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Agenda 09/08/2015 Item #16G19/8/2015 16.G.1. EXECUTIVE SUMMARY Recommendation to approve the ranked list of engineering /design professionals for Request for Proposal (RFP) 15- 6382 -2, "Grant Funded Professional Services for Airports," authorize staff to negotiate contracts with the top ranked firms for subsequent Board approval, and make a finding that this item promotes future development of the County's three airports. OBJECTIVE: To facilitate operations and capital project implementation by the Collier County Airport Authority (CCAA), Collier County's Growth Management Department, and other County divisions for grant funded professional services. CONSIDERATIONS: The County's current fixed term design services contract (13- 6164), has fifty one (5 1) contracted consultants across twenty one (2 1) disciplines. These disciplines range from Civil and Structural Engineering to Permitting and Modeling. The contracts are designed to provide on -call, small dollar (less than $200,000) supplemental architectural and engineering services in accordance with the Florida Competitive Negotiation Act (CCNA). Contract 13 -6164 cannot be used for CCAA projects partially funded by outside agencies such as the Federal Aviation Administration (FAA) and Florida Department of Transportation (FDOT) because the grantors' requirements were not included in the original solicitation. With the assistance of the Collier County Grants Compliance Office, Procurement Services developed a CCNA RFP for grant funded Airport Engineering Services. The RFP was advertised on June 2, 2015. One thousand three hundred and seventy -two (1,372) firms were contacted; sixty -two (62) of those contacts reviewed the solicitation materials; and, seven (7) firms submitted proposals for consideration by the June 23, 2015 due date. On August 24, 2015, a selection committee ranked the seven (7) firms based on an evaluation of their technical proposals. The selection committee ranked the firms as shown below: Firm Final Ranking Committee Recommendation Hole Montes 1 Award Atkins North America, Inc. 2 Award AVCON, Inc 3 Award Q. Grady Minor & Associates, P.A. 4 Do Not Award Stantec Consulting Services, Inc. 5 Do Not Award Gartek Engineering Corporation 6 Do Not Award Gale Associates South, Inc. 7 Do Not Award Following the committee's ranking, committee members were also asked (by consensus) to recommend the number of firms to be awarded (denoted by column above labeled Committee Recommendation). The committee recommended entering into negotiation with three (3) firms. If contract negotiations are not successful with any of the three (3) recommended firms, staff is seeking authorization to commence contract negotiations with the next ranked proposer, with the objective of bringing three (3) acceptable negotiated contracts back to the Board for approval. Packet Page -2703- 9/8/2015 16.G.1. In order to maximize contract efficiencies, staff also recommends: • One (1) — five (5) year contract term for these services with the understanding that a termination clause will be included. This contract will not preclude the County from adding additional firms to the contract or issuing separate solicitations for required services. • Distribution of Work (consistent with Florida Statute 287.055 and grantor agency requirements at the time of work order): • Projects less than $100,000: Project managers may select any consultant from the list of three (3) awarded firms; • Proiects between $100,000 - $200,000: Project managers may seek proposals from the three (3) firms, and conduct a qualifications based review, evaluation and ranking of the proposals; the final recommended firm will be presented to the Purchasing Director for final review and approval; no further Board action will be required for the work to proceed; FISCAL IMPACT: Approval of the design professional ranking and authorization to negotiate contracts with the top rated firms will allow CCAA to enter into grant related design /engineering agreements for future Airport projects without entering into the formal Request for Proposal procurement process for expected engineering costs less than $200,000 and related construction costs of less than $2,000,000. Funds for these services shall come from the CCAA budget as projects are identified. GROWTH MANAGEMENT IMPACT: There is no impact to the growth management plan associated with this Executive Summary. LEGAL CONSIDERATIONS: This item has been approved as to form and legality and requires a majority vote for approval. — JAB RECOMMENDATION: That the Board, acting as the Collier County Airport Authority, approves the ranked list of design /engineering professionals for Request for Proposal (RFP) 15- 6382-2, "Grant Funded Professional Services for Airports;" authorizes staff to negotiate a contract with the top ranked firms for subsequent Board approval and make a finding that this item promotes future development of the Airports. Prepared by: Justin Lobb, Airport Manager, Airport Authority, GMD Attachments: 1) RFP Final Rankings, 2) RFP, 3) Hole Montes Proposal, 4) Atkins Proposal and 5) AVCON Proposal Packet Page -2704- 9/8/2015 16.G.1. COLLIER COUNTY Board of County Commissioners Item Number: 16.16.G.16.G.1. Item Summary: Recommendation to approve the ranked list of engineering /design professionals for Request for Proposal (RFP) 15- 6382 -2, "Grant Funded Professional Services for Airports," authorize staff to negotiate contracts with the top ranked firms for subsequent Board approval, and make a finding that this item promotes future development of the County's three airports. Meeting Date: 9/8/2015 Prepared By Name: LobbJustin Title: Manager - Airport, Growth Management Department 8/20/2015 3:10:58 PM Submitted by Title: Manager - Airport, Growth Management Department Name: LobbJustin 8/20/2015 3:10:59 PM Approved By Name: KeamsAllison Title: Manager Financial & Operational Support, Growth Management Department Date: 8/25/2015 8:59:51 PM Name: ShueGene Title: Division Director - Operations Support, Growth Management Department Date: 8/26/2015 8:57:43 AM Name: PuigJudy Title: Operations Analyst, Growth Management Department Date: 8/26/2015 10:45:07 AM Name: MarkiewiczJoanne Title: Division Director - Procurement Services, Administrative Services Department Packet Page -2705- Date: 8/27/2015 7:45:37 AM 9/8/2015 16.G.1. Name: NorthrupAdam Title: Procurement Specialist, Administrative Services Department Date: 8/27/2015 3:06:53 PM Name: HerreraSandra Title: Manager - Procurement, Administrative Services Department Date: 8/27/2015 3:14:13 PM Name: LynchDiane Title: Supervisor - Operations, Growth Management Department Date: 8/27/2015 6:30:38 PM Name: JohnsonScott Title: Manager - Procurement, Administrative Services Department Date: 8/27/2015 9:55:22 PM Name: Joshua Thomas Title: Grants Support Specialist, Grants Management Office Date: 8/28/2015 9:50:53 AM Name: BelpedioJennifer Title: Assistant County Attorney, CAO General Services Date: 8/28/2015 10:46:16 AM Name: WilkisonDavid Title: Department Head- Growth Management Dept, Growth Management Department Date: 8/28/2015 1:52:07 PM Name: StanleyTherese Title: Manager - Grants Compliance, Grants Management Office Date: 8/28/2015 2:28:27 PM Name: KlatzkowJeff Title: County Attorney, Date: 8/28/2015 4:01:42 PM Name: CasalanguidaNick Title: Deputy County Manager, County Managers Office Date: 8/28/2015 5:07:23 PM Packet Page -2706- 2 ECn Im 0 = Y C C ++ it V d !G Gf = N U. V cn x �4 L- 0 Q O w y d V d t6 C O .y N w O CL` N C N O Cn M U- In C a ci U X Packet Page -2707- N C m N CL O Q1 c cc a 9/8/2015 16.G.1. 0 v OD d 9/8/2015 16. G.1. REQUEST FOR PROPOSALS In accordance with Florida. Statute 287.055, Consultants' Competitive Negotiation Act. C7,� Cca"ty Administrative Services Division Procurement Services COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS CCNA Solicitation 15- 6382 -2 — Grant Funded Professional Services for Airports Adam Northrup, Procurement Strategist (239) 252 -6098 (Telephone) (239) 252 -6302 (Fax) Adamnorthrup@colliergov.net (Email) This proposal solicitation document is prepared in a Microsoft Word format. Any alterations to this document made by the Consultant may be grounds for rejection of proposal, cancellation of any subsequent award, or arty other legal remedies available to the Collier County Government. PTmreme tSeraes 6epaamW- 332' Tamw i Tm8 East • Naoles. 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Table of Contents LEGALNOTICE ........................................................................................ ..............................3 EXHIBIT I: SCOPE OF WORK, SPECIFICATIONS AND RESPONSE FORMAT ......................4 EXHIBIT II: GENERAL RFP INSTRUCTIONS ......................................... ............................... 13 EXHIBIT III: COLLIER COUNTY PURCHASE ORDER TERMS AND CONDITIONS ............... 26 EXHIBIT IV: ADDITIONAL TERMS AND CONDITIONS FOR RFP .......... ............................... 30 ATTACHMENT 1: CONSULTANT'S NON - RESPONSE STATEMENT ..... ............................... 38 ATTACHMENT 2: CONSULTANT CHECK LIST ..................................... ............................... 39 ATTACHMENT 3: CONFLICT OF INTEREST AFFIDAVIT ....................... ............................... 40 ATTACHMENT 4: CONSULTANT DECLARATION STATEMENT ........... ............................... 41 ATTACHMENT 5: IMMIGRATION AFFIDAVIT CERTIFICATION ............. ............................... 43 ATTACHMENT 6: CONSULTANT SUBSTITUTE W — 9 .......................... ............................... 44 ATTACHMENT 7: INSURANCE AND BONDING REQUIREMENTS ........ ............................... 45 ATTACHMENT 8: REFERENCE QUESTIONNAIRE ............................... ............................... 47 15- 6429 -2 Grant Funded Professional Services for Airports 2 Packet Page -2709- 9/8/2015 16.G.1. Geier Gouxty Administrative Services Division Procurement Services Legal Notice Pursuant to approval by the County Manager, Sealed Proposals to provide Grant Funded Professional Services for Airports will be received until 3:00 PM, Naples local time, on June 23`a 2015 at the Collier County Government, Purchasing Department, 3327 Tamiami Trail E, Naples, FL 34112. CCNA Solicitation 15- 6382 -2 — Grant Funded professional Services for Airports Services to be provided may include, but not be limited to the following: Airport AuMority Study and Design. ® A pre - proposal conference is not applicable for this solicitation. All statements should be made upon the official proposal form which must be obtained only on the Collier County Purchasing Department Online Bidding System website: www. col lieroov.net/bid. Collier County does not discriminate based on age, race, color, sex, religion, national origin, disability or marital status. BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA, BY: /S/ Joanne Markiewicz Director, Procurement Services This Public Notice was posted on the Collier County Purchasing Department website: www.colliergov net/purchasing and in the Lobby of Purchasing Building "G ", Collier County Government Center on 06102/2015 15- 6429 -2 Grant, Funded Professional Services for Airports Packet Page -2710- 9/8/2015 16.G.1. Exhibit I: Scope of Work, Specifications and Response Format As requested by the Collier County Airport Authority (hereinafter, the "Division or Department'), the Collier County Board of County Commissioners Purchasing Department (hereinafter, "County ") has issued this Request for Proposal (hereinafter, "RFP") with the intent of obtaining proposals from interested and qualified Consultants to provide professional services for various projects that will be funded all or in part by Grants. These services will supplement an array of professional in -house staff. It is the intent of the County to have multiple firms available to provide on- demand professional services for the Airport Authority. The services provided as a result of these contracts will be available to all County departments and may include additional architectural and engineering services as required by the County in accordance with the terms, conditions and specifications stated or attached. The results of this solicitation may be used by other County departments once awarded according to the Board of County Commissioners Purchasing Policy. Brief Description of Purchase Historically, County departments have spent approximately $100,000 per year in the Airport Authority Category. Background The County currently has a master contract for professional services (1.3 -6164 — Professional Services Architect and Engineering), that allows for small dollar work (up to $200,000) across 19 specialized disciplines, ranging from Civil and Structural engineering to Coastal Zone Study or Planning and Design. Over time, we have determined there is a need for a similar contract for work in Airport Authority Study and Design, which is in compliance with various grant funding requirements. Detailed Scope of Work The scope of services shall include, but may not be limited to the description listed below. Airport engineering, planning, environmental and general consulting services for the Everglades Airpark, Immokalee Regional Airport and Marco Island Executive Airport The following list is a sample of the projects, which are anticipated over the next five (5) years. This list is not all- inclusive and is subject to change as priorities and funding change. • Aircraft hangar development. 15- 6429 -2 Grant Funded Professional Services for Airports Packet Page -2711- 9/8/2015 16.G.1. • Airport terminal development. • Airport master plan /ALP Updates. • Assist the Authority with ongoing airport capital improvement planning /JACIP update process. • Airport business, marketing and sustainability plans. • Airspace Studies. • Environmental assessments, noise studies, investigations, permit preparation /reports, wildlife hazard assessments (WHA), wildlife management plans (W MP), and other environmental services as necessary. • Aircraft operations traffic count studies. • Airport industrial park development and economic development opportunities. • Grant procurement and administration and related technical assistance • Airfield improvements such as: Runway and Taxiway Extensions; Aircraft Parking Aprons and Ramps; Navigational Aids; Pavement Rehabilitation and Reconstruction; Airfield Signage, Lighting and Navigational Aids; Electrical System Improvements. • Master utility plan infrastructure, drainage / storm water systems. • Aviation fuel farm improvements including self - service options. • Airport security and access control systems. • Vegetation management • Roadway and parking systems. • Aid the Authority in interpreting the FAA policy in analyzing or defining the rate and charges structure for the county airports. • Any other consulting service required for the proper operation, maintenance, planning, growth and development of the three (3) County airports. It is anticipated that the projects will be funded by Federal grants from the Federal Aviation Administration (FAA) under its Airport Improvement Program and by State grants from the Florida Department of Transportation (FDOT). Other non - aviation Federal and /or State grants may be used from time to time. This will require the Consultant to provide input and guidance to the Airport Authority about said programs and to ensure the Airport Authority's compliance with all applicable standards, advisory circulars and regulations of the FAA, State of Florida and Collier County. Term of Contract The contract term, if an awards) is /are made is intended to be for five (5) years, and will commence upon board approval. Prices shall remain firm for the full term of this contract Surcharges will not be accepted in conjunction with this contract, and such charges should be incorporated into the pricing structure. 15- 6429 -2 Grant Funded Professional Services for Airports Packet Page -2712- 9/8/2015 16.G. I. Projected Solicitation Timetable The following projected timetable should be used as a working guide for planning purposes only. The County reserves the right to adjust this timetable as required during the course of the RFP process. Event mate Issue Solicitation Notice 06/02/2015 Last Date for Receipt of Written Questions 06/17/2015; 3:OOPM Solicitation Deadline Date and Time 06/23/2015; 3:OOPM Anticipated Evaluation of Submittals July 2015 Anticipated Completion of Contract Negotiations August 2015 Anticipated Board of County Commissioner's Contract Approval Date September 2015 Response Format The Consultant understands and agrees to abide by all of the RFP specifications, provisions, terms and conditions of same, and all ordinances and policies of Collier County. The Consultant further agrees that if the contract is awarded the work will be performed in accordance with the provisions, terms and conditions of the contract. To facilitate the fair evaluation and comparison of proposals, all proposals must conform to the guidelines set forth in this RFP. Any portions of the proposal that do not comply with these guidelines must be so noted and explained in the Acceptance of Conditions section of the proposal. However, any proposal that contains such variances may be considered non - responsive. Proposals should be prepared simply and economically, providing a straightforward concise description of the Consultant's approach and ability to meet the County's needs, as stated in the RFP. All proposals should be presented as described in the RFP in PDF or Microsoft Word format with Tabs clearly marked. If applicable, the utilization of recycled paper for proposal submission is strongly encouraged. The items listed below are to be submitted with each proposal and submitted in the order shown. Each section should be clearly labeled, with pages numbered and separated by tabs. Failure by a Consultant to include all listed items may result in the rejection of its proposal. Tab 1: Cover Letter/ Management Summary In this tab, include: • Provide a cover letter, signed by an authorized officer of the firm, indicating the underlying philosophy of the firm in providing the services stated herein (limit 2 pages). 15- 6429 -2 Grant Funded Professional Services for Airports Packet Page -2713- 9/8/2015 16.G.1. • Include the name(s), telephone number(s) and email(s) of the authorized contact person(s) concerning proposal. Submission of a signed Proposal is Consultant's certification that the Consultant will accept any awards as a result of this RFP (Can be added as a separate page from cover letter). Tab 2: Firm's Credentials and Experience —40 Points • Provide a "not to exceed" two (2) page "Firm Credential and Experience" narrative that highlights your firms credentials or enhances the information requested in the chart below. Include resumes of key individuals and experts available to the County. • Provide responses to the following seven (7) items below in the format requested so that the Selection Committee members will be provided with the same objective information for each firm for scoring purposes. — The remainder of this page intentionally left blank*** 15 -6429 -2 Grant Funded Professional Services for Airports 7 Packet Page -2714- 9/8/2015 16.G.1. Tab 2: Firm's Credentials and Experience - continued Firm Name 1. Identify the number of years the firm has provided engineering or architectural services to the public sector (under the same name and /or the same principle owners). (number of years) 2. Identify the number of "industry awards and /or recognitions" that the firm has received from peer group (i.e. American Council of Engineering Companies, American Institute of Architects, National Society of Professional Engineers, etc.) in the past five (number of awards) (5) years (1 /1 /2010 - 12/31/2014). 3. Identify the number of licensed engineering or architectural professionals who hold offices in engineering professional organization (i.e. American Council of Engineering Companies, (number of office National Society of Professional Engineers, etc.). holders) 4. Identify the firm's number of "published articles" in professional engineering or architectural journals that the firm has been recognized for in the past five (5) years (1/1/2010 — 12/31/2014) (number of published articles) 5. Identify the number of licensed engineers or architects in the firm who have at least four (4) years of engineering experience. (number of license engineers > 4 yrs) 6. Identify the total number of Collier County projects in the past five (5) years (1/1/2010 — 12/31/2014) where the firm has been the lead consultant. (number of "lead" • Provide a list of those projects, the year, and the Collier Collier County projects) County project manager. 7. Identify the total number of Collier County projects in the past five (5) years (1/1/2010 — 12/31/2014) where the firm has been a sub - consultant. (number of • Provide a list of those projects, the year, and the Collier "subcontractor" Collier County County project manager. projects) Tab 3, Discipline Experience — 30 Points • Submit form labeled `Tab 3" (Attached below) for SUBMIT FORM LABELED "TAB 3 ". (If you wish to include additional information regarding the three projects listed below in tab 3, please limit it to 2 pages per project) 15- 6429 -2 Grant Funded Professional Services for Airports Packet Page -2715- 9/8/2015 16.G.1. Tab 3 - continued Solicitation 13- 6382 -2 Grant Funded Professional Services for Airports (Submit Responses on this Form) 1. Firm Name 2. Identify the number of discipline "experts" at the firm who may be available to Collier County. 3. Provide a project Project name: with adequate Project information to determine the location: project's success. Project scope: Proposers responsibility: Start date: End Date Project budget: Did project meet budget (circled Yes No Project schedule: Did project meet schedule (circle): Yes No How did yourfirm handle errors /omissions /mistakes (EOM's) (circle one): 1. Professional had no significant quality control process in place 2. Professional proactively identified EOM's to customer 3. Professional proactively identified EOM's and provided solutions Contact name, address and phone number. 4. Provide a second Project name: rp oject with Project adequate information to location: determine the Project scope: project's success. Proposers responsibility: Start date: End Date Project budget: Did project meet budget (circleX Yes No Project schedule: Did project meet schedule (circle): Yes No How did your firm handle errors /omissions /mistakes (EOM's) (circle one): 1. Professional had no significant quality control process in place 2. Professional proactively identified EOM's to customer 3. Professional proactively identified EOM's and prWded solutions 15 -6429 -2 Grant Funded Professional Services for Airports Packet Page -2716- 9/8/2015 16.G.1. 'The remainder of this page intentionally left blank*"** 15 -6429 -2 Grant Funded Professional services for Airports 10 Packet Page -2717- Contact name, address and phone number. 5. Provide a third Project name: ro'e ct with adequate Project information to location: determine the Project scope: project's success. Proposers responsibility: Start date: End Date Project budget: Did project meet budget (circle): Yes No Project schedule: Did project meet schedule (circle): Yes No How did your firm handle errors /omissions /mistakes (EOM's) (circle one): 1. Professional had no significant quality control process in place 2. Professional proactively identified EOM's to customer 3. Professional proactively identified EOM's and provided solutions Contact name, address and phone number. 'The remainder of this page intentionally left blank*"** 15 -6429 -2 Grant Funded Professional services for Airports 10 Packet Page -2717- 9/8/2015 16.G.1. 2. Tab 4, References — 5 Completed and Returned (20) In order for the Consultant to be awarded any points for this tab, the County requests that the Consultant submits five Ll conleted reference forms (Blank form is included in this solicitation as Attachment 8: Reference Questionnaire) from clients whose projects are of a similar nature to this solicitation as a part of their proposal on the reference form below. The County will only use the methodology calculations for the first five (5) references (only) submitted by the Consultant in their proposal. Prior to the Selection Committee reviewing proposals, the following methodology will be applied to each Consultant's information provided in this area: • The County will total each of the Consultant's five reference questionnaires and create a ranking from highest number of points to lowest number of points. References marked with an N/A (or similar notation will be given the score of zero (0)). Consultants who do not turn in reference forms will be counted as zero (0). • The greatest number of points allowed in this criterion will be awarded to the Consultant who has the highest score. • The next highest Consultant's number of points will be divided by the highest Consultant's points which will then be multiplied by criteria points to determine the Consultant's points awarded. Each subsequent Consultant's point score will be calculated in the same manner. • Points awarded will be extended to a whole number (per Microsoft Excel). For illustrative purposes only, see chart for an example of how these points would be distributed among the five proposers. Consultant Name Consultant Total Reference Score Points Awarded Consultant ABC 445 20 Consultant DEF 435 20 Consultant GHI 425 19 Consultant JKL 385 17 Consultant MNO 385 17 Consultant PQR 250 11 The points awarded by Consultant will be distributed to the Selection Committee prior to their evaluation of the proposals. The Selection Committee will review the Consultant's proposal to ensure consistency and completion of all tasks in the RFP, and review the Points Awarded per Consultant The Selection Committee may, at their sole discretion, contact references, and /or modify the reference points assigned after a thorough review of the proposal and prior to final ranking by the final Selection Committee. All questionnaires should be submitted with the proposal, not faxed directly to the County. 15 -6429 -2 Grant Funded Professional Services for Airports 1im Packet Page -2718- 9/8/2015 16.G.1. Tab 5: Availability and Responsiveness — Maximum 10 points • Provide a "not to exceed" two (2) page "Firm Availability and Responsiveness" narrative that highlights or enhances the information requested below. Firms will be awarded points for demonstrated experience and understanding of the Southwest Florida construction guidelines, land development codes and contractor's license issues; environmental conditions relating to the disciplines requested in this scope of work; demonstrated responsiveness to meetings, telephone calls, emails and emergencies; and sensitivity to reducing travel expenses. Tab VII, Required Form Submittals • Attachment 2: Consultant Checklist • Attachment 3: Conflict of Interest Affidavit • Attachment 4: Consultant Declaration Form' • Attachment 5: Immigration Affidavit and company's E- Verify profile page and memorandum of understanding • Attachment 6: Consultant Substitute W9 • Attachment 7: Insurance Requirements • Attachment 8: Reference Questionnaire • Attachment 9: Required Grant Forms 15 -6429 -2 Grant Funded Professional Services for Airports 12 Packet Page -2719- 9/8/2015 16.G.1. Exhibit IA - Federal Aviation Administration Provisions CFDA 20.106 TITLE VI — CONTRACTOR CONTRACTUAL REQUIREMENTS CIVIL RIGHTS ACT OF 1964 During the performance of this contract, the contractor, for itself, its assignees and successors in interest (hereinafter referred to as the "contractor ") agrees as follows: 1.1 Compliance with Regulations. The contractor shall comply with the Regulations relative to nondiscrimination in federally assisted programs of the Department of Transportation (hereinafter, 'DOT ") Title 49, Code of Federal Regulations, Part 21, as they may be amended from time to time (hereinafter referred to as the Regulations), which are herein incorporated by reference and made a part of this contract. 1.2 Nondiscrimination. The contractor, with regard to the work performed by it during the contract, shall not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials and leases of equipment. The contractor shall not participate either directly or indirectly in the discrimination prohibited by section 21.5 of the Regulations, including employment practices when the contract covers a program set forth in Appendix B of the Regulations. 1.3 Solicitations for Subcontracts, Including Procurements of Materials and Equipment. In all solicitations either by competitive bidding or negotiation made by the contractor forwork to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the contractor of the contractor's obligations under this contract and the Regulations relative to nondiscrimination on the grounds of race, color, or national origin. 1.4 Information and Reports. The contractor shall provide all information and reports required by the Regulations or directives issued pursuant thereto and shall permit access to its books, records, accounts, other sources of information and its facilities as may be determined by the Sponsor or the Federal Aviation Administration (FAA) to be pertinent to ascertain compliance with such Regulations, orders, and instructions. Where any information required of acontractor is in the exclusive possession of another who fails or refuses to furnish this information, the contractor shall so certify to the sponsor or the FAA, as appropriate, and shall set forth what efforts it has made to obtain the information. 1.5 Sanctions for Noncompliance. In the event of the contractor's noncompliance with the nondiscrimination provisions of this contract, the sponsor shall impose such contract sanctions as it or the FAA may determine to be appropriate, including, but not limited to: a. Withholding of payments to the contractor under the contract until the contractor complies, and/or b. Cancellation, termination, or suspension of thecontract, in whole or in part. Packet Page -2720- 9/8/2015 16.G.1. Exhibit 1A - Federal Aviation Administration Provisions CFDA 20.106 1.6 Incorporation of Provisions. The contractor shall include the provisions of paragraphs 1 through 5 in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Regulations or directives issued pursuant thereto. The contractor shall take such action with respect to any subcontract or procurement as the sponsor or the FAA may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or supplier as a result of such direction, the contractor may request the Sponsor to enter into such litigation to protect the interests of the sponsor and, in addition, the contractor may request the United States to enter into such litigation to protect the interests of the United States. GENERAL CIVIL RIGHTS PROVISIONS AIRPORT AND AIRWAY IMPROVEMENT ACT OF 1982, SECTION 520 The contractor assures that it will comply with pertinent statutes, Executive orders and such rules as are promulgated to assure that no person shall, on the grounds of race, creed, color, national origin, sex, age, or handicap be excluded from participating in any activity conducted with or benefiting from Federal assistance. This provision obligates the tenant /concessionaire /lessee or its transferee for the period during which Federal assistance is extended to the airport a program, except where Federal assistance is to provide, or is in the form of personal property or real property or interest therein or structures or improvements thereon In these cases the provision obligates the party or any transferee for the longer of the following periods: (a) the period during which the property is used by the airport sponsor or any transferee for a purpose for which Federal assistance is extended, or for another purpose involving the provision of similar services or benefits or (b) the period during which the airport sponsor or any transferee retains ownership or possession of the property. In the case of contractors, this provision binds the contractors from the bid solicitation period through the completion of the contract. This provision is in addition to that required of Title VI of the Civil Rights Act of 1964. DISADVANTAGED BUSINESS ENTERPRISES The requirements of 49 CFR Part 26, Regulations of the U.S. Department of Transportation, apply to this contract. It is the policy of the Collier County Airport Authority to practice nondiscrimination based on race, color, sex, or national origin in the award or performance of this contract. All firms qualifying under this solicitation are encouraged to submit bids /proposals. Award of this contract will be conditioned upon satisfying the requirements of this bid specification. These requirements apply to all bidders /offerors, including those who qualify as a Disadvantaged Business Enterprise (DBE) vendor. The Collier County Airport Authority has a race - neutral (non - mandatory) DBE goal of 3% percent The bidder /offeror shall make good faith efforts to meet the contract goal for DBE participation in the performance of this contract, as defined in Appendix A, 49 CFR Part 26. The contractor can locate possible disadvantaged businesses at one of the following organizations: Airport Minority Advisory Council P.O. Box 310866 Atlanta, GA 30331 Minority Bus iness Advocacy and Assistance Office 15 -6429 -2 Grant Funded Professional SeNcesfor Airports 14 Packet Page -2721- 9/8/2015 16.G.1. Exhibit 1A - Federal Aviation Administration Provisions CFDA 20.106 2737 Centerview Drive Knight Building, Suite 201 Tallahassee, Florida 32399 -0950 (904) 487 -0915 Florida Department of Transportation, District I Minority Programs Office 801 North Broadway Bartow, Florida 33831 (941) 533 -8161 The bidder/offeror w ill be required to submit the following information: (1) Proposer'sBidder's List (2) DBE Participation Statement Contract Assurance ( §26.13) - The contractor or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract The contractor shall carry out applicable requirements of 49 CFR Part 26 in the award and administration of DOT assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy, as the recipient deems appropriate. Prompt Payment ( §26.29) - The prime contractor agrees to pay each subcontractor under this prime contract for satisfactory performance of its contract no later than 30 days from the receipt of each payment the prime contractor receives from the COUNTY. The prime contractor agrees further to return retainage payments to each subcontractor within 30 days after the subcontractor's work is satisfactorily completed. Any delay or postponement of payment from the above referenced time frame may occur only for good cause following written approval of the COUNTY. This clause applies to both DBE and non; DBE subcontractors. LOBBYING AND INFLUENCING FEDERAL EMPLOYEES (Required in aH subcontracts) 49 CFR Part 20, Appendix A (1) No Federal appropriated funds shall be paid, by or on behalf of the contractor, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the making of any Federal grant and the amendment or modification of any Federal grant. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member- of Congress in connection with any Federal grant, the contractor shall complete and submit Standard Form -LLL, "Disclosure of Lobby Activities," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required 156429 -2 Grant Funded Professional Services for Airports 15 Packet Page -2722- 9/8/2015 16.G.1. Exhibit 1A - Federal Aviation Administration Provisions CFDA 20.106 certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ACCESS TO RECORDS AND REPORTS 2 CFR § 200.326, 2 CFR § 200.333 The Contractor shall maintain an acceptable cost accounting system. The Contractor agrees to provide the Sponsor, the Federal Aviation Administration and the Comptroller General of the United States or any of their duly authorized representatives' access to any books, documents, papers, and records of the contractor which are directly pertinent to the specific contract for the purpose of making audit, examination, excerpts and transcriptions. The Contractor agrees to maintain all books, records and reports required under this contract for a period of not less than three years after final payment is made and all pending matters are closed BREACH OF CONTRACT TERMS 2 CFR § 200 Appendix II(A) Any violation or breach of terms of this contract on the part of the contractor or their subcontractors may result in the suspension or termination of this contract or such other action that may be necessary to enforce the rights of the parties of this agreement. The duties and obligations imposed by the Contract Documents and the rights and remedies available thereunder shall be in addition to and not a limitation of any duties, obligations, rights and remedies otherwise imposed or available by law. RIGHTS TO INVENTIONS 2 CFR § 200 Appendix II(F) All rights to inventions and materials generated under this contract are subject to regulations issued by the FAA and the Sponsor of the Federal grant underwhich this contract is executed TRADE RESTRICTION CLAUSE 49 CFR part 30 The contractor or subcontractor, by submission of an offer and/or execution of a contract, certifies that it: a. is not owned or controlled by one or more citizens of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative (USTR); b. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; c. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. 15-6429 -2 Grant Funded Professional Services for Airports 16 Packet Page -2723- 9/8/2015 16.G.1. Exhibit 1A - Federal Aviation Administration Provisions CFDA 20.106 Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract shall be awarded to a contractor or subcontractor who is unable to certify to the above. If the contractor knowingly procures or subcontracts for the supply of any product or service of a foreign country on said list for use on the project, the Federal Aviation Administration may direct through the Sponsor cancellation of the contract at no cost to the Government Further, the contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The contractor may rely on the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The contractor shall provide immediate written notice to the sponsor if the contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide written notice to the contractor if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award If it is later determined that the contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct through the Sponsor cancellation of the contract or subcontract for default at no cost to the Government Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United States of America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code, Section 1001. TERMINATION OF CONTRACT 2 CFR § 200 Appendix II(B) a. The Sponsor may, by written notice, terminate this contract in whole or in part at any time, either for the Sponsor's convenience or because of failure to fulfill the contract obligations. Upon receipt of such notice services shall be immediately discontinued (unless the notice directs otherwise) and all materials as may have been accumulated in performing this contract, whether completed or in progress, delivered to the Sponsor. b. If the termination is for the convenience of the Sponsor, an equitable adjustment in the contract price shall be made, but no amount shall be allowed for anticipated profit on unperformed services. c. If the termination is due to failure to fulfill the contractor's obligations, the Sponsor may take over the work and prosecute the same to completion by contract or otherwise. In such case, the contractor shall be liable to the Sponsor for any additional cost occasioned to the Sponsor thereby. 15- 6429 -2 Grant Funded Professional Services for Airports 17 Packet Page -2724- 9/8/2015 16.G.1. Exhibit IA - Federal Aviation Administration Provisions CFDA 20.106 d. If, after notice of termination for failure to fulfill contract obligations, it is determined that the contractor had not so failed, the termination shall be deemed to have been effected for the convenience of the Sponsor. In such event, adjustment in the contract price shall be made as provided in paragraph 2 of this clause. e. The rights and remedies of the sponsor provided in this clause are in addition to any other rights and remedies provided by law or under this contract. CERTIFICATION REGARDING DEBAREMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION 2 CFR part 180 (Subpart C), 2 CFR part 1200 DOT Order 4200.5 DOT Suspension & Debarment Procedures & Ineligibility The bidder /offeror certifies, by submission of this proposal or acceptance of this contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the bidder /offcror /contractor or any lower tier participant is unable to certify to this statement, it shall attach an explanation to this solicitation/proposal. OCCUPATIONAL SAFETY AND HEALTH ACT OF 1970 20 CFR part 1910 All contracts and subcontracts that result from this solicitation incorporate the following provisions by reference, with the same force and effect as if given in full text. The contractor has full responsibility to monitor compliance to the referenced statute or regulation. The contractor must address any claims or disputes that pertain to a referenced requirement directly with the Federal Agency with enforcement responsibilities. TEXTING WHEN DRIVING aecutive Order 13513, and DOT Order 3902.10 In accordance with Executive Order 13513, "Federal Leadership on Reducing Text Messaging While Driving" (10/1/2009) and DOT Order 3902.10 "Text Messaging While Driving" (12/30/2009), FAA encourages recipients of Federal grant funds to adopt and enforce safety policies that decrease crashes by distracted drivers, including policies to ban text messaging while driving when performing work related to a grant or sub -grant. The Contractor must promote policies and initiatives for employees and other work personnel that decrease crashes by distracted drivers, including policies to ban text messaging while driving. The Contractor must include these policies in each third party subcontract involved on this project. CLEAN AIR AND WATER POLLUTION CONTROL 2 CFR § 200 Appendix II(G) 15 -6429 -2 Grant Funded Professional Services for Airports 18 Packet Page -2725- 9/8/2015 16.G.1. Exhibit IA - Federal Aviation Administration Provisions CFDA 20.106 Contractors and subcontractors agree: 1. That any facility to be used in the performance of the contract or subcontract or to benefit from the contract is not listed on the Environmental Protection Agency (EPA) List of Violating Facilities; 2. To comply with all the requirements of Section 114 of the Clean Air Act, as amended, 42 U.S.C. 1857 et seq. and Section 308 of the Federal Water Pollution Control Act, as amended, 33 U.S.C. 1251 et seq. relating to inspection, monitoring, entry, reports, and information, as well as all other requirements specified in Section 114 and Section 308 of the Acts, respectively, and all other regulations and guidelines issued thereunder, 3. That as a condition for the award of this contract, the contractor or subcontractor will notify the awarding official of the receipt of any communication from the EPA indicating that a facility to be used for the performance of or benefit from the contract is under consideration to be listed on the EPA List of Violating Facilities; 4. To include or cause to be included in any construction contractor subcontract which exceeds $100,000 the aforementioned criteria and requirements. CONTRACT WORKHOURS AND SAFETY STANDARDS ACT REQUIREMENTS 2 CFR § 200 Appendix II (E) 1. Overtime Requirements. - No contractor or subcontractor contracting for any part of the contract work which may require or involve the employment of laborers or mechanics shall require or permit any such laborer or mechanic, including watchmen and guards, in any workweek in which he or she is employed on such work to work in excess of forty hours in suchworkweek unless such laborer or mechanic receives compensation at a rate not less than one and one -half times the basic rate of pay for all hours worked in excess of forty hours in such w orkw eek. 2. Violation; Liability for Unpaid Wages; Liquidated Damages. - In the event of any violation of the clause set forth in paragraph (1) above, the contractor and any subcontractor responsible therefore shall be liable for the unpaid wages. In addition, such contractor and subcontractor shall be liable to the Chafed States (in the case of work done under contract for the District of Columbia or a territory, to such District or to such territory), for liquidated damages. Such liquidated damages shall be computed with respect to each individual laborer or mechanic, including watchmen and guards, employed in violation of the clause set forth in paragraph 1 above, in the sum of $10 for each calendar day on which such individual was required or permitted to work in excess of the standard workweek of forty hours without payment of the overtime wages required by the clause set forth in paragraph 1 above. 3. Withholding for Unpaid Wages and Liquidated Damages. - The Federal Aviation Administration or the Sponsor shall upon its own action or upon written request of an authorized representative of the Department of Labor withhold or cause to be withheld, from any monies payable on account of work performed by the contractor or subcontractor under any such contract or any other Federal contract with the same prime contractor, or any other Federally - assisted contract subject to the Contract Work Hours and Safety Standards Act, which is held by the same prime contractor, such sums as may be determined to be necessary to satisfy any liabilities of such contractor or subcontractor for unpaid wages and liquidated damages as provided in theclause set forth in paragraph 2 above. 15 -6429 -2 Grant Funded Professional Services for Airports 19 Packet Page -2726- 9/8/2015 16.G.1. Exhibit IA - Federal Aviation Administration Provisions CFDA 20.106 4. Subcontractors. - The contractor or subcontractor shall insert in any subcontracts the clauses set forth in paragraphs 1 through 4 and also a clause requiring the subcontractor to include these clauses in any lower tier subcontracts. The prime contractor shall be responsible for compliance by any subcontractor or lower tier subcontractor with the clauses set forth in paragraphs 1 through 4 of this section. FEDERAL FAIR LABOR STANDARDS ACT (FEDERAL MINIMUM WAGE) 29 USC § 201, et seq. All contracts and subcontracts that result from this solicitation incorporate the following provisions by reference, with the same force and effect as if given in full text. The contractor has full responsibility to monitor compliance to the referenced statute or regulation. The contractor must address any claims or disputes that pertain to a referenced requirement directly with the Federal Agency with enforcement responsibilities. (Updated 1.1.15) Packet Page -2727- 15. 6429 -2 Grant Funded Professional Services for Airports 20 9/8/2015 16.G.1. Exhibit IB: Required Grant Forms THE FOLLOWING DOCUMENTS ARE ATTACHED TO THIS SOLICITATION IN ATTACHMENT 9 AND SHOULD BE RETURNED WITH SOLICIATION DOCUMENTS BY DEADLINE TO BE CONSIDERED RESPONSIVE 1. Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions 2. General Grant Clauses 3. Disclosure of Lobbying Activities 4. Conflict of Interest Affidavit 5. Anticipated DBE or M/WBE Participation Statement 6. Contractors Bid Opportunity List 7. Drug Free Workplace Packet Page -2728- Exhibit II: General RFP Instructions 1. Questions 9/8/2015 16.G.1. Direct questions related to this RFP to the Collier County Purchasing Department Online Bidding System website: www.colliergov.net/bid. Consultants must clearly understand that the only official answer or position of the County will be the one stated on the Collier County Purchasing Department Online Bidding System website. For general questions, please call the referenced Procurement Strategist noted on the cover page. 2. Pre - Proposal Conference The purpose of the pre - proposal conference is to allow an open forum for discussion and questioning with County staff regarding the RFP with all prospective Consultants having an equal opportunity to hear and participate. Oral questions will receive oral responses, neither of which will be official, nor become part of the RFP. Only written responses to written questions will be considered official, and will be included as part of the RFP as an addendum. All prospective Consultants are strongly encouraged to attend, as, this will usually be the only pre - proposal conference for this solicitation. If this pre- proposal conference is denoted as "mandatory', prospective Consultants must be present in order to submit a proposal response. 3. Compliance with the RFP Proposals must be in strict compliance with this RFP. Failure to comply with all provisions of the RFP may result in disqualification. 4. Ambiguity, Conflict, or Other Errors in the RFP It is the sole responsibility of the Consultant if the Consultant discovers any ambiguity, conflict, discrepancy, omission or other error in the RFP, to immediately notify the Procurement Strategist, noted herein, of such error in writing and request modification or clarification of the document prior to submitting the proposal. The Procurement Strategist will make modifications by issuing a written revision and will give written notice to all parties who have received this RFP from the Purchasing Department 5. Proposal, Presentation, and Protest Costs The County will not be liable in any way for any costs incurred by any Consultant in the preparation of its proposal in response to this RFP, nor for the presentation of its proposal and /or participation in any discussions, negotiations, or, if applicable, any protest procedures. 6. Delivery of Proposals Packet Page -2729- 15 -6429 -2 Grant Funded Professional Services for Airports 22 9/8/2015 16.G.1. All proposals are to be delivered before 3:OOPm, Naples local time, on or before 6/23/2015 to: Collier County Government Purchasing Department 3327 Tamiami Trail E Naples FL 34112 Attn: Adam Northrup, Procurement Strategist The County does not bear the responsibility for proposals delivered to the Purchasing Department past the stated date and /or time indicated, or to an incorrect address by Consultant's personnel or by the Consultant's outside carrier. However, the Procurement Director, or designee, reserves the right to accept proposals received after the posted close time under the following conditions: • The tardy submission of the proposal is due to the following circumstances, which may include but not be limited to: late delivery by commercial carrier such as Fed Ex, UPS or courier where delivery was scheduled before the deadline. • The acceptance of said proposal does not afford any competing firm an unfair advantage in the selection process. Consultants must submit one (1) paper copy clearly labeled "Master." and six (6) compact disks (CD's) with one copy of the proposal on each CD in Word. Excel or PDF. List the Solicitation Number and Title on the outside of the box or envelope. 7. Validity of Proposals No proposal can be withdrawn after it is filed unless the Consultant makes their request in writing to the County prior to the time set for the closing of Proposals. All proposals shall be valid for a period of one hundred eighty (180) days from the submission date to accommodate evaluation and selection process. 8. Method of Source Selection The County is using the Competitive Sealed Proposals methodology of source selection for this procurement, as authorized by Ordinance Number 2013 -69 establishing and adopting the Collier County Purchasing Policy. If the County receives proposals from less than three (3) firms, the Procurement Director shall review all the facts and determine if it is in the best interest of the County to solicit additional proposals or request that the Selection Committee rank order the received proposals. The County may, as it deems necessary, conduct discussions with qualified Consultants determined to be in contention for being selected for award for the purpose of clarification to assure full understanding of, and responsiveness to solicitation requirements. 9. Evaluation of Proposals Collier County will evaluate and select these Services in accordance with Florida Statute 287.055, Consultants' Competitive Negotiation Act. 15 -6429 -2 Grant Funded ProfessonaI Services for Airports 23 Packet Page -2730- 9/8/2015 16.G.1. The County's procedure for selecting is as follows: 1. The County Manager or designee shall appoint a Selection Committee to review all proposals submitted. 2. Request for Proposals issued. 3. Subsequent to the closing of proposals, the Procurement Strategist will review the proposals received and verify whether each proposal appears to be minimally responsive to the requirements of the published RFP. 4. Meetings will be open to the public and the Procurement Strategist will publicly post prior notice of such meeting in the lobby of the Purchasing Building. 5. The committee members will review each Proposal individually and score each proposal based on the evaluation criteria stated herein. 6. Prior to the first meeting of the selection committee, the Procurement Strategist will post a notice announcing the date, time and place of the first committee meeting. Said notice will be posted in the lobby of the Purchasing Building not less than three (3) working days prior to the meeting. The Procurement Strategist will also post prior notice of all subsequent committee meetings and will endeavor to post such notices at least one (1) day in advance of all subsequent meetings. 7. Collier County will consider all the material submitted by the Proposer and other information Collier County may obtain to determine whether the Proposer is capable of and has a history of successfully completing projects of this type, including, without limitation, additional information Collier County may request, interviews, or oral presentations. 8. The Selection Committee, as approved by the County Manager or designee, will review, evaluate and rank all responsive proposals received from Proposers responding to this RFP. The committee members will score each Proposal in accordance with the rating criteria set forth below and may, at their discretion, schedule presentations from any firms submitting a proposal. Consultant(s) shall have an opportunity to discuss their qualifications, approach to the project and ability to furnish services for the scope of work outlined in this solicitation during the publicly announced Selection Committee Meeting prior to the final ranking. This discussion does not preclude the County from having additional presentations by ranked firms at the County's sole discretion. 9. The Selection Committee will rank qualified firms in order of preference and by consensus using all information presented to the Committee, choose the top ranked firm and will subsequently enter into negotiations with the top ranked firm. Award of the contract is dependent upon the successful and full execution of a mutually agreed contract. 10. Negotiations shall begin with the top- ranked firm(s) in accordance with Florida Statute 287.055. 11. Upon the successful completion of negotiations, contracts will be presented to the Board of County Commissioners for approval. The County reserves the right to withdraw this RFP at any time and for any reason, and to issue such clarifications, modifications, addendums, and /or amendments as it may deem appropriate, including, but not limited, to requesting supplemental proposal information. Receipt of a proposal by the County or a submission of a proposal to the County offers no rights upon the Consultant nor obligates the County in any manner. 15- 6429 -2 Grant Funded Professional Services for Airports 24 Packet Page -2731- 9/8/2015 16.G.1. Acceptance of the proposal does not guarantee issuance of any other governmental approvals. Proposals which include provisions requiring the granting of zoning variances may not be considered. 10. References The County reserves the right to contact any and all references submitted as a result of this solicitation. 11. Proposal Selection Committee and Evaluation Factors The County Manager or designee will appoint a Selection Committee to review all proposals submitted. The factors to be considered in the evaluation of proposal responses are listed below. Tab II, Firm's Credentials and Experience 40 Tab III, Discipline Experience 30 Tab IV, References 20 Tab V, Firm's Availability and Responsiveness 10 TOTAL 400 Points Tie Breaker: In the event of a tie, both in individual scoring and in final ranking, the firm with the lowest paid dollars by Collier County to the Consultant (as obtained from the County's financial system) within the last five (5) years will receive the higher individual ranking. This information will be based on information provided by the Consultant, subject to verification at the County's option. If there is a multiple firm tie in either individual scoring or final ranking, the firm with the lowest volume of work shall receive the higher ranking, the firm with the next lowest volume of work shall receive the next highest ranking and so on. 12. Acceptance or Rejection of Proposals The right is reserved by the County to waive any irregularities in any proposal, to reject any or all proposals, to re- solicit for proposals, if desired, and upon recommendation and justification by Collier County to accept the proposal which in the judgment of the County is deemed the most advantageous for the public and Collier County. Any proposal which is incomplete, conditional, obscure or which contains irregularities of any kind, may be cause for rejection. In the event of default of the successful Consultant, or their refusal to enter into the Collier County contract, the County reserves the right to accept the proposal of any other Consultant or to re- advertise using the same or revised documentation, at its sole discretion. 15. 6429 -2 Grant Funded Professional Services for Airports 25 Packet Page -2732- 9/8/2015 16.G.1. Exhibit III: Collier County Purchase Order Terms and Conditions 1. Offer This offer is subject to cancellation by the and to comply with all carrier regulations. Risk of loss of any goods COUNTY without notice if not accepted by sold hereunder shall transfer to the VENDOR within fourteen (14) days of COUNTY at the time and place of issuance. delivery; provided that risk of loss prior to actual receipt of the goods by the 2. Acceptance and Confirmation COUNTY nonetheless remain with This Purchase Order (including all VENDOR. documents attached to or referenced b) No charges will be paid by the COUNTY therein) constitutes the entire agreement for packing, crating or cartage unless between the parties, unless otherwise otherwise specifically stated in this specifics y noted by the COUNTY on the Purchase Order. Unless otherwise face of this Purchase Order. Each delivery provided in Purchase Order, no invoices of goods and /or services received by the shall be issued nor payments made COUNTY from VENDOR shall be deemed to prior to delivery. Unless freight and be upon the terms and conditions contained other charges are itemized, any in this Purchase Order. discount will be taken on the full amount of invoice. No additional terms may be added and c) All shipments of goods scheduled on the Purchase Order may not be changed except same day via the same route must be by written instrument executed by the consolidated. Each shipping container COUNTY. VENDOR is deemed to be on must be consecutively numbered and notice that the COUNTY objects to any marked to show this Purchase Order additional or different terms and conditions number. The container and Purchase contained in any acknowledgment, invoice Order numbers must be indicated on bill or other communication from VENDOR, of lading. Packing slips must show notwithstanding the COUNTY'S acceptance Purchase Order number and must be or payment for any delivery of goods and /or included on each package of less than services, or any similar act by VENDOR container load (LCL) shipments and/or with each car load of equipment. The 3. Inspection COUNTY reserves the right to refuse or All goods and/or services delivered return any shipment or equipment at hereunder shall be received subject to the VENDOR'S expense that is not marked COUNTY'S inspection and approval and with Purchase Order numbers. payment therefore shall not constitute VENDOR agrees to declare to the acceptance. All payments are subject to carrier the value of any shipment made adjustment for shortage or rejection. All under this Purchase Order and the full defective or nonconforming goods will be invoice value of such shipment. returned pursuant to VENDORS instruction d) All invoices must contain the Purchase at VENDOR'S expense. Order number and any other specific To the extent that a purchase order requires information as identified on the Purchase Order. Discounts of prompt a series of performances by VENDOR, the payment will be computed from the date COUNTY prospectively reserves the right to of receipt of goods or from date of cancel the entire remainder of the Purchase receipt of invoices, whichever is later. Order if goods and /or services provided Paymert will be made upon receipt of a early in the term of the Purchase Order are proper invoice and in compliance with non - conforming or otherwise rejected by the Chapter 218, Fla. Stats., otherwise COUNTY. known as the "Local Govemment 4. Shipping and Invoices Prompt Payment Act," and, pursuart to a) All goods are FOB destination and must the Board of County Commissioners be suitably packed and prepared to Purchasing Policy. secure the lowest transportation rates 15- 6429 -2 Grant Funded Professional Services for Airports 26 Packet Page -2733- Time Is Of the Essence Time for delivery of goods or performance of services under this Purchase Order is of the essence. Failure of VENDOR to meet delivery schedules or deliver within a reasonable time, as interpreted by the COUNTY in its sole judgment, shall entitle the COUNTY to seek all remedies available to it at law or in equity. VENDOR agrees to reimburse the COUNTY for any expenses incurred in enforcing its rights. VENDOR further agrees that undiscovered delivery of nonconforming goods and/or services is not a waiver of the COUNTY'S right to insist upon further compliance with all specifications. Changes The COUNTY may at any time and by written notice make changes to drawings and specifications, shipping instructions, quantities and delivery schedules within the general scope of this Purchase Order. Should any such change increase or decrease the cost of, or the time required for performance of the Purchase Order, an equitable adjustment in the price and/or delivery schedule will be negotiated by the COUNTY and VENDOR. Notwithstanding the foregoing, VENDOR has an affirmative obligation to give notice if the changes will decrease costs. Any claims for adjustment by VENDOR must be made within thirty (30) days from the date the change is ordered or within such additional period of time as may be agreed upon by the parties. Warranties VENDOR expressly warrants that the goods and /or services covered by this Purchase Order will conform to the specifications, drawings, samples or other descriptions furnished or specified by the COUNTY, and will be of satisfactory material and quality production, free from defects and sufficient for the purpose intended. Goods shall be delivered free from any security interest or other lien, encumbrance or claim of any third party. These warranties shall survive inspection, acceptance, passage of title and payment by the COUNTY. 9/8/2015 16.G.1. and transportation shall conform to all applicable laws, including but not limited to the Occupational Health and Safety Act, the Federal Transportation Act and the Fair Labor Standards Act, as well as any law or regulation noted on the face of the Purchase Order. Advertising No VENDOR providing goods and services to the COUNTY shall advertise the fact that it has contracted with the COUNTY for goods and/or services, or appropriate or make use of the COUNTY'S name or other identifying marks or property without the prior written consent of the COUNTY'S Purchasing Department. 10. Indemnification VENDOR shall indemnify and hold harmless the COUNTY from any and all claims, including claims of negligence, costs and expenses, including but not limited to attorneys' fees, arising from, caused by or related to the injury or death of any person (including but not limited to employees and agents of VENDOR in the performance of their duties or otherwise), or damage to property (including property of the COUNTY or other persons), which arise out of or are incident to the goods and/or services to be provided hereunder. 11. Wa rra my of Non -Infr i ngeme nt VENDOR represents and warrants that all goods sold or senvices performed under this Purchase Order are: a) in compliance with applicable laws; b) do not infringe any patent, trademark, copyright or trade secret; and c) do not constitute unfair competition. VENDOR shall indemnify and hold harmless the COUNTY from and against any and all claims, including claims of negligence, costs and expense, including but not limited to attorneys' fees, which arise from any claim, suit or proceeding alleging that the COUNTY'S use of the goods and/or services provided under this Purchase Order are inconsistent with VENDORS representations and warranties in section 11 (a). Statutory Confiormity Goods and services provided pursuant to If any claim which arises from VENDORS this Purchase Order, and their production breach of section 11 (a) has occurred, or is 15. 6429 -2 Grant Funded Professional Services for Airports 27 Packet Page -2734- likely to occur, VENDOR may, at the COUNTY'S option, procure for the COUNTY the right to continue using the goods or services, or replace or modify the goods or services so that they become non - infringing, (without any material degradation in performance, quality, functionality or additional cost to the COUNTY). 12. Insurance Requirements The VENDOR, at its sole expense, shall provide commercial insurance of such type and with such terms and limits as may be reasonably associated with the Purchase Order. Providing and maintaining adequate insurance coverage is a material obligation of the VENDOR. Al insurance policies shall be executed through insurers authorized or eligible to write policies in the State of Florida. 13. Compliance with Laws In fulfilling the terms of this Purchase Order, VENDOR agrees that it will comply with all federal, state, and local laws, rules, codes, and ordinances that are applicable to the conduct of its business. By way of non - exhaustive example, this shall include the American with Disabilities Act and all prohibitions against discrimination on the basis of race, religion, sex creed, national origin, handicap, marital status, or veterans' status. Further, VENDOR acknowledges and without exception or stipulation shall be fully responsible for complying with the provisions of the Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et seq. and regulations relating thereto, as either may be amended. Failure by the awarded firm(s) to comply with the laws referenced herein shall constitute a breach of the award agreement and the County shall have the discretion to unilaterally terminate said agreement immediately. Any breach of this provision may be regarded by the COUNTY as a material and substantial breach of the contract arising from this Purchase Order. 14. Force Majeure Neither the COUNTY nor VENDOR shall be responsible for any delay or failure in performance resulting from any cause beyond their control, including, but without limitation to war, strikes, civil disturbances 9/8/2015 16.G.1. and acts of nature. When VENDOR has knowledge of any actual or potential force majeure or other conditions which will delay or threatens to delay timely performance of this Purchase Order, VENDOR shall immediately give notice thereof, including all relevant information with respects to what steps VENDOR is taking to complete delivery of the goods and/or services to the COUNTY. 15. Assignment VENDOR may not assign this Purchase Order, nor any money due or to become due without the prior written consent of the COUNTY. Any assignment made without such consent shall be deemed void. 16. Taxes Goods and services procured subject to this Purchase Order are exempt from Florida sales and use tax on real property, transient rental property rented, tangible personal purchased or rented, or services purchased (Florida Statutes, Chapter 212), and from federal excise tax. 17. Annual Appropriations The COUNTY'S performance and obligation to pay under this Purchase Order shall be contingent upon an annual appropriation of funds. 18. Termination This Purchase Order may be terminated at any time by the COUNTY upon 30 days prior written notice to the VENDOR. This Purchase Order may be terminated immediately by the COUNTY for breach by VENDOR of the terms and conditions of this Purchase Order, provided that COUNTY has provided VENDOR with notice of such breach and VENDOR has failed to cure within 10 days of receipt of such notice. 19. General a) This Purchase Order shall be governed by the laws of the State of Florida. The venue for any action brought to specifically enforce any of the terms and conditions of this Purchase Order shall be the Twentieth Judicial Circuit in and for Collier County, Florida b) Failure of the COUNTY to act immediately in response to a breach of 15- 6429 -2 Grant Funded Professional Services for Airports 28 Packet Page -2735- C) d) this Purchase Order by VENDOR shall not constitute a waiver of breach. Waiver of the COUNTY by any default by VENDOR hereunder shall not be deemed a waiver of any subsequent default by VENDOR. All notices under this Purchase Order shall be sent to the respective addresses on the face page by certified mail, return receipt requested, by overnight courier service, or by personal delivery and will be deemed effective upon receipt. Postage, delivery and other charges shall be paid by the sender. A party may change its address for notice by written notice complying with the requiremerts of this section. The Vendor agrees to reimbursement of any travel expenses that may be associated with this Purchase Order in 9/8/2015 16.G.1. accordance with Florida Statute Chapter 112.061, Per Diem and Travel Expenses for Public Officers, employees and authorized persons. e) In the event of any conflict between or among the terms of any Contract Documents related to this Purchase Order, the terms of the Contract Documents shall take precedence over the terms of the Purchase Order. To the extent any terms and /or conditions of this Purchase Order duplicate or overlap the Terms and Conditions of the Contract Documents, the provisions of the Terms and /or Conditions that are most favorable to the County and /or provide the greatest protection to the County shall govem. Packet Page -2736- 15 -6429 -2 Grant Funded Professional Services for Airports 29 9/8/2015 16.G.1. Exhibit IV: Additional Terms and Conditions for RFP 1. Insurance and Bonding Requirements The Consultant shall at its own expense, carry and maintain insurance coverage from responsible companies duly authorized to do business in the State of Florida as set forth in the Insurance and Bonding attachment of this solicitation. The Consultant shall procure and maintain property insurance upon the entire project, if required, to the full insurable value of the scope of work. The County and the Consultant waive against each other and the County's separate Consultants, Contractors, Design Consultant, Subcontractors agents and employees of each and all of them, all damages covered by property insurance provided herein, except such rights as they may have to the proceeds of such insurance. The Consultant and County shall, where appropriate, require similar waivers of subrogation from the County's separate Consultants, Design Consultants and Subcontractors and shall require each of them to include similar waivers in their contracts. Collier County shall be responsible for purchasing and maintaining, its own liability insurance. Certificates issued as a result of the award of this solicitation must identify "For any and all work performed on behalf of Collier County." The General Liability Policy provided by Consultant to meet the requirements of this solicitation shall name Collier County, Florida, as an additional insured as to the operations of Consultant under this solicitation and shall contain a severability of interests provisions. Collier County Board of County Commissioners shall be named as the Certificate Holder. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County.The "Certificate Holder" should read as follows: Collier County Board of County Commissioners Naples, Florida The amounts and types of insurance coverage shall conform to the minimum requirements set forth in Insurance and Bonding attachment, with the use of Insurance Services Office (ISO) forms and endorsements or their equivalents. If Consultant has any self- insured retentions or deductibles under any of the below listed minimum required coverage, Consultant must identify on the Certificate of Insurance the nature and amount of such self- insured retentions or deductibles and provide satisfactory evidence of financial responsibility for such obligations. All self - insured retentions or deductibles will be Consultant's sole responsibility. Coverage(s) shall be maintained without interruption from the date of commencement of the Work until the date of completion and acceptance of the scope of work by the County or as specified in this solicitation, whichever is longer. The Consultant and /or its insurance carrier shall provide 30 days written notice to the County of policy cancellation or non - renewal on the part of the insurance carrier or the Consultant. The Consultant shall also notify the County, in a like manner, within twenty -four (24) hours after receipt, of any notices of expiration, cancellation, non - renewal or material change in coverage or limits received by Consultant from its insurer and nothing contained herein shall relieve Consultant of this requirement to 15 -6429 -2 Grant Funded Professional Services for Airports 30 Packet Page -2737- 9/8/2015 16.13.1. provide notice. In the event of a reduction in the aggregate limit of any policy to be provided by Consultant hereunder, Consultant shall immediately take steps to have the aggregate limit reinstated to the full extent permitted under such policy. Should at any time the Consultant not maintain the insurance coverage(s) required herein, the County may terminate the Agreement or at its sole discretion shall be authorized to purchase such coverage(s) and charge the Consultant for such coverage(s) purchased. tf Consultant fails to reimburse the County for such costs within thirty (30) days after demand, the County has the right to offset these costs from any amount due Consultant under this Agreement or any other agreement between the County and Consultant. The County shall be under no obligation to purchase such insurance, nor shall it be responsible for the coverage(s) purchased or the insurance company or companies used. The decision of the County to purchase such insurance coverage(s) shall in no way be construed to be a waiver of any of its rights under the Contract Documents. If the initial or any subsequently issued Certificate of Insurance expires prior to the completion of the scope of work, the Consultant shall furnish to the County renewal or replacement Certificate(s) of Insurance not later than ten (10) calendar days after the expiration date on the certificate. Failure of the Consultant to provide the County with such renewal certificate(s) shall be considered justification for the County to terminate any and all contracts. 2. Offer Extended to Other Governmental Entities Collier County encourages and agrees to the successful Consultant extending the pricing, terms and conditions of this solicitation or resultant contract to other governmental entities at the discretion of the successful Consultant. 3. Additional Items and /or Services Additional items and / or services may be added to the resultant contract, or purchase order, in compliance with the Purchasing Policy. 4. Use of Subcontractors Bidders on any service related project, including construction, must be qualified and directly responsible for 10% or more of the solicitation amount for said work. 5. County's Right to Inspect The County or its authorized Agent shall have the right to inspect the Consultant's facilities /project site during and after each work assignment the Consultant is performing. 6. Vendor Performance Evaluation The County has implemented a Vendor Performance Evaluation System for all contracts awarded in excess of $25,000. To this end, vendors will be evaluated on their performance upon completion /termination of this Agreement. 7. Additional Terms and Conditions of Contract 15- 6429 -2 Grant Funded Professional Services for Airports 31 Packet Page -2738- 9/8/2015 16.G.1. Collier County has developed standard contracts/agreements, approved by the Board of County Commissioners (BCC). The selected Consultant shall be required to sign a standard Collier County contract within twenty one (21) days of Notice of Selection for Award. The County reserves the right to include in any contract document such terms and conditions, as it deems necessary for the proper protection of the rights of Collier County. A sample copy of this contract is available upon request. The County will not be obligated to sign any contracts, maintenance and /or service agreements or other documents provided by the Consultant. The County's project manager, shall coordinate with the Vendor / Contractor the return of any surplus assets, including materials, supplies, and equipment associated with the scope or work. 8. Public Records Compliance The Vendor /Contractor agrees to comply with the Florida Public Records Law Chapter 119 (including specifically those contractual requirements at F.S. § 119.0701(2) (a) -(d) and (3)), ordinances, codes, rules, regulations and requirements of any governmental agencies. 9. Work Orders on Fixed Term Contracts The County reserves the right to order such services from selected firms as may be required during said period, but does not guarantee any minimum or maximum services to be ordered during the period specified from any given firm. Work Order service assignments shall be at the sole discretion of the County. The contracts are classified as fixed -term Countywide Agreements for various and miscellaneous engineering services which will be utilized on an as- needed basis. Assignments shall be implemented with Work Orders subject to a maximum of $200,000 per Work Order. Work Order assignments in excess of $200,000 shall be approved by the Board of County Commissioners. Should any project that is active on a work order extend past the contract termination date, that work order will be active and extended as necessary until completion of such project. 10. Payment Method Payments are made in accordance with the Local Government Prompt Payment Act, Chapter 218, Florida Statutes. Vendor's invoices must include: • Purchase Order Number • Description and quantities of the goods or services provided per instructions on the County's purchase order or contract. Invoices shall be sent to: Board of County Commissioners Clerk's Finance Department ATTN: Accounts Payable 3299 Tamiami Trail E Ste 700 Naples FL 34112 Or emailed to: bccapclerkr'a)collierclerk.com. 15- 6429 -2 Grant Funded Professional Services for Airports 32 Packet Page -2739- 9/8/2015 16.G.1. Collier County, in its sole discretion, will determine the method of payment for goods and /or services as part of this agreement. Payment methods include: • Traditional — payment by check, wire transfer or other cash equivalent. • Standard — payment by purchasing card. Collier County's Purchasing Card Program is supported by standard bank credit suppliers (i.e. VISA and MasterCard), and as such, is cognizant of the Rules for VISA Merchants and MasterCard Merchant Rules. The County may not accept any additional surcharges (credit card transaction fees) as a result of using the County's credit card for transactions relating to this solicitation. The County will entertain bids clearly stating pricing for standard payment methods. An additional separate discounted price for traditional payments may be provided at the initial bid submittal if it is clearly marked as an "Additional Cash Discount." Upon execution of the Contract and completion of each month's work, payment requests may be submitted to the Project Manager on a monthly basis by the Contractor for services rendered for that prior month. Services beyond sixty (60) days from current monthly invoice will not be considered for payment without prior approval from the Project manager. All invoices should be submitted within the fiscal year the work was performed. (County's fiscal year is October 1 - September 30.) Invoices submitted after the close of the fiscal year will not be accepted (or processed for payment) unless specifically authorized by the Project Manager. Payments will be made for articles and/or services furnished, delivered, and accepted, upon receipt and approval of invoices submitted on the date of services or within six (6) months after completion of contract. Any untimely submission of invoices beyond the specified deadline period is subject to non- payment under the legal doctrine of "laches" as untimely submitted. Time shall be deemed of the essence with respect to the timely submission of invoices under this agreement. In instances where the successful contractor may owe debts (including, but not limited to taxes or other fees) to Collier County and the contractor has not satisfied nor made arrangement to satisfy these debts, the County reserves the right to off -set the amount owed to the County by applying the amount owed to the vendor or contractor for services performed of for materials delivered in association with a contract. Invoices shall not reflect sales tax. After review and approval, the invoice will be transmitted to the Finance Division for payment Payment will be made upon receipt of proper invoice and in compliance with Chapter 218 Florida Statutes, otherwise known as the "Local Government Prompt Payment Act." Collier County reserves the right to withhold and /or reduce an appropriate amount of any payment for work not performed or for unsatisfactory performance of Contractual requirements. 11. Environmental Health and Safety All Consultants and Sub Consultants performing service for Collier County are required and shall comply with all Occupational Safety and Health Administration (OSHA), State and County Safety and Occupational Health Standards and any other applicable rules and regulations. Consultants and Sub Consultants shall be responsible for the safety of their employees and any unsafe acts or conditions that may cause injury or damage to any persons or property within and around the work site. All firewall penetrations must be protected in order to meet Fire Codes. 15- 6429 -2 Grant Funded Professional Services for Airports 33 Packet.Page -2740- 9/8/2015 16.G.1. Collier County Government has authorized OSHA representatives to enter any Collier County facility, property and /or right -of -way for the purpose of inspection of any Consultant's work operations. This provision is non - negotiable by any department and /or Consultant All new electrical installations shall incorporate NFPA 70E Short Circuit Protective Device Coordination and Arc Flash Studies where relevant as determined by the engineer. All electrical installations shall be labeled with appropriate NFPA 70E arch flash boundary and PPE Protective labels. 12. Licenses The Consultant is required to possess the correct Business Tax Receipt, professional license, and any other authorizations necessary to carry out and perform the work required by the project pursuant to all applicable Federal, State and Local Law, Statute, Ordinances, and rules and regulations of any kind. Additionally, copies of the required licenses must be submitted with the proposal response indicating that the entity proposing, as well as the team assigned to the County account, is properly licensed to perform the activities or work included in the contract documents. Failure on the part of any Consultant to submit the required documentation may be grounds to deem Consultant non - responsive. A Consultant, with an office within Collier County is also required to have an occupational license. All State Certified contractors who may need to pull Collier County permits or call in inspections must complete a Collier County Contractor License registration form and submit the required fee. After registering the license /registration will need to be renewed thereafter to remain "active" in Collier County If you have questions regarding professional licenses contact the Contractor Licensing, Community Development and Environmental Services at (239) 252 -2431, 252 -2432 or 252 -2909. Questions regarding required occupational licenses, please contact the Tax Collector's Office at (239) 252 -2477. 13. Survivability Work Orders: The Consultant/ContractorNendor agrees that any Work Order that extends beyond the expiration date of Solicitation 15 -6382 will survive and remain subject to the terms and conditions of that Agreement until the completion or termination of this Work Order. 14. Principals /Collusion By submission of this Proposal the undersigned, as Consultant, does declare that the only person or persons interested in this Proposal as principal or principals is /are named therein and that no person other than therein mentioned has any interest in this Proposal or in the contract to be entered into; that this Proposal is made without connection with any person, company or parties making a Proposal, and that it is in all respects fair and in good faith without collusion or fraud. 15. Relation of County It is the intent of the parties hereto.that the Consultant shall be legally considered an independent Consultant, and that neither the Consultant nor their employees shall, under any circumstances, be considered employees or agents of the County, and that the County shall be at no time legally responsible for any negligence on the part of said Consultant, their employees or agents, resulting in either bodily or personal injury or property damage to any individual, firm, or corporation. 15- 6429 -2 Grant Funded Professional SeNces for Airports 34 Packet Page -2741- 9/8/2015 16.G.1. 16. Termination Should the Consultant be found to have failed to perform his services in a manner satisfactory to the County, the County may terminate this Agreement immediately for cause; further the County may terminate this Agreement for convenience with a thirty (30) day written notice. The County shall be sole judge of non - performance. 17. Lobbying All firms are hereby placed on NOTICE that the Board of County Commissioners does not wish to be lobbied, either individually or collectively about a project for which a firm has submitted a Proposal. Firms and their agents are not to contact members of the County Commission for such purposes as meeting or introduction, luncheons, dinners, etc. During the process, from Proposal closing to final Board approval, no firm or their agent shall contact any other employee of Collier County in reference to this Proposal, with the exception of the Procurement Director or his designee(s). Failure to abide by this provision may serve as grounds for disqualification for award of this contract to the firm. 18. Certificate of Authority to Conduct Business in the.State of Florida (Florida Statute 607.1501) In order to be considered for award, firms must be registered with the Florida Department of State Divisions of Corporations in accordance with the requirements of Florida Statute 607.1501 and provide a certificate of authority (www.sunbizorg /search.html) prior to execution of a contract. A copy of the document may be submitted with the solicitation response and the document number shall be identified. Firms who do not provide the certificate of authority at the time of response shall be required to provide same within five (5) days upon notification of selection for award. If the firm cannot provide the document within the referenced timeframe, the County reserves the right to award to another firm. 19. Single Proposal Each Consultant must submit, with their proposal, the required forms included in this RFP. Only one proposal from a legal entity as a primary will be considered. A legal entity that submits a proposal as a primary or as part of a partnership or joint venture submitting as primary may not then act as a sub - consultant to any other firm submitting under the same RFP. If a legal entity is not submitting as a primary or as part of a partnership or joint venture as a primary, that legal entity may act as a sub - consultant to any other firm or firms submitting under the same RFP. All submittals in violation of this requirement will be deemed non - responsive and rejected from further consideration. 20. Protest Procedures Any prospective vendor / proposer who desires to protest any aspect(s) or provision(s) of the solicitation (including the form of the solicitation documents or procedures) shall file their protest with the Procurement Director prior to the time of the bid opening strictly in accordance with the County's then current purchasing ordinance and policies. The Board of County Commissioners will make award recommendations will be posted outside the offices of the and Thursdays. Any actual or prospective responden t recommended contract award must file a notice of intent within two (2) calendar days (excluding weekends and recommended award is posted. Packet Page -2742- of contract in public session. Award Purchasing Department on Wednesdays who desires to formally protest the to protest with the Procurement Director County holidays) of the date that the 15- 6429 -2 Grant Funded Professional Services for Airports 35 9/8/2015 16.G.1. Upon filing of said notice, the protesting party will have five (5) days to file a formal protest and will be given instructions as to the form and content requirements of the formal protest. A copy of the 'Protest Policy" is available at the office of the Procurement Director. 21. Public Entity Crime A person or affiliate who has been placed on the convicted Consultant list following a conviction for a public entity crime may not submit a bid, proposal, or reply on a contract to provide any goods or services to a public entity; may not submit a bid, proposal, or reply on a contract with a public entity for the construction or repair of a public building or public work; may not submit bids, proposals, or replies on leases of real property to a public entity; may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity; and may not transact business with any public entity in excess of the threshold amount provided in s. 287.017 for CATEGORY TWO for a period of 36 months following the date of being placed on the convicted Consultant list. 22. Security and Background Checks If required, Consultant / Vendor / Contractor / Proposer shall be responsible for the costs of providing background checks by the Collier County Facilities Management Department, and drug testing for all employees that shall provide services to the County under this Agreement. This may include, but not be limited to, checking federal, state and local law enforcement records, including a state and FBI fingerprint check, credit reports, education, residence and employment verifications and other related records. Contractor shall be required to maintain records on each employee and make them available to the County for at least four (4) years. 23. Conflict of Interest Consultant shall complete the Conflict of Interest Affidavit included as an attachment to this RFP document. Disclosure of any potential or actual conflict of interest is subject to County staff review and does not in and of itself disqualify a firm from consideration. These disclosures are intended to identify and or preclude conflict of interest situations during contract selection and execution. 24. Prohibition of Gifts to County Employees No organization or individual shall offer or give, either directly or indirectly, any favor, gift, loan, fee, service or other item of value to any County employee, as set forth in Chapter 112, Part III, Florida Statutes, the current Collier County Ethics Ordinance and County Administrative Procedure 5311. Violation of this provision may result in one or more of the following consequences: a. Prohibition by the individual, firm, and/or any employee of the firm from contact with County staff for a specified period of time; b. Prohibition by the individual and /or firm from doing business with the County for a specified period of time, including but not limited to: submitting bids, RFP, and /or quotes; and, c. immediate termination of any contract held by the individual and /or firm for cause. 25. Immigration Law Affidavit Certification Statutes and executive orders require employers to abide by the immigration laws of the United States and to employ only individuals who are eligible to work in the United States. 15- 6429 -2 Grant Funded Professional Ser\ices for Airports 36 Packet Page -2743- 9/8/2015 16.G.1. The Employment Eligibility Verification System (E- Verify) operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA), provides an Intemet- based means of verifying employment eligibility of workers in the United States; it is not a substitute for any other employment eligibility verification requirements. The program will be used for Collier County formal Invitations to Bid (ITB) and Request for Proposals (RFP) including professional services and construction services. Exceptions to the program: • Commodity based procurement where no services are provided. • Where the requirement for the affidavit is waived by the Board of County Commissioners Consultants / Bidders are required to enroll in the E- Verify program, and provide acceptable evidence of their enrollment, at the time of the submission of the Consultant's/bidder's proposal. Acceptable evidence consists of a copy of the properly completed E- Verify Company Profile page or a copy of the fully executed E- Verify Memorandum of Understanding for the company. Consultants are also required to provide the Collier County Purchasing Department an executed affidavit certifying they shall comply with the E- Verify Program. The affidavit is attached to the solicitation documents. If the Bidder /Consultant does not comply with providing the acceptable E- Verify evidence and the executed affidavit the bidder's /Consultant's proposal may be deemed non - responsive. Additionally, Consultants shall require all subcontracted Consultants to use the E Verify system for all purchases not covered under the "Exceptions to the program" clause above. For additional information regarding the Employment Eligibility Verification System (E- Verify) program visit the following website: http: / /www.dhs.gov /E- Verif v. It shall be the Consultant's responsibility to familiarize themselves with all rules and regulations governing this program. Consultant acknowledges, and without exception or stipulation, any firm(s) receiving an award shall be fully responsible for complying with the provisions of the Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et sea. and regulations relating thereto, as either may be amended and with the provisions contained within this affidavit. Failure by the awarded firm(s) to comply with the laws referenced herein or the provisions of this affidavit shall constitute a breach of the award agreement and the County shall have the discretion to unilaterally terminate said agreement immediately. 15- 6429 -2 Grant Funded Professional Services for Airports 37 Packet Page -2744- 9/8/2015 16.G.1. Cdiler Corny Admimstrabve Services Division Procurement Services Attachment 1: Consultant's Non - Response Statement The sole intent of the Collier County Purchasing Department is to issue solicitations that are clear, concise and openly competitive. Therefore, we are interested in ascertaining reasons for prospective Consultants not wishing to respond to this solicitation. If your firm is not responding to this RFP, please indicate the reason(s) by checking the item(s) listed below and return this form via email or fax, noted on the cover page, or mail to Collier County Government, Purchasing Department, 3327 Tamiami Trail E, Naples, FL 34112. We are not responding to CCNA Solicitation 15- 6382 -2 — Grant Funded professional Services for Airports for the following reason(s): ❑ Services requested not available through our company. ❑ Our firm could not meet specifications /scope of work. ❑ Specifications /scope of work not clearly understood or applicable (too vague, rigid, etc.) ❑ Project is too small. ❑ Insufficient time allowed for preparation of response. ❑ Incorrect address used. Please correct mailing address: ❑ Other reason(s): Name of Firm: Address: City, State, Zip: Telephone: Email: Representative Signature: Representative Name: Packet Page -2745- Date 15- 6429 -2 Grant Funded Professional Services for Airports 38 9/8/2015 16.G.1. Coder County Administrative Services Division Procurement Services Attachment 2: Consultant Check List IMPORTANT: THIS SHEET MUST BE SIGNED. Please read carefully, sign in the spaces indicated and return with your Proposal. Consultant should check off each of the following items as the necessary action is completed: ❑ The Proposal has been signed. ❑ All applicable forms have been signed and included, along with licenses to complete the requirements of the project ❑ Any addenda have been signed and included. ❑ The mailing envelope has been addressed to: Collier County Government Purchasing Department 3327 Tamiami Trail E Naples FL 34112 Attn: Adam Northrup, Procurement Strategist CCNA Solicitation: 15- 6382 -2 — Grant Funded Airports professional Services for ❑ The mailing envelope must be sealed and marked with Proposal Number, Proposal Title and Due Date. ❑ The Proposal will be mailed or delivered in time to be received no later than the specified due date and time. (Otherwise Proposal cannot be considered.) ❑ If submitting a manual bid, include any addenda (initialed and dated noting understanding and receipt). If submitting bid electronically, bidder will need to download all related documents on www.colliergov.net /bid. The system will date and time stamp when the addendum files were downloaded. ALL COURIER - DELIVERED PROPOSALS MUST HAVE THE RFP NUMBER AND TITLE ON THE OUTSIDE OF THE COURIER PACKET Name of Firm: Address: City, State, Zip: Telephone: Email: Representative Signature: Representative Name: Packet Page -2746- Date 15- 6429 -2 Grant Funded Professional Services for Airports 39 9/8/2015 16.G.1. C© er county Administrafive Services Divisi� Procurement Services Attachment 3: Conflict of Interest Affidavit By the signature below, the firm (employees, officers and /or agents) certifies, and hereby discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned interest or activity (financial, contractual, organizational, or otherwise) which relates to the proposed work; and bear on whether the firm (employees, officers and /or agents) has a possible conflict have been fully disclosed. Additionally, the firm (employees, officers and /or agents) agrees to immediately notify in writing the Procurement Director, or designee, if any actual or potential conflict of interest arises during the contract and /or project duration. Firm: Signature and Date: Print Name Title of Signatory State of _ County of _ SUBSCRIBED AND SWORN to before me this 20 , by identification Notary Public day of , who is personally known to me to be the for the Firm, OR who produced the following My Commission Expires Packet Page -2747- 15- 6429 -2 Grant Funded Professional Services for Airports 40 9/8/2015 16.G.1. C�'.oier County Administrative Services DMsion Procurement Services Attachment 4: Consultant Declaration Statement BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 34112 RE: CCNA Solicitation: 15- 6382 -2 — Grant Funded professional Services for Airports Dear Commissioners: The undersigned, as Consultant declares that this proposal is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud. The Consultant agrees, if this proposal is accepted, to execute a Collier County document for the purpose of establishing a formal contractual relationship between the firm and Collier County, for the performance of all requirements to which the proposal pertains. The Consultant states that the proposal is based upon the proposal documents listed by the above referenced CCNA Solicitation. IN WITNESS WHEREOF, WE have hereunto subscribed our names on this day of 200_ in the County of , in the State of Firm's Legal Name: Address: City, State, Zip Code: Florida Certificate of Authority Document Number Federal Tax Identification Number CCR # or CAGE Code Telephone: FAX Signature by: (Typed and written) Title: Packet Page -2748- 15- 6429 -2 Grant Funded Professional Services for Airports 41 9/8/2015 16.G.1. Additional Contact Information Send payments to: (required if different from Company name used as payee above) Contact name: Td le: Address: City, State, ZIP Telephone: FAX: Email: Office servicing Collier County to place orders (required ifdifferentfrom above) Contact name: Tit le: Address: City, State, ZIP Telephone: Email: 15- 6429 -2 Grant Funded Professional Services for Airports 42 Packet Page -2749- 9/8/2015 16.G.1. COR commmy Administrative Services Division Procurement Services Attachment 5: Immigration Affidavit Certification CCNA Solicitation: 15- 6382 -2 — Grant Funded professional Services for Airports This Affidavit is required and should be signed, notarized by an authorized principal of the firm and submitted with formal Invitations to Bid (ITB's) and Request for Proposals (RFP) submittals. Further, Consultants / Bidders are required to enroll in the E Verify program, and provide acceptable evidence of their enrollment, at the time of the submission of the Cons ultants/bidder's proposal. Acceptable evidence consists of a copy of the properly completed E -Verify Company Profile page or a copy of the fully executed E Verify Memorandum of Understanding forthe company. Failure to include this Affidavitand acceptable evidence ofenrollment in the E- Verify program may deem the Consultant/ Bidder's proposal as non - responsive Collier County will not intentionally award County contracts to any Consultant who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section 274A(e) of the Immigration and Nationality Act ( "INA "). Collier County may consider the employment by any Consultant of unauthorized aliens a violation of Section 274A (e) of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA shall be grounds for unilateral termination of the contract by Collier County. Consultant attests that they are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration Act and subsequent Amendment(s)) and agrees to comply with the provisions of the Memorandum of Understanding with E Verify and to provide proof of enrollment in The Employment Eligibility Verification System (E- Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Consultant's / Bidder's proposal. Company Name Print Name Signature State of County of Title Date The foregoing instrument was signed and acknowledged befiore me this day of 20_, by who has produced ( Print or Type Name) Notary Public Signature Printed Na me of Notary Public Notary Commission Number /Expiration as identification. (Type of Identification and Number) The signee of this Affidavit guarantees, as evidenced by the swom affidavit required herein, the truth and accuracy of this affidavit to interrogatories hereinafter made. 15- 6429 -2 Grant Funded Professional Services for Airports 43 Packet Page -2750- 9/8/2015 16.G.1. CAW cry AdminiW t,.Services n,,. Procurement Services Attachment 6: Consultant Substitute W — 9 Request for Taxpayer Identification Numberand Certification In accordance with the Internal Revenue Service regulations, Collier County is required to collect the following information for tax reporting purposes from individuals and companies who do business with the County (including social security numbers if used by the individual or company for tax reporting purposes). Florida Statute 119.071(5) require that the county notify you in writing of the reason for collecting this information, which will be used for no other purpose than herein stated. Please complete all information that applies to your business and return with your quote or proposal. 1. General Information (provide all information) Taxpayer Name _Corporation (as shown on income tax return) _Tax Exempt (Federal income tax - exempt entity Business Name under Internal Revenue Service guidelines IRC (if different from taxpayer name) 501 (c) 3) Address City State Zip Telephone FAX Email Order Information Remit / Payment Information Address Address City State Zip City State Zip FAX FAX Erna it Email 2. Can panyStatus (check only one) Individual/ Sole Proprietor _Corporation _Partnership _Tax Exempt (Federal income tax - exempt entity _ Limited Liability Company under Internal Revenue Service guidelines IRC 501 (c) 3) Enter the tax classification (D =Disregarded Entity, C =Corporation, P =Partnership) 3. Taxpayerldentification Number (for tax reporting purposes only) Federal Tax Identification Number (TIN) (Consultants who do not have a TIN, will be required to provide a social security number prior to an award of the contract.) 4. Sign and Date Form: Certification: Under penalties of perjury/ certify that the information shown on this form bz rnrrart h, MY no a ge. Signature Date Title Phone Number Packet Page -2751- . 15- 6429 -2 Grant Funded Professional Services for Airports 44 9/8/2015 16.G.1. CAM Ccouxty Administrative Services Division Procurement Services Attachment 7: Insurance and Bonding Requirements insurance Bond Type Required L"urrits 1. ® Worker's Statutory Limits of Florida Statues, Chapter 440 and all Federal Govemmert Compensation Statutory Limits and Requirements 2. ® Employer's Liability $ 500,000 single limit per occurrence 3. ® Commercial General Bodily Injury and Property Damage Liability (Occurrence Form) pattemed after the current $1.000.000 single limit per occurrence, $2,000,000 aggregate for Bodily Injury ISO form Liability and Property Damage Liability. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 4. ® Indemnification To the maximum extent permitted by Florida law, the ContractorNendor / Consultart shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the ContractorNendor /Consultant or anyone employed or utilized by the ContractorNendor /Consultant in the performance . of this Agreement. 4. ® Automobile Liability $ 1.000.000 Each Occurrence; Bodily Injury & Property Damage, Owned /Non- owned(Hired; Automobile Included 5. ❑ Other insurance as ❑ Watercraft $ Per Occurrence noted: ❑ United States Longshoreman's and Harborworker's Act coverage shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Maritime Coverage (Jones Act) shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Aircraft Liability coverage shall becanied in limits of not less than $5,000,000 each occurrence if applicable to thecompletion ofthe Services under this Agreement. $ Per Occurrence ❑ Pollution $ Per Occurrence ® Professional Liability $1,000,100 per claim and in the aggregate $1,000,000 per claim and in the aggregate $2,000,000 per claim and in the aggregate Aook 15- 6429 -2 Grant Funded Professi onal Services for Airports !r.7 Packet Page -2752- 9/8/2015 16.G.1. ❑ Project Professional Liability $ Per Occurrence ❑ Valuable Papers Insurance $ Per Occurrence 6. ❑ Bid bond Shall be submitted with proposal response in the form of certified funds, cashiers' check or an irrevocable letter of credit, a cash bond posted with the County Clerk, or proposal bond in a sum equal to 5% of the cost proposal. All checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State of Florida and insured by the Federal Deposit Insurance Corporation. 7. ❑ Performance and For projects in excess of $200,000, bonds shall besubmitted with the Payment Bonds executed contract by Proposers receiving award, and written for 100% of the Contract award amount, the cost bome by the Proposer receiving an award. The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner, provided, however, the surety shall be rated as "A -" or better as to general policy holders rating and Class V or higher rating as to financial size category and the amount required shall not exceed 5% of the reported policy holders' surplus, all as reported in the most current Best Key Rating Guide, published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New York 10038. 8. ® Consultant shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Consultant shall provide Countywith certificates of insurance meeting the required insurance provisions. 9. ® Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required. 10. ® The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. 11. ® Thirty (30) Days Cancellation Notice required. ljb 5/18/2015 Consultant's Insurance Statement We understand the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. Name of Firm Consultant Signature Print Nam Insurance Agency Agent Nam Packet Page -2753- Date Telephone Number 15 -6429 -2 Grant Funded Professional Servicesfor Airports 46 CI cOMity Administrative Senbces Division Procurement Services Attachment 8: Reference Questionnaire Solicitation: 15- 6429 -2 — Grant Funded Professional Services or Airports Reference Questionnaire for. (Name of Company Requesting Reference Information) Of Name: (Evaluator completing reference questionnaire) Email: FAX 9/8/2015 16.G.1. Company: (Evaluator's Company completing reference) Telephone: rence information on firms and their key personnel to be in the selection of firms to perform this project The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the best of your knowledge on a scale of 1 to 10, with 10 representing that you were very satisifed (and would hire the firmrndividual again) and 1 representing that you were very unsatisfied (and would never hire the firmAndivdival again). If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will be scored "0." Project Description: Completion Date: Project Budget: Project Number of Days: Item Citeria Score 1 Ability to manage the project costs minimize change orders to scope). 2 Ability to maintain project schedule (complete on -time or eary). 3 Quality of work. 4 Quality of consuitatke advice provided on the project. 5 Professionalism and ability to manage personnel. 6 Project administration (completed documents, final invoice, final product tumover; invoices; manuals or going forward documentation, etc.) 7 Ability to verbally communicate and document information clearly and succinctly. 8 Abiltity to manage risks and unexpected project circumstances. 9 Ability to followcontract documents, policies, procedures, rules, regulations, etc. 10 Overall comfort level with hiring the company in the future (customer satisfaction). TOTAL SCORE OF ALL ITEMS Please FAX this completed survey to: Packet Page -2754- I 15- 6429 -2 Grant Funded Professional Services for Airports 47 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS Co er Coumy Adrrdrd*a6\fe SeNoss Division Procurement sendces Attachment 2: Consultant Check List IMPORTANT: THIS SHEET MUST BE SIGNED. Please read carefully, sign in the spaces indicated and return with your Proposal, Consultant should check off each of the following items as the necessary action is completed: The Proposal has been signed. ® All applicable forms have been signed and included, along with licenses to complete the requirements of the project. Any addenda have been signed and included. ® The mailing envelope has been addressed to: Collier County Government Purchasing Department 3327 Tamiami Trail E Naples FL 34112 Attn: Adam Northrup, Procurement Strategist CCNA Solicitation: 16- 6382 -2 — Grant Funded Airports professional Services for ® The mailing envelope must be sealed and marked with Proposal Number, Proposal Title and Due Date. The Proposal will be mailed or delivered in time to be received no later than the specified due date and time. (Otherwise Proposal cannot be considered.) If submitting a manual bid, include any addenda (initialed and dated noting understanding and receipt). If submitting bid electronically, bidder will need to download all related documents on www.colliergov.net/bid. The system will date and time stamp when the addendum files were downloaded. ALL COURIER - DELIVERED PROPOSALS MUST HAVE THE RFP NUMBER AND TITLE ON THE OUTSIDE OF THE COURIER PACKET Name of Firm: Address: City, State, Zip: Telephone: Email: Representative Signature: Representative Name Hole Montes, Inc. 6200 Whiskey Creek Drive Fort Myers, Florida 33919 239 -985 -1200 Robert L. Murray Date 6/18/2015 33 Packet Page -2755- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS colt, County Administrative Servioss Division Procurement Servidit Attachment 3: Conflict of interest Affidavit By the signature below, the firm (employees, officers and /or agents) certifies, and hereby discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned interest or activity (financial, contractual, organizational, or otherwise) which relates to the proposed work; and bear on whether the firm (employees, officers and /or agents) has a possible conflict have been fully disclosed. Additionally, the firm (employees, officers and /or agents) agrees to immediately notify in writing the Procurement Director, or designee, if any actual or potential conflict of interest arises during the contract and /or project duration. Firm: Hole Montes Signature and Date: Print Name Robert L. Murray Title of Signatory Senior Vice President / Principal State of FLORIDA County of SUBSCRIBED AND SWORN to before me this 18th day of June , 2015 by Robert L. Murray , who is personally known to me to be the Senior Vice President /Principal for the Firm, OR who produced the following identification >C Ae 'u IMIMN S. cANNESTRA My COMMISSION N EE 105528 EXPIRES: October 22, 2015 Bonded Tom NaMmy pift UndermKors My Commission Expires 34 Packet Page -2756- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS corer comity Administrative Senrioes Division Procurement Services Attachment 4: Consultant Declaration Statement BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 34112 RE: CCNA Solicitation: 15- 6382 -2 — Grant Funded professional Services for Airports Dear Commissioners: The undersigned, as Consultant declares that this proposal is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud. The Consultant agrees, if this proposal is accepted, to execute a Collier County document for the purpose of establishing a formal contractual relationship between the firm and Collier County, for the performance of all requirements to which the proposal pertains. The Consultant states that the proposal Is based upon the proposal documents listed by the above referenced CCNA Solicitation. IN WITNESS WHEREOF, WE have hereunto subscribed our names on this 16th day of June , 2015 in the County of LEE , in the State of FLORIDA Firm's Legal Name: Hole Montes, Inc. Address: 6200 Whiskey Creek Drive City, State, Zip Code: Fort Myers, Florida 33919 Florida Certificate of 57AT5 Authority Document Number Federal Tax 59- 1518838 Identification Number CCR # or CAGE Code Telephone: 239 -985 -1200 FAX: 239 - 985 -1259 Signature by: (Typed and written) Title: Senior Vice President/Principal 35 Packet Page -2757- 36 Packet Page -2758- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS Additional Contact information Send payments to: Hole Montes, Inc. (required if different from above) Company name used as payee Contact name: Jan Burton Title: Accounts Receivable Address: 950 Encore Way City, State, ZIP Naples, FL 34110 Telephone: 239 -254 -2000 FAX: 239- 254 -2098 Email: JanBurton@HMEng.com Office servicing Collier County to place orders (required if different from above) Contact name: Title: Address: City, State, ZIP i Telephone: Email: 36 Packet Page -2758- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS Collier Count y Administrative Servioes Division Procurement Services Attachment 5: immigration Affidavit Certification CCNA Solicitation: 15- 6382 -2 — Grant Funded professional Services for Airports This Affidavit is required and should be signed, notarized by an authorized principal of the firm and submitted with formal Invitations to Bid (ITB's) and Request for Proposals (RFP) submittals. Further, Consultants / Bidders are required to enroll in the E- Verify program, and provide acceptable evidence of their enrollment, at the time of the submission of the Consultant's /bidder's proposal. Acceptable evidence consists of a copy of the properly completed E- Verify Company Profile page or a copy of the fully executed E- Verify Memorandum of Understanding for the company. Failure to include this Affidavit and acceptable evidence of enrollment in the E- Verify program may deem the Consultant I Bidder's proposal as non - responsive. Collier County will not intentionally award County contracts to any Consultant who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section 274A(e) of the Immigration and Nationality Act ("INA"), Collier County may consider the employment by any Consultant of unauthorized aliens a violation of Section 274A (e) of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA shall be grounds for unilateral termination of the contract by Collier County. Consultant attests that they are fully compliant with all applicable immigration laws (specifically to the 1086 Immigration Act and subsequent Amendment(s)) and agrees to comply with the provisions of the Memorandum of Understanding with E- Verify and to provide proof of enrollment in The Employment Eligibility Verification System (E- Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Consultant's / Bidder's proposal. Company Name Hole Montes, Inc. Print Name Robert L. Murray Title Senior VP /Principal Signature �� �J Date June 18, 2015 State of FLORIDA County of LEE The foregoing instrument was signed and acknowledged before me this 18th day of June , 2015 , by Robert L. Murray who has produced IS KNOWN TO ME as identification. /(Print or,Typ"ame ,I-�--' (Type of Identification and Number) ofdry Public Signature Kristin G. Cannestra Printed Name of Notary Public EE 105528 / October 22, 2015 Notary Commission Number /Expiration The signee of this Affidavit guarantees, as evidenced by the sworn affidavit required herein, the truth and accuracy of this affidavit to interrogatories hereinafter made. 37 Packet Page -2759- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS cl per County Administrative services Division Procurement services Attachment 6: Consultant Substitute W — 9 Request for Taxpayer Identification Number and Certification In accordance with the Internal Revenue Service regulations, Collier County is required to collect the following Information for tax reporting purposes from individuals and companies who do business with the County (including social security numbers if used by the individual or company for tax reporting purposes). Florida Statute 119.071(5) require that the county notify you in writing of the reason for collecting this Information, which will be used for no other purpose than herein stated. Please complete all information that applies to your'business and return with your quote or proposal. 1. General Information (provide all information) (as shown on Income tax return) Business Name (if different from taxpayer name) Address 6200 Whiskey Creek Dr. City Fort Myers State ^Florida Zip 33919 Telephone 239 - 985 -1200 FAX 239 -985 -1259 Email BobMurray(WHMEna.com Order Information Remit / Payment Information Address 6200 Whiskey Creek Dr. Address 950 Encore Way City Ft. Myers State FL Zip 33919 City Naples State FL Zip 34110 FAX 239 -985 -1200 FAX 239 - 254 -2098 Email LucCarriere(ED- HMEna.com Email JanBurton(a)HMEna.com 2. Company Status (check only one) _Individual I Sole Proprietor XCorporation Partnership _Tax Exempt (Federal income tax- exempt entity _ Limited Liability Company under Internal Revenue Service guidelines IRC 501 (c) 3) Enter the tax classification D = Disregarded Entity, C = Corporation, P = Partnership) 3. Taxpayer Identification Number (for tax reporting purposes only) Federal Tax Identification Number (TIN) 59- 1518838 (Consultants who do not have a TIN, will be required to provide a social security number prior to an award of the contract.) 4. Sign and Date Form: Certification: Under penalties of perjury, I certify that the Information shown on this form is correct to my lcnowled e. . Slgnaturt3! Date June 18 2015 Title Senior Vice President /Princlual Phone Number 239- 985 -1200 38 Packet Page -2760- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS Collier Coutaty Adminishaative Services Division Procurement Bar-Aces Attachment 7: Insurance and Bonding Requirements Insurance / Bond Type 1. ® Worker's Compensation 2. ® Employer's Liability 3. N Commercial General Liability (Occurrence Form) patterned after the current ISO form Required Limits Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Statutory Limits and Requirements $ 600,000 single limit per occurrence Bodily Injury and Property Damage $1,000.000 single limit per occurrence, $2,000,000 aggregate for Bodily Injury Liability and Property Damage Liability. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 4. ® Indemnification To the maximum extent permitted by Florida law, the Contractor/VendorlConsultant shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the ContractorNendor /Consultant or anyone employed or utilized by the ContractorNendor /Consultant in the performance of this Agreement. 4. ® Automobile Liability $ 1,000,000 Each Occurrence; Bodily Injury & Property Damage, Owned /Non -owned /Hired; Automobile Included 5. ❑ Other insurance as ❑ Watercraft $ Per Occun•ence noted: ❑ United States Longshoreman's and Harborworker's Act coverage shall be maintained where applicable to the completion of the work. $ Per Occun•ence ❑ Maritime Coverage (Jones Act) shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Aircraft Liability coverage shall be carried in limits of not less than $5,000,000 each occurrence if applicable to the completion of the Services under this Agreement. Per OccuiTeuce ❑ Pollution $ Per Occun•ence ® Professional Liability $1,000,000 per claim and in the aggregate • $1,000,000 per claim and in the aggregate • $2,000,000 per claim and in the aggregate ❑ Project Professional Liability $ Per Occurrence ❑ Valuable Papers Insurance $ Per Decun`ence 6. ❑ Bid bond Shall be submitted with proposal response in the form of certified funds, 39 Packet Page -2761- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS cashiers' check or an irrevocable letter of credit, a cash bond posted with the County Clerk, or proposal bond in a sum equal to 5% of the cost proposal. All checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State of Florida and insured by the Federal Deposit Insurance Corporation. 7. ❑ Performance and For projects In excess of $200,000, bonds shall be submitted with the Payment Bonds executed contract by Proposers receiving award, and written for 100% of the Contract award amount, the cost borne by the Proposer receiving an award. The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner; provided, however, the surety shall be rated as "A -" or better as to general policy holders rating and Class V or higher rating as to financial size category and the amount required shall not exceed 5% of the reported policy holders' surplus, all as reported in the most current Best Key Rating Guide, published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New York 10038. 8. ® Consultant shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Consultant shall provide County with certificates of insurance meeting the required insurance provisions, 9. ER Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required. 10. ® The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. 11. E Thirty (30) Days Cancellation Notice required. 1 j b 5/18/2015 Consultant's Insurance Statement We understand the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. Name of Finn Hole Montes Inc, Date June 18.2015 Consultant Signature Print Name Robert L. Mtnrav Insurance Agency Lutayert Insurance Na les Agent Name ICristen Neiert Telephone Number 239-261-7171 ElE Packet Page -2762- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS Attachment 9 - Required Grant Forms COLLIER COUNTY Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions (1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three -year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) Have not within a three -year period preceding this application /proposal had one or more public transactions (Federal, State or local) terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements In this certification, such prospective participant shall attach an explanation to this proposal. Robert L. Murray Name Senior VP /Principal Title Hole Mantes, Inc. Firm Grant Funded Professional Services for Airports Project Name 15- 6382 -2 Project Number 59- 1518838 Tax ID Number 073863144 DUNS Number 6200 Whiskey Creek Drive, Fort Myers, FL 33919 Str t Address, City, State, Zip Signature 41 Packet Page -2763- 03/04/2013 - (2) 47 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS COLLIER COUNTY Acknowledgement of Terms, Conditions, and Grant Clauses Flow Down of Terms and Conditions from the Grant Agreement Subcontracts: If the vendor subcontracts any of the work required under this Agreement, a copy of the signed subcontract must be available to the Department for review and approval. The vendor agrees to include in the subcontract that (1) the subcontractor is bound by the terms of this Agreement, (li) the subcontractor is bound by all applicable state and federal laws and regulations, and (iii) the subcontractor shall hold the Department and Recipient harmless against all claims of whatever nature arising out of the subcontractor's performance of work under this Agreement, to the extent allowed and required by law. The recipient shall document in the quarterly report the subcontractor's progress in performing its work under this agreement. For each subcontract, the Recipient shall provide a written statement to the Department as to whether the subcontractor is a minority vendor as defined in Section 288.703, Fla. Stat. Certification On behalf of my firm, I acknowledge, and agree to perform all of the specifications and grant requirements identified in this solicitation document(s). Hole Montes, Inc. 06/18/15 Vendor /Contractor Name Date Authorized Signature Address 6200 Whiskey Creek Drive, Fort Myers, FL 33919 Solicitation /Contract # 15- 6382 -2 42 Packet Page -2764- 4s oz /15 R3 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS COLLIER COUNTY Certification Regarding Lobbying The undersigned Hole Montes, Inc. g (Vendor/ Contractor) certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress In connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form - -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96), Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104 -65, to be codified at 2 U.S.C. 1601, et seq.)] (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. [Note: Pursuant to 31 U.S.C. § 1352(c)(1)- (2)(A), any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure.] The Vendor /Contractor, Hole Montes, Inc. , certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certification and disclosure, if any. Robert L. Murray Name of Authorized Official Senior VP /Principal Signature of Vendor /Contractor's Authorized Official '06/'l 15 Date 43 Packet Page -2765- Title 02115 R3 49 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS COLLIER COUNTY Vendor Submittal — Conflict of Interest Certification 15- 6382 -2 Collier County Solicitation No. Robert L. Murray 1, hereby certify that to the best of my knowledge, neither I nor my spouse, dependent child, general partner, or any organization for which I am serving as an officer, director, trustee, general partner or employee, or any person or organization with whom I am negotiating or have an arrangement concerning prospective employment has a financial interest in this matter. I further certify to the best of my knowledge that this matter will not affect the financial interests of any member of my household. Also, to the best of my knowledge, no member of my household; no relative with whom I have a close relationship; no one with whom my spouse, parent or dependent child has or seeks employment; and no organization with which I am seeking a business relationship nor which I now serve actively or have served within the last year are parties or represent a party to the matter. I also acknowledge my responsibility to disclose the acquisition of any financial or personal interest as described above that would be affected by the matter, and to disclose any interest 1, or anyone noted above, has in any person or organization that does become involved in, or is affected at a later date by, the conduct of this matter. Robert L. Murray Name Signature Senior VP /Principal 06/18/15 Position Date Privacy Act Statement Title I of the Ethics in Government Act of 1978 (5 U.S.C. App.), Executive Order 12674 and 5 CFR Part 2634, Subpart I require the reporting of this information. The primary use of the information on this form Is for review by officials of The Justice Department to determine compliance with applicable federal conflict of interest laws and regulations. Additional disclosures of the information on this report may be made: (1) to a federal, state or local law enforcement agency if the Justice Department becomes aware of a violation or potential violation of law or regulations; (2) to a court or party in a court or federal administrative proceeding if the government is a party or in order to comply with a judge- issued subpoena; (3) to a source when necessary to obtain information relevant to a conflict of interest investigation or decision; (4) to the National Archives and Records Administration or the General Services Administration In records management inspections; (5) to the Office of Management and Budget during legislative coordination on private relief legislation; and (6) In response to a request for discovery or for the appearance of a witness in a judicial or administrative proceeding, If the Information Is relevant to the subject matter. This confidential certification will not be disclosed to any requesting person unless authorized by law. See also the OGE/GOVT -2 executive branch -wide Privacy Act system of records. 50 44 Packet Page -2766- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS COLLIER COUNTY ANTICIPATED DISADVANTAGED, MINORITY, WOMEN OR VETERAN PARTICIPATION STATEMENT Status will be verified. Unverifable statuses will require the PRIME to either prolvde a revised statement or provide source documentation that validates a status. A, ;PRIME VENOOR /CONTRACTOR INFORMATION PRIME NAME PRIME FEID NUMBER CONTRACT DOLLAR AMOUNT Hole Montes, Inc, 59- 1518838 IS THE PRIME A FLORIDA- CERTIFIED DISADVANTAGED, IS THE ACTIVITY OF THIS CONTRACT... MINORITY OR WOMEN BUSINESS ENTERPRISE? DBE? Y ' N i CONSTRUCTION 7 Y U (OBE /MBE/WBE) OR HAVE A SMALL DISADVANTAGED � BUSINESS BA CERTIFICATION FROM THE SMALL BUSINESS MBE? Y 0 CONSULTATION? C, N ADMINISTRATION7 A SERVICE DISABLED VETERAN? WBF Y NN OTHER? Y N SDB BA? Y C NJ 15 THIS SUBMISSION A REVISION? Y N) IF YES, REVISION NUMBER B, IF PRIME HAS SUBCONTRACTOR.OR SUPPLIER WHO IS A DISADVANTAGED MINORITY,;WOMEN= OWNED, SMALL BUSINESS -;CONCERN OR SERVICE' DISABLED VETERAN; PRIME IS TO COMPLETE THIS NEXT SECTION DBE M /WBE SUBCONTRACTOR OR SUPPLIER TYPE OF WORT( OR ETHNICITY CODE SUB /SUPPLIER PERCENT OF CONTRACT VETERAN I NAME SPECIALTY (See Below) DOLLAR AMOUNT DOLLARS C. SECTION TO BE COMPLETED BY PR IME'VENDOR/ CONTRACTOR NAME OF SUBMITTER DATE TITLE OF SUBMITTER Luc Carriere June 18, 2015 Vice President / Project Manager EMAIL ADDRESS OF PRIME ( SUBMITTER) TELEPHONE NUMBER FAX NUMBER LucCarriere@HMEng.com 239 - 985 -1200 239 -985 -1259 NOTE: This Information is used totrack and report anticipated DBE or MBE participation In federally- funded contracts. The anticipated DBE or MBE amount Is voluntary and will not become part of the contractual terms. This form must be submitted at time of response to a solicitation. If and when awarded a County contract the prime will be asked to update the Information for the grant compliance files. 0140 American BA Hispanic American HA Ndttve.Amerlcan NA Subcont. Asian American SAA Asian- PaclflcAmerlcan APA Non- Mlnorlty Womenj NMW Other: not df any other group Wadl 0 D. SECTION; TO BE COMPLETED BY COLLIER COUNTY DEPARTMENT NAME COWER CONTRACTS (IFB /RFP or PO /REQ) GRANT PROGRAM /CONTRACT (ACCEPTED BY: _ I DATE —I 5'1 45 Packet Page -2767- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS COLLIER COUNTY GRANT COMPLIANCE FORM BID OPPORTUNITY LIST FOR COMMODITIES AND CONTRACTUAL SERVICES AND PROFESSIONAL CONSULTANT SERVICES ttis the policy of Collier County that disadvantaged businesses and minority vendors, as deflned in the Code of Federal Regulations (CFR) or Florida Statutes IFS), must have the opportunity to participate an contracts with federal and /orstate grant assistance Prime Contractor /Prime Consultant: Hole Montes, Inc. Address and Phone Number: 6200 Whhlcey Creek Dr., Ft. Myers, FL 33919 239 - 985 -1200 Procurement Number /Advertisement Number: 15-6382 -2 The list below Is Intended to be a listing of firms that are, or attempting to, participate on the project numbered above. The list must Include the firm bidding or quoting as prime, as well as subs and suppliers quoting for participation. Prime contractors and consultants must provide Information for Numbers 1, 2, 3, and 4; and, should provide any Information they have for Numbers 5, 6, 7, and 8. This form must be submitted with the bid package. 1. Federal Tax ID Number: 59- 1518838 6. DBE 8. Annual Gross Receipts 2. Firm Name: Hole Montes, Inc. Non -DBE Less than $1 million 3. Phone Number: 239- 985 -1200 Between $ 1 -5 million 4. Address 6200 Wh1sjry Creek Drive Between $ 5 -10 million Fort A tiers, FL 339]9 7•B subcontractor Between $ 10 -15 million Subconsultant More than $15 million 5. Year Firm Established: 1966 1. Federal Tax ID Number: 6.8 DBE B. Annual Gross Receipts 2. Firm Name: Non -DBE Less than $ 1 million 3. Phone Number: Between $ 1 -5 million 4. Address Between $ 5 -10 million 7.8 Subcontractor Between $ 10 -15 million Subconsultant More than $15 million 5. Year Firm Established: 1. Federal Tax ID Number: 611 DBE B. Annual Gross Receipts 2. Firm Name: Non -DBE Less than $ 1 million 3. Phone Number: Between $ 1 -5 million 4. Address Between $ 5 -10 million 7. Subcontractor 8 Between $ 10-15 million Subconsultant More than $15 million S. Year Firm Established: 1. Federal Tax 117 Number: G, DBE 8. Annual Gross Receipts 8 2. Firm Name: Non -DRE Less than $1 million 3. Phone Number: Between $1 -5 million 4. Address Between $ 5 -10 million 7, RSubconsultant Subcontractor Between $ 10 -15 million More than $15 million 5. Year Firm Established: 46 Packet Page -2768- 52 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS COLLIER COUNTY GRANT COMPLIANCE. FORM BID OPPORTUNITY LIST FOR COMMODITIES AND CONTRACTUAL SERVICES AND PROFESSIONAL CONSULTANT SERVICES Continued 1. Federal Tax ID Number. 6.8 DBE 8. Annual Gross Receipts 2. Firm Name: Non -DBE Less than $1 million 3. Phone Number Between $1 -5 million 4. Address Between $ 5-10 million 7, Between.$10 -15 million aSubcontractor Subconsultant More than $15 million S. Year Firm Established: 1. Federal Tax ID Number: 6.8 DBE B. Annual Gross Receipts 2. Firm Name: Non -DBE Less than $1 million 3. Phone Number: Between $1 -5 million . 4, Address Between $ 5 -10 million 7.8 Subcontractor Between$ 10 -15 million Subconsultant More than $15 million 5. Year Firm Established: 1. Federal Tax ID Number: 6.8 DBE B. Annual Gross Receipts 2. Firm Name: Non -DBE Less than $ 1 million 3. Phone Number: Between $ 1 -5 million 4. Address Between $ 5 -10 million 7. Between $10-15 million BSubcontractor Subconsultant More than $15 million 5. Year Firm Established: 1. Federal Tax ID Number: 6.8 DBE B. Annual Gross Receipts 2. Firm Name: Non -DBE Less than $1 million 3. Phone Number: Between $ 1 -5 million 4. Address Between $ 5 -10 million 7.8 Subcontractor Between $ 10 -15 million Subconsultant More than $ 15 million 5. Year Firm Established: 1. Federal Tax ID Number: 6.8 DBE 8, Annual Gross Receipts 2. Firm Name: Non -DBE Less than $1 million 3. Phone Number: Between $ i -5 million 4. Address Between $ 5 -10 million 7.8 Subcontractor Between $10 -15 million Subconsultant More than $15 million 5. Year Firm Established: 53 47 Packet Page -2769- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS COLLIER COUNTY Certification Regarding Drug -Free Workplace Requirements The grantee certifies that it will provide a drug -free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing a drug -free awareness program to inform employees about -- (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation and employee assistance programs, and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will — (1) Abide by the terms of the statement; and (2) Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after each conviction; (e) Notifying the agency within ten days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction; (f) Taking one of the following actions, within 30 days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted — (1) Taking appropriate personnel action against such an employee, up to and including termination; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f). Robert L. Murray Senior VP /Principal Certifying Official Name Title Q 4 ��Z_ /— " 06/18/15 g ature Date 54 48 Packet Page -2770- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS 5 Verif y. i > ������� PhD i„ ` � ` 7YfS'iRZ' -- _ k- '1CL1FZ 76 F �L11V7�Y or 011 +^ Company ID Number: 219629 To be accepted as a participant in E- Verify; you should only sign the Employer's Section of the signature page. If you have any questions, contact E- Verify at 888- 464 -4218. Employer Hole Montes, Inc. June T Sapp Name (Please Type or Print) Title Electronically Signed 06/09/2009 Signature Date Department of Homeland Security — Verification Division USCIS Verification Division Name (Please Type or Print) Title Electronically Signed 06/09/2009 Signature Date 49 Packet Page -2771- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS Verify- low II1A c- vicerrr It n 3eavtcc or oes Company ID Number: 219629 Information Required for the E- Verify Program Information relating to your Company: Company Name: Mote Montes, Inc. Company Facility Address: 950 Encore Way Naples, FL 34110 Company Alternate Address: P. O. Box 111629 j i Naples, FL 34108 County or Parish: COLLIER Employer Identification Number: 591518838 North American Industry Classification Systems Code: 541 Parent Company: Number of Employees: 20 to 99 Number of Sites Verified for: 2 Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: • FLORIDA 2 site(s) FOG Page 12 of 13IE- Verily MOU for EmployerlRevision Date 10/29108 +_� „;,�� _ !" Packet Page -2772- 9/8/2015 16.G.1. Tab 6: REQUIRED FORMS � y VeriF .� TSiN F.- YF.0.TF7 TG h FIRYTLE SF DB9 Company ID Number. 219629 Information relating to the Program Administrator(s) for your Company on policy questions or operational problems- Name: June T Sapp Telephone Number: (239) 254 - 2000 ext. 2014 Fax Number: (239) 254 - 2096 E -mail Address: JuneSapp@hmeng.com Name: John R Wolski Telephone Number: (239) 254 - 2000 ext. 2069 Fax Number: (239) 254 - 2069 E -mail Address: JohnWolski @hmeng.com 51 Packet Page -2773- View Details - Entity Overview I System for Award Management .Entity DashlT�1Gr Entity Record Core Data Assertions Reps & Certs = Reports Service Contract Report BloPreferred Report rxcluslon 5 Active Exclusions Inactive Exclusions Excluded Famlly Members . RAtCIRttTOBK, RCHN - MOLE MONTES, INC. DUNS: 073663144 CAGE Code: 57ATS Status: Active 9/8/2015 16.G.1. USER NAME PASSWORD For�� fteale an Amount 930 ENCORE WAY STE 200 NAPLES, FL, 34110 -9176, UNLfED STATES Expiration Date: 05/31/2016 Purpose of Registration: All Awards Entity Overview Entity Information Name: HOLE MONTES, INC. Business Type: Business or Organization POC Name: BOB MURRAY Registration Status: Active Activation Date* 06/01/2015 Expiration Date: 05/31/2016 Exclusions Active Exclusion Records? No SAM I System for Award ManaOamant 1.0 Note to all Users: This Is a Federal Government computer system. Use of this system constitutes oonsent to monitoring at all times. IBM v1.P.34.2015O710 -1415 WWW2 ® a USA,gpv.. ..r10r https: / /www.sam.gov /portal /SAM / ?navigal Packet Page -2774- )OABXdcACJgYXZheC5... 7/20/2015 F1 w Detail by Entity Name Detail by Entity Name Florida Profit Corporation HOLE MONTES, INC. Filing Information Document Number FEI /EIN Number Date Filed State Status Last Event Event Date Filed Event Effective Date Principal Address 950 ENCORE WAY NAPLES, FL 34110 Changed: 02/20/2001 Mailing Address 950 ENCORE WAY NAPLES, FL 34110 449782 591518838 04/03/1974 FL ACTIVE NAME CHANGE AMENDMENT 11/29/2000 NONE Changed: 03/07/2008 Registered Agent Name & Address WOLSKI, JOHN R 950 ENCORE WAY NAPLES, FL 34110 Name Changed: 11/01/1996 Address Changed: 02/20/2001 Officer /Director Detail Name & Address Title President, Director TAYLOR, THOMAS M 950 ENCORE WAY NAPLES, FL 34110 9/8/2015 16.G.1. http: // search .sunbiz.org /Inquuy /Corporatio Packet Page -2775- tDetail?inquiiytype= Entity... 7/20/2015 Detail by Entity Name Title VP, Director HERMANSON, GEORGE H 950 ENCORE WAY NAPLES, FL 34110 Title VP, Director MURRAY, ROBERT L 6200 WHISKEY CREEK DRIVE FORT MYERS, FL 33919 Title Secretary, Treasurer WOLSKI, JOHN R. 950 ENCORE WAY NAPLES, FL 34110 Title VP BRYLANSKI, RICK 6200 WHISKEY CREEK DRIVE FORT MYERS, FL 33919 Title VP, Director BENSON, RONALD E 950 ENCORE WAY NAPLES, FL 34110 Title VP McLean, Thomas M 950 ENCORE WAY NAPLES, FL 34110 Title VP Carriere, Luc 950 ENCORE WAY NAPLES, FL 34110 Title VP Cole, William Terry 950 ENCORE WAY NAPLES, FL 34110 Title VP Murphy, Thomas 950 ENCORE WAY NAPLES, FL 34110 9/8/2015 16.G.1. http: // search .sunbiz.org /Inquiry/Corporatio Packet Page - 2776 - LDetail?inquirytype= Entity... 7/20/2015 i I Detail by Entity Name Annual Reports Report Year Filed Date 2014 03/05/2014 2015 02/0412015 2015 04/16/2015 Document Images 04/16/2015 -- AMENDED ANNUAL REPORT I View image in PDF format 02/04/2015 -- ANNUAL REPORT I View image in PDF format 03/05/2014 — ANNUAL REPORT View image in PDF format 02/28/2013 -- ANNUAL REPORT View image in PDF format 01/06/2012 -- ANNUAL REPORT View image in PDF format 02/22/2011 -- ANNUAL REPORT View image in PDF format 02/18/2010 -- ANNUAL REPORT View image in PDF format 03118/2009 -- ANNUAL REPORT View image in PDF format 03/07/2008 — ANNUAL REPORT View image in PDF format 03/12/2007 -- ANNUAL REPORT View image in PDF format 03/09/2006 -- ANNUAL REPORT View image in PDF format 03/30/2005 -- ANNUAL REPORT View image in PDF format 02/10/2004 — ANNUAL REPORT View image in PDF format 04/28/2003 -- ANNUAL REPORT View image in PDF format 02/26/2003 -- ANNUAL REPORT View image in PDF format 02/0312002 -- ANNUAL REPORT View image in PDF format 02/20/2001 --ANNUAL REPORT View image in PDF format 11/29/2000 -- Name Change View image in PDF format 03/24/2000 -- ANNUAL REPORT View image in PDF format 04/14/1999 -- ANNUAL REPORT View image in PDF format 01/22/1998-- ANNUAL REPORT View image in PDF format 02/19/1997 -- ANNUAL REPORT View image in PDF format 04/05/1996 -- ANNUAL REPORT View image in PDF format 03/22/1995 — ANNUAL REPORT View image in PDF format 02/03/1995 -- ANNUAL REPORT View image in PDF format Coovrioht ® and Privacy Policies State of of State 9/8/2015 16.G.1. http: // search .sunbiz.org /Inquiry /Corporatio Packet Page -2777- tDetail?inquirytype= Entity... 7/20/2015 9/8/2015 16.G.1. Co t�er Cou>hty Admlrtistrative SeMces Oiv(sfon Procurement 6ervlces Attachment 2: Consultant Check List IMPORTANT: THIS SHEET MUST BE SIGNED. Please read carefully, sign in the spaces indicated and return with your Proposal. Consultant should check off each of the following items as the necessary action is completed: The Proposal has been signed. ® All applicable forms have been signed and included, along with licenses to complete the requirements of the project. ® Any addenda have been signed and Included. ® The mailing envelope has been addressed to: Collier County Government Purchasing Department 3327 Tamiami Trail E Naples FL 34112 Attn: Adam Northrup, Procurement Strategist CCNA Solicitation: 15- 6362 -2 — Grant Funded Professional Services for Airports ® The mailing envelope must be sealed and marked with Proposal Number, Proposal Title and Due Date. ® The Proposal will be mailed or delivered in time to be received no later than the specified due date and time. (Otherwise Proposal cannot be considered.) ® If submitting a manual bid, include any addenda (initialed and dated noting understanding and receipt). If submitting bid electronically, bidder will need to download all related documents on www.colliergov.net/bid. The system will date and time stamp when the addendum files were downloaded. ALL COURIER - DELIVERED PROPOSALS MUST HAVE THE RFP NUMBER AND TITLE ON THE OUTSIDE OF THE COURIER PACKET Name of Firm: Atkins North America, Inc. Address: 1514 Broadway, Suite 201 City, State, Zip: Fort Myers, FL 33901 -3015 Telephone: 239.334.7275 Email: fin. bonsetCc - atkinsalobaltcom Representative Signature: Representative Name: Thomas F. Barry Jr., PE� Date June 15, 2015 15- 6429 -2 Grant Funded Professional Services for Airports 39 Packet Page -2778- 9/8/2015 16.G.1. Coder Couxty► Adrninistradve Servioss Division Procurement Services Attachment 3: Conflict of Interest Affidavit By the signature below, the firm (employees, officers and /or agents) certifies, and hereby discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned interest or activity (financial, contractual, organizational, or otherwise) which relates to the proposed work; and bear on whether the firm (employees, officers and /or agents) has a possible conflict have been fully disclosed. Additionally, the firm (employees, officers and /or agents) agrees to immediately notify in writing the Procurement Director, or designee, If any actual or potential conflict of interest arises during the contract and /or project duration. Firm: Signature and Date: Print Name Title of Signatory Senior Vice President State of Florida County of Orange SUBSCRIBED AND SWORN to before me this 15th day of June , 2015 , by Thomas F. Barry Jr.. PE , who is personally known to me to be the _ senior vice president for the Firm, OR who produced the following identification v r�r NMY S. 0E111lik"Y No" My Commission Expires July 5, 201No" PuelIc • NO of Ftortdt My Comm. Upirst Jul 5, 2010 ' o Commission N FF 135527 15- 6429 -2 Grant Funded Professional Services for Airports 40 Packet Page -2779- 9/8/2015 16.G.1. cotes- County Admirdstrative services Division ProauernCnt Services Attachment 4: Consultant Declaration Statement BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 34112 RE: CCNA Solicitation: 16- 6382 -2 — Grant Funded Professional Services for Airports Dear Commissioners: The undersigned, as Consultant declares that this proposal is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud. The Consultant agrees, if this proposal is accepted, to execute a Collier County document for the purpose of establishing a formal contractual relationship between the firm and Collier County, for the performance of all requirements to which the proposal pertains. The Consultant states that the proposal is based upon the proposal documents listed by the above referenced CCNA Solicitation. IN WITNESS WHEREOF, WE have hereunto subscribed our names on this 15th day of June , 2015 in the County of Orange , in the State of Florida . Firm's Legal Name: Atkins North America, Inc.__ Address: _1514 Broadway. Suite 201 City, State, Zip Code: Florida Certificate of Authority Document Number Federal Tax Identification Number CCR # or CAGE Code Telephone: FAX: Signature by: (Typed and written) Title: Fort Myers, FL 33901 -3015 233840 59- 0896138 44TNO 239.334.7275 239.334.72772 Thomas F. Barry Jr., PE Senior Vice President Packet Page -2780- 15- 6429 -2 Grant Funded Professional Services for Airports 41 AOW Additional Contact Information 9/8/2015 16.G.1. Send payments to: Atkins North America, Inc. (required if different from Company name used as payee above) Atkins North America, Inc. (Fort Myers) Contact name: Jean Franke Title: Assistant Collections Manager Address: PO Box 409357 City, State, ZIP Atlanta, GA 30384 Telephone: 972.588.3112 FAX: 972.380.2609 Email: jean.franke@atklnsglobal.com Office servicing Collier Atkins North America, Inc. (Fort Myers) County to place orders (required If different from above) Contact name: Fin Bonsai Title: Project Manager Address: 1514 Broadway, Suite 201 City, State, ZIP Fort Myers, FL 33901 -3015 Telephone: 237.3343275 Email: fin.bonset diatkineglobal.com 15 -6429 -2 Grant Funded Professional Services for Airports 42 Packet Page -2781- 9/8/2015 16.G.1. Coder County Administrative Services Division Procurement Services Attachment 5: Immigration Affidavit Certification CCNA Solicitation: 15- 6382 -2 — Grant Funded Professional Services for Airports This Affidavit is required and should be signed, notarized by an authorized principal of the firm and submitted with formal Invitations to Bid (ITB's) and Request for Proposals (RFP) submittals. Further, Consultants / Bidders are required to enroll In the E- Verify program, and provide acceptable evidence of their enrollment, at the time of the submission of the Consultant's /bidder's proposal. Acceptable evidence consists of a copy of the properly completed E- Verify Company Profile page or a copy of the fully executed E- Verify Memorandum of Understanding for the company. Failure to Include this Affidavit and acceptable evidence of enrollment In the E- Verify program Collier County will not intentionally award County contracts to any Consultant who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section 274A(e) of the Immigration and Nationality Act ( "INA "). Collier County may consider the employment by any Consultant of unauthorized aliens a violation of Section 274A (e) of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA shall be grounds for unilateral termination of the contract by Collier County. Consultant attests that they are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration Act and subsequent Amendment(s)) and agrees to comply with the provisions of the Memorandum of Understanding with E- Verify and to provide proof of enrollment in The Employment Eligibility Verification System (E- Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Consultant's / Bidder's proposal. Company Name Atkins North America, Inc. Print Name Thomas F. Barry Jr., P Title Sr. Vice President Signature i Date June 15, 2015 State of Florida County of Orange The foregoing Instrument was signed and acknowledged before me this 15th day of June , 2015, by Thomas F. Barry Jr.. PE who is personally known to me or has produced Print or Type Name) (Type of Identification and Number) Kobtary_P Alfc Signe re �~ NANCY S. 8EARITY s Nancy S Gerrity Printed Name of Notary Public Notary Public - State of Florida My Comm. Expires Jul 5, 2018 Commission 0 FF 135527 as identification. FF135527 1July 5. 2018 Notary Commission Number /Expiration The signee of this Affidavit guarantees, as evidenced by the sworn affidavit required herein, the truth and accuracy of this affidavit to Interrogatories hereinafter made. 15- 8429 -2 Grant Funded Professional Services for Airports 43 Packet Page -2782- EmployerWizard 9/8/2015 16.G.1. 4D y , . � / 4 Y/ ` �III� J �A'1��.'.� ` Employment Eligibility VeCiflcBticn K vmerown KBR00042 Last 5 AM _04126/2011 Log out Home Company Information My Cases New Case View Cases Company Name: Atkins North America View(Edit i My Profile Company ID Number: 5 6042 Edit Profile Doing Business As (DBA) Change Password Name: DUNS Number: Change Security Questions My company Physical Location: Mailing Address: Edit Company Profile Address 1: 2001 SW 107 Avenue Address 1: Add New User Address 2: Address 2: j View Existing Users City: Miami City: Close Company Account State: FL State: Zip Code: 3 3172 Zip Code: My Reports County: MIAMI -DADE Mew Reports j My Resources Additional Information: View Essential Resources Employer Identification Number: 590896138 Take Tutorial Total Number of Employees: 2,500 to 4,999 View User Manual Parent Organization: WS Atkins Contact Us Administrator: Organization Designation: j Employer Category: Federal Contractor without FAR E -Verify Clause i 541 - PROFESSIONAL, SCIENTIFIC, AND TECHNICAL NAILS Code: view (Edit SERVICES Total Hiring Sites: 93 Total Points of Contact:1 View( Edit I U.S. Department or Homeland Sewrity - www.dhs.9ov U.S. Citizenship and Immigration Services - www.uads.guv Accessibility Download Viewers https:// e- verify.uscis.gov /emp /EmployerW Packet Page -2783- 4/27/2011 9/8/2015 16.G.1. corwr Count=y AdmbtWm A Services Division NooeenmO Serwes Attachment 6: Consultant Substitute W — 9 Request for Taxpayer Identification Number and Certification In accordance with the Internal Revenue Service regulations, Collier County is required to collect the following Information for tax reporting purposes from individuals and companies who do business with the County (including social security numbers if used by the Individual or company for tax reporting purposes). Florida Statute 119.071(5) require that the county notify you in writing of the reason for collecting this information, which will be used for no other purpose than herein stated. Please complete all information that applies to your business and return with your quote or proposal. 1. General Information (provide all information) (as shown on Income tax return) Business Name (if different from taxpayer name) Address 4030 West Boy Scout Boulevard, Suite 700 City Tampa State Florida Zip 33607 Telephone 239.282.7275 FAX 813.282.3634 Email lean.frankeMetkinsolobal.com Order Information Remit i Payment Information Address 1514 Broadway, Suite 201 Address PO Box 409357 City Fort Myers State Florida Zip 33901 -3015 City Atlanta State Georola Zip 30384 FAX 239.334.7277 FAX X2.380.2609 Email fin.bonsetCatkinsolobai.com Email lean.frankeMatkinsoiobal.com 2. Company Status (check only one) Individual I Sole Proprietor X Corporation Partnership _Tax Exempt (Federal Income tax- exempt entity Limited Liability Company under Internal Revenue Service guidelines IRC 501 (c) 3) Enter the tax classification D = Disregarded Entity, C = Corporation, P = Partnership) 3. Taxpayer Identification Number (for tax reporting purposes only) Federal Tax Identification Number (TIN) 59 -0896138 (Consultants who do not have a TIN, will be required to provide a social security number prior to an award of the contract.) 4. Sign and Date Form: Ce cation: Under penalties of pe#ury, I certify that the information shown on this form is correct to my Wedge. Signature T o as F. Barry Jr., PE Date June 15 2015 Title Senor Vice President Phone Number 407.647.7275 15- 6429 -2 Grant Funded Professional Services for Airports 44 Packet Page -2784- 9/8/2015 1 6. G.1. Co per Comfy Administrative Sendces Division Procurement Services Attachment 7: Insurance and Bonding Requirements Insurance / Bond Type Required Limits 1. ® Worker's Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Compensation Statutory Limits and Requirements 2. ® Employer's Liability $ 500.000 single limit per occurrence 3. ® Commercial General Bodily Injury and Property Damage Liability (Occurrence Form) patterned after the current $1.000.000 single limit per occurrence, $2,000,000 aggregate for Bodily Injury ISO form Liability and Property Damage Liability. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 4. ® Indemnification To the maximum extent permitted by Florida law, the ContractorNendor /Consultant shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the ContractorNendor /Consultant or anyone employed or utilized by the ContractorNendor /Consultant In the performance of this Agreement. 4. ® Automobile Liability S 1,000,000 Each Occurrence; Bodily Injury & Property Damage, Owned /Non- owned /Hired; Automobile Included 5. ❑ Other insurance as ❑ Watercraft $ Per Occurrence noted: ❑ United States Longshoreman's and Harborworker's Act coverage shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Maritime Coverage (Jones Act) shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Aircraft Liability coverage shall be carried in limits of not less than $5,000,000 each occurrence if applicable to the completion of the Services under this Agreement. $ Per Occurrence ❑ Pollution $ Per Occurrence ® Professional Liability $1,000,000 per claim and in the aggregate • $1,000,000 per claim and in the aggregate • $2,000,000 per claim and in the aggregate 15- 5429 -2 Grant Funded Professional Services for Airports 45 Packet Page -2785- 9/8/2015 16.G.1. ❑ Project Professional Liability S Per Occurrence [:]Valuable Papers Insurance $ Per occurrence 6. ❑ Bid bond Shall be submitted with proposal response in the form of certified funds, cashiers' check or an irrevocable letter of credit, a cash bond posted with the County Clerk, or proposal bond in a sum equal to 5% of the cost proposal. All checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State of Florida and insured by the Federal Deposit Insurance Corporation. 7. ❑ Performance and For projects In excess of $200,000, bonds shall be submitted with the Payment Bonds executed contract by Proposers receiving award, and written for 100% of the . Contract award amount, the cost borne by the Proposer receiving an award, The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner; provided, however, the surety shall be rated as "A= or better as to general policy holders rating and Class V or higher rating as to financial size category and the amount required shall not exceed 5% of the reported policy holders' surplus, all as reported in the most current Best Key Rating Guide, published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New York 10038. 8. ® Consultant shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Consultant shall provide County with certificates of insurance meeting the required insurance provisions, 9. ® Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required. 10. ® The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. 11. ® Thirty (30) Days Cancellation Notice required. ljb 5/18/2015 Consultant's Insurance Statement We understand the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. Name of Firm Consultant Signature Print Name Insurance Agency Agent Name Date June 15, 2015 Willis Group Eric Munroe Telephone Number 973.829.2940 Packet Page -2786- 15- 6429 -2 Grant Funded Professional Services for Airports 46 Attachment 9 - Required Grant Forms COLLIER COUNTY 9/8/2015 16.G.1. Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions (1) The prospective primary participant certifies to the best of its knowledge and belief, that it and Its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three -year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) Have not within a three -year period preceding this application /proposal had one or more public transactions (Federal, State or local) terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Thomas F. Barry Jr., PE Name Senior Vice President Title Atkins North America, Inc, Firm Grant Funded Professional Services for Airports Project Name 15-6382 -2 Project Number 59- 0896138 Tax ID Number 360768811 DUNS Number 1514 Broadway, Suite 201, Fort Myers, Florida 33901 -3015 Street Address, City, State Zip �B Signature 03/04/2013- (2) 47 Packet Page -2787- 9/8/2015 16.G.1. COLLIER COUNTY Acknowledgement of Terms, Conditions, and Grant Clauses Flow Down of Terms and Conditions from the Grant Agreement Subcontracts: If the vendor subcontracts any of the work required under this Agreement, a copy of the signed subcontract must be available to the Department for review and approval. The vendor agrees to include in the subcontract that (1) the subcontractor is bound by the terms of this Agreement, (ii) the subcontractor is bound by all applicable state and federal laws and regulations, and (iii) the subcontractor shall hold the Department and Recipient harmless against all claims of whatever nature arising out of the subcontractor's performance of work under this Agreement, to the extent allowed and required by law. The recipient shall document in the quarterly report the subcontractor's progress in performing its work under this agreement. For each subcontract, the Recipient shall provide a written statement to the Department as to whether the subcontractor is a minority vendor as defined in Section 288.703, Fla. Stat, Certification On behalf of my firm, I acknowledge, and agree to perform all of the specifications and grant requirements identified in this solicitation document(s). Vendor /Contractor Name Atkins North America, Inc. Date June 15, 2015 Authorized Signature �� homas F. Barry Jr., PE, Senior Vice President Address 1514 Broadway, Suite 201, Fort Myers, Florida 33901 -3015 Solicitation /Contract # 15- 6382 -2 Packet Page -2788- 02/15 R3 48 9/8/2015 16.G.1. COLLIER COUNTY Certification Regarding Lobbying The undersigned Atkins North America, Inc. (Vendor/ Contractor) certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress In connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form - -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104 -65, to be codified at 2 U.S.C. 1601, et seq.)] (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such'failure. [Note: Pursuant to 31 U.S.C. § 1352(c)(1)- (2)(A), any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure.] The Vendor /Contractor, Atkins North America, Inc. , certifies or affirms the truthfulness and accuracy of each statement of Its certification and disclosure, If any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certification and disclosure, If any. Thomas F. Barry Jr., PE Name of Authorized Official Senior Vice President Title Signature of Vendor /Contractor's Authorized Official June 15, 2015 Date 02/15 R3 49 Packet Page -2789- 9/8/2015 16.G.1. COLLIER COUNTY Vendor Submittal — Conflict of interest Certification 15- 6382 -2 Collier County Solicitation No. 1, Thomas F. Barry Jr., PE , hereby certify that to the best of my knowledge, neither I nor my spouse, dependent child, general partner, or any organization for which I am serving as an officer, director, trustee, general partner or employee, or any person or organization with whom I am negotiating or have an arrangement concerning prospective employment has a financial interest in this matter. I further certify to the best of my knowledge that this matter will not affect the financial interests of any member of my household. Also, to the best of my knowledge, no member of my household; no relative with whom I have a close relationship; no one with whom my spouse, parent or dependent child has or seeks employment; and no organization with which I am seeking a business relationship nor which i now serve actively or have served within the last year are parties or represent a party to the matter. I also acknowledge my responsibility to disclose the acquisition of any financial or personal Interest as described above that would be affected by the matter, and to disclose any interest 1, or anyone noted above, has in any person or organization that does become involved in, or is affected at a later date by, the conduct of this matter. Thomas F. Barry Jr., PE Name Signature Senior Vice President June 15, 2015 Position Date Privacy Act Statement Title I of the Ethics In Government Act of 1978 (5 U.S.C. App.), Executive Order 12674 and 5 CFR Part 2634, Subpart I require the reporting of this information. The primary use of the Information on this form is for review by officials of The Justice Department to determine compliance with applicable federal conflict of interest laws and regulations. Additional disclosures of the Information on this report may be made: (1) to a federal, state or local law enforcement agency If the Justice Department becomes aware of a violation or potential violation of law or regulations; (2) to a court or party in a court or federal administrative proceeding if the government Is a party or in order to comply with a judge- issued subpoena; (3) to a source when necessary to obtain information relevant to a conflict of interest investigation or decision; (4) to the National Archives and Records Administration or the General Services Administration In records management inspections; (5) to the Office of Management and Budget during legislative coordination on private relief legislation; and (6) in response to a request for discovery or for the appearance of a witness in a judicial or administrative proceeding, if the information Is relevant to the subject matter. This confidential certification will not be disclosed to any requesting person unless authorized by law. See also the OGE /GOVT 2 executive branch -wide Privacy Act system of records. 50 Packet Page -2790- . I i 9/8/2015 16.G.1. COLLIER COUNTY ANTICIPATED DISADVANTAGED, MINORITY, WOMEN OR VETERAN PARTICIPATION STATEMENT Status will be verified. Unverifable statuses will require the PRIME to either proivde a revised statement or provide source documentation that validates a status. t A.�RRIME 1/ NDOR�i�A1VTR�► 1"QR VF �ti1�9ATI N e PRIME NAME PRIME FEID NUMBER CONTRACT DOLLAR AMOUNT IS THE PRIME A FLORIDA - CERTIFIED DISADVANTAGED, IS THE ACTIVITY OF THIS CONTRACT... MINORITY OR WOMEN BUSINESS ENTERPRISE? DBE? Y N CONSTRUCTION ? Y N (DBE /MBE/WBE) OR HAVE A SMALL DISADVANTAGED BUSINESS 8A CERTIFICATION FROM THE SMALL BUSINESS MBE? Y N CONSULTATION? Y N ADMINISTRATION? A SERVICE DISABLED VETERAN? WBE? Y N OTHER? Y N SDB 8A7 Y N IS THIS SUBMISSION A REVISION?l Y N IF YES, REVISION NUMBER �i� �+ i/V4JiL1` r"'� DBE M /WBE SUBCONTRACTOR OR SUPPLIER TYPE OF WORK OR ETHNICITY CODE SUB /SUPPLIER PERCENT OF CONTRACT VETERAN NAME SPECIALTY (See Below) DOLLARAMOUNT DOLLARS TOTALS: -- SECTION TD BE COMPLE D S1 PRIML U�NDt£1R /CON? R cT6R NAME OF SUBMITTER DATE TITLE OF SUBMITTER EMAIL ADDRESS OF PRIME (SUBMITTER) TELEPHONE NUMBER FAX NUMBER NOTE: This information is used to track and report anticipated DBE or MBE participation in federally- funded contracts. The anticipated DBE or MBE amount is voluntary and will not become part of the contractual terms. This form must be submitted at time of response to a solicitation. If and when awarded a County contract, the prime will be asked to update the Information for the grant compliance files, Black American BA- Hispanic American HA - Native American NA Subcont. Asian American SAA Asian- Padfic American APA Non - Minority Women NMW Other: not of any other group listed 0 QgCTF(%NOBE GOMPLE�'E� BYCOI:L�Ef� COUNTY ` DEPARTMENT NAME COLLIER CONTRACT # (IFB /RFP or PO /REQ) GRANT PROGRAM /CONTRACT ACCEPTED BY: DATE 51 Packet Page -2791- 9/8/2015 16.G.1. COLLIER COUNTY Certification Regarding Drug -Free Workplace Requirements The grantee certifies that it will provide a drug -free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing a drug -free awareness program to inform employees about— (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation and employee assistance programs, and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will — (1) Abide by the terms of the statement; and (2) Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after each conviction; (e) Notifying the agency within ten days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction; (f) Taking one of the following actions, within 30 days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted — (1) Taking appropriate personnel action against such an employee, up to and including termination; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f). Thomas F. Barry Jr., PE Senior Vice President Certifying Offic' I Name Title .� i June 15, 2015 Signature Date 84 Packet Page -2792- Search Results I System for Award Management Yrew assistance far Search Res.nls Search Results Yoursearch returned the following reruns... Glossary Noticel Tills prnee0 document tefxesents only the first page of your 50M search results. fore msub n*v be available. To your complete search resull5, you can downioad toe PDF and print it Search (print I EnMV ATKINS NORTH AMERICA. INC Sutun Active, � t1 Entity DUNS: 760766611 CAGE Cedm 41TN0 Exclusion Hm Active Exclusion ?t No D.DAAC Classification ExpiMUon Oat.: 06/22/2016 Delinquent Federal Debt? No Excluding Purpeee of Reglatratlon: AN Ards Agency Activation Date Termination Date Search Filters By Record status By Functions! Area - Entity Management By FunctNxel Area - Pertormance Information SAN ISnr... rr A...ra wnro. —t IA IBM v1.P.32.201 6.1050 _ xLL Note to all Users: This is a Federal Government compuler system. Use of Bits j ��,.•••, system eonstibAei Ca%Mt to mon6Ldlg at an UWes. •.. - - 9/8/2015 16.G.1. O— — "- — https: / /www.sam.gov/ portal /SAM/ ?navigationalstate =JBPNS rOOABXdcACJgYXZheC5... 6/29/2015 - -- Packet Page -2793- View Details - Entity Overview I System for Award Management 9/8/2015 16.G.1. _..I, — -..__ SAM I Syatam for Avard Mammmmt1.0 IBM v1.P.32.2015W26.1050 ® �y Note to all Users; This Is a Federal Govelnmerlt oomptAer System. Use or fhls WWW6 a tlr�V System wnstitutes amsent to m utw" at all omen. .` lsy'2^ :• https: / /www.sam.gov/ portal /SAM / ?navigationalstate =JBPNS rOOABXdcACJgYXZheC5... 6/29/2015 Packet Page -2794- USER NAME PASSWORD Form Usemame? (mow Qj Pp�iv l? rimte an Amt ATKINS NORTH AMERICA, INC. 1514 BROADWAY STE 203 Entity-- DUNS: 360768611 CAGE Code: 44TN0 FORT MYERS, FL, 33901 -3003, Status: Active UNITED STATES Da s h I t 016 Expiration Data: Don: Purposeof Registration: All Awards All Entity Record Care Data Entity Overview Assertions Reps & Certs PO CS Entity Information ' Reports Home: ATKINS NORTH AMERICA, INC. Business Type: Business or OMa ization Service Contract Report POC Nana: Glenn Derby Registration Status: Adive BloPreferred Report Activation Date: 06/23/2015 Expiration Date: 06/22/2016 ExIJusions Active Exclusions Inactive Exclusions Excluded Family Members Exclusions t RFn'RN TO "ARCtt Active Exclusion Retards? No SAM I Syatam for Avard Mammmmt1.0 IBM v1.P.32.2015W26.1050 ® �y Note to all Users; This Is a Federal Govelnmerlt oomptAer System. Use or fhls WWW6 a tlr�V System wnstitutes amsent to m utw" at all omen. .` lsy'2^ :• https: / /www.sam.gov/ portal /SAM / ?navigationalstate =JBPNS rOOABXdcACJgYXZheC5... 6/29/2015 Packet Page -2794- �n 0 9 0 0 s 0 9/8/2015 16.G.1. COLLIER COUNTY I GRANT FUNDED PROFESSIONAL SERVICrD run HlnrvKl� Detail by Entity Name Florida Profit Corporation ATKINS NORTH AMERICA, INC. Filing Information Document Number 233840 FEI /EIN Number 590896138 Date Filed 02/29/1960 State FL Status ACTIVE Last Event NAME CHANGE AMENDMENT Event Date Filed 02/04/2011 Event Effective Date 04/01/2011 Principal Address 4030 WEST BOY SCOUT BOULEVARD SUITE 700 TAMPA, FL 33607 Changed: 01/13/2010 Mailing Address 4030 WEST BOY SCOUT BOULEVARD SUITE 700 TAMPA, FL 33607 Changed: 01/1312010 Registered Agent Name & Address EDGAR, C ERNEST IV THE ATKINS NORTH AMERICA HOLDINGS CORP 4030 WEST BOY SCOUT BLVD, STE 700 TAMPA, FL 33607 Name Changed: 11/09/2010 Address Changed: 01/05/2012 Officer /Director Detail Name & Address Title President SOLICITATION 15- 6382 -2 Packet Page -2795- TAB 6: REQUIRED FORM SUBMITTALS Z 9/8/2015 16.G.1. Coder Coulay Zoo Administrative Ser'Acw Division Procurement Services Attachment 2: Consultant Check List IMPORTANT: THIS SHEET MUST BE SIGNED. Please read carefully, sign in the spaces indicated and return with your Proposal. Consultant should check off each of the following items as the necessary action is completed: ® The Proposal has been signed. ® All applicable forms have been signed and included, along with licenses to complete the requirements of the project. ® Any addenda have been signed and included. ® The mailing envelope has been addressed to: Collier County Government Purchasing Department 3327 Tamiami Trail E Naples FL 34112 Attn: Adam Northrup, Procurement Strategist CCNA Solicitation: 15- 6382 -2 — Grant Funded professional Services for Airports ® The mailing envelope must be sealed and marked with Proposal Number, Proposal Title and Due Date. ® The Proposal will be mailed or delivered in time to be received no later than the specified due date and time, (Otherwise Proposal cannot be considered.) ® If submitting a manual bid, include any addenda (initialed and dated noting understanding and receipt). If submitting bid electronically, bidder will need to download all related documents on www.colliergov.net/bid. The system will date and time stamp when the addendum files were downloaded. ALL COURIER - DELIVERED PROPOSALS MUST HAVE THE RFP NUMBER AND TITLE ON THE OUTSIDE OF THE COURIER PACKET Name of Firm: Address: City, State, Zip: Telephone: Email: Representative Signature: Representative Name: AVCON, INC. 5555 E Michigan Street, Suite 200 Orlando, FL 32822 (407) 599 -1122 Sandeep Singh, P.E., President Date: June 22, 2015 Packet Page -2796- 15- 6429 -2 Grant Funded Professional Services for Airports I I 9/8/2015 16.G.1. Coder Coumy Administrative Senoioes Division Procurement Services Attachment 3: Conflict of Interest Affidavit By the signature below, the firm (employees, officers and /or agents) certifies, and hereby discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned interest or activity (financial, contractual, organizational, or otherwise) which relates to the proposed work; and bear on whether the firm (employees, officers and /or agents) has a possible conflict have been fully disclosed. Additionally, the firm (employees, officers and /or agents) agrees to immediately notify in writing the Procurement Director, or designee, if any actual or potential conflict of interest arises during the contract and /or project duration. Firm: AVCO Signature and Date: Print Name: Sandeep Singh, P.E. Title of Signatory: President `e of Florida County of Orange June 22,_2015 SUBSCRIBED AND SWORN before me this 22nd day of June, 2015, by Sandeep Singh, P.E., who is Personally known to me to be the President for the Firm, OR who produced the following identification N /A. Notary Public My Commission Expires I :►^• • JENNIFER HOUWERS : �A L MY COMMISSION N FF227133 EXPIRES July 09, 2019 T.:rwrv'Sj fgrdMiayyeaWU.00n• Packet Page -2797- 15- 6429 -2 Grant Funded Professional Services for Airports 9/8/2015 16.G.1. Collier County Administrative Services DMsion Procurement Services Attachment 4: Consultant Declaration Statement BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 34112 RE: CCNA Solicitation: 15- 6382 -2 — Grant Funded professional Services for Airports Dear Commissioners: The undersigned, as Consultant declares that this proposal is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud. The Consultant agrees, if this proposal is accepted, to execute a Collier County document for the purpose of establishing a formal contractual relationship between the firm and Collier County, for the performance of all requirements to which the proposal pertains. The Consultant states that the proposal is based upon the proposal documents listed by the above referenced CCNA Solicitation. IN WITNESS WHEREOF, WE have hereunto subscribed our names on this 22nd day of June, 2015 in the County of Orange, in the State of Florida. Firm's Legal Name: AVCON, INC. Address: 5555 E Michigan Street, Suite 200 City, State, Zip Code: Orlando, FL 32822 Florida Certificate of Authority Document Number Federal Tax Identification Number CCR # or CAGE Code Telephone: FAX: Signature by: (Typed and written) Title: K22990 Federal Tax ID No. 59- 2890463 (407) 599 -1122 599 -1133 President °t^^� -4�� Sandeep Singh, P.E. Packet Page -2798- 15- 6429 -2 Grant Funded Professional Services for Airports 9/8/2015 16.G.1. Additional Contact Information rid payments to: quired if different from above) AVCON, INC. Company name used as payee Contact name: Jerry Conway Title: Controller Address: 5555 E Michigan Street, Suite 200 City, State, ZIP Orlando, FL 32822 Telephone: (407) 599 -1122 FAX: (4071 599 -1133 Email: JConway @avconinc.com Office servicing Collier County to place orders (required if different from above) Contact name: Robert Palm, P.E. Project Manager Address: 125 Aviation Drive, Suite 104 City, State, ZIP Naples, FL 34104 Telephone: (239) 280 -1264 -- - Email: RHPalm @avconinc.com 15- 6429 -2 Grant Funded Professional Services for Airports Packet Page -2799- 9/8/2015 16.G.1. Coder county Administrative Services Division Procurement Services Attachment 5: Immigration Affidavit Certification CCNA Solicitation: 15- 6382 -2 — Grant Funded professional Services for Airports This Affidavit is required and should be signed, notarized by an authorized principal of the firm and submitted with formal Invitations to Bid (ITB's) and Request for Proposals (RFP) submittals. Further, Consultants / Bidders are required to enroll in the E- Verify program, and provide acceptable evidence of their enrollment, at the time of the submission of the Consultant's /bidder's proposal. Acceptable evidence consists of a copy of the properly completed E- Verify Company Profile page or a copy of the fully executed E -Verify Memorandum of Understanding for the company. Failure to Include this Affidavit and acceptable evidence of enrollment in the E- Verify program may deem the Consultant / Bidder's proposal as non - responsive. Collier County will not intentionally award County contracts to any Consultant who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section 274A(e) of the Immigration and Nationality Act ("INK'). Collier County may consider the employment by any Consultant of unauthorized aliens a violation of Section 274A (e) of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA shall be grounds for unilateral termination of the contract by Collier County. Consultant attests that they are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration Act and subsequent Amendment(s)) and agrees to comply with the provisions of the Memorandum of Understanding with E- Verify and to provide proof of enrollment in The Employment Eligibility Verification System (E- Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Consultant's / Bidder's proposal. Company Name "CON, INC. Print Name Sandeep Singh, P.E. Title President Signature �^�'' Date June 22, 2015 e State of Florida County of Orange The foregoing instrument was signed and acknowledged before me this 22nd day of June, 2015, by Sandeep Singh who has produced Driver's License (#5520- 780 -62. 413 -0) as identification. (Print or Type Name) (Type of Identification and Number) cll-ja Notary Pub' ignature �� 1 i�P LiGI l� ► "''r JENNIFER HOUWER8 �- My COMMISSION M FF227133 Printed Name of Notary Public r/� % % % // 7� �,. EXPIRES July 09, 2019 G.-L— 1 �� / // ,I �'V/ •.�t�7,:�w4y�'53 FWdaftwS 9*#vk* on- Notary Commission Number /Expiration The signee of this Affidavit guarantees, as evidenced by the sworn affidavit required herein, the truth and accuracy of this affidavit to interrogatories hereinafter made. 15- 6429 -2 Grant Funded Professional Services for Airports Packet Page -2800- 1 9/8/2015 16.G.1. �I 111= y Company ID Number: 402816 To be accepted as a participant in E- Verify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E- Verify at 888 - 464.4218. Employer AVCON, INC. Anne Rollins Name (Please Type or Print) Electronically Signed Me 3/22/2011 Signature Date Department of Homeland Security — Verification Division SCIS Verification Division Name (Please Type or Print) Electronically Signed Title 3122/2011 Signature Date Information Required for the E- Verify Program Information relating to yo ur Company: Company Name: AVCON, INC. Company Facility Address: 5555 East Michigan Street, Suite 200 Orlando, FL 32822 Company Alternate Address: 5555 East Michigan Street, Suite 200 Orlando, FL 32822 County or Parish: DRANGE Employer identification Number: 92890463 Page 12 of 131 E- Verify MOU for Employer I Revision Date 09/01/09 www.dhs.gov /E- Verify Packet Page -2801- 9/8/2015 Company ID Number: 402816 North American Industry Anne T Rollins Classification Systems (407) 599 -1122 ext. 213 Fax Number: (321) 281 - 0457 Code: 41 Administrator: Jerry M Conway Number of Employees: 20 to 99 Number of Sites Verified Iconway @avconinc.com for: Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: • NORTH CAROLINA 1 site(s) • FLORIDA 2 site(s) Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name: Anne T Rollins Telephone Number: (407) 599 -1122 ext. 213 Fax Number: (321) 281 - 0457 E -mail Address: arollins @avconinc.com Name: Jerry M Conway Telephone Number: (407) 599 -1122 ext. 212 Fax Number: (321) 281 - 0457 E -mail Address: Iconway @avconinc.com Page 13 of 13 i E- Verify MOU for Employer i Revision Date 09/01/09 Packet Page -2802- www.dhs.gov /E- Verify 16.G.1. i 9/8/2015 16.G.1. COIL Cmmtcy adnv�rvices Division PromemeM semen Attachment 6: Consultant Substitute W — 9 Request for Taxpayer Identification Number and Certification In accordance with the Internal Revenue Service regulations, Collier County is required to collect the following information for tax reporting purposes from individuals and companies who do business with the County (including social security numbers if used by the individual or company for tax reporting purposes). Florida Statute 119.071(5) require that the county notify you in writing of the reason for collecting this information, which will be used for no other purpose than herein stated. Please complete all information that applies to your business and return with your quote or proposal. 1. General Information (provide all information) Taxpayer Name AVCON. INC. (as shown on income tax return) Business Name Same as above (rf different from taxpayer name) Address 5555 E Michigan Street, Suite 200 City Orlando State Florida Zip 32822 Telephone (407) 599 -1122 FAX (407) 599 -1133 Email S Sinaht- avconinc.com Order Information I Remit / Payment Information Address 125 Aviation Drive, Suite 104 City Naples State FL Zip 34104 FAX (407) 599 -1133 Email RHPaimcD_avconinc.com 2. Company Status (check only one) Address 5555 E Michigan Street, Suite 200 City Orlando State FL Zip 32822 FAX (407) 599 -1133 Email JConwav(a)avconinc.com _Individual / Sole Proprietor X Corporation Partnership _Tax Exempt (Federal income tax - exempt entity _ Limited Liability Company under Internal Revenue Service guidelines IRC 501 (c) 3) Enter the tax classification D = Disregarded Entity, C = Corporation, P = Partnership) 3. Taxpayer Identification Number (for tax reporting purposes only) Federal Tax Identification Number (TIN) 59- 2890463 (Consultants who do not have a TIN, will be required to provide a social security number prior to an award of the contract.) 4. Sign and Date Form: Certification: Under penalties of perjury, I certify that the information shown on this form is correct to my knowled e. Signature 'Q4� &(� 'J/� Date June 22, 2015 Title President Phone Number 14071599-1122 15- 6429 -2 Grant Funded Professional Services for Airports Packet Page -2803- 9!8/2015 16.G.1. Coder Cou>ay Administrative Services Division Procurement Services Attachment 7: Insurance and Bonding Requirements Insurance / Bond Type Required Limits 1. ® Worker's Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Compensation Statutory Limits and Requirements 2. ® Employer's Liability $ 500.000 single limit per occurrence 3. ® Commercial General Bodily Injury and Property Damage Liability (Occurrence Form) patterned after the current $1.000.000 single limit per occurrence, $2,000,000 aggregate for Bodily Injury ISO form Liability and Property Damage Liability. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 4. ® Indemnification To the maximum extent permitted by Florida law, the ContractorNendor /Consultant shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the Contractor/Vendor/Consultant or anyone employed or utilized by the ContractorNendor /Consultant in the performance of this Agreement. 4. ® Automobile Liability $1.000.000 Each Occurrence; Bodily Injury & Property Damage, Owned /Non- owned /Hired; Automobile Included 5. ❑ Other insurance as ❑ Watercraft $ Per Occurrence noted: ❑ United States Longshoreman's and Harborworker's Act coverage shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Maritime Coverage (Jones Act) shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Aircraft Liability coverage shall be carried in limits of not less than $5,000,000 each occurrence if applicable to the completion of the Services under this Agreement. $ Per Occurrence ❑ Pollution $ Per Occurrence ® Professional Liability $1.000.000 per claim and in the aggregate • $1,000,000 per claim and in the aggregate • $2,000,000 per claim and in the aggregate ❑ Project Professional Liability $ Per Occurrence ❑ Valuable Papers Insurance Packet Page -2804- $ Per Occurrence 15- 6429 -2 Grant Funded Professional Services for Airports 9/8/2015 16.G.1. 6. ❑ Bid bond Shall be submitted with proposal response in the form of certified funds, cashiers' check or an irrevocable letter of credit, a cash bond posted with the County Clerk, or proposal bond in a sum equal to 5% of the cost proposal. All checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State of Florida and insured by the Federal Deposit Insurance Corporation. 7. ❑ Performance and For projects in excess of $200,000, bonds shall be submitted with the Payment Bonds executed contract by Proposers receiving award, and written for 100% of the Contract award amount, the cost borne by the Proposer receiving an award. The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner; provided, however, the surety shall be rated as "A -" or better as to general policy holders rating and Class V or higher rating as to financial size category and the amount required shall not exceed 5% of the reported policy holders' surplus, all as reported in the most current Best Key Rating Guide, published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New York 10038. 8. ® Consultant shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Consultant shall provide County with certificates of insurance meeting the required insurance provisions. 9. ® Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required. 10. ® The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. Thirty (30) Days Cancellation Notice required. lib 5/18/2015 Consultant's Insurance Statement We understand the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. Name of Firm AVCON, INC. Date June 22, 2015 Consultant Signature am", 0(� ..4/ �- Print Name Sandeep Singh, P.E., President Insurance Agency USI Insurance Services, LLC Agent Name Daniel De La Rosa Telephone Number (813) 321 -7562 15- 6429 -2 Grant Funded Professional Services for Airports Packet Page -2805- Client#: 1050199 AVCONINC 9/8/2015 16.G.1. ACORD,., CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/16/2014 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. N 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 endorsement(s). PRODUCER kRA'ErACT USI insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 A P C No Ext : 813 321 -7500 ac No : 813 321 -7525 E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Travelers Casualty Ins Co of Am 19046 INSURED Avcon, 5555 E Inc. Orlando, E. Michigan Street; Suite # 200 Orlando, FL 32822 -2779 INSURER B: Travelers Indemnity Company 25658 INSURER C : Travelers Casualty and Surety C 19038 INSURER D: Catlin Insurance Company, Inc. 19518 Travelers Indemnity Co. of Amer INSURER E : ty 25666 INSURER F GENERAL AGGREGATE $2000,000 ---------- ­_._'_­. 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 CONTRACTOR 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. INS LTR TYPE OFINSURNCE NSR IR WVD POLICYNUMBER MMroYF PO EXP IfIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r_x1 OCCUR X X 6801B301123 D1101/2015 01/0112016 EEAACCHp�OCTCURRENCE $1,000,000 PREMISES EaErrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC JECT PRODUCTS - COMP /OP AGG $ 2,000,000 $ E AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X NON -OWNED AUTOS X X BABA761085 1/01/2015 01/01/201 EaaB1�NEOSINGLELIMIT 1,000,000 Ix BODILY INJURY (Per person) $ accident ( ) BODILY INJURY Per $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS DAB IV OCCUR CLAIMS -MADE X X CUPBA764179 1/01/2015 01/011201 EACHOCCURRENCE $4000000 AGGREGATE s4,000,000 DED I X RETENTION $10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) If DESCRIPTIrON OF OPERATIONS below NIA X UB3817T391 1/01/2015 01/01/2016 X WCSTATU- OTH- E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 D Professional Liability AED1981041015 0/06/2014 10/0612015 $2,000,000 per claim $3,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) Professional Liability coverage is written on a claims -made basis. JL For Proposal Purposes Only I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE OLD --PL 06 --WI. 01a, ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S13901494/M13901492 Packet Page -2806- MRLEW i 9/8/2015 16. G.1. Attachment 9 - Required Grant Forms COLLIER COUNTY Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions (1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three -year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) Have not within a three -year period preceding this application /proposal had one or more public transactions (Federal, State or local) terminated for cause or default. ")I Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Sandeep Singh, P.E. Name President Title AVCON, INC. Firm Grant Funded Professional Services for Airports Project Name 15- 6382 -2 Project Number 59- 2890463 Tax ID Number 60- 672 -0266 DUNS Number 5555 E Michigan Street, Suite 200, Orlando, FL 32822 Street Address, City, State, Zip Signature Packet Page -2807- 03/04/2013- (2) 47 9/8/2015 16.G.1. COLLIER COUNTY Acknowledgement of Terms, Conditions, and Grant Clauses Flow Down of Terms and Conditions from the Grant Agreement Subcontracts: If the vendor subcontracts any of the work required under this Agreement, a copy of the signed subcontract must be available to the Department for review and approval. The vendor agrees to include in the subcontract that (1) the subcontractor is bound by the terms of this Agreement, (ii) the subcontractor is bound by all applicable state and federal laws and regulations, and (iii) the subcontractor shall hold the Department and Recipient harmless against all claims of whatever nature arising out of the subcontractor's performance of work under this Agreement, to the extent allowed and required by law. The recipient shall document in the quarterly report the subcontractor's progress in performing its work under this agreement. For each subcontract, the Recipient shall provide a written statement to the Department as to whether the subcontractor is a minority vendor as defined in Section 288.703, Fla. Stat. Certification On behalf of my firm, I acknowledge, and agree to perform all of the specifications and grant requirements identified in this solicitation document(s). Date 06/22/15 Name AVCON, INC. / Sandeep Singh, P.E. 06/22/15 Authorized Signature_ av� Address 5555 E Michigan Street, Suite 200, Orlando, FL 32822 Solicitation /Contract # 15-6382-2 Packet Page -2808- 48 02/15 R3 9/8/2015 16.G.1. COLLIER COUNTY Certification Regarding Lobbying The undersigned AVCON, INC. (Vendor/ Contractor) certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form - -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104 -65, to be codified at 2 U.S.C. 1601, of seq.)] (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. [Note: Pursuant to 31 U.S.C. § 1352(c)(1)- (2)(A), any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure.] The Vendor /Contractor, AVCON, INC. certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. in addition, the Contractor understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certification and disclosure, if any. Sandeep Singh, P.E. President Name of Authorized Official Title Signature of Vendor /Contractor's Authorized Official 06/22/15 Date 02/15 R3 49 Packet Page -2809- 9/8/2015 16.G.1. COLLIER COUNTY Vendor Submittal — Conflict of Interest Certification 15- 6382 -2 Collier County Solicitation No. I Sandeep Singh, P.E. , hereby certify that to the best of my knowledge, neither I nor my spouse, dependent child, general partner, or any organization for which I am serving as an officer, director, trustee, general partner or employee, or any person or organization with whom I am negotiating or have an arrangement concerning prospective employment has a financial interest in this matter. I further certify to the best of my knowledge that this matter will not affect the financial interests of any member of my household. Also, to the best of my knowledge, no member of my household; no relative with whom I have a close relationship; no one with whom my spouse, parent or dependent child has or seeks employment; and no organization with which I am seeking a business relationship nor which I now serve actively or have served within the last year are parties or represent a party to the matter. I also acknowledge my responsibility to disclose the acquisition of any financial or personal interest as described above that would be affected by the matter, and to disclose any interest I, or anyone noted above, has in any person or organization that does become involved in, or is affected at a later date by, the conduct of this matter. Sandeep Singh, P.E. name President Signature 06/22/15 Position Date Privacy Act Statement Title I of the Ethics in Government Act of 1978 (5 U.S.C. App.), Executive Order 12674 and 5 CFR Part 2634, Subpart I require the reporting of this information. The primary use of the information on this form is for review by officials of The Justice Department to determine compliance with applicable federal conflict of interest laws and regulations. Additional disclosures of the information on this report may be made: (1) to a federal, state or local law enforcement agency if the Justice Department becomes aware of a violation or potential violation of law or regulations; (2) to a court or party in a court or federal administrative proceeding if the government is a party or in order to comply with a judge- issued subpoena; (3) to a source when necessary to obtain information relevant to a conflict of interest investigation or decision; (4) to the National Archives and Records Administration or the General Services Administration in records management inspections; (5) to the Office of Management and Budget during legislative coordination on private relief legislation; and (6) in response to a request for discovery or for the appearance of a witness in a judicial or administrative proceeding, if the information is relevant to the subject matter. This confidential certification will not be disclosed to any requesting person unless authorized by law. See also the OGE /GOVT -2 executive branch -wide Privacy Act system of records. 50 Packet Page -2810- 1 9/8/2015 16.G.1. COLLIER COUNTY ANTICIPATED DISADVANTAGED, MINORITY, WOMEN OR VETERAN PARTICIPATION STATEMENT will be verified. Unverifable statuses will require the PRIME to either proivde a revised statement or provide source documentation that validates a PRIME NAME PRIME FEID NUMBER CONTRACT DOLLAR AMOUNT AVCON, INC. 59- 2890463 TBD IS THE PRIME A FLORIDA - CERTIFIED DISADVANTAGED, HA IS THE ACTIVITY OF THIS CONTRACT... MINORITY OR WOMEN BUSINESS ENTERPRISE? DBE7 Y N CONSTRUCTION ? Y O (DBE /MBE /WBE) OR HAVE A SMALL DISADVANTAGED MBE? Y N CONSULTATION? YO N BUSINESS 8A CERTIFICATION FROM THE SMALL BUSINESS ADMINISTRATION? A SERVICE DISABLED VETERAN? WBE? Y RN OTHER? Y SDB 8A? Y IS THIS SUBMISSION A REVISION? Y N IF YES. REVISION NUMBER DBE M /WBE SUBCONTRACTOR OR SUPPLIER TYPE OF WORK OR ETHNICITY CODE SUB /SUPPLIER PERCENT OF CONTRACT VETERAN NAME SPECIALTY (See Below) DOLLAR AMOUNT DOLLARS DBEIMBE Environmental Resource Solutions I Environmental NMW TBD TBD NAME OF SUBMITTER DATE TITLE OF SUBMITTER Sandeep Singh, P.E. June 22, 2015 President EMAIL ADDRESS OF PRIME (SUBMITTER) TELEPHONE NUMBER FAX NUMBER S_Singh @avconinc.com (407) 599 -1122 (407) 599 -1133 NOTE: This information Is used to track and report anticipated DBE or MBE participation In federally- funded contracts. The anticipated DBE or MBE amount Is voluntary and will not become part of the contractual terms. This form must be submitted at time of response to a solicitation. If and when awarded a County contract, the prime will be asked to update the information for the grant compliance files. DEPARTMENT NAME 1 COLLIER CONTRACT k 0FB /RFP or GRANT IACCEPTED BY: I DATE 51 Packet Page -2811- Black American BA Hispanic American HA Native American NA Subcont. Asian American SAA Asian - Pacific American APA Non - Minority Women NMW Other: not of arty other group listed 0 DEPARTMENT NAME 1 COLLIER CONTRACT k 0FB /RFP or GRANT IACCEPTED BY: I DATE 51 Packet Page -2811- 9/8/2015 16.G.1. COLLIER COUNTY GRANT COMPLIANCE FORM BID OPPORTUNITY LIST FOR COMMODITIES AND CONTRACTUAL SERVICES4 AND PROFESSIONAL CONSULTANT SERVICES /t is the policy of Collier County that disadvantaged businesses and minority vendors, as defined in the Code of Federal Regulations (CFR) or Florida Statutes (FS), must have the opportunity to participate on contracts with federal and or state grant assistance. Prime Contractor /Prime Consultant: AVCON, INC. Address and Phone Number: 5555 E Michigan Street, Suite 200, Orlando, FL 32822 / (407) 599 -1122 Procurement Number /Advertisement Number: 15- 6382 -2 The list below is intended to be a listing of firms that are, or attempting to, participate on the project numbered above. The list must include the firm bidding or quoting as prime, as well as subs and suppliers quoting for participation. Prime contractors and consultants must provide information for Numbers 1, 2, 3, and 4; and, should provide any information they have for Numbers 5, 6, 7, and 8. This form must be submitted with the bid package. 1. Federal Tax ID Number: 59- 2890463 6.8 DBE 8. Annual Gross Receipts 2. Firm Name: AVCON, INC. Non -DBE Less than $1 million 3. Phone Number: (407) 599 -1122 Between $1 -5 million 4. Address 5555 E Michigan Street Between $ 5 -10 million Suite 200 7.8 Subcontractor X Between $ 10 -15 million Orlando, FL 32822 Subconsultant More than $15 million 5. Year Firm Established: 1988 1. Federal Tax ID Number: 65- 0159555 6.8 OBE B. Annual Gross Receipts 2. Firm Name: BSSW Architects, Inc. X Non -DBE Less than $ 1 million"`" 3. Phone Number: (239) 278 -3838 X Between $1 -5 million 4. Address 1500 Jackson Street Between $ 5 -10 million Suite 200 7. Subcontractor Between $10 -15 million Fort Myers FL 33901 X Subconsultant More than $15 million S. Year Firm Established: 1980 1. Federal Tax ID Number: 59- 3391028 6.8 DBE 8. Annual Gross Receipts 2. Firm Name: Environmental Resource Solutions Non -DBE Less than $ 1 million 3. Phone Number: (904) 285 -1397 X Between $1 -5 million 4. Address 8711 Perimeter Park Blvd Between $ 5 -10 million Suite 1 7.R Subcontractor Between $ 10 -15 million Jacksonville, FL 32216 X Subconsultant More than $15 million S. Year Firm Established: 1996 1. Federal Tax ID Number: 65- 0874962 6.8 DBE B. Annual Gross Receipts 2. Firm Name: GFA International, Inc. X Non -DBE Less than $1 million 3. Phone Number: (239) 489 -2443 Between $1 -5 million 4. Address 5851 Country Lakes Drive X Between $ 5 -10 million Fort Myers, FL 33905 7.8 Subcontractor Between $10 -15 million X Subconsultant More than $15 million S. Year Firm Established: 1988 52 I Packet Page -2812- 1 9/8/2015 16.G.1. COLLIER COUNTY GRANT COMPLIANCE FORM BID OPPORTUNITY LIST FOR COMMODITIES AND CONTRACTUAL SERVICES AND PROFESSIONAL CONSULTANT SERVICES Continued 1. Federal Tax ID Number: 59- 1173834 6.8 DBE 8. Annual Gross Receipts 2. Firm Name: Johnson Engineering, Inc. X Non -DBE Less than $1 million 3. Phone Number: (239) 334 -0046 Between $1 -5 million 4. Address 2122 Johnson Street Between $ 5 -10 million Fort Myers, FL 33901 7.8 Subcontractor X Between $10 -15 million X Subconsultant More than $15 million 5. Year Firm Established: 1946 1. Federal Tax ID Number: 6.8 DBE 8. Annual Gross Receipts 2. Firm Name: Non -DBE Less than $1 million 3. Phone Number: Between $1 -5 million 4. Address Between $ 5 -10 million 7. Subcontractor Between $10 -15 million Subconsultant More than $15 million S. Year Firm Established: 1. Federal Tax ID Number: 6.8 . DBE S. Annual Gross Receipts 2. Firm Name: Non -DBE Less than $1 million 3. Phone Number: Between $1 -5 million 4. Address Between $ 5 -10 million 7.8 Subcontractor Between $10 -15 million Subconsultant More than $ 15 million S. Year Firm Established: 1. Federal Tax ID Number: 63 DBE 8. Annual Gross Receipts 2. Firm Name: Non -DBE Less than $1 million 3. Phone Number: Between $1 -5 million 4. Address Between $ 5 -10 million 7.8 Subcontractor Between $ 10 -15 million Subconsultant More than $15 million 5. Year Firm Established: 1. Federal Tax ID Number: 6.8 DBE 8. Annual Gross Receipts 2. Firm Name: Non -DBE Less than $ 1 million 3. Phone Number: Between $ 1 -5 million 4. Address Between $ 5 -10 million 11��77 7. Subcontractor Between $ 10 -15 million Subconsultant More than $15 million 5. Year Firm Established: Packet Page -2813- 53 9/8/2015 16.G.1. �P COLLIER COUNTY Certification Regarding Drug -Free Workplace Requirements The grantee certifies that it will provide a drug -free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing a drug -free awareness program to inform employees about— (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation and employee assistance programs, and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will — (1) Abide by the terms of the statement; and (2) Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after each conviction; (e) Notifying the agency within ten days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction; (f) Taking one of the following actions, within 30 days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted — (1) Taking appropriate personnel action against such an employee, up to and including termination; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f). Sandeep Singh, P.E. President Certifying Official Name Title 06/22/15 Signature Date 54 Packet Page -2814- Detail by Entity Name Detail by Entity Name Florida Profit Corporation AVCON, INC. Filing Information Document Number K22990 FEI /EIN Number 592890463 Date Filed 05105/1988 State FL Status ACTIVE Principal Address 5555 EAST MICHIGAN STREET SUITE 200 ORLANDO, FL 32822 -2779 Changed: 11/21/2002 Mailing Address 5555 EAST MICHIGAN STREET SUITE 200 ORLANDO, FL 32822 -2779 Changed: 11/21/2002 Registered Agent Name & Address SINGH, SANDEEP 5555 EAST MICHIGAN STREET SUITE 200 ORLANDO, FL 32822 Name Changed: 03/26/1997 Address Changed: 02/06/2003 Officer /Director Detail Name & Address Title DCP SINGH, SANDEEP 9821 CAMBERLEY CIR ORLANDO, FL 32836 9/8/2015 16. G.1. rdgG 1 UI J http: // search. sunbiz .org /Inquiry/Corporatic- «" --- I'D -- --ItDetail ?inquirytype= Entity... 6/29/2015 ___ __ Packet Page -2815- Detail by Entity Name Title VP BALDOCCHI, RICHARD V 2301 FORREST ROAD WINTER PARK, FL 32789 Title ST KRISS, JAMES A 9348 THURLOE PLACE ORLANDO, FL 32827 -7003 Title RM LEWIS, VIRGIL L 604 SAILBOAT DRIVE NICEVILLE, FL 32578 Annual Reports Report Year Filed Date 2013 01/1012013 2014 01/22/2014 2015 01/07/2015 Document Images 01 /07/2015 -- ANNUAL REPORT View image in PDF format 01 /22/2014 -- ANNUAL REPORT View image in PDF format 01 /10/2013 -- ANNUAL REPORT View image in PDF format 01 /23/2012 -- ANNUAL REPORT View image in PDF format 01/04/2011 --ANNUAL REPORT View image in PDF format 01/28/2010 --ANNUAL REPORT View image in PDF format 01 /15/2009 -- ANNUAL REPORT View image in PDF format 01104/2008 --ANNUAL REPORT View image in PDF format 01/04/2007 -- ANNUAL REPORT View image in PDF format 01 /0712006 -- ANNUAL REPORT View image in PDF format 01 /10/2005 -- ANNUAL REPORT View image in PDF format 01/05/2004 -- ANNUAL REPORT View image in PDF format 02106/2003 -- ANNUAL REPORT View image in PDF format 01/14/2002 -- ANNUAL REPORT View image in PDF format 04/04/2001 --ANNUAL REPORT View image in PDF format 05/31/2000 -- ANNUAL REPORT View image in PDF format 02/26/1999 — ANNUAL REPORT View image in PDF format 01 /27/1998 -- ANNUAL REPORT View image in PDF format 33/26/1997 -- ANNUAL REPORT View image in PDF format 9/8/2015 16.G.1. ragc /- ut J http: // search. sunbiz. org/ InquirylCorporation4ZPAr ,-hi4ZPa*p hR P.z,>>tDetail ?inquirytype= Entity... 6/29/2015 Packet Page - 2816 -. w] Detail by Entity Name 04/23/1996 -- ANNUAL REPORT View image in PDF format 02/06/1995 -- ANNUAL REPORT View image in PDF format Convridht �', and Privacy Policies State of Florida, Department of State 9/8/2015 16.G.1. Page 3 of 3 http: // search.sunbiz.org/ Inquiry/Corporatior ° -- -' ^- --- '- Detail ?inquirytype= Entity... 6/29/2015 Packet Page -2817- Detail by Entity Name Detail by Entity Name Florida Profit Corporation AVCON, INC. Filing Information Document Number K22990 FEI/EIN Number 592890463 Date Filed 05/05/1988 State FL Status ACTIVE Principal Address 5555 EAST MICHIGAN STREET SUITE 200 ORLANDO, FL 32822 -2779 Changed: 11121/2002 Mailing Address 5555 EAST MICHIGAN STREET SUITE 200 ORLANDO, FL 32822 -2779 Changed: 11121/2002 Registered Agent Name & Address SINGH, SANDEEP 5555 EAST MICHIGAN STREET SUITE 200 ORLANDO, FL 32622 Name Changed: 03/26/1997 Address Changed: 02/06/2003 Officer /Director Detail Name & Address Title DCP SINGH, SANDEEP 9821 CAMBERLEY CIR ORLANDO, FL 32836 9/8/2015 16.G.1. Page 1 of 3 http: // search .sunbiz.org /Inquiry/Corporatic Packet Page - 2818- 1tDetail ?inquirytype= Entity... 6/29/2-015 G Detail by Entity Name Title VP BALDOCCHI, RICHARD V 2301 FORREST ROAD WINTER PARK, FL 32789 Title ST KRISS, JAMES A 9348 THURLOE PLACE ORLANDO, FL 32827 -7003 Title. RM LEWIS, VIRGIL L 604 SAILBOAT DRIVE NICEVILLE, FL 32578 Annual Reports Report Year Filed Date 2013 01/10/2013 2014 01/22/2014 2015 01/07/2015 Document Images 01/07/2015 -- ANNUAL REPORT View image in PDF format 01 /22/2014 -- ANNUAL REPORT View image in PDF format 01110/2013 -- ANNUAL REPORT View image in PDF format 01123/2012 -- ANNUAL REPORT View image in PDF format 01/04/2011 --ANNUAL REPORT View image in PDF format 0112812010 -- ANNUAL REPORT View image in PDF format 01 /15/2009 -- ANNUAL REPORT View image in PDF format 01 /0412008 -- ANNUAL REPORT View image in PDF format 01/04/2007 -- ANNUAL REPORT View image in PDF format 01 /07/2006 -- ANNUAL REPORT View image in PDF format 01/10/2005 -- ANNUAL REPORT View image in PDF fonnat 01/05/2004 -- ANNUAL REPORT View image in PDF format 02/06/2003 -- ANNUAL REPORT View image in PDF format 01 /14/2002 -- ANNUAL REPORT View image in PDF format 04/04/2001 --ANNUAL REPORT View image in PDF format 05/31/2000 -- ANNUAL REPORT View image in PDF format 02126/1999 -- ANNUAL REPORT View image in PDF format 01/27/1998 -- ANNUAL REPORT View image in PDF format 03/26/1997 -- ANNUAL REPORT View image in PDF format 9/8/2015 16.G.1. raga c Ui .3 http:// search.sunbiz.org/ inquiry /Corporation Cns4rrh /CaarrhP P-,,itDetail ?inquiiytype= Entity... 6/29/20t 5 Packet Page -2819- Detail by Entity Name 04/23/1996 -- ANNUAL REPORT I View image in PDF format 02/06/1995 --ANNUAL REPORT View image in PDF format Coovrioll (9 and Privacy Policies State of Florida, Department of State t 9/8/2015 16.G.1. rage -) or 3 http:// search. sunbiz. org / Inquiry/Corporatior'Parrh /QParrhP Po„' +Detail ?inquirytype = Entity... 6/29/2015 Packet Page -2820- Search Results I System for Award Management Search Results Your search reteroed Me followln0 resuts Glt NOV": Im prmLee dD[emert represents 0* the first pa0e d vW, SAL seerth reruns. More resoU may be available. To pout your complete search Rsults, you an downaw lfle POP and print iL 111W am AVOON, INC Sues: Atiiva i DUNSI 606720266 CAGE StOit Er& NaaAmva ExelwbnT: No DoDAAG C-- Ykn Detads Emit Erpintlan Dater 05/17/2016 Dallnquant federal Debt? No m1 futpoae W R"IbUatlom AN Awards Euk By Rl statu BY Fund Ares Mana By Fund Area- Pu(a Infers SAM l &Yet— a >A..erd Wnepameat s.o IBM vU.32. 1 61050 NOW to 1111 Users: TINS is a Federal fiovernment o0mputersVomm Use of ft a .—, `;SA r�ff1I tem sys C&SHLUtes ra UMT to =n4onnp at all bores. 1117' https: / /www.sam.gov /portal /SAM/ ?navigationalstate =JBPNS rO -- Packet Page -2821- 9/8/2015 16.G.1. —5— — s View Details - Entity Overview I System for Award Management Entity Dashl Entlly Record Core Data Assertions Reps & Certs P9�s Reports Service Contract R Dort BloPreferred Report Exclusion Active Exduslons Inactive Exclusions Excluded Family Members RRlURN TO SRARrIf 9/8/2015 16.G.1. USERNAME PA591WORD �7 Fornot Username> f rr00t password? Create An 6=m AVCDN, INC. 5555 E MICHIGAN STSTE 200 DUNS: 606720266 CAGE Code: 58CT6 _ ORLANDO, FL, 32822-2700, Status: Active UNITED STATES Expiration Date: 05/27/2016 Purposeof Registration: All Awards Entity Overview Entity Information Name: AVCDN, INC. Business Type: Business or Otgani:atian POC Rams Meghann Kiss RGUIStration Status: Active Activation Date; 05/28/2015 Expiration Dote: 05/2712016 Exclusions Active Exclusion Records? No SAN l 6Y-tem for Awrd Management La Note to all Uses: This Is a Federal Government mmpu- system. Use of mis system constitutes consent to monrtonng at all times. IBM 4.P.32.20150626 -1os0 www7 Oar INN,. tiA i https: / /www.sam.gov/ portal /SAM/ ?navigationalstate =JBPNS rOOABXdcACJgYXZheC5... 6/29/2015 Packet Page -2822- f