPOSAL
NUMBER AND PROPOSAL NAME on the outside of the package.
Make sure your Proposal is submitted PRIOR to the deadline.
Late Proposals will not be accepted.
Failure to provide the requested attachments may result in your proposal
being deemed non -responsive.
THIS SHOULD BE THE FIRST PAGE OF YOUR PROPOSAL
25
"It of iamal`'�' Pumhasi�anq Contracts Division
REFERENCES
Please provide at least three (3) references for organizations or government
agencies with which you have completed similar size and scope projects.
Your Company Name
Address
City State Zip
Phone/Fax
E-mail
Agency/Firm Name:
Address
City State Zip
Phone/Fax
Contact Name
Agency/Firm Name
Address
City State Zip
Phone/Fax
Contact Name
Agency/Firm Name
Address
City State Zip
Phone/Fax
Contact Name
Agency/Firm Name:
Address
City State Zip
Phone/Fax
Contact Name
Agency/Firm Name:
Address
City State Zip
Phone/Fax
Contact Name
010
%gal
26
City of Tamarac Purchasing and Contacts Division
CERTIFICATION
THIS DOCUMENT MUST BE SUBMITTED WITH THE PROPOSAL
We (1), the undersigned, hereby agree to furnish the item(s)/service(s) described in
the Invitation to Bid. We (1) certify that we(I) have read the entire document,
including the Scope of Work, Additional Requirements, Supplemental Attachments,
Instructions to Proposers, Terms and Conditions, and any addenda issued. We
agree to comply with all of the requirements of the entire Request for Proposals.
Indicate which type of organization below:
INDIVIDUAL ❑
If "Other", Explain:
PARTNERSHIP ❑ CORPORATIONX OTHER ❑
-- -. . -- - i .. Name
/Awr7l, &7 - —)� Ar
Address
Oq L-
.. �71 Zmmom
- -.. _
QW-!4SY- 0?/ (Ps-D6 n 6/D,4//
Fax Federal Tax ID Number
Email address for above signer (if any)
27
-------_--.___----_ Purchasin and Contracts Division
CERTIFIED RESOLUTION
I. IJl' 14 r L (Name), the duly elected Secretary of
(Corporate Title), a corporation organized and existing under the laws of the
State of , do hereby certify that the following Resolution was
unanimously adopted and passed by a quorum of the Board of Directors of the said corporation at a
meeting held in accordance with law and the by-laws of the said corporation.
"IT IS HEREBY RESOLVED THAT (Name)", the duly
elected (Title of Officer) of
(Corporate Title) be and is hereby authorized to execute and
submit a Bid and/or Bid B nd, if such bond is required, to the City of Tamarac and such other
instruments in writing as may be necessary on behalf of the said corporation; and that the Bid,
Bid Bond, and other such instruments signed by him/her shall be binding upon the said corporation as
its own acts and deeds. The secretary shall certify the names and signatures of those authorized to
act by the foregoing resolution.
The City of Tamarac shall be fully protected in relying upon such certification of the secretary and shall
be indemnified and saved harmless from any and all claims, demands, expenses, loss or damage
resulting from or growing out of honoring, the signature of any person so certified or for refusing to
honor any signature not so certified.
I further certify that the above resolution is in force and effect and has not been revised, revoked or
rescinded.
I further certify that the following are the name, titles and official signatures of those persons
authorized to act by the foregoing resolution.
NAME � TITLE ,VIGNAT
Given under my hand and the Seal of the said corporation this -C.,L.1 day of 20_3
(SEAL) By:
Secre ry
Corporate Ti
NOTE:
The above is a suggested form of the type of Corporate Resolution desired. Such form need not be
followed explicitly, but the Certified Resolution submitted must clearly show to the satisfaction of the
City of Tamarac that the person signing the Bid and Bid Bond for the corporation has been properly
empowered by the corporation to do so in its behalf.
28
City of Tamarac _ ^ Purchasing and Contracts Division
OFFEROR'S QUALIFICATION STATEMENT
The undersigned certifies under oath the truth and correctness of all statements and of
all answers to questions made hereinafter:
SUBMITTED TO: City of Tamarac
Purchasing and Contracts Manager
7525 NW 88th Avenue
Tamarac, Florida 33321
Submitted By:
Name:
Address:
City, State, Zip
Telephone No.
Fax No.
C eck One
Corporation
❑ Partnership
❑ Individual
❑ Other
State the true, exact, correct and complete name of the partnership, corporation, trade or
fictitious name under which you do business and the address of the place of
business.
The correct name of the Offeror is: S H,-- A4KOV_P'0r`I°i CA)
The address of the principal place of business is: � �',' Tf m I Am
J
1. If Offeror is a corporation, answer the following:
a) Date of Incorporation: lks
b) State of Incorporation:
c) President's name:
d) Vice President's name:
e) Secretary's name:
f) Treasurer's name:
g) Name and address of Resident Agent &Tmew(z!
29
City of Tamarac _— _ M Purchasing and Contracts Division
2. If Offeror is an individual or a partnership, answer the following:
h) Date of organization:
i) Name, address and ownership units of all partners:
j) State whether general or limited partnership:
3. If Offeror is other than an individual, corporation or partnership, describe the
organization and give the name and address of principals:
4. If Offeror is operating under a fictitious name, submit evidence of compliance with the
Florida Fictitious Name Statute.
5. How many years has your organization been in business under its present business
name?
a) Under what other former names has your organization operated?
6. Indicate registration, license numbers or certificate numbers for the businesses or
professions, which are the subject of this Bid. Please attach certificate of competency
and/or state registration.
7. Have yo personally inspected the site of the proposed work?
7YES ❑ NO
8. Do you h e a complete set of documents, including drawings and addenda?
YES ❑ NO
9. Did you end the Pre -Proposal Conference if any such conference was held?
YES ❑ NO
30
Gity or Tamarac Purchasing and Contracts Division
10. Have you ever failed to complete any work awarded to you? If so, state when, where
and why-
11. State the names, telephone numbers and last known addresses of three (3) owners,
individuals or representatives of owners with the most knowledge of work which you
have performed and to which you refer (government owners are preferred as
references).
Name Address Telephone
---
12. List the pertinent experience of the key individuals of your organization (continue on
insert sheet, if necessary).
A.ZU7:Z-_- _ 41-ems_ exAe 1/) _&&4
nn r c?'Z pL(
-�K Aee0-1rIcj,
13. State the nam of the individual who
will have personal supervision of the worn: �J
14. State the name and address of attorney, if any, for the business of the Offeror:
15.
State the names and addresses of all businesses and/or individuals who own an
interest of more than five percent (5%) of the Offeror's business and indicate the
percentage owned of each such business and/or individual:
16. State the names, addresses and the type of business of all firms that are partially or
wholly owned by Offeror: _
31
Cif of 7amwac Purchasing and Contracts Divisionu
The Offeror acknowledges and understands that the information contained in response to
this Qualification Statement shall be relied upon by owner in awarding the contract and
such information is warranted by Offeror to be true. The discovery of any omission or
misstatement that materially affects the Offeror's qualifications to perform under the
contract shall cause the owner to reject the proposal, and if after the award, to cancel and
(7ye award and/ con tact.
Signature
ACKNOWLEDGEMENT
� OFFEROR'S QUALIFICATION STATEMENT
State of ( \1' �rs-ekl
County of
On this the _ day of V) U, LQ 2013, before me,
the undersigned Notary Public of the State of Florida, personally appeared
La �-( r- Ck- L.,and
(Name(s) of individual(s) who appeared before notary)
whose name(s) is/are Subscribed to within the instrument, and he/she/they acknowledge
that he/she/they executed it.
WITNESS my hand and official seal.
NOTARY PUBLIC, STATE OF FLORIDA
NOTARY PUBLIC Touron Clayton
Notary Public
rsey
SEAL OF OFFICE:" C � 0'U
IYIy Commission Expires 5-9.2017
No.2420581 (Name of Notary Pu lic: Print,
Stamp, or Type as Commissioned)
❑ Personally known to me, or
❑ Produced identification:
(Type of Identification Produced)
❑ DID take an oath, or
❑ DID NOT take an oath
33
City of Tamarac Purchasing and Contracts Division
NON -COLLUSIVE AFFIDAVIT
State of 1V .S'. )
)ss.
County of Ik? vn,m oc+6, )
t
d+ Lr �ur,q being first duly sworn,
deposes and says that:
1. He/she is the Qwner, Partner,
Officer, Representative or Agent) of C>
the Offeror that has submitted the attached Proposal;
2. He/she is fully informed respecting the preparation and contents of the attached
Proposal and of all pertinent circumstances respecting such Proposal;
3. Such Proposal is genuine and is not a collusive or sham Proposal;
4. Neither the said Offeror nor any of its officers, partners, owners, agents,
representatives, employees or parties in interest, including this affiant, have in any
way colluded, conspired, connived or agreed, directly or indirectly, with any other
Offeror, firm, or person to submit a collusive or sham Proposal in connection with
the Work for which the attached Proposal has been submitted; or to refrain from
bidding in connection with such Work; or have in any manner, directly or indirectly,
sought by agreement or collusion, or communication, or conference with any
Offeror, firm, or person to fix the price or prices in the attached Proposal or of any
other Offeror, or to fix any overhead, profit, or cost elements of the Proposal price or
the Proposal price of any other Offeror, or to secure through any collusion,
conspiracy, connivance, or unlawful agreement any advantage against (Recipient),
or any person interested in the proposed Work;
5. The price or prices quoted in the attached Proposal are fair and proper and are not
tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part
of the Offeror or any other of its agents, representatives, owners, employees or
parties in interest, including this affiant.
Signed,, sealed and delivered in the presence of:
By
ss
Witness
�J
Printed 1"me
Title
34
City of
ACKNOWLEDGMENT
NON -COLLUSIVE AFFIDAVIT
Purchasing and Contracts Division
Nt jcr5ey
State of-F+efida-
County of I'nOnmc�-1�
On this the vq day of J U(L4 20 it), before me, the undersigned Notary Public
of the StWof Florid*)personal appeared
(Name(s) of individua
appeared before notary)
and
whose name(s) is/are Subscribed to within the instrument, and he/she/they
acknowledge that he/she/they executed it.
WITNESS my hand
and official seal.
NOTARY PUBLIC
SEAL OF OFFICE:
NPTARY PUFC, STATE OF FE-e� New'Ters
(Awdg NICHOLAS STEFANEW
NOTARY PUBLIC
lk�d@ W".-grint,
Stamp, or Type as Commissioned)
❑ Personally known to me, or
ErProduced identification:
(Type of Identification Produced)
3" DID take an oath, or ❑ DID NOT take an oath
35
of Tamarac _ Purchasif7qand Contracts Division
-
VENDOR DRUG -FREE WORKPLACE
Preference may be given to vendors submitting a certification with their bid/proposal
certifying they have a drug -free workplace in accordance with Section 287.087,
Florida Statutes. This requirement affects all public entities of the State and
becomes effective January 1, 1991. The special condition is as follows:
IDENTICAL TIE PROPOSALS - Preference may be given to businesses with drug -
free workplace programs. Whenever two or more proposals that are equal with
respect to price, quality, and service are received by the State or by any political
subdivision for the procurement of commodities or contractual services, a bid
received from a business that certifies that it has implemented a drug -free workplace
program shall be given preference in the award process. Established procedures for
processing tie proposals 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:
1. 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's 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 (1).
4. In the statement specified in subsection (1), 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 contendere 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 that
five (5) days after each conviction.
5. Impose a section 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 , rm complie Ily with the above requirements.
Authorized Signature Company Name
36
of Tamarac
Purchasing and Contracts Division
LIST OF SUBCONTRACTORS
The Bidder shall list below the names and business address of each subcontractor
who will perform Work under this Bid in excess of one-half of one percent of the
Contractor's Total Bid Price, and shall also list the portion of the Work that will be
done by such subcontractor. After the opening of bids, no changes or substitutions
will be allowed except as otherwise provided by law. The listing of more than one
subcontractor for each item of Work to be performed with the words "and/or" will not
be permitted. Failure to comply with this requirement will render the Bid as non-
responsive and may cause its rejection.
Work to Be Performed
IF ACT r-lCei,
% Total Contractor Subcontractor
Contract License No. Name/Address
37
Cityof Tamarac I Purchasing Contacts Division
ACKNOWLEDGMENT
�.tew Ters<-i
State of -a -
County of Monm
On this the =7111 day of O20L3, before me, the undersigned Notary Public
MofFlorid er ona4 appeared
L z. and
(Name(s) of individual(s) who appeared before notary)
whose name(s) is/are Subscribed to within the instrument, and he/she/they
acknowledge that he/she/they executed it.
WITNESS my hand
and official seal.
NOTARY PUBLIC
SEAL OF OFFICE:
N TARY PUBL , STATE OF Pt-@R met,, Jesse
owt
NICHOLAS STEFANELLI
NOTARY PUBLIC
NEW JERSEY
(Name of Notary Public: Print,
Stamp, or Type as Commissioned)
❑ Personally known to me, or
produced identification:
F/ooc/a -brivep Lies-sc 020-530-5-0-s13
(Type of Identification Produced)
[DID take an oath, or ❑ DID NOT take an oath
K
_City_of_Tamarac _ _ _ Purchasi g_qn Contracts Division
TRENCH SAFETY FORM
Bidder acknowledges that included in the appropriate bid items of the proposal and in the Total Bid
Price are costs for complying with the Florida Trench Safety Act (90-96, Laws of Florida) effective
October 1, 1990. The bidder further identifies the costs of such compliance to be summarized
below:
TRENCH SAFETY MEASURE
UNITS OF
UNIT
UNIT
EXTENDED
(Description)
MEASURE
(Qty)
-COST
COST
(LF/SF)
A.
$
$
j
/V
B.
$
$
/ rI
C.
$
$
D.
$
$
TOTAL
$
If applicable, the Contractor certifies that all trench excavation done within his control in excess of
five feet (5) in depth shall be in accordance with the Florida Department of Transportation's Special
Provisions Article 125-1 and Subarticle 125-4.1 (TRENCH EXCAVATION SAFETY SYSTEM AND
SHORING, SPECIAL -TRENCH EXCAVATION).
Failure to complete the above may result in the bid being declared non -responsive.
DATE:
ACKNOWLEDGEMENT
STATE OF:
COUNTY OF:
(Signature)
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
who, after first being duly sworn by me,
(Name of individual Signing)
affixed his/her signature in the space provided above on this day of 20_.
My Commission Expires:
NOTARY PUBLIC
39
AC# 6 3 1J 7 37 STATE OF FLORIDA
I DEPARTMENT"OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
,
_ SEQ#L12082901977
c • - LICENSE NBR
2Q12, 728061584 CBC1256765
TYxe BUTLI)ING CONTRACTOR.
NaiRed below ,tS CBRTIFiLD F:
Under the provisions of Chapter 489;,FS. `=F
Expiration date: AUG..31, 2014,
�HETANGOURT, ROBERTO.DANIEL
SAFE AIR CORD:
3425 S LAKE DR
MIAMI_ , ,. „ FL 33155
RICk $COTT; KEN LAWSON
GQVERNOR SECRETARY
DISPLAY AS REQUIRED BY LAW
201 Z-1 3 1`111S'lAA DOFF Nnl ASMRV QCAl.11'V WORK OR CO%PIRM UlIAI RI 611 %IORVOR 4002410043218
ZONINC REQ1IIRF,MEN `fS 11AVE lJF1VN M1,A% If IS'fi1E OWNER'S RFSPONSIli ICirl fO ENS CRE COMPLIANCE.
MACHINES ROOMS SLATS EMPLOYEES
i
BUSINESS TYPE
230016 BUILDING CONTRACTOR • REG (L)
BUSINESS 860 S TAMIAMI TR STE 231
ADDRESS SARASOTA, FL 34236 PAID-5530193.0001-0001 WEB 07/09/2012 14.43
SAFE AIR CORPORATION
PO BOX 3077
SARASOTA, FL 34230307
ACTIVE
BARBARA FORD-COATES, TAX COLLECTOR
MUST BE DISPLAYED IN A CONSPIt'•UOUS PLACE 101 S. WASHINGTON BLVD,, SARASOTA, FL 34236.6993
(941) 801-SM
VALID UNTIL09/30J13
www,SamwtaTaxCollector.com * InfooSarasotaTaxColiector,com
INFORMATION ONLY; REMOVE OR FOLD BEHIND BEFORE POSTING RECEIPT
THIS RECEIPT IS FURNISHED PURSUANT TO CHAPTER 205 LAWS OF FLORIDA
AND SARASOTA COUNTY ORDINANCE 91-084, AS AMENDED
The law requires this receipt to be displayed conspicuously at the place of business so that it is open to the view of the public and
available for inspection, Upon failure to do so, the business shall be subject to the payment of another full tax for the same business,
profession or occupation.
Payment is due each year by September 30th. Payment after September 30th is delinquent and subject to a penalty of 10% for the
month of October, plus an additional 5% penalty for each month thereafter, The total delinquency penalty shall not exceed 25% of
the tax. A 25% penalty is imposed on any person engaged in any new business, occupation or profession without first paying a
Sarasota County Business Tax.
This receipt is for a business tax off. It does not permit the person/business to violate any existing regulatory or zoning laws of the
state, county, or cities, nor does it exempt the business from licenses or permits that may be required by law. This receipt does not
assure quality of work.
All businesses in Sarasota County are responsible for complying with the Sarasota County mandatory recycling ordinance.
Local Business Taxes are subject to change according to law.
2012 - 2013 City of Sarasota 13-00760$
LOCAL BUSINESS TAX RECEIPT
Dated For Period Commencin and Ending
_ 09/19/2012 10101/2012 09/30r2013
IN CONSIDERATION OF THE AMOUNT SHOWN HEREIN PAID TO THE CITY OF SARASOTA. FLORIDA
Business Name and Mailing Address
an
Name and Address of Business
SAFE, AIR CORP
SAFE AIR CORP
P.O. BOX 3077
SUITE 231
SARASOTA, FL 34230-3077
850 S TAMIAMI TRL
SARASOTA, FL 34239
Owner/Manager Name
LAURA .1. L.UTZ
1 f CitLaw or Ordinance.
This Tax Receipt does not permit the holder to operate rn on a via atry y
Any change in location or ownership must be approved by the t.ocal Business Tax Receipt Department.
3320 074
Classification Description Tax Amt. Penalty Total Tax
Amt,
003800
HOME OCCUPATION
$59.11
$0.00
$59.11
OFFICE USE ONLY
TATAI oerervcn
aen � �
with no exemption
'1 h
CITY OF TAMARAC
PURCHASING AND CONTRACTS DIVISION
7525 NW 88TH AvENUE
TAMARAC,FL 33321
"Committed to Excellence... Always"
ADDENDUM NO. 1
BID NO.13-17R
CITY OF TAMARAC VEHICLE EXHAUST SYSTEM PROJECT
DATE OF ADDENDUM: JULY 1, 2013
TO ALL PROSPECTIVE PROPOSERS:
The following clarifications, changes, additions and/or deletions are hereby made part of the
Contract Documents for RFP No. 13-17R.
NOTICE OF WALK-THRU DATE & TIME AT VEHICLE EXHAUST LOCATIONS
Interested Contractors may Site Visit the (3) facilities referenced below relating to this solicitation
for Proposal 13-17R, Exhaust Systems on Tuesday, JUly 91" at 1:00PM through 3:OOPM EST.
Due to the nature of work performed at these facilities, it is important to try to be available for this
"walk through" opportunity as additional site visits may be difficult. The sequence of locations to
be viewed will begin at Fire Station 41.
Fire Station No. 41 — 7501 NW 881" Ave., Tamarac, FL. Facility approx. 4,100 S.F.
Fire Station No. 15 — 6000 Hiatus Road, Tamarac, FL. Facility approx. 5,200 S.F.
Fleet Maintenance 6011 Nob Hill Road, Tamarac, FL. Facility approx. 3,800 S.F.
Please return and/or acknowledge this Addendum No.1 with your Proposal submittal due by
3:OOPM local time, Tuesday, July 23'd. Bids must be delivered to 7525 NW 88th Ave, Tamarac
City Hall, Room 108.
NAME OF PROPOSER: SAFE AIR CORP.
7525 NW 88th Avenue IN Tamarac, Florida 33321-2401 ■ (954) 597-3570 ■ Fax (954) 597-3565 ■ www.tomarac.org
Equal Opportunity Employer
CITY OF TAMARAC
PURCHASING AND CONTRACTS DIVISION
7525 NW 88T" AVENUE
TAMARAC, FL 33321
"Committed to Excellence... Always"
ADDENDUM NO. 2
BID NO.13-17R
CITY OF TAMARAC VEHICLE EXHAUST SYSTEM PROJECT
DATE OF ADDENDUM: JULY 22, 2013
TO ALL PROSPECTIVE PROPOSERS:
The following clarifications, changes, additions and/or deletions are hereby made part of the
Contract Documents for RFP No. 13-17R.
NOTE: RFP Due Date has changed from Tuesday, 7/23/13 to Monday, 7/29/13 at 3:OOPM local
time. All Proposals must be received by 3:OOPM in Room 108, Tamarac City Hall, 7525 NW 88"
Ave., Tamarac, FL 33321.
The following were inquires made to City staff and subsequent responses;
1. This is not a federal funded project.
2. Attached highlighted list of Fire Department vehicles. Vehicle assignments are
interchangeable between all fire stations; therefore, the vehicle exhaust systems for each
station should be design for maximum capacity. Most of the emergency vehicles are
currently equip with DPF's.
3. Considering that the existing fire department fleet (i.e. emergency vehicles), have both
bottom mount and top mount exhaust systems, the Dilution Ventilation System/Air
Cleaning Device would seem to be the most advantageous; however, we would like the
Proposers to recommend the most effective system based on Contractor findings.
4. Any proposed system must be designed and constructed in accordance with the latest
editions of all codes and/or regulatory requirements, including but not limited to; federal
requirements; The South Florida Building Code; City of Tamarac Code of Ordinances; City
of Tamarac Engineering and Building Department Requirements; Broward County Code of
Ordinances; NFPA 91 - Standard for Exhaust Systems for Air Conveying of Vapors,
Gases, Mists, and Noncombustible Particulate Solids; and the Occupational Safety and
Health Administration (OSHA) requirements.
7525 NW 88th Avenue ■ Tamarac, Florida 33321-2401 ■ (954) 597-3570 ■ Fax (954) 597-3565 ■ www.tamarac.org
Equal Opportunity Employer
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SAFER-1 OP ID: ERCH
ACOI� 0"
�.- CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDNYYY)
1 06/3112013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsements .
PRODUCER Phone: 941-758-3861
Duck, Johnson &Jefferson, Inc Suite 200 Fax: 941-758-6947
1429 60Th Avenue W
Bradenton, FL 34207
Corp House Commercial Lines
CAMTEA:c Christy Ergood
CN ; x ; 941-758-3861 talc. Not: 941.756-5788
E-MAIL
ADOREss: Chris e d inc.com
INSURER(S) AFFORDING COVERAGE
NAIC0
INSURERA:Ohio Casualty Ins Co
24074
INSURED Safe Air Corp -
PO Box 3077
Sarasota, FL 34230
INSURER B:Auto-Owners Insurance Co
18968
INSURERC:American States Insurance Comp
19704
INSURER D:General Insurance Company Of
24732
INSURER E
INSURER F
rnvC0Ae'--CQ rCDTICIreTC AIIIru11200• REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
POLICY NUMBER
MMIDDIWYY)
(MMIDDIYYYYJ
LIMITS
C
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Fx-1 OCCUR
I
01 C136677440
06/14/2013
06/14/2014
EACH OCCURRENCE
$ 1,000,00
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 200,00
MED EXP (Any on a person)
$ 10,00
PERSONAL & ADV INJURY
$ 1,000, 00
GENERAL AGGREGATE
$ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER,
X POLICY PR TO- LOC
PRODUCTS- COMPIOP AGG
$ 2,000,00
$
B
ALITOMOBILELW8ILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS X AUTOS
HIRED AUTOSHIII-OWNED
AAUTOS
4454387901
12/19/2012
12J19J2013
COBIND Eaaccciden1 SINGLE MI
$ 1,000,0010
BODILY INJURY (Perperson)
$
BODILY INJURY (Per accident)
$
OPERTY DAMAGE
Per accident
$
A
x
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
00054492677
106114/2013
06/14/2014
EACH OCCURRENCE
$ 1,000,00
AGGREGATE
$ 1,000,0
DID , X RETENTION $
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIE)ECUTIVE YIN
OFFICER/MEMBER EXCLUDED? F-1
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS helow
N 1 A
24WC09526120
04/2412013
04124,12014
X W A 0 H-
Y
E L EACH ACCIDENT
$ 1,000,0
E.L. DISEASE - EA EMPLOYEE
$ 1,000,0
E L- DISEASE - POLICY LIMIT
$ 1,000,00
j
!
'
t
I
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
AVAIL01
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Available Upon Request
AUTHORIZED REPRESENTATIVE
011-A
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
SAFEA-1 OP ID: ERCH
ACORL7
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDNYYY)
11/2612013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsements .
PRODUCER
Dick, Johnson & Jefferson, Inc
Suite 200
1429 60Th Avenue W
Bradenton, FL 34207
Corp House Commercial Lines
CONTANAMi Christy Ergood
PHONE 941-758-3861 FAX No : 941-758-5947
o E,,
C No.
E-MAIL Chris e d inc.com
ADDRESS
INSURER(S) AFFORDING COVERAGE
NAIC N
INSURERA: Liberty Mutual/MontgomeryMutual/Montgomery
24074
INSURED Safe Air Corp
PO Box 3077
Sarasota, FL 34230
INSURER B:Auto-Owners Insurance Co
18988
INSURER C: American States Insurance Comp
19704
INSURER D:General Insurance Company Of
24732
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR
TYPE OF INSURANCE
INSIR
WVDPOLICY
NUMBER
MMIDDIYY
MMIDDIYYYY
LIMITS
C
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X
01C136677440
06114/2013
06/14/2014
EACH OCCURRENCE
$ 1,000,00
DAMAGE TO RENTED
PREMISES Ea occurrence
200 00
$ r
MED I (Any one person)
$ 10,00
PERSONAL & ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00(
GEN'L AGGREGATE LIMIT APPLIES PER:
PE LOC
X POLICY I
PRODUCTS- COMPIOP AGG
$ 2,000,00
$
B
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS AUUTOSWNED
4454387901
12119/2013
12l1912014
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PERPERTY ACCIDENMAGE
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
00054492677
06/14/2013
06/14/2014
EACH OCCURRENCE
$ 1,000,00
AGGREGATE
$ 1,000,00
DIED I X I RETENTION $ 10000
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPAPTNERIF�CUTIVE YIN
OFFICERIMEMBER EXCLUDED?
(Mandatory In Ni
If yes, describe under
DESCRIPTION OP OPERATIONS below
N I A
24WC09526120
04/24/2013
04/24/2014
X WC STATU- O R
TORY LIMITS ER
E.L. EACH ACCIDENT
$ 1,000,00
E.L. DISEASE- EA EMPLOYEE
$ 1,000,00
E L DISEASE- POLICY LIMIT
$ 1,000,00
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required)
City of Tamarac is listed as additional insured with respects to the General
Liability.
CERTIFICATE HOLDER CANCELLATION
CITYT13
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Tamarac
7525 NW 88th Ave
Tamarac, FL 33321
AUTHORIZEDREPRESENTATNE
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD