HomeMy WebLinkAboutIII (E) Approval and Authorization to Award Bid #B01-07 Provide and Install a Standby Power System Consisting of a Standby Diesal Generator Set and Automatic Transfer Switch - Agenda 9-18-2001
Item III E
"CENTER OF GOOD LIVING- PRIDE OF WES ORANGE- ,M„10R•I.O,MximvO_NFR
Ocoee S.SC(IT VANDFRGR ItT
O\ F
�� �o CITY OF OCOEE COMMEGSIOMRS
DANNY HOWFLI.
a 150 N. LAKESI IOREDRIVE
OCOEE,FLORIDA 3476E-225X SCOT"I'NNDERSON
(� I e. RI STY J.1 PARK N
41 J J (407)905 31 UU NANCY I. PARKER
!P Of GOO\\
ACTING C,n MAN,u;SR
JIM GLEASON
STAFF REPORT
TO: The Honorable Mayor and City Commissioners
I
FROM: Joyce Tolbert, CPPB, Buy- t
DATE: September 5, 2001
D9
RE: B01-O8; Provide and Install a Standby Power System Consisting of a
Standby Diesel Generator Set & Automatic Transfer Switch
ISSUE
Should the City Commission select CJ's Sales and Service to provide and install a standby
power system consisting of a standby diesel generator set and automatic transfer switch at the
Public Works facility?
BACKGROUND & DISCUSSION:
The funding source for this project is an Emergency Management Preparedness and
Assistance Grant in the amount of $28,000 which will be reimbursed upon completion. The City
Commission approved this grant at the May 1, 2001 City Commission meeting and the funds
are appropriated in the 2001/2002 budget.
The bid was advertised on July 15, 2001, and publicly opened on August 16, 2001. Responses
were received from the following companies:
1) Territo Electric $38,469.00
2) CJ's Sales & Service $25,567.00
3) Goff Communications $36,287.87
4) Bob Mitchell Associates Inc. $25,776.00
5) Chinchor Electric Inc. $42,570.00
Attached is a copy of the bid from CJ's Sales and Service along with the bid tabulation sheet.
Copies of all bids are available in the Finance Department for your review.
The bids were reviewed by the Public Works and Finance Departments. Staff recommends
awarding the base bid only to CJ's Sales and Service as the most responsive and respon'e
bidder, per the attached memo from Bob Smith, Public Works Director.
POW
STAFF RECOMMENDATION
It respectfully is recommended that the City Commission award Bid #01-07 to CJ's Sales and
Service and authorize staff to proceed with the procurement of the standby power system,
including obtaining all necessary bonds and insurance for this project.
c: Donald Carter, Finance Supervisor
Bob Smith, Public Works Director
MEMORANDUM
TO: Joyce Tolbert, , Buyer
FROM: Bob Smith, Public Works Director ',
DATE: August 28, 2001
RE: Bids for Public Works Standby Generator
I have reviewed all bids submitted on bid #B01-07, Public Works Standby
Generator, and recommend award to CJ's Sales and Service in the amount of
$25,567, for the base bid only.
BS:jh
COMPANY INFORMATION/SIC NATURE SHEET
FAILURE TO COMPLY WITH THESE BID INSTRUCTIONS WILL RESULT IN DISQUALIFICATION
OF YOUR BID. PLEASE SIGN BELOW ATTESTING THAT YOU HAVE READ AND UNDERSTAND
ALL BID INSTRUCTIONS AND THAT THE PRICES REFLECTED ON THE "SCOPE OF WORK/BID
■� SHEEN" ARE ACCURATE AND WITHOUT COLLUSION.
CJ' s Sales and Service (352 ) 732-0271 _.
COMPANY NAME TELEPHONE(INCLUDE AREA CODE)
(352 ) 732-0606
FAX (INCLUDE AREA CODE)
gregl@cjsalesandservice.com
E-MAIL ADDRESS
IF REMITTANCE ADDRESS IS DIFFERENT
AU IZED SIGNATURE(manual) FROM PURCHASE ORDER ADDRESS,
PLEASE INDICATE BELOW
Crag Linton General Mgr.
NAME/TITLE(PLEASE PRINT)
132 NE 17th Place _
STREET ADDRESS
Ocala FL 34479
4 CITY STATE ZIP
FEDERAL ID k 59-2488285
Individual X Corporation -X Partnership_ Other(Specify)
Sworn to and subscribed beforebe me this ��_p day of 17Ci-4/.61 ,20(A_
Personally Known v—._ or
Produced Identification
Notary Public-State of 1LOQTpft
111 (Type of Identification) County of A4ART(J I�
Signature of Notary Public
ROBtK M. o JR
Notary Public-Sttateate of Florida cRIOQ)Wir M ,)On;GS
My Commission Expires Mar 23. 2002 Printed,typed or stamped
41 Commission a CC22 J^.35 commissioned name of Notary Public
I
POW-
Palest ocoee'e Water Resources
B01-07 BID SHEET
TOTAL BASE BID: S 25 , 567 .00
Twenty-Five Thousand Five Hundred Sixty-S.13)39ms and 00 Cents
U
WARRANTY: One Year
DELIVERY: within _9 _calendar days from City Purchase Order.
I
ADDITIVE ALTERNATE NO. 1: $ 33, 235.00
Thirty-Three Thousand Two Hundred Thirty-Fiv&ollars and 00 Cents
ADDITIVE ALTERNATE NO.2: $ 4 , 100 .00
Four Thousand One Hundred Dollars and 00 Cents
I
CJ' s Sales and Service
Company Name
Authors ed Signature
�i Greg Linton, General Manager
fi Name/Title(prim)
I
POMP 21
Pmied Ocoee's Water Ranurces
i 20. LIST OF SUBCONTRACTORS:
■
SUBCONTRACTOR and/or TEMPORARY WORKER AGENCY
NAME/ADDRESS/FEDERAL ID. NO./CONTACT PERSON/PHONE f.
Computer Power; 200 SR919; Winter Springs,FL
Rick Kuzmick; 907-327-7373 -
(Attach additional sheets if necessary)
The respondent certifies that the respondent has investigated each
subcontractor/temporary worker agency listed and has received and has in the
respondent's files evidence that each subcontractor/temporary worker agency maintains a
fully-equipped organization capable, technically and financially, of performing the
pertinent work and that the subcontractor/temporary agency has done similar work in a
satisfactory manner.
21. EQUIPMENT LISTING:
Please list year, make & model of all equipment that will be used on City of Ocoee
properties, including whether owned or leased. If leased please provide name of lessor.
1998 Ford F550 Owned
1999 Instalation Trailer Owned
1
I
i
1
1
POW G
Protect nceeel Water Pemnrrea '
I
22. REFERENCES/EXPERIENCE OF RESPONDENT WITH
SIMILAR WORK
The Respondent shall complete the following blanks regarding experience with similar
type of work. Respondent must demonstrate ability to perform services of similar
complexity, nature, and size of this project within past three years.
DATE OF CONTRACT/AMOUNT OF PROJECT/CLIENT'S NAME AND ADDRESS
(INCLUDE CONTACT):
8/2001 $116, 000 City of Winter Park
1909 Howell Branch Rd.
Winter Park, FL 32789
111 Bill Archer; (407 ) 623-3340
6/2001 $461 , 000 City of Altamonte Springs
225 Newburyport Avenue
Altamonte Springs, FL 32701
Alex Robinson; (907 ) 571 -862 /
Have you any similar work in progress at this time? Yes X No . Length of time in
business 28 years
Bank or other financial references:
AmSouth Bank; 2734 NE Jacksonville Rd; Ocala, FL 34470 ;
Judy McWilliams; (352 ) 622-6233
(Attach additional sheets if necessary)
23. SUMMARY OF LITIGATION:
Provide a summary of any litigation, claim(s), bid or contract dispute(s) filed by or
against the respondent in the past five (5) years which is related to the services that the
respondent provides in the regular course of business. The summary shall state the nature
of the litigation, claim, or contact dispute, a brief description of the case, the outcome or
projected outcome, and the monetary amounts involved_ If none, please so state.
N/A
11
II
,1 Pr OWN
Protect Ocoee a Water Resources 17
THE AMERICAN INSTITUTE OF ARCHITECTS
qti
AIA Document A310
Bid Bond
KNOW ALL MEN BY THESE PRESENTS, that we
CJ's Sales& Service of Ocala,Inc. (Here insert full nar,rc and address or egal life of Contractor)
132 NE 17th Place,Ocala,FL 34470
as Principal, hereinafter called the Principal, and (Here'insert full name and address or legal Idle of Surely)
Travelers Casualty and Surely Company of America
One Tower Square,Hartford,CT 06183-6014
a corporation duly organized under the laws of the State of Connecticut
as Surety, hereinafter called the Surety, are held and firmly bound unto
City of Ocoee (Here insert full name and address or legal title of Owner)
150 N Lakeshore Drive,Ocoee,FL 34761-2258
as Obligee, hereinafter called the Obligee, in the sum of Five Percent of Amount Bid -------
__ Dollars($ 5%---
for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind
ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally,firmly by
these presents.
WHEREAS, The Principal has submitted a bid for
(Here insert full name,address and description of project)
Bid No.B01-07,Provide&Install a Standby Power System Consisting of a Standby Diesel Generator
Set&Automatic Transfer Switch
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract
with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the
bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the
prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal
to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to
exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may
in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and
void, otherwise to remain in full force and effect.
Signed and sealed this 16th day of August 2001
111/// AA• - /\) CJ's Sales&Service of Ocala,Inc.
/J��� I (PrnnPolJ (Seal)
n
(Wirnen) r Gr, _l
•/�
/ -fir .2r i/ urety Compy/atAmerica
°mi
(Witness) /5 ilk, A A . /
FpTr L ea ' —a; 7 r ,nay-to-Fan&
Florida Licensed Resident Agent
Inquiries: (407)834-0022
AIA DOCUMENT A310.1310 BOND.AIA 0 FEBRUARY 1070 ED.THE AMERICAN
INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.WASHINGTON,OC 20006
•
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
TRAVELERS CASUALTY AND SURETY COMPANY
FARMINGTON CASUALTY COMPANY
Hartford, Connecticut 06183-9062
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT
KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF
AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FAILMINGTON CASUALTY COMPANY,
corporations duly organized under the laws of the Stale of Connecticut, and having their principal offices in the City of Hanford,
County of Hartloru, Slate of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, and do by these
presents make, constitute and appoint: J. W. Guignard, Bryce R Guignard, M. Gary Francis, April L. Lively, Deidre Sullivan,
Paul J. Ciambriello, Jennifer L. McCarta, of Longwood, Florida, their true and lawful Attorney(s)-in-Fact, with full power and
authority hereby confined to sign, execute and acknowledge, at any place within the United States,the following instrumem(s)'. by
his/her sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature
of a bond, recogniz;.nce, or conditional undertaking and any and all consents incident thereto and to bind the Companies. thereby as
fully and to the same extent as if the same were signed by the duly authorized officers of the Companies, and all the acts of said
Attolney(s)-in-Fact,pursuant to the authority herein given, are hereby ratified and confirmed.
This appointment is made under and by authority of the following Standing Resolutions of said Companies, which Resolutions are
now in full force and effect
VOTED: That the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President,any Vice President,any
Second Vice President, the Treasurer, any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact
and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe
to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in
the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such
appointee and revoke the power given him or her.
VOTED: That the Chairman, the President,any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President
may delegate all or any pad of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is
in writing and a copy thereof is filed in the office of the Secretary.
VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall he valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any
Senior Vice President or any Vice President, any Second Vice President,the Treasurer, any Assistant Treasurer, the Corporate Secretary or any
Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary,or(b)duly executed(under seal, if
required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or!lei certificate or their certificates of authority or
by one or more Company officers pursuant to a written delegation of authority.
This Power of Attorney and Certificate of Authority is signed and sealed by facsimile (mechanical or printed) under and by
authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY
COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY
COMPANY,which Resolution is now in full force and effect:
VOTED That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice
President,any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any
power of attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for
purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney
or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and
certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or
undertaking to which it is attached.
1-00 Standard)
BID TABULATION FOR:
BID #B01-07
PROVIDE AND INSTALL A STANDBY POWER SYSTEM CONSISTING OF A STANDBY DIESEL GENERATOR SET AND AUTOMATIC TRANSFER SWITCH
8/16/01 11:00 A.M.
Florida Territo Electric Inc. ADM Electrical TAW Power Standby Emergency East Coast CJ's Sales& Van-Mor Inc. Morgan General
Contracting Contractors Inc. Systems Systems Inc. Power Systems Power Systems Service Constructors Mechanical Group
Base Bid `C
Warranty /n L1&d--{rM�
nr!" '1rCtc� 1rik
Delivery
ha% aciL Moir I710(4,42
Additive Alternate#1
455'74 6'6 32,X35 aoi
Additive Alternate#2
2/62/L/. C6' '9/CG. C
List of Subcontractors / j
Equipment Listing / ✓/
Experience/References t// /I/
Summary of Litigation `/T t//
Bid Bond
VT t/-
Insurance t/ r./t/ii' J
Addendum#1 - �e�` CI
✓ eFd_
(1)Signed Original &
�/(2)Copies t"
BID TABULATION FOR:
BID #B01-07
PROVIDE AND INSTALL A STANDBY POWER SYSTEM CONSISTING OF A STANDBY DIESEL GENERATOR SET AND AUTOMATIC TRANSFER SWITCH
8/16/01 11:00 A.M.
Bowers Goff Communications Bob Mitchell Florida Industrial Power Flow (Therm I
Electric Associates Inc. Electric Inc. Technologies F l hoc
WV,
Base Bid
(98''z 87 .Q577c. C6 27 -570
Warranty
I (
pa Icpag 1 year
Delivery
(r rLI(cLrrriar (r�ja&)Jq/ar HIOeabn it
Additive Alternate#1 _
y1777. �7 A9,5/ « 91r4 �o ' ' 111
Additive Alternate#2
List of Subcontractors /Jc±
Incl� lud
Equipment Listing tJa}- J 7
Inelu/4rct t
Experience/References V
V Summary of Litigation /
/ / t//
v 1/
Bid Bond /
Insurance 1/ t/
` q
Inw a i 'bet Ind 1 n 1,/Aari
Addendum#1 NO-
nol/Aa l / �u Inr crt
(1)Signed Original & V
(2)Copies
CITY OF OCOEE
CONTRACTOR
��REGISTRATION
REGISTRATION #
DATE: 9/10/01
BUSINESS NAME: AAA Affordable Structures, Inc. dba Affordable Structures, Inc.
QUALIFIERS NAME: Paul C. Tansill —Certified Building Contractor# CBC059123
OWNERS NAME: Michael L. Adams—President; Paul C. Tansill—Vice President
MAILING ADDRESS: P.O. Box 1350
CITY, STATE &ZIP Tavares, FL 32778
PHONE# (352) 742-7488
FAX# (352) 742-7348
CELL # (407)466-6469
CONSTRUCTION TYPE: Commercial Modular Building Sales&Leasing
STATE LICENSE EXPIRES: License#QB-0012656 exp. 6/29/02
INSURANCE EXPIRES: 8/16/02
CLERK:
YOU MUST VERIFY THE CONTRACTORS MAILING ADDRESS
09/06/2001 12:00 3523686816 LASSITERiWARErINSTrr PAGE 01
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE MLwom
09/06/2001
RTLMNKEM (352)368-2500 FAX (352)368-6816 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lassiter-Nate of Ocala ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2011 SW 20th Place ALTER THE ER. COVES RA ECATE DOES AFFORDED NOT
THE POLICIEXTEND
S BELOW.
8 101
kale, FL 34474-7023 INSURERS AFFORDING COVERAGE
I'xRReD MA Attordable Structures, Inc INauRER A. Southern Owners Insurance Co.
L DBA Affordable Structures
P.O. Box 1350
INSURER Auto Owners
PSURER c: Zenith Insurance Company
Tavares, FL 32778 INSURER IT
INSURER E.
COVERAGES
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
NNggPPpOLICIES.AGGREGATE LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. ilyQ RyTIp ILM, TYPE OF m•YRANGS POLICY NUMBER DATA tla POA VCThRA tlN UNITS
GENERAL LIABILITY 20826853 08/16/2001 08/16/2002 EACH OCCURRENCE a 1,000,000
X COMPS-RM.GENERAL LIABILITY FIRE DAMAGE(My ma fral $ 50,000
CLAMS MADE �% OCCUR LED E%P(Any me swan) F 5,000
A
'_. PERSONAL a ADV INJURY $ 1,000,OOD
GENERAL AGGREGATE a 1,000,000
GENE AGGREGATE LIMIT A^RE9 PER PRODUCTS.COMASV AGO F 1,000,000
]POLICY f PRO.
FLOC
A uraweEuaILJTY EL 4182685300 07/19/2001 07/19/2002 CO AaNED Swale LIMIT
ANY AUTO
(ei'a1°""I ' 100,000
J AU.OµME0 AUTOS
X SCHEODIm AUTOS a00ILrwJUAv e
B OW Perri
HIRE°AUTOS
BODILY INJURY a
NON-OWNED AUTOS—
(Per errant)
PROPERTY DAMAGE L
(PUP swarms
GARAGE LIABILITY 4182685301 08/16/2001 08/16/2002 AUTO ONLY•EA ACCIDENT 1,000,000
A /INTACTO DINER THAN EA ACC 1,000,000
X Non-Owned Autos AUTO AGE 1,000,000
EXCESS LIABILITY
EACH OCCURRENCE
OCCUR Li CLAIMS MADE AGGREGATE
DEDUCTIBLE
RETENTION I AL
WOM(OI COMPENSATION AND 65151 01/10/2001 -01/10/2002 X TORYLIMI15 (1°1-
EMPLOYERSLMBIIY
C
E L.EACH ACCIDENT 100,000
EL DI$EABE-FA EMPLOYES 100,000
EL.DISEASE-.POLICY LIMB 500,00D
DTNn
DESCRIPTION OP BPGATIONRLOCATIONWEMCLZSIIYCLUSIONS ADDED MY ENDORSEMeNTIOPECML PROVISIONS
City of Ocoee is named as Additional Insured
CERTIFICATE HOLDER I I ADOMoNAL ASSURED;INSURER Turret CANCELLATION
SHOULD Am,or TIM ABOVE 139000eria rOUCIG9 IRE CANC ELL ID nErORE The
EXPIRATION DATE*MAROC TNe MUMS COMPANY Eau. TO MAX.
30 DAYS WNRTO(MOTice TO THE CEATIFMATE HOLDER EARED TO THE LEn,,
City of Ocoee BUT EMILRE TO MAE SUCH Tee• ITEROSE NO OBUGA lM OR LMmLDY
150 N. lake Shore Drive OF ANT NmJe UPON we ITS RREPREA AMER
Ocoee, FL 34761 AUTMORRSD REPREBRRATM
Lisa Schroeder U
LCORD 254 nn7) CO PORATION 1988
05-18-2001
STATE OF FLORIDA
DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION
FROM FLORIDA WORKERS' COMPENSATION LAW
This certifies that the individual listed below has elected to be exempt from Florida Workers'
Compensation Law.
EFFECTIVE DATE 05/07/2001
EXPIRATION DATE 05/07/2003
EXEMPTED INDIVIDUAL NAME ADAMS MICHAEL L
S.S. 540-80-3977
BUSINESS NAME AFFORDABLE STRUCTURES
FEIN 593535631
BUSINESS ADDRESS p 0 BOX 1350
TAVARES FL 32778
NOTE: Pursuant to Chapter 440.10111,Ig1,2 F.S., a sole proprietor, partner, or an officer of a
corporation who elects exemption from the Florida Workers' Compensation Law may not recover
benefits or compensation under Chapter 440.
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA --en *
DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY ` --
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION aye} I NOTE: Pursuant to chapter 440.10111,I91.2 ES., a sole
FROM FLORIDA WORKERS' COMPENSATION LAW - r1C ''�'J F proprietor, partner, or officer of a corporation who
EFFECTIVE DATE 05/07 i2n01 4",• - 0 elects exemption fram the Florida Workers' Compensation
sob L Law m 4 no noyt recover benefits or compensation under
EXPIRATION DATE 05/07f2003
EXEMPTED PERSON LAST NAME ADAMS
FIRST NAME MIQHAEl I
SOCIAL SECURITY NUMBER 5AQ-8Q-2977 H
BUSINESS NAME AFFORDABLE STRIIfTURES
E
FEDERAL IDENTIFICATION NUMBER S9 5 5 31
BUSINESS ADDRESS P 0 BOY 1350
TAVARFS FL 22778
CUT HERE
• Carry bottom portion on the Job, keep upper portion for your records.
20. LIST OF SUBCONTRACTORS:
SUBCONTRACTOR and/or TEMPORARY WORKER AGENCY
NAME/ADDRESS/FEDERAL I.D. NO./CONTACT PERSON/PHONE#
Broglin Construction—(352)483-0817
100 Hillside Drive Eustis, FL 32726
ID# 59-2277818
Lonnie Dale Lawrence Transport— (352) 347-8408
3416 SE 92nd St. Ocala, FL 34480
ID# 587-11-8243
(Attach additional sheets if necessary)
The respondent certifies that the respondent has investigated each
subcontractor/temporary work agency listed and has received and has in the
respondent's Files evidence that each subcontractor/temporary work agency
maintains a fully-equipped organization capable,technically and financially, of
performing the pertinent work and that the subcontractor/temporary agency has
done similar work in a satisfactory manner.
21. EQUIPMENT LISTING:
Please list year, make& model of all equipment that will be used on City of
Ocoee properties, including whether owned or leased. If leased please provide
name of lessor.
Three Yard Front End Loader— 1987' 920 B International
Owned—Broglin Construction
1991 "White" Mobile Home Totter
1992 WHGM Mobile Home Totter
1994 Ford Mobile Home Totter
Owned—Dale Lawrence Transport
15
22. REFERENCES/EXPERIENCE OF RESPONDENT WITH SIMILAR
WORK
The respondent shall complete the following blanks regarding experience with
similar type of work. Respondent must demonstrate ability to perform services
of similar complexity, nature, and size of this project within past three years.
DATE OF CONTRACT/AMOUNT OF PROJECT/CLIENT'S NAME AND
ADDRESS (INCLUDE CONTRACT):
Ocala Word of Faith Church—4741 SW 20th Street Ocala, FL
Relocated over 15,000 SF of buildings within the last six months.
Contract Amount: $34,000.00
Contact: Pastor Watts(352) 861-0701
Orlando Regional Healthcare Systems—65 Sturtevant St. Orlando, FL 32706
Relocated 5.050 SF Medical Complex in May 01'
Contract Amount: $24,850.00
Contact: Lori Folse(407) 841-5111 x 8253
Have you any similar work in progress at this time? No
Length of time in business? Incorporated 1998
Bank of other financial references:
Sun Bank Acct# 0761761314548 Contact: Kathy Yarborough(352) 589-2615
Strong Money Market Acct# 023-2303042462 Ph: (800) 368-3863 _
(Attach additional sheets if necessary)
23. SUMMARY OF LITIGATION:
Provide a summary of any litigation, claim(s),bid or contract dispute(s) filed by
or against the respondent in the past five(5)years which is related to the services
that the respondent provides in the regular course of business. The summary
shall state the nature of the litigation, claim, or contact dispute, a brief
description of the case,the outcome or projected outcome, and the monetary
amounts involved. If none,please so state.
None
16
COMPANY INFORMATION/SIGNATURE SHEET
FAILURE TO COMPLY WITH THESE BID INSTRUCTIONS WILL RESULT IN
DISQUALIFICATION OF YOUR BID. PLEASE SIGN BELOW ATTESTING THAT YOU HAVE
READ AND UNDERSTAND ALL BID INSTRUCTIONS AND THAT THE PRICES REFLECTED
ON THE "SCOPE OF WORK/BID SHEET" ARE ACURATE AND WITHOUT COLLUSION.
Affordable Structures,Inc. (352) 742-7488
COMPANY NAME TELEPHONE(INCLUDE AREA CODE)
(352) 742-7348
FAX (INCLUDE AREA CODE)
mike.aams@mindspring.corn
EMAIL ADDRESS
IF REMITTANCE ADDRESS IS
AUTHORIZED SIGNATURE (manual) DIFFERENCE FROM PURCHASE ORDER
Michael L. Adams -President ADDRESS PLEASE INDICATE BELOW:
NAME/TITLE(PLEASE PRINT) P.O. Box 1350 Tavares, FL 32778
221 N. Joanna Ave.
STREET ADDRESS
Tavares FL 32778
CITY STATE ZIPCODE
FEDERAL ID # 59-3535631
Individual Yes Corporation Partnership Other(specify)
Sworn to and subscribed before me this J ofl, day of t.r"-to„too,- 20p (
Personally Known � or V
Produced Identification Notary Public— State of � �c re r d c
County of Lake
(Type of Identification) 7
/W'c � ,
ignature of Notary Pu. is
Printed,typed or stamped
Commissioned name of Notary Public
�y" cermame L 5l Pierre
•
p My Com m missn CC387885
1 vd,` (mires December 13 2009 17
BID TABULATION FOR:
BID #B01-08
PROVIDE ALL LABOR, MATERIAL, EQUIPMENT NECESSARY TO DISASSEMBLE, RELOCATE, REASSEMBLE A MODULAR OFFICE BUILDING
9/10/01 11 :00 A.M.
AAA Affordable Williams Scotsman Inc. ASAP Office Buildings A&H Set-up&
Structures Service
Base Bid
i/ 7t1 OO 65, 7€2O C0
Warranty
904y5 Ona (1) V-ear
List of Subcontractors
Equipment Listing ✓/ ✓�
Experience/References
Summary of Litigation I// ✓
/ NO anSwfR
Insurance / PID
Addendum#1 r
(1)Signed Original& / /"/
(2)Copies �/ ✓