RFP Network Wiring

Network Wiring Project
Request for Proposals
REQUEST FOR PROPOSALS
RFP # 12-06-339 North Lauderdale - Network Wiring Project
07/05/2012
City of North Lauderdale Information Technology Services 701 SW 71st Avenue North Lauderdale, Fl 33068 (954) 724-7056
www.nlauderdale.org
City of North Lauderdale
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July 2012

REQUEST FOR PROPOSALS - NOTICE RFP # 12-06-339

Sealed bids will be received by the City of North Lauderdale until 10:00 AM on Thursday, July 5, 2012 in the City Clerks Office located at 701 SW 71st Avenue, North Lauderdale, FL and will be publicly opened and announced immediately thereafter in the second floor conference room for the installation of the Network Wiring Project. Any disputes as to the timeliness of receipt of a bid will be resolved against the bidder. A Mandatory Pre-Bid Conference will be held Tuesday, June 26, 2012 at 10:00AM located at City Hall, 701 SW 71st Avenue, North Lauderdale, FL 33068 in Annex Room B on the first floor of City Hall. Interested bidders must attend this meeting to see the job site and review scope of work. The intent of this RFP is to establish the general specifications and installation for a CAT.6 premises structured cabling system, which will meet the voice and data communication needs at City Hall. Bid documents may be obtained from the City Clerks Office located at 701 SW 71st Avenue, North Lauderdale, from 8:30 a.m. to 5:00 p.m., telephone number 954.724.7056 or on the Citys web site. There is no charge for the documents. The bid documents contain the specifications. The City of North Lauderdale reserves the right to reject any or all bids, to waive any informalities or irregularities in any bid received, to re-advertise for bids, or to take any other such actions that may be deemed to be in the best interest of the City. After review by the City Manager and acceptance by the City Commission, the City anticipates entering into a written contract with the bidder who submits the bid judged by the City to be the most advantageous, responsible, and most responsive.
Patricia Vancheri, City Clerk
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TABLE OF CONTENTS RFP # 12-06-339 Notice - Request for Proposals........................................................................................................................... 2 Table of Contents ............................................................................................................................................... 3 General Terms and Conditions .......................................................................................................................... 4 Insurance Requirements ..................................................................................................................................... 8 Public Entity Form Instructions to Bidders...................................................................................................... 10 Sample Form of Agreement ............................................................................................................................. 12 Non-Collusive Affidavit .................................................................................................................................. 14 Offerors Certification Forms .......................................................................................................................... 16 Bid/Price Schedule ........................................................................................................................................... 21 Proposal Summary of Work ......................................................................................................................... 22 Floor Plans 1st and 2nd Floors .................................................................................................................... 25 - 26
Bidders Documents......................................................................................................................................... 28 Bidders Acknowledgement Form ....................................................................................................................... RFP Bidders Coversheet Checklist ..................................................................................................................... Proposal ............................................................................................................................................................... Vendor Certification Form ................................................................................................................................... Bidders Qualification Statement ......................................................................................................................... Reference Form.................................................................................................................................................... Vendor Drug-Free Workplace Form .................................................................................................................... List of Subcontractors Form ................................................................................................................................ RFP Schedule ....................................................................................................................................................... AMENDEMENTS ...............................................................................................................................................
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GENERAL TERMS AND CONDITIONS The following instructions are given for the purpose of guiding bidders in properly preparing their bids or proposals. These directions have equal force and weight with the specifications, and strict compliance is required with all provisions. QUALIFICATIONS OF BIDDERS No proposal will be accepted from, nor will any contract be awarded to, any person who is in arrears to the City of North Lauderdale, upon any debt or contract, or who has defaulted, as surely or otherwise, upon any obligations to the City, or who has deemed irresponsible or unreliable to the City. PERSONAL INVESTIGATION Bidders shall satisfy themselves by personal investigation and by such other means as they may deem necessary or desirable as to the conditions affecting the proposed work and the cost. No information derived from maps, plans, specifications, or from the Engineer, City Manager, or their assistants or any other department of the City shall relieve the vendor from any risk or from fulfilling all terms of the contract. INCONSISTENCIES Any seeming inconsistency between different provisions of the plans, specifications, proposal or agreement, or any point requiring explanation must be inquired into by the bidder, in writing, at least five (5) days prior to the time set for the opening proposals. After proposals are opened, the bidders shall abide by the decision of the City as to such interpretation. ADDENDA AND INTERPRETATIONS No interpretations of the meaning of the plans, specifications or other contract documents will be made orally to any bidder. Prospective bidders must request through the City Clerk to the City Project Manager such interpretation in writing. To be considered, such request must be received at least five (5) days prior to the date fixed for the opening of bids. Any and all interpretations and any supplemental instructions will be in the form of a written addenda which, if issued, will be sent by certified mail with the return receipt requested, to all prospective bidders (at the address furnished for such purpose) not later than (3) days prior to the date fixed for the opening of bids. Failure of any bidder to receive any such addenda or interpretation shall not relieve any bidder from any obligation under his bid as submitted. All addenda so issued shall become a part of the contract document. Vendor shall verify that he has all addenda before submitting his bid. LEGAL CONDITIONS Bidders are notified to familiarize themselves with the provisions of the law of the State of Florida relating to the hours of labor on municipal work, and with the provisions of the laws of the State of Florida and the Charter and the ordinances of the City of North Lauderdale. FORM OF PROPOSALS Each bid and its accompanying statements must be made on the forms provided. The forms must be submitted in good order and with all the blanks filled in. The forms must be enclosed in a sealed envelope when submitted to the City Clerks Office, City of North Lauderdale, nd Florida, 2 Floor, City Hall, and must show the name of the bidder and a statement as to its contents. The proposal must be signed by one duly authorized to do so, and in case signed by a deputy or subordinate, the principals properly written authority to such deputy or subordinate must accompany the proposal. FILLING IN BIDS All prices must be written in the proposal and also stated in the figures, and all proposals must fully cover all items for which proposals are asked and no other. Bidders are required to state the names and places of residence of all persons interested, and if no other person is interested, the bidder shall state that the proposal is, in all respects, fair and without collusion or fraud. Where more than one person is interested, it is required that all persons interested or their legal representative make all verification and subscribe to the proposal. NON-COLLUSION The bidder agrees that there has been no consorting with any other firm or employees from any other firm who will be submitting a bid on the same project.
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CAUSES FOR REJECTION No bid will be canvassed, considered or accepted which, in the opinion of the City is informal or unbalanced, or contains inadequate or unreasonable prices for any items; each item must carry its own proportion of the cost as nearly as is practicable. Any alteration, erasure, interlineations, or failure to specify bids for all items called for in the schedule shall render the proposal informal. REJECTION OF BIDS The City reserves the right to reject any bid if the evidence submitted by the bidder, or if the investigation of such bidder, fails to satisfy the City that such bidder is properly qualified to carry out the obligations and to complete the work contemplated. Any or all proposals will be rejected, if there is reason to believe that collusion exists among bidders. A proposal shall be considered irregular and may be rejected, if it indicates serious omissions, alterations in form, additions not called for, conditions or unauthorized alternates, or irregularities of any kind. The City reserves the right to reject any or all proposals and to waive such technical errors as may be deemed best for the interests of the City. WITHDRAWALS Any bidder may, without prejudice to himself, withdraw his proposal at any time prior to the expiration of the time during which proposals may be submitted. Such request for withdrawal must be in writing and signed in the same manner and by the same person who signed the proposal. After the expiration of the period for receiving proposals, no proposal can be withdrawn, modified, or explained. CONTRACT The bidder to whom award is made shall execute a written contract to do the work and maintain the same good repair until final acceptance by the proper authorities, and shall furnish good and sufficient bonds as specified within ten (10) days after receiving such contract for execution. If the bidder to whom the first award is made fails to enter into a contract as provided, the award may be annulled and the contract let to the next higher bidder who is reliable and responsible in the opinion of the City. Such bidder shall fulfill every stipulation as if it were the original party to whom award was made. The contract shall provide that the Vendor agrees to correct any defective or faulty work or material which may appear within one (1) year after completion of the work and receipt of the final payment. ENFORCEMENT OF SPECIFICATIONS Copies of the specifications shall be placed in the hands of the City Project Manager, who shall enforce each and every requirement of the contract. There will be no varying from the specifications. HOURS OF WORK Due to the nature of the work and the need to service the public, evening and weekend work may be required. All work must be agreed upon prior to start of work and approved by the Project Manager. WORK PERFORMED DURING WORK HOURS All precautions must be taken to ensure the safety of City employees and the public while working near, in, around or over them. Work in production areas must have a minimum impact on working conditions and not prevent employees or the public from conducting normal City business. COPIES OF SPECIFICATIONS Copies of the specifications, details, and contract are on file in the City Clerks office of the City of North Lauderdale. TERMS OF CONTRACT The contract shall be 90 calendar days from issuance of notice to proceed for each area. MEASUREMENT AND PAYMENT Payments and charges shall be in accordance with the Proposal Schedules. OWNER MAY STOP THE WORK If the work performed by the vendor is deficient, contrary to the bid documents or contract, or the VENDOR fails to perform work in such a way that the completed WORK will conform to the Contract Documents, the OWNER may order the VENDOR to stop the WORK, or any portion thereof, until the cause for such order has been eliminated; however, the right of the OWNER to
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stop the WORK shall not give rise to any duty on the part of the OWNER to exercise this right for the benefit of the VENDOR or any other party. TERMINATION The agreement described hereafter may be terminated by either party upon 30 days written notice to the other party. CUSTOMER RELATIONS The Vendor, all its employees and subcontractors under the supervision and control of the Vendor shall at all times at a site, office, or yard be required to conduct themselves in a professional and courteous manner and do all things necessary to insure good and harmonious customer relations. Continuous failure to abide by this requirement shall constitute a basis for termination of this agreement. QUANTITIES The City reserves the right to add or delete from the estimated quantities listed in the proposal. TAX EXEMPTION All bids must be submitted including all local, state and federal taxes, if applicable. A City Tax Exemption certificate can be obtained from the City Clerks Office. BID PRICES All prices submitted must be firm through the completion of the project. Any bids containing escalation clauses will be rejected upon bid opening. The City of North Lauderdale will award payment at the conclusion of the work, and upon full acceptance. CONFIDENTIALITY - All documentation, bids or quotes not in the Public Domain will be kept confidential. EXCUSABLE INCLEMENT WEATHER DELAYS A. The Contract Time will be extended for as many calendar days in excess of the average number of days of excusable inclement weather as defined in Paragraph entitled, Excusable Inclement Weather Delays, as the VENDOR is specifically required under the provisions of the Technical Specifications to suspend operations, or as many calendar days as the VENDOR is prevented by excusable inclement weather , or conditions resulting immediately there from, from proceeding with at least 75 per cent of the normal labor and equipment force engaged on the WORK. Excusable inclement weather is any weather condition, the duration of which varies in excess of the average conditions expected, which is unusual for the particular time and place where the WORK is to be performed, or which could not have been reasonably anticipated by the VENDOR, as determined from U.S. Weather Bureau records for the preceding 3-year period. No extensions of Contract Time will be allowed for any inclement weather that could reasonably have been predicted from such weather records. Should the VENDOR prepare to begin work at the regular starting time at the beginning of any regular work shift on any day on which excusable inclement weather, or the conditions resulting from the weather, or the condition of the WORK prevents work from beginning at the usual starting time, and the work force is dismissed as a result thereof, the VENDOR will not be charged for a working day whether or not conditions change thereafter during said day, and the major portion of the day could be considered to be suitable for such work operations. The VENDOR shall base its work schedule upon the inclusion of the number of days of excusable inclement weather specified in Paragraph entitled Excusable Inclement Weather Delays of the Supplementary General Conditions. No extension of the Contract Time due to excusable inclement weather will be considered until after said number of days of excusable inclement weather has been reached. However, no reduction in Contract Time would be made if said number of days of excusable inclement weather is not reached.
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LIQUIDATED DAMAGES The Vendor shall pay to the City, as damages for non-completion of the work within the time stipulated for its completion, three hundred dollars ($300.00) for each and every day of the first 30-day period, and five hundred ($500.00) for each and every calendar day thereafter which may exceed the stipulated time for its completion, which sum of $300.00 and $500.00 per day is agreed upon, fixed and determined by the Vendor and the City as liquidated damages that the City will suffer by reason of such default and not by way of penalty.
END OF TERMS AND CONDITIONS
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INSURANCE REQUIREMENTS
The Vendor Shall: I. PUBLIC LIABILITY Provide Owners Vendors Protective Insurance for the benefit of the City with a combined single limit of one million dollars ($1,000,000), consistent with the indemnification obligations described below. II. WORKERS COMPENSATION Provide Workers Compensation and Employers Liability Insurance for the benefit of a vendors work force. III. INDEMNITY Protect, defend, indemnify and hold harmless the City of North Lauderdale, its public officials, officers, employees and agents from and against any and all lawsuits, penalties, damages, settlements, judgments, decrees, costs, charges and other expenses or liabilities of every kind in connection with or arising directly out of the work agreed to be performed herein. Without limiting the foregoing, any and all such claims, suits, etc., relating to personal injury, death, damage to property, defects in materials or workmanship, actual or alleged infringement of any patent, trademark, copyright or of any other tangible personal property right, or any actual or alleged violation of any applicable statute, ordinance, administrative order, rule or regulation or decree of any court, is included in the indemnity. The vendor further agrees to investigate, handle, respond to, provide defense for, and defend any such claims, etc., at his sole expense and agrees to bear all other costs and expenses related thereto, even if the claim(s) is groundless, false or fraudulent. In case of injury to persons, animals or property, real or personal, by reason of failure to erect or maintain proper and necessary barricades, safeguards and signals or by reason of any negligence of any vendor, subcontractor or any of the vendors agents, servants, or employees during the performance of the work before the estimates have become due under this contract, the City may through its officials, withhold such payments as long as it may deem necessary for the indemnity of the City as Owner, provided that the failure to pay the same shall not be construed or considered as a waiver of the indemnity as hereinabove set forth. GENERAL INDEMNIFICATION: The parties agree that one percent (1%) of the total compensation paid to the Vendor for the Work under this Agreement shall constitute specific consideration to the Vendor for the indemnification to be provided under this Agreement. The Vendor shall indemnify, defend, save and hold harmless the CITY and the CITYs elected officials, public employees, consultants and separate vendors, any of their subcontractors, subsubcontractors, agents and employees from and against claims, damages, losses and expenses, including but not limited to attorneys fees, arising out of or resulting from performance of Work. These expenses (1) that are attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property (other than the Work itself) including loss of use resulting therefrom, and (2) to the extent such claims, damages, losses or expenses are caused in whole or in part by negligent acts or omissions of the vendors, anyone directly or caused indirectly employed by either or anyone for whose acts either may be liable, regardless of whether obligations shall not be construed to negate, abridge or otherwise reduce other rights or obligations of indemnity, which would otherwise exist as to a party or person described in this Article.
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IV.
AUTOMOBILE LIABILITY Covering all owned hired and non-owned automobile equipment for the benefit of the City with a combined single limit of $500,000.
V.
BUILDERS RISK If a structure is to be erected, the vendor must also provide Builders Risk Insurance for the full insurable value of the premises being constructed, and the policy should be endorsed to the effect that the interests of the City are included as a loss payee and that the carrier waives all rights of subrogation against the City.
VI.
CERTIFICATE OF INSURANCE Before commencing performance of this contract, the vendor shall furnish the City of North Lauderdale a duplicate policy of Certificate of Insurance for the required insurance as specified above, which shall contain the following: A). B). C). D). Name of insurance carrier(s) Effective and expiration dates of policies Thirty (30) days written notice by the carrier of any cancellation or material change in any policy Duplicate Policy or Certification of Insurance stating that the interests of the City are included as additional insured, and specifying the protection/location.
Such insurance shall apply despite any insurance, which the City may carry in its own name. VII. SUBCONTRACTOR INSURANCE Vendor shall require all of its subcontractors to provide the aforementioned coverage that the vendor is required to maintain and any subcontractors shall be the sole responsibility of the vendor.
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PUBLIC ENTITY CRIMES Section 287.132-133(3)(a), Florida Statutes, effective July 1, 1989 require that no public entity shall enter into a contract, award of bid, or transact business in excess of $10,000.00 with any person or affiliate who has been convicted of a public entity crime. Prior to entering into a sworn statement with the Purchasing Department, form 7088 must be completed. A copy of the form is reproduced below. This completed form must be on file prior to the issuing of a Purchasing Order. RFP # 12-06-339 Sworn Statement Under Section 287.133(3)(a), Florida Statutes, on Public Entity Crimes THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIER AUTHORIZED TO ADMINISTER OATHS. 1. 2. This sworn statement is submitted with RFP # 12-06-339 for Network Wiring Project. This sworn statement is submitted by __________________________________ whose business address is ____________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ ______________________________________and (if applicable) its Federal Employer Identification No. (FEIN) is _______________________ (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement. My name is ___________________________________________________ and my relationship to the entity named above is _____________________________________________________. I understand that a public entity crime as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity of with an agency or political subdivision of any other state or with the United States, including but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. I understand that convicted or conviction as defined in Paragraph 287.133(1)(b), Florida Statutes, means a finding or fault or a conviction of a public entity crime, with or without adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendre. I understand that an affiliate as defined in Paragraph 287.133(1)(a). Florida Statutes, means: A. B. A predecessor or successor of a person convicted of a public entity crime; or An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term affiliate includes those officers, directors, executives, partners, shareholders, employees, members and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arms length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted
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of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 7. I understand that a person as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of the state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term person includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Please indicate which statement applies.) Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, nor the affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, have been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND (Please indicate which additional statement applies.) There has been a proceeding concerning the conviction before a hearing officer of the State of Florida, Division of Administration Hearings. The final order entered by the hearing officer did not place the person or affiliate on the convicted vendor list. (Please attach a copy of the Final Order.) The person of affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer of the State of Florida, Division of Administration Hearings. The final order entered by the hearing officer determined that it was in the public interest to remove the person or affiliate form the convicted vendor list. (Please attach a copy of the Final Order.) The person or affiliate has not been placed on the convicted vendor list. (Please describe any action taken by or pending with the Department of General Services.) ____________________________ Date
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_____________________________________ Signature State of _________________________________ County of _______________________________
PERSONALLY APPEARED BEFORE ME, the undersigned authority, ___________________________________, who after first being sworn by me, affixed his/her, signature in the space provided above on this _______ day of _______________________, ________. ________________________________ Notary Public My Commission Expires: _______________________
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SAMPLE AGREEMENT Between the City of North Lauderdale and _____________________ This AGREEMENT, made this ____ day of ______________, 2012, by and between the City of North Lauderdale, acting herein through its City Manager, hereinafter called OWNER and ______________________________________________________________________________ ___________________________________________________, hereinafter called VENDOR. WITNESSETH, that the parties hereto do mutually agree as follows: ARTICLE I That for, and in consideration of, the payments and agreements hereinafter mentioned, to be made performed by the OWNER and VENDOR hereby agrees with the OWNER to commence and complete the work described as follows: All of the terms, conditions, and provisions of Request for RFP # 12-06-339 are incorporated herein by reference and made a specific part thereof. ARTICLE II In accordance with the Request for Proposals the Vendor shall furnish at his own expense all labor, vehicles, materials, tools, and equipment needed to perform the services required by this Agreement and the Request for Proposals. The VENDOR further agrees that the prices as quoted in the Request for Proposals shall remain constant for the duration of this Agreement. ARTICLE III The term of this Agreement shall be 90 calendar days from notice to proceed. ARTICLE IV If it is determined that it is in the best interest of either party of the Agreement to terminate this Agreement prior to the expiration date, for any cause, a thirty (30) calendar day written notice shall be given by the party wishing to terminate this Agreement. ARTICLE V Vendor agrees to indemnify and save Owner, its public officials, agents, servants and employees harmless from and against any and all claims arising out of or in any way connected with the willful misconduct or negligence of the vendor, or its employees and to carry at its own expense policies of insurance described in RFP # 12-06-339 to protect the Owner and its interests from such actions of the vendor or sub-contractors. Vendor further agrees to reimburse Owner for any and all court costs and other expenses, including reasonable attorneys fees incurred by owner in defending any action, at both the trial and appellate levels, including paralegal expenses associated therewith, brought against Owner for injury or damage claimed to have been suffered as a result of or in any way connected with vendors willful misconduct or negligence or that of its employees. The laws of the State of Florida shall govern this agreement.
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AGREEMENT: IN WITNESS WHEREOF, the parties to these presents have executed this contract in three (3) counterparts, each of which shall be deemed an original, in the Year and Day first mentioned above. ATTEST: ______________________________ Patricia Vancheri, CMC (SEAL) ______________________________ WITNESS ______________________________ WITNESS ______________________________ VENDOR ADDRESS: ______________________________ ______________________________ ______________________________ PHONE:_______________________ APPROVED AS TO FORM: ______________________________ Samuel Goren, Esq. City Attorney ___________________________________ Ambreen Bhatty, City Manager
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NON-COLLUSIVE AFFIDAVIT State of ______________________) )ss. County of ______________________) ________________________________________________________ being first duly sworn, deposes and says that: (1) He/she is the __________________________________________________________, (Owner, Partner, Officer, Representative or Agent) of _____________________________________________________ the Bidder that has submitted the attached Bid; (2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid: Such Bid is genuine and is not a collusive or sham Bid; Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a collusive or sham Bid in connection with the Work for which the attached Bid has been submitted; or to refrain from bidding in connection with such Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or conference with any Bidder, firm or person to fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person interested in the proposed Work; The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of its agents representatives, owners, employees or parties in interest, including this affiant.
(3) (4)
(5)
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NON-COLLUSIVE AFFIDAVIT (continued)
Signed, sealed and delivered in the presence of: ________________________________ ________________________________ BY:_____________________________ _____________________________ (Printed Name) _____________________________ (Title)
ACKNOWLEDGMENT State of Florida County of ______________ On this the _____ day of ___________________, _______, before me, the undersigned Notary Public of ________________________________________________ the State of Florida, personally appeared and whose name(s) is/are (Name(s) of individual(s) who appeared before notary). Subscribed to the within instrument, and he/she/they acknowledge that he/she/they executed it. Witness my hand and official seal ___________________________________ NOTARY PUBLIC, STATE OF FLORIDA NOTARY PUBLIC SEAL OF OFFICE: _________________________________________
(Name of Notary Public: Print Stamp or type as Commissioned)
Personally known to me, or Produced identification: ______________________________

(Type of identification)
DID take oath, or DID NOT take oath OPTIONAL INFORMAITON: Type of Document:_____ Number of Pages:___ Number of Signatures Notarized ___
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OFFERORS CERTIFICATION WHEN OFFEROR IS AN INDIVIDUAL IN WITNESS WHEREOF, the Offeror hereto has executed this Proposal Form this ______ day of ______________________, _______. By:________________________ Signature of Individual _____________________________ Witness ______________________________ Witness __________________________ Printed Name of Individual __________________________ Business Address __________________________ City/State/Zip __________________________ Business Phone Number State of Florida County of _______________ On this the _____ day of __________________ _, _______, before me, the undersigned Notary Public of the State of Florida, personally appeared _____________________________________________________ and whose name(s) is/are (Name(s) of individual(s) who appeared before notary). Subscribed to the within instrument, and he/she/they acknowledge that he/she/they executed it. Witness my hand and official seal ___________________________________ NOTARY PUBLIC, STATE OF FLORIDA NOTARY PUBLIC SEAL OF OFFICE: _____________________________________

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OFFERORS CERTIFICATION WHEN OFFEROR IS A SOLE PROPRIETORSHIP OR OPERATES UNDER A FICTITIOUS NAME IN WITNESS WHEREOF, the Offeror hereto has executed this Proposal Form this ______ day of ______________________, _______. ___________________________ Printed Name of Firm By:________________________ Signature of Individual __________________________ Printed Name of Individual __________________________ Business Address __________________________ City/State/Zip _________________________ Business Phone Number
______________________________ Witness ______________________________ Witness
State of Florida County of _______________ On this the _____ day of __________________ _, _______, before me, the undersigned Notary Public of the State of Florida, personally appeared _____________________________________________________ and whose name(s) is/are (Name(s) of individual(s) who appeared before notary). Subscribed to the within instrument, and he/she/they acknowledge that he/she/they executed it. Witness my hand and official seal ___________________________________ NOTARY PUBLIC, STATE OF FLORIDA NOTARY PUBLIC SEAL OF OFFICE: _____________________________________

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OFFERORS CERTIFICATION WHEN OFFEROR IS A PARTNERSHIP IN WITNESS WHEREOF, the Offeror hereto has executed this Proposal Form this ______ day of ______________________, _______. _______________________________ Printed Name of Partnership By:________________________ Signature of General or Managing Partner __________________________ Printed Name of Partner __________________________ Business Address __________________________ City/State/Zip __________________________ Business Phone Number __________________________ State of Registration
______________________________ Witness ______________________________ Witness

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OFFERORS CERTIFICATION WHEN OFFEROR IS A CORPORATION IN WITNESS WHEREOF, the Offeror hereto has executed this Proposal Form this ______ day of ______________________, _______. ____________________________ Printed Name of Corporation By:________________________ Signature of President or other authorized officer __________________________ Printed Name of President or other authorized officer __________________________ Address of Corporation __________________________ City/State/Zip __________________________ Business Phone Number
(CORPORATE SEAL) ARTTEST: By: __________________________ Secretary

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OFFERORS CERTIFICATION WHEN OFFEROR IS A JOINT VENTURE IN WITNESS WHEREOF, the Offeror hereto has executed this Proposal Form this ______ day of ______________________, _______. ____________________________ Printed Name of Joint Venture By:__________________________ Signature of member of Joint Venture ____________________________ Business Address ____________________________ City/State/Zip ____________________________ Business Phone Number State of Florida County of _______________ On this the _____ day of __________________ _, _______, before me, the undersigned Notary Public of the State of Florida, personally appeared _____________________________________________________ and whose name(s) is/are (Name(s) of individual(s) who appeared before notary). Subscribed to the within instrument, and he/she/they acknowledge that he/she/they executed it. Witness my hand and official seal ___________________________________ NOTARY PUBLIC, STATE OF FLORIDA NOTARY PUBLIC SEAL OF OFFICE: _____________________________________

DID take oath, or DID NOT take oath OPTIONAL INFORMAITON: Type of Document: _____ Number of Pages: ___ Number of Signatures Notarized ___
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PRICE SCHEDULE NORTH LAUDERDALE - NETWORK WIRING PROJECT
Bidder, hereby declares that he or she has carefully examined the sites of the proposed work, have read all terms and conditions of this solicitation and fully understand the specifications contained herein, and does hereby agree to furnish all labor, materials, tools, equipment and incidentals and to sustain all the expenses incurred in performing the work in strict accordance with the plans which are made a part thereof at the following prices offered. In the event of latent mathematical errors, Bidder recognizes that these are clerical errors and may be corrected by Owner.
Item No. 1 2 3
Description Installed price of a per-drop CAT.6 Cable Total Network Wiring Cost Removal of existing cable plant
Price $_________________ $_________________ $_________________
Quantities may change and additional units may be purchased using the single unit pricing. Bidder must demonstrate that all product specifications have been met. In addition to this page, vendors should attach their Bid detail
BASIS OF AWARD The successful Bidder shall be the bidder who submits the bid judged by the City to be the most advantageous, responsible, and most responsive.
NAME OF BIDDER:____________________________________________
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I.
SUMMARY OF WORK - NETWORK WIRING PROJECT
RFP # 12-06-339
The intent of this RFP is to establish the general specifications for a CAT.6 premises structured cabling system, which will meet the voice and data communications needs of the City of North Lauderdale. Vendor will provide an end-to-end solution for the installation of CAT.6 cabling at City Hall. OTHER WORK - removal of the existing cable plant after final installation and testing of the new cable plant has been accepted. The City shall retain rights to the removed material and its disposition. The undersigned bidder hereby proposes to furnish all labor, materials, equipment, tools, and services necessary to perform all work under the price schedule, specifications and requirements for: SCOPE OF WORK 1. 2. SUPPLY AND INSTALL (1) CHATSWORTH 2-POST 19 SERVER RACK IN COMPUTER ROOM. SUPPLY AND INSTALL PANDUIT FRONT VERTICAL WIRE MANAGERS ONTO EQUIPMENT RACK. SUPPLY AND INSTALL PANDUIT FRONT ONLY HORIZONTAL WIRE MANAGERS AT THE TOP AND BOTTOM OF EACH PATCH PANEL. SUPPLY AND INSTALL LADDER TRAY SYSTEM ABOVE EQUIPMENT RACK IN COMPUTER ROOM. ALL CABLING FOR THIS PROJECT WILL BE CAT.6 NON-PLENUM-RATED LANMARK 1000 OR EQUAL. ALL CABLES WILL BE TERMINATED ONTO 48-PORT CAT.6 PATCH PANELS. THE FOLLOWING IS A BREAKDOWN OF CABLE DROPS FOR EACH SUBSYSTEM: DATA NETWORK - (97) CAT.6 VOICE NETWORK - (66) CAT.6 [ (26), 1 floor; (71) 2 [ (17), 1 floor; (49) 2
st st nd nd
3.
4.
5.
6.
floor] floor]
TOTAL CAT.6 - (163) DATA DROPS 8. FOUR (4) OF THE DATA DROPS ARE FROM COMPUTER ROOM TO WIRELESS ACCESS POINTS. CONTRACTOR MUST LEAVE A 25 SERVICE LOOP AT EACH OF THESE LOCATIONS.
OTHER WORK: AFTER INSTALLATION AND ACCEPTANCE OF NEW CABLE PLANT, REMOVE THE EXISTING OLD PATCH PANELS AND OLD CABLING. WORK MUST BE DONE IN A MANNER NOT AFFECTING BUSINESS, EMPLOYEES OR THE PUBLIC. PRE-CONSTRUCTION CONFERENCE: A MANDATORY PRE-CONSTRUCTION CONFERENCE WILL BE HELD PRIOR TO ANY WORK BEING PERFORMED.
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TESTING AND LABELING: ALL DATA AND VOICE CABLING WILL CONFORM TO PERFORMANCE SPECIFICATIONS OUTLINED IN EIA/TIA 568D AND TSB-40 GUIDELINES. CABLING WILL BE CAT.6 CERTIFIED AND A COPY OF EACH TEST RESULT WILL BE PROVIDED TO CITY OF NORTH LAUDERDALE. ALL CABLING WILL BE MACHINE-LABELED ON BOTH ENDS, (NO HANDWRITTEN LABELS), WITH THE FACEPLATES AND PATCH PANELS MACHINE-LABELED. A NUMBERED FLOOR PLAN WILL NEED TO BE PROVIDED TO CITY OF NORTH LAUDERDALE AFTER CABLING IS COMPLETED. WARRANTY: VENDOR SHALL PROVIDE CITY OF NORTH LAUDERDALE WITH A MANUFACTURER EXTENDED WARRANTY ON THE CABLE PLANT. COMPLIANCE WITH LAWS AND PERMITS: THE SUCCESSFUL VENDOR SHALL COMPLY WITH ALL RULES, REGULATIONS, ORDINANCES, CODES, LAWS RELATING TO THE WORK OR CONDUCT THEREOF AND SHALL SECURE AND PAY FOR ANY PERMITS AND LICENSES NECESSARY FOR THE EXECUTION OF THE WORK.
INSURANCE: THE FOLLOWING INSURANCE COVERAGE SHALL BE OBTAINED AND MAINTAINED BY CONTRACTOR AT CONTRACTORS SOLE COST AND EXPENSE, NAMING CITY OF NORTH LAUDERDALE AS AN ADDITIONAL INSURED. THE FOLLOWING MINIMUM AMOUNTS FROM INSURERS WILL BE ACCEPTED BY CITY OF NORTH LAUDERDALE: WORKERS COMPENSATION: $1,000,000 - BODILY INJURY BY ACCIDENT $1,000,000 - BODILY INJURY BY DISEASE POLICY LIMIT $1,000,000 - BODILY INJURY BY DISEASE FOR EACH PERSON GENERAL LIABILITY: $1,000,000 - EACH OCCURRENCE $1,000,000 - GENERAL AGGREGATE $1,000,000 - OPERATIONS AGGREGATE BODILY INJURY AND PROPERTY DAMAGE (COMBINE SINGLE UNIT) - $5,000,000 EACH OCCURRENCE ALL REQUIRED INSURANCE POLICIES SHALL PROVIDE THAT NO LESS THAN SIXTY (60) DAYS PRIOR WRITTEN NOTICE SHALL BE GIVEN TO THE OWNER IN THE EVENT OF ANY CANCELLATION OR ANY MATERIAL CHANGES OR REDUCTION IN COVERAGE.
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CONTRACT CLOSEOUT: 1. COMPLY WITH ALL PROCEDURES IN RFP DOCUMENTATION 2. FINAL INSPECTION BY CITY PROJECT MANAGER 3. CITY POSSESSION OF ALL WARRANTY/GUARANTEE AND OTHER DEFINED DOCUMENTATION 4. RESTORE ALL AREAS OF CONSTRUCTION TO ITS ORIGINAL CONDITION AND STATE 5. FINAL CLEANING, BROOM SWEEP, VACUUM, WIPE ALL EFFECTED AREAS AFTER CONSTRUCTION
6. FINAL PAYMENT UPON COMPLIANCE WITH PROCEDURES IN CITY OF NORTH

LAUDERDALE AGREEMENT
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THIS PAGE IS INTENTIONALLY LEFT BLANK
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SUBMIT BID TO:

City of North Lauderdale City Clerks Office 701 SW 71st Avenue North Lauderdale, FL 33068 954-724-7056
REQUEST FOR PROPOSAL

Bidder Acknowledgement
RFP # 12-06-339 RFP TITLE: North Lauderdale Network Wiring Project RFP OPENING DATE/TIME: Tuesday, July 5, 2011 at 2:00 PM BUYER PHONE: 954-724-7056 BUYER EMAIL: pvancheri@nlauderdale.org MANDATORY PRE-BID CONFERENCE: Tuesday, June 26, 2012 at 10:00 AM
GENERAL CONDITIONS
These instructions are standard for all bids for commodities/services issued by the City of North Lauderdale. The City of North Lauderdale may delete, supersede or modify any of these standard instructions for a particular bid by indicating such in the instructions to the bidders, in the Special Conditions of the bid, or in the Specifications/Statement of Work. Any and all Special Conditions that may vary from theses general conditions shall prevail over these General Conditions and any conflicting provision within any vendors standard terms and conditions regardless of any language in the vendors documentation to the contrary.
SEALED BIDS
This form should be submitted with all Bid Forms in a sealed envelope. The face of the envelope shall contain the above address, the Bid number and the Bid title. Bids not submitted on the attached Bid form may be deemed non-responsive. All Bids are subject to the terms and conditions specified herein. Those bids that do not comply with these conditions may be deemed non-responsive.
BIDDER COMPANY NAME: _________________________________________________________________ COMPANY ADDRESS:______________________________________________________________________ COMPANY PHONE: ________________________________________________________________________ NAME OF AUTHORIZED AGENT: ___________________________________________________________ TITLE OF AUTHORIZED AGENT: ___________________________________________________________ AUTHORIZED AGENT EMAIL ADDRESS: ____________________________________________________ BIDDER TAXPAYER ID OR SOCIAL SECURITY NUMBER: ____________________________________ I certify that this Bid Acknowledgement is made without prior understanding, agreement or connection with any corporation, firm or person submitting a Bid for the same commodities and /or services and is in all respects fair and without collusion or fraud. I agree to abide by all conditions of this Bid and certify that I am authorized to sign this Bid as an agent for the Bidder.
City of North Lauderdale Page 28 July 2012
RFP BIDDERS CHECKLIST COMPANY NAME: (Please Print) ________________________________________________ Phone:_______________________ Fax:________________________
BEFORE SUBMITTING YOUR BID, MAKE SURE YOU... 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Carefully read the General Conditions, Specifications and Requirements. Properly fill out all Forms. Fill out and sign the Non-Collusive Affidavit and have it properly notarized. Sign the Certification page. Failure to do so may result in your Proposal being deemed non-responsive. Fill out the Bidders Qualification Statement. Fill out the References page. [Section III, 8.0] Sign the Vendor Drug Free Workplace Form. Fill out the List of Subcontractors. Fill out and sign the Certified Resolution. Proof of Insurance. (will be required upon reward of contract) Return and/or acknowledge all Addendums
Submit ONE (1) Original AND SEVEN (7) Photocopies of your bid, clearly marked with the BID NUMBER AND BID NAME on the outside of the package. Note: An electronic version in MS Word or PDF format may be substituted for the seven copies. The electronic version has to be made available to the City Clerk with the Bid Pkg. Make sure your Bid is submitted PRIOR to the deadline. Late Bids will not be accepted. Failure to provide the requested attachments may result in your bid being deemed non-responsive.
ONLY ONE PRODUCT (OFFERING) PER PROPOSAL PACKAGE IS ACCEPTABLE
THIS SHOULD BE THE FIRST PAGE OF YOUR PROPOSAL
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PROPOSAL FORM RFP # 12-06-339 NORTH LAUDERDALE NETWORK WIRING PROJECT
Submitted by:
Date
THIS BID IS SUBMITTED TO: City of North Lauderdale Finance Director st 701 SW 71 Avenue North Lauderdale, Florida 33068 1. The undersigned Bidder proposes and agrees, if this bid is accepted, to enter into a contract with the City to perform and furnish all Work as specified herein for the Contract Price and within the Contract Period indicated in this bid. This bid will remain subject to acceptance for ninety (90) days after the day of bid opening. Bidder will sign and submit the necessary documents required by the City within fifteen (15) days prior to the date of the City's Award.
2.
a. b. c.
Bidder has familiarized itself with the nature and extent of the contract documents, locality, and all local conditions and laws and regulations that in any manner may affect cost, progress, performance or furnishing of the Work. Bidder has given the City written notice of all conflicts, errors or discrepancies that it has discovered in the contract documents and the written resolution thereof by the City is acceptable to Bidder. This Bid is genuine and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation; Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid; Bidder has not solicited or induced any person, firm or corporation to refrain from bidding; and Bidder has not sought by collusion to obtain for itself any advantage over any other Bidder or over the City.
3. 4.
Bidder will complete the Work for the prices shown in the "Bid/Price Schedule. Bidder agrees that the Work will be substantially performed and complete in accordance with the schedules established herein.
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PROPOSAL FORM (continued) RFP # 12-06-339 NORTH LAUDERDALE NETWORK WIRING PROJECT
The City reserves the right to reject any bid, if it deems that a vendor has deliberately provided erroneous information. The undersigned declare to have specific and legal authorization to obligate their firm to the terms of this bid, and further, that they have examined the RFP, the instructions to Bidders, the Specifications, and other documents included in this bid request, and hereby promises and agrees that, if this bid is accepted, they will faithfully fulfill the terms of this bid together with all guarantees and warranties thereto. The undersigned bidding firm further certifies the product and/or equipment meets or exceeds the specification as stated in the bid package; and also agrees that products and/or equipment to be delivered which fail to meet bid specifications will be rejected by the City within thirty (30) days of delivery. Return of rejection will be at the expense of the bidder.
Authorized Signature
Company Name
Typed/Printed Name
Address
Telephone
City, State, ZIP
Fax
Federal Tax ID Number
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CERTIFICATION THIS DOCUMENT MUST BE SUBMITTED WITH THE BID We (I), the undersigned, hereby agree to furnish the item(s)/service(s) described in the Request for Proposals. We (I) certify that we (I) have read the entire document, including the Specifications, Additional Requirements, Supplemental Attachments, Instructions to Bidders, Terms and Conditions, and any addenda issued. We agree to comply with all of the requirements of the entire Request for Proposals. Indicate which type of organization below: INDIVIDUAL PARTNERSHIP CORPORATION OTHER
If Other, Explain:
Company Name
Typed/Printed Name
Address
Telephone
City, State, ZIP
Fax
Federal Tax ID Number
Email address for above signer (if any)
Contractors License Number
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BIDDERS QUALIFICATION STATEMENT The undersigned certifies under oath the truth and correctness of all statements and all answers to questions made hereinafter: Name of Company Address City State Zip Telephone Fax Number 1. How many years has your organization been in business under its present name? Years 2. 3. If Vendor is operating under Fictitious Name, submit evidence of compliance with Florida Fictitious Name Statute: Under what former name(s) has your business operated?
List former address(es) of that business (if any).
4. 5. 6.
Are you Certified? Yes Are you Licensed?
No Yes
If Yes, attach copy of Certification No If Yes, attach copy of License No
Has your company ever declared bankruptcy? Yes If Yes, explain:
7. 8.
Are you a Sales Representative of the commodities/services bid upon?
Distributor
Broker
or
Manufacturer
Have you ever received a contract or a purchase order from the City of North Lauderdale or other No If yes, explain (date, service/project, bid title etc.) governmental entity? Yes
9.
Have you ever received a complaint on a contract or bid awarded to you by any governmental entity? No If yes, explain: Yes Have you ever been debarred or suspended from doing business with any governmental entity? Yes No If yes, explain:
10.
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CUSTOMER REFERENCES Please list government agencies and/or private firms with whom you have done business during the last five years. Three of the references preferably in a similar industry and using a similar proposal: Your Company Name Address City State Zip Phone/Fax Agency/Firm Name: Address City State Zip Phone/Fax Contact Name Agency/Firm Name: Address City State Zip Phone/Fax Contact Name Agency/Firm Name: Address City State Zip Phone/Fax Contact Name Agency/Firm Name: Address City State Zip Phone/Fax Contact Name Agency/Firm Name: Address City State Zip Phone/Fax Contact Name
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VENDOR DRUG-FREE WORKPLACE Preference may be given to vendors submitting a certification with their bid/proposal certifying they have a drug-free workplace in accordance with Section 287.087, Florida Statutes. This requirement affects all public entities of the State and becomes effective January 1, 1991. The special condition is as follows: IDENTICAL TIE BIDS - Preference may be given to businesses with drug-free workplace programs. Whenever two or more bids that are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a bid received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process. Established procedures for processing tie bids will be followed if none of the tied vendors have a drug-free workplace program. In order to have a drug-free workplace program, a business shall: Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 5. Inform employees about the dangers of drug abuse in the workplace, the businesss policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1). In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later that five (5) days after each conviction. Impose a section on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this form complies fully with the above requirements.
6.
7.
8.
9.
Company Name
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LIST OF SUBCONTRACTORS The Bidder shall list below the names and business address of each subcontractor who will perform Work under this Bid in excess of one-half of one percent of the Contractors Total Bid Price, and shall also list the portion of the Work that will be done by such subcontractor. After the opening of bids, no changes or substitutions will be allowed except as otherwise provided by law. The listing of more than one subcontractor for each item of Work to be performed with the words and/or will not be permitted. Failure to comply with this requirement will render the Bid as non-responsive and may cause its rejection. Work to Be Performed % Total Contract Contractor License No. Subcontractor Name/Address
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RFP - SCHEDULE
MILESTONES RFP distributed Pre-Bid Conference (MANDATORY) Bidders questions due from respondents Response to bidders questions RFP responses due from respondents Review of Bid Proposals (post public notice 1 day prior) Vendor Approval by City Commission Notification to bidders of outcome
TIMEFRAME 06/12/2012 06/17/2012 06/26/2012 06/29/2012 07/03/2012 07/5/2012 TBD TBD TBD
PROPOSAL FORMAT Page: Single side, 8.5 x 11 with 1-inch margins Font: ARIEL (no smaller than 10pt)
QUESTIONS RFP contact: 12-06-339 Patti Vancheri, City Clerk pvancheri@nlauderdale.org Phone: 954-724-7056 Fax: 954-720-2151
*TBD Timeframes: Proposals reviewed at an announced public meeting during City business hours. Vendor selection is determined at a convening commission meeting. Notification sent to selected vendor by next business day. Notification to other bidders of outcome follows. The public is welcome to attend any and all city public meetings.
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AMENDEMENT RFP 12-06-339 Network Wiring Project June 16, 2012 Corrections to published date/time 1) Mandatory Pre-Bid Meeting is Tuesday, June 26, 2012 at 10 a.m. at City of North Lauderdale Commission Chambers 701 SW 71 Avenue North Lauderdale, FL 33068 2) Proposals are due no later than 10 a.m. Thursday, July 5, 2012. City of North Lauderdale - City Clerks Office 701 SW 71 Avenue North Lauderdale, FL 33068
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RFP Network Wiring

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REQUEST FOR PROPOSALS

RFP # 12-06-339 North Lauderdale - Network Wiring Project

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Patricia Vancheri, City Clerk

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Request for Proposals

END OF TERMS AND CONDITIONS

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Request for Proposals

_____________________________________ Signature State of _________________________________ County of _______________________________

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Request for Proposals

City of North Lauderdale

Network Wiring Project

Request for Proposals

NON-COLLUSIVE AFFIDAVIT (continued)

Personally known to me, or Produced identification: ______________________________

City of North Lauderdale

Network Wiring Project

Request for Proposals

Personally known to me, or Produced identification: ______________________________

City of North Lauderdale

Network Wiring Project

Request for Proposals

______________________________ Witness ______________________________ Witness

Personally known to me, or Produced identification: ______________________________

City of North Lauderdale

_____________________ Signature State of _ County of _______________

Witness Witness

Witness Witness

Price $_________ $_ $_________