Agenda 02/14/2012 Item #16E22/14/2012 Item 16.E.2.
EXECUTIVE SUMMARY
Recommendation to approve the hourly billing rate and authorize the payment of any
associated invoices for temporary employees hired under Solicitation # 09 -5215,
Temporary Labor to EJ Services d /b /a Balance Staffing in an estimated amount of $37,000.
OBJECTIVE: To obtain approval to pay for services rendered by contract employees hired under the
"Non -Bid Skilled Labor" category according to the Purchase Order ( "PO ") terms for Solicitation # 09-
5215, Temporary Labor to EJ Services d/b /a Balance Staffing ( "Balance Staffing "), and to provide
independent contract labor services for various County departments to fulfill operational requirements.
CONSIDERATIONS: The Department of Facilities Management utilizes laborers to balance
maintenance work requests to provide the County with the best and most cost - effective services. The
County's standard purchase order terms and conditions are used as the instrument to procure these
services.
The PO with Balance Staffing for Solicitation # 09 -5215 sets forth hourly rates for three categories of
labor depending on skill level. The solicitation also includes a fourth category called "Non -Bid Skilled
Labor" where services may be negotiated directly with the Purchasing Department and the contractor on
an as needed basis for skilled labor not covered under any of the three established rates.
Facilities staff receives quotes from Balance Staffing for designated "Non -Bid Skilled Labor" positions,
prior to retaining those contract laborers. Staff believed by obtaining quotes it had satisfied the
requirements of the contract allowing the Project Manager and the Contractor to negotiate pricing for
additional services. In three instances, the Purchasing Department was not advised that rates had been
negotiated.
While these rates had been used since September 2010, the Finance Department first noticed this
discrepancy in December 2011 and began holding invoices where staff failed to obtain the Purchasing
Department's approval of the hourly rate negotiated to hire "Non -Bid Skilled Labor" contract employees
from Balance Staffing.
Staff is requesting Board approval of the "Non -Bid Skilled Labor" hourly billing rate negotiated between
Facilities staff and Balance Staffing as follows: $21.00 and 23.95 (inclusive of vendor mark -up). That
hourly rate reflects the contract employee's rate received $15.1 land $17.23 per hour respectively, with
the balance reflecting the contractor's mark -up. The Purchasing Department has since reviewed the "Non -
Bid Skilled Labor" hourly rates negotiated between Facilities' staff and Balance Staffing and detennined
that the hourly rate and markup are consistent with the contract and industry standards. The contract
employees were assigned computer -aided design (CAD), electrical, HVAC and structural assignments.
This rate is roughly two- thirds (2/3) the cost of a similar skilled full -time employee. The unpaid balance
as of January 31, 2012 is roughly $25,000 and it is estimated that the unpaid balance will be $37,000 by
February 14, 2012.
The term for Solicitation # 09 -5215 is nearing expiration, and in order to clarify the County's labor
specifications in the future, the Purchasing Department is initiating a new solicitation, Invitation to Bid
(ITB) 12 -5846, Contract Laborers, which includes an overhead pricing system that allows for the Project
Manager to negotiate the pay rate based on labor skill level.
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2/14/2012 Item 16.E.2.
FISCAL IMPACT: Facilities Management's expenses are an estimated $37,000. Funds are budgeted in
the Department of Facilities Management's Operating Cost Center (122240).
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this
Executive Summary.
LEGAL CONSIDERATIONS: The County Attorney is providing an "after the fact" review of this
transaction. Section XV1I of the Board's Purchasing Policy addresses "Unauthorized Purchases" by
county employees. Under that section, the policy provides that an unauthorized purchase does not require
the county be bound by nor necessitate the county's approval of such purchase. Consistent with that
policy, however, the Board can determine whether it is in the best interests of the County and allow and
approve the procurement. Pursuant to that policy, the Board is authorized to ratify and approve the
$21.00 and $23.95 hourly billing rate staff has applied to "Non -Bid Skilled Labor" contract employees
and authorize payment as requested by staff. This item has been reviewed by the County Attorney's
Office, is legally sufficient for Board action and only requires a majority vote for approval —SRT.
RECOMMENDATION: That the Board of Collier County Commissioners: (1) Approves the hourly
billing rates of $21.00 and $23.95 for the "Non -Bid Skilled Labor" category four employees negotiated
by Facilities and approved by the Purchasing Department, and (2) Authorizes the payment of any past and
future associated invoices for "Non -Bid Skilled Labor" contract employees retained under Solicitation 9
09 -5215 Temporary Laborers in an estimated amount of $37,000.
Prepared by: Skip Camp, Director, Department of Facilities Management
Attachments: 09- 5215TemporaryLaborers.doc
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2/14/2012 Item 16.E.2.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.2.
Item Summary: Recommendation to approve the hourly billing rate and authorize the
payment of any associated invoices for temporary employees hired under Contract # 09 -5215,
Temporary Labor to EJ Services d /b /a Balance Staffing in an estimated amount of $37,000.
Meeting Date: 2/14/2012
Prepared By
Name: LinguidiDennis
Title: Manager - Facilities,Facilities Management
1/18/2012 3:27:00 PM
Submitted by
Title: Manager - Facilities,Facilities Management
Name: LinguidiDennis
1/18/2012 3:27:02 PM
Approved By
Name: CampSkip
Title: Director - Facilities Management,Facilities Manage
Date: 1/23/2012 6:52:01 PM
Name: MarkiewiczJoanne
Title: Manager - Purchasing Acquisition,Purchasing & Gene
Date: 1/24/2012 7:12:13 AM
Name: CurranJohn
Title: Purchasing Agent,Purchasing & General Services
Date: 1/24/2012 7:30:35 AM
Name: SmithKristen
Title: Administrative Secretary,Risk Management
Date: 1/24/2012 8:09:11 AM
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Name: WardKelsey
Title: Manager - Contracts Administration,Purchasing & Ge
Date: 1/24/2012 9:40:21 AM
Name: CarnellSteve
Title: Director - Purchasing /General Services,Purchasing
Date: 1/31/2012 9:34:02 PM
Name: PriceLen
Title: Administrator - Administrative Services,
Date: 2/2/2012 2:35:25 PM
Name: TeachScott
Title: Deputy County Attomey,County Attorney
Date: 2/2/2012 3:36:23 PM
Name: FinnEd
Date: 2/3/2012 9:24:20 AM
Name: KlatzkowJeff
Title: County Attorney
Date: 2/8/2012 4:10:22 PM
Name: OchsLeo
Title: County Manager
Date: 2/8/2012 4:19:02 PM
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2/14/2012 Item 16.E.2.
2/14/2012 Item 16.E.2.
O COLLIER COUNTY PURCHASING DEPARTMENT
3301 Tamiami Trail East, Building "G Naples, Florida 34112
(239) 252 -8407, Fax (239) 732 -0844, www.colliergov.net/purchasing
INVITATION TO BIDI
DATE: March 6, 2009
TO: Prospective Bidders
FROM: Jack Curran
Purchasing Agent
RE: ITB# 09- 5215 -- "Temporary Laborers"
As requested by the Facilities Management Department, the Collier County Board of
County Commissioners Purchasing Department has issued this ITB for the sole intent
and purpose of obtaining fair and competitive bid responses on the above referenced
ITB.
Please refer to the Public Notice included in this document for the time and date of the
opening date and any applicable pre -ITB conference.
Any and all questions regarding this ITB must be asked online on the Collier County
Purchasing Department E- Procurement website: www.colliergov.net /bid. All answers to
questions will be posted on the noted website with electronic notification to all
prospective bidders.
We look forward to your participation in Collier County's competitive procurement
process.
cc: Damon Gonzales, Facilities Management Department
Note: All Bid Responses submitted manually must be submitted as one original,
and one exact duplicate copy, including any required forms.
f f i C ,
Revised 1/09
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2/14/2012 Item 16.E.2.
BIDDERS'S NON - RESPONSE STATEMENT
ITB # 09 -5215
"Temporary Laborers"
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 why prospective Bidders did not wish to respond to this ITB.
If your firm is not responding to this ITB, please indicate the reason(s) by checking any
appropriate item(s) listed below and return this form via email, fax or mail to: Collier
County Purchasing Department, 3301 Tamiami Trail East, Naples, Florida 34112.
We are not responding to this ITB 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: _
Mailing Address:
City, State, Zip: _
Telephone No: _
Email:
in
Signature of Representative
Revised 1/09
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2/14/2012 Item 16.E.2.
PUBLIC NOTICE
Sealed bid responses for ITB #09 -5215, "Temporary Laborers ", will be received
electronically or manually only at the Collier County Purchasing Department Director's
Office, 3301 Tamiami Trail East, Building "G ", Naples, Florida 34112 until 2:30 p.m.
Collier County local time on March 26th, 2009. ITB responses received after the stated
time and date will not be accepted.
ITB #09 -5215
"Temporary Laborers"
No pre -bid conference will be held for this solicitation
Any and all questions regarding this ITB must be asked online on the Collier County
Purchasing Department E- Procurement website: www.coiliergov.net/bid. All answers to
questions will be posted on the noted website with electronic notification to all
prospective bidders.
All ITB responses must be made on the official ITB response form included as part of
this ITB and only available for download from the Collier County Purchasing Department
E- Procurement website noted herein. ITB Documents obtained from sources other
than Collier County Purchasing may not be accurate or current.
Collier County encourages bidders to utilize recycled paper on all manual bid response
submittals.
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/ Steve Carnell
Steve Carnell, C.P.M.
Purchasing /General Services Director
Publicly posted on the Collier County Purchasing Department website:
www.colliergov.net /purchasing and in the lobby of the Purchasing Building on March 6,
2009.
Revised 1/09 3
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2/14/2012 Item 16.E.2.
GENERAL BIDDING REQUIREMENTS
1. All bids must be made on the Bid form furnished by the County. No bid will be
considered unless the Bid form is properly signed.
2. Bidders must provide unit prices any time unit prices are requested in the units
requested. These unit prices must be proper and balanced so as to allow fair
adjustments in quantities as required by the County. All prices will remain firm for a
period of one hundred and eighty (180) calendar days from date of bid opening.
3. Any transportation and /or any other charges incurred in delivering the product as
specified must be included in the bid price. FOB destination shall apply unless
exception is made in the specifications.
4. Any discounts or terms must be shown on the Bid form. Such discounts, if any, may
be considered in the award of tie bids. In no instance should payment terms less
than fifteen (15) calendar days be offered.
5. Bidders taking exception to any part or section of these specifications shall indicate
such exceptions on a separate sheet entitled "EXCEPTIONS TO
SPECIFICATIONS ". Failure to indicate any exceptions shall be interpreted as the
Bidders intent to fully complies with the specifications as written. Exceptions taken
by the Bidder may be deemed grounds for rejection of bid response.
6. Bidders who qualify their bids will be rejected. Examples of bid qualification
include, but are not limited to: prices submitted are based on an all -or -none
award, prices submitted based on receiving other awards firm is in contention
for, prices submitted as today's price and changeable at time of delivery.
7. The County reserves the right to formally amend and /or clarify the requirements of
the bid specifications where it deems necessary. Any such addendum /clarification
shall be in writing and shall be distributed electronically to all parties who received
the original bid specifications prior to the deadline for submission of Bids.
8. The County reserves the right to reject any and all bids, to waive defects in the form
of bid, also to select the bid that best meets the requirements of the County.
9. All bids shall be submitted manually or electronically to the County Purchasing
Director, Collier County Government Complex, Purchasing Building "G ", Naples, FL
34112, by the date and time as stated in the Legal Notice. The County assumes no
responsibility for bid responses received after the due date and time, or at any office
or location other than that specified herein, whether due to mail delays, courier
mistakes, mishandling, inclement weather or any other reason. Late bid responses
shall be returned unopened, and shall not be considered for award.
Revised 1/09
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2/14/2012 Item 16.E.2.
10. All bids submitted manually must be an original and one exact duplicate copy and
placed in a sealed envelope, and plainly marked as follows:
• The due date and time of receipt of the bids by the County Purchasing Director.
• The number of the bid and the bid title.
However, under no circumstances shall any part of, or pertaining directly to the
Bidder's offer, be exposed on the outside of the bid offer.
Special Note: All bids sent by courier service must have the bid number and title on
the outside of the courier packet.
11. Collier County, Florida as a political subdivision of the State of Florida is exempt
from the payment of Florida sales tax to its vendors under Chapter 212, Florida
Statutes. A copy of Collier County's Certificate of Exemption ( #85- 8012621830C2)
is available upon request.
Corporations, individuals and other entities are impacted by Chapter 212, Florida
Statutes according to the type of service, sale of commodity or other contractual
agreement to be made with Collier County. By submittal of a properly executed
response to a Bid from Collier County, Florida, the bidder is acknowledging that he is
aware of his statutory responsibilities for sales tax under Chapter 212, Florida
Statutes.
Collier County is also exempt from most Federal excise taxes. By submittal of a
properly executed response to a bid from Collier County, Florida, the bidder is
acknowledging that he is aware of his responsibilities for Federal excise taxes.
Contractor shall pay all sales, consumer, use and other similar taxes associated with
the Work or portions thereof, which are applicable during the performance of the
Work. No markup shall be applied to sales tax.
12. Tangible personal property purchased by Contractors in the performance of realty
construction for the County is taxable, though the County is exempt on its own
purchases.
13. In case of identical bids tying as low bid, the County shall ask vendors to submit
certification that they have a drug -free workplace in accordance with Section
287.087 Florida Statutes. Should all vendors provide said certification; the County
will give local vendor preference.
14. In compliance with Section 218.80, F.S., all permits necessary for the prosecution of
the Work shall be obtained by the Contractor. In addition, the Contractor shall
comply with all rules, regulations and laws of Collier County, the State of Florida or
the U.S. Government now in force or hereafter adopted.
Revised 1/09
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2/14/2012 Item 16.E.2.
15. When it is deemed by the County that a bid cannot be awarded as intended, the
County reserves the right to award this bid through an approach which is the best
interest of the County.
16. Alternate bids will not be considered unless authorized by the Invitation for Bids.
17. Bidders on any project must be qualified and directly responsible for 30% or more of
the Bid amount for said work.
18. Payment will be made by the County in accordance with the requirements of the
Local Government Prompt Payment Act, Chapter 218, Florida Statutes.
Collier County, at its sole discretion, will determine -the method of payment for goods
and /or services as part of this agreement.
Payment methods include:
1. Traditional — payment by check, wire transfer or other cash equivalent.
2. 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.
Collier County cautions Vendors to consider both methods of payment when
determining pricing as no additional surcharges or fees will be considered (per Rules
for VISA Merchants and MasterCard Merchant Rules). 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."
19. Any Contractor who is a recipient of County funds, or who proposes to perform any
work or furnish any goods under this bid shall not discriminate against any worker,
employee or applicant or any member of the public because of age race, color, sex,
religion, national origin, disability or marital status nor otherwise commit an unfair
employment practice.
20. Bidders who wish to receive copies of bids after the bid opening may view and
download from the Collier County Purchasing Department E- Procurement site.
21. Any actual or prospective respondent to an ITB, who is aggrieved with respect to the
ITB, shall file a written protest with the Purchasing Director rip or to the opening of
the bid or the due date for acceptance of bid. All such protests must be filed with the
Purchasing Director no later than 11:00 a.m. Collier County time on the advertised
date for the opening of the bid.
Revised 1/09
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rel
2/14/2012 Item 16.E.2.
22. ITB award selection criteria is as follows:
a. All questions on the Bid document shall be answered as to price(s), time
requirements, required document submissions and electronic acknowledgment
of addenda received by download.
b. Award shall be based upon the responses to all questions on the Bid Response
Page(s).
c. Further consideration will include but not be limited to ,references, completeness
of bid response and past performances on other County bids /projects.
d. Prices will be read in public exactly as input on the electronic bid response form
or written on the manually submitted Bid Response Page(s) at the time of the bid
opening; however, should an error in calculations occur whenever unit pricing
and price extensions are requested, the unit price shall prevail. Mathematical
miscalculations may be corrected by the County to reflect the proper answer.
23. Award of contract will be made by the Board of County Commissioners in public
session. Awards pertaining to the Collier County Airport Authority will generally be
made by that agency's approval Board.
Award shall be made in a manner consistent with the County's Purchasing Policy.
Award recommendations will be posted outside the offices of the Purchasing
Department as well as the Collier County Purchasing Department website on
Wednesdays and Thursdays.
Any actual or prospective respondent who desires to formally protest the
recommended contract award must file a notice of intent to protest with the
Purchasing Director within two (2) calendar days (excluding weekends and County
holidays) of the date that the recommended award is posted. 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 Purchasing Director.
24. All firms are hereby placed on NOTICE that the County Commission does not wish
to be lobbied... either individually or collectively ... about a project for which a firm has
submitted a bid. Firms and their agents are not to contact members of the County
Commission for such purposes as meetings of introduction, luncheons, dinners, etc.
During the bidding process, from bid opening to final Board approval, no firm or their
agent shall contact any other employee of Collier County with the exception of the
Purchasing Department.
25. The Contractor shall employ people to work at County facilities who are neat, clean,
well - groomed and courteous.
Revised 1/09
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2/14/2012 Item 16.E.2.
26. If the bidder should be of the opinion that the meaning of any part of the Bidding
Document is doubtful, obscure or contains errors or omissions he should report such
opinion to the Purchasing Director before the bid opening date.
27. Bidder 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 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
28. Any suit or action brought by either party to specifically enforce any of the terms and
conditions of this contract shall have venue in the Twentieth Judicial Circuit in and
for Collier County Florida, which has sole and exclusive jurisdiction on all such
matters.
Revised 1/09 g
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2/14/2012 Item 16.E.2.
Invitation to Bid
ITB #09 -5215
"Temporary Laborers"
1) General Introduction /Overview
Thank you for your interest in doing business with Collier County. We look forward to a
very successful procurement process.
Please take notice of the bid submittal requirements outlined in the solicitation. Make
sure you read and follow the instructions very carefully, as any misinterpretation or
failure to comply with these instructions could lead to your bid submittal being rejected
as non - responsive.
Any and all changes to this ITB will be conveyed electronically through a notice of
addendum or questions and answers to all vendors registered under the applicable
commodity code(s) at the time when the original ITB was released, as well as those
vendors who downloaded the ITB document. Additionally, all addendums are posted on
the Collier County Purchasing Department E- Procurement website:
www.colliergov.net /bid. Before submitting a bid response, please make sure that you
have read all, understood clearly and complied completely with any changes stated in
the addendums as failure to do so may result in the rejection of your submittal, Bidding
Documents obtained from sources other than Collier County Purchasing may not
be accurate or current.
2) Purpose /Objective
As requested by the Facilities Management Department (hereinafter, the "Division, or
Department "), the Collier County Board of County Commissioners Purchasing
Department (hereinafter, the ( "County ") has issued this Invitation to Bid (hereinafter, the
"ITB ", or "Bid ") with the sole purpose and intent of obtaining bid responses from
interested and qualified firms offering temporary laborers in accordance with the terms,
conditions, and specifications stated and /or attached herein /hereto. The successful
bidder will hereinafter be referred to as the "Contractor"
3) Pre- ITB Conference
No pre -bid conference will be held for this solicitation
Revised 1/09
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2/14/2012 Item 16.E.2.
4) Questions
Direct questions related to this ITB only to the Collier County Purchasing Department E-
Procurement website: www.collier-gov.net/bid. Questions will not be answered after the
date noted on the ITB.
Bidders must clearly understand that the only official answer or position of the County
will be the one stated on the Collier County Purchasing Department E- Procurement
website. For general questions, please call the referenced Purchasing Agent at (239)
252 -6098.
6) Method of Source Selection
The County is using the Competitive Sealed Bid methodology of source selection for
this procurement, as authorized by Ordinance Number 87 -25, and Collier County
Resolution Number 2009 -181 establishing and adopting the Collier County Purchasing
Policy.
The Collier County Board of County Commissioners has adopted a Local Preference
"Right to Match" policy to enhance the opportunities of local businesses to receive
awards of Collier County contracts.
A "local business" is defined as a business that has a valid occupational license issued
by either Collier or Lee County for a minimum of one (1) year prior to a Collier County
bid or proposal submission that authorizes the business to provide the commodities or
services to be purchased, and a physical business address located within the limits of
Collier or Lee Counties from which the vendor operates or performs business. Post
Office Boxes are not verifiable and shall not be used for the purpose of establishing said
physical address. In addition to the foregoing, a vendor shall not be considered a "local
business" unless it contributes to the economic development and well -being of either
Collier or Lee County in a verifiable and measurable way. This may include, but not be
limited to, the retention and expansion of employment opportunities, the support and
increase to either Collier or Lee County's tax base, and residency of employees and
principals of the business within Collier or Lee County. Vendors shall affirm in writing
their compliance with the foregoing at the time of submitting their bid or proposal to be
eligible for consideration as a "local business" under this section.
When a qualified and responsive, non -local business submits the lowest price bid, and
the bid submitted by one or more qualified and responsive local businesses is within ten
percent (10 %) of the price submitted by the non -local business, then the local business
with the apparent lowest bid offer (i.e. the lowest local bidder) shall have the opportunity
to submit, an offer to match the price(s) offered by the overall lowest, qualified and
responsive bidder. In such instances, staff shall first verify if the lowest non - local bidder
and the lowest local bidder are in fact qualified and responsive bidders. Next, the
Purchasing Department shall determine if the lowest local bidder meets the
requirements of Section 287.087 F.S.
Revised 1/09 10
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2/14/2012 Item 16.E.2.
If the lowest local bidder meets the requirements of 287.087, F.S., the Purchasing
Department shall invite the lowest local bidder to submit a matching offer to the
Purchasing Department which shall be submitted within five (5) business days
thereafter. If the lowest local bidder submits an offer that fully matches the lowest bid
from the lowest non -local bidder tendered previously, then award shall be made to the
local bidder.
If the lowest local bidder declines or is unable to match the lowest non local bid price(s),
then award will be made to the lowest overall qualified and responsive bidder. If the
lowest local bidder does not meet the requirement of Section 287.087 F.S. and the
lowest non -local bidder does, award will be made to the bidder that meets the
requirements of the reference state law.
Bidder must complete and submit with their bid response the Affidavit for Claiming
Status as a Local Business which is included as part of this solicitation.
Failure on the part of a Bidder to submit this Affidavit with their bid response will
preclude said Bidder from being considered for local preference on this
solicitation.
A Bidder who misrepresents the Local Preference status of its firm in a bid submitted to
the County will lose the privilege to claim Local Preference status for a period of up to
one year.
The County may, as it deems necessary, conduct discussions with responsible bidders
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.
6) Award
It is the intent of Collier County to award to the lowest, qualified and responsive
bidder(s) in accordance with the Method of Source Selection denoted in terms and
conditions section five (5) on the basis of Primary and Secondary Awardees basis, and
determined by lowest bidder total per category. The categories are: Skilled Laborer,
Semi - Skilled Laborer and Unskilled Laborer each category has three line Items. If Bid
cannot be awarded as noted herein, the Collier County Board of County Commissioners
shall make an award that best suits the needs and is in the interest of Collier County.
The contract will be in the form of a standard County Purchase Order.
Bidders whose bids, past performance or current status do not reflect the capability,
integrity or reliability to fully and in good faith perform the requirements denoted may be
rejected as non - responsible. Bids that do not meet all necessary requirements of this
solicitation or fail to provide all required information, documents or materials may be
rejected as non - responsive.
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2/14/2012 Item 16.E.2.
7) Contract Term
The contract term, if an award(s) is /are made is intended to be two (2) years with two
(2) one (1) year renewal options.
Prices shall remain firm for the initial term of this contract. Requests for consideration of
a price adjustment must be made on contract anniversary date, in writing, to the
Purchasing Director and must be based upon South Urban Consumer Price Index (CPI)
based on the previous twelve (12) months. Verification of these increases, other than
CPI, shall be furnished to the Purchasing Director with the written request for increase.
Any upward price adjustment approved by the County shall impose upon the vendor the
requirement to advise and extend credit to the County when costs' similarly decrease.
Surcharges, if applicable, will not be accepted in conjunction with this contract, and
such charges should be incorporated into the pricing structure.
8) Inability to Provide Goods and /or Services
In the event circumstances arise in which the Contractor is unable to supply the
required goods and /or services within the County's needs. Contractor shall advise the
Purchasing Director in writing of the circumstance and duration. The County may select
an alternate supplier to provide required goods and /or services until such time that the
Contractor is again able to supply these requirements.
9) Termination
Should the Contractor 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 seven
(7) day written notice. The County shall be sole judge of non - performance.
10) Specifications /Scope of Work
These specifications are intended to provide the information by which prospective
bidders may understand the requirements of Collier County relative to furnishing
temporary laborers in a timely manner throughout the term of this contract.
Contractor shall provide temporary skilled and unskilled laborers for various Collier
County Departments with the following minimum requirements:
Contractor shall supply competent laborers who are capable of performing their
employment duties. Laborers shall be neat, clean, well - groomed and courteous, and
shall be fully dressed including shirt and shoes. The County may, at their discretion,
provide uniforms to the laborers at no cost to the Contractor or laborers. Laborers shall
be capable of receiving and understanding instructions in English. All laborers shall be
Revised 1/09 12
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2/14/2012 Item 16.E.2.
properly documented as required by law. Contractor and laborers shall be required to
comply with all applicable regulations of the County and State of Florida; full
cooperation is expected and required.
The County shall require the Contractor to remove from the County workplace any
laborer deemed to be careless, incompetent, insubordinate or otherwise objectionable,
or whose continued employment on the job is deemed to be contrary to the interest of
the County.
Bidders shall provide information as to the number of years that the firm has been in
business in the space provided on the Proposal form.
Each bidder will provide five (5) references from previous and current clients regarding
its past performance in the delivery of the services set forth in this bid invitation. In
addition to reviewing the information submitted and contacting the references listed in
the bid offer, the County reserves to right to investigate and consider any complaints or
other concerns raised pertaining to the past performance or conduct of the bidder(s) or
employee(s). Further, the County reserves the right to reject any bid(s) from a firm(s) or
individual(s) not deemed qualified to perform the work based on the scope of work
and /or the referenced and performance - related information gathered during the bid
evaluation process.
Skilled Laborers
1) Manual Skilled Laborers (including, but not limited to: Carpenters, electricians,
painters, plumbers)
2) Data Entry Skilled Laborers (computer input, filing, reception duties)
Semi Skilled Laborers
Semi Skilled Laborers are used for jobs of a strenuous nature, and /or may require
using power tools but not to the degree of a skilled laborer.
Unskilled Laborers
Anticipated duties may include, but not be limited to: landscaping work, digging,
shoveling, spading, raking, excavation, furniture and /or equipment moving, pressure
washing and other various duties as assigned by the County.
Non -Bid Skilled Labor
Under certain circumstances, the County may request special non -bid skilled labor
rates. This may include temporary labor services for County interns, specialty skills
such as CAD Technicians or Draftsman, Project Managers, Tram Services, Building
Automation Technicians, General Building Surveying, other Management Services, or
any other skill or skilled position the County deems appropriate under this category.
Revised 1/09 13
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2/14/2012 Item 16.E.2.
These services shall be negotiated directly with the Purchasing Department and the
contractor on an as needed basis.
Overtime
Any hours worked in excess of forty (40) hours per week by the same employee at the
request of the County, will be considered overtime. Hours worked on weekends will be
treated as straight time unless they are in excess of a forty (40) hour work week. All
hours worked in excess of a forty (40) hour work week that are considered overtime will
be paid at one and a -half (1.5) times the normal hourly rate submitted on the Proposers
Contract Proposal page.
Pay Raises
The County reserves the right to adjust an individual(s) pay under this agreement after
an employee is assigned for a minimum of three (3) months and the individual(s) pay
may not exceed a maximum of six ($6.00) dollars per hour over the base hourly rate in
any category.
Contract Transition Plan
As the County currently has existing temporary labor services under contract with
existing laborers, new potential contractors shall be required to accommodate a transfer
of those laborers which the County deems necessary at an hourly rate (to the laborer)
equal to or above their current hourly rate. These laborers are typically laborers who
have been working with the County for a period of over six (6) months under the
previous contract. This shall NOT affect incoming or new laborers, only existing,
transition laborers previously working under contract #05 -3827.
11) Quantities
Quantities, if listed in this solicitation are for evaluation purposes only.
12) Insurance Requirements
The Insurance Requirements are included in this solicitation. Since this solicitation has
insurance requirements, it should be noted by the bidder that in order to meet the
County's insurance requirements, there may be additional insurance costs to the bidder.
It is therefore imperative that the bidder discuss these requirements with their insurance
agent so as any additional cost to bidder can be included in bid cost.
13) Assignment, Sublease, Sale, Etc.
Should the Contractor sell or sublet this contract or any part thereof to any person or
entity other than the awardee, the BCC shall be notified in writing immediately upon the
transfer of ownership. The assignment of this contract or any part thereof shall require
Revised 1/09 14
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2/14/2012 Item 16.E.2.
that its assignee be bound to it and to assume all of the obligations and responsibilities
that the original Contractor has assumed toward the County. In the County's best
interest, and at its option, the service /commodity may be re- solicited, delivering a sixty
(60) day written notice to the new owner(s).
14) Additional Items and/or Services
During the contract term, Collier County reserves the right to delete and /or add items
and /or services of like nature with the satisfactory price negotiated by the Project
Manager and Contractor.
15) Conflict of Interest
Bidder shall provide a list of any businesses and /or organizations to which the firm has
any affiliation or obligations within the past five (5) years; whether paid or donated,
which could be construed by the County as a conflict of interest. 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.
16) Vendor Performance Evaluation
Collier 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 agreement.
17) Deductions for Non - Performance
The County reserves the right to deduct a portion of any invoice for goods not delivered,
or services not performed in accordance with requirements, including required
timeframe. The County may also deduct, or chargeback the Contractor the costs
necessary to correct the deficiencies directly related to the Contractor's non-
performance.
18) Offer Extended to Other Governmental Entities:
Collier County encourages and agrees to the successful bidder /proposer extending the
pricing, terms and conditions of this solicitation or resultant contract to other
governmental entities at the discretion of the successful bidder /proposer.
19) Safety
All contractors and subcontractors 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. Also all Contractors and subcontractors shall be responsible for the
Revised 1/09 15
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2/14/2012 Item 16.E.2.
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.
20) Licenses
The Contractor is required to possess the correct occupational license, 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 all the
required licenses must be submitted with the bid response indicating that the
entity bidding, 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 bidder to supply this documentation with their bid
response may be grounds for deeming bidder non - responsive. A Contractor with
an office within Collier County is also required to have an occupational license.
If you have questions regarding professional licenses, please 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.
21) Protection of Property
The Contractor shall ensure that the service , is performed in such manner as to not
damage any property. In the event damage occurs to any property as a direct result of
the Contractor or their Subcontractor in the performance of the required service, the
Contractor shall repair /replace, to the County's satisfaction, damaged property at no
additional cost to the County. If the damaged caused by the Contractor or their
Subcontractor has to be repaired /replaced by the County, the cost of such work will be
deducted from the monies due the Contractor.
22) 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.
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2/14/2012 Item 16.E.2.
23) Invoicing
To ensure payments are made in accordance with the Local Government Prompt
Payment Act, Chapter 218, Florida Statutes, Contractor's invoices should:
• Include the Purchase Order Number
• Specify the goods delivered and /or services rendered
Vendor shall invoice the individual department requesting the work and /o�r issuing
the Purchase Order. The County does not pay for fuel surcharges.
Invoices shall be sent to: Board of County Commissioners
Attn: Accounts Payable
PO Box 413016
Naples, Florida 34101 -3016
24) Background Checks
Bidders shall be responsible for the costs of providing background checks for all
employees that will provide services to the County under this contract. These
background checks include: the checking of Federal, State, and Local law enforcement
records, a State and FBI fingerprint check, credit reports, education, residence,
employment verifications, and other related records required in this solicitation. The
results of these checks will be kept on file by the Collier County Security Section until
total completion of the denoted project or the contract period. Any assigned
employee(s) to security or sensitive areas of Collier County shall have a professional
background check and be fingerprinted by the Facilities Management department at the
vendors' expense. The cost(s) for such background checks and fingerprinting will be
deducted from the vendors' first invoice, but shall NOT be deducted from the individual
laborers' earnings.
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2/14/2012 Item 16.E.2.
THIS SHEET MUST BE SIGNED BY BIDDER
Board of County Commissioners Purchasing Department
Collier County, Florida
BIDDERS CHECK LIST
IMPORTANT: Please read carefully, sign in the spaces indicated and return with
your bid.
Bidder should check off each of the following items as the necessary action is
completed:
1. The Bid has been signed.
2. The Bid prices offered have been reviewed.
3. The price extensions and totals have been checked.
4. The payment terms have been indicated.
5. Any required drawings, descriptive literature, etc. have been included.
6. Any delivery information required is included.
7. If required, the amount of bid bond has been checked, and the bid bond or
cashiers check has been included.
8. Any addenda have been signed and included.
9. Affidavit for Claiming Status as a Local Business, if applicable.
10. The mailing envelope has been addressed to:
Purchasing Director
Collier County Government Center
Purchasing Building
3301 East Tamiami Trail
Naples, Florida 34112
11. The mailing envelope must be sealed and marked with:
• Bid Number;
• Bid Title;
• Opening Date
12. The bid will be mailed or delivered in time to be received no later than the
specified opening date and time. (Otherwise bid cannot be considered.)
ALL COURIER DELIVERED BIDS MUST HAVE THE BID NUMBER AND TITLE ON THE OUTSIDE OF THE COURIER PACKET.
Revised 1/09
Company Name
Signature & Title
Date
Packet Page -1834-
18
2/14/2012 Item 16.E.2.
INSURANCE REQUIREMENTS
o CONTRACTOR shall at its own expense, carry and maintain insurance coverage
from responsible companies duly authorized to do business in the State of Florida.
As described in the attached Contract Insurance Requirements form.
o The OWNER shall procure and maintain property insurance upon the entire
Project, if required, to the full insurable value of the Project. The property
insurance obtained by OWNER shall, at a minimum, insure against the perils of
fire and extended coverage, theft, vandalism, malicious mischief, collapse, flood,
earthquake, debris removal and other perils or causes of loss as called for in the
Contract Documents
o OWNER and CONTRACTOR waive against each other and Owner's separate
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.
CONTRACTOR and OWNER shall, where appropriate, require similar waivers
of subrogation from Owner's separate Contractors, Design Consultants and
Subcontractors and shall require each of them to include similar waivers in their
contracts.
o The OWNER shall be responsible for purchasing and maintaining, its own liability
insurance.
o CONTRACTOR shall obtain and carry, at all times during its performance under
the Contract Documents, insurance of the types and in the amounts set forth in
this Article 3, and certificates attached as Exhibit B to this Agreement.
Certificates must identify the specific Project name, as well as the site location
and address (if any).
o The General Liability Policy provided by CONTRACTOR to meet the requirements
of this Agreement shall name Collier County, Florida, as an additional insured as
to the operations of CONTRACTOR under this Agreement and shall contain a
severability of interest's provisions.
o Collier County Board of County Commissioners shall be named as the Certificate
Holder. NOTE - -The "Certificate Holder" should read as follows:
• Collier County
• Board of County Commissioners
• Naples, Florida
o The amounts and types of insurance coverage shall conform to the following
minimum requirements with the use of Insurance Services Office (ISO) forms and
endorsements or their equivalents. If CONTRACTOR has any self - insured
Revised 1/09
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19
2/14/2012 Item 16.E.2.
retentions or deductibles under any of the below listed minimum required
coverages, CONTRACTOR 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 Contractor's sole responsibility.
o Coverage's shall be maintained without interruption from the date of
commencement of the Work until the date of completion and acceptance of the
Project by the OWNER or as specified in this Agreement, whichever is longer.
o The CONTRACTOR and /or its insurance carrier shall provide thirty (30) days
written notice to the OWNER of policy cancellation or non - renewal on the part
of the insurance carrier or the CONTRACTOR. CONTRACTOR shall also notify
OWNER, in a like manner, within twenty -four (24) hours after receipt, of any
notices of expiration, cancellation, non - renewal or material change in coverages
or limits received by CONTRACTOR from its insurer and nothing contained
herein shall relieve CONTRACTOR of this requirement to provide notice. In the
event of a reduction in the aggregate limit of any policy to be provided by
CONTRACTOR hereunder, CONTRACTOR shall immediately take steps to
have the aggregate limit reinstated to the full extent permitted under such policy.
o Should at any time the CONTRACTOR not maintain the insurance coverage's
required herein, the OWNER may terminate the Agreement or at its sole
discretion shall be authorized to purchase such coverage's and charge the
CONTRACTOR for such coverage's purchased. If CONTRACTOR fails to
reimburse OWNER for such costs within thirty (30) days after demand, OWNER
has the right to offset these costs from any amount due CONTRACTOR under
this Agreement or any other agreement between OWNER and CONTRACTOR.
The OWNER 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 OWNER 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.
o If the initial or any subsequently issued Certificate of Insurance expires prior to
the completion of the Work or termination of the Agreement, the CONTRACTOR
shall furnish to the OWNER, renewal or replacement Certificate(s) of Insurance
not later than ten (10) calendar days after to the date of their expiration. Failure
of the CONTRACTOR to provide the OWNER with such renewal certificate(s)
shall be considered justification for the OWNER to terminate the Agreement.
Revised 1/09
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20
Co er County
COLLIER COUNTY GOVERNMENT
CONTRACT INSURANCE
REQUIREMENTS
2/14/2012 Item 16.E.2.
Revised 1/09
Packet Page -1837-
21
TYPE
LIMITS (Check)
X
Workers' Compensation
Statutory Limits of Florida Statutes 440 and Federal Government
Statutory Limits and Requirements
x
Employer's Liability
$500,000
X
$1,000,000
X
Commercial General Liability
$500,000 per occurrence
$1,000,000 per occurrence
(Occurrence Form) patterned
bodily injury and property
X
bodily injury and property
after the current ISO form.
damage
dama e
Airport Liability Insurance
$500,000 per occurrence
$1,000,000 per occurrence
bodily injury and property
bodily injury and property
damage
damage
Hangar keepers Liability
$500,000 per aircraft
$1,000,000 per aircraft
Aircraft Liability Insurance
$500,000 per occurrence
$1,000,000 per occurrence
bodily injury and property
bodily injury and property
damage
damage
Business Automobile
$500,000 per occurrence
$1,000,000 per occurrence
X
Insurance
X
bodily injury and property
bodily injury and property
damage
damage
Pollution Liability Insurance
$500,000 per occurrence
$1,000,000 per occurrence
bodily injury and property
bodily injury and property
damage
damage
Builders Risk Insurance
OWNER May Purchase-Replacement Cost- All Risks of Loss
INDEMNIFICATION: To the maximum extent permitted by Florida law, the Contractor/Vendor /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 Contractor/Vendor /Consultant in the
performance of this Agreement. This indemnification obligation shall not be construed to negate, abridge
or reduce any other rights or remedies which otherwise may be available to an indemnified party or person
described in this paragraph. This section does not pertain to any incident arising from the sole negligence
of Collier County.
Collier County Board of County Commissioners shall be named as the Certificate Holder. NOTE - -The
"Certificate Holder" should read as follows:
Collier County
Board of County Commissioners
Naples, Florida
No County Division, Department, or individual name should appear on the Certificate. No other format will
be acceptable.
Thirty (30) Days Cancellation Notice required on Agreements. The contract name and number shall be
included on the certificate of insurance.
Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial
General Liability and /or Airport Liability where required.
Revised 1/09
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21
2/14/2012 Item 16.E.2.
BIDDER'S AND INSURANCE AGENT STATEMENT:
We understand the insurance requirements contained in these specifications, and that
the evidence of said insurance may be required within five (5) business days of the
award of bid.
Bidder
Signature of Bidder
Insurance Agency
Signature of Bidder's Agent
Revised 1/09 22
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2/14/2012 Item 16.E.2.
BID RESPONSE FORM
Board of County Commissioners
Collier County Government Center
Naples, Florida 34112
RE: BID No. 09 -5215, "Temporary Laborers"
Dear Commissioners:
The undersigned, as bidder, hereby declares that he /she has examined the
specifications and informed himself /herself fully in regard to all conditions pertaining to
the work to be performed for Facilities Management Department as per the scope of
work. The Bidder further declares that the only persons, company or parties interested
in this Bid or the Contract to be entered into as principals are named herein; that this
Bid is made without connection with any other person, company or companies
submitting a Bid; and it is all respects fair and in good faith, without collusion or fraud.
The Bidder proposes and agrees if this Bid is accepted, to contract, either by a County
issued purchase order or formal contract, to comply with the requirements in full in
accordance with the terms, conditions and specifications denoted herein, according to
the following unit prices:
* * * SEE FOLLOWING PAGES * * *
Any discounts or terms must be shown on the Bid Response Form. Such discounts, if
any, will be considered and computed in the tabulation of the bids. In no instance
should terms for less than fifteen (15) days payment be offered.
Prompt Payment Terms: % Days; Net _ Days
Revised 1/09
Bid Response continued on next page....
Packet Page -1839-
23
BID RESPONSE
BID# 09 -5215
Bid Response Form is electronic. Please input your prices online.
Additional Bid Response is as follows:
Firm's number of years in business
Five Business References with email address
2/14/2012 Item 16.E.2.
Note: If you choose to bid manually, please submit an ORIGINAL and ONE COPY
of your bid response pages. The undersigned do agree that should this Bid be
accepted, to execute a formal contract, if required, and present the formal contract to
the County Purchasing Director for approval within fifteen (15) days after being notified
of an award.
Revised 1/09
Packet Page -1840-
24
2/14/2012 Item 16.E.2.
BID RESPONSE CONTINUED
IN WITNESS WHEREOF, WE have hereunto subscribed our names on this day of
2009 in the County of , in the State of
Firm's Complete Legal Name
(Address)
(City, State, ZIP)
Phone No:
Fax No:
By:
Typed and Written Signature
Title
Revised 1/09
Packet Page -1841-
Check one of the following:
❑
Sole Proprietorship
❑
Corp or P.A. State of _
❑
Limited Partnership
❑
General Partnership
25
ADDITIONAL CONTACT INFORMATION
Send Payments To:
(REQUIRED ONLY if different from above)
Contact Name:
Title:
2/14/2012 Item 16.E.2.
(Company Name used as Payee)
(Address)
(City, State, ZIP)
Phone No:
Fax No:
Email address:
Office Servicing Collier County Account
/Place Orders /Request Supplies (REQUIRED ONLY if different from above)
Contact Name
Title
Phone No:
Fax No:
Email Address:
Revised 1/09
(Address)
(City, State, ZIP)
Packet Page -1842-
26
2/14/2012 Item 16.E.2.
co*�eir County
AFFIDAVIT FOR CLAIMING STATUS AS A LOCAL BUSINESS
ITB /RFP /RFQ #:09 -5215 (Check Appropriate Boxes Below)
STATE OF FLORIDA
AND
❑ COLLIER COUNTY ❑ LEE COUNTY
PROPOSER /BIDDER /QUOTER AFFIRMS THAT IT IS A LOCAL BUSINESS AS
DEFINED BY THE PURCHASING POLICY OF THE COLLIER COUNTY BOARD OF
COUNTY COMMISSIONERS AND THE REGULATIONS THERETO.
AS DEFINED IN SECTION XI OF THE COLLIER COUNTY PURCHASING POLICY;
A "local business" is defined as a business that has a valid occupational license issued
by either Collier or Lee County for a minimum of one (1) year prior to a Collier County
bid or proposal submission that authorizes the business to provide the commodities or
services to be purchased, and a physical business address located within the limits of
Collier or Lee Counties from which the vendor operates or performs business. Post
Office Boxes are not verifiable and shall not be used for the purpose of establishing said
physical address. In addition to the foregoing, a vendor shall not be considered a "local
business" unless it contributes to the economic development and well -being of either
Collier or Lee County in a verifiable and measurable way. This may include, but not be
limited to, the retention and expansion of employment opportunities, the support and
increase to either Collier or Lee County's tax base, and residency of employees and
principals of the business within Collier or Lee County. Vendors shall affirm in writing
their compliance with the foregoing at the time of submitting their bid or proposal to be
eligible for consideration as a "local business" under this section.
Please provide the following information for the Proposer /Bidder /Quoter:
Year Business Established in ❑Collier County or ❑ Lee County:
Number of Employees (Including Owner(s) or Corporate Officers):
Number of Employees Living in ❑ Collier County or ❑ Lee (Including Owner(s) or
Corporate Officers):
Revised 1/09
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27
2/14/2012 Item 16.E.2.
If requested by the County, proposer /bidder /quoter will be required to provide
documentation substantiating the information given in this affidavit. Failure to do so will
result in proposer /bidder /quoter's submission being deemed not applicable.
Proposer /Bidder / Quoter Name
Signature
Title
STATE OF FLORIDA
❑ COLLIER COUNTY ❑ LEE COUNTY
Sworn to and Subscribed Before Me, a Notary Public, for the above State and County,
on this Day of 20
Notary Public
My Commission Expires:
(AFFIX OFFICIAL SEAL)
Revised 1/09
Packet Page -1844-
28