Quotation Requests and Invitations for Bids

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3 Quote No. F Q1 PURCHASING DIVISION BOARD OF COUNTY COMMISSIONERS BROWARD COUNTY, FLORIDA A D D E N D U M NO. 1 PRINTING, POSTAGE AND MAILING OF THE 2010 WATER QUALITY REPORT (SHELTERED MARKET) Quotation Requests and Invitations for Bids DATE OF ADDENDUM: March 14, 2011 TO ALL PROSPECTIVE BIDDERS: On March 8, 2011, the Broward County Board of Commissioners adopted revisions to the Broward County Procurement Code, amending the Cone of Silence, Section of the Broward County Code of Ordinances. The revisions to the Procurement Code became effective upon adoption and apply to all solicitations. All inquiries regarding solicitations within the Cone of Silence should be directed to the Director of Purchasing or designee. PLEASE NOTE THE FOLLOWING CHANGES: 1. CONE OF SILENCE ORDINANCE The County s Cone of Silence Ordinance prohibits certain communications among vendors, county staff, selection committee members, Commissioners and their staff. Any violations of this ordinance by any members of the responding firm or its joint venture(s) may be reported to the County s Office of Professional Standards. For Quotation Requests and Invitations for Bids the Cone of Silence shall be in effect at the times specified below: a. For staff involved in the award decision process at the time of the solicitation advertisement b. For the Board of County Commissioners upon quote/bid opening for the solicitation Pursuant to Section 1-266, Broward County Code of Ordinances, as amended, the Cone of Silence Ordinance provides that after the advertisement of the quote/bid solicitation, potential vendors and their representatives are substantially restricted from communicating regarding the Quote/Bid with the County Administrator, Deputy County Administrator, Assistant County Administrator, Assistants to the County Administrator, their respective support staff, or any staff person that is to evaluate or recommend selection in this quote/bid process. The Cone of Silence Ordinance further provides that after the quote/bid opening for this solicitation, potential vendors and their representatives are substantially restricted from communicating regarding this Quote/Bid with the County Commissioners and their staff. 2. PERFORMANCE AND PAYMENT GUARANTY When a Performance and Payment Bond (or other security) is required by the Director of Purchasing, the bonds (or other security) shall remain in effect for the duration of the contract. If the contract is extended or renewed, it shall be subject to the same bonding (or other security) requirements. This addendum Cover Sheet SHOULD be acknowledged and returned with your solicitations at the time specified therein. All other terms, conditions and specifications remain unchanged for the solicitations. The Broward County Purchasing Division's website is the official location for the County's posting of all solicitations and contract award results. It is the obligation of each vendor to monitor the website in order to obtain complete and timely information. The website is located at NAME OF COMPANY:

4 Page: 1 of 28 Quotations for furnishing items or services stated below subject to terms and conditions provided, will be received by the Director of Purchasing, attention of the purchasing agent stated at the above address UNTIL THE CLOSE OF BUSINESS AT 5:00 PM ON 3/23/11 QUOTES MAY BE FAXED TO (954) QUOTATION REQUEST Board of County Commissioners, Broward County, Florida WATER AND WASTEWATER SERVICES 2555 W. Copans Road Pompano Beach, Florida QUOTATION MUST BE SIGNED IN INK By signature I acknowledge and agree to pages 1 of 28 and abide by all conditions contained in this quotation as well as any special instruction sheet(s) if applicable. Payment terms 30 Days from receipt of materials and/or services and receipt of a proper invoice; delivery FOB Destination. Company Name: (Please Print) Address: Quotation No.: F Q1 Date: 3/11/2011 Purchasing Agent: Joanne Rhees Phone number: Requisition No. WOD Signature: Name / Title: (Please Print) Date: PH: FX: Fixed Contract: Quotations are hereby requested on a fixed basis to provide PRINTING, POSTAGE AND MAILING OF THE 2010 WATER QUALITY REPORT for the Broward County Water and Wastewater Services in accordance with the specifications as set forth in this quotation request. For Sheltered Market Contracts: This project has been designated a Sheltered Market program. Only companies that meet the Small Business Enterprise (SBE) criteria established by Broward County Ordinance will be able to participate. Only vendors presently certified as an SBE, or those that obtain their certification prior to award, will be eligible for award of this contract. If not currently certified, a vendor recommended for award should obtain certification, not to exceed seven (7) business days from notification of award, from the Office of Economic and Small Business Development. In order to be considered a small business, the firm should be a certified Broward County small business or must be certified before award and have an occupational license for at least one year prior to the bid or proposal opening and must have a physical address located within Broward County from where the SBE operates or performs business that is a substantial component of the goods or services being offered to Broward County. A post office box address shall not be used to establish a physical address. For professional consultants, annual gross sales averaged over the previous three-year period shall not exceed $500,000; for firms in contractual services and commodities, annual gross sales averaged over the previous three-year period shall not exceed $1,000,000; and for firms in construction, annual gross sales averaged over the previous three-year period shall not exceed $3,000,000. This contract is categorized as a commodity. Each business must be an independently owned and operated business which employs twenty-five or fewer permanent full-time employees. The business must serve a commercially useful function. In order to provide commodities to Broward County under this solicitation, a firm must meet the standard of a regular dealer, provide a commercially useful function, and have a continuous operating presence in Broward County. Brokers, defined as consistent with industry practice for a particular contracting opportunity, are not considered to provide a commercially useful function, and will be rejected as not responsive. This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

5 Page: 2 of 28 Quotations for furnishing items or services stated below subject to terms and conditions provided, will be received by the Director of Purchasing, attention of the purchasing agent stated at the above address UNTIL THE CLOSE OF BUSINESS AT 5:00 PM ON 3/23/11 QUOTES MAY BE FAXED TO (954) QUOTATION REQUEST Board of County Commissioners, Broward County, Florida WATER AND WASTEWATER SERVICES 2555 W. Copans Road Pompano Beach, Florida Quotation No.: F Q1 Date: 3/11/2011 Purchasing Agent: Joanne Rhees Phone number: Requisition No. WOD Company Name: (Please Print) Signature: For purposes of this solicitation, the following terms and their definitions are applicable: (a) A broker is a person or entity that fills orders by purchasing or receiving supplies from a third party supplier rather than out of its own existing inventory, and provides no commercially useful service other than acting as a conduit between his or her supplier and his or her customers. (b) Commercially Useful Function - A business is considered to perform a commercially useful business function when it is responsible for execution of a distinct element of work of a contract and carries out its responsibilities under that contract by performing, managing and supervising the work performed. Businesses who merely act as a conduit do not perform a commercially useful business function and will not be eligible. In determining whether a business performs a commercially useful business function, consideration will include, but not be limited to: whether the business adds a value to the product or service provided; whether the business has a distributorship arrangement with the manufacturer of goods supplied; whether the business takes possession of the product or service provided; whether the business warrants the product or service provided; whether the business maintains sufficient storage space to keep the product in inventory; whether the business maintains sufficient inventory to meet the requirements of its contracts; and whether the business provides the product or service to the public or other business other than a governmental agency. (c) Continuous Operating Presence - Continuous operating presence means a business entity with a current business tax receipt issued by Broward County, which has a physical business address located within the geographical limits of Broward County in an area zoned for the conduct of such business, and which has sufficient full-time employees in Broward County to perform all required work in connection with contracting opportunities covered by this contract. Firms may not use a County-owned site or County address alone to establish the required continuing operating presence in Broward County. (d) Regular Dealer (Commodities) - In order for a firm to be designated a regular dealer to supply a given commodity, a firm must be an established, regular business that engages, as its principal business and under its own name, in the purchase and sale or lease of the products in question. In addition, a regular dealer is a firm that owns, operates, or maintains a store, warehouse, or other establishment within Broward County in which the materials, supplies, articles or equipment of the general character described by the specifications and required under the contract are bought, kept in stock, and regularly sold or leased to the public in the usual course of business. One of the key considerations of being a regular, established dealer is the presence of an inventory of materials and/or supplies. Packaging, brokering, acting exclusively as a manufacturers representative, or arranging or expediting transactions does not meet the definition of regular vendor. Exception: a firm may be a regular dealer in bulk items, such as petroleum products, steel, cement, gravel, stone or asphalt, without owning, operating or maintaining a place of business if the firm both owns and This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

6 Page: 3 of 28 Quotations for furnishing items or services stated below subject to terms and conditions provided, will be received by the Director of Purchasing, attention of the purchasing agent stated at the above address UNTIL THE CLOSE OF BUSINESS AT 5:00 PM ON 3/23/11 QUOTES MAY BE FAXED TO (954) QUOTATION REQUEST Board of County Commissioners, Broward County, Florida WATER AND WASTEWATER SERVICES 2555 W. Copans Road Pompano Beach, Florida Quotation No.: F Q1 Date: 3/11/2011 Purchasing Agent: Joanne Rhees Phone number: Requisition No. WOD Company Name: (Please Print) Signature: operates distribution equipment for the products and that distribution equipment is stored at a location within Broward County. Any supplementing of regular dealers own distribution equipment shall be by a long-term lease agreement and not on an ad hoc or contract-by-contract basis. All questions regarding the Sheltered Market program should be directed to Office of Economic and Small Business Development at (954) To certify with Broward County Office of Economic and Small Business Development use the internet link provided to fill out an online application: or use the preprinted forms found at the end of this quotation request. For All Commodity Contracts (Fixed or Open End): Vendor represents that its business is regularly engaged in and routinely sells the product(s) offered within this quotation request. YES NO Vendor affirms that it is an authorized dealer/seller of the product(s) offered herein on or before the opening date, and warranty offered is the manufacturer s warranty with Broward County recorded as the original purchaser. YES NO Broward County reserves the right to request proof thereof prior to award. For All Contracts: Quotation responses shall be on this form and must be signed or they may be declared non-responsive. Quotations must be typed or printed in ink. Signatures should be in blue ink. If a specific basis for award is not established in this quotation request, the award shall be to the responsible Vendor with the lowest responsive bid meeting the written specifications. Addenda to Quotation Requests: Quotation Requests may require Addenda be issued to them. An Addendum in some way modifies information from the original quotation request, i.e., to announce changes in the quote opening date, specifications, terms, conditions, or modifications to the bid sheet. In addition, some addenda are mandatory (i.e. MUST be acknowledged and returned with your quotation prior to the opening). Anyone quoting or contemplating quoting should check the Purchasing Division s website for posted addenda if you did not receive the initial quotation request by . All vendors shall be responsible for monitoring this website for posted addenda. Award Options: As the best interest of the County may require, the right is reserved to make award(s) by individual commodities, group of commodities, all or none or any combination thereof. This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

7 Page: 4 of 28 Quotations for furnishing items or services stated below subject to terms and conditions provided, will be received by the Director of Purchasing, attention of the purchasing agent stated at the above address UNTIL THE CLOSE OF BUSINESS AT 5:00 PM ON 3/23/11 QUOTES MAY BE FAXED TO (954) QUOTATION REQUEST Board of County Commissioners, Broward County, Florida WATER AND WASTEWATER SERVICES 2555 W. Copans Road Pompano Beach, Florida Quotation No.: F Q1 Date: 3/11/2011 Purchasing Agent: Joanne Rhees Phone number: Requisition No. WOD Company Name: (Please Print) Signature: Terms & Conditions: Attached Terms and Conditions, numbered 1 thru 32, apply to this solicitation. For quotations over $30,000, an original signed copy of the Quote Request must be submitted to the Purchasing Division prior to award. Quotations must be received in the Purchasing Division by the time and date requested in the upper left corner of this document. Quotations may be faxed to (954) Prices shall be quoted F.O.B. Destination, freight included and shall be inclusive of all costs. Current and/or anticipated applicable fuel costs should be considered and included in the price quoted. Local Business Tax Receipt Requirements: (formerly known as OCCUPATIONAL LICENSE TAX) All vendors maintaining a business address within Broward County must have and provide a copy of a current Broward County Local Business Tax Receipt prior to contract award. The Contractor should provide a copy of their Local Business Tax Receipt within five (5) business days upon the request of the Purchasing Agent. Failure to do so may result in your quote being deemed non-responsive. For further information on obtaining or renewing your firm s Local Business Tax Receipt, contact the Records, Taxes and Treasury Division, formerly known as the Local Business Tax Section, at (954) Contacts: For technical questions regarding the commodities/services listed in this quote, contact Tiffany Holliman at or Anita Washington at For information regarding bidding procedures, terms and conditions, contact Joanne Rhees at or by at jrhees@broward.org. Insurance: Not Applicable This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

8 Page: 5 of 28 Quotations for furnishing items or services stated below subject to terms and conditions provided, will be received by the Director of Purchasing, attention of the purchasing agent stated at the above address UNTIL THE CLOSE OF BUSINESS AT 5:00 PM ON 3/23/11 QUOTES MAY BE FAXED TO (954) QUOTATION REQUEST Board of County Commissioners, Broward County, Florida WATER AND WASTEWATER SERVICES 2555 W. Copans Road Pompano Beach, Florida Quotation No.: F Q1 Date: 3/11/2011 Purchasing Agent: Joanne Rhees Phone number: Requisition No. WOD Company Name: (Please Print) Signature: Non-Collusion Statement: By signing this offer, the vendor certifies that this offer is made independently and free from collusion. Vendor shall disclose below, to their best knowledge, any Broward County officer or employee, or any relative of any such officer or employee as defined in Section (1) (c), Fla. Stat. (1989), who is an officer or director of, or has a material interest in, the vendor's business, who is in a position to influence this procurement. Any Broward County officer or employee who has any input into the writing of specifications or requirements, solicitation of offers, decision to award, evaluation of offers, or any other activity pertinent to this procurement is presumed, for purposes hereof, to be in a position to influence this procurement. For purposes hereof, a person has a material interest if they directly or indirectly own more than 5 percent of the total assets or capital stock of any business entity, or if they otherwise stand to personally gain if the contract is awarded to this vendor. Failure of a vendor to disclose any relationship described herein shall be reason for debarment in accordance with the provisions of the Broward County Procurement Code. NAME RELATIONSHIPS In the event the vendor does not indicate any names, the County shall interpret this to mean that the vendor has indicated that no such relationships exist. This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

9 Page: 6 of 28 Quotations for furnishing items or services stated below subject to terms and conditions provided, will be received by the Director of Purchasing, attention of the purchasing agent stated at the above address UNTIL THE CLOSE OF BUSINESS AT 5:00 PM ON 3/23/11 QUOTES MAY BE FAXED TO (954) QUOTATION REQUEST Board of County Commissioners, Broward County, Florida WATER AND WASTEWATER SERVICES 2555 W. Copans Road Pompano Beach, Florida Quotation No.: F Q1 Date: 3/11/2011 Purchasing Agent: Joanne Rhees Phone number: Requisition No. WOD Company Name: (Please Print) Signature: Specifications: Additional specifications for the line items below, begin on page 8. All prices submitted are to be on the form below. Prices quoted should be in unit of measure shown and shall be inclusive of all costs. Current and/or anticipated applicable fuel costs should be considered and included in the price quoted. *Note: Quantity of Each = 1 Booklet (the whole report) Commodity No. / Line Description 1. CC# Printing of the 2010 Water Quality Report, per Specifications *Qty. / Unit 48,000 Each Unit Price Total Unit Price 2. CC# Mailing Services only, for the Direct Mailer, (Postage is not to be included in this line item). 48,000 Each 3. CC# Postage including the Delivery to the Post Office (USPS). Actual Postage costs shall be paid by the Contractor directly to the USPS. Contractor shall be reimbursed for postage costs per the Certificate of Mailing. 48,000 Each Total Price $ Delivery: Delivery of overruns shall be made between 9:00 AM and 4:00 PM, Monday through Friday, except holidays and *furlough days. Delivery at other times shall be made by special arrangement only. *The awarded vendor should contact the County for a schedule of furlough days, prior to shipping. Broward County will provide artwork to the Vendor. The vendor must provide proof to Broward County within ten (10) business days from receipt of artwork. Please indicate delivery time for proof: days. This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

10 Page: 7 of 28 Quotations for furnishing items or services stated below subject to terms and conditions provided, will be received by the Director of Purchasing, attention of the purchasing agent stated at the above address UNTIL THE CLOSE OF BUSINESS AT 5:00 PM ON 3/23/11 QUOTES MAY BE FAXED TO (954) QUOTATION REQUEST Board of County Commissioners, Broward County, Florida WATER AND WASTEWATER SERVICES 2555 W. Copans Road Pompano Beach, Florida Quotation No.: F Q1 Date: 3/11/2011 Purchasing Agent: Joanne Rhees Phone number: Requisition No. WOD Company Name: (Please Print) Signature: Delivery (con t): Upon Broward County proof approval, vendor should complete mailing of direct mail piece within ten (10) business days, but no later than fifteen (15) business days. Please indicate completion of mailing service to customer: days. Purchasing Cards (P-Cards): The County is considering making faster payments to our vendor community, in doing so we would prefer to make payment using Visa credit card. Would your company accept Visa credit card as payment from Broward County? YES NO Electronic Payment: Would your company accept payment from Broward County by Electronic Funds Transfer (EFT)? YES NO ADDENDA: LIST BELOW ALL ADDENDA (IDENTIFIED BY NUMBER) THAT YOUR COMPANY HAS RECEIVED AND HEREBY ACKNOWLEDGES SINCE ISSUANCE OF THIS QUOTE: Small Business Enterprise Certification: Please check the appropriate box if you meet the criteria for a Small Business Enterprise as stated in the Broward County Ordinance YES NO If you are a certified Broward County Small Business Enterprise attach a copy of your certification certificate with your quotation. Vendor recommended for award should obtain certification, not to exceed seven (7) business days from notification of award, from the Office of Economic and Small Business Development. Ship To: (All commodities unless otherwise indicated) Vendor to ship the 2010 Water Quality Report directly to customers per List to be provided by Broward County This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

11 Page: 8 of 28 Quotations for furnishing items or services stated below subject to terms and conditions provided, will be received by the Director of Purchasing, attention of the purchasing agent stated at the above address UNTIL THE CLOSE OF BUSINESS AT 5:00 PM ON 3/23/11 QUOTES MAY BE FAXED TO (954) QUOTATION REQUEST Board of County Commissioners, Broward County, Florida WATER AND WASTEWATER SERVICES 2555 W. Copans Road Pompano Beach, Florida Quotation No.: F Q1 Date: 3/11/2011 Purchasing Agent: Joanne Rhees Phone number: Requisition No. WOD Company Name: (Please Print) Signature: Additional Specifications: ITEM NO. DESCRIPTION COMPLY? COMMENTS DIRECT MAILER BROCHURE YES NO 1. PAGES: PAGES INCLUDING COVER 2. ESTIMATED QUANTITIES: 2.1 ESTIMATED QUANTITY FOR PRINTING SERVICE IS 48, ESTIMATED QUANTITY FOR MAILING SERVICE IS 47, FINISHED SIZE: ½ X FOLDING: X 17 PAGES COLLATED FOLDED IN HALF TO 8 ½ X MAILING PIECES FOLDED IN HALF AGAIN TO 5.5 X 8.5 AND TABBED FOR MAILING 5. BINDERY: 5.1 SADDLE STITCH 6. BLEEDS: 6.1 BLEEDS FOUR (4) SIDES 7. STOCK: # GLOSS TEXT OR COMPARABLE 8. INK: 8.1 4/4 4-COLOR PROCESS This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

12 Page: 9 of 28 Quotations for furnishing items or services stated below subject to terms and conditions provided, will be received by the Director of Purchasing, attention of the purchasing agent stated at the above address UNTIL THE CLOSE OF BUSINESS AT 5:00 PM ON 3/23/11 QUOTES MAY BE FAXED TO (954) QUOTATION REQUEST Board of County Commissioners, Broward County, Florida WATER AND WASTEWATER SERVICES 2555 W. Copans Road Pompano Beach, Florida Quotation No.: F Q1 Date: 3/11/2011 Purchasing Agent: Joanne Rhees Phone number: Requisition No. WOD Company Name: (Please Print) Signature: ITEM NO. DESCRIPTION COMPLY? COMMENTS DIRECT MAILER BROCHURE YES NO 9. MAILING: THE WATER QUALITY REPORT SHALL BE DELIVERED TO THE UNITED STATES POST OFFICE SO THAT IT IS MAILED NO LATER THAN JUNE 15, VENDOR IS RESPONSIBLE FOR ALL ITEMS IN SECTION 9, INCLUDING DIRECT MAILING TO BROWARD COUNTY CUSTOMER LIST THROUGH THE UNITED STATES POSTAL SERVICE. FINAL QUANTITY SHALL BE THE QUANTITY OF PIECES MAILED BY CERTIFIED DOCUMENT OF MAILING, PROVIDED BY THE U.S. POST OFFICE: BROWARD COUNTY WILL PROVIDE MAILING LIST TO THE CONTRACTOR IN ELECTRONIC FORMAT DATABASE SETUP (INITIAL FILE), MACHINE SETUP, PRESORTING, POSTAL PAPERWORK AND TRAY TAGS MERGING ADDITIONAL FILES TO MASTER DATABASE CASS CERTIFICATION OF DATABASES DUPE DETECTING DIRECT IMPRINT ADDRESSING-EACH BROCHURE, BARCODING, SORTING, SACKING, SACK LABELING AND POSTAL PREPARATION DELIVERY TO POST OFFICE VENDOR IS RESPONSIBLE FOR DIRECT PAYMENT OF POSTAGE TO THE POST OFFICE. (REIMBURSEMENT WILL BE PAID FOR THE AMOUNT PAID DIRECTLY TO THE POST OFFICE PER THE CERTIFICATE OF MAILING) This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

13 Page: 10 of 28 Quotations for furnishing items or services stated below subject to terms and conditions provided, will be received by the Director of Purchasing, attention of the purchasing agent stated at the above address UNTIL THE CLOSE OF BUSINESS AT 5:00 PM ON 3/23/11 QUOTES MAY BE FAXED TO (954) QUOTATION REQUEST Board of County Commissioners, Broward County, Florida WATER AND WASTEWATER SERVICES 2555 W. Copans Road Pompano Beach, Florida Quotation No.: F Q1 Date: 3/11/2011 Purchasing Agent: Joanne Rhees Phone number: Requisition No. WOD Company Name: (Please Print) Signature: ITEM NO. DESCRIPTION COMPLY? COMMENTS DIRECT MAILER BROCHURE YES NO OVERRUNS, PIECES THAT ARE NOT MAILED WILL BE DELIVERED BETWEEN 9:00 AM AND 4:00 PM, MONDAY THROUGH FRIDAY, EXCEPT HOLIDAYS AND FURLOUGH DAYS, TO THE ATTENTION OF : TIFFANY A. HOLLIMAN COMMUNITY OUTREACH COORDINATOR BROWARD COUNTY WATER AND WASTEWATER SERVICES 2555 W. COPANS ROAD, POMPANO BEACH, FL PROOFS 10.1 ONLY BLUELINES AND MATCHPRINTS, OR DIGITAL IRIS PROOFS ARE ACCEPTABLE. 11. ARTWORK 11.1 BROWARD COUNTY IS A PC FORMAT DESIGN AGENCY. THE FILE WILL BE CREATED IN DESIGN CS4 CONVERTED AND SUPPLIED AS A HIGH RESOLUTION PDF TO VENDOR CONTACT ZORAIDA GARCIA AT FOR QUESTIONS REGARDING PRINTING SPECS, TO REVIEW A LAYOUT DUMMY AND/OR TO RETRIEVE ARTWORK ALL ARTWORK, FILM AND DIE ARE THE PROPERTY OF BROWARD COUNTY AND MUST BE RETURNED UPON COMPLETION OF THE JOB THE VENDOR MUST BE ACTIVELY REGISTERED WITH THE FL DEPARTMENT OF STATE IN ORDER TO DO BUSINESS WITH BROWARD COUNTY. THE VENDOR SHOULD SUBMIT A COPY OF THEIR REGISTRATION OR PROOF OF APPLICATION WITH THEIR QUOTE SUBMITTAL. (SEE: SUNBIZ.ORG). This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

14 VENDOR QUESTIONNAIRE - SUPPLEMENT TO QUOTE INFORMATION CONTAINED IN THIS DOCUMENT WILL BE USED BY THE COUNTY IN DETERMINING THE RESPONSIBILITY OF A QUOTER. THERE MUST BE A RESPONSE TO ALL QUESTIONS IN THIS DOCUMENT. INFORMATION MUST EITHER BE PROVIDED OR AN INDICATION OF NONE (IF APPROPRIATE). DO NOT USE N/A AS A RESPONSE TO ANY QUESTION. THIS COMPLETED FORM, INCLUDING A RESPONSE TO ALL QUESTIONS, SHOULD BE SUBMITTED WITH THE QUOTE; HOWEVER, IT MUST BE SUBMITTED WITHIN FIVE (5) WORKING DAYS OF THE COUNTY S REQUEST. FAILURE TO PROVIDE THE COMPLETED FORM MAY RESULT IN THE QUOTE BEING DEEMED NON-RESPONSIVE. The undersigned authorized representative of the Quoter certifies the truth and accuracy of all statements and the answers contained herein. 1. How many years has your organization been in business? 1.1 What type of service/commodity does your company offer? 2. What is the last project of this nature that you have completed? 3. Have you ever failed to complete any work or not timely shipped commodities awarded to you? If yes, when and why? NAME OF COMPANY: This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

15 VENDOR QUESTIONNAIRE - SUPPLEMENT TO QUOTE (CONTINUED) 3.1. Give owner names, addresses and telephone numbers, and surety and project names, for all projects for which you have performed work, where your surety has intervened to assist in completion of the project, whether or not a claim was made. 4. Give names, addresses and telephone numbers of three individuals, corporations, agencies, or institutions for which you have performed work or sold similar commodities to: 4.1. (Name) (Address) (Phone No.) 4.2. (Name) (Address) (Phone No.) 4.3. (Name) (Address) (Phone No.) 5. List the following information concerning all contracts in progress as of the date of submission of this quote. (In case of co-venture, list the information for all co-venturers.) NAME OF PROJECT OWNER OF PHONE NO. TOTAL CONTRACT VALUE DATE OF COMPLETION PER CONTRACT % OF COMPLETION TO DATE (Continue list on insert sheet, if necessary.) 6. Has a representative of the Quoter completely inspected the proposed project site and does the Quoter have a complete plan for its performance? NAME OF COMPANY: This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

16 VENDOR QUESTIONNAIRE - SUPPLEMENT TO QUOTE (CONTINUED) 7. State the name of your proposed project manager and superintendent and give details of his or her qualifications and experience in managing similar work. 8. State the true, exact, correct and complete name of the partnership, corporation or trade name under which you do business and the address of the place of business. (If a corporation, state the name of the president and secretary. If a partnership, state the names of all partners. If a trade name, state the names of the individuals who do business under the trade name). 8.1 The correct name of the Quoter: 8.2 The business is a (Sole Proprietorship) (Partnership) (Corporation) 8.3 The address of principal place of business: 8.4 The names of the corporate officers, or partners, or individuals doing business under a trade name, are as follows: NAME OF COMPANY: This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

17 VENDOR QUESTIONNAIRE - SUPPLEMENT TO QUOTE (CONTINUED) 8.5 List all organizations which were predecessors to Quoter or in which the principals or officers of the Quoter were principals or officers. 8.6 List and describe all bankruptcy petitions (voluntary or involuntary) which have been filed by or against the Quoter, its parent or subsidiaries or predecessor organizations during the past three (3) years. Include in the description the disposition of each such petition. 8.7 List and describe all successful Performance or Payment Bond claims made to your surety(ies) during the last three (3) years. The list and descriptions should include claims against the bond of the Quoter and its predecessor organization(s). 8.8 List all claims, arbitrations, administrative hearings and lawsuits, including presently active, brought by or against the Quoter or its predecessor organization(s) during the last three (3) years. The list shall include all case names; case, arbitration or hearing identification numbers; the name of the project over which the dispute arose; a description of the subject matter of the dispute; and the final outcome of the claim. Broward County uses the Clerk of the Courts website for Miami-Dade, Broward and Palm Beach Counties and the Regional Resource Database: PACER (Federal). NAME OF COMPANY: This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

18 VENDOR QUESTIONNAIRE - SUPPLEMENT TO QUOTE (CONTINUED) 8.9 List and describe all criminal proceedings or hearings concerning business related offenses in which the Quoter, its principals or officers or predecessor organization(s) were defendants Has the Quoter, its principals, officers or predecessor organization(s) been debarred or suspended from bidding by any government during the last three (3) years? If yes, provide details. VENDOR REMINDER: For those vendors activated in Vendor Self-Service (VSS), it is extremely important that you review/update your vendor profile at on a regular basis. To properly inactivate or add an address, please use the instructions at: For VSS assistance or for instructions on how to create a VSS account, please bcvss@broward.org NAME OF COMPANY: This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

19 This is not an order, this is an inquiry, which implies no obligation on the part of Broward County

20 Page 17 of 28 Quotation Request Terms & Conditions 1-32 Revised 03/08/11

21 Page 18 of 28 Quotation Request Terms & Conditions 1-32 Revised 03/08/11

22 Page 19 of 28 Quotation Request Terms & Conditions 1-32 Revised 03/08/11

23 Page 20 of 28 Form No (Rev. 03/10/2011) (Sheltered Market)

24 Page 21 of 28 Form No (Rev. 03/10/2011) (Sheltered Market)

25 Page 22 of 28 Form No (Rev. 03/10/2011) (Sheltered Market)

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28 Page 25 of 28 Form No (Rev. 03/10/2011) (Sheltered Market)

29 Page 26 of 28 Form No (Rev. 03/10/2011) (Sheltered Market)

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31 Page 28 of 28 Form No (Rev. 03/10/2011) (Sheltered Market)