Agenda 06/23/2015 Item #16E26/23/2015 16.E.2.
EXECUTIVE SUMMARY
Recommendation to award Invitation to Bid (ITB)# 15- 6375R- Ambulance Pharmaceutical
Refrigerators to Mermaid Manufacturing of Southwest Florida, Inc.
OBJECTIVE: To provide temperature controlled storage for medications within the ambulance based
on the United States Pharmacopeia- National Formulary guidelines and provide storage and security for
controlled substances with an electronic keyless lock system that provides a comprehensive audit trail of
access attempts.
CONSIDERATIONS: The practice of EMS medicine is of significant importance to the community's
health and public safety. EMS providers routinely administer controlled substance medications to abate
life - threatening seizures and control pain from traumatic injuries, such as fractures, burns and
amputations. To provide optimal patient care using these medications, it is vital to ensure the proper
storing and accountability of these controlled substance medications. EMS Staff and the Medical Director
advocate appropriate controlled substance handling to maintain the EMS practice with regulatory integrity
and to prevent diversion of these medications.
Staff conducted research of the available storage and security measures available to provide temperature
controlled storage and increased security. After research was complete, staff developed an Invitation to
Bid for pharmaceutical refrigerators and electronic locks. 546 notices of the Invitation to Bid were sent on
May 12, 2015. Of the 546 notifications, 13 solicitation packets were downloaded and 1 proposal was
submitted.
The single bid submission was most likely because the pharmaceutical refrigerators must be custom built
for each ambulance due to differing configurations of the ambulance interiors, and there are very few
machine shops that have the ability to do this. Staff has done considerable research on these items and
finds the pricing to be reasonable. Purchase orders will be used to initiate equipment procurement.
FISCAL IMPACT: The controlled storage coolers have been a part of the build specifications for new
and refurbished ambulances. This initial purchase of approximately $105,000 will provide 25 coolers at
an average approximate cost of $2600 each for the ambulances that still need to be retrofitted, as well as
providing an electronic lock system for the entire fleet. This contract will be used for future purchases as
needed for the tern of the contract. Funds are available in the operating and capital budgets approved by
the Board. The only recurring cost for these units is routine maintenance and the expected lifespan of this
asset is 15 years.
GROWTH MANAGEMENT IMPACT: No Growth Management impact is associated with this
action.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to
form and legality, and requires majority vote for approval. -JAK
RECOMMENDATION: That the Board of County Commissioners awards ITB 15- 6375R- Ambulance
Phanmaceutical Refrigerators to Mermaid Manufacturing of Southwest Florida, Inc.
PREPARED BY: Tabatha Butcher, Assistant Chief -EMS
Attachments: ITB 415- 6375R, Bid Tabulation, Mermaid Proposal
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.E.16.E.2.
Item Summary: Recommendation to award Invitation to Bid (ITB)# 15- 6375R- Ambulance
Pharmaceutical Refrigerators to Mermaid Manufacturing of Southwest Florida, Inc.
Meeting Date: 6/23/2015
Prepared By
Name: BayArtie
Title: Supervisor - Accounting, Administrative Services Department
5/29/2015 9:16:06 AM
Approved By
Name: KopkaWalter
Title: Chief - Emergency Medical Services, Administrative Services Department
Date: 5/29/2015 9:34:52 AM
Name: pochopinpat
Title: Administrative Assistant, Administrative Services Department
Date: 5/29/2015 11:40:47 AM
Name: NorthrupAdam
Title: Procurement Specialist, Administrative Services Department
Date: 5/29/2015 4:06:29 PM
Name: JohnsonScott
Title: Manager - Procurement, Administrative Services Department
Date: 6/1/2015 1:14:53 PM
Name: MarkiewiczJoanne
Title: Division Director - Purchasing & Gen Svc, Administrative Services Department
Date: 6/2/2015 10:41:51 AM
Name: pochopinpat
Title: Administrative Assistant, Administrative Services Department
Date: 6/2/2015 3:17:19 PM
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Name: KlatzkowJeff
Title: County Attorney,
Date: 6/3/2015 2:18:21 PM
6/23/2015 16.E.2.
Name: PriceLen
Title: Department Head - Administrative Svc, Administrative Services Department
Date: 6/5/2015 11:52:24 AM
Name: KlatzkowJeff
Title: County Attorney,
Date: 6/5/2015 11:59:22 AM
Name: KlatzkowJeff
Title: County Attorney,
Date: 6/8/2015 8:48:17 AM
Name: IsacksonMark
Title: Division Director - Corp Fin & Mgmt Svc, Office of Management & Budget
Date: 6/9/2015 9:34:07 AM zn
Name: IsacksonMark
Title: Division Director - Corp Fin & Mgmt Svc, Office of Management & Budget
Date: 6/16/2015 2:01:45 PM
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f
Collier County
administrative Services Division
Procurement Services
GRANT FUNDED
INVITATION TO BID
Date: 5/12/2015
From: Adam Northrup, Procurement Strategist
(239) 252 -6098, Telephone Number
(239) 252 -6302, FAX
adamnorthrup @colliergov.net, Email Address
To: Prospective Vendors
Subject: Solicitation: 15 -6375R —Ambulance Pharmaceutical Refrigerators
As requested by the Bureau of Emergency Services, the Collier County Board of County
Commissioners Purchasing Department has issued this ITB for the purpose of obtaining fair and
competitive responses.
Please refer to the Public Notice included in this document for the opening date and time and
any applicable pre -ITB conference.
All questions regarding this ITB must be submitted online on the Collier County Purchasing
Department Online Bidding System website: www.collier.gov.net/bid. All responses to questions
will be posted on the website with electronic notification to all prospective vendors.
We look forward to your participation in Collier County's competitive procurement process
cc: Tabatha Butcher
Preen mvt Sewtes Depainot— 3327 Tamiam Trail East • Naples, Florida 3411249rrt • w+w mlhcrgaa neViawchasing
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Invitation to Bid
Index
PUBLICNOTICE ........................................................................................................................ ..............................3
EXHIBIT I: SCOPE OF WORK, SPECIFICATIONS AND RESPONSE FORMAT ................................. ..............................4
EXHIBIT I.A: GRANTING AGENCY REQUIREMENTS .................................................................... ..............................7
EXHIBIT II: GENERAL BID INSTRUCTIONS ................................................................................. .............................10
EXHIBIT III: STANDARD PURCHASE ORDER TERMS AND CONDITIONS ..................................... .............................14
EXHIBIT IV: ADDITIONAL ITB TERMS AND CONDITIONS .......................................................... .............................17
ATTACHMENT 1: VENDOR'S NON - RESPONSE STATEMENT ...................................................... .............................24
ATTACHMENT 2: VENDOR'S CHECK LIST .................................................................................. .............................25
ATTACHMENT 3: VENDOR RESPONSE FORM ........................................................................... .............................26
ATTACHMENT 4: IMMIGRATION LAW AFFIDAVIT CERTIFICATION ........................................... .............................28
ATTACHMENT 5: VENDOR SUBSTITUTE W — 9 ....................................................................... ............................... 29
ATTACHMENT 6: INSURANCE AND BONDING REQUIREMENTS ............................................... .............................30
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Public Notice
Sealed bid responses for Solicitation 15 -6375R — Ambulance Pharmaceutical Refrigerators,
will be received electronically only at the Collier County Government, Purchasing Department,
3327 Tamiami Trail E, Naples, FL 34112 until 3:00 p.m. Collier County local time on 5/19/2015.
ITB responses received after the stated time and date will not be accepted.
Solicitation 15 -6375 —Ambulance Pharmaceutical Refrigerators
No pre -bid conference will be held for this solicitation
All questions regarding this ITB must be submitted online on the Collier County Purchasing
Department Online Bidding System website: www.colliergov.net /bid. All responses to questions
will be posted on the website with electronic notification to all prospective vendors.
All solicitation responses must be made on the official ITB response forms included and only
available for download from the Collier County Purchasing Department Online Bidding System
website noted herein. ITB Documents obtained from sources other than Collier County
Purchasing Online Bidding System may not be accurate or current.
Collier County encourages vendors 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/ Joanne Markiewicz
Joanne Markiewicz
Director, Procurement Services
Publicly posted on the Collier County Purchasing Department website:
www.colliergov.net /purchasing and in the lobby of the Purchasing Building on 05/12/2015.
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Exhibit I: Scope of Work, Specifications and Response Format
As requested by the Collier County Bureau of Emergency Services (hereinafter, the "Division or
Department "), the Collier County Board of County Commissioners Purchasing Department
(hereinafter, "County ") has issued this Invitation to Bid (hereinafter, "ITB ") with the intent of obtaining
bids from interested and qualified firms in accordance with the terms, conditions and specifications
stated or attached. The Vendor, at a minimum, must achieve the requirements of the Scope of Work
and specifications stated.
The results of this solicitation may be used by other County departments once awarded according to
the Board of County Commissioners purchasing ordinance.
Brief Description of Purchase
Collier County is soliciting competitive bids for the supply of medication coolers /refrigerators to be
installed in ambulances currently owned by County and future purchases.
Background
Collier County EMS has 42 ambulances in service.
Detailed Scope of Work
Each cooler must include the following.
• Stainless Steel construction
• Custom built to match multiple ambulance brands, models and configurations.
• Temperature controls with the range of +/- 40 degrees.
• Must contain a secured locking narcotic box that is affixed inside the cooler.
• SALTO Locking mechanism on outside of cooler (included with the purchase of the
refrigerator unit).
• SALTO locking mechanism on interior narcotic box (included with the purchase of
refrigerator unit).
• SALTO lock must have network capability for tracking and ability to upload data .
• SALTO lock must be compatible with RW Pro Access and SALTO Service software.
• SALTO lock must have compatible smart card access ability
• Emergency opening capability.
• Anti drill protection.
• Delivery to the County should be included in price.
• Installation NOT included.
Any prospective bidders that would like to perform a site visit for measurement /inspection
purposes can contact Adam Northrup at 239 - 252 -6098 or adamnorthrup(cDcolliergov.net to set
up an appointment.
Award Criteria
ITB award criteria is as follows:
All questions on the Bid document shall be answered as to price(s), time requirements, and
required document submissions.
Award shall be based upon the responses to all questions on the Bid Response Page(s).
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• Further consideration may include but not be limited to, references, completeness of bid
response and past performances on other County bids /projects.
• 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 response.
• The County's Purchasing Department reserves the right to clarify a vendor's proposal prior to
the award of the solicitation.
• It is the intent of Collier County to award to the lowest, qualified and responsive vendor(s) in
accordance with the following methodology:
Identify a unit price for lines 1 — 9. Pricing from lines 1 — 9 will automatically be imported into
the scenario in section 2. Report line 7. BID TOTAL on Attachment 3 of this document.
The responsive bidder with the lowest line 19 total will be awarded the bid.
Collier County reserves the right to select one, or more than one suppliers, however, it is the
intent to select single awardee.
The contract will be in the form of a standard County Purchase Order.
Term of Contract
The contract term, if an award(s) is /are made is intended for the purchase of up to a total of 20
cabinets and 15 stand alone locks. Contract will commence upon the issuance of a Purchase
Orders.
Prices shall remain firm for the full term of this contract.
Surcharges will not be accepted in conjunction with this contract, and such charges (including
delivery) should be incorporated into the pricing structure.
Projected Solicitation Timetable
Event
Date
Issue Solicitation Notice
05/12/2015
Last Date for Receipt of Written Questions
5/19/2015; 3:OOPM
Solicitation Deadline Date and Time
5/2212015; 3:OOPM
Anticipated Evaluation of Submittals
Week of 5/25/2015
Anticipated Board of County Commissioner's Contract
Approval Date
June 2015
Vendor Required Documents
• Attachment 2: Vendor's Check List
• Attachment 3: Vendor Response Form
• Attachment 4: Immigration Law Affidavit Certification
• Attachment 5: Vendor Substitute W — 9
• Attachment 6: Insurance and Bonding Requirements
• Attachment 7: Grant Certifications and Forms
• E- Verify company profile page or memorandum of understanding
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Excluded Parties List System Documentation located at: www.sam.gov, and select
SEARCH.
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Exhibit I.A: Supplemental General Grant Terms and Conditions CSFA 65.003
The supplemental conditions contained in this section are intended to cooperate with, to supplement,
and to modify the general conditions and other specifications. In cases of disagreement with any
other section of this contract, the Supplemental Conditions shall govern.
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 forwarded to the Department for review and approval. The
vendor agrees to include in the subcontract that (1) the subcontractors 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.
1. Conflict of Interest - This ContractNVork Order is subject to chapter 112, F.S. The vendor
shall disclose the name of any officer, director, employee, or other agent who is also an employee of
the State. Grantee shall also disclose the name of any State employee who owns, directly or
indirectly, more than a five percent (5 %) interest in the Contractor's company or its affiliates.
2. Convicted Vendors — Vendor shall disclose if they are on the convicted vendor list. A person
or affiliate placed on the convicted vendor list following a conviction for a public entity crime is
prohibited from doing any of the activities as defined by the Florida Department of Management
Services for a period of thirty -six (36) months from the date of being placed on the convicted vendor
list.
3. Discriminatory Vendors — Contractor shall disclose if they appear on the discriminatory
vendor list. An entity or affiliate placed on the discriminatory vendor list pursuant to section 287.134,
F.S. may not: 1) Submit a bid on an agreement to provide any goods or services to a public entity; 2)
Submit a bid on an agreement with a public entity for the construction or repair of a public building or
public work; 3)Submit bids on leases of real property to a public entity; or 4) Be awarded or perform
work as a consultant under an agreement with any public entity; or transact business with any public
entity.
4. Employment Eligibility Verification - Executive Order 11 -116, signed May 27, 2011, by the
Governor of Florida, requires contracts to utilize the U.S. Department of Homeland Security's E- Verify
system to verify the employment eligibility of all new employees hired by the vendor during the
ContractANork Order term and include in all subcontracts under this ContractANork Order, the
requirement that subcontractors performing work or providing services pursuant to this Agreement
utilize the E- Verify system to verify the employment eligibility of all new employees hired by the
subcontractor during the term of the subcontract.
5. Lobbying - No funds received pursuant to this Agreement may be expended for lobbying the
State Legislature, the judicial branch, or a state agency.
6. Record Retention The contractor shall maintain and retain sufficient records demonstrating
its compliance with the terms of the Agreement for a period of at least five (5) years after final
payment is made and shall allow the County, FDOT, or its designee's access to such records upon
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request.
7. Disadvantaged Businesses Enterprise - Vendors shall not discriminate on the basis of race,
color, national origin, or sex in the performance of this contract. Vendors shall make a good faith
effort to assure that registered disadvantaged business enterprises are used as sources of supplies,
equipment, construction, and services as much as possible. Each vendor shall identify the anticipated
level of participation by DBE's in the project and report its actual DBE participation (if any)." The
offeror will be required to report its DBE participation obtained through race - neutral means throughout
the period of performance and required to convey all changes in anticipated levels of participation to
the County in a timely manner. The vendor is required to pay its DBE subcontractors performing work
related to this contract for satisfactory performance of that work no later than 30 days after the
vendor's receipt of payment for that work from Collier County. In addition, the vendor is required to
return any retainage payments to those subcontractors within thirty (30) days after the subcontractor's
work related to this contract is satisfactorily completed. The vendor must promptly notify Collier
County, whenever a DBE subcontractor performing work related to this contract is terminated or fails
to complete its work, and must make good faith efforts to engage another DBE subcontractor to
perform at least the same amount of work. The vendor may not terminate any DBE subcontractor and
perform that work through its own forces or those of an affiliate without prior written consent of Collier
County.
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EXHIBIT I B: SUPPLEMENTAL TERMS AND CONDITIONS
Certifications and Forms
THE FOLLOWING DOCUMENTS ARE ATTACHED TO THIS SOLICITATION AS ATTACHMENT 7:
REQUIRED GRANT FORMS 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. Drug Free Workplace
6. Anticipated DBE, M/WBE or VETERAN Participation Statement
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Exhibit II: General Bid Instructions
1. Purpose /Objective
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As requested by the Collier County departments or divisions identified in Exhibit 1, 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 in accordance with the terms,
conditions, and specifications stated and /or attached herein /hereto. The successful vendor will
hereinafter be referred to as the "Vendor ".
All bids must be submitted on the Bid forms furnished by the County noted in Attachments
2, 3, 4, 5, 6, and 7 of this ITB. No bid will be considered unless the Bid form is properly
signed. Vendor is responsible to read and follow the instructions very carefully, as any
misinterpretation or failure to comply with these instructions could lead to the bid submitted as
being rejected as non - responsive.
2. Pricing
Vendors must provide unit prices using the unit of measured specified by the County. All prices
will remain firm for a period of one hundred and eighty (180) calendar days from date of bid
opening. After award by the Board of County Commissioners, prices may only be adjusted as
outlined in Exhibit I: Term of Contract.
3. Alternate Bid Pricing
In the event that alternate pricing is requested, it is an expressed requirement of the bid to provide
pricing for all alternates as listed. The omission of a response or a no -bid or lack of a submitted
price will be the basis for the rejection of the submitted bid response. All bids responses received
without pricing for all alternates as listed will be considered technically non - responsive and will not
be considered for award.
4. Equal Product
Manufacturer's name, brand name and /or model number are used in these specifications for the
purpose of establishing minimum requirements of level of quality, standards of performance and /or
design required, and is in no way intended to prohibit the bidding of other manufacturer's items of
equal or similar material. An equal or similar product may be bid, provided that the product is
found to be equal or similar in quality, standard of performance, design, etc. to the item specified.
Where an equal or similar is bid, the Bid must be accompanied with two (2) complete sets of
factory information sheets (specifications, brochures, etc.) and test results, if applicable, of unit bid
as equal or similar.
Equal product samples, if required for evaluation, and at no cost to the County, must be submitted
with the Bid. These samples must be submitted to the County during the bid evaluation period.
The County shall be sole judge of equality or similarity, and its decision shall be final in the best
interest.
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5. Discounts
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.
6. Exceptions
Vendors 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 Vendors intent to fully comply with the
specifications as written. Exceptions taken by the Vendor may be deemed grounds for rejection of
bid response.
7. Addenda
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 rip or to
the deadline for submission of Bids. 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 Online Bidding System 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 addenda as failure to do so may result in the rejection
of your submittal.
8. Bid Submission
Electronic bid submission is the County's preferred submission method. All electronic bids shall
be submitted online via the Collier County Purchasing Department Online Bidding System
website: www.coiliergov.net /bid.
If a paper bid must be submitted, all paper bids shall be submitted to the County Procurement
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.
Vendors that wish to submit a paper bid, must submit one (1) paper copy clearly labeled
"Master," and one (1) compact disks (CD's /DVD's) with a copy of the vendor's proposal on
each CD in Word, Excel or PDF. List the Solicitation Number and Title on the outside of the box
or envelope.
All bids sent by courier service must have the bid number and title on the outside of the courier
packet.
Vendors who wish to receive copies of bids after the bid opening may view and download same
from the Collier County Purchasing Department Internet bid site.
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9. Questions
If the vendor should be of the opinion that the meaning of any part of the Bid Document is doubtful,
obscure or contains errors or omissions it should report such opinion to the Procurement Strategist
before the bid opening date. Direct questions related to this ITB only to the Collier County
Purchasing Department Internet website: www.collier.gov.net /bid. Questions will not be answered
after the date noted on the ITB.
Vendors 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 identified in the Public Notice.
10. Protests
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.
11. Rejection and Waiver
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.
Vendors 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-
responsive. 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.
12. Lobbying
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 its agent shall contact any other employee of Collier County with
the exception of the Purchasing Department.
13. 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.sunbiz.org /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.
14. General Information
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When it is deemed by the County that a bid cannot be awarded as originally intended, the County
reserves the right to award this bid through an approach which is the best interest of the County.
Alternate bids will not be considered unless authorized by the ITB. 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.
15. Bid Award Process
Award of contract will be made by the Board of County Commissioners in public session.
Award shall be made in a manner consistent with the County's purchasing ordinance. Award
recommendations will be posted outside the offices of the Purchasing Department as well as on
the Collier County Purchasing Department website on Wednesdays and Thursdays prior to the
County Commission meetings.
Any actual or prospective respondent who desires to formally protest the recommended contract
award must file a notice of intent to protest with the Procurement 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 Procurement Director.
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Exhibit III: Standard Purchase Order Terms and Conditions
1. Offer
This offer is subject to cancellation by the
COUNTY without notice if not accepted by
VENDOR within fourteen (14) days of issuance.
2. Acceptance and Confirmation
This Purchase Order (including all documents
attached to or referenced therein) constitutes
the entire agreement between the parties, unless
otherwise specifically noted by the COUNTY on
the face of this Purchase Order. Each delivery of
goods and /or services received by the COUNTY
from VENDOR shall be deemed to be upon the
terms and conditions contained in this Purchase
Order.
No additional terms may be added and Purchase
Order may not be changed except by written
instrument executed by the COUNTY. VENDOR
is deemed to be on notice that the COUNTY
objects to any additional or different terms and
conditions contained in any acknowledgment,
invoice or other communication from VENDOR,
notwithstanding the COUNTY'S acceptance or
payment for any delivery of goods and /or
services, or any similar act by VENDOR.
3. Inspection
All goods and /or services delivered hereunder
shall be received subject to the COUNTY'S
inspection and approval and payment therefore
shall not constitute acceptance. All payments are
subject to adjustment for shortage or rejection.
All defective or nonconforming goods will be
returned pursuant to VENDOR'S instruction at
VENDOR'S expense.
To the extent that a purchase order requires a
series of performances by VENDOR, the
COUNTY prospectively reserves the right to
cancel the entire remainder of the Purchase
Order if goods and /or services provided early in
the term of the Purchase Order are
non - conforming or otherwise rejected by the
COUNTY.
Shipping and Invoices
a) All goods are FOB destination and must be
suitably packed and prepared to secure the
lowest transportation rates and to comply
with all carrier regulations. Risk of loss of
any goods sold hereunder shall transfer to
the COUNTY at the time and place of
delivery; provided that risk of loss prior to
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actual receipt of the goods by the COUNTY
nonetheless remain with VENDOR.
b) No charges will be paid by the COUNTY for
packing, crating or cartage unless otherwise
specifically stated in this Purchase Order.
Unless otherwise provided in Purchase
Order, no invoices shall be issued nor
payments made prior to delivery. Unless
freight and other charges are itemized, any
discount will be taken on the full amount of
invoice.
c) All shipments of goods scheduled on the
same day via the same route must be
consolidated. Each shipping container must
be consecutively numbered and marked to
show this Purchase Order number. The
container and Purchase Order numbers must
be indicated on bill of lading. Packing slips
must show Purchase Order number and
must be included on each package of less
than container load (LCL) shipments and /or
with each car load of equipment. The
COUNTY reserves the right to refuse or
return any shipment or equipment at
VENDOR'S expense that is not marked with
Purchase Order numbers. VENDOR agrees
to declare to the carrier the value of any
shipment made under this Purchase Order
and the full invoice value of such shipment.
d) All invoices must contain the Purchase Order
number and any other specific information as
identified on the Purchase Order. Discounts
of prompt payment will be computed from the
date of receipt of goods or from date of
receipt of invoices, whichever is later.
Payment will be made upon receipt of a
proper invoice and in compliance with
Chapter 218, Fla. Stats., otherwise known as
the "Local Government Prompt Payment
Act," and, pursuant to the Board of County
Commissioners Purchasing Policy.
5. 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
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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.
7. 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.
Statutory Conformity
Goods and services provided pursuant to this
Purchase Order, and their production 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,
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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. Warranty of Non - Infringement
VENDOR represents and warrants that all goods
sold or services 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 VENDOR'S
representations and warranties in section 11 (a).
If any claim which arises from VENDOR'S breach
of section 11 (a) has occurred, or is 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. All
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
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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 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
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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 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.
c) 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
requirements of this section.
d) The Vendor agrees to reimbursement of any
travel expenses that may be associated with
this Purchase Order in 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
govern.
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Exhibit IV: Additional ITB Terms and Conditions
1. 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 ordinance.
2. Conflict of Interest
Vendor 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.
3. 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.
5. 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.
6. 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 Vendor the costs necessary to correct the deficiencies directly related to the Vendor's
non - performance.
7. Offer Extended to Other Governmental Entities
Collier County encourages and agrees to the successful vendor extending the pricing, terms and
conditions of this solicitation or resultant contract to other governmental entities at the discretion of the
successful vendor.
8. Environmental Health and Safety
All Vendors and Sub vendors 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. Vendors and Sub vendors 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.
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 Vendor's work operations. This
provision is non - negotiable by any department and /or Vendor.
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All new electrical installations shall incorporate NFPA 70E Short Circuit Protective De. 6/23/2015 16.E.2.
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.
9. 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.
10. Standards of Conduct
The Vendor shall employ people to work on County projects who are neat, clean, well - groomed and
courteous. Subject to the American with Disabilities Act, Vendor shall supply competent employees who
are physically capable of performing their employment duties. The County may require the Vendor to
remove an employee it deems careless, incompetent, insubordinate or otherwise objectionable and
whose continued employment on Collier County projects is not in the best interest of the County.
11. Protection of Property
The Vendor 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 Vendor or their Sub vendor in the
performance of the required service, the Vendor shall repair /replace, to the County's satisfaction,
damaged property at no additional cost to the County. If the damage caused by the Vendor or their Sub
vendor has to be repaired /replaced by the County, the cost of such work will be deducted from the
monies due the Vendor.
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.
12. 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.
13. Invoice and Payments
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
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18
Clerk's Finance Department 6/23/2015 16.E.2.
ATTN: Accounts Payable
3299 Tamiami Trail E Ste 700
Naples FL 34112
Or emailed to: bccapclerk(aDcollierclerk.com.
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 must 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.
14. Survivability
Bids (ITBs /RFPs): The Consultant/Contractor /Vendor agrees that any Work Order /Purchase Order that
extends beyond the expiration date of Solicitation 15 -6375 resultant of this solicitation will survive and
remain subject to the terms and conditions of that Agreement until the completion or termination of any
Work Order /Purchase Order.
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15. Insurance Requirements
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The Vendor 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 Attachment 3 of this
solicitation. The Vendor 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 Vendor waive against each other and the County's separate Vendors, 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 Vendor and County shall, where appropriate, require similar waivers of subrogation from
the County's separate Vendors, 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 Vendor to meet the requirements of this solicitation shall name
Collier County, Florida, as an additional insured as to the operations of Vendor 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
"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
Attachment 3, with the use of Insurance Services Office (ISO) forms and endorsements or their
equivalents. If Vendor has any self- insured retentions or deductibles under any of the below listed
minimum required coverage, Vendor 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 Vendor'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 Vendor 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 Vendor. The Vendor 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 Vendor from its
insurer and nothing contained herein shall relieve Vendor of this requirement to provide notice. In the
event of a reduction in the aggregate limit of any policy to be provided by Vendor hereunder, Vendor
shall immediately take steps to have the aggregate limit reinstated to the full extent permitted under such
policy.
Should at any time the Vendor 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 Vendor for such coverage(s) purchased. If Vendor 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 Vendor under this Agreement or any other agreement between the County and Vendor. The County
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shall be under no obligation to purchase such insurance, nor shall it be responsible fo, 6/23/2015 16.E.2.
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 Vendor 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 Vendor to
provide the County with such renewal certificate(s) shall be considered justification for the County to
terminate any and all contracts.
16. 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.
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 Internet -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
Vendors / 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 vendor'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. Vendors 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/Vendor
does not comply with providing both the acceptable E- Verify evidence and the executed affidavit
the bidder's / vendor's proposal may be deemed non - responsive.
Additionally, vendors shall require all subcontracted vendors 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- Verify. It shall be the vendor's responsibility to
familiarize themselves with all rules and regulations governing this program.
Vendor 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 seg. 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.
17. Collier County Information Technology Requirements
All vendor access will be done via VPN access only. All access must comply with current published
County Manager Agency (CMA) policies.
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`AI
Current policies that apply are CMAs 5402, 5403 and 5405. These policies will be av&, 6/23/2015 16.E.2. ,
from the Information Technology Department. All vendors will be required to adhere to IT policies for
access to the County network. Vendors are required to notify the County in writing twenty -four (24) hours
in advance as to when access to the network is planned. Included in this request must be a detailed work
plan with actions that will be taken at the time of access. The County IT Department has developed a
Technical Architecture Requirements Document that is required to be filled out and submitted with your
bid response. This document can be found on the Collier County Purchasing Department website:
www.colliergov.net /purchasing. On the left hand side of the menu, click on CC Technical Requirements.
If this document is not submitted with your bid response, your bid response may be deemed non-
responsive.
18. Background Checks
If required, 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.
19. Maintenance of Traffic Policy
For all projects that are conducted within a Collier County Right -of -Way, the Vendor shall provide and
erect Traffic Control Devices as prescribed in the current edition of the Manual On Uniform Traffic
Control Devices (MUTCD), where applicable on local roadways and as prescribed in the Florida
Department of Transportation's Design Standards (DS) on state roadways. These projects shall also
comply with Collier County's Maintenance of Traffic Policy, #5807, incorporated herein by reference.
Copies are available through the Risk Management and /or Purchasing Departments and are available
on -line at colliergov.net/purchasing.
The Vendor will be responsible for obtaining copies of all required manuals, MUTCD, FDOT Roadway &
Traffic Design Standards Indexes, or other related documents, so to become familiar with their
requirements. Strict adherence to the requirements of the Maintenance of Traffic ( "MOT ") policy will be
enforced under this Contract.
All costs associated with the Maintenance of Traffic shall be included on the line item on the bid page.
If MOT is required, MOT is to be provided within ten (10) days of receipt of Notice of Award.
20. Debris
Vendor shall be responsible for the removal and disposal of all debris from the site and the cleaning of
the affected areas. Vendor shall keep the premises free of debris and unusable materials resulting from
their work and as work progresses; or upon the request of the County's representative, shall remove and
dispose such debris and materials from the property. The Vendor shall leave all affected areas as they
were prior to beginning work.
21. Direct Material Purchase
The County reserves the right to require Vendor to assign some or all of its agreements with material
suppliers directly to the County. Any such goods and /or materials purchased by the County pursuant to
such an assignment of a material supply agreement shall be referred to as "County Furnished Materials"
and the responsibilities of both the County and the Vendor relating to said materials shall be governed by
the terms and conditions of this solicitation.
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Additional) the Count at its sole option may choose to purchase some or all of the 6/23/2015 16.E.2.
Y, Y P Y P C "u, —
materials from other suppliers. In either instance the County may require the following information from
the Vendor:
• Required quantities of material.
• Specifications relating to goods and /or materials required for job including brand and /or model
number or type if applicable
• Pricing and availability of goods and /or materials provided under Vendor's agreements with material
suppliers
22. Grant Compliance
The purchase of any goods and /or services that are funded through Federal Grant Appropriations, the
State of Florida, or any other public or private foundations shall be subject to the compliance and
reporting requirements of the granting agency.
23. Equipment
Vendor shall have available and in good working condition, the necessary equipment to perform the
required service. If required, the Vendor shall supply a list of equipment and an hourly rate for each.
Hourly rates will commence once equipment arrives at the service site.
In the event that additional specialized and /or heavy equipment (backhoe, crane, mudhog, etc.) is
needed, the Project Manager must be notified in advance for approval. The reimbursement of additional
equipment expense shall be at cost and will commence once equipment arrives at the service site. The
County reserves the right to request and obtain documentation of the Vendor's cost, and to withhold
payments until documentation is provided.
The scope of these specifications is to ensure the delivery of a complete unit ready for operation.
Omission of any essential detail from these specifications does not relieve the Vendor from furnishing a
complete unit.
All equipment must be new and of current manufacture in production at the time of bid opening, and
carry standard warranties. At the time of delivery, at least two (2) complete shop repair manuals and
parts lists must be furnished with each type of equipment. Vendor must service all equipment prior to
delivery and /or acceptance by the County.
#15 -6375R
Ambulance Pharmaceutical Refrigerators
Packet Page -1958-
23
6/23/2015 16.E.2.
coves,- county
Administrative Services Division
Procurement Services
Attachment 1: Vendor'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 why prospective Vendors 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 or fax to the Procurement Strategist listed on the first page 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):
Solicitation: 15 -6375R —Ambulance Pharmaceutical Refrigerators
❑ Services requested not available through our company.
❑ Our firm could not meet specifications /scope of work.
❑ Specifications /scope of work not clearly understood (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):
Firm's Complete Legal Name
Address
City, State, Zip
Telephone Number
FAX Number
Signature / Title
Type Name of Signature Date:
#15 -6375R
Ambulance Pharmaceutical Refrigerators 24
Packet Page -1959-
6/23/2015 16.E.2.
Co ler County
Administrative Services Division
Procurement Services
Attachment 2: Vendor's Check List
IMPORTANT: THIS SHEET MUST BE SIGNED BY VENDOR. Please read carefully, sign in the spaces
indicated and return with bid.
Vendor 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. All granting agency requirements have been met including submittal of required forms.
6. Any required drawings, grant forms, descriptive literature, etc. have been included.
7. Any delivery information required is included.
8. If required, the amount of bid bond has been checked, and the bid bond or cashiers check has been
included.
9. Addendum have been signed and included, if applicable.
10. Copy of Internet certification that the Vendor is not on the Federal Excluded Parties List System at:
www.sam.gov.
11. Immigration Affidavit and a copy of the company's E- Verify profile page or memorandum of
understanding.
12. Copies of licenses, equipment lists, subcontractors or any other information as noted in this ITB.
13. The mailing envelope must be addressed to:
Procurement Director
Collier County Government
Purchasing Department
3327 Tamiami Trail E
Naples FL 34112
The mailing envelope must be sealed and marked with:
• Solicitation: 15 -6375R — Ambulance Pharmaceutical Refrigerators
• Opening Date: 5/22/2015; 3:OOPM
14. 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.)
15. 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 BIDS MUST HAVE THE BID NUMBER AND TITLE ON THE OUTSIDE OF
THE COURIER PACKET.
#15 -6375R
Ambulance Pharmaceutical Refrigerators
Company Name
Signature & Title
Date
Packet Page -1960-
25
6/23/2015 16.E.2.
00 per C;0UV ty
Hdminis#rative 5endces Division
Procurement Services
Attachment 3: Vendor Response Form
FROM:
Board of County Commissioners
Collier County Government Center
Naples, Florida 34112
RE: Solicitation: 15 -6375R —Ambulance Pharmaceutical Refrigerators
Dear Commissioners:
The undersigned, as Vendor, hereby declares that the specifications have been fully examined and the
Vendor is fully informed in regard to all conditions pertaining to the work to be performed for as per the
scope of work. The Vendor 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 Vendor 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:
Item #
Description
Total
19
BID TOTAL
$
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
E Bid Response Form is electronic. Please input your prices online.
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 Procurement Director for approval within fifteen
(15) days after being notified of an award.
#15 -6375R
Ambulance Pharmaceutical Refrigerators
Packet Page -1961-
26
IN WITNESS WHEREOF, WE have hereunto subscribed our names on this day of 6/23/2015 16.E.2.
2010 in the County of
in the State of
Firm's Complete Legal Name
Firm's Dun and Bradstreet
Number (DUNS)
(Found at www.dnb.com)
CCR # or CAGE Code
(Found at www.ccr.00v)
Florida Certificate of Authority
Document Number
(http: / /www.sunbiz.org)
Federal Tax Identification
Number
Address
City, State, Zip
Telephone Number
FAX Number
Check one of the following:
❑ Sole Proprietorship
❑ Corp or P.A. State of
❑ Limited Partnership
❑ General Partnership
Signature / Title
Type Name of Signature
Date
Additional Contact Information
Send Payments To: (REQUIRED ONLY if different from above)
Firm's Complete Legal Name
Address
City, State, Zip
Contact Name
Telephone Number
FAX Number
Email Address
#15 -6375R
Ambulance Pharmaceutical Refrigerators
Packet Page -1962-
27
6/23/2015 16.E.2.
CAer County
Administrative Services Division
Procurement Services
Attachment 4: Immigration Law Affidavit Certification
Solicitation # and Title : 15 -6375R — Ambulance Pharmaceutical Refrigerators
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, Vendors / 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
vendor'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 Vendor /
Bidder's Proposal as non - responsive
Collier County will not intentionally award County contracts to any vendor 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 vendor 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.
Vendor 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
Vendor's / Bidder's proposal.
Company Name
Print Name Title
Signature Date
State of
County of
The foregoing instrument was signed and acknowledged before me this day of
20_, by
(Print or Type Name)
Notary Public Signature
Printed Name of Notary Public
Notary Commission Number /Expiration
who has produced
(Type of Identification and Number)
as identification.
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 -6375R
Ambulance Pharmaceutical Refrigerators 28
Packet Page -1963-
6/23/2015 16.E.2.
Coder County
Administrative Services Division
Procurement Services
Attachment 5: Vendor 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
(as shown on income tax return)
Business Name
(if different from taxpayer name)
Address
State
Telephone
Order Information
Address
City State
FAX
Email
City
Zip.
FAX
Email
Remit / Payment Information
Address
Zip City State Zip
FAX
Email
2. Company Status (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. Taxpayer Identification Number (for tax reporting purposes only)
Federal Tax Identification Number (TIN)
;Vendors 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, 1 certify that the information shown on this form is correct to my knowledge.
Signature Date
Title Phone Number
#15 -6375R
Ambulance Pharmaceutical Refrigerators
Packet Page -1964-
29
6/23/2015 16.E.2.
Co)Vier C: 0 my
Administrative Services Division
Procurement Services
Attachment 6: 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 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 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
noted:
#15 -6375R
Ambulance Pharmaceutical Refrigerators
Per Occurrence
❑ 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 $ 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
❑ Valuable Papers Insurance
Packet Page -1965-
Per Occurrence
$ Per Occurrence
30
6/23/2015 16.E.2.
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. ® Vendor shall ensure that all subcontractors comply with the same insurance requirements that he
is required to meet. The same Vendor 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 2/27/2015
Vendor'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
Vendor Signature
Print Name
Insurance Agency
Agent Name
Date
Telephone Number
#15 -6375R 31
Ambulance Pharmaceutical Refrigerators
Packet Page -1966-
Packet Page -1967-
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6/23/201516.E.2.
co ler County
Administrabve Services Division
Procurement Services
Attachment 2: Vendor's Check List
IMPORTANT: THIS SHEET MUST BE SIGNED BY VENDOR. Please read carefully, sign in the spaces
indicated and return with bid.
Vendor 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. All granting agency requirements have been met including submittal of required forms.
6. Any required drawings, grant forms, descriptive literature, etc. have been included.
7. Any delivery information required is included.
8. If required, the amount of bid bond has been checked, and the bid bond or cashiers check has been
included.
9. Addendum have been signed and included, if applicable.
10. Copy of Internet certification that the Vendor is not on the Federal Excluded Parties List System at:
www.sam.gov.
11. Immigration Affidavit and a copy of the company's E- Verify profile page or memorandum of
understanding.
12. Copies of licenses, equipment lists, subcontractors or any other information as noted in this ITB.
13. The mailing envelope must be addressed to:
Procurement Director
Collier County Government
Purchasing Department
3327 Tamiami Trail E
Naples FL 34112
The mailing envelope must be sealed and marked with:
• Solicitation: 15 -6375R — Ambulance Pharmaceutical Refrigerators
• Opening Date: 5/22/2015; 3:OOPM
14. 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.)
15. 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 BIDS MUST HAVE THE BID NUMBER AND TITLE ON THE OUTSIDE OF
THE COURIER PACKET.
#15 -6375R
Ambulance Pharmaceutical Refrigerators
t�J�'�d�tC1
Signature le
ate=/ 5
Date
Packet Page -1968-
25
6/23/2015 16.E.2.
C :o 1e-r Comity
Administrative Services Division
Procurement Services
Attachment 3: Vendor Response Form
FROM: MERMAID MANUFACTURING OF SW FL INC
Board of County Commissioners
Collier County Government Center
Naples, Florida 34112
RE: Solicitation: 15 -6375R — Ambulance Pharmaceutical Refrigerators
Dear Commissioners:
The undersigned, as Vendor, hereby declares that the specifications have been fully examined and the
Vendor is fully informed in regard to all conditions pertaining to the work to be performed for as per the
scope of work. The Vendor 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 Vendor 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:
Item #
Description
Total
19
1 BID TOTAL
$ 103,623.00
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 30 Days
Z Bid Response Form is electronic. Please input your prices online.
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 Procurement Director for approval within fifteen
(15) days after being notified of an award.
#15 -6375R
Ambulance Pharmaceutical Refrigerators
Packet Page -1969-
26
IN WITNESS WHEREOF, WE have hereunto subscribed our names on this _18_ day of 6/23/2015.16.E.2.
2010 in the County of LEE , in the State of _FL_
Firm's Complete Legal Name MERMAID MANUFACTURING OF SW FL. INC
Firm's Dun and Bradstreet
Number (DUNS)
(Found at www.dnb.com)
CCR # or CAGE Code
(Found at www.ccr.gov)
Florida Certificate of Authority
Document Number
(hftp://www.sunbiz.org)
Federal Tax Identification
Number
Address
City, State, Zip
Telephone Number
FAX Number
Check one of the following
Signature / Title
Type Name of Signature
Date
122228703
4XVU9
P94000050423
65- 0503762
2651 PARK WINDSOR DRIVE. SUITE 203
FORT MYERS, FL 33901
239 - 418 -0535
239 -418 -0538
❑ Sole Proprietorship
® Corp or P.A. State of
❑ Limited Partnership
❑ General Partnership
WILLIAM D. BANFIELD
18 MAY 2015
Additional Contact Information
Send Payments To: (REQUIRED ONLY if different from above)
Firm's Complete Legal Name
Address
City, State, Zip
Contact Name
Telephone Number
FAX Number
Email Address
#15 -6375R
Ambulance Pharmaceutical Refrigerators
Packet Pacye -1970-
27
Yer County 6/23/2015 16.E.2.
Adrrwistrabve Services Division
Prccurement Services
Attachment 4: Immigration Law Affidavit Certification
Solicitation # and Title : 15 -6375R — Ambulance Pharmaceutical Refrigerators
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, Vendors / 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
vendor'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 Vendor /
Bidder's proposal as non - responsive
Collier County will not intentionally award County contracts to any vendor 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 vendor 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.
Vendor 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
Vendor's / Bidder's proposal,
Company Name /A?G.
J
Print Name r G t ,� A -) —� Title � (qiC -
Signature Date f
State of��,�
County of
The ffegoing instrument was signed and acknowledged before me this o2b' day of -
20, by
who has produced Z- f s i
�' /— � �� � � % -�-� �(as identification.
(Print or Type Name) (Type of Identification and Number)
otary Public Signature
Printed Name of Notary Public _
—„ Notary PU S�Ta of FIB
Notary Commission Number /Expiration A,�� FF17195p
xpires Oct 23, 2016
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 -6375R
Ambulance Pharmaceutical Refrigerators
Packet Page -1971-
28
6/23/2015 16.E.2.
Administrative Services Division
Prncurerneni Services
Attachment 5: Vendor 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 MERMAID MANUFACTURING OF SW FL INC
(as shown on income tax return)
Business Name
(if different from taxpayer name)
Address 2651 PARK WINDSOR DRIVE #203 City FORT MYERS
State FLORIDA Zip 33901
i eiep
Order Information Remit / Payment Information
Address SAME Address SAME
City State Zip ! City
FAX
Email
2. Company Status (check only one)
FAX
Email
State Zip
_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)
C 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) 65- 0503792
(Vendors 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, 1 certify that the information shown on this form is correct to my knowledge.
Signature
Date 18 MAY 2015
Title PRESIDENT
Phone Number 239 -418 -0535
#15 -6375R
Ambulance Pharmaceutical Refrigerators
Packet Page -1972-
29
6/23/2015 16.E.2.
co p-r county
Administrative Services Division
Procurement Services
Attachment 6: 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
3. ® Commercial General
Liability (Occurrence Form)
patterned after the current
ISO form
$500,000 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 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 Contractor/Vendor/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 $ 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 Occurrence
#15 -6375R 30
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6/23/2015 16.E.2.
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. ® Vendor shall ensure that all subcontractors comply with the same insurance requirements that he
is required to meet. The same Vendor 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 2127/2015
Vendor'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 MERMAID MANUFACTURING OF SW FL INC Date 18 MAY 2015
Vendor
Signature
Print Name WILLIAM D. BANFIELD
Insurance GOODLAD GROUP INSURANCE
Agency
Agent Name Telephone Number 239 - 674 -7630
#15 -6375R 31
Ambulance Pharmaceutical Refrigerators
Packet Page -1974-
6/23/2015 16.E.2.
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.
WILLIAM D. BANFIELD Ambulance Pharmaceutical Refrigerators
(AN, No prebid)
Name Project Name
PRESIDENT 15 -6375R
Title Project Number
MERMAID MANUFACTURING OF 65- 0503792
SW FL INC
Firm Tax ID Number
122228703
DUNS Number
2651 PARK WINDSOR DRIVE. #203 FORT MYERS FLORIDA 33901
Street Address, City, State, Zip
Signature
Packet Page -1975- 32
6/23/2015 16.E.2.
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.
Grant Clauses
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 MERMAID MANUFACTURING OF SW FL INC Date 18 MAY 2015
Authorized Sig
Address 2651 PARK WINDSOR DRIVE #203
FORT MYERS. FLORIDA 33901
Solicitation Ambulance Pharmaceutical Refrigerators (AN, No prebid) Contract # 15 -6375R
33
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t- ULLIr-K UUUN i Y certmcation Regarding Lobbying
The undersigned MERMAID MANUFACTURING OF SW FL INC (Vendor/ Contractor) certifies, to the best
of his or her knowledge and belief, that:
(1) No State 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 the
Legislature, an officer or employee of the judicial branch, or an employee of a State agency in connection
with the awarding of any State contract, the making of any State grant, the making of any State loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any State contract, grant, loan, or cooperative agreement.
(2) No grantee, nor its persons or affiliates, may employ any person or organization with funds received
pursuant to any State agreement for the purpose of lobbying the Legislature, the judicial branch, or a State
agency. The purpose of lobbying includes, but is not limited to, salaries, travel expenses and per diem, the
cost for advertising, including production costs; postage; entertainment; and telephone and telegraph; and
association dues. The provisions of this paragraph supplement the provisions of section 11.062, Florida
Statutes, which is incorporated by reference into this solicitation, purchase order or contract.
(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.
The Vendor /Contractor, MERMAID 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
11.062, Florida Statutes., apply to this certification and disclosure, if any.
WILLIAM D. BANFIELD Name of Authorized Official PRESIDENT Title
Signature of Vendor /Contractor's Authorized Official
18 MAY 2015 Date
COLLIER COUNTY
Vendor Submittal — Conflict of Interest Certification
15 -6375R
Collier County Solicitation No.
34
Packet Page -1977-
6/23/2015 16.E.2.
I, WILLIAM D. BANFIELD , 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.
WILLIAM D. BANFIELD
PRESIDENT
18 MAY 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.
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
35
Packet Page -1978-
6/23/2015 16.E.2.
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).
WILLIAM D. BANFIELD
Typed Name and Title of Certification Official
18 MAY 2015
Signa Date
36
Packet Page -1979-
6/23/2015 16.E.2.
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.
A. ,: PRIME ;VENi70R 1QNTRA g- R IN Uft VtAT' J11;
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 8A? Y N
IS THIS SUBMISSION A REVISION? Y N IF YES, REVISION NUMBER
B CFk AE*W SUBCONTRACTOR kS�i.P PUER' WHO'IS�A,DISA`DVANTAISED,MtNQltt '�f,1N 3411E "40
NED,
BllSliIESS Ctiial C£R1V i71R SF3tV #C£ "13ISARLEIJ VET ERAN,Rfit1ilE 1S tick C01 tPLE7£#ItS All =}CT SEGJON .-
<`
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
TOTALS:
C. SECTtON'TC BE COMPLETED -BY P#�1 E NI R/ O fTRAE.i
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.
�aianTicar'Ir ,e#�3k3... ,.
Black American BA
Hispanic American HA
Native American NA
Subcont. Asian American SAA
Asian - Pacific American APA
Non - Minority Women NMW
Other not of any other group listed 7
D SECTION TD BE .COMPLETE& CALMER +COl3Ni"�r >..
DEPARTMENT NAME COLLIER CONTRACT# (IFB /RFP or PO /REQ) GRANT PROGRAM /CONTRACT
ACCEPTED BY: DATE
37
Packet Page -1980-
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