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Agenda 11/12/2019 Item #16C 2 (Contract #19-7531 Palm Beach Plumbing Parts, Inc., Jameson Currie Corp., Inc.)11/12/2019 EXECUTIVE SUMMARY Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies,” to Palm Beach Plumbing Parts Inc., as the primary vendor, and Jameson Currie Corporation Inc. d/b/a Jameson Supply Inc., as the secondary vendor, for County-wide plumbing parts and supplies. OBJECTIVE: To obtain multiple vendors to provide plumbing parts and supplies to address repairs and replacements of plumbing systems for County owned and operated facilities. This will ensure the County plumbing systems are in top condition and buildings are safe and provide a healthy environment for employees and visitors. CONSIDERATIONS: The Division of Facilities Management is responsible for the maintenance and repair of County facilities. Those facilities require maintenance and repair of plumbing to minimize operational down time and maintain operating conditions. Staff issued the solicitation with the intent of providing the County with plumbing vendor options from which it can procure reasonably priced plumbing parts and supplies. On May 20, 2019, the Procurement Services Division released Invitation to Bid (“ITB”) 19 -7531 to 1,873 vendors for Plumbing Parts and Supplies. Interested vendors downloaded fifty -six (56) bid packages, and the County received three (3) bids by July 12, 2019 deadline. The County found Winsupply, Inc., non-responsive/responsible for failing to submit required bid forms. The remaining two bidders were responsive and responsible and offered the same discount percentage. To break the discount percentage tie, for determining which vendor would be primary and which one secondary, the Procurement Director followed the procedure set forth in Collier County Procurement Ordinance No. 2017-08, Section 15(2)(C), as amended. Staff recommends awarding this ITB to Palm Beach Plumbing Parts, Inc., as the primary vendor, and Jameson Currie Corporation, Inc. d/b/a Jameson Supply Inc., as the secondary vendor. Company Name City County State Bid Percentage Responsive/ Responsible Palm Beach Plumbing Parts, Inc. West Palm Beach Palm Beach FL 25% YES/YES Jameson Currie Corporation Inc. d/b/a Jameson Supply Inc. Naples Collier FL 25% YES/YES Winsupply, Inc. Venice Sarasota FL NA NO The contract mechanism for procuring plumbing parts and supplies under the award of this ITB will be through the issuance of Purchase Orders by the various operating divisions. FISCAL IMPACT: Funds are available in the Division of Facilities Management Operating Budget 001-122240 and other user division cost centers. The base annual amount of the contract is estimated to be $200,000, however this may not be indicative of future buying patterns. LEGAL CONSIDERATIONS: This item is approved as to form and legality, and requires majority vote for Board approval.-SRT 16.C.2 Packet Pg. 1014 11/12/2019 GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this Executive Summary. RECOMMENDATION: To award ITB No. 19-7531, “Plumbing Parts and Supplies,” to Palm Beach Plumbing Parts, Inc., as the primary vendor, and Jameson Currie Co rporation, Inc. d/b/a Jameson Supply, Inc., as the secondary vendor, for County-wide Plumbing Parts and Supplies services, and authorize staff to issue County Purchase Orders to procure those supplies. Prepared By: Katie Sibert, Operations Analyst, Division of Facilities Management ATTACHMENT(S) 1. 19-7531 Bid Tabulation (PDF) 2. 19-7531 Jameson Supply Proposal (PDF) 3. 19-7531 Jameson_Insurance (PDF) 4. 19-7531 Jameson_WC_Exempt (PDF) 5. 19-7531 NORA (PDF) 6. 19-7531 Palm Beach Proposal (PDF) 7. 19-7531 PalmBeach_Insurance (PDF) 8. 19-7531 Solicitation (PDF) 9. Award of ITB 19-7531 Plumbing Parts and Supplies (PDF) 16.C.2 Packet Pg. 1015 11/12/2019 COLLIER COUNTY Board of County Commissioners Item Number: 16.C.2 Doc ID: 10419 Item Summary: Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies,” to Palm Beach Plumbing Parts Inc., as the primary vendor, and Jameson Currie Corporation Inc. d/b/a Jameson Supply Inc., as the secondary vendor, for County-wide plumbing parts and supplies. Meeting Date: 11/12/2019 Prepared by: Title: – Facilities Management Name: Kathleen Sibert 10/09/2019 8:54 AM Submitted by: Title: Director - Facilities Management – Facilities Management Name: Damon Grant 10/09/2019 8:54 AM Approved By: Review: Procurement Services Opal Vann Level 1 Purchasing Gatekeeper Completed 10/09/2019 9:43 AM Procurement Services Viviana Giarimoustas Additional Reviewer Completed 10/09/2019 12:24 PM Procurement Services Evelyn Colon Additional Reviewer Completed 10/09/2019 3:55 PM Facilities Management Damon Grant Director - Facilities Completed 10/11/2019 10:59 AM Public Utilities Operations Support Joseph Bellone Additional Reviewer Completed 10/17/2019 2:20 PM Procurement Services Ted Coyman Additional Reviewer Completed 10/22/2019 9:38 AM Public Utilities Department Dan Rodriguez Additional Reviewer Completed 10/22/2019 10:19 AM Procurement Services Catherine Bigelow Additional Reviewer Completed 10/22/2019 1:04 PM Public Utilities Department Drew Cody Level 1 Division Reviewer Completed 10/22/2019 1:34 PM County Attorney's Office Jeffrey A. Klatzkow Level 2 Attorney Review Completed 10/23/2019 11:50 AM Public Utilities Department George Yilmaz Level 2 Division Administrator Review Completed 10/25/2019 3:34 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 10/25/2019 3:55 PM Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 10/28/2019 12:19 PM Budget and Management Office Ed Finn Additional Reviewer Completed 10/29/2019 9:42 AM County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 11/03/2019 9:42 PM Board of County Commissioners MaryJo Brock Meeting Pending 11/12/2019 9:00 AM 16.C.2 Packet Pg. 1016 Project Manager: Katie Sibert Procurement: Viviana Giarimoustas Bid Tabulation # 19-7531 Plumbing Parts and Supplies Notifications Sent: 1,873 Downloaded: 56 Submissions: 3 Palm Beach Jameson Supply Winsupply Item Plumbing Supplies Percentage Discount Percentage Discount Percentage Discount 1 Provide discount percentage off MSRP for all plumbing supplies 25%25%NA * Provide a separate list of all brands provided. Description Form 2: Vendor Check List YES YES NO Form 3: Conflict of Interest Affidavit YES YES NO Form 4: Vendor Declaration Statement YES YES NO Form 5: Immigration Affidavit Certification YES YES NO Form 6: Vendor Substitute W – 9 YES YES NO Form 7: Vendor Submittal – Local Vendor Preference Affidavit YES YES NO Insurance and Bonding Requirements YES YES NO YES/NO 1 of 1 16.C.2.a Packet Pg. 1017 Attachment: 19-7531 Bid Tabulation (10419 : Recommendation to award Invitation to Bid No. 19-7531, Bid Tabulation Sheet PLUMBING SUPPLIES / MANUFACTURERS QUANTITY DISCOUNT BRADLEY CORP % 30 (PARTS ONLY) CHICAGO FAUCET % 30 (PARTS ONLY) DELTA % 25 (PARTS ONLY) ELKAY / HALSEY (Minimum amount for free shipping) % 30 FISHER % 25 (PARTS ONLY) FLUSHMATE (For Gerber, American Std & Kohler) % 15 (PARTS ONLY) KOHLER % 15 (PARTS ONLY) KROWNE % 30 MOEN % 25 (PARTS ONLY) SLOAN % 20 (PARTS ONLY) SPEAKMAN & SYMMONS % 25 (PARTS ONLY) T & S BRASS / HAWS / EQUIP % 25 OATEY / DEARBORN BRASS / HERCULES / CHERNE AND HARVEY % 15 GENERAL WIRE & SPRING % 20 MATCO -NORCA % 30 WOODFORD MANUFACTURING % 20 GENERAL TOILET REPAIR PARTS % 25 VALVES , FITTINGS, HOSES & CONNECTORS % 25 GENERIC STEMS & CARTRIDGES % 25 EASTMAN & EZ-FLO % 25 NOTE: For other manufacturers not listed above and other general plumbing repair products an average of 25% off list pricing can be offered. 16.C.2.b Packet Pg. 1018 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and & # &&s&ffi B"a =€ 60ry (3 lf)OA$$l)6r o;*\()I\Oruo oi I =)L LU Z z .!)x ia u:=ti + <>ulT o<oa rfO $co Ju- u; UJ uJ u(,Z I X LU =z-tr r) a- hrudft u){)zzoog)a UJTIJ == zoia u>uo-{ 7 z,J*2 (-) (J v MJL =o 4 =" v.ba oL<ntnt PYnz ()4?, O3; urPo u*u)v^ur:{ =11<cl L*[l **v<5 A>- =J tII -C a6(9,s{eao iiIrlo=JNZrt)< rI =*G)^ffifl E+[Ir= s 6 G,go) ><L Eb<tr qr ;+E3vr2.ev9; EHcaafr =u =Fs lll ..fL*Ob[l EfiE?zu) -^Lu=xfrc(r^:l ul o-6:=E ffi83ft -iN=()r- t 6uJ -rE=0409'vt(J6 =ruFJJo(J )< Fz. <)E'g, lr| --lJo() G}c E E G€ e(,o o (, ot cG E E ql E o s E6) o d4,u oc .=C N-o G = Eoc -2 =ss E o d} q)s E0a oC q) CE Gg-.s {qOE oC ,*. -!2gt-- C xag 0c =t _* Cq) {J s UI 6)f coul 5Jc)<Oao "-l + Itr ." (JzzOOF= ULin6t, {J) JJ l"Lt LU(9z -L l.-CJ C..I ..X J.A c+LU<+ O<gt. j 6FULda4z(rf(r=YO*H 4aQa =diu.tY<rx=i:t)za> JNM(,3 #g" F- _ -:: ****t H#ffi h $*-f'YK-"{; ffi-y*:*ffi ** %* '-u . -ff- fm*"***** € 16.C.2.b Packet Pg. 1019 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Collier CountY f i{ili.i${*li:stil *Afi $}ilH$i $tt {ait$: Solicitation 19-7531 Form 2: Vendor Check List IMPORTANT: TIIIS SHEET MUST BE SIGNED. Please read carefully' sign in the spaces indicated and return with your Proposal. Vendor should check off each of the following items as the necessary action is completed: tr The Solicitation Submittal has been signed' tr The Solicitation pricing Document (Bid Schedule/Quote Schedule/etc.) has been completed and attached' tr Al1 applicable forms have been signed and included, along with licenses to complete the requirements of the project' tr Any addenda have been signed and included' tr Affidavit for Claiming Status as a Local Business, if anplicable' E Division of Corporations - Florida Department of State - http://dos.m]rflorida.com/sunbiz/ (If work performed in the State). F E-Verify/ImmigrationAffidavit (Memorandum ofUnderstanding). ALL SUBMITTALS MUST IIA\'E THE SOLICITATION NUMBERAND TITLE Name of Firm: Address: City, State, Zip: Telephone: Email: Representative Signature: Representative Name: nCjqh J nc.5'Prlr Nnpler, FL 3*loL a3g- A+7- 7.-7 3-7 *3oZ Ex<]x,"Ve v< , U ni* 1 Ja.n<san SuFf lf @Gnai l.c r,n a 2-- ,u>, ,{'^.sL. C..rri<fae . Darc 6- 2l- t? 611712019 2:32 PM p.23 16.C.2.b Packet Pg. 1020 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Solicitation 19-7531 Collier CountY *,,{i; E*$,{f\. ffi'#Y,f$ffiY ffitlw*tn-}' ---*P"_&.*- "su@*,,&s? A*',rnr*fr*t r* [*:1""i5*s f,{$snl:{}xl I !. ( j?1t:1+rll ldr ;;(6{ ::i.,ir'r" Form 3: Conflict of Interest Aflidavit The vendor certifies that, to the best of its knowledge and beiief, thepast and current work on any collier county project affiliated with tlris solicitation does not pose an organizationaiconflict as descrited by one of the three categories below: Biased ground rutes - The firm has not set the "ground rules" for ufftiut.d past or aurrert collier county project identified above (e.g., writing a procurement,s statement Jf wort, specifications, or performing systems engineering and technical direction for the prlcurement) which appears to skew the competition in favor of my firm' Impaired objectivity - The hrm has not performed w-ork on an affiliated past or current collier county project identified above to evaluate proposals / past performance of itself or a competitor, *hi.h cails into question the contractor's ability to render impartial advice to the government' Unequal access to information - The firm has not had access to nonpublic information as part of its performance of a collier county project identified above which may have provided the contractor (or an affiliate) with an unfair competitive advantage in current or future solicitations and contracts' In addition to this sigled affidavit, the conkactor / vendor must provide the following: 1. All documents produced as a result of the work completed in the past or currently being worked on for the above-mentioned project; and, 2. Indicate if the inforrnation produced was obtained as a matter of public record (in the "sunshine") or through non-public (not in the ,.sunshine") conversation (s), meeting(s), document(s) and/or other means. Failure to disclose all material or having an organizational conflict in one or more of the three categories above be identified, may result in the disqualification for future solicitations affiliated with the above referenced project(s)' By the signature below, the firm (employees, officers and/or agents) certifies, and hereby discloses, that, to the best oftheir knowledge una U"ti& all relevant iacts concerning past, present, or currently planned interest or activity (financial, contractual, organizational, orotherwise)whichrelatestotheprojeciidentifiedabovehasbeenfullydisclosedanddoesnotpose anorganizationalconflict. Firm:Aqc. Signature and Date: Print Name: 7 Titie of Signatory:Pr..<iJe"r* T),-,tq /- - c-: -r] < -l 611712019 2:32 PM p.24 16.C.2.b Packet Pg. 1021 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Solicitation 19-753'1 pefirhidr"di\,"* S{,r-ircs Seps"ri*flt $h**v*lnrerrt Set'1ft b'-rhi$Lx Form 4: Vendor Declaration Statement BOARD OF COUNTY COMMISSIONERS Collier County Government Compiex Naples, Florida 34112 Dear Commissioners: The undersigned, as Vendor declares that this response is made without comection or affangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fiaud. The Vendor agrees, if this solicitation submittal is accepted, to execute a Collier County document for the purpose of establishing a formai contractual relationship between the firm and Collier County, for the performance of all requirements to which the solicitation perlains. The Vendor states that the submitted is based upon the documents listed by the above referenced Solicitation. Further, the vendor agrees that if awarded a contract for these goods and/or services, the vendor will not be eligible to compete, submit a proposal, be awarded, or perform as a sub-vendor for any future associated with work that is a result ofthis awarded contract. IN WITNESS WHEREOF, WE have hereunto subscribed our names on this 2.L AuV of 5re. vr e ,2}!!linthe County of Collicr,intheStateof F L- Firm's Legal Name: Address: City, State, Zip Code: Florida Certificate of Authority Document Number Federal Tax Identification Number *CCR # or CAGE Code *Only if Grant Funded Telephone: *2o3 Exc,L,-ge, .v< t lJnit flt<, FL 3*lotl 7z?-l1z - 71 31 Signature by: (Typed and written) Title: 6/1712019 2:32 PM p.25 16.C.2.b Packet Pg. 1022 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Collier CountY Additional Contact Information Solicitation 19-7531 5a,u^eSovr 5,^f ply Tn< Company natne used as payee I l -Tz-*r ( C,^..1 f 5r *3Oz E*al^angc ,tc, l'itA f s ' -L 2-1e - 8t+-7- 71 za Send payments to: (required if different from above) Contact name: Title: Address: City, State, ZIP Telephone: Pr.cil.^* Email: Office servicing Collier County to place orders (required if different from above) Contact name: Title: Address: City, State, ZIP Telephone: Email: 611712019 2:32 PM p.26 16.C.2.b Packet Pg. 1023 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Solicitation 19-753'1 Collier CountY $#l"r&:'irstrativq Swr;ises*sp S'Ylss- - Fiii:dhst*$'w, i!'Ssrii*€q:i Sii"t*i*t\ Form 5: Immigration Aflidavit Certification This Affidavit is required and should be signed, totarizedbyan authorized principal of the firm *9:::::t:*I:rrl:1*:*:T11"# ,t#ffiili::,}Hi:l$!i#:Hffi;f;" .i"",i- *; ;;;s;."c,u*, u^d provide acceptabre evidence ortheir enrollment' at - r ^ - ^--- ^r +L^ -*nnarl., nnmnlefed F.-VeriftilSTi,l'JTl,i,H1X1;l*li:J#il#;,;rffi;;i ;;;;fi; il;;;;; .on,r,t, of a copv of the properlv completed E-verifv 1 s:-- ^ r^- aL^ ^^'-nd-., tr'ailrrvc fo inclttdeH;ffir"ilffi;T#XlT&fir#;r;#"J"*a "-i-.,rff M;.,"d"", orUnderstanding ror the companv' Failure to incrude --., ,faa,- +[,o Wendnv's nronosal aS non-Veri responsive, Coliier Cormty will not intentionally award County contracts t9.any-llfor who knowingly employs unauthorized alien workers' consrituting a violation of the employment provisiln conrained in s u.s.c. Section 1324 a(e) Section 274A(e) of the Immigration and Nationality Act ("INA"). coiliercountymayconsidertheemploymentbyanyvendorofunauthorizedaliensaviolationofsection2T4A(e)oftheINA' Such violation by the recipient of the Employment provisions contained in Section 21aA @) of the NA shall be grounds for unilateral termination of the contract by Collier County. vendor attests that they are fu1ly co*rpliant with all applicable immigration laws (specifically to the 1986 Immigration Act and subsequent Amendment(s)) and agrees to comply wittr itre provisions of th. M.*otandum of Understanding with E-Verify and to provide proof of enrollmelt in The Employment Eligibility Verification System (E-Verify), operated by the Department of Homeland Securityi', partnership with the Sociaisecurity Adiinistration at the time of submission of the Vendor's proposal' Io.n, cs o,", S bp f l y a-^C. rr- f r A*25-t9 Company Name Print Name County of C-l l"z r The signee of these Affidavit guarantees, as evidenced by the sworn affidavit required herein, the truth and accuracy of this affidavit to interrogatories hereinafter made. 611712019 2:32 PM p.27 16.C.2.b Packet Pg. 1024 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Collier County fl{:!?'flrl*S P"sYthirdrelitr $*r{'{*E Solicitation 19-7531 Form 6: 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 reporling purposes from individuals and .o*pLi., who do business with the counly (including social security- numbers if used ly ,fr" individual or company for tax reporting purposes). FloridaStatute 119.071(5)requiresthatthecounty notify you in writing of the reason for collecting this inform-ation, 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 Tor.rn<J or,r (as shown on income tax return) Business Name (if di city ilaFlcs State FL zip Remit / Payment Information @ustfennea oui) Address *7oz 9*.\oV< s l '' i* A citvllo,ilgl State FL zip}*to| Order Information {M:usf bq filled rout} Address tTOzf.rz.l^.y c r/"rl'i* citv a/a.Fl<e State FL zip 3*l oV Yara cro\ 5^p f ,y@ 6-.oi | . e ovt 2, Company Status (check only one) 3. Taxpayer ldentification Number (for tax reporting purposes only) 4. Sign and Date tr'orm: Certification: Under e^uit Ta-cso,n S nff lZ @ G'\oi I . co,". _Individual / Sole Proprietor -. Corporation _Partnership _Tax Exempt (Federal incoure tax-exempt entity under Internal Revenue Service guidelines IRC s01 (c) 3) _ Limited Liability Company (- Enter (he tax classification Gnr.---^-s-s li,"ri', r-: f-nvanvnrinu p: pnvthorchi 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 utn that the tion shown on this s correct to Signature Date oL- 25-19T Title P rr-si l.^t Phone Number7\q- 6+3- 7.13-7 6t17t2019 2.32 PM p.2E 16.C.2.b Packet Pg. 1025 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Collier County Solicitation 19-7531 sti:$*{ci}-ti*i\t frsil'i**fli *";ifs-}*t Form 7: Vendor Submittal - Local Vendor Preference Affidavit (Check Appropriate Boxes Below) State of Florida (Select County if Vendor is described as a Local Business) E(coul.. counry f] t ee County Vendor affirms that it is a local business as defined by the Procurement Ordinance of the Collier County Board of County Commissioners and the Regulations Thereto. As defined in Section XV of the Collier County Procurement Ordinance: Local business means the vendor has a current Business Tax Receipt issued by the Collier County Tax Collector prior to bid or proposal submission to do business within Collier Counfy, and that identifies the business with a permanent physical business address located within the limits of Collier County from which the vendor's staff operates and performs business in an area zoned for the conduct of such business. A Post Office Box or a facility that receives mail, or a non-perananent structure such as a construction trailer, storage shed, or other non- permanent structure shall not be used for the purpose of establishing said physical address. In addition to the foregoing, a vendor shall not be considered a "local business" unless it contributes to the economic development and well-being of Collier County in a verihable and measurable way. This may include, but not be limited to, the retention and expansion of employment opportunities, support and increase to the County's tax base, and residency of employees and principals of the business within Collier County. Vendors shall affirm in writing their compliance with the foregoing at the time of submitting their bid or proposal to be eligible for consideration as a "1ocal business" under this section. A vendor who misrepresents the Local Preference status ofits firm in a proposal or bid submitted to the County will lose the privilege to claim Local Preference status for a period of up to one year under this section. Vendor must complete the following information: Year Business Established in ffiCollier County or f] Lee County: 3.O t-7 Number of Employees (Including Owner(s) or Corporate Officers): 2- Nurnber of Employees Living in IComer County or I Lee (Including Owner(s) or Corporate Officers): 2 If requested by the County, vendor will be required to provide documentation substantiating the information given in this affidavit. Failure to do so will result in vendor's submission being deemed not applicable. vendor Name: 5o.-.<sor^. S^ff ly A\c-.Date: Ot- ZE-tg AddressinCollierorLeeCountV: *3OZ 6xc-lrag < rttC, Uai* A Signature:ritre: ? rcs i de ,^* 611712019 2:32PM p. 30 16.C.2.b Packet Pg. 1026 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Collier County Solicitation "l9-7531 ffi Employer's Liability ffi Commercial General Liabiiity (Occurrence Form) patterned after the current ISO form 4. ffi Indemnification 5. ffi Automobile Liability 6. E Other insurance as noted: 7. I ria bond 8. I Performance and Pa]nnent Bonds 11. 2. 3. $_500,000_ single limit per occulrence Bodily Injury and Property Damage $_1,000,000_single limit per occrurence, $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. To the maximum extent permitted by Florida law, the Contractor/Vendor shall defend, indemni$r and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attomeys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the Contractor/ Vendor or anyone employed or utilized by the Contractor/Vendor in the performance of this Agreement. $_500,000_ Each Occurrence; Bodily Injury Owned,O{on-owned/}Iired; Automobile Included & Properfy Damage. I Watercraft $ _ Per Occurrence 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%o of the cost proposal. A11 checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State ofFlorida and insured by the Federal Deposit Insurance Corporation. For projects in excess of $200,000, bonds shall be submitted with the 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 5Yo 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. 9. 10. I 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. [l Colier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required. This insurance shall be primary and non-contributory with respect to any other insurance maintained by, or available for the benefit of, the Additional Inswed and the Vendor's policy shall be endorsed accordingly. X The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Coverrrment, OR Collier County. The Certificates of Insurance must state ths Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. 611712019 2:32PM p.32 16.C.2.b Packet Pg. 1027 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Solicitation 19-7531 Collier CountY read: Collier County Board of Commissioners' 3295 Tamiami Trail East' 12. 13. 14. Vendor's Insurance Statement date of award. Name of Firm Vendor Signature Print Name Insurance Agency Agent Name 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. The insurance submitted must provide coverage for a minimum of six (6) months from the Date Ot- Z[=19- fl;.L o. \ a€ota.rtw d rerephone N,,rnr.r 6 *C - #t - 72 ZZ 6/1712019 2:32PM p. 33 16.C.2.b Packet Pg. 1028 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Department of State /Division of Corporations /Search Records /Detail By Document Number / Document Number FEI/EIN Number Date Filed Effective Date State Status Last Event Event Date Filed Event Effective Date Detail by FEI/EIN Number Florida Profit Corporation JAMESON CURRIE CORPORATION INC. Filing Information P17000011404 81-5247255 02/02/2017 01/26/2017 FL ACTIVE AMENDMENT 03/10/2017 NONE Principal Address 4303 EXCHANGE AVE UNIT A NAPLES, FL 34104 Changed: 03/01/2019 Mailing Address 4303 EXCHANGE AVE UNIT A NAPLES, FL 34104 Changed: 03/01/2019 Registered Agent Name & Address API PROCESSING-LICENSING, INC. 3419 GALT OCEAN DR., STE A FT. LAUDERDALE, FL 33308 Name Changed: 03/10/2017 Address Changed: 03/10/2017 Officer/Director Detail Name & Address Title P CURRIE, JAMES L, JR DIVISION OF CORPORATIONSFlorida Department of State Page 1 of 2Detail by FEI/EIN Number 8/8/2019http://search.sunbiz.org/Inquiry/corporationsearch/SearchResultDetail?inquirytype=FeiNum... 16.C.2.b Packet Pg. 1029 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and 171 BURNT PINE DR NAPLES, FL 34119 Annual Reports Report Year Filed Date 2018 02/12/2018 2019 03/01/2019 Document Images 03/01/2019 -- ANNUAL REPORT View image in PDF format 02/12/2018 -- ANNUAL REPORT View image in PDF format 03/10/2017 -- Amendment View image in PDF format 02/02/2017 -- Domestic Profit View image in PDF format Florida Department of State, Division of Corporations Page 2 of 2Detail by FEI/EIN Number 8/8/2019http://search.sunbiz.org/Inquiry/corporationsearch/SearchResultDetail?inquirytype=FeiNum... 16.C.2.b Packet Pg. 1030 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and cJfer County ~ Administrative Services Division Procurement Services Email: Viviana.Giarimoustas@colliercountyfl.gov Telephone: (239) 252-8375 Addendum #1 Date: 6/17/19 From: Viviana Giarimoustas, Procurement Strategist To: Interested Bidders Subject: Addendum # 1 Solicitation # 19-7531 Plumbing Parts and Supplies The following clarifications are issued as an addendum identifying the following clarification to the scope of work, changes, deletions, or additions to the original solicitation document for the referenced solicitation: This solicitation is being extended until July 2, 2019 10:00 AM EST. If you require additional information please post a question on our Bid Sync (www.bidsync.com) bidding platform under the solicitation for this project. Please sign below and return a copy of this Addendum with your submittal for the above referenced solicitation. Q9-/3-/2 Date (Name of Firm) , , 16.C.2.b Packet Pg. 1031 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) cjfer Cou.nty ~ Adminisirative Services Division Procurement Services Email: Viviana. Giarimoustas@colliercountyfl.gov Telephone: (239) 252-8375 Addendum #2 Date: 7/1/19 From: Viviana Giarimoustas, Procurement Strategist To: Interested Bidders Subject: Addendum # 2 Solicitation # 19-7531 Plumbing Parts and Supplies The following clarifications are issued as an addendum identifying the following clarification to the scope of work, changes, deletions, or additions to the original solicitation document for the referenced solicitation: This solicitation is being extended until July 12,2019 10:00 AM EST. If you require additional information please post a question on our Bid Sync (www.bidsync.com) bidding platform under the solicitation for this project. Please sign below and return a copy of this Addendum with your submittal for the above referenced solicitation. 9-/3-/9 Date (Name of Firm) 16.C.2.b Packet Pg. 1032 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Verify _ Company 10 Number: 1432397 THE E-VERIFY MEMORANDUM OF UNDERSTANDING FOR EMPLOYERS ARTICLE I PURPOSE AND AUTHORITY The parties to this agreement are the Department of Homeland Security (DHS) and the Jameson Currie Corporation Inc (Employer). The purpose of this agreement is to set forth terms and conditions which the Employer will follow while participating in E-Verify. E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of Form 1-9, Employment Eligibility Verification (Form 1-9). This Memorandum of Understanding (MOU) explains certain features of the E-Verify program and describes specific responsibilities of the Employer, the Social Security Administration (SSA), and DHS. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). The Federal Acquisition Regulation (FAR) Subpart 22.18, "Employment Eligibility Verification" and Executive Order 12989, as amended, provide authority for Federal contractors and subcontractors (Federal contractor) to use E-Verify to verify the employment eligibility of certain employees working on Federal contracts. ARTICLE II RESPONSIBILITIES A. RESPONSIBILITIES OF THE EMPLOYER 1. The Employer agrees to display the following notices supplied by DHS in a prominent place that is clearly visible to prospective employees and all employees who are to be verified through the system: a. Notice of E-Verify Participation b. Notice of Right to Work 2. The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the Employer representatives to be contacted about E-Verify. The Employer also agrees to keep such information current by providing updated information to SSA and DHS whenever the representatives' contact information changes. 3. The Employer agrees to grant E-Verify access only to current employees who need E-Verifyaccess. Employers must promptly terminate an employee's E-Verify access if the employer is separated from the company or no longer needs access to E-Verify. Page 1 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1033 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Verify _ Company 10 Number: 1432397 4. The Employer agrees to become familiar with and comply with the most recent version of the E-Verify User Manual. 5. The Employer agrees that any Employer Representative who will create E-Verify cases will complete the E-Verify Tutorial before that individual creates any cases. a. The Employer agrees that all Employer representatives will take the refresher tutorials when prompted by E-Verify in order to continue using E-Verify. Failure to complete a refresher tutorial will prevent the Employer Representative from continued use of E-Verify. 6. The Employer agrees to comply with current Form 1-9 procedures, with two exceptions: a. If an employee presents a "List 8" identity document, the Employer agrees to only accept "List 8" documents that contain a photo. (List 8 documents identified in 8 C.F.R. § 274a.2(b)(1)(8)) can be presented during the Form 1-9 process to establish identity.) If an employee objects to the photo requirement for religious reasons, the Employer should contact E-Verify at 888-464-4218. b. If an employee presents a DHS Form 1-551 (Permanent Resident Card), Form 1-766 (Employment Authorization Document), or U.S. Passport or Passport Card to complete Form 1-9, the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee's Form 1-9. The Employer will use the photocopy to verify the photo and to assist DHS with its review of photo mismatches that employees contest. DHS may in the future designate other documents that activate the photo screening tool. Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right to present any List A, or List 8 and List C, document(s) to complete the Form 1-9. 7. The Employer agrees to record the case verification number on the employee's Form 1-9 or to print the screen containing the case verification number and attach it to the employee's Form 1-9. 8. The Employer agrees that, although it participates in E-Verify, the Employer has a responsibility to complete, retain, and make available for inspection Forms 1-9 that relate to its employees, or from other requirements of applicable regulations or laws, including the obligation to comply with the antidiscrimination requirements of section 2748 of the INA with respect to Form 1-9 procedures. a. The following modified requirements are the only exceptions to an Employer's obligation to not employ unauthorized workers and comply with the anti-discrimination provision of the INA: (1) List 8 identity documents must have photos, as described in paragraph 6 above; (2) When an Employer confirms the identity and employment eligibility of newly hired employee using E-Verify procedures, the Employer establishes a rebuttable presumption that it has not violated section 274A(a)(1 )(A) of the Immigration and Nationality Act (INA) with respect to the hiring of that employee; (3) If the Employer receives a final nonconfirmation for an employee, but continues to employ that person, the Employer must notify DHS and the Employer is subject to a civil money penalty between $550 and $1,100 for each failure to notify DHS of continued employment following a final nonconfirmation; (4) If the Employer continues to employ an employee after receiving a final nonconfirmation, then the Employer is subject to a rebuttable presumption that it has knowingly Page 2 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1034 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Verify _ Company 10 Number: 1432397 employed an unauthorized alien in violation of section 274A(a)(1 )(A); and (5) no E-Verify participant is civilly or criminally liable under any law for any action taken in good faith based on information provided through the E-Verify. b. DHS reserves the right to conduct Form 1-9 compliance inspections, as well as any other enforcement or compliance activity authorized by law, including site visits, to ensure proper use of E-Verify. 9. The Employer is strictly prohibited from creating an E-Verify case before the employee has been hired, meaning that a firm offer of employment was extended and accepted and Form 1-9 was completed. The Employer agrees to create an E-Verify case for new employees within three Employer business days after each employee has been hired (after both Sections 1 and 2 of Form 1-9 have been completed), and to complete as many steps of the E-Verify process as are necessary according to the E-Verify User Manual. If E-Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the Employer's attempting, in good faith, to make inquiries during the period of unavailability. 10. The Employer agrees not to use E-Verify for pre-employment screening of job applicants, in support of any unlawful employment practice, or for any other use that this MOU or the E-Verify User Manual does not authorize. 11. The Employer must use E-Verify for all new employees. The Employer will not verify selectively and will not verify employees hired before the effective date of this MOU. Employers who are Federal contractors may qualify for exceptions to this requirement as described in Article II.B of this MOU. 12. The Employer agrees to follow appropriate procedures (see Article III below) regarding tentative nonconfirmations. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee's E-Verify case. The Employer agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. Further, when employees contest a tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps (see Article III.B. below) to contact DHS with information necessary to resolve the challenge. 13. The Employer agrees not to take any adverse action against an employee based upon the employee's perceived employment eligibility status while SSA or DHS is processing the verification request unless the Employer obtains knowledge (as defined in 8 C.F.R. § 274a.1 (I)) that the employee is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated verification system to verify work authorization, a tentative nonconfirmation, a case in continuance (indicating the need for additional time for the government to resolve a case), or the finding of a photo mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest the finding, and if he or she does so, the employee may not be terminated or suffer any adverse employment consequences based upon the employee's perceived employment eligibility status Page 3 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1035 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Veri~ _ Company 10 Number: 1432397 (including denying, reducing, or extending work hours, delaying or preventing training, requiring an employee to work in poorer conditions, withholding pay, refusing to assign the employee to a Federal contract or other assignment, or otherwise assuming that he or she is unauthorized to work) until and unless secondary verification by SSA or DHS has been completed and a final nonconfirmation has been issued. If the employee does not choose to contest a tentative nonconfirmation or a photo mismatch or if a secondary verification is completed and a final nonconfirmation is issued, then the Employer can find the employee is not work authorized and terminate the employee's employment. Employers or employees with questions about a final nonconfirmation may call E-Verify at 1-888-464- 4218 (customer service) or 1-888-897-7781 (worker hotline). 14. The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of the INA as applicable by not discriminating unlawfully against any individual in hiring, firing, employment eligibility verification, or recruitment or referral practices because of his or her national origin or citizenship status, or by committing discriminatory documentary practices. The Employer understands that such illegal practices can include selective verification or use of E-Verify except as provided in part D below, or discharging or refusing to hire employees because they appear or sound "foreign" or have received tentative nonconfirmations. The Employer further understands that any violation of the immigration-related unfair employment practices provisions in section 274B of the INA could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject the Employer to back pay awards, compensatory and punitive damages. Violations of either section 274B of the INA or Title VII may also lead to the termination of its participation in E-Verify. If the Employer has any questions relating to the anti-discrimination provision, it should contact OSC at 1-800-255-8155 or 1-800-237-2515 (TDD). 15. The Employer agrees that it will use the information it receives from E-Verify only to confirm the employment eligibility of employees as authorized by this MOU. The Employer agrees that it will safeguard this information, and means of access to it (such as PINS and passwords), to ensure that it is not used for any other purpose and as necessary to protect its confidentiality, including ensuring that it is not disseminated to any person other than employees of the Employer who are authorized to perform the Employer's responsibilities under this MOU, except for such dissemination as may be authorized in advance by SSA or DHS for legitimate purposes. 16. The Employer agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at E-Verify@dhs.gov. Please use "Privacy Incident - Password" in the subject line of your email when sending a breach report to E-Verify. 17. The Employer acknowledges that the information it receives from SSA is governed by the Privacy Act (5 U.S.C. § 552a(i)(1) and (3)) and the Social Security Act (42 U.S.C. 1306(a)). Any person who obtains this information under false pretenses or uses it for any purpose other than as provided for in this MOU may be subject to criminal penalties. 18. The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify, which includes permitting DHS, SSA, their contractors and other agents, upon Page 4 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1036 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Veri~ _ Company 10 Number: 1432397 reasonable notice, to review Forms 1-9 and other employment records and to interview it and its employees regarding the Employer's use of E-Verify, and to respond in a prompt and accurate manner to DHS requests for information relating to their participation in E-Verify. 19. The Employer shall not make any false or unauthorized claims or references about its participation in E-Verify on its website, in advertising materials, or other media. The Employer shall not describe its services as federally-approved, federally-certified, or federally-recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify services and any claim to that effect is false. 20. The Employer shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining the prior written consent of DHS. 21. The Employer agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such license, may not be used in any manner that might imply that the Employer's services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 22. The Employer understands that if it uses E-Verify procedures for any purpose other than as authorized by this MOU, the Employer may be subject to appropriate legal action and termination of its participation in E-Verify according to this MOU. B. RESPONSIBILITIES OF FEDERAL CONTRACTORS 1. If the Employer is a Federal contractor with the FAR E-Verify clause subject to the employment verification terms in Subpart 22.18 of the FAR, it will become familiar with and comply with the most current version of the E-Verify User Manual for Federal Contractors as well as the E-Verify Supplemental Guide for Federal Contractors. 2. In addition to the responsibilities of every employer outlined in this MOU, the Employer understands that if it is a Federal contractor subject to the employment verification terms in Subpart 22.18 of the FAR it must verify the employment eligibility of any "employee assigned to the contract" (as defined in FAR 22.1801). Once an employee has been verified through E-Verify by the Employer, the Employer may not create a second case for the employee through E-Verify. a. An Employer that is not enrolled in E-Verify as a Federal contractor at the time of a contract award must enroll as a Federal contractor in the E-Verify program within 30 calendar days of contract award and, within 90 days of enrollment, begin to verify employment eligibility of new hires using E-Verify. The Employer must verify those employees who are working in the United States, whether or not they are assigned to the contract. Once the Employer begins verifying new hires, such verification of new hires must be initiated within three business days after the hire date. Once enrolled in E-Verify as a Federal contractor, the Employer must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee's assignment to the contract, whichever date is later. Page 5 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1037 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Verify _ Company ID Number: 1432397 b. Employers enrolled in E-Verify as a Federal contractor for 90 days or more at the time of a contract award must use E-Verify to begin verification of employment eligibility for new hires of the Employer who are working in the United States, whether or not assigned to the contract, within three business days after the date of hire. If the Employer is enrolled in E-Verify as a Federal contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90 days of enrollment, begin to use E-Verify to initiate verification of new hires of the contractor who are working in the United States, whether or not assigned to the contract. Such verification of new hires must be initiated within three business days after the date of hire. An Employer enrolled as a Federal contractor in E-Verify must begin verification of each employee assigned to the contract within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever is later. c. Federal contractors that are institutions of higher education (as defined at 20 U.S.C. 1001(a)), state or local governments, governments of Federally recognized Indian tribes, or sureties performing under a takeover agreement entered into with a Federal agency under a performance bond may choose to only verify new and existing employees assigned to the Federal contract. Such Federal contractors may, however, elect to verify all new hires, and/or all existing employees hired after November 6, 1986. Employers in this category must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee's assignment to the contract, whichever date is later. d. Upon enrollment, Employers who are Federal contractors may elect to verify employment eligibility of all existing employees working in the United States who were hired after November 6, 1986, instead of verifying only those employees assigned to a covered Federal contract. After enrollment, Employers must elect to verify existing staff following DHS procedures and begin E-Verify verification of all existing employees within 180 days after the election. e. The Employer may use a previously completed Form 1-9 as the basis for creating an E-Verify case for an employee assigned to a contract as long as: i. That Form 1-9 is complete (including the SSN) and complies with Article ILA.6, ii. The employee's work authorization has not expired, and iii. The Employer has reviewed the Form 1-9 information either in person or in communications with the employee to ensure that the employee's Section 1, Form 1-9 attestation has not changed (including, but not limited to, a lawful permanent resident alien having become a naturalized U.S. citizen). f. The Employer shall complete a new Form 1-9 consistent with Article ILA.6 or update the previous Form 1-9 to provide the necessary information if: i. The Employer cannot determine that Form 1-9 complies with Article ILA.6, ii. The employee's basis for work authorization as attested in Section 1 has expired or changed, or iii. The Form 1-9 contains no SSN or is otherwise incomplete. Note: If Section 1 of Form 1-9 is otherwise valid and up-to-date and the form otherwise complies with Page 6 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1038 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) 5-Verify _ Company 10 Number: 1432397 Article II.C.5, but reflects documentation (such as a U.S. passport or Form 1-551) that expired after completing Form 1-9, the Employer shall not require the production of additional documentation, or use the photo screening tool described in Article 11.A.5, subject to any additional or superseding instructions that may be provided on this subject in the E-Verify User Manual. g. The Employer agrees not to require a second verification using E-Verify of any assigned employee who has previously been verified as a newly hired employee under this MOU or to authorize verification of any existing employee by any Employer that is not a Federal contractor based on this Article. 3. The Employer understands that if it is a Federal contractor, its compliance with this MOU is a performance requirement under the terms of the Federal contract or subcontract, and the Employer consents to the release of information relating to compliance with its verification responsibilities under this MOU to contracting officers or other officials authorized to review the Employer's compliance with Federal contracting requirements. C. RESPONSIBILITIES OF SSA 1. SSA agrees to allow DHS to compare data provided by the Employer against SSA's database. SSA sends DHS confirmation that the data sent either matches or does not match the information in SSA's database. 2. SSA agrees to safeguard the information the Employer provides through E-Verify procedures. SSA also agrees to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security numbers or responsible for evaluation of E-Verify or such other persons or entities who may be authorized by SSA as governed by the Privacy Act (5 U.S.C. § 552a), the Social Security Act (42 U.S.C. 1306(a», and SSA regulations (20 CFR Part 401). 3. SSA agrees to provide case results from its database within three Federal Government work days of the initial inquiry. E-Verify provides the information to the Employer. 4. SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative nonconfirmation visits an SSA field office and provides the required evidence. If the employee visits an SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that more than eight days may be necessary. In such cases, SSA will provide additional instructions to the employee. If the employee does not visit SSA in the time allowed, E-Verify may provide a final non confirmation to the employer. Note: If an Employer experiences technical problems, or has a policy question, the employer should contact E-Verify at 1-888-464-4218. D. RESPONSIBILITIES OF DHS 1. DHS agrees to provide the Employer with selected data from DHS databases to enable the Employer to conduct, to the extent authorized by this MOU: a. Automated verification checks on alien employees by electronic means, and Page 7 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1039 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Veri~ _ Company 10 Number: 1432397 b. Photo verification checks (when available) on employees. 2. DHS agrees to assist the Employer with operational problems associated with the Employer's participation in E-Verify. DHS agrees to provide the Employer names, titles, addresses, and telephone numbers of DHS representatives to be contacted during the E-Verify process. 3. DHS agrees to provide to the Employer with access to E-Verify training materials as well as an E-Verify User Manual that contain instructions on E-Verify policies, procedures, and requirements for both SSA and DHS, including restrictions on the use of E-Verify. 4. DHS agrees to train Employers on all important changes made to E-Verify through the use of mandatory refresher tutorials and updates to the E-Verify User Manual. Even without changes to E-Verify, DHS reserves the right to require employers to take mandatory refresher tutorials. 5. DHS agrees to provide to the Employer a notice, which indicates the Employer's participation in E-Verify. DHS also agrees to provide to the Employer anti-discrimination notices issued by the Office of Special Counsel for Immigration-Related Unfair Employment Practices (OSC), Civil Rights Division, U.s. Department of Justice. 6. DHS agrees to issue each of the Employer's E-Verify users a unique user identification number and password that permits them to log in to E-Verify. 7. DHS agrees to safeguard the information the Employer provides, and to limit access to such information to individuals responsible for the verification process, for evaluation of E-Verify, or to such other persons or entities as may be authorized by applicable law. Information will be used only to verify the accuracy of Social Security numbers and employment eligibility, to enforce the INA and Federal criminal laws, and to administer Federal contracting requirements. 8. DHS agrees to provide a means of automated verification that provides (in conjunction with SSA verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility within three Federal Government work days of the initial inquiry. 9. DHS agrees to provide a means of secondary verification (including updating DHS records) for employees who contest DHS tentative nonconfirmations and photo mismatch tentative nonconfirmations. This provides final confirmation or nonconfirmation of the employees' employment eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases, DHS will provide additional verification instructions. ARTICLE III REFERRAL OF INDIVIDUALS TO SSA AND DHS A. REFERRAL TO SSA 1. If the Employer receives a tentative non confirmation issued by SSA, the Employer must print the notice as directed by E-Verify. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee's E-Verify Page 8 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1040 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Verify _ Company 10 Number: 1432397 case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee's response about whether he or she will contest the tentative non confirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3. After a tentative nonconfirmation, the Employer will refer employees to SSA field offices only as directed by E-Verify. The Employer must record the case verification number, review the employee information submitted to E-Verify to identify any errors, and find out whether the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security number, or any other corrected employee information that SSA requests, to SSA for verification again if this review indicates a need to do so. 4. The Employer will instruct the employee to visit an SSA office within eight Federal Government work days. SSA will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 5. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. 6. The Employer agrees not to ask the employee to obtain a printout from the Social Security Administration number database (the Numident) or other written verification of the SSN from the SSA. B. REFERRAL TO DHS 1. If the Employer receives a tentative nonconfirmation issued by DHS, the Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee's E-Verify case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee's response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3. The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation. 4. If the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the Page 9 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1041 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Verify _ Company 10 Number: 1432397 employee to contact DHS through its toll-free hotline (as found on the referral letter) within eight Federal Government work days. 5. If the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative nonconfirmations, generally. 6. The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo mismatch, the Employer will send a copy of the employee's Form 1-551, Form 1-766, U.S. Passport, or passport card to DHS for review by: a. Scanning and uploading the document, or b. Sending a photocopy of the document by express mail (furnished and paid for by the employer). 7. The Employer understands that if it cannot determine whether there is a photo match/mismatch, the Employer must forward the employee's documentation to DHS as described in the preceding paragraph. The Employer agrees to resolve the case as specified by the DHS representative who will determine the photo match or mismatch. 8. DHS will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 9. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. ARTICLE IV SERVICE PROVISIONS A. NO SERVICE FEES 1. SSA and DHS will not charge the Employer for verification services performed under this MOU. The Employer is responsible for providing equipment needed to make inquiries. To access E-Verify, an Employer will need a personal computer with Internet access. ARTICLEV MODIFICATION AND TERMINATION A. MODIFICATION 1. This MOU is effective upon the signature of all parties and shall continue in effect for as long as the SSA and DHS operates the E-Verify program unless modified in writing by the mutual consent of all parties. 2. Any and all E-Verify system enhancements by DHS or SSA, including but not limited to E-Verify checking against additional data sources and instituting new verification policies or procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. Page 10 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1042 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Veri~ _ Company 10 Number: 1432397 B. TERMINATION 1. The Employer may terminate this MOU and its participation in E-Verify at any time upon 30 days prior written notice to the other parties. 2. Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU, and thereby the Employer's participation in E-Verify, with or without notice at any time if deemed necessary because of the requirements of law or policy, or upon a determination by SSA or DHS that there has been a breach of system integrity or security by the Employer, or a failure on the part of the Employer to comply with established E-Verify procedures and/or legal requirements. The Employer understands that if it is a Federal contractor, termination of this MOU by any party for any reason may negatively affect the performance of its contractual responsibilities. Similarly, the Employer understands that if it is in a state where E-Verify is mandatory, termination of this by any party MOU may negatively affect the Employer's business. 3. An Employer that is a Federal contractor may terminate this MOU when the Federal contract that requires its participation in E-Verify is terminated or completed. In such cases, the Federal contractor must provide written notice to DHS. If an Employer that is a Federal contractor fails to provide such notice, then that Employer will remain an E-Verify participant, will remain bound by the terms of this MOU that apply to non-Federal contractor participants, and will be required to use the E-Verify procedures to verify the employment eligibility of all newly hired employees. 4. The Employer agrees that E-Verify is not liable for any losses, financial or otherwise, if the Employer is terminated from E-Verify. ARTICLE VI PARTIES A. Some or all SSA and DHS responsibilities under this MOU may be performed by contractor(s), and SSA and DHS may adjust verification responsibilities between each other as necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. B. Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive or procedural, enforceable at law by any third party against the United States, its agencies, officers, or employees, or against the Employer, its agents, officers, or employees. C. The Employer may not assign, directly or indirectly, whether by operation of law, change of control or merger, all or any part of its rights or obligations under this MOU without the prior written consent of DHS, which consent shall not be unreasonably withheld or delayed. Any attempt to sublicense, assign, or transfer any of the rights, duties, or obligations herein is void. D. Each party shall be solely responsible for defending any claim or action against it arising out of or related to E-Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including (but not limited to) any dispute between the Employer and any other person or entity regarding the applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by the Employer. E. The Employer understands that its participation in E-Verify is not confidential information and may be disclosed as authorized or required by law and DHS or SSA policy, including but not limited to, Page 11 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1043 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Verify _ Company ID Number: 1432397 Congressional oversight, E-Verify publicity and media inquiries, determinations of compliance with Federal contractual requirements, and responses to inquiries under the Freedom of Information Act (FOIA). F. The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the Employer and DHS respectively. The Employer understands that any inaccurate statement, representation, data or other information provided to DHS may subject the Employer, its subcontractors, its employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001 and/or; (2) immediate termination of its MOU and/or; (3) possible debarment or suspension. G. The foregoing constitutes the full agreement on this subject between DHS and the Employer. To be accepted as an E-Verify participant, you should only sign the Employer's Section of the Signature page. If you have any questions, contact E-Verify at 1-888-464-4218. Page 12 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1044 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) -Verify _ Company 10 Number: 1432397 Approved by: Employer Jameson Currie Corporation Inc Name (Please Type or Print) rTitle James L Currie Pre s ,Je~+ Signature Date Electronically Signed 07/18/2019 Department of Homeland Security - Verification Division Name (Please Type or Print) Title USCIS Verification Division Signature Date Electronically Signed 07/18/2019 Page 13 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1045 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) e-Verif~ _ Company 10 Number: 1432397 Information Required for the E-Verify Program Information relating to your Company: Jameson Currie Corporation Inc Company Name 4403 Exchange Ave Unit A Company Facility Address Naples, FL 34104 Company Alternate Address County or Parish COLLIER Employer Identification Number 815247255 North American Industry 444 Classification Systems Code Parent Company Number of Employees 1 to 4 Number of Sites Verified for 1 Page 14 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1046 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) e:-Verif~ _ Company 10 Number: 1432397 Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: FLORIDA 1 site(s) Page 15 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1047 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Verify _ Company 10 Number: 1432397 Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name Phone Number Fax Number Email Address James L Currie (239) 643 - 2737 JAMESONSUPPL Y@GMAIL.COM Page 16 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1048 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) E-Verify _ Company 10 Number: 1432397 Page intentionally left blank Page 17 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.b Packet Pg. 1049 Attachment: 19-7531 Jameson Supply Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY CoverWallet, Inc. 100 Ave. of the Americas, Floor 16 New York, NY. 10013 (646)844-9933 customer.service@coverwallet.com 09/20/2019 Leila Amirhekmat Starr Indemnity & Liability Company 38318 Jameson Currie Corporation Inc DBA Jameson Supply Inc 4403 Exchange Ave Unit A Naples, FL, 34104 A X X INCLUDED X 2,000,000 1,000,000 50,000 5,000 2,000,000 X 1000198792-1 12/04/2018 12/04/2019 Collier County Board of County Commissioners is included as additional insured with respect to the Business Owners Policy per the policy terms and conditions. Collier County Board of County Commissioners 3295 Tamiami Trail East Naples, FL, 34112 For solicitation 19-7531 Plumbing Parts and Supplies. 16.C.2.c Packet Pg. 1050 Attachment: 19-7531 Jameson_Insurance (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) JIMMY PATRON IS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * NON-CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 9/20/2019 PERSON: JAMES L CURRIE JR FEIN: 815247255 BUSINESS NAME AND ADDRESS: JAMESON CURRIE CORPORATION INC JAMESON SUPPLY INC. 4303 EXCHANGE AVE UNIT A, NAPLES, FL 34104 SCOPE OF BUSINESS OR TRADE: EXPIRATION DATE: 9/19/2021 EMAIL: JAMESONSUPPLY@GMAIL.COM Plumbers' Supplies Dealer & Drivers Store:Hardware IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01052599 QUESTIONS? (850)413-1609 16.C.2.d Packet Pg. 1051 Attachment: 19-7531 Jameson_WC_Exempt (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE r STATEOFFLORiD:;:- - - - - - - - DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION NON·CONSTRUCTION INDUSTRY EXEMPTION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE DATE: 9/20/2019 PERSON: JAMES L CURRIE JR EXPIRATION'OATE: 9/19/2021 EMAIL: JAMESONSUPPLY@GMAIL.COM FEIN:815247255 BUSINESS NAME AND ADDRESS: JAMESON CURRIE CORPORATION INC JAMESON SUPPLY INC. 4303 EXCHANGE AVE UNIT A. NAPLES, FL 34104 SCOPE OF BUSINESS OR TRADE: Plumbers' stcre+teroware Supplies Deafer & Drivers -r--------------------l IMPORTANT F a L D Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S .• Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of eleclion to be exempt. H E R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation it, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. ~------------------------~-------------------- E01052599 DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 16.C.2.d Packet Pg. 1052 Attachment: 19-7531 Jameson_WC_Exempt (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) 16.C.2.e Packet Pg. 1053 Attachment: 19-7531 NORA (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) Administrative Selices D€par?r'ent Procurernent Services Division Form 2: Vendor Check List IMPORTANT: THIS SHEET MUST BE SIGNED. Please read carefully, sign in the spaces indicated and return with your Proposal. Vendor should check off each of the following items as the necessary action is completed: { The Solicitation Submittal has been signed. W The Solicitation Pricing Document (Bid Schedule/Quote Schedule/etc.) has been completed and attached. W AII applicable forms have been signed and included, along with licenses to complete the requirements of the project. d Any addenda have been signed and included. d Afhdavit for Claiming Status as a Local Business, if applicable. d Division of Corporations - Florida Department of State - http://dos.myflorida.com/sunbiz/ (If work performed in the State). { E-Verifi/Immigration Affidavit (Memorandum of Understanding). ALL SUBMITTALS MUST HAVE THE SOLICITATION NUMBER AND TITLE Name of Firm: Address: City, State, Zip: Telephone: Email: Representative S ignature: Representative Name: Fu rt [\ve .<, F-\. 3?qo t (zzq) ert -ru r {h^ss!r5 o pbf lv*b,\j pa.+<. @h" Asxb Ev q,LS Aro. 16.C.2.f Packet Pg. 1054 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) c#r", caunty& Administrative Services Department Procrrernenl $ervic€s Drvision Form 3: Conflict of Interest Affidavit The Vendor certifies that, to the best of its knowledge and belief, the past and current work on any Collier County project affiliated with this solicitation does not pose an organizational conflict as described by one of the three categories below: Biased ground rules - The frm has not set the "ground rules" for affiliated past or current Collier County project identified above (e.g., writing a procurement's statement of work, specifications, or performing systems engineering and technical direction for the procurement) which appears to skew the competition in favor of my firm. Impaired objectivity - The firm has not performed work on an affiliated past or current Collier County project identified above to evaluate proposals / past performance of itself or a competitor, which calls into question the contractor's ability to render impartial advice to the government. Unequal access to information - The firm has not had access to nonpublic information as part of its performance of a Collier County project identified above which may have provided the contractor (or an afflrliate) with an unfair competitive advantage in current or future solicitations and contracts. In addition to this signed affidavit, the contractor / vendor must provide the following: t. All documents produced as a result of the work completed in the past or currently being worked on for the above-mentioned project; and, 2. lndicate if the information produced was obtained as a matter of public record (in the "sunshine") or through non-public (not in the "sunshine") conversation (s), meeting(s), document(s) and/or other means, Failure to disclose all material orhaving an organizational conflict in one or more of the three categories above be identified, may result in the disqualifrcation for future solicitations affiliated with the above referenced project(s). By the signature below, the firm (employees, officers and/or agents) certifies, and hereby discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned interest or activity (financial, contractual, organizational, or otherwise) which relates to the project identified above has been fully disclosed and does not pose an organizational conflict. ni,,n, Pq\no Br ar.k flr^b,y Park, \nr . signatureandDate: 7L ( tk ^1, /,q PrintName: A , Wa/" TitleofSignatoty, Prf <i 4tnt 16.C.2.f Packet Pg. 1055 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) Administrative SeMces Departnent Proruremerd Senr'ices Di./isron Form 4: Vendor Declaration Statement BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 341 l2 Dear Commissioners: The undersigned, as Vendor declares that this response is made without connection or ilrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud. The Vendor agrees, if this solicitation submittal is accepted, to execute a Collier County document for the purpose of establishing a formal contractual relationship between the firm and Collier County, for the performance of all requirements to which the solicitation pertains. The Vendor states that the submitted is based upon the documents listed by the above referenced Solicitation. Further, the vendor agrees that if awarded a contract for these goods and/or services, the vendor will not be eligible to compete, submit a proposal, be awarded, or perform as a sub-yendor for any future associated with work that is a result of this awarded contract. INTWITNESS WHEREOF, WE have hereulto subscribed our names on this PlAay ot {,,1? ,20tQ inthe County of fclu Bcaah , in the State of Ftor',& TSgo Eva^< No Firm's Legal Name: Address: City, State, Zip Code: Florida Cetificate of Authority Document Number Federal Tax Identification Number *CCR # or CAGE Code *Only if Grant Funded Telephone: L2Z1LO (zu) Ttl'tzor &ilr'c -/or^ hla*Signature by: (Typed and written) Title: 16.C.2.f Packet Pg. 1056 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) Additional Contact Information Company name used as payee Send payments to: (required if different from above) Contact name: Tirle: Address: City, State, ZIP Telephone: Email: Office servicing Collier County to place orders (required if different from above) Contact name: Title: Address: City, State, ZIP Telephone: Email: Q"ag't)p-^* 25o l WcElgqlc h,e J*l \t)<s+ hl^ BrruhtFL 33'lo1 (;at\ 6<1 . io34 *tNqile O fl f\r nnl t y f a.t<. ca rn Pr\.^ B rh PIr^h, y Part*, ln, 3\ilra rL\.g,wronu 9s6b Lvans A-,tz 12 3q) ,tl - 1?o ( 16.C.2.f Packet Pg. 1057 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) Administrative Services Departrent Proc.uremenl Services Divtsion Form 5: Immigration Affidavit Certification This Affidavit is required and should be signed, notarized by an authorized principal ofthe firm and submitted with formal solicitation submittals. Further, Vendors are required to enroll in the E-Verifr program, and provide acceptable evidence of their enrollment, at the time of the submission of the Vendor's proposal. Acceptable evidence consists of a copy of the properly completed E-Verifo Company Profile page or a copy of the fully executed E-Veriff Memorandum of Understanding for the company. Failure to include this Affidavit and acceptable evidence of enrollment in the E-Verifv prosram may deem the Vendor's pronosal 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 21aA @) of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 27aA@) 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-Veri[ and to provide proof of enrollment in The Employment Eligibility Verification System (E-Verifu), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Vendor's proposal. Company Name Print Name -TI". u)afu Signature The signee ofthese Affidavit guarantees, as evidenced by the sworn affrdavit required herein, the truth and accuracy ofthis affidavit to interrogatories hereinafter made. State of ...1idil?,.. LESBIA L MARTINEZ --spffiift,'i Notary Public - State of Flqida :.{! 6)X.: Commission#GG 066463Z,*$*j ilyComm. Expires Jan 26,2021 'd,ff ,ft,'il" aohthd mruugh Natio.rBl t{sbryAssn, county r, fiEft&l 16.C.2.f Packet Pg. 1058 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) cd& aowxy^ffiffi" Form 6: ffi;J"i*,.*-, 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 I 19.071(5) requires that the county notifu 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. l. General Information (provide all information) enait lw a & o pb f Lu,nb uytr rfs. r,a+., 2. Company Status (check only one) 3. Taxpayer Identification Number (for tax reporting purposes only) Federal Tax Identification Number (TIN) b5'O tSO Vendors who do not have a TIN. will be reouired to provide a social security number prior to an award 4. Sign and Date Form: Certification: Under certifu that the shown on this fbrm is coryect to Datezk/r" Title Pr4itn*Phone Number (as shown on income tax return) Business Name (if dffirent fronl taxpayer nane) CitV cityFr.tlVr,rrrg state .FL . zip 3901 Order Information (Must be filled out) Address 3SU" Evaa"S Att Remit / Payment Information (Must be lilled out) Address 2m I Watgd# lnt * ( city\)r*P"lu b"th srut" trt zip 33qoq _Individual / Sole Proprietor y' Corporation Partnership _Tax Exempt (Federal income tax-exempt entity under Internal Revenue Service guidelines IRC s01 (c) 3) _ Limited Liability Company Enter the tax classification /fl= fli"noonv)o) Fntittt f:(-atnavntinm P: Pnvtnorchin 16.C.2.f Packet Pg. 1059 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) *T:'m:,:3m"m" Form 7: Vendor Submittal - Local Vendor Preference Affidavit (Check Appropriate Boxes Below) State of Florida (Select County if Vendor is described as a Local Business) ! qotlier County fuI,ee County Vendor affirms that it is a local business as defined by the Procurement Ordinance of the Collier County Board of County Commissioners and the Regulations Thereto. As defined in Section XV of the Collier County Procurement Ordinance: Local business means the vendor has a current Business Tax Receipt issued by the Collier County Tax Collector prior to bid or proposal submission to do business within Collier County, and that identifies the business with a permanent physical business address located within the limits of Collier Counry from which the vendor's staff operates and performs business in an area zoned for the conduct ofsuch business. A Post Office Box or a facility that receives mail, or a non-permanent structure such as a construction trailer, storage shed, or other non- permanent structure shall not be used for the purpose of establishing said physical address. In addition to the foregoing, a vendor shall not be considered a "local business" unless it contributes to the economic development and well-being of Collier County in a verifiable and measurable way. This may include, but not be limited to, the retention and expansion of employment opportunities, support and increase to the County's tax base, and residency of employees and principals of the business within Collier County. Vendors shall affirm in writing their compliance with the foregoing at the time of submitting their bid or proposal to be eligible for consideration as a "local business" under this section. A vendor who misrepresents the I,ocal Preference status of its firm in a proposal or bid submitted to the County will lose the privilege to claim Local Preference status for a period of up to one year under this section. Vendor must complete the following information: Year Business Established in lcollier County ordt""County: t??t/ Number of Employees (Including Owner(s) or Corporate Officers): 6 Number of Employees Living in I Collier County ord,""(Including Owner(s) or Corporate Officers): 2 If requested by the County, vendor will be required to provide documentation substantiating the information given in this affidavit. Failure to do so will result in vendor's submission being deemed not applicable. Date: 1lrol9 Address in Collier or Lee County: Sisnature: 4Z /il -A-riie: fres i /oaf 16.C.2.f Packet Pg. 1060 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) Procurement Services Email: Viviana. Giarimoustas@colliercountyfl . gov Telephone: (239) 252-837 5 Addendum #1 Date: From: To: 6lt7lt9 Viviana Giarimoustas, Procurement Strategist Interested Bidders Subject: Addendum # I Solicitation# 19-7531 Plumbing Parts and Supplies The following clarifications are issued as an addendum identifying the following clarification to the scope of work, changes, deletions, or additions to the original solicitation document for the referenced solicitation: This solicitation is being extended until July 2,2019 10:00 AM EST. If you require additional information please post a question on our Bid Sync (www.bidsync.corn) bidding platform under the solicitation for this project. Please sign below and return a copy of this Addendum with your submittal for the above referenced solicitation. 16.C.2.f Packet Pg. 1061 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) aff,,rc-ar*xy+ Administratire Servioes Division Procuremer* SeMcs Email: Viviana. Giarimoustas@colliercountyfl . gov Telephone: (239) 252-837 5 Addendum #2 Date: 7llll9 From: To: Viviana Giarimoustas, Procurement Strategist Interested Bidders Subject: Addendum # 2 Solicitation# L9-7531 Plumbing Parts and Supplies The following clarifications are issued as an addendum identiffing the following clarification to the scope of work, changes, deletions, or additions to the original solicitation document for the referenced solicitation: This solicitation is being extended until July 12,2019 l0:00 AM EST. If you require additional information please post a question on our Bid Sync (www.bidsync.com) bidding platform under the solicitation for this project. Please sign below and return a copy of this Addendum with your submittal for the above referenced solicitation. 16.C.2.f Packet Pg. 1062 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) State of Florida Department of State I certify from the records of this office that PALM BEACH PLUMBING PARTS, INC. is a corporation organized under the laws of the State of Florida, filed on October 13, 1989. The document number of this corporationisL22T20. I further certify that said corporation has paid all fees due this office through December 31,2019, that its most recent annual report/uniform business report was filed on February 7,2019, and that its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Tenth day of July,2019 Tracking Number: 8328492685CU To authenticate this certificatervisit the following site,enter this number, and then follow the instructions displayed. https://services.sunbiz.org/Filings/CertificateOfStatus/CertificateAuthentication -Seerere4p o/Jkrfe 16.C.2.f Packet Pg. 1063 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) F. 19-7531 Plumbing Parts and Supplies Please comDlete and include all aoolicable documens Yes/No rm I Vendor's Non-Resnonse Sirtemenl r'es Form 2: Vendor Check Lisl r'es Form 3: Conflict of Interest Aflidavit r'es Form 4: Vendor Declaration Statement /es Form 5: lmmisration Affidavit Cenification r'es Form 6: Vendor Substitute W - 9 r'es Insuance Reouirements r'es E-Verifo rreS * Provide a separate list of all brands provided, flaU Br*t\, (lu^b,y F*rk 7-Dr-7/'a /r ? 16.C.2.f Packet Pg. 1064 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) lList of brands provided Ames Wilkins Zum Wafts Febco Chicago Sloan T&S Brass Moen Kohler Delta Hercules/Oatey Elkay Oasis Fluidmaster Symmons Bradley Franklin Haws Murdock JR Smith Josam Woodford American Standard Cash Acme (Sharkbite) oltqf b*nA, aro,l"hk on ,.clvc,t+ lnh Acat't, Pln-l'Y Po't=fuJa- z/oy'r 16.C.2.f Packet Pg. 1065 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) Company lD Number: 1429477 Approved by: Empl6yor Palm Beach Plumbing Parts lnc lame (Please Type or Prlnt) Thomas Wade Iitle Signature Electronically Signed )ate 07110t2019 )epartment of Homeland Security; Verlficatlch Division {ame (Please Type or Print) USCIS Verification Division I-itle !ignature Electonicafly Signed )ate o7t1ot2olg Page 13 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.f Packet Pg. 1066 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) ''EYsrif ffiffi Company !D Number: 14294T2 lnformation Required for the E-Verify Program nformation relating to your Gompany: Sompany Name Palm Beach Plumbing Parts lnc Sompany Facility Address 2501 Westgate Ave #1 West Palm Beach, FL 33409 )ompany Alternate Address )ounty or Parish PALM BEACH imployer ldentification Number 650150358 t'lorth American lndustry llassification Systems Code 444 zarent Company rlumber of Employees 5to9 tlumber of Sites Verified for 2 Page 14 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 16.C.2.f Packet Pg. 1067 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) Wri ffiffi ompany lD Number: 1425477 : Are you verifying for more than 1 site? lf yes, please provide the number of sites verified for in each State: FLORIDA 2 site(s) Page 15 of 17 E-Verifo MOU for Employers I Revision Date 06/01/13 16.C.2.f Packet Pg. 1068 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) ryi ffi"ffi Company lD Number: 1429477 , lnformation relating to the Program Administrator(s) for your Company on policy questions or operatlonal problems: Name Thomas O Wade Phone Number (561)687 -3034 Fax Number (561) 687 - 3077 EmailAddress twade@pbplumbingparts.com Page 16 of 17 E-Veri! MOU for Employers I Revision Date 06/01/'13 16.C.2.f Packet Pg. 1069 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) ff/+fFolft Acoount Numher: Loratiou: 3586 EVANS A\E FT MYERS FL 3390I PALM BEACH PLIJ"IVIBING PALM BEACH PLUMBING 25OI WESTGATEAVESTE WEST PALM BEACH FL l - r.,1l $;F$,FtO-Rt TAX Account cancbl ehd nullify thk receiPt ", h- --:.-r t--r----:- September 30, ?0I9 ARTS ARTSU{C 16.C.2.f Packet Pg. 1070 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) Required Limits Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Statutory Limits and Requirements Evidence of Workers' Compensation coverage or a Certificate of Exemption issued bi', ,tot". of Ft is:,rC4uiied..Entities that are formed as Sole'Proprietorships shall not be requireU to,pr ide:a ptOaf of exempf,ion. An application for exemption can be obtained,pnline at htfos:/lapps.fldfs.c0mlbosexempt/ $_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. [llndemnification To the maximum extent permitted by Florida law, the Contractor/Vendor shall defend, indemnifu and hold harmless Collier County, its officers and employees fiom 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 or anyone employed or utilized by the ContractorA/endor in the performance of this Agreement. Insuranee / Bond Type l. X Worker's Compensation 2. ffi Employer's Liability 3. [l Commercial General Liability (Occurrence Form) patterned after the current ISO form 5. I Automobile Liability 6. n Other insurance as noted: 7. fl sia uodo 8. ! Performance and Payment Bonds $-500,000- Each Occurrence; Bodily Injury & OwnedAlon-owned/Hired; Automobile Included Property Damage f]Watercraft $ Per Occurrence 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. For projects in excess of $200,000, bonds shall be submitted with the 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 5Yo 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. 9. 10. X 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. X Collier County must be named as "ADDITIONAL INSURED' on the Insurance Certificate for Commercial General Liability where required. This insurance shall be primary and non-contributory with respect to any other insurance maintained by, or available for the benefit of, the Additional Insured and the Vendor's policy shall be endorsed accordingly. X 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. 16.C.2.f Packet Pg. 1071 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) 12. 13. X On all certificates, the Certificate Holder must read: Collier County Board of Commissioners, 3295 Tamiami Trail East, Naples, FL34112 ffi fnirty (30) Days Cancellation Notice required, 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. The insurance submitted must provide coverage for a minimum of six (6) months from the date of award. Name of Firm Vendor Signature Print Name Insurance Agency Agent Name Suchcoviragq.,.qh*tt}9.endqpgidij : $f.iiptp,** ...sf. l$a|ft. ,x,r+*11,*.thECsndt.tt*r,,?iemiums shall be billed to the.projge1,al{fu,Coltractti,r;rh . ,iaslu .lB I e . ,it*-pgje.etgropido-,:p ectbillings. Allquestions iegarding,grritdei's Risk Insilrtnse'wi-11,.be'ad&essed.ty,the,:Co,llier,$oti**'Ri$k.l&ntgerrierrt Di.yi$iCIil' 5/17119 - CC V^ ''"'e Ey'crd*e/ {*"^q r o*" /41,? Telephone Number -{6/- ZS t - au3 16.C.2.f Packet Pg. 1072 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) Department of State /Division of Corporations /Search Records /Detail By Document Number / Document Number FEI/EIN Number Date Filed State Status Last Event Event Date Filed Event Effective Date Detail by Entity Name Florida Profit Corporation PALM BEACH PLUMBING PARTS, INC. Filing Information L22720 65-0150358 10/13/1989 FL ACTIVE AMENDMENT 08/20/2009 NONE Principal Address 2501 WESTGATE AVE SUITE 1 WEST PALM BEACH, FL 33409 Changed: 02/14/2000 Mailing Address 2501 WESTGATE AVE SUITE 1 WEST PALM BEACH, FL 33409 Changed: 02/14/2000 Registered Agent Name & Address PILOTTE, FRANK T. 11300 U.S. Highway One, Suite. 401 Palm Beach Gardens, FL 33408 Name Changed: 01/25/2016 Address Changed: 01/25/2016 Officer/Director Detail Name & Address Title PD WADE, THOMAS O DIVISION OF CORPORATIONSFlorida Department of State Page 1 of 3Detail by Entity Name 8/8/2019http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 16.C.2.f Packet Pg. 1073 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) 1881 PRIMROSE LANE WELLINGTON, FL 33414 Title D WADE, JANE S 2303 NEWBURY DRIVE WELLINGTON, FL 33414 Title CD WADE, FREDERICK GII 2303 NEWBURY DRIVE WELLINGTON, FL 33414 Annual Reports Report Year Filed Date 2017 01/09/2017 2018 01/15/2018 2019 02/07/2019 Document Images 02/07/2019 -- ANNUAL REPORT View image in PDF format 01/15/2018 -- ANNUAL REPORT View image in PDF format 01/09/2017 -- ANNUAL REPORT View image in PDF format 01/25/2016 -- ANNUAL REPORT View image in PDF format 01/08/2015 -- ANNUAL REPORT View image in PDF format 01/13/2014 -- ANNUAL REPORT View image in PDF format 01/15/2013 -- ANNUAL REPORT View image in PDF format 01/12/2012 -- ANNUAL REPORT View image in PDF format 07/07/2011 -- ANNUAL REPORT View image in PDF format 02/16/2011 -- Reg. Agent Change View image in PDF format 01/18/2011 -- ANNUAL REPORT View image in PDF format 02/17/2010 -- ANNUAL REPORT View image in PDF format 08/20/2009 -- Amendment View image in PDF format 02/03/2009 -- ANNUAL REPORT View image in PDF format 02/13/2008 -- ANNUAL REPORT View image in PDF format 02/01/2007 -- ANNUAL REPORT View image in PDF format 02/27/2006 -- ANNUAL REPORT View image in PDF format 02/28/2005 -- ANNUAL REPORT View image in PDF format 02/20/2004 -- ANNUAL REPORT View image in PDF format 02/28/2003 -- ANNUAL REPORT View image in PDF format 03/06/2002 -- ANNUAL REPORT View image in PDF format 02/03/2001 -- ANNUAL REPORT View image in PDF format 02/14/2000 -- ANNUAL REPORT View image in PDF format 02/20/1999 -- ANNUAL REPORT View image in PDF format 02/11/1998 -- ANNUAL REPORT View image in PDF format 03/31/1997 -- ANNUAL REPORT View image in PDF format 04/05/1996 -- ANNUAL REPORT View image in PDF format Page 2 of 3Detail by Entity Name 8/8/2019http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 16.C.2.f Packet Pg. 1074 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) 02/28/1995 -- ANNUAL REPORT View image in PDF format Florida Department of State, Division of Corporations Page 3 of 3Detail by Entity Name 8/8/2019http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 16.C.2.f Packet Pg. 1075 Attachment: 19-7531 Palm Beach Proposal (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) 16.C.2.g Packet Pg. 1076 Attachment: 19-7531 PalmBeach_Insurance (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) 16.C.2.g Packet Pg. 1077 Attachment: 19-7531 PalmBeach_Insurance (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) 16.C.2.g Packet Pg. 1078 Attachment: 19-7531 PalmBeach_Insurance (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) 16.C.2.g Packet Pg. 1079 Attachment: 19-7531 PalmBeach_Insurance (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS INVITATION TO BID (ITB) FOR PLUMBING PARTS AND SUPPLIES SOLICITATION NO.: 19-7531 VIVIANA GIARIMOUSTAS, PROCUREMENT STRATEGIST PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FLORIDA 34112 TELEPHONE: (239) 252-8375 Viviana.Giarimoustas@colliercountyfl.gov (Email) This solicitation document is prepared in a Microsoft Word format. Any alterations to this document made by the Consultant may be grounds for rejection of proposal, cancellation of any subsequent award, or any other legal remedies available to the Collier County Government. 16.C.2.h Packet Pg. 1080 Attachment: 19-7531 Solicitation (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) SOLICITATION PUBLIC NOTICE INVITATION TO BID (ITB) NUMBER: 19-7531 PROJECT TITLE: Plumbing Parts and Supplies DUE DATE: Tuesday, June 18, 2019 10:00 AM EST PLACE OF BID OPENING: PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FL 34112 All proposals shall be submitted online via the Collier County Procurement Services Division Online Bidding System: https://www.bidsync.com/bidsync-cas/ INTRODUCTION As requested by the Collier County Facilities Division (hereinafter, the “Division”), the Collier County Board of County Commissioners Procurement Services Division (hereinafter, “County”) has issued this Invitation to Bid (hereinafter, “ITB”) with the intent of obtaining bid submittals from interested and qualified vendors in accordance with the terms, conditions and specifications stated or attached. The vendor, at a minimum, must achieve the requirements of the Specifications or Scope of Work stated. The results of this solicitation may be used by other County departments once awarded according to the Board of County Commissioners Procurement Ordinance. Historically, County departments have spent approximately $200,000; however, this may not be indicative of future buying patterns. BACKGROUND The County is interested in receiving bids from vendors to procure plumbing parts and supplies through an established discount off a manufacturer suggested retail price (MSRP). TERM OF CONTRACT The contract term, if awards are made is intended to be for three (3) years and two (2) one-year renewals. Prices shall remain firm for the initial term of this contract. Surcharges will not be accepted in conjunction with this contract, and such charges should be incorporated into the pricing structure. The County Manager, or designee, may, at his discretion, extend the Agreement under all of the terms and conditions contained in this Agreement for up to one hundred eighty (180) days. The County Manager, or designee, shall give the Contractor written notice of the County's intention to extend the Agreement term not less than ten (10) days prior to the end of the Agreement term then in effect. 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 actual receipt of the goods by the COUNTY nonetheless remain with VENDOR. AWARD CRITERIA ITB award criteria are as follows:  The County’s Procurement Services Division reserves the right to clarify a vendor’s submittal prior to the award of the solicitation.  It is the intent of Collier County to award to the lowest, responsive and responsible vendor(s) that represents the best value to the County.  For the purposes of determining the winning bidder, the County will select the vendors with the highest discount as outlined below: • Primary award will be to vendor offering the highest discount off MSRP from all plumbing supplies. 16.C.2.h Packet Pg. 1081 Attachment: 19-7531 Solicitation (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”)  Collier County reserves the right to select one, or more than one supplier, award on a line item basis, establish a pool for quoting, or other options that represents the best value to the County; however, it is the intent to: • Identify a Primary and Secondary Vendor  The County reserves the right to issue a formal contract, standard County Purchase Order, or utilize the County Purchasing Card for the award of this solicitation. DETAILED SCOPE OF WORK The County is seeking bids from plumbing distributors with a retail presence in Collier County who can supply the County with plumbing parts and supplies. Items purchased under the agreement shall be based on a discount percentage off MSRP for all plumbing parts and supplies. The distributor must provide a list of all brands that they are authorized to sell at the time of bid submittal. Vendor must notify the County if it intends to add or remove any of the authorized brands from their catalog. This list will not be considered for award; however, it is vital to ensure County Staff has access to the supplies necessary. Vendor must own, operate, or maintain a store or warehouse in which materials or supplies are generally kept in stock and sold to the public. Types of Parts and Supplies Regular/Normal: Any off the shelf materials or supplies to be utilized by staff for maintenance and repair activities to address failures or stoppages for existing plumbing systems at County owned facilities. Special Order: Specialized materials or supplies that are not normally kept in stock but can be ordered by staff for maintenance and repair activities to address failures or stoppages for existing plumbing systems at County owned facilities. Urgent: Off the shelf materials or supplies that are normally kept in stock but not available at time of notification, shall be made available to the County within (1) working day after request. If the request is for a special order, availability will be agreed upon by the vendor and County staff member placing the order. Shipping Charges: Shipping charges may be added to "special order" items only when delivered to a County location. Related Plumbing Supplies: The County may purchase all related plumbing supplies required for the completion of a specific job from the vendor supplying the original manufacturer's plumbing equipment, such as glues, caulking, wax ring, sealers, etc. Types of Purchases Pick-up: County personnel picking up plumbing parts or supplies MUST provide the vendor with a Purchase Order Number or the County’s credit card. Delivery: County personnel will contact the distributor with a list of required plumbing parts and/or supplies and a delivery location. The distributor will not deliver without a Purchase Order Number or the County’s credit card. The County requires that the selected vendor(s) have no minimum order amount. Returned Items: There shall be no restocking charge (or other charges) for items returned by the County VENDOR CHECKLIST ***Vendor should check off each of the following items as the necessary action is completed (please see, Form 2: Vendor Check List): The Solicitation Submittal has been signed. The Solicitation Pricing Document (Bid Schedule/Quote Schedule/Proposal Pricing/etc.) has been completed and attached. All applicable forms have been signed and included, along with licenses to complete the requirements of the project. 16.C.2.h Packet Pg. 1082 Attachment: 19-7531 Solicitation (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) Any addenda have been signed and included. Affidavit for Claiming Status as a Local Business, if applicable. Division of Corporations - Florida Department of State – http://dos.myflorida.com/sunbiz/ (If work performed in the State). E-Verify/Immigration Affidavit (Memorandum of Understanding). 16.C.2.h Packet Pg. 1083 Attachment: 19-7531 Solicitation (10419 : Recommendation to award Invitation to Bid No. 19-7531, “Plumbing Parts and Supplies”) AWARD OF ITB #19-7531 – Plumbing Parts and Supplies Facilities Management November 12, 2019 Agenda Item 16C 16.C.2.i Packet Pg. 1084 Attachment: Award of ITB 19-7531 Plumbing Parts and Supplies (10419 : Recommendation to award Purpose To obtain vendors to supply plumbing parts and supplies. Recommendation Recommendation to award two (2)Agreements for Invitation to Bid No. 19-7531,“Plumbing Parts and Supplies,”to Palm Beach Plumbing Parts, Inc.,as Primary Vendor,and Jameson Currie Corporation,Inc.,d/b/a Jameson Supply,Inc.as Secondary Vendor,for County-wide plumbing parts and supplies. 16.C.2.i Packet Pg. 1085 Attachment: Award of ITB 19-7531 Plumbing Parts and Supplies (10419 : Recommendation to award u On May 20,2019,the Procurement Services Division released notice of Invitation to Bid No.19-7531 for Plumbing Parts and Supplies: –A total of 1,873 notices were sent –Fifty-six (56) bid packages were downloaded –County received three (3) submissions Procurement Process 16.C.2.i Packet Pg. 1086 Attachment: Award of ITB 19-7531 Plumbing Parts and Supplies (10419 : Recommendation to award Procurement Process u Winsupply,Inc.was found non-responsive/responsible for failing to submit required bid forms. u The remaining two bidders were responsive and responsible and offered the same discount percentage. 16.C.2.i Packet Pg. 1087 Attachment: Award of ITB 19-7531 Plumbing Parts and Supplies (10419 : Recommendation to award Procurement Process u To break the discount percentage tie,for determining which vendor would be primary and which one secondary,the Procurement Director followed the procedure set forth in the Collier County Procurement Ordinance No.2017-18,Section 15(2)(C),as amended. u Staff recommends awarding ITB to Palm Beach Plumbing Parts,Inc.,as primary vendor,and Jameson Currie Corporation,Inc.d/b/a Jameson Supply Inc.,as the secondary vendor. u The contract mechanism for procuring plumbing parts and supplies under the award of this ITB will be through the issuance of Purchase Orders by the various operating Divisions. 16.C.2.i Packet Pg. 1088 Attachment: Award of ITB 19-7531 Plumbing Parts and Supplies (10419 : Recommendation to award Recommendation Recommendation to award an Agreement for Invitation to Bid #19-7531,“Plumbing Parts and Supplies,”to Palm Beach Plumbing Parts,Inc.,as the primary vendor,and Jameson Currie Corporation,Inc.d/b/a Jameson Supply,Inc.,as the secondary vendor,for County-wide Plumbing Parts and Supplies services,and authorize staff to issue County Purchase Orders to procure those supplies. 16.C.2.i Packet Pg. 1089 Attachment: Award of ITB 19-7531 Plumbing Parts and Supplies (10419 : Recommendation to award