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HomeMy WebLinkAboutCity of Tamarac Resolution R-84-2901 2 3 4 5 D 7 8 9 10 11 12 13 14 15 16 17 18 1 a 40 21 22 23 24 25 26 27 28 29 30 1 2 33 34 35 36 Introduced by 1,6 Temp. #3267 CITY OF TAMARAC, FLORIDA RESOLUTION NO. R-84 -19�-1D A RESOLUTION AWARDING A BID FOR CITY OF TAMARAC INSURANCE REQUESTS BUSINESS AUTO, WORKER'S COMPENSATION, COMPREHENSIVE GENERAL LIABILITY, PROPERTY, BOILER AND MACHINERY, AND ACCIDENTAL DEATH AND DISMEMBERMENT; BID #84-22; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, the City Council authorized the Administration to go to.bid at its meeting on July 25, 1984; and WHEREAS, bids were advertised in the Fort Lauderdale News, a newspaper of general circulation in BrowardCounty on August 14 and August 21, 1984; and WHEREAS, bids were opened on September 18, 1984. NOW, THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE CITY OF TAMARAC, FLORIDA: SECTION 1: That bids are hereby awarded to the following insurance carriers for the coverages enumerated for a minimum contract period of 10/l/84 to 10/1/85. The contract periods shall automatically be extended for up to two one (1) year periods unless either party gives notice to the other of its intention to cancel the contract. Extensions shall be at a price quoted to the City at least ninety (90) days prior to the annual expiration of the policy. Failure to submit the proposed quotation for the next year by this date shall be evidence that the carrier's quotation is the same as for the previous year. (1) Business Auto - Admiral Insurance with a premium of $51,340.00. (2) Workers' Compensation - Adjustco, Inc., with a premium of $166,417.00. (3) Comprehensive General Liability and Property Insurance - Admiral Insurance with a premium.of $47,958.00. (4) Boiler and Machinery - Cooke Insurance, Inc., with a premium of $5,724.00. (5) Accidental Death and Dismemberment - Arthur J. Gallagher Insurance, with a premium of $714.00. 1 2 3 4 5 D 7 8 9 10 11 12 13 14 15 16 17 18 21 22 23 24 25 26 27 28 29 30 1 2 33 34 35 36 Temp. #3267 SECTION 2: This Resolution shall become effective immediately upon adoption. PASSED, ADOPTED AND APPROVED this 01?lo day of , 1984. ATTEST: AS ISTANT CITY CLERK I HEREBY CERTIFY that I have approved the form and correctness of this D ......1 ..t-. -- RECORD OF COUNCIL VOTE MAYOR: KRAVITZ 4�v DISTRICT 4: V/M STEIN DISTRICT 3: C/M STELZER .-4? DISTRICT 2: C/M MUNITZ DISTRICT 1: C/M DUNNE O Fixed price bid yo ar n W Request for Proposal DATE: (This is not an ordee L i PAGE NO.: 1 BID NO: 1 ,/ �J � (All blanks must be tilled in) / a� I AL COPJ- ITEM(S) REQI�lIRED: City of Tam-mc Insurance Recruestsks List On Page Typo (2) And Attachmients A t -` Dan Sa11e Phone (305) 722.5900 USING ACWVIW:— Vance Deft. doyen. _ BIDS MUST BE SUBMITTED BEFORE Sept. 18tb, 1984,SA.,• 2 : 30 P : M. . Tht dtciat tln+e shalt be as recorded an *W Date Rene rti standard TV" or Eastern Standard Comm Savings Time as 00 r thtt hrs RoPost reaches the Office of the GM . CttY OlockjnjW City on or Oat*ort�,ebsnD f ► and date Shownabove tlhe biddy io Mrsu� -: Ad�e+ti.er�+ent.siddets•sadtl cronelsont. so•�ali°"a. aadene►rre. sr+e an,r The other atla»M doch�M forma pan of in proposal by mfarsrlce an made a soft hemd. W coff*ered his bid WMh other bidders and has not ANTt�COLLtfS10N STATEIrtENT:The �le'I" signed bidder has r►ot drvulQed to, discu&sed od either wlth,pno►la. or ette1 any ANTI- colluded with any other bidder or owes b s bid whatever. (NOTE. No premi m- mbstes or pratutthes tHlr � 1 and the rsrnovat from Did LIM%) delivery of rrlateriels. Any Such violation arlu result in tfte cancoustron and/& retum Of maleness pt app TO THE ►MCHASlNG OFFICER OF THE CM OF TAMARAC: We pl.the below dprhed hereby egret tof6gNShthe following articlefsl or ser icetsl nd all tst it amroved at prices) and terms stated � rstsnd what it rtConditions, 1d (By suubbrnitthing this signed p 01 ��lrtl)� C' M * b l C �t� wille ftluding the "Cffiutions and IY by the City and such acceata ce covers City all the1Auditors any eppl�ticabta Iwsirltas a tlrlanciat records pemnent to & resumnq order a contract.) available for audit to approp Cay All prices to be quoted F.O.W. "I's DestinsltonTamarac. florid& (Delirsred at the again WO address indicated antis a li ehase Order.) FAILURE TO OUOTE: K you do not quote. Wesse rewm quotation sheet. state mason get* nand request !tit !►� name � retenhsd on our "ailing Est. Otherwise. your name may be removed f m Our bid msllmG list s Xtno-......---fir. Bids are firm for =eatance w"•"-• ; cn d.;m- der bid We�+0 dat_ ves % Days or by of Month (To apply on date of delivery and TERMS: aceptanoe of material.) It awarded ALL LdITEM to BID HEREIN ered a�bpov e), an additional DISCOUNT OF calendar days after receipt of purehase Order (City reserves the ftm to consider DELJVTW: delivery tifrltt *s a vital consideration when making or mcortlmendinp award). VARIANCES: stars s+hyrsrrnor+stosac+nurior+s.k'"'s gIDD sea L SE hefem all ve+hnces tour omwe *"~cages CO V1i6 IyA S I ATE Fropmairwitiofmanyt CNv�R TIONOREXCEPT10N15LSTES OR �DwrrmINTTHEBDDOCUWIENTSANaREFERENCED INTMESWLLCOLUMN BESDU DIN aDSUB SUBMITTED PRICES on MANNEPRNyING O CUME ANORLLREiATTIONORE�CEPTIiONORLIM1TATIONNO SPECIFICALLY LSTEDVVRMt 'TmEaDD000ME hTS ALL IN ANYa s hreor IFI wLL KCONSIDEREDEP AS MIT�i�ItTN Tr1E a DOt:UME► RS AND 11lEFERENCED IN TtuS �COLLINrN UNLESS tlo s nher+t �tSoa+tae+td e►1hitEta� �+eRET AND LISTS SUC r► tvo sc00e a era s+Mlathon. or,aobo t o your end complies wn >tt or Future bids are to be mailed to other than propomes address shown below, please complete ff purchase Order Payne the /ontaenp: Mall Bids to: Man Purchase Order to: Man Payment to: Telephone No. w/Arse Cods Wopopm-etai sueMITTEDBY: Vice President — tf +tedl Tom Houldsworth tco; Inc. Company "W Reoawed T" a ww o� Address: p. 0. Box 5005, Maitland, FL 32751 305) 660-2611 or 1-800-432-4483 etephone No SIGNATURE: X OATS 9-17-84 Indicate Wrach: Corporation. Partnership: vw.lom d Reteronces Applicable b fi r' Wiwi": levitation To aid - Ft index of General ft"10ns ClaaNs-F2 OlIer. Central hovisiau - iF3 detain one copy for your sot) ter, BIDDERS NOTE: apth sides of this Form reQ*O etpnabww- SPECIFICATIONS AND BID SCHEDULE Invitation To Bid -Bid No. 84-22 ' Ali Date + rY OF TAMARAC i i N.W. Wh Avenue page No. 2 of 2 rarac. Florida 33321 All prices to be quoted F.0.8.Tamarsc, Florida, Delivered and unloaded at applicable c ty destination as indicated below. The following special conditions (M chocked) apply to this bid. —j BIDDERS REOUIREMENT FOR CERTIFIED CHECK OR BID BOND:The CRy Shan require "mall Bidders, a certified check orbid , J bond in the amount of five (5) per cent of the bid, which shall be forfeited to the City in the event the Bidder, towhom the business is awarded, shall fail or refuse to comply with the specifications of the bid. Checks will be returned promptly to unsuccessful Bidders after award of bid. Failure to submit ttas bid bond with the bid could cause rejection of We bid. —"i PERFORMANCE BONDS: The City shall prior to the excution of the Contract, *aquhe the Bidder to fumish bonds covering the J faithful performance of the contract and the payment of all obligations arising thereunder in suchform and amount as the City may prescribe and with such sureties secured through the Bidder's usuaf sources as maybe agreeable to the parties. Mauch bonds are stipulated, the premiums shall be paid by the Bidder. The Bidder shall deliver the required bonds to the City not later than the mate of execution of the contract. QUANTITY O E i C R l P T ION {SNIT PRICE J EXTENDED PRICE ITEM# 1 Business Auto N/A $ 64,130 2 Worker's Compensation N/A $166,417 3 Umbrella Liability - Limit-5,000,000 N/A $ 14,800* *Subject to confirmation & reinsurance 4 Comprehensive General Liability N/A $ 67,831 5 Property Insurance N/A $ 10,407 6 Boiler & Machinery N/A $ Not Quoting 7 Accidental: Death & Dismemberment N/A $ 1,136 Incl. Package Discount if Applicable N/A $ Note: I Bidders may bid on all or part of the above SEE ATTACHED PROPOSAL NIVerTo: City of Tamarac 5811 N.W. 88th Avenue Tamarac, FL Bidders Si r[v`a DsO/9-17-84- . gf-avml Title Vice President Company Name Adjustco, Inc. Addreu P. 0.- Box 5005 Dan Salle Maitland, FL 32751 altrinFRS NOTE: Both Sides of this form ► OWN signMrIL h. BID NO: %i ... X%. 0,11 blanks must be tilled in) U rIAVU Nrww 601.. tip Request for Proposal {Thil Is not an order) 0110 v DATE: PAGE NO.: ORIGINAL CORI 4111o1fy epwr sl fTEM(S) REQUIRED: City of Tjv_n_,rP.c Insurance Reauests As TAstm On page Two (2) And Attachments A t Finance DeP't . Buyer: Dan RaT T P Phone (305) 722-S900 USING ACTIVITY. Sept. 18th, L FA • 2:30 PcM. BIDS MUST BE SUBMITTED ON OR BEFORE — ' - standard ayupfr! sar>np Tiers as . Ttle ol6ds! rife eMS be as weorded on the Othe Cay �. slam Standard Ttrrra a Eanterl r 1 mathes' the OfiKe of the arty _,g Gpcit ti the Ctty Cta>�'s ONice. tt ��at the ds�te � d „a bidder 10 ensure fNt Ills Proposal ay of Ta came an or berore 1111110880 Addendums. snd any itle Lopat emeM, llMbtior�. General CondiliaMa.Irrstnrletiortt to Bidders. sands! Corrditiorrt, other paninont doONVISM form a W Of V" prop"N and by reference are made a W tomall bid w" Other bidders and has not At+ITI{OLLtIitON 1CTA1'EMt'sNT: The below signed bidder has not diwiged to, discueaed a *'� ed either with, prior to. a after any ✓colluded with any other bidder W parties to a bid Whatever. NOTE. No premiums, "bates or pratuito's pMmltt) and the remoVat from Did List(s) delivery d trlatoriais. Any Such violation wiu ww►t in the gnoNlatiVn and/or tetum of ft"riats erticklsl or eenric:etsl TO Tt PURCNAfiNG OFf1CtER OF THE CITY Of TAMARAC: We 0). the below sipped he"by sprat fofurr+ist+Mc foiiovhr+0 t, we 01 tretol y U) love a contract it aaaroved M the o►ia(sl terms slat �udnderall stand whstwitsn4�uir�ed (By submitting ! s signed Proposa is M►eto. We p) tive read all l # spato including the Moc"ications hrWOCsat. and we V) hereby some that we wNl make by the City and such acceptance covers aft the terns. condit�e br+s as or fi nj�ia! records pertinent to a resuttnlg order Or Oontrect.) oratiable for audit to appropriate City Auditors spy app F.O.s.. Buy" pestiroson Tamarac. Fbrida tDstivor'ad at the appnabk �► address Ind�eated ontht tourcNse Order.) AN prices to be quoted name be retained on Our FAILLME TO OWTE: M you do not quote, Wes" "turn quota?ion sheet, state reason tMroon and "qutsl that your mailing list. Otherwise. your name may be "moved from our bid nialwe Mist. hire yrw.; ,ran =I.;,e liter bid OPOning dates-.x Ves Bids We firth foe a=8Pta x __----per or by „__""'_ d Month (To LPN on data Ofdehwery and "RMS: aceptanoe of material.) is dfe ed ALL n ITEMS DID HE' 1 o any terms Bred above ) an additional OISCOUtIR OF_ !6 tasstves the tipM to consider DEWERY: piertdar days after receipt d Purchase Order(City dNivtry lime as a vital consideration when (making W mCMffw ding award). VARIANCES: State VVID'Wia stosa; VARIATIONS Op E�CE� O Snd d10DER w aE C.ONSt OR WILL DEEi;1E ;CoLuMN ► O SEPARA E 'rppossl Fom w n any t o 0acAmenl NO NCEDNT141! IN SOSUBMMTED�ESSSUCHVARIAT10rrORExCEPr10NISLISTEDwIT+11NTr1EeID AS O ANDTHE C�� TBEBOUND CES OR ACCOMPANYING DOCUMENTS OR LETTERS WILL BE CONSIDERED AS INCLUDED OR m#, NERW►�tATSOEYERBYANYVARiATIONORExCEPTIONORLNAITATK>NNOTSPECrF1CALLYUSTEDWITMINTMEBIDDOCtJMENTli NT# R E'T0 ai TMS j`•Or<1J1AN. M ro eyrtnient s Oeetemee a trrs sa*ee. a w ne+esr ttillLl. BE CONSIDERED AS FlRM FOR Tt$ PERIOD etDICATED WRNIN T1f BIDDOCUMENTS UNLESS A BIDDER TAKES SPECIFIC EXCEPTIONTMERI:T AND LISTS SUCH EXCEPTION WtTWN TrE BID DOCUMENTS AND WERENCED eeOMetl trial VW be oorrVI- wah the 11 Al aCOoe Co rile w Tor W Future bids are to be mailed to other than OroPoser's address shown slow, Please COrtlpkte the S Purchase Order Payne Wk wing: Rids" -to Rids a1o• Mail Purchase Order to: Mail Payment to: ToItpho" No . w/Area Code tilA PROPOSAL. SUBMITTED tY= t1t1►ME (Printed): James A. McGrath; President ContpanY i►ea2Rees""°Too 01!!r~il can Drive, Fort Lauderdale, F1. 33305 Address: DATE: Enebsevd lat*r*nces ApOtKaltIlle to he0ad' fivtt Wn To Sid -:1 Ind*: of General Provlsbsa pauses -F2 Q�eneral hovisions -Fa pletaln one em ter your tiles) SIDDERS NOTE: Soh+ sides Of this Form remit✓* sipnattirs. Telaphone No - 516 4 - vKhmte Which: Corporatim. Partner": SPECIFICATIONS AND BID SCHEDULE �;d No. 84-22 Invitation To Bid Date Y OF TAMARAC I N.W. h Avenue ape No. 2 of 2 Bat -arac. Florida 33321 All prices to be quoted F.O.B•Tamsrst, Florida Delivered and unloaded at applicable City destination as indicated below. The following special conditions (K checked) apply to this bid. n require from all Bidders, a certif ied check or bid BIDDERS REOUIREMENT FOR CERTIFIED CHECK OR BID SOND:The City she event the Bidder,towhomthe business is bond in the amount of five (5) poi cord of the bid, which shall be forleftad to the City' tl !o unwccessful Bidders ' awarded, shall fail or refuse to eoa�r wnh the apeclfcation: of the bid. Chocks will be returned promptly after award of bid. Failure to subfM WS bid Mond with Ow bid could cause rejection Of the bid. axtxttion of the coftW. require the Bidder to furnish bonds covering the PERFORMANCE BONDS: The City shah prig to the faithful performance of the contract and the Payment of all obligations arising thlrlunder in auchforrn and amount as the Citymay prescribe end with such sureties secured through the Bidder's usual aourcas as maybe agreeable to the parties. ff such bonds are stipulated, the premiums shad be paid by9w Bidder. The Bidder shall deliwT the required bondstothe City not titer than the date of execution of the Cal It, aci. DUANTtTY B E t C It 1 FT ION NNR ►RICE EXTENDED PRICE ITEM# 1 Business Auto N/A $ 51,340 2 Worker's Compensation N/A $ 149,855 3 Umbrella Liability N/A $ 4 Comprehensive General Liability N/A $ 47,953 5 Property Insurance N/A $ included 30 above.CGL 6 Boiler & Machinery N/A $ "�--- 7 Accidental— Death & Dismemberment N/A $ 1,352.00 Package Discount if Applicable N/A $included Note: Bidders may bid on all or part of the above ttiver 70• Comyeny%isrm Admiral Insurance Aoan-t, _ Addreu 2330 Wilton Drive Fort Lauderdale, F1. 33305 _ QInnFRS NOTE: Rath Sides of this form MOO* eipsatssra. CITY OF TAMARAC w O Fixed price bid Request for Proposal (This is not an order) PID NO: DATE: PAGE NO.: 1 (All blanks rnitst Do fined in) MIGN COPY VEM(S) REOUIRED• City of Ta-mr I Lrp.c Insurance Requests On Page Tao (2) And Attaci>fnents A USING AC77V1TY:._ Finance > Buyer: pa n S 11 a PhOM (305) 7224900 BIDS MUST BE SUBMMD ON OR BEFORE Sept. 18th, 1984 x�,. 2.30 P:M. Sa TfTe ss apoftole. TM 01rrcial /Inge afar be as recorded on the Datelrv" Ittern standard Tens or 5wem saard" 0809" `�' I raaches the onlce of the CM Recordil+g Clock in the City Clerk's Office. It wig be the 0010 and data a �� of the bidder to erSM rat hu pra0osa Chris, City Of Tiraarst On or before dDsina Addendu .>,ndany The Legal nt form as part t propose wo Dy reference we made W ttoreot ottiv oe The below signed bidder flas not divulged to. discussed or compared his bid W" Other bidders and has not APtT1{011tlslON gTATEMENT: ad either with. prior to. or after any Colluded t msle i Other odder or psfts to vi01tW wiiabid resu�tevet. (NOTE. No premiums. rebates � MrIcawtion mWoor 1001 Off Materials iu applicable) and the removal from Bid List(s). delivery d materials. Any wet+ Torvq pupeMSINGOFFICER tofurr+ishthefORWAnganic►e(slorservice(sl OF THE Cfl1f OF TAMARAC: We (t). the below siprle and all gy agree at the prices) and terms stated subject to all fttruetions.OprfditiOns, epeCifit.ations.and all attachrn' rltswe rhe iciaNy is accept i cor+tract aovroved including the sDeeniutions and fury understand whad all attachments t is required (By submitting trws signed propose .the M111 by the City and such acceptance covers ail the terms, conditions,zWWmss W financial records Pertinent d soacif"liOns 01 this PMOZ&� end weto a rer sb0ft Border Contract-)e +bailable for audit to appropriate C#y Audit m any a0p +s DestinslOnTarnarsc. Florida (Delivered N the apt>iteabh Chy address indicated onthe Purchase Order.) AN prices to be quoted F.O.B.. duye FAILURE TO QUOTE: K you do not quote. phase retum quotation sheet. stets *+aeon Version and *+quest that your name be retsined on our waiting fist, Otherwise. your name may be removed from Our bid mailing list. Bids are firm for &=Wane �'` .!n gn dan toter bid opening nett_ m .._ YeS ra �_IDiher. PERMS• !i, -.--Days or by of Month (To aWty on date of del vefY and • sewance of material.) V offered at ALL rMM to ID HEREIN Wren aabove�e)• an addiboral DISCOUNT OF 't6 ny rms DECRY: _ calendar days after receipt Of PUTOWSe Order (CItY referees the right to consider delivery tipple as a vital consideration when making or reWITImending award). VARIANCES: jNCa State , fknent ND CAR�ATION OAEXCEPTIONSBYYABIDDEAWILI �REDOAWIL BE DEEMED OBE&PARTTOFTNE OAR SACCOMPANYINGMDOGu OUND IN ►ITS OR IL nERS EXCEPTION BE CONSIDERED WITHIN NCLLTj4U� Wei MN ASUBMIItND �oso Nt IN cmrw°�iLi NeffUMN BE ALL ANY MANNER WHATSOEVER By ANY VARIATION OR EXCEPTIONORLIMITATIONNOTSPECIFICALLVLISTEDWiTMINTliEBIDDOCUMENTS ALLRRICES WILL BE CONSIDERED AS FIRM FOR T1$ PERIOD INDICATED WITHIN THE BID DOCUMENTS UNLESS &BIDDER TAKES 5PECWIC EXCEPTIONe RETO s AND LISTS SUCH EXCEPTIONwef► * THE DID Da DOCUMENTS this Bid AND R FERENCED Nr THIS COLUMN' N ro wremsrn a eon>anue in" space• sepuee *Prat vW bid Do! Nobles M Purchase Order Payne nt Or future bids are to be *nailed to other than proposers address shown below. please complete the following: U&II Purchase Order to: Ma11 Pay"mm to: Mall Kids to: COOKE INSURANCE, INC. COOKE INSURANCE, INC. COOKS INSURANCE INC. 4367 N. Federal Highway 4367 N. Federal Highway 4367 N. Federal Highway Fort Lauderdale, FL 33308 Fort Lauderdales FL 33308 Fort Lauderdale, FL 33308 Telephone No.- 305-491-3234 w/Aree Code PROPOSAL SUBMITTED BY: tSANtE (Printed): COOKE INSURANCE, INC. TitiW Peter M. Cooke, President Tu1sslo 5. United States Fidelity & Guaranty Co. 6. The Chubb Group Comps -%*!at s ffice os , Plantation, Florida __:�.. i No.: (305) 491-3234 DATE: 9 /17/84 indicate Which: Corpanion: XX Partnership: Enclosed Reterenees ApOtrcabla tiopa+ti: invitation To bid - T1 W1111 Of General ProvlslQns dawoa • tf2 fir: General Provisions - FS AleLln one eoDy for your was) voomV. BIDDERS NOTE: Both sides of this Form require siprwhna. SPECIFICATIONS AND BID SCHEDULE Invitation To Bid Aid No. 84_22 Date 9/17/84 rY OF TAMARAC 11 N.W. SM Avenue rase No. 2 of 2 -arac. Florida 33321 . Ail prices to be quoted F.0.8.Tamarac. Florida, Delivered and unloaded at applicable clh destination as Indicated below. The following special Conditions (U Checked) apply to this bid. idders. a certified check orbid BIDDERS REOUIREMEWT FOR CERTIFIED CHECK OR BID BOND:Tfte City shall in� e �"Ow Bidder. owhom the business s bond in the amount of five (5) per cord of the bid. which shall be forfeited loft City ttf0 unwccessful Bidders awarded, shall fail Or refuse to oomply with the specifications of the bid. Checks willbe returned prornP y sifter award of bid. Failure to submit this bid bond with the bid could cause r*jeoon of the bid. PERFORMANCE BONDS: Time CfiY shall prior to the excution of the contract, require the Bidder to furnish bonds Covering the faithful peAotmance of the contract and the payment of all obligations arising thereunder in suchform and amount as the City may 5 are prescribe and with such stieiidmrbed9Wthrugh ft Bidder's usual sources as maybe B dder. The Bidder shall deliver the nqulred agreeable bondslo the C y not later thanthehate Stipulated, the premiums sha sha pa Y of execution of the cwftct. QUANTITY DESCRIPTION , UNIT PRICE ITEM# 1 Business Auto N/A 2 Worker's Compensation N/A 3 Umbrella Liability N/A 4 Comprehensive General Liability N/A 5 6 7 Note: Property Insurance -United States Fidelity & Guart tyN/A Includes all requested coverages for property. Boiler & Machinery - The Chubb Group Accidental- Death & Dismemberment Package Discount if Applicable Bidders may bid on all or part of the above etiverTo: City of Tamarac Office of City Clerk Tamarac, Florida N/A N/A N/A EXTENDED PRICE $ 18,180.00 $ 5,724.00 I$ liddersSiRaMrt �` Oate 9 17 8 Tick President, Cooke Insurance, Inc. Company Name Cooke Insurance, Inc. Address 4367 N. Federal Highway tt: Mr. Dan Salle Fort Lauderdale, FL 33308 winnFac NOTE: Roth Sides of this form ►taui►e s'gnM"L CITY OF TAMARAC • p Fixed price bid G� Request for Proposal (This is not an order) D NO: (All blanks must be filled in) wM(S) REQUIRED: 0- Tian Sall Phone (305) 722.59M rINGAG�'1: Finance Dept . _ Buy er..-.�m...�_ Sept. 18th, 1984 •�• 2 : 3 0 P : M . BIDS MUST BE SUBMITTED ON OR BEFORE -. Tema or Eastam Standard Daylight lams Time as app icabk. The o�rciat time tsfrali be as reaches the Othce O1tthe tarty elTime m Stands in the City Clerk`s QMice. tt will be the tole responsibility of the bidder to ensure that ttrs RaOaa ording Clock on or before easing hour Old data shown above. City of Tarr�rui&I tiors. Addendum$. and any Legal Advertisement, hMtatiorrto-Bid. General Conditions, trisft :'tions to &riders, ?tAe�n Conditions. S 1r pertinent document form a pen of vus Proposal and by ntaral+ce are merit a t>i Compared his bid rlrith other bidders and has not In -COLLUSION STATEMENT: The below signed bidder ties, not divulged to, discussed or Corripa rmmed either with. prior to. or afte1 any iicable) and the removal from Bid Lis1(s) rice with any other bade' a pertres to a bid whatever. (NOTE: No premiums, rebates or graturtres e of itlatari Other Any sari+ viotatron will result in the cenoauation andlor return of arterials (as aW ): PURCHASING OFFICER OF THE CITY OFTAMRAndiWor s, I* beiO ice:. ee •nd aned ebtyia� rt+en c t+e o W�l(i) hove eead as aottac rr+entsl price($) and terms stated subject to an instructions, conditions, and specifications of this pr�llsl• and we (I) herebya9TOO thr or contract.) )e Vu:ding the specHil:ations and fully understan e h t is�ulred (By submitting this signed proposal• we ()pfilly ccept a contract it approved City and such acceptance covers a the rtirrantto •nau rqble to audit to appropriate City Auditor any applicable business or financial records Pa Wee& to be quoted F.O.B.. Buyers Destination Tsffwrsc, FWds�et, sb a reason thano^ and request that your � at the applicable City address indicated on" u"1ed onse dcut e PLURE TO OUOTE: If you do riot Quote. please return quota on iing fist. otherwise, your name may be removed from our bid mailing list. opening + X ties . —_.cother. ,_«._., cn a♦..re Bids art firm for acceptance �,...., . •- --• - titer bid ope 0 Bari % _ Days or by of Nionth (To apply on date of delivery and TERMS: _-- aceptanoe of material.) �� �' 5,0'r I DATE: PAGE NO.: 00KAr. COPY City of Ta---tragic Insurance Requests As On Page Two (2) And Attachments A thru M It awaieedn U ITEn tsm o any terms I'I ed aappplicable), an additional DISCOUNT OF IS offe pEl !VERY: calendar days after receipt of Purchase Order (City reserves the right to consloer . delivery time as a vital consideration when making or recomrrlendinp award). VARIANCES: State anyveea hw6t OvAR�IATIONSOREXCEPTIONSBY BDDERW BE ONSIDERMORWIL BEDEEMEDTOBE�P RTOFTIE E tiropossl Form a in any bid a BID StJBI Form o UNLESS SUCH VARIATION N ON OR EXCEPTION IS LISTED w iNTME BID DOCUMENTS AND REFERENCED IN THIS COLUMN NO SEPpAR� A opt ACCOMPANYING DOC BYANY�vAR�iATT10NOREgCEPT►ONORUMTATIOND AS NO SPECIFICALLLYLISTEDwrrMINTHED WITHIIB DOCUMENTS ALL BOUND IN ANY MANNER WHATSOEVER FIR FOR T THE RI DOCUMENTS AND REFERENCED Nr TMS CpuIMN. U no syrenrent s contained rn Urs space. a a hreoy WILL BE CONSIDERED AS FIRM FOR VA PERIOD INDICATED IIHfTFttN TiiF BiDDOCUMENTS UNLESS A BIDDER TAKES SPECIFIC EXCEPTION THERETO AND LISTS SUCH EXCEPTION Nnpud Ural you► Old eemphss Witt► the tint scone of Uri$ Bid NMtatwn. See each coverage -see ress shown below, please complete the IV Purchase Order payment or Future bids are to be mailed to other than prppoaer's add 'following: Mall Bids to: A41111 Purdlase Order to: Mail Payrr+ef+t �: Telephone No: BMIw/Area Code PROPOSAL SUTTED BY: NAME (Printed): Tony Abella —Title: Arthur J. Galls her & ComparT.. "PI Registered Tait in ftw — Address: 5 306-592-6080 SIGNATURE: fz=*�� Telephone No.: DATE: 9-17-84 Indicate Which: Corporation: xx Partnership: Ee+elosed Reterences Applieabla to ►IFOW": Individual: Invitation To aid Ft Rrdetr of General Provisions Ciouses -Fr2 Other General Provisions - F3 Fawn one copy for your tiles) tpwrsBIDDERS NOTE: Both sides of this Form require owlisib". SPECIFICATIONS AND BID SCHEDULE Invitation To Bid Bid No 84-22 - Date 9-17-84 " TY OF TAMARAC 11 N.W. t38th Avenue ►age No. 2 of 2 „araC, Florida 33321 Alt prices to be quoted F.O.B. Tamarac, Florida, Delivered and unloaded at applicable city destination as indicated below. The following special conditions (If checked) apply to this bid. BIDDERS REOUIREMENT FOR CERTIFIED CHECK OR BID 80N T m Shall �� Bidder towhom�the business is f bond in the amount of five (5) per gent of the bid, which shall beforfeited awarded, shall fail O< refuse to compy with the specifications of the bid. Checks will be returned promptly to unsuccessful Bidders i of the bid. after award of bid. Failure to Submit this bid bonder fig of the contact, requireld cause Lion the Bidder to furnish bonds cover►n, 4, PERFORMANCE BONDS: The City shall 0 nt of all obligations arising thereunder in suchform and amount as the City faithful performance of the contract and the payn►e reeabk tothe parties. It such bonds are prescribe and with such sureties secured through the Bidder's usual sources as maybe ag be paid by the giddeT. The Bidde stipulated, the premiums shall be shaft deliver the required bonds to the City not later than the date of execution of the Contract, OUANTtTY _ O E E C It P T 10 N t�NR PRICE EXTENDED PRICE ITEM# N/A %Io Quote , 1 Business Auto 2 Worker's Compensation N/A $ 173,552.* N/A $No Quote 3 Umbrella Liability 4 Comprehensive General Liability N/A Vo Quote N/A $ 5,164' 5 Property Insurance N/A $ 3,692.* 6 Boiler & Machinery 1 7 Accidental Death & Dismemberment N/A $ 714. . Package Discount if Applicable N/A $ N/A Note: I Bidders may bid on all or part of the above * See proposal section for options. etiverTo• City Clerk B;ddertSignature tz/r„j,�hf ~ Tit,.Assistant Area Vice Preside City of Tamarac - CompanyName Arthur J. Gallagher & Co. 215 8355 N.W. 53rd Street, Suite Address n ; Miami, Florida itinntRS NOTE: Both Sides of this form require signMML