03-16-2009
Voting Order
Mayor Thomas
Councilwoman Rogers
Councilwoman Bennington
Councilwoman Rhodes
Councilman Cooper
AGENDA - AMENDED
CITY COUNCIL OF EDGEWATER
REGULAR MEETING
March 16, 2009
6:00 P.M.
COUNCIL CHAMBERS
We respectfully request that all electronic devices are set for no audible notification
.
1. CALL TO ORDER, ROLL CALL, PLEDGE OF ALLEGIANCE, INVOCATION
2. APPROVAL OF MINUTES
a. Regular Meeting – January 5, 2009
b. Regular Meeting – January 26, 2009
3. PRESENTATIONS/PROCLAMATIONS/PLAQUES/CERTIFICATES/DONATIONS
a. Randell Brown, Regional Director Department of Financial Services discussing a new
program called “Safeguarding our Seniors”, recently initiated by Chief Financial
Officer for the State of Florida, Alex Sink.
4. CITIZEN COMMENTS
This is the time for the public to come forward with any comments they may have. Citizen
comments relating to any agenda matter may be made at the time the matter is before Council.
“3”
please limit your comments to three
Please state your name and address, and
minutes or less
.
5. APPROVAL OR CHANGES/MODIFICATIONS TO THE AGENDA
6. CITY COUNCIL REPORTS
7. CONSENT AGENDA
a. Authorization for East Volusia Mosquito Control District to make low level aerial
inspection and spray flights.
b. Request to approve disposal of Fixed Assets.
PUBLIC HEARINGS, ORDINANCES AND RESOLUTIONS
8.
9. BOARD APPOINTMENTS
a. Economic Development Board - Councilwoman Rhodes appointment due to the expired
term of Robert Williams, who seeks reappointment.
City Council Agenda
March 16, 2009
Page –2
b. Economic Development Board – Councilman Cooper’s appointment due to the
resignation of Robert Overton.
10. OTHER BUSINESS
c. Award bid proposal for Replacement of the Fuel System at the Environmental
Services Public Works facility.
d. Interlocal Agreement between the City of Edgewater and the City of New
Smyrna Beach to accept solid waste from New Smyrna Beach’s City Parks.
11. OFFICER REPORTS
a. City Clerk
b. City Attorney
1. Settlement of Ayubo v. City of Edgewater, et al
c. City Manager
12. CITIZEN COMMENTS
13. ADJOURN
NoteApril6, 2009
. All items for inclusion on the , agenda must be received by the City Clerk’s office
Thursday, March 26, 2009
no later than 12:00 pm, .
Pursuant to Chapter 286, F.S., if an individual decides to appeal any decision made with respect to any matter considered at
a meeting or hearing, that individual will need a record of the proceedings and will need to ensure that a verbatim record of the
proceedings is made. The City does not prepare or provide such record.
In accordance with the Americans with Disabilities Act, persons needing assistance to participate in any of these proceedings
should contact City Clerk Bonnie Wenzel, 104 N. Riverside Drive, Edgewater, Florida, telephone number 386-424-2400 x1101, 5 days
prior to the meeting date. If you are hearing or voice impaired, contact the relay operator at 1-800-955-8771.
&L
AGENDA REQUEST
c.A. #2009-015
Date: March 3. 2009
PUBLIC
HEARING
RESOLUTION
ORDINANCE
BOARD
APPOINTMENT
CONSENT
03/16/2009
OTHER
BUSINESS
ITEM DESCRIPTION:
Authorization for East V olusia Mosquito Control District to make low level aerial inspection and
spray flights.
BACKGROUND:
East V olusia Mosquito Control District annually requests cities to approve low level inspection and
spray flights under 500 foot altitudes with its helicopters over congested portions of incorporated
municipalities and unincorporated portions of V olusia County. The letter of request dated February
25,2009, is attached.
STAFF RECOMMENDATION:
Staff recommends the City Council approve the attached Letter of Authorization and authorize its
execution.
ACTION REQUESTED:
Motion to approve the annual request to perform low level flights over the City of Edgewater and
authorize the Mayor or City Manager to execute the document.
FINANCIAL IMPACT: (FINANCE DIRECTOR)
(SPECIFY IF BUDGET AMENDMENT IS REQUIRED)
PREVIOUS AGENDA ITEM: YES
NO---.X
DATE:
AGENDA ITEM NO.
Respectfully submitted,
/}
Concurrence:
~~8k
Robin L. Matusick C--
Paralegal
rIm
\~,~
~.
Volusia County
FLORIDA
~
--
Public Works Department
Mosquito Control Division
CITY OF EOGEWATER
REceIVED
MAR 03 tUUY
February 25, 2009
CITY CLERK
City of Edgewater
Attn: Bonnie Wenzel, City Clerk
P. O. Box 100
Edgewater, FL 32132-100
Dear Ms. Wenzel:
It is necessary under Federal Air Regulations of the Federal Aviation Agency for the Volusia County
Mosquito Control program to annuallv obtain a written request and authorization from an appropriate
official in each incorporated municipality and the V olusia County Government, authorizing the low
level flights under 500 foot altitude with helicopters and fixed wing aircraft over congested portions of
incorporated municipalities and unincorporated portions of V olusia County. This FAA requirement is to
make communities aware that aircraft will be making flights under the minimum 1000 foot altitude
threshold for general aircraft operations. Mosquito control aircraft need to fly under 500 feet to inspect
for immature mosquitoes, spray for immature mosquitoes and spray for adult mosquitoes.
Populations of both potential disease bearing i.e. West Nile, Eastern Equine Encephalitis and pest
mosquitoes will be suppressed by spray flights in all areas where conditions warrant. Inspection flights
and aircraft landings will be made for the purpose of finding and treating immature stages of mosquitoes
in their breeding sites. This is our primary defense against large populations of mosquitoes.
We realize some people want to be notified prior to an adult mosquito spray operation. Our office will
notify people on our call list, from your area, who have requested prior notification before aerial
spraying. We will also post a map of our aerial residential spray areas prior to spraying on the
www.volusia.org website.
All such flights will be made in the public interest at such times as are considered necessary, and under
such conditions as are considered effective and safe, for the purpose of providing comfort and public
health protection for residents and visitors.
Weare concerned about communication towers in areas where we perform aerial spraying. Please
involve us in the planning of these towers to insure continued mosquito service to our citizens.
801 South Street . New Smyrna Beach, Florida 32168-5864
Tel: (386) 424-2920 . Fox: (386) 424-2924
www.volusia.org/mosquito
A Public Notice will be published in V olusia County newspapers.
Enclosed is an authorization form for your governing body signature. Please sign this form or one like it
and return it to us no later the March 31, 2009.
If there are any questions you may wish to discuss, please call me at (386) 424-2920.
Sincerely yours,
91
Jonas Stewart
Director
JS/km
Attachments
LETTER OF AUTHORIZATION
We hereby give authorization to Volusia County Mosquito Control
to perform low-level flights over our city/town in connection
with their inspection and aerial application of insecticides for
the control of mosquito larvae and adults in compliance with FAA
regulations explained in a letter from Volusia County Mosquito
Control during calendar year 2009 through March 31, 2010.
Signed:
Date:
Name (Typed):
Title:
City/Town:
State:
Zip Code:
&b
AGENDA REQUEST
CA #2009- Asset TransferlDisposal
Date: February 19, 2009
PUBLIC
HEARING
RESOLUTION ORDINANCE
BOARD
APPOINTMENT
OTHER
CONSENT March 16, 2009 BUSINESS
ITEM DESCRIPTION:
Request to approve Disposal of Fixed Assets.
BACKGROUND:
The City has fixed assets that will be auctioned or otherwise disposed of and need to be removed from
the property records in the Finance Department.
STAFF RECOMMENDATION:
Approve the removal of the fixed assets that will be disposed.
ACTION REQUESTED:
Motion to approve the removal of the fixed assets from the property records in the Finance Department.
FINANCIAL IMPACT:
f
(Finance Director)
(SPECIFY IF BUDGET AMENDMENT IS REQUIRE
PREVIOUS AGENDA ITEM:
If so, DATE:
YES
NO
YES NO
AGENDA ITEM #
Concurrence:
~~~
Robin L. Matusick "'\
Paralegal
Method of
Asset Number Description Department Disposal
510 Jacobson CR50 Mower Refuse Auction
1455 1989 Chevy C1500 Street Department Auction
507 1990 Chevy C1500 Field Operations Auction
978 1990 Chevy C1500 Field Operations Auction
1591 2004 Crown Vic Police Department Auction
1169 2000 Crown Vic Police Department Auction
1307 2001 Crown Vic Police Department Auction
106 1994 Fod F150 Code Enforcement Auction
1221 7500 Dell Laptop MIS Auction
662 1998 Chevy Pickup Leisure Services Auction
183 1995 Crown Vic Leisure Services Auction
331 1200 ft 5in Fire Hose Fire Department Replace
1409 Thermal Imager wI transmitter Fire Department Parts
111 Lennox Air Conditioner Police Department Surplus
116 2/5 ton Whirlpool Air Conditioner Police Department Surplus
118 FED JET sonic light bar Police Department Surplus
175 12X24 Shed Police Department Surplus
1313 Intel Computer Police Department Surplus
1396 Video Rendering Machine Police Department Surplus
125 Merlin Phone System Police Department Surplus
127 A T& T Phone System Police Department Surplus
119 FED JET sonic light bar Police Department Surplus
139 7.5 Ton Rudd Air Conditioner Police Department Surplus
296 Merlin Phone System Police Department Surplus
76 1000 VA Ext Phone System OGS Surplus
1386 Attendent answering system OGS Surplus
59 AT&T Phone System OGS Surplus
70 800 VA UPS Backup OGS Surplus
75 IBM RISC System OGS Surplus
52 AlC Unit OGS Surplus
57 AT&T Phone System OGS Surplus
58 AT&T Phone System OGS Surplus
239 Crown Vic -3009 Police Department Auction
279 Crown Vic - 3028 Police Department Donation
278 Crown Vic - 3027 Police Department Auction
276 1998 Ford Taurus Police Department Trade-in
287 1999 Chyrsler Cirrus Police Department Trade-in
569 Janitrol Central Heating & AlC Leisure Services Surplus
30 Blueprinting Machine Planning Auction
Hardware package designed for
1516 building department Building Surplus
Software package designed for
1517 building department Building Surplus
Software package designed for
1570 building department (phone support) Building Surplus
1660 HP Compaq Microcomputer Finance Department Parts
1647 HP DC5000 Finance Department Parts
1385 Computer Finance Department Parts
1545 CPU Finance Department Parts
Method of
Asset Number Description Department Disposal
1652 HP Laptop Finance Department Parts
432 Computer Fire Department Surplus
1546 Laptop Computer Fire Department Surplus
1547 Laptop Computer Fire Department Surplus
1469 Compaq Computer and Monitor Fire Department Surplus
1470 Compaq Computer and Monitor Fire Department Surplus
5 Compaq Computer and Monitor City Manager Surplus
43 Lanier Recorder City Clerk Surplus
45 HP Laser Printer City Clerk Auction
681 AlC Unit - City Hall OGS Surplus
684 AlC Unit - Community Center OGS Surplus
685 AlC Unit - City Hall OGS Surplus
532 Gas Pressure Washer Public Works Destroyed
735 Vacuum Regulator Package Water Department Surplus
1156 Line Printer MIS Auction
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
REFUSE
REQUEST FOR FIXED ASSET TRANSFER / DISPOSAL
2/19/09
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property ID Number Number if Appropriate Value Disposal Reauired
1 510 Jacobson CR50 Mower Auction
2 Auction
3 Auction
REASON FOR TRANSFERIDISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 No No No No No
2 No No No No No
3 No No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures A rove
Disa rove
Iicable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
STREET
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
2/19/09
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Reauired
1 1455 1989 Chevy C1500 Auction
2 Auction
3 Auction
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 No No No No No
2 No No No No No
3 No No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures I A rove
Disa rove
licable:
if transferred item :
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
FIELD OPERATIONS
REQUEST FOR FIXED ASSET TRANSFER / DISPOSAL
2/19/09
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property ID Number Number if Appropriate Value Disposal Required
1 507 1990 Chevy C 1500 Auction
2 978 1990 Chevy C1500 Auction
3 Auction
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 No No No No No
2 No No No No No
3 No No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
*** Attach documentin evidence.
Si natures A rove
Disa rove
licable:
if transferred item :
Rev 3/08
Date of Dis osal:
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
POLICE DEPARTMENT
REQUEST FOR FIXED ASSET TRANSFER / DISPOSAL
2/19/09
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property ID Number Number if Appropriate Value Disposal Required
1 1591 2004 Crown Vic Auction
2 1169 2000 Crown Vic Auction
3 1307 2001 Crown Vic Auction
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 No No No No No
2 No No No No No
3 No No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
*** Attach documentin evidence.
Si natures A rove
Disa rove
Iicable:
if transferred item :
Rev 3/08
Date of Dis osal:
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Cotl..... t;:N ~r.::.l.,..., eA.:
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
2/19/09
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property ID Number Number if Appropriate Value Disposal Required
1 106 1994 Ford F150 Auction
2 Auction
3 Auction
REASON FOR TRANSFERIDISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 No No No No No
2 No No No No No
3 No No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures A rove
Disa rove
licable:
if transferred item :
Rev 3/08
Date of Dis osal:
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
MIS
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
12/29/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Propertv ID Number Number if Appropriate Value Disposal Reauired
1 00001221 7500 Dell Laptop 0.00 Auction 2009
2
3
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes No No No No 0.00
2 Yes Yes Yes Yes Yes
3 Yes Yes Yes Yes Yes
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
Disa rove
licable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Liesure Service
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
11/24/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item
No
1
2
3
Pro ert ID Number
662
0183
Description - Indicate Inventory
Number if Appropriate
1998 Chevy Pickup
1995 Crown Victoria
Estimated Method of
Value Disposal
auction
auction
Date Disposal
Re uired
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 No No No Yes No
2 No No No Yes No
3 No No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
A rove
Disa rove
Iicable:
Rev 3/08
Date of Dis osal:
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.
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Fire Department
REQUEST FOR FIXED ASSET TRANSFER / DISPOSAL
1 0/24/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Required
331 Misc fire equp - 1200 ft Sin replaced 10/21/08
1 hose
2 1409 thermal imager w/ transmitter parts 10/21/08
3
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No No
2 No Yes No No No
3 Yes Yes Yes Yes Yes
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures A rove
Disa rove
licable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Police Department
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
10/27/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Required
1 111 lennox AlC surplus
2 116 2/5 ton whirlpool AlC surplus
3 118 FED JET sonic light bar surplus
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes No No No No
2 Yes No No No No
3 Yes No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures A rove
Disa rove
Iicable:
Rev 3/08
Date of Dis osal:
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Police Department
REQUEST FOR FIXED ASSET TRANSFER / DISPOSAL
10/27/08
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property fD Number Number if Appropriate Value Disposal Required
1 175 12x24 shed surplus
2 1313 intel computer surplus
3 1396 video rendering computer surplus
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes No No No No
2 Yes No No No No
3 Yes No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures A rove
Disa rove
Iicable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Police Department
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
10/27/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Prooertv 10 Number Number if Appropriate Value Disposal Required
1 125 merlin phone system surplus
2 127 A T& T phone system surplus
3 119 FED JET sonic light bar surplus
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes No No No No
2 Yes No No No No
3 Yes No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures A rove
Disa rove
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Police Department
REQUEST FOR FIXED ASSET TRANSFER / DISPOSAL
10/27/08
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property ID Number Number if Appropriate Value Disposal Required
1 139 7.5 ton rudd AlC surplus
2 296 Merlin phone system surplus
3
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes No No No No
2 Yes No No No No
3 Yes No No No No
· Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures A rove
Disa rove
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
OGS
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
1 0/22/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Required
1 76 1000 VA EXt phone system 10/21/08
2 1386 Attendent answering system 10/21/08
3 10/21/08
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No No
2 Yes Yes No No No
3 Yes Yes No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
Disa rove
licable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
OGS
REQUEST FOR FIXED ASSET TRANSFER / DISPOSAL
1 0/22/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Required
1 59 AT&T 10 station circuit pack 10/21/08
2 70 800 VA UPS Backup 10/21/08
3 75 IBM RISC ssytem 10/21/08
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No No
2 Yes Yes No No No
3 Yes Yes No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
Disa rove
Iicable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
OGS
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
10/22/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
ANANCEDEPARTMEN~
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Required
1 52 NC unit 10/21/08
57 AT&T Merlin Phone system- 10/21/08
2 PO
58 AT& T Merlin phone system- 10/21/08
3 CH
REASON FOR TRANSFERIDISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No No
2 Yes Yes No No No
3 Yes Yes No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
Disa rove
Iicable:
Rev 3/08
Date of Dis osal:
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Police Department
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
11/18/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item
No
1
2
3
Description - Indicate Inventory
Number if Appropriate
REASON FOR TRANSFER/DISPOSAL:
T ransferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 No No No Yes No
2 No No No Yes No
3 No No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures A rove
Disa rove
~
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
-_.
FROM:
SUBJECT:
DATE:
Finance Department
Police Department
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
11/18/08
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item
No
1
2
3
Date Disposal
Re uired
.03
. ,-6g'
REASON FOR TRANSFER/DISPOSAL:
Not Cannot
Item Obsolete Repairable Stolen" Locate
1 No No No
2 No No No
3 No No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
**"Attach documentin evidence.
Si natures
Transferred*"
(Notate Receiver's
Department Number)
Trade In*"*
(What & How
Much)
cc
l>
A rove
Disa
rove
licable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Liesure Service
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
10/27/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item
No
1
2
3
Pro ert ID Number
569
Description - Indicate Inventory Estimated
Number if Appropriate Value
Janitrol Central heating & AlC
Method of
Disposal
Date Disposal
Re uired
10/27/08
REASON FOR TRANSFER/DISPOSAL:
Transferred- Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen. Sold Locate Department Number) Much)
1 Yes Yes No No No
2 Yes Yes Yes Yes Yes
3 Yes Yes Yes Yes Yes
· Stolen Property - A copy of the police report must be sent along with this request.
-Disposal of surplus property will be within current approved polley
***Attach documentin evidence.
Si natures A rove
Disa rove
Iicable:
Rev 3/08
Date of Dis osal:
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Plannino
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
1 0/22/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property ID Number Number if Appropriate Value Disposal Required
1 30 Blueprinting Machine Auction 10/21/08
2
3
REASON FOR TRANSFER/DISPOSAL:
Transferred.. Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen. Sold Locate Department Number) Much)
1 Yes Yes No Yes No
2 No No No No No
3 No No No No No
· Stolen Property - A copy of the police report must be sent along with this request.
..Disposal of surplus property will be within current approved policy
...Attach documentin evidence.
Si natures A rove
Disa rove
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Buildino Department
REQUEST FOR FIXED ASSET TRANSFER / DISPOSAL
10/15/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description -Indicate Inventory Estimated Method of Date Disposal
No Pro e ID Number Number if Appropriate Value Disposal Re uired
00001516 Hardware pkg. designed for 10/15/08
1 Suildin De t.
00001517 Software pkg. designed for 10/15/08
2 Suildin De t.
00001570 Software pkg. designed for 10/15/08
3 Suildin De t hone su ort
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In.*.
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes No No No No
2 Yes No No No No
3 Yes No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
*** Attach documentin evidence.
Si natures A rove
Disa rove
Iicable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Finance Department
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
10/16/08
All FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Reauired
1 1660 HP compaq microcomputer parts 10/15/08
2 1647 HP DC5000 parts 10/15/08
3
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No No
2 Yes Yes No No No
3 Yes Yes No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
Disa rove
licable:
Rev 3/08
Date of Dis osal:
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Finance Department
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
10/16/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Required
1 1385 computer parts 10/15/08
2 1545 CPU parts 10/15/08
3 1652 HP laptop parts 10/15/08
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No No
2 Yes Yes No No No
3 Yes Yes No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
Disa rove
Iicable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Fire Department
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
1 0/22/08
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Reauired
1 432 Computer System Surplus
2 1546 laptop computer Surplus
3 1547 laptop computer Surplus
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No Yes
2 Yes Yes No No Yes
3 Yes Yes No No Yes
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
Disa rove
licable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Fire Department
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
1 0/22/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property ID Number Number if Appropriate Value Disposal Required
1 1469 Compaq computer & monitor Surplus
2 1470 Compaq computer & monitor Surplus
3 Surplus
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No No
2 Yes Yes No No No
3 Yes Yes No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
Disa rove
licable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
City Manaaer
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
10/22/08
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Reauired
1 5 Compaq laptop computer Surplus
2
3
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No No
2 Yes Yes No No No
3 Yes Yes No No No
* Stolen Property - A copy of the police report must be sent along with this request.
"Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
Iicable:
Disa rove
\Q)
if transferred item :
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
City Clerk
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
1 0/22/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Required
1 43 Lanier Recorder Surplus
2 45 HP Laser Priner Auction
3
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No No
2 Yes Yes No Yes No
3 Yes Yes No No No
* Stolen Property - A copy of the police report must be sent along with this request.
"Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures
Disa rove
Fleet Mana ement or MIS when a licable:
De artment Head:
Receivin De artment Director if transferred item :
Finance Director:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
OGS
REQUEST FOR FIXED ASSET TRANSFER / DISPOSAL
1 0/22/08
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property ID Number Number if Appropriate Value Disposal Required
1 681 (:...~ I\~" AlC unit 10/21/08
2 684 L- Lh....- AlC unit 10/21/08
3 685 C-- r. f..-' AlC unit 10/21/08
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes Yes No No No
2 Yes Yes No No No
3 Yes Yes No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures A rove
Disa rove
Iicable:
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Public Works
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
11/26/08
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE.
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property ID Number Number if Appropriate Value Disposal Required
1 532 Gas pressure washer destroyed
2
3
REASON FOR TRANSFERIDISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 No Yes No No No
2 No No No No No
3 No No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
***Attach documentin evidence.
Si natures A rove
Disa rove
Rev 3/08
Date of Dis osal:
pr~ > ')...J ,-~
u......&' ~<l...--
UJ<->-> (2..1./,0
(J <..J {/-
b~
e..'t.... ,('~ .4 -
f~r
~ \ lu...
r.-
\ ~.r" ~ I
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
Water Department
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
10/28/08
ALL FIXED ASSET ITEMS MUST HAVE CITY 1.0. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property ID Number Number if Appropriate Value Disposal Required
1 735 vacuum regulator package Surplus
2
3
REASON FOR TRANSFERIDISPOSAL:
Transferred.... Trade In......
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen" Sold Locate Department Number) Much)
1 Yes No No No No
2 Yes Yes No No No
3 Yes Yes No No No
.. Stolen Property - A copy of the police report must be sent along with this request.
....Disposal of surplus property will be within current approved policy
*....AUach documentin evidence.
Si natures A rove
Disa rove
Rev 3/08
The City of Edgewater
Finance Department
104 Riverside Drive
Edgewater, FL 32132
REQUEST FOR FIXED ASSET TRANSFER I DISPOSAL
TO:
FROM:
SUBJECT:
DATE:
Finance Department
IT department
REQUEST FOR FIXED ASSET TRANSFER / DISPOSAL
3/04/2009
ALL FIXED ASSET ITEMS MUST HAVE CITY I.D. NUMBERS, SERIAL NUMBERS, ETC., IN ORDER TO MAKE
PROPER IDENTIFICATION OF EACH ITEM TO BE REMOVED FROM YOUR PROPERTY RECORDS BY THE
FINANCE DEPARTMENT.
Item Description - Indicate Inventory Estimated Method of Date Disposal
No Property 10 Number Number if Appropriate Value Disposal Required
1 t1~' Line printer
2
3
REASON FOR TRANSFER/DISPOSAL:
Transferred** Trade In***
Not Cannot (Notate Receiver's (What & How
Item Obsolete Repairable Stolen* Sold Locate Department Number) Much)
1 Yes No No Yes No
2 No No No Yes No
3 No No No No No
* Stolen Property - A copy of the police report must be sent along with this request.
**Disposal of surplus property will be within current approved policy
*** Attach documentin evidence.
Si natures
licable:
Disa rove
if transferred item :
Rev 3/08
gLl
AGENDA REQUEST
EDB-APT-RW
Date: March 5, 2009
PUBLIC
HEARING
RESOLUTION
ORDINANCE
BOARD
APPOINTMENT March 16. 2009 CONSENT
OTHER
BUSINESS
ITEM DESCRIPTION:
Request for appointment to the Economic Development Board to fill one (I) expiring term.
BACKGROUND:
Mr. Robert Williams whose term is expiring on March 20, 2009, is seeking reappointment.
STAFF RECOMMENDATION:
At their regular meeting held on March 4,2009, the Economic Development Board voted unanimously to
send the recommendation to reappoint Mr. Robert Williams for an additional 3-year term on the
Economic Development Board.
ACTION REQUESTED:
Motion to reappoint Mr. Robert Williams for a 3-year term on the Economic Development Board.
FINANCIAL IMP ACT:(Finance Director) N/ A
(SPECIFY IF BUDGET AMENDMENT IS REQUIRED)
YES
NO
PREVIOUS AGENDA ITEM:
YES
NOX
If so, DATE:
AGENDA ITEM #
Respectfully submitted,
Concurrence:
~
Economic Development Board Coordinator
~~'-JJ lFY~k::"
Robin L. Matusick
pa;r /td-
~cr!"arlOW
CIty anager
BFMC.
&rC R4A Mm2M1 Cenatr
March 3, 2009
Robert Lott, Chairman
Economic Development Board
City of Edgewater
Park Avenue
Edgewater, FL 32141
Dear Chairman Lott:
My appointment to serve on the Economic Development Board will expire on March 20,
2009. At this time of economic uncertainty, I believe it is important for local
businesses and the surrounding communities to work together to build a strong
foundation for our future. I very much would like to be part of that endeavor.
Therefore, please accept this as my formal request to remain a member of the
Edgewater Economic Development Board.
I have enjoyed serving the community of Edgewater and look forward to the
opportunity of working with you and the City further.
Sincerely,
J:y
Bob Williams
President/CEO
P.O. Box 1350 · New Smyrna Beach. FL 32170 1350 · (386) 424 5000 . Fax (386) 424 5074 . www bertfish.com
40 I Palmetto Street · New Smyrna Beach, FL 32168
l
8b
AGENDA REQUEST
EDB-APT-BJ
Date: March 5, 2009
PUBLIC
HEARING
RESOLUTION
ORDINANCE
BOARD
APPOINTMENT March 16, 2009 CONSENT
OTHER
BUSINESS
ITEM DESCRIPTION:
Request for appointment to the Economic Development Board to fill one (I) vacant term.
BACKGROUND:
Ms. Robert Overton resigned from the Economic Development Board in September 2007. His position
has been vacant since that time. The Board has been diligently seeking applicants in the Education and
Aviation Fields. Ms. Jamison has strong ties to Massey Airpark and the Board members feel her input
would be helpful in advancing the Boards Program of Work.
STAFF RECOMMENDATION:
At their regular meeting held on March 4,2009, the Economic Development Board voted unanimously to
send the recommendation to appoint Ms. Bliss Jamison to fill the position vacated by Mr. Robert
Overton for a 3-year term on the Economic Development Board. Mr. Overton's term is due to expire
on September 25,2009.
ACTION REQUESTED:
Motion to appoint Ms. Bliss Jamison for a 3-year term on the Economic Development Board.
FINANCIAL IMP ACT:(Finance Director) N/ A
(SPEC[FY IF BUDGET AMENDMENT [S REQUIRED)
YES
NO
PREVIOUS AGENDA ITEM:
YES
NOX
If so, DATE:
AGENDA ITEM #
Respectfully submitted,
~
Economic Development Board Coordinator
Concurrence:
~~~~~,
Robin L. Matusick
Paralegal
4i;r#~
City anager
CITY OF EDGEW^TEr~
RECEIVED
FEB 2 0 20u~
No
BOARD AND COMMITTEE MEMBERS MAY BE REQUIRED TO FiLE WITH: THE STATE,
FINANCIAL.DISCLOSURE FORMS EACH YEAR .
PLEASE-INDICATE THE BOARDS OR COMMITTEES YOU WOULD LIKE TO SERVEON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
ANIMAL CONTROL BOARD
CITIZEN CODE ENFORCEMENT BOARD
CONSTRUCTION REGULATION BOARD
,/ . ECONOMIC DEVELOPMENT BOARD
FIREFIGHTERS PENSION BOARD
GENERAL EMPLOYEES PENSION BOARD.
LIBRARY BOARD. .
RECREATION & CuLtuRAL SERVICES
PLANNING &. ZONING BOARD
POLICE PENSION BOARD. ....
VETERANS PARK A YD. COMMITTEE
Si~e~m~~ O're
oJ I'd 0. 0 0'7
I I
APPLICA nON FOR BOARD APPOINTMENT TO CITY BOARDS AND COMMITTEES
Name Sherry Lester
Address 2230 Needle Palm. Edgewater. FL 32141
Home Phone 386-423-3035 Business Phone 386-423-5595
Occupation General Manager Accent Employment and AMS Staff Leasing
Are you a registered voter? yes Voting District 3
Are you a resident of Edgewater? yes How long? 10 ves
Is your principle place of employment in Edgewater? yes
If yes, how long 8 years
Briefly state your interest in serving on a City board or a committee: help create a quality business
climate and attract or expand iob generating businesses in the City of Edgewater
State your experience/qualifications as an employment manager I understand the current hard-
ships of our local businesses and as a multi-state workers compensation underwriter. I understand
the cost of doing business.
Are you employed by the City? no Do you hold public office no
At the present time, do you serve on any other Boards or committees? no
If so, list each:
Have you served on any boards or committees? in Ohio
If so, list each: Fairfield August I sl Alliance. Secretary to Lindenwald Little League Board
BOARD AND COMMITTEE MEMBES MAY BE REQUIRED TO FILE WITH THE STATE,
FINANCIAL DISCLOSURE FORMS EACH YEAR
PLEASE INDICATE THE BOARDS OR COMMITTEES YOU WOULD LIKE TO SERVE ON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
_ANIMAL CONTROL BOARD
-X-CITIZEN CODE ENFORCEMENT BOARD
-.;;r-CONSTRUCTION REGULATION BOARD
~ECONOMIC DEVELOPMENT BOARD
_FIREFIGHTERS PENSION BOARD
GENERAL EMPLOYEES PENSION BOARD
_LIBRARY BOARD
_RECRATION & CULTURAL SERVICES
_PLANNING & ZONING BOARD
POLICE PENSION BOARD
_VETERANS PARK A VD. COMMITTEE
Signature ~ ~~
Date
J.-- l d ~O~
\..
APPLICA TION FOR APPOINTMENT TO
CITY BOARDS AND COMMITTEES
Name 1;1l'1rr,ol'J2:. -.T. BIA-ck. Seo 05-14-07All :58 RCVO
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Are you a registered voter?
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Are you a resident of Edgewater?
''-if: 5
How long?
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Voting District
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If yes how long?
Is your principal place of employment in Edgewater? No
Briefly state your interest in serving on a City board or committee:
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Are you employed by the CitY?~Do you hold public office? f( ()
I f so, list each: 1J 0 ;V E
At the present time, do you serve on any other Boards or committees?
Have you ever served 011 any boards or committees?
If SO, list each:
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(BOARD AND COMMITTEE MEI\1DERS MA Y BE REQUIRED TO FILE WITH THE STATE,
FINANCIAL DISCLOSURE FORMS EACH YEAR)
PLEASE INDICATE THE BOARDS OR COMMITTEES YOU WOULD LIKE TO SERVE ON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
_ANIMAL CONTROL BOARD
LCITlZEN CODE ENFORCEMENT BOARD
_CONSTRUCTION REGULATION BOARD
~ECONOMIC DEVELOPMENT BOARD
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_GENERAL EMPLOYEES PENSION BOARD
_ LIBRARY BOARD
_RECREATION & CULTURAL SERVICES
~PLANNING & ZONING BOARD
_POLICE PENSION BOARD
- VETERANS PARK ADV. COMMITTEE
0-/0- cJ :;L.
Date
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APPLICATION FOR APPOINTMENT TO
CIlY BOARDS AND COMMITTEES
Address
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How long? 2- y v'>
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Is your principal place of employment in Edgewater?
If yes how long? .
Briefly state your interest in serving on a City board or committee:
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Are you employed by the City?....L!l.Q...Do you hold public office? /lJ 0
At the present time, do you serve on any other Boards or committees? IIJ [)
If so, list each:
Have you ever served on any boards or committees? tV lJ t { h V ~ I v ~ (L:c- u -'it
(fso, list each: Zk.:-.-fv-c <..&..,/ -rw~f.t..c;fo..... - cPvl(..1~ 611(r.ie;.. .pI
(BOARD AND COMMTITEE MEMBERS MAY BE REQUIRED TO FILE WITH THE STATE,
FINANCIAL DISCLOSURE FORMS EACH YEAR)
PLEASE INDICATE THE BOARDS OR COMMITTEES YOU WOULD LIKE TO SERVE ON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
_ANIMAL CONTROL BOARD _GENERAL EMPLOYEES PENSION BOARD
_CITIZEN CODE ENFORCEMENT BOARD LIBRARY BOARD
_CONSTRUCTION REGULATION BOARD _RECREATION & CULTURAL SERVICES
i XECONOMIC DEVELOPMENT BOARD 2.XPLANNING & ZONING BOARD
_FIREFIGHTERS PENSION BOARD _POLICE PENSION BOARD
_VETERANS PARK ADV. COMMITIEE
=";~~(nu~~'~ ~ Oa" MID 7D(
APPLICATION FOR APPOINTMENT TO
CITY 80ARDS AND COMMITTEES
04-11-07Al0:18 RCVD
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How long?
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Are you a registered voter?
Voting District
Is your principal place of employment in Edgewater?
(fyes how long?
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Briefly state your interest in serving on a City board or committee:
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State your experience/qualifications --L a. VV\ Q. r.e ~ \ P 3) tev\-e t v\ v e6tn r
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Are you employed by the City? 00 Do you hold public office'? J0 [)
At the present time, do you serve on any other Boards or committees?
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(fso, list each: ;\-- (3 ,
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Have you ever served on any boards or committees? hi IV\. .s A ~ ~~f () L L
If SO, list each: ~t e.. -Ce ~ '14<1.,'" . _:t. V 0 IcoN" b lJ ,~~,
(BOARD AND COMMITTEE MEMBERS MAYBE REQUffiED TO FILE WUH THE STATE, \ h. D (3 ,
FINANCIAL DISCLOSURE FORMS EACH YEAR)
PLEASE INDICATE TIlE 80ARDS OR COMMrn'EES YOU WOULD LIKE TO SERVE ON
AND RANK THEM ACCORDING TO CHOICE BY NUMBER
_ANIMAL CONTROL BOARD
_GENERAL EMPLOYEES PENSION BOARD
_ LIBRARY BOARD
_CITIZEN CODE ENFORCEMENT BOARD
_CONSTRUCTION REGULATION BOARD
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1~f1€P~oi\g(;-Dh"VEL.()PMENf'aOARD
_FIREFIGHTERS PENSION BOARD
_RECREATION & CULTURAL SERVICES
.,,0'LANNING & ZONING BOARD
_POLICE PENSION BOARD
:.ill _ VETERANS PARK ADV. COMMITTEE
SigDalure C)~Xlw.~_ tk-AJp/\ Dale :3 -IL.\.-Dl
(REVISED (2-10-04)
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'.' .THE CITYOF.E;D'GEWA.TER
.,
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: ". .Po.STOFFICE BOXiOO-ED.GlJWAi'ER~'FLOiuDA '321~2-0100..'
.AP.PLlcATIQN :FOR ~PO:nfrME~ '~. C.ITY ..'
'. BOAlmSOR;Ca.:tMITTE2,S.." ".
~" I\Cjn~s.. \A!l~\e~' ,.' .
:~DRESS " J.~3' \=lalj\er' AVe
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Hq,fE PHONE '. ~ ;). 2 - 5 ~ ~ 7 '.:
'OCCUPATION . reA lred
Are 'yo~ a resident.of.Edgewater
o 9 - ~! ~ - 0 7' A i I : 4 ~ t'N
". . BUSINESS paONE
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.(~::'. '. How'long :3 t. ,!ears
. Is your principal "place of 'empl~yment ih Edgew~te:r? :-.:.
. ..... . if yes'how long?" ..
.'3r.~eflY state your int.eres~ .in se.rvi~9 on. a"Ci~y Qoard o~
'. ~oIDmit'te~:' t WDlk\'d. . tk~ .to .see. ~u:r-: . c'\-l- rDW 'I'~.',
.' 0.. S~~),-\:-O-incib\~ \",4T\t'\e;~. . y' 'e,:,e OYIY"'I<j nl~hes-\ o.V'\cl. bes .
. Ll S e w\1 er.~. , o.pp. ro pn ~te.. . . . .'.
sta te y<?u~ e.~per.:.ie!loe / qual~ f~'ca t,i.ons , .
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Are.. you a r~gi~ ~red V'ot~r?, y~.s
'. 'l\re: yo.u. emPlo~ed'by th~' Cit~? No :DO 'you '4'01~ :pubilc 'oiiice? ~.t'o '.
.At the pr~seht ~i~e~ dQ.you: ~erve on ary other. Boards.or co~~ttee~?
. '~e'5 '~f so; list ea'ch:. ....Q.\+-I:2.e.T"'\ Vo unh?er-', ...... ....
. I
. Have you eve!; served 'on
list. 'each':: .' c.. \ f
or committees? h
. '.
"
If'so,
. (l:l~' AND COMMl;TTEE ~ERS MAY BE. REQU!~D. TO :FILE WITH THE. STATE,
FINANCIAL DISCLOSURE 'FORMs:"EACH r~) '. " ".-
. . .' .. . PLEASE rNolCA'I'E BOARDS O~ COMMl:T'I'EES YOU ..
WoULD LIKE '1'0 s~~w' ON AND'.RANK "THEM ACeoROING. TO CaOICE BY NUMBER
,
~ANIMAL 'CONTROL BOARD
--:-GENE~ ~MPLOt~ES PENSION. a.OARD'
.' --=---~~BIVJ{Y . BOARD
~RECREATION. & CULTURAL SERVicES
-L.~_j;~.I~G ~ ZON:r~G BOARD
~POLICE P~NSION ~QARD
. VE~ERANS PARK ADV. COMMITTEE
-.... .
. . .
~CITIZEN.CODE E~FORCEMENT BOARD
-. . . .
~CONSTRUCTION REGULATibN BOARD
~~~O~O~I? DEVELOPME~T" BOARD
~FIREFIGHTERS'PENSiON'BOAR~
SI:GNATuRE', ~ .ILJ~ . DATE:
SEE REVERSE SIDE PO BOARD AND COMMITT~ES LISTINGS (2-10-03)
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THE CITY OF' EIJGEWATER
,POST OFFICE BOX 1 OO-EDGEWA TER, '.FLORIDA "32132-0100
,APPLIcATIQN 'FoR ~POINTMENT .~ CITY
, BOAJIDS OR, COMMITTEE,S.
NAME \(); d~G,-\, P a,' ~~~ \;l
AnDRESS \~~.'~" '.~~\
HoJ.m PHO~ S"-\ \ I . C\(<"""l <IL S- .. . BUSINESS paONE
~
. OCCUPATION c2 '.
Are YOt;! a resident Of'Edget>fater~HOw 'long
Is your principal :Pla~e of 'em~i~~~~t 'ih Ed9~w~te~?
. if y~s how long?'
Bri.efly state your int.eresl;:. in se.rvi~g on a"'City Qoard 0;-
committee: ~~l~. q W'~\-,-\e ..ti~.'~../a.~/.;
'. 'j '. . '.
." -..... ." . '.", ".
.. .
. . .
State your experienoe/qualifications
....~ .Q~,\t-~/\'c:~ ..' .". . '.
Are', yoU' a r~gi~t~r~d. 'vot~~'? \..v', \ \ be. ,
. .Are: 'you el,llpl.oyed by the' CitY'?KD~ 'you .h'old .p~biic 'office? .'
. At t}'le' present ~i~e~. dQ. you:' serve on any other Boards or coinr{i;i ttee.s?
. N If so; list ea'ch:
. ..,.
'~l~, 1k:LY
'. w
Have you eve
list. 'each::
or commi t tees,?
If so,
(t3~ AND C~TTEE. ~ERS MAY BE. REQU!~O. TO FILE ~ITH THE STATE,
FINAN~IAL pISCL9.S~ 'FO~:)~ACH~) ." .'. ' .'
.' PLEA$E INDI~TE BOAlWs o~ COHMl:TTEES YOU
WOULD LIKE TO SE~vg' ON AND'~ 'THEM ACCoRDING, ~O CaOICE BY NUMBER
" v-: [) ;~I{cj, /~J 4,}", ("u~:..::I-I~<. /1l?o ~G~ERAL EMt'LOYEES PENSION BOARD"
~ANIMAL 'CONTROL BOARD . . --'-u' ~MRY BOARD
~CITIZENCODE ENFORCEHENT BOARD ~~REA'I~ ' CD~TORAL SERVICES
~N'STRUCTION REGULAT.I.CiN BOARD .' PLANNING & ZON.I~G BOARD .
~ECONOMIC DEVELOPMENT BOARD _____POLICE PENSION ~OARD
_FIRE. FIGHT~.P"r\O~il :0. Q _VETER,ANS PARi< ADV. COMMITTEE
SIGNATURE ~ ~. _.. DATE: 0- \,'2.2 ' c:n
SEE REVERSE SIDE FOR BOARD AND COMMITTEgs LISTINGS (2-10-03)
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AGENDA REQUEST
Date: March 5, 2009
PUBLIC
HEARING
RESOLUTION
ORDINANCE
BOARD
APPOINTMENT
CONSENT
OTHER
BUSINESS March 16. 2009
ITEM DESCRIPTION: Award bid proposal for Replacement of the Fuel System at the
Environmental Services Public Works Facility.
BACKGROUND: The Florida Department of Environmental Protection ruled that all single
walled underground storage tanks be upgraded by December 31,2009. The City currently has
three single walled underground storage tanks for diesel fuel and unleaded fuel. Requests for
proposals were solicited and seven contractors submitted proposals on February 23,2009, to
perform the work.
STAFF RECOMMENDATION: After evaluation of all the proposals, staff recommends
awarding the work to Southeastern General Contractors, Inc. as specified in the bid proposal.
Abandonment and replacement of the fuel tanks and fuel system is not to exceed $124, 213.00.
Sludge removal shall be in the amount of $1.25 per gallon and any contaminated soils discovered
in the scope of the work will be in the amount of $20 per cubic foot for excavation and
replacement, $20 per ton for transportation and incineration of contaminated soil, and $1.50 per
cubic foot for fill compaction and rough grading where contaminated soils are found.
ACTION REQUESTED: A motion to award the bid proposal to Southeastern General
Contractors, Inc. in the amounts as specified in the proposal and to authorize the Mayor to
execute the Agreement for Services. '~. ,.... .Il /IA (V I
FINANCIAL IMPACT: (FINANCE DIRECTOR) _ ~ I r L ~
\
(SPECIFY IF BUDGET AMENDMENT IS REQUIRED)~
PREVIOUS AGENDA ITEM:
YES
NO XX
DATE:
AGENDA ITEM NO.
Respectfully submitted,
~ / ~p;7LLJ ~rr-n':Wt"'CL
Brenda L. Dewees Robin Matusick
Interim Director of Env. Services Paralegal
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
THIS AGREEMENT, made and entered into this day of March, 2009, by and
between the City of Edgewater, a municipal corporation organized and existing under the laws of the
State of Florida, hereinafter referred to as the "City" and SOUTHEASTERN GENERAL
CONTRACTORS, INC., 508 Wilbanks Drive, Ground, GA 30107 hereinafter referred to as the
("Contractor"), sets forth that:
WHEREAS, the City desires to engage a Contractor who has special and unique competence
and experience in replacement of fuel tanks; and
WHEREAS, the Contractor represents that it is duly licensed and it has such competence and
experience in providing these services; and
WHEREAS, the City in reliance on such representations has selected the Contractor in
accordance with the requirements of law; and
WHEREAS, at the City Council meeting of March 16, 2009, RFP of Contractor was duly
considered and it was determined to be in the best interests of the City to enter into this Agreement
with the Contractor; and
WHEREAS, the City and the Contractor desire to reduce to writing their understanding and
agreements on such;
IT IS, THEREFORE, AGREED as follows:
1. TERM. This Agreement shall commence on the day it is executed by both parties and
the term of the Agreement shall extend until completion of the project in accordance with the Project
Schedule as set forth herein.
2. AGREEMENT DOCUMENTS. The Agreement Documents (also called
AGREEMENT DOCUMENTS) consist of this Agreement, the Request for Proposal #09-PW-003,
the proposal submitted by Contractor, all Addenda if any, any other documents listed in the
Agreement Documents, and written modifications issued after execution of this Agreement, if any.
( a) Intent. The Scope of Work is an integrated part of the Agreement Documents
and as such will not stand alone if used independently. These documents establish minimum design
standards of quality for this Project. They do not purport to cover any details entering into the design
and construction of materials or equipment. The intent of the Agreement Documents is to set forth
requirements of performance. It is also intended to include all labor and materials, equipment, tools
and transportation necessary for the proper execution of the Work, to require new material and
equipment unless otherwise indicated, and to require complete performance of the Work in spite of
omission of specific reference to any minor component part and to include all items necessary for the
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 1 of 1
proper execution and completion of the Work by the Contractor. Performance by the Contractor shall
be required only to the extent consistent with the Agreement Documents and reasonably inferable
from them as being necessary to produce the intended results.
(b) Entire and Sole Agreement. Except as specifically stated herein, the Agreement
Documents constitute the entire agreement between the parties and supersede all other agreements,
representations, warranties, statements, promises, and understandings not specifically set forth in the
Agreement Documents. Neither party has in any way relied, nor shall in any way rely, upon any oral
or written agreements, representations, warranties, statements, promises or understandings not
specifically set forth in the Agreement Documents.
(c) Amendments. The parties may modify this Agreement at any time by written
agreement. Neither the Agreement Documents nor any term thereof may be changed, waived,
discharged or terminated orally, except by an instrument in writing signed by the party against which
enforcement of the change, waiver, discharge or termination is sought.
3. ENGAGEMENT OF CONTRACTOR. The City hereby engages the Contractor and
the Contractor hereby agrees to properly abandon three (3) existing tanks, leave in place and install
(I) new above ground 16,000 gallon capacity minimum double wall, compartment tank split with a
minimum 9,000 gallon capacity for unleaded fuel and 7,000 gallon capacity for diesel fuel,
dispensing equipment, leak detection and piping and fuel management system, as described in the
Agreement Documents.
4. SCOPE OF WORK AND RELATED DATA. The intent of the Scope of Work, and
other Agreement Documents is that the Contractor furnishes all labor and materials, equipment,
supervision, and transportation necessary to perform the Work. Unless specifically noted otherwise
the Work is to be conducted as described in the Agreement Documents. The Contractor shall do all
the work described in the Agreement Documents and all incidental work considered necessary to
complete the Work entirely ready for use in a manner acceptable to the City.
Any discrepancies found between the Agreement Documents and site conditions, or any
errors or omissions in the Agreement Documents, shall be immediately reported to the City. The City
shall promptly determine the validity and seriousness of the claimed condition and correct any such
error or omission in writing, or otherwise direct Contractor. Any work done by the Contractor after
his discovery of such discrepancies, errors or omissions shall be done at the Contractor's risk.
Any correction of errors or omissions in the Agreement Documents may be made by the City
when such correction is necessary for the proper fulfillment of their intention as construed by City.
Where said correction of errors or omissions, except as provided in the next paragraph below, adds to
the amount of work to be done by the Contractor, compensation for said additional work shall be
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 2 of 2
negotiated between the parties and must be issued as a written change order before any such
additional work is performed or no additional compensation shall be made.
The fact that specific mention of any part of work is omitted in the Agreement Documents,
whether intentionally or otherwise, when the same are usually and customarily required to complete
fully such work as is specified herein, will not entitle the Contractor to consideration in the matter of
any claim for extra compensation, but the said work must be installed or done the same as if called
for by the Agreement Documents. All work and material usual and necessary to make the Work
complete in all its parts, whether or not they are indicated or mentioned in the Technical
Specifications, shall be furnished and executed the same as if they were called for by the same. The
Contractor will not be allowed to take advantage of any errors or omissions in the Technical
Specifications. The City will provide full information when errors or omissions are discovered.
5. COMPENSATION. For satisfactory performance of the Work, the City will pay the
Contractor the prices indicated in the Contractor's proposal. Payment shall be made for all Work
completed by the Contractor during each calendar month which has been accepted by the City and
has been properly documented. Payments shall not be made for Work deemed incomplete or
deficient by the City. At the end of each month, the Contractor shall submit an invoice with the
supporting documentation of all work completed and accepted by the City for that month to the
Finance Department and payment of the approved invoice amount.
Claims arising from changes or revisions made by the Contractor at the City's request shall
be presented to the City before work starts on the changes or revisions. If the Contractor deems that
extra compensation is due for work not covered herein, or in a Supplemental Agreement, the
Contractor shall notify the City in writing of its intention to make claim for extra compensation
before work begins on which the claim is based. If such notification is not given, then the Contractor
hereby waives its request for such extra compensation. The City is not obligated to pay the
Contractor if the City is not notified as described above. The Contractor may refuse to perform the
additional work requested by the City until the parties execute an appropriate agreement. Such notice
by the Contractor and the fact that the City has kept account of the costs as aforesaid shall not in any
way be construed as proving the validity of the claim.
6. RELEASES. When it is determined, as a result of a joint inspection of the Work by the
Contractor and City that the Work has been completed in accordance with the terms of the
Agreement Documents, the completion of the Work shall be certified by the City. At that time, the
Contractor may submit the Contractor's final request for payment. Prior to final payment, the
Contractor shall execute and deliver to the City a Contractor's Affidavit and Release of Claim for all
claims against the City arising under or by virtue of the work order. Also, from each supplier or
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 3 of 3
subcontractor who has notified the City of his right to file a Claim (Notice to City) or who is listed in
the Contractor's Affidavit and Release of Claim as an unpaid potential Claimant, a Claimant's Sworn
Statement of Account, executed by the supplier or subcontractor, must be attached to each request for
payment.
7. PROJECT SCHEDULEILIQUIDATED DAMAGES. The Contractor shall
commence Work to be performed under this Agreement upon receipt of written Notice to Proceed
from the Director of Environmental Services. The Contractor shall fully complete the Work on or
before September 30, 2009. Failure to complete the project by such date will subject Contractor to
liquidated damages of five hundred and no/lOO dollars ($500.00) per day until said project is
complete.
The Contractor shall perform all Work under this Agreement in a timely manner consistent
with the assignment schedules as mutually agreed upon by the City and the Contractor. No extension
of time shall be valid unless given in writing by the City. No monetary compensation shall be given
for such delay.
A delay beyond the Contractor's control occasioned by an "Act of God" may entitle the
Contractor to an extension of time in which to complete the Work as determined by the City
provided, however, the Contractor shall immediately give written notice to the City of the cause of
such delay. "Rain day" extensions shall be granted upon written request of the Contractor to the City
when the City determines that weather conditions make it counterproductive to work on said days.
"Rain day" requests must be submitted at the end of each work week or be waived, and the
cumulative "rain day" extensions granted shall be processed as a Change Order with each pay
submittal.
The City shall have the authority to suspend the Work wholly or in part, for such periods as
may be deemed necessary and for whatever cause, by serving written notice of suspension to the
Contractor. In the event that the Contractor or the City shall become aware of any condition that may
be cause for suspension of the Work, they shall immediately advise the concerned parties of such
condition. The Contractor shall not suspend operations under the provisions of this Paragraph
without the City's permission. In the event that the City suspends the Work, the Contractor shall be
granted an extension of time to complete the Work for as many calendar days as the Work was
suspended; except that the Contractor will not be granted an extension of time to complete the Work
if the suspension was caused by a fault of the Contractor.
S.TERMINATION OF AGREEMENT. This Agreement may be terminated by the City with
or without cause provided at least five (5) days written notice of such termination shall be given to
the Contractor. Upon receiving notice of termination, the Contractor shall discontinue the Work on
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 4 of 4
the date and to the extent specified in the notice and shall place no further orders for materials,
equipment, services or facilities except as needed to continue any portion of the Work that was not
terminated. The Contractor shall also make every reasonable effort to cancel, upon terms satisfactory
to the City, all orders or subcontracts related to the terminated Work.
In the event of such termination, the Contractor shall be compensated for acceptable services
rendered prior to the date of termination and for materials ordered prior to the receipt of notice of
termination that cannot be returned to the Vendor. Any such materials and any work done by the
Contractor shall become the property of the City. Contractor waives all claims for compensation in
excess of that which is specifically provided for herein, including but not limited to, loss of
anticipated profits, idle equipment, labor, facilities, and claims of subcontractors and vendors.
9. CITY'S PROJECT MANAGER. City shall designate a Project Manager. All work
done shall be subject to the construction review of the City. Any and all technical questions which
may arise as to the quality and acceptability of materials furnished, work performed, or work to be
performed, interpretation of Technical Specifications and all technical questions as to the acceptable
fulfillment of the Agreement on the part of the Contractor shall be referred to the Project Manager
who will resolve such questions.
All materials and each part or detail of the Work shall be subject at all times to construction
review by the City. Such construction review may include mill, plant, or shop inspection, and any
material furnished under the Technical Specifications is subject to such inspection. The City shall be
allowed access to all parts of the Work and shall be furnished with such information and assistance
by the Contractor as is required to make a complete and detailed review. The City shall not be
responsible for the acts or omissions of the Contractor. Any changes to the scope of work or any
deviations from the Agreement Documents must be approved in writing through the Finance
Director.
10. CONTRACTOR'S DUTY. Contractor shall supervIse and direct the Work, usmg
Contractor's best skill and attention. Contractor shall be solely responsible for and have control over
construction means, methods, techniques, sequences and procedures and for coordinating all portions
of the Work under this Agreement, unless the Agreement Documents give other specific instructions
concerning these matters.
Unless otherwise provided in the Agreement Documents, Contractor shall provide and pay
for labor, materials, equipment, tools, construction equipment and machinery, water, heat, utilities,
transportation, and other facilities and services necessary for the proper execution and completion of
the Work, whether temporary or permanent and whether or not incorporated or to be incorporated in
the Work.
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 5 of 5
Unless otherwise provided in the Agreement Documents, Contractor shall pay all sales, use
and other similar taxes.
Contractor shall hold and maintain at all times during the term of this Agreement all required
federal, state and local licenses necessary to perform the Work required under the Agreement
Documents.
11. PERSONNEL. The Contractor represents that it will secure at its own expense all
personnel and sub-Contractors required for services, which are necessary to complete the Work as
described in this Agreement. All services under this Agreement shall be performed by the Contractor
or sub-Contractor and all persons engaged in work under the Agreement shall be qualified to perform
such services and authorized under federal, state and local laws to perform such services. Personnel
who perform services under this Agreement shall not be employees of the City.
All workers must have sufficient knowledge, skill and experience to perform properly the
work assigned to them. Any worker, including supervisors, employed by the Contractor or
subcontractors who, in the opinion of the City does not perform work under this Agreement in a
skillful manner, or appears to be incompetent or to act in a disorderly or intemperate manner shall, at
the written request of the City, be discharged immediately and shall not be employed again in any
portion of the Work without the approval of the City.
The Contractor shall at all times be responsible for the conduct and discipline of his employees
and/or any subcontractor or persons employed by subcontractors. The Contractor shall provide a
current listing of names and license numbers of all personnel executing work related to this
Agreement. This listing shall be updated by the Contractor within three days of a personnel change.
12. PROTECTION OF PERSONS AND PROPERTY. The Contractor shall exercise
precaution at all times for the protection of persons and property. The Contractor shall strictly
comply with all safety provisions of all applicable laws and ordinances and shall be responsible for
initiating, maintaining and supervising all safety precautions and programs in connection with the
Work in accordance with the U.S. Department of Labor Occupational Safety and Health Act and the
laws of the State of Florida. This Agreement requires that the Contractor and any and all
subcontractors hired by the Contractor comply with all relevant standards of the Occupational Safety
and Health Act. Failure to comply with the Act constitutes a failure to perform. The Contractor
agrees to reimburse the City for any fines and/or court costs arising from penalties charged to the
City for violations of OSHA committed by the Contractor or any and all subcontractors.
The Contractor shall take all reasonable precautions for the safety of, and shall provide all
reasonable protection to prevent damage, injury or loss to, all employees on the Work and all other
persons who may be affected thereby; all the work materials and equipment to be incorporated
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 6 of 6
therein, whether in storage on or off the project site, under the care, custody or control of the
Contractor or any of his subcontractors; and other property on the project site or adjacent thereto,
including trees, shrubs, lawns, walks, pavements, structures and utilities including, but not limited to,
fire hydrants, swales, gutters, sewer inlets, drainage ditches, etc. Contractor shall insure that its
Agreement work does not impair the proper functioning of these utilities.
The Contractor shall perform any work and shall furnish and install materials and equipment
necessary during an emergency endangering life or property. In all cases, the Contractor shall notify
the City of the emergency as soon as practicable, but shall not wait for instructions before proceeding
to properly protect both life and property.
The City has the right to order the Contractor to discontinue hazardous work practices upon
verbal or written notice. It is required that the Contractor keep and maintain all the necessary
protective devices in place and in proper condition at all times where Work is being performed to
prevent injury to persons or damage to public or private property.
The Contractor shall be held fully responsible for such safety and protection until final
written acceptance of the Work.
13. CONTRACTOR'S RESPONSIBILITY FOR WORK. Until acceptance of the
Work by the City, the Work shall be under the charge and care of the Contractor, and it shall take
every necessary precaution against injury or damage to the Work by the action of the elements or
from any other cause whatsoever, whether arising from the execution or from the non-execution of
the Work. The Contractor shall rebuild, repair, restore and make good, without additional
compensation, all injury or damage to any portion of the Work occasioned by any cause, other than
the sole and active negligence of the City, before its completion and acceptance.
Materials and equipment shall be stored so as to incur the preservation of their quality and
fitness for the Work. When considered necessary, they shall be placed on wooden platforms or other
hard clean surfaces, and not on the ground, and/or they shall be placed under cover. Stored materials
and equipment shall be located so as to facilitate prompt inspection.
14. CLEANING UP. The Contractor shall at all times keep the premises free from
accumulation of waste materials or rubbish caused by its employees or work. At the completion of
the Work, the Contractor shall remove all his rubbish, tools, scaffolding and surplus materials and
shall leave its work area "broom clean" or its equivalent, unless more exactly specified, and shall
insure that all debris and other unsightly objects are removed and disposed of in a satisfactory
manner. At no additional expense to the City, the Contractor will restore to their original conditions
or better, as nearly as practicable, those portions of the site not designated for alteration and all such
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 7 of7
property, structure, utilities, landscaping, etc., disturbed or damaged during the prosecution of the
Work. Final payment will be withheld until such clean up and repairs are completed.
The Work will be considered complete only after all debris and unused material due to or
connected with the Work have been removed and the surrounding area left in a condition satisfactory
to the City. In the event the City finds that the Contractor has not complied in keeping the job site
clean, the City may, after twenty-four (24) hours written notice to the Contractor to correct the
situation, elect to have the job site cleaned by an independent labor force. The cost of cleaning by
said independent labor force shall be deducted from moneys due the Contractor.
15. SUBCONTRACTS AND ASSIGNABILITY. The Contractor shall not assign any
interest in this Agreement and shall not transfer any interest in the same without the prior written
consent of the City. Any sub-contracts or other work which is performed by persons or firms other
than the Contractor under this Agreement or any work orders shall have prior written approval of the
City. Any subcontracts, outside associates, or Contractors required by the Contractor in connection
with services covered by this Agreement must be specifically approved by the City.
16. INDEMNIFICATION. For other and additional good and valuable consideration,
the receipt and sufficiency of which is hereby acknowledged, the Contractor shall indemnify, hold
harmless and defend the City of Edgewater, its officers agents, officials, representatives and
employees against any and all liability, loss, cost, damages, expenses, claim or actions, of whatever
type, including but not limited to attorney's fees and suit costs, for trial and appeal which the City of
Edgewater, its officers, officials, agents, officials representatives or employees or any other person(s)
or business entity(ies) who may hereafter sustain, incur or be required to pay, arising wholly or in
part due to any act or omission of Contractor, its agent(s), vendors, subcontractor(s), representatives,
servants, or employees in the execution, performance or nonperformance or failure to adequately
perform Contractor's obligations pursuant to this Agreement.
17. INTERESTS OF CITY OFFICIALS. No officers, members or employees of the
City and no members of its governing body, and no other public official of the governing body of the
locality or localities in which services for the facilities are situated or carried out, who exercises any
functions or responsibilities in the review or approval of the undertaking or carrying out of this
project, shall participate in any decision relating to this Agreement which affects his personal
interest, or have any personal or pecuniary interest, direct or indirect, in this Agreement or the
proceeds thereof.
18. CERTIFICATION OF RESTRICTIONS ON LOBBYING. The Contractor
agrees that no Federal appropriated funds have been paid or will be paid by or on behalf of the
Contractor to any person for influencing or attempting to influence any officer or employee of any
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 8 of 8
Federal agency, a member of Congress, an officer or employee of Congress or an employee of a
member of Congress in connection with the awarding of any Federal Agreement, the making of any
Federal Grant, the making of any Federal loan, the entering into of any cooperative agreement and
the extension, continuation, renewal, amendment or modification of any Federal Agreement, Grant,
loan or cooperative agreement.
If any funds other than Federal appropriated funds have been paid by the Contractor to any
person for influencing or attempting to influence an officer or employee of any Federal agency, a
member of Congress, an officer or employee of Congress or an employee of a member of Congress
in connection with any FOOT Joint Participation Agreement, the undersigned shall complete and
submit Standard Form-LLL "Disclosure Form to Report Lobbying" in accordance with its
instructions.
19. CONFLICT OF INTEREST. The Contractor covenants that it presently has no
interest and shall not acquire any interest, direct or indirect, which shall conflict in any manner or
degree with the performance of services required to be performed under this Agreement. The
Contractor further covenants that in the performance of this Agreement, no person having any such
interest shall be employed. The Contractor shall not undertake any professional work which conflicts
with his duties as the City's Contractor without the prior written consent of the City during the term
of this Agreement. Any work where the Contractor can reasonably anticipate that it may be called to
testify as a witness against the City in any litigation or administrative proceeding will constitute a
conflict of interest under this Agreement.
20. COMPLIANCE WITH LAW. The Contractor expressly agrees to comply with all
laws and regulations relating to providing services under this Agreement. The failure of the
Contractor to adhere to any law or regulation pertaining to furnishing services under this Agreement
shall constitute a material breach of this Agreement.
21. WAIVER. The waiver by the City of any of the Contractor's obligations or duties
under this Agreement shall not constitute a waiver of any other obligation or duty of the Contractor
under this Agreement.
22. PUBLIC ENTITY CRIME. The Contractor shall file a sworn statement with the
City which is Attachment I, stating whether a person or affiliate as defined in Section 287. I 33 (I),
Florida Statutes, has been convicted of a public entity crime subsequent to July I, 1989, in
accordance with the provisions of Section 287.133 of the Florida Statutes.
23. COVENANT AGAINST CONTINGENT FEES. The Contractor warrants that it
has not employed or retained any company or person, other than a bona fide employee working
solely for the Contractor to solicit or secure this Agreement and that it has not paid or agreed to pay
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 9 of 9
any person, company, corporation, individual or firm, other than a bona fide employee working
solely for the Contractor any fee, commission, percentage, gift or any other consideration contingent
upon or resulting from the award or making of this Agreement. For the breach or violation of this
paragraph, the City shall have the right to terminate the Agreement without liability and, at its
discretion, deduct from the Agreement price, or otherwise recover, the full amount of such fee,
commission, percentage, gift or consideration.
24. DRUG-FREE WORKPLACE. The Agreement Documents also consist of the
"Drug-Free Workplace Form" which is in accordance with Florida Statute 287.089 and must be
signed.
25. GOVERNING LAW. This Agreement shall be governed by the laws of the State of
Florida and venue for any action pursuant to the Agreement Documents shall be in Volusia County,
Florida. The parties hereto expressly waive trial by jury in any action to enforce or otherwise resolve
any dispute arising hereunder.
26. BOND. Payment & Performance Bond for 100% of the Agreement will be provided
by the Contractor at the time this Agreement is executed.
27. CONSTRUING PROVISIONS. This Agreement shall not be construed against the
party who drafted the same, as both parties have taking all necessary steps to review the legal and
business adequacy of the same. In any conflict between the Technical Specifications, and the general
terms of this Agreement, the provisions of the latter shall prevail.
28. INSURANCE. The Contractor agrees to carry insurance, of the types and subject to
the limits as set forth below and maintain said insurance during the life of this agreement:
(a) Workers' Compensation - Contractor shall purchase workers' compensation
insurance as required by law or prove exemption status.
(b) Commercial General Liability - Contractor shall purchase Commercial General
Liability insurance with a $1,000,000 combined single limit for each occurrence to include
the following coverage: operations, products and completed operations, personal injury,
contractual liability covering this Agreement, "X-C-U" hazards and property damage in the
amount of $1,000,000.
(c) Commercial Auto Liability - Contractor shall purchase Commercial Auto
Liability insurance with a combined single limit of at least $1,000,000.
Further, Contractor shall maintain such insurance as is reasonably required to satisfy its obligations
to protect the Work paid for by the City but not yet accepted.
The insurance company selected shall be A- or better per the Best's Key Rating Guide. The
Contractor and the insurance company(s) shall agree to furnish the City thirty (30) days written
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 10 of 10
notice of their intent to cancel or terminate said insurance. It is the full responsibility of the
contractor to insure that all sub-contractors have full insurance coverage as stated above.
The Contractor shall not commence the Work under this Agreement until it has obtained all
the insurance required under this paragraph and certificates of such insurance have been submitted to
the City, nor shall the Contractor allow any subcontractor to commence work on his subcontract until
all insurance required has been so obtained and approved by the City. The Contractor shall carry and
maintain until acceptance of the Work, insurance as specified herein and in such form as shall protect
him and any subcontractor performing work under this Agreement, or the City, from all claims and
liability for damages for bodily injury, including accidental death, under this Agreement, whether by
himself or by any subcontractor or by anyone directly or indirectly employed by either of them.
The Contractor shall furnish to the City certificates of insurance in duplicate showing proof of
insurance, naming the City as an additional insured party, prior to the start of construction as
provided in the Agreement.
29. GUARANTEE. Contractor warrants all equipment provided and work performed for a
period of not less than one (I) year from the Agreement completion date.
The making of the final payment by the City to the Contractor shall not relieve the Contractor
of any warranty responsibilities.
30. INDEPENDENT CONTRACTOR. Contractor is an independent contractor of the
City. Neither Contractor nor Contractor's employees are employees of the City. Contractor shall
have the right to control and direct the means and methods by which the Work is accomplished.
Contractor may perform services for others, which solely utilize Consultant's facilities and do not
violate any confidentiality requirements of this Agreement. Contractor is solely responsible for
compliance with all labor and tax laws pertaining to Contractor, its officers, agents, and employees,
and shall indemnify and hold the City harmless from any failure to comply with such laws.
Contractor's duties with respect to Contractor, its officers, agents, and employees, shall include, but
not be limited to: (I) providing Workers' Compensation coverage for employees as required by law;
(2) hiring of any employees, assistants, or subcontractors necessary for performance of the Work; (3)
providing any and all employment benefits, including, but not limited to, annual leave, sick leave,
paid holidays, health insurance, retirement benefits, and disability insurance; (4) payment of all
federal, state and local taxes income or employment taxes, and, if Contractor is not a corporation,
self-employment (Social Security) taxes; (5) compliance with the Fair Labor Standards Act, 29
V.S.C. ~~ 201, et seq., including payment of overtime in accordance with the requirements of said
Act; (6) providing employee training for all functions necessary for performance of the Work; (7)
providing equipment and materials necessary to the performance of the Work; and (8) providing
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 11 of 11
office or other facilities for the performance of the Work. In the event the City provides training,
equipment, materials, or facilities or otherwise facilitate performance of the Work, this shall not
affect any of Contractor's duties hereunder or alter Contractor's status as an independent contractor.
31. RIGHT OF THE OWNER TO TERMINATE AGREEMENT. If the Contractor
shall be adjudged bankrupt; or if it should make a general assignment for the benefit of its creditors;
or if a receiver should be appointed for the Contractor or any of his property; or if it should per-
sistently or repeatedly refuse or fail to make prompt payment to a person(s) supplying labor or
materials for the Work under the Agreement; or persistently disregard instructions of the Purchasing
& Contracting Administrator; or fail to observe or perform any provisions of the Agreement
Documents; or otherwise be guilty of a substantial violation of any provisions of the Agreement
Document, then the City may -- by at least five (5) days prior written notice to the Contractor --
without prejudice to any other rights or remedies of the City under the Agreement, terminate the
Contractor's right to proceed with the work. In such event, the City may take over the Work and
proceed with same to completion -- by Agreement or otherwise -- and the Contractor and its Sureties
shall be liable to the City for any excess cost incurred by the City. In such case, the City may take
possession of and utilize in completing the work, such necessary materials, appliances, and plant as
may be on the site of the project. The foregoing provisions are in addition to, and not in limitation
of, the rights of the City under any other provisions of the Agreement Documents.
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 12 of 12
IN WITNESS WHEREOF, the parties hereto have accepted, made, and executed this
Agreement upon the terms and conditions above stated.
CONTRACTOR:
Southeastern General Contractors, Inc.
508 Wilbanks Drive
Ground, GA 30107
CITY:
City of Edgewater
P. O. Box 100
Edgewater, FL 32132
By
By
Michael L. Thomas, Mayor
Name:
Title:
Date
Date
ATTEST:
Bonnie Wenzel, City Clerk
Robin L. Matusick, Paralegal
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 13 of 13
SWORN STATEMENT PURSUANT TO SECTION 287.133(3), FLA. STAT.
PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A
NOT AR Y PUBLIC OR OTHER OFFICIAL A UTHORIZED TO ADMINISTER OA THS.
This statement is submitted to the City of Edgewater, Florida by:
Name of Proposer
Name and Title of Proposer's Representative
Business Address
City
State
Zip Code
Proposer's Federal Identification Number or, if
Proposer is an individual, Social Security Number
I understand that a "public entity crime" as defined in Paragraph 287 .133( I )(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 or with an agency or political subdivision of any
other state or of 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 misrepresentations.
I understand that "convicted" or "conviction" as defined in Paragraph 287 .133( I )(b), Florida
Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an
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 contendere.
I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes,
means:
A. A predecessor or successor of a person convicted of a public entity crime; or
B. 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
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 14 of 14
among persons when not for fair market value under an arm's 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 of a public entity crime in Florida
during the preceding 36 months shall be considered an affiliate.
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 any 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 mark (X) next to the statement which is
applicable to your entity):
[ ] Neither the entity submitting this sworn statement, nor any of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, nor any affiliate ofthe entity has been charged
with ad convicted ofa public entity crime subsequent to July 1, 1989.
[ ] The entity submitting this sworn statement, or one or more of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, or an affiliate of the entity has 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 its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, or an affiliate of the entity has been charged
with and convicted of a public entity crime subsequent to July 1, 1989. However,
there has been a subsequent proceeding before a Hearing Officer of the State of
Florida, Division of Administrative Hearings and the final Order entered by the
Hearing Officer determined that it was not in the public interest to place the entity
submitting this sworn statement on the convicted vendor list (a copy of the final order
must be attached to this form).
Authorized Signature
Sworn to and subscribed before me this _ day of , 20_
Signature of Notary Public - State of Florida Commission Expiration
Type of Identification SEAL OR STAMP
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 15 of 15
DRUG-FREE WORKPLACE CERTIFICATION
In case of tie proposals, preference must be given to vendors submitting a certification with
their proposal certifying they have a drug-free workplace in accordance with Section 287.087,
Florida Statutes. The drug-free certification form below must be signed and returned with your
proposal.
In order to have a drug-free workplace program, a business shall:
(I) 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.
(2) Inform employees about the dangers of drug abuse in the workplace, the business' 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.
(3) Give each employee engaged in providing the commodities or contractual services that
are under proposal a copy of the statement specified in the first paragraph.
(4) In the statement specified in the first paragraph, notify the employees that, as a condition
of working on the commodities or contractual services that are under proposal, 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 than five (5) days after such conviction.
(5) Impose a sanction 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.
(6) 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 firm complies full with the above-
listed requirements.
ContractorN endor' s Signature,
Title
Date
STATE OF
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority , who,
after being first sworn by me, affixed his/her signature in the space provided above on this
day of ,2009.
_ Personally Known
Produced
Notary Public - State of Florida
AGREEMENT FOR REPLACEMENT OF FUEL SYSTEM
Page 16 of 16
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SOUTHEASTERN GENERAL CONTRACTORS INC.
508 Wilbanks Drive Bail Ground, GA 30107
Phone 770-479-7611 Fax 770-720-9572
February 24,2009
Mr. Mike Penny
City of Edgewater
104N Riverside Drive
Edgewater FL, 32132
RE: Fuel System Bid Clarifications
The single product dual hose dispenser was oversite on our part. We will
provide one dual hose single product dispenser at no additional cost.
..
If the city of Edge water would like to bave temporary fueling capability. We
are able to provide one 550 gallon tank at no charge to the owner. This tank
can be used for diesel fuel.
; .
Proposal # 09- Due Date: February 2~l, 2009 @ 2:00 PM Post Date: January 30, 2009
PW-003
Purchasing Agent: Respond: 104 North Riverside (PO eox 100)
Michelle Grenham Edaewater.':lorlda 32132
ProDosal Title/Name: ReDlace Fuel Sv'Stem
CITY OF EDGEWA TER, Formal Request for Proposal
PHONE (386) 424-2400
FAX (386) 424-2421
Critical Hesponse Data
Name of Company submitting Proposal:
Address:
Notes:
1. Proposals will be opened and publicly read aloud in the City of Edgewater
Council Chamber - City Hall, 104 North Riverside Drive, Edgewater, Florida at
2:00 pm on the 23rd day of February 2009.
2. Proposals must be submitted em the forms furnished by the City and in
accordance with the specificatiom; contained herein. An original and two copies
of the proposal package must be !;ubmitted.
3. This completed form must appear as the top sheet for all proposals submitted.
4. A Bid Bond equal to 5% of the proposal price must be submitted with sealed
proposal. Bond may be in the foml of a bond, cashier's check or certified check.
S. Payment and Perfonnance Bonc' equal to 100% of the total contract amount
price will be required at contract e:(ecution
A Mandatory Pre~Proposal Conference
Has been scheduled for 9:00 AM on Febluary 9, 2009 at Edgewater Public Works, 409
~llilo Tree Dr, Edgewater.
This is not an order!
PURSUANT TO CITY POUCY FAILURE OF A VENDOR TO AOVISE THE CITY OF PROPOSAL
DISCREPANCIES IN ORDER TO GAIN A COJlPETITIVE ADVANTAGE MAY BE GROUNDS FOR A
CANCELL.ATlON OF ANY CONTRACT OR PURt;HASE ORDER AWARDED UNDER THIS PROPOSAL.
Idv1.J J13.00
pro~~ TiUe*: _
l\. .CoVJ"
IGN THIS FORM
Page 1 of 24
Content Page & Checklist
Pa e Descri tion
1 Cover Page I -'7... \
2 Content Page 1, - ),. \
.h Instructions/Response
4 No Proposal Form
5 Scope of Work
7 Fee Schedule
J7 Vendor Information
8 General Terms & Conditions
~ 14 Proposer's Legal Certification
115 Questionnaire
116 Drug Free Workplace Certif.
Received by
Initials
Items That Must Be
Included With Submittal
For Pro osal to Be Considered
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
rJlA
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
0117
Public Entity Crimes
COMPLETED FORM
Addendum/Other (please list)
Fc=r.:t --11- lodt
Addendum # 1
Addendum # 2
Addendum # 3
Addendum # 4
dated
dated
dated
dated
Your proposal will not be considered if any of the following are not provided:
II< 1. Proof that your firm is licensed in Florida to provide these services;
.:. 2. A bid bond equal to 5% of the proposal amount;
.. 3. A completed Drug Free Workplace Form;
... 4. A completed Public Entity Crimes Form must be included with this proposal for
your proposal to be considered.
Proposal No. 09-PW -003
Replace Fuel System
Page 2 of 21
CITY OF EDGEWA TER
INSTRucnONSIRESPONSE
Proposal NamelTitle
Og-PW-003, Replace Fuel System
Preparation of Proposals
);- Proposers are expected to examine this proposal form, attached drawings,
specifications, if any, and all instructions. Failure to do so will be at Proposer's risk.
~ All prices and notations must be in ink or typewritten. No erasures are permitted.
Mistakes may be crossed out and corrections typed adjacent and must be initialed and
dated in ink by the person signing the proposal. The firm must sign all proposals.
Obligations assumed by such signatures must be fulfilled.
~ Each proposer shall furnish the information required on the proposal form and each
accompanying sheet thereof, on which an entry is made.
~ Unit price for each unit proposal shall be shown. A total shall be entered into the
amount column for each item proposal. In case of discrepancy between a .unit price
and the extended price, the unit price will be presumed to be correct.
Special Items (applicable to this proposal only)
a.
b.
c.
Name of Company:
SouT"H eA~.~ ~C:eJf<...
~N~.t.roe$ ::eNe.
Proposal No. 09-PW-003
Replace Fuel System
Page 3 of 21
Ploposal Amount
ABANDON EXISTING TANKS AS SPECIFIED $ n \;(t.r, 5'. d..:)
NUMERICAL
S.e V-e 1t\:\e.eV) ~cO~A--Nl ik:o h \.:Vl clle:e.~ \ 51 'f'1y -PI ve ~ /;~-
WRITTEN WORD PROPOSAL AMOUNT
FURNISH AND INSTALL NEW TANK AS SPECIFIED $ q'LfJ '-Ier '8 ..-
NUMERIC L
t-ll fJl'(f(,vf.. lljQ~ fVvR-i/v,.;jJfC&D /.J( vt 'ltUst-if /rNiJ 'J~
WRITTEN WORD PROPOSAL AMOUNT
,:'
FURNISH AND INSTALL NEW FUEL MANAGEMENT SYSTEM
MANUFACTURER OF SYSTEM AND MODEL #ffYPE
y f.}eL tYl~'~ .t==:V\-1 V
$-121 ^1/50. {)o
NUMERICAL
-7'w.e(V~-r11OuS~ ~ lfi.)pVO~ y/Prl /fA.J?~
WRITTEN WORD PROPOSAL AMOUNT
ALTERNATE MA" (NEW CANOPY) $ 3( cZ6S--
NUMERICAL
-rffi~ri O/J& 'f11Oth4fvQ."1WD L-0AJD~) 5/~IyAvBA-A.)?%-
WRITTEN WORD PROPOSAL AMOUNT
ADDITIONAL KEYS/CARDS (SPECIFY WHAT TYPE) OVER 500
$ 3..8S'"
NUMERIC ~~ J
-:n~ k\JD 1Lc;c
WRITTEN WORD PROPOSAL AMOUNT
pe~ard
Circle
~-,....
:G- 2D --Of
Date
~~
C~~C-..
Proposal No. 09-PW-003
Replace Fuel System
Page 8 of 24
CONTAMINATED SOIL
1. Excavate and replace contaminated soil
1d20.0V per cu. Ft.
2. Transport contaminated fill from project to site to incineratiol1-
facility. , $ ;..J O. (,,;.) per ton
3. Removal and disposal of tank sludge existing three (3) tank(s) $ I ~1> .per SA-tlor.l
4. Furnish. install and compact fill in place to rough grade in areas I c:.
where conta . fed soils are removed. $ _ r JO per cu. Ft.
epresentative
G- ~rlGEbLD6N I
Name. Title and Company
2-Zo-oQ
Date
- SDvTt-ICA~"\'6P~ G--~ L
C~TRA-LTDe:) ~~
Please list below any other special conditions included with this proposal.
Proposal No. 09-PW-003
Replace Fuel System
Page 8 of 21
RETURN BY DUE DATE ABOVE TO BUYER ABOVE
At the City of Edgewater, P .0 Box 100, Edgewa.ter, FL 32132
Any questions regarding this proposal may be faxed to the attention of the Finance Department
at 386-424-2421 or emailed to mgrenham@cityofedgewater.org at least ten (10) days prior to
proposal opening date.
By signing be/ow, I certify that I have read the attached and agree to its contents.
VENDOR INFORMATION:
COMPANY NAME AND ADDRESS: _
::AJrltEt.1'sl1:JbJ C&vffAL C~i'm:.A~.-
'50'6 V\Jl Lltf.Wt.S Vl..luE
BAiL GttCO)JD I GfJ ?;bl 01-
AUTHORIZED SIGNATURE:
PRINTED SIGNATURE:
TITLE: €Sive:~T
DATE SIGNED: ::2- -2.4>-0
PHONE # 770 i.jf~ -?-G?lt
FAX#'ibq Z23-5??C::.
. "3e~c me e 9~' L(ol"1
sg ~ 211 "2 B@,
I~G-
DATE DUE: 2:00 p.m. Februa 23, 2008
Proof that your firm is licensed and insured to perfol1n the above work, a Bid Bond equal to 5% of the
proposal amount, a completed Drug Free Workplace Fonn, and a completed Public Entity Crimes Fonn
must be included with this proposal for your proposal to be considered.
Proposal No. 09-PW-003
Replace Fuel System
Page 9 of 21
PROPOSER'S LEGAL CERTlFICA TION
As witnessed by my signature below, I have carefully examined the Request for Proposal, Instructions
to Proposers, General and/or Special Conditions, Vendor's Notes, Specifications, proposed
Agreement, and any/all other documents accompanying or made part of this proposal request.
~ I hereby propose to furnish the goods or services specified in the Request at the prices or rates
quoted in my proposal. I agree that my proposal will remain firm for a period of up to
ninety (90) days in order to allow the city adequate time to evaluate the proposals.
~ I agree to propose by all conditions of this proposal and understand that the Edgewater Law
Enforcement Department prior to proposal award may conduct a background investigation.
~ I certify that all information contained in this proposal is truthful to the best of my knowledge
and belief. I further certify that I am duly authorized to submit this proposal on behalf of the
vendor/contractor as its act and deed and that the vendor/contractor is ready, willing, and able
to perform if awarded the proposal.
~ I further certify, under oath, that this proposal is made without prior understanding, agreement,
connection, discussion, or collusion with any other person, firm, or corporation submitting a
proposal for the same product or service; no officer, employee, or agent of any other proposer
is interested in said proposal; and that the undersigned executed this Proposer's Certification
with full knowledge and understanding of the matters therein contained and was duly
authorized to do so.
~t\ GN'feA<1Oe5
J;t-lt-l CUR..\lI~6- 1>12-€SIOEYJ f
Name & Title, Typed or Printed
Mailing Address (City, State & Zip Code):
E:>A l L G1<OUN 0) G-A 30 l 0'1
Telephone/Fax /
Number; '"l t () lfi9 - =tlo l , ' '7 70 J. () a...j - 3<'7]
(
~X"..' 9oe; ~J3'""<r:t7fo
-\
State of
County of
FL
. ]) LA vC;) I
- .
~orn and SyDsc~ribed before me this Z ~-l'-day of /-e bL1tfl'7
.,/1 ~ C===~'-
,<" . .-.......,;>-
Notaly IC
.0 Personally Known 'd.
CL L).-:
~ Produced 1.0. L r't V'--:, (,..t'-, ,,:e
,20 aq .
Proposal No. 09-PW-003
Replace Fuel System
.,."w,,{'f'p:.,, BRIAN DIAL
g"l~"~ MY COMMISSION # 00 56663:J
~~~~~:{~ EXPIRES: June 21, 2010
"~,Cfr;,n.~'" 8o"~~~.111ru ~or~ry Puhllc Undenwttars
Page 16 of21
QUESTIONNNAIRE
This form is to be utilized to provide general information about your firm/company to the City
of Edgewater. Please submit this form with your sealed proposal.
Name of Company 56vn-tef.l~ GetJtrt:.ALGAt~~~I.D. # 58.-Zi~~Zg%
,
Please answer the following:
1. Number of years your firm/company has been in business: f ?:, t years.
2. Is your firm incorporated in the State of Florida? Yes X No.
3. Number of years your firm/company has provided the type of product/service req uired
by the Request for Proposal: 13 t years.
4. Type of business (check which applies)
Minority Owned Woman Owned Small Other
5. Headquarter address if different from business address "5 ArvJ (;
6. Names of key employees who will work on this project and their years of experience in
the type of service related to work specified in this proposal:
A.
B.
C.
Name and Title
::k1#J C~eVlrJG-
'R~ Vnee.e..
PeEs i DENr
V i~ p~es~O\f"Nr
Years of Experience
20 Y ~{l.;$.
(6 y~
Public Entitv Work References NamelTitle
A.
B.
C.
(qoY) 44 \ - 2 12 q
((01-8) S:+S -0424-
( 850)
Please indicate below the names and addresses of your primary/secondary suppliers for the product
covered under this proposal (if applicable.)
Primarv M . i.. i GL' fAq 'J 511 / -'8Ci
Name: EGo of' ('lba.TH r I oe.\OA Phone No. l' 01..\ 3"7 - Cc 7 I
Address: '3 (.,,:;) b "P h DellI x A v t 1"Ay 'fl- })2U, Contact: --TON V RICH ft1lI)sO'\!
Secondary
Name:
Address:
Name of Person Completing Form:
Phone No.
Contact:
:=r (h..t ~\ C' u rz.. V'I1\..l G-
Proposal No. 09-PW-003
Replace Fuel System
Page 17 of 21
DRUG-FREE WORKPLACE CERTIFICATION
In case of tie proposals, preference must be given to vendors submitting a certification with their
proposal certifying they have a drug-free workplace in accordance with Section 287.087, Florida
Statutes. The drug-free certification form below must be signed and returned with your
proposal.
In order to have a drug-free workplace program, a business shall:
(1) 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. (2)
Inform employees about the dangers of drug abuse in the workplace, the business' 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. (3) Give each employee engaged in providing the commodities or contractual
services that are under proposal a copy of the statement specified in the first paragraph. (4) In
the statement specified in the first paragraph, notify the employees that, as a condition of
working on the commodities or contractual services that are under proposal, 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 than five (5)
days after such conviction. (5) Impose a sanction 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. (6) Make a good faith effort to continue to
maintain a drug-free workplace through implementation of this section.
d to sign the statement, I certify that this firm complies fully with the
17 ~ tOt;:1\) r
- 20"- ocr
STATE OF
COUNTY OF
PERSONAllY APPEARED BEFORE ME, the undersigned authority 7S"At1. C.A rvil'-J
who, after being first swoOJ by me, affixed his/her signature in the space provided above on
this Z.&-tL- day of t-e !J~"-'7 ,20 D'i
,--.....
_Personally known Produced 1.0 FL. Vr i \,~ L..i ~
~---' ----
,~ . c--"T ...... .
? '-...." ~\."S;::=-.:~:::-..:._...--)
-r ___.. ".
Notary Public
..,}IlJ.~II'""
.:''<!l''''.f~ BRIAN DIAL
~*: J:~ MY COMMISSION 1/ DO 566633
~,? EXPIRES; June 21,2010
.. . Bonded Thn/~.ry PUblic Undarwrffo,.
Proposal No. 09-PW-003
Replace Fuel System
Page 18 of 21
PLEASE COMPLETE AND SUBMIT WITH PROPOSAL
PUBJ.,.IC ENTITY CRIMES
Any person submitting a proposal, proposal or reply in response to this request
or a contract, must execute the enclosed form PUR. 7069, sworn statement under
section 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES, including
proper check(s), in the space(s) provided, and enclose it with his quote, proposal, or
proposal. If you are submitting a quote, bid or proposal on behalf of dealers or suppliers
who will ship commodities and receive payment from the resulting contract, it is your
responsibility to see that copy(ies) of the form are executed by them and are included
with your quote, proposal, or proposal. Corrections to the form will not be allowed after
the quote, bid, or proposal opening time and date. Failure to complete this form in
every detail and submit it with your quote, bid, or proposal may result in immediate
disqualification of your bid or proposal.
The 1989 Florida Legislature passed Senate Bill 458 creating Sections 287.132 -
133, Florida Statutes, effective July 1, 1989. Section 287.132(3)(d), Florida Statutes,
requires the Florida Department of General Services to maintain and make available to
other political entities a "convicted vendor" list consisting of persons and affiliates who
are disqualified from public contracting and purchasing process because they have
been found guilty of a public entity crime. A public entity crime is described by Section
287.133, Florida Statutes, as 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 in
Florida or with an agency or political subdivision of any other state or with the United
States, including, but not limited to, any proposal or contract for goods or services to be
provided to any public entity or with an agency or political subdivision and involving
antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material
misrepresentation.
A public entity may not accept any bid, proposal or reply from, award any
contract to, or transact any business in excess of the threshold amount provided in
Section 287.017, Florida Statutes, for CATEGORY TWO with any person or affiliate on
the convicted vendor list for a period of 36 months following the date that person or
affiliate was placed on the convicted vendor list unless that person or affiliate has been
removed from the list pursuant to Section 287.133(3)(f), Florida Statutes.
Therefore, effective October 1, 1990, prior to entering into a contract (formal
contract or purchase order in excess of the threshold amount provided in Section
287.017, Florida Statutes, for CATEGORY TWO) to provide goods or services to THE
CITY OF EDGEWATER, a person shall file a sworn statement with the contracting
officer or Finance Director, as applicable. The attached statement or affidavit will be the
form to be utilized and must be properly signed in the presence of a notary public or
other officer authorized to administer o'aths and properly executed.
THE INCLUSION OF THE SWORN STATEMENT OR AFFIDAVIT SHALL BE
SUBMITTED CONCURRENTLY WITH YOUR BID, PROPOSAL OR REPLY
DOCUMENTS. NON-INCLUSION OF THIS DOCUMENT MAY NECESSITATE
REJECTION OF YOUR QUOTE, PROPOSAL OR BID.
Proposal No. 09-PW-003
Replace Fuel System
Page 19 of21
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 OFFICER AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted with the Jf. cYi - PI/\!- 003
Bid/Proposal for THE CITY OF EDGEW A TER.
2. This sworn statement is submitted by SLrn-\talSft~J~ G~ GJJ17<.tt;frt" me
whose business address is 02 WILbAi;}/C aWE: I?/HI C1<.ootJl) GA ?J:;>IO:r
and (if apPIiCabl~) its,Federal ~Ioyer Identification (FEIN) is _ I (02 .
3. My name IS JOI-tN L UR,1I1 Nlr (please print name of individual
signing) and my relationship to the entity named above is ~r~6Io.eNT
4. I understand that a "public entity crime" as defined in Paragraph 287.133(1 leg),
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 or with an
agency or political subdivision of any other state or with the United States, including, but
not limited to, any bid, proposal, reply or contract for goods or services, any lease for
real property, or any contract for the construction or repair of a public building or public
work, involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or
material misrepresentation.
5. I understand that "convicted" or "conviction" as defined in Paragraph
287.133(1 )(b), Florida Statutes, means a finding of guilt or a conviction of a public entity
crime, with or without an 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, nonjury trial, or entry of a plea of guilty or nolo contendere.
6. I understand that an "affiliate" as defined in Paragraph 287.133(1 )(a), Florida
Statutes, means:
(1) A predecessor or successor of a person convicted of a public entity crime; or
(2) 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 arm's 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 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 any 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 let by a public entity, or which otherwise transacts or applies
to transact business with a public entity. The term "person" includes those officers,
Proposal No. 09-PW-003 Page 20 of 21
Replace Fuel System
directors, executives, partners, shareholders, employees, members, and agents who
are active in management of an entity.
8. Based on information and belief, the statement that I have marked below is true
in relation to the entity submitting this. sworn statement. (Please indicate which
state~nt applies.)
V Neither the entity submitting this swom statement, nor any officers, directors,
executives, partners, shareholders, employees, members, or agents who are active in
management of the entity, nor any 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 ag.ents who are
active in management of the entity, or an affiliate of the entity has 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 Administrative 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 or 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
Administrative Hearings. The final order entered by the hearing officer determined that
it was in the..public interest to remove the person or affiliate from the convicted vendor
list. (Please attach a copy of the final order.)
The person or affiliate has not been placed on the ~d vendor list. (Please
desclibe any action taken by or pending wit e ep m int f5Pene~eNices.)
D~: ,/- ~~i;n:t6e)
1:/
STATE OF FLO.RI.DA (
COUNTY OF ~) Vt va
""""'" BRIAN DIAL
.....~~Jf;t.f~;:,..
i..f "~.1 MY COMMISSION II DO 566633
~\ :4 EXPIRES: June 21, 2010
"~ .' BQIlood Thru Notary Public Unde~vrft.",
. . The foregoinQ instrument was acknowledged befpre me this 'Z.c;'f1-- day of
Fr'0uw-r ,20ofl by J;.hf'l CWVf~ ' ffo"nJ?--.,f- (title) on
behalf of 5c...: -ft, cask frl &-e" c...../....,b'lh Z:.c ~he is personally known to me or has
produced fL J> tivh t.JU'''j't? as ide . Ication an.9..Qi.g~ ( ) did not ( ) take an oath.
" ." ( " -=~~ ==.~-=~.~~~=~~:.~
-- otary 81g =e}--'---
Name: b,-:,,,,, ~ I
My CommiSSion Expir~s: ..J ......rt-<.. "2 I, -z.." 1(,
Commission Number:~l>b :Sb~C,S-~
Proposal No. 09-PW-003
Replace Fuel System
Page 21 of 21
"
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r
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SOUTHEASTERN GENERAL CONTRACTORS INC.
508 Wilbanks Drive Ball Ground, GA 30107
Phone 770-479-7611 Fax 770-720-9572
February 23,2009
City of Edge water, FL
104 North Riverside Drive
Edgewater,FL
To whom it may Concern:
Southeastern General Contractors Inc has been installing and removing AST
and UST since its conception in 1995. We have worked for a diverse client
base in the South East.
Recent Work in Florida
"1.) Mr. David r:,6:t:WojeC~in~kson~viation Authority.
Installation of a new Vehic1e fuel system at the Jacksonville International
Airport. Included the removal of the existing fuel system. (904) 741-2229.
2) Mr. Greg Taylor, Senior Engineer Penske Truck Leasing, installation of a
above ground fueling system Daytona, FL (770) 701-4501
3) Mr. Albert Sessions, Project Engineer, City of Tallahassee, FI Installation of
a new aboveground Fueling System and removal of the existing UST
system. Tallahassee Sheriff's Department. (850) 321-1602 ~!l()~:f=t.
4) Mr. David Lambert! Mrs. Laura Moore, Project Engineers Jacksonville
Aviation Authority. Installation of a new aircraft Fueling System (Jet A, and
A v GAS) and removal of the existing Aircraft Fueling UST System.
Location: Herlong Airport Jacksonville, FL (904)741-2229
S) Mr. Greg Taylor, Senior Engineer, Penske Truck Leasing, installation of
additional UST System and Canopy Addition. Jacksonville, FL (770) 701-
450 I.
6) Mr. Ken Bussen, Project Engineer, ECT Engineering. Design and
Installation of3 projects for the City of Tallahassee (850) 671-7299
J
/
I
~----
Description
Tanks aDd Accessone.o;
16,000 Gallon Solit Com1Jartment.FlarUeSJlj~d A~veLiOuncl St()r~~
AST Remote Fill System ________________.__
AST Remote Spill Container wI 3" Opening_________
AST Remote Spill Container wI (~U':.Qeenings ____ ... '-<\''<\:1...
3" swing check valve _._________ __ "f"i'. ~~
3" Camlock Adapter Male Thread __.__ .____._________
J" Dustcap' ----------------------L__2
3" .FulIoort Ballvalve- Brass
Positive ShuttoffOvertill Valve
DisPcDscrslJ.nterface BoxeslPoint ofSale-{06-13-08} -----~=_==
Gashoy Atlas Commercial Single Prod. Di~~!_(~~gPM) _._.__ ___
ICS 10:1 Pulser ---------___u___..._.__
Fuclmllster Fuel Management System _._____.._________
Plus System Prokee wI Pedestal, Modem, SU~~!..!:~L, 2 r'T~~e_c.:~n~~
_ Phone Line SimuIatorffor direct connect) _____
Fuelmaster Fuel Management Software for Windows J~O.~.Q:o.~!'_~ NT)_._
Prokee - Black
Prokee Encoder wI USH Interfuce
Flex Pipel.Entrv Boot,,-APT ----~=~~~==~==_:==
APT XP I 112" Doublewall Flex PiE~___________________
Male Swivel Fitting I 1/2" ---._.__u__.__..__
I 112" Flexible Bulkllead Entry Boot l'Or~C:: Pip~._ _____._______...__
3/4"/1" Electrical Entry Boot ____._._..___._ "_'__ ..__. _. _'.'___'_..___
Te.~t Boots \YI Aj~:____._______..___.___._u_.____
Sumps
Fiberglass DiSlJCl1Ser Sump for Gasboy wI i8" Fra~c~_~~~~===--=-~=
3/4"/1" PeIlatbane Electrical Entry Boot
2" Studded Pellathane Slimp Penetration Fitting for 2" FRP o~~teel p.!E~
30"x 30" FiberR:la~s Transition ~umE..l1Y~r~tected TOeJ2" _._____
Venti/ationNanor Recovery____.__. __________._______. _____
2" Vent Cap -.---._..u___.______.___._
Vapor Recovery Adllpter 3"x 3~_____._____ __________
Vapor Recoverv CaD _____u__.__._.___. ...__
Submersible PumnslMcchanical Leal. J)etectors
IRed Jacket 3/4 hp Quantum Sub~ V3!lable !"ell~--====--=-~~~~~=
STP Control Boxes .1/3 - 2 hp pumps ..-----------_.___u_
Hoses, Nozzre.", Swivels & Bre.akaways ____ __'__.___.__.___ . ._______
518"x14' Hoses
Whip Hoses
3/4" Swivel
-------..--
OPW IIAKP Unleaded Nozzle wI ~land rnsulatol:._.______
I I A Splashguards _..________..________..___________.._
I"x 14' Hose
------ -..-.-.----.---.-...---- -----
OPW 1" Breakaway '__ ___ _ _____...._____._.__.__.___..___.__
I" Swivel
I " Whip Hoses
OPW 7H Nozzle wI Hold Open Rack, Blac~ flandSi~1._=_=_=.- _~
7A SpJashguards ____________._....._.__._________
Veeder Root Tank Management System _.____.._.. _._____
Veeder Root TLS300C 0-2 Tank Console WI Printer
Veeder Root 300 Static 'nTank Tc.~t SEM
10' Mag Plus Inventory Only Probe wI Water~i~~=====-
Mag Plus Probe Install Kits wI 4" Floats-Gas ____.__._.__.___
IMae; Plus Probe Install ~ wI 4" Floats- Die.~el .___.______.___
Interstitial Sensors for Steel Tanks
4" eap- & Adaptor Kit
2" Can & Adaptor Kit
Overfill AJarm---===-=~~~~~-=-=--==~_--=
_ Overfill Alann Acknowledgem~ch _______________
Mise. Equipment .__.__...._____..______
OPWl 1/2" Shear Valve, Female To/!..______.______ .___._____.__
2" Ballvalves
2" antisvohon valve 5'-10' head
-----
Q!L Part #
lli~~n
J MOR-515-0300AC
J MOR-515-2300AC
2 MOR-246a1200av
2 ~OR-800fb0600Ic
2 MOR-800dcb0600Jc
2 Mor-691-IOOO-IV
_J. OPW-6JFE2P::3050
2 9153KX F
1----1. __
I FM-FMU-2500Plus
I FM-217557
J FM.-227838A
500 FM-I72405
IFM-94/D0108
50 APT-XP-150-SC
4 APT-MS-175-150
6 APT-FBB-150-SC
4 APT-FBB-075-D
4 APT-STB-150
2 OPW-DSF-I 123
2 DPM-BS-4 I 9
2 DPM-U8S-2.4
2 WestemFib3030
2 MOR-354-0200av
10PW-J6IIAV-1605
IOPVV-1711T-7085
2 R/J P75UIRJ2
2 R/J-880-041-5
1 GYR-FX-518X14
1 DA Y-JUMPER-314
J OPW-241-TPS-0241
1 OPw-] lAKP-0400
1
I GYR-PACE-IXI4
] -oPW-66V-lJOO
I. OPW-241-TPS-IOOO
1 DAY-JUMPER-J
I OPW-7H-0400
I
I VIR-848590-52]
J V1R-330161-00J
2 VIR-846391-309
1 VIR-846400-000
I V/R-846400-o01
I VIR-794390-420
2 MOR-305XPA0200AK
J MOR-305XPA2200AK
I V/R-790091-001
J VlR-790G95-001
2 OPVV-JOBF-5725
2 Miscellaneous
2 ENT-63630001
City of Edgewater __._____________________.___
.--------.---.------
~ -------.--.---. ---
..-------------..-
-----...--...--.---------
-------.- -~----_.
--.--------...---.-.--..--.--------
.-----.--------..--.-.--
-_.__..._--_...._....~--+-----++.__._----
.----.--....--..--
--._--~ -.----.-----.-.-.- .---.---.--.-
--.-----. ---------_._-~------._-- ---
--.-.-----__4 "___ __..___.__
L. MAY.-UR 12x3 NoSmokinaSto En .ncDccal
----.- ---------------
2 MAY-OR 12x3 Unleaded Gasoline Decal
2 MAY-OR 12x3 On Road Diesel Decal
2 MAY-OR DOT Diamond 1993 diesel
2 MAY-oR ~amond 1203 (~-_.m.h :~===-.__.
4 MAY-OR IOx2 Product ill Decals
I Miscellaneous Misc. Freia t
E ui ment Subtotal
Sales Tax
.--.------.-----.
.-..--------
-.-..--...----.-.--.-----.-----.---
--'.---___u___ _...____.__. ._._
7
----------..--.-.----.---
.-.----.--.--..----.-----------.----
Equipment Total
Proposal # 09- Due Date: February 23,2009 @ 2:00 PM Post Date: January 30,2009
PW -003
Purchasing Agent: Respond: 104 North Riverside (PO Box 100)
Michelle Grenham Ed ewater, Florida 32132
Pro osal Title/Name: Re lace Fuel S stem
CITY OF EDGEWA TER, Formal Request for Proposal
PHONE (386) 424-2400
FAX (386) 424-2421
Critical Response Data
Name of Company submitting Proposal:
Address:
Notes:
1. Proposals will be opened and publicly read aloud in the City of Edgewater
Council Chamber - City Hall, 104 North Riverside Drive, Edgewater, Florida at
2:00 pm on the 23rd day of February 2009.
2. Proposals must be submitted on the forms furnished by the City and in
accordance with the specifications contained herein. An original and two copies
of the proposal package must be submitted.
3. This completed form must appear as the top sheet for all proposals submitted.
4. A Bid Bond equal to 5% of the proposal price must be submitted with sealed
proposal. Bond may be in the form of a bond, cashier's check or certified check.
5. Payment and Performance Bond equal to 100% of the total contract amount
price will be required at contract execution
A Mandatory Pre-Proposal Conference
Has been scheduled for 9:00 AM on February 9, 2009 at Edgewater Public Works, 409
Manoo Tree Dr, Edoewater.
This is not an order!
PURSUANT TO CITY POLICY FAILURE OF A VENDOR TO ADVISE THE CITY OF PROPOSAL
DISCREPANCIES IN ORDER TO GAIN A COMPETITIVE ADVANTAGE MAY BE GROUNDS FOR A
CANCELLATION OF ANY CONTRACT OR PURCHASE ORDER AWARDED UNDER THIS PROPOSAL.
Total Amount of Proposal or Base $
Proposal
Proposer's Signature: Proposer's Title*:
Typed/Print Name:
Date: Phone:
Fax: E-Mail:
*ONL Y AUTHORIZED REPRESENTATIVES OF THE PROPOSER SHOULD SIGN THIS FORM
Proposal No. 09-PW-003
Replace Fuel System
Page 1 of 1
Content Page & Checklist
Received by
Paqe Description Initials
1 Cover Page
2 Content Page
3 Instructions/Response
4 No Proposal Form
5 Scope of Work
7 Fee Schedule
7 Vendor Information
8 General Terms & Conditions
14 Proposer's Legal Certification
15 Questionnaire
16 Drug Free Workplace Certif.
17 Public Entity Crimes
Items That Must Be
Included With Submittal
For Proposal to Be Considered
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
COMPLETED FORM
Addendum/Other (please list)
Addendum # 1 dated
Addendum # 2 dated
Addendum # 3 dated
Addendum # 4 dated
Your proposal will not be considered if any of the following are not provided:
1. Proof that your firm is licensed in Florida to provide these services;
2. A bid bond equal to 5% of the proposal amount;
3. A completed Drug Free Workplace Form;
4. A completed Public Entity Crimes Form must be included with this proposal for
your proposal to be considered.
Proposal No. 09-PW-003
Replace Fuel System
Page 2 of 2
CITY OF EDGEWA TER
INSTRUCTIONS/RESPONSE
Proposal NamelTitle
09-PW-003, Replace Fuel System
Preparation of Proposals
~ Proposers are expected to examine this proposal form, attached drawings,
specifications, if any, and all instructions. Failure to do so will be at Proposer's risk.
~ All prices and notations must be in ink or typewritten. No erasures are permitted.
Mistakes may be crossed out and corrections typed adjacent and must be initialed and
dated in ink by the person signing the proposal. The firm must sign all proposals.
Obligations assumed by such signatures must be fulfilled.
~ Each proposer shall furnish the information required on the proposal form and each
accompanying sheet thereof, on which an entry is made.
~ Unit price for each unit proposal shall be shown. A total shall be entered into the
amount column for each item proposal. In case of discrepancy between a unit price
and the extended price, the unit price will be presumed to be correct.
Special Items (applicable to this proposal only)
a.
b.
c.
Authorized Signature:
Name of Company:
Proposal No. 09-PW-003
Replace Fuel System
Page 3 of 3
"NO PROPOSAL" RESPONSE TO REQUEST FOR PROPOSAL
If your firm is unable to submit a proposal at this time, please provide the information
requested in the space provided below and return to:
City of Edgewater
Finance Department
Post Office Box 100
Edgewater, FL 32132
Attention: Accounting Technician
We have received Request for Proposal No. 09-PW-003 due on February 23,2009 at 2:00
PM:
Reason for "No Proposal" (use company letterhead if necessary).
Would you like to be considered for this type of purchase in the future?
Yes ( ) No ( )
By:
Signature:
Name & Title, Typed or Printed
Company Name
Phone Number/Fax
Proposal No. 09-PW-003
Replace Fuel System
Page 4 of 4
Scope of Work
Scope of Work: Properly abandon three (3) existing tanks, leave in place and install (1) new
above ground 16,000 gallon minimum double wall, compartment tank split
with a minimum 9,000 gallon capacity for unleaded fuel and 7,000 gallon
capacity for diesel fuel, dispensing equipment, leak detection and piping and
fuel management system.
Required Work: All work includes providing equipment and installation
. A minimum 16,000 gallon Flameshield or equivalent split compartment
aboveground storage tank system on eight (8) inch thick concrete slab with
bollard protection, electronic tank inventory and leak detection system, Veeder
Root or equivalent.
. A Fuel Master or equivalent fuel management system (500 cards, keys or other
tracking devices) with two (2) mechanical dispensers, two (2) Dispenser stands,
three (3) hoses (two unleaded, one diesel) with nozzles, break aways and
swivels, shear valves and brackets and all associated pipe and fittings.
. Overspill protection, overfill protection, submersible pump system
. Secondary Containment Tank & Dispenser Sumps
. Dismantle existing canopy and reinstall over new dispenser system. Alternate
"A" Proposal amount will include an option for a new canopy to be installed at
the City's discretion.
. Proper abandonment of three (3) underground storage tanks as required per
Florida Department of Environmental Protection regulations. (Two (2) 6,000
gallon tanks and one (1) 4,000 gallon tank) and closure of the site.
. Obtain all permits and submit any required applications and plans, including but
not limited to, Florida Department of Environmental Protection, Volusia County
and the City of Edgewater.
. Provide all notifications to regulating agencies and obtain approvals, inspections
and certifications as required.
· Complete FDEP "Storage Tank Registration Form"
. Provide labor, materials and equipment for the installation of new aboveground
storage tank and appurtenances as described above.
. Provide labor, materials and equipment for the abandonment of existing storage
ta n ks
. Air test product piping to 50 psi & perform soap test
Proposal No. 09-PW-003
Replace Fuel System
Page 5 of 5
· Air test piping to 5 psi or per manufacturer recommendations
. Perform hydrostat test on spill buckets
· Provide all electrical services necessary for a working system as it relates to this
project.
. Haul off all the debris and dispose of in legal and safe manner.
· Perform petroleum start-up procedures with a complete check of all installed
equipment.
. Provide the City of Edgewater Director of Environmental Services with photos of
work during the construction progress, all permits, tank charts, product warranty
information, closure report and all applicable state and/or County notifications
and registration forms.
TERMS AND CONDITIONS
The City of Edgewater will be responsible for removal of existing tank contents prior to the
contractor's abandonment of tanks. It is assumed no contaminated soil or water will be
encountered. All sludge in tanks will be disposed of in accordance with Federal/State and
local regulations. Any changes in the scope of work as requested by the City of Edgewater or
the Contractor/Seller due to unforeseen conditions shall only be performed or changed after
issuance of a Written Change Order and signed accepted by an authorized person for both
the City of Edgewater and the Contractor/Seller. Verbal changes will not be valid. Work is to
be completed no later than September 30, 2009.
Equipment Manufacturer's /Parts Warranty or parts or components that are furnished as
part of this scope of work or equipment sale shall be warranted in accordance with the
warranty policy of the manufacturer of the specific equipment and/or part or component; and
said manufacturer's Warranty shall be transferred directly to the City of Edgewater.
Proposal No. 09-PW-003
Replace Fuel System
Page 6 of 6
Proposal Amount
ABANDON EXISTING TANKS AS SPECIFIED
$
NUMERICAL
WRITTEN WORD PROPOSAL AMOUNT
FURNISH AND INSTALL NEW TANK AS SPECIFIED $
NUMERICAL
WRITTEN WORD PROPOSAL AMOUNT
FURNISH AND INSTALL NEW FUEL MANAGEMENT SYSTEM
MANUFACTURER OF SYSTEM AND MODEL #ITYPE
$
NUMERICAL
WRITTEN WORD PROPOSAL AMOUNT
ALTERNATE "A" (NEW CANOPY)
$
NUMERICAL
WRITTEN WORD PROPOSAL AMOUNT
ADDITIONAL KEYS/CARDS (SPECIFY WHAT TYPE) OVER 500
$
NUMERIC
Per Kev/Card
Circle One
WRITTEN WORD PROPOSAL AMOUNT
Signature of Authorized Representative
Date
Name, Title and Company
ADDITONAL UNIT COSTS AS MAY BE NEEDED
Proposal No. 09-PW-003
Replace Fuel System
Page 7 of 7
CONTAMINATED SOIL
1. Excavate and replace contaminated soil
$
per cu. Ft.
2. Transport contaminated fill from project to site to incineration
facility. $
per ton
3. Removal and disposal of tank sludge existing three (3) tank(s) $
per
4. Furnish, install and compact fill in place to rough grade in areas
where contaminated soils are removed. $
per cu. Ft.
Signature of Authorized Representative
Date
Name, Title and Company
Please list below any other special conditions included with this proposal.
Proposal No. 09-PW-003
Replace Fuel System
Page 8 of 8
RETURN BY DUE DATE ABOVE TO BUYER ABOVE
At the City of Edgewater, POBox 100, Edgewater, FL 32132
Any questions regarding this proposal may be faxed to the attention of the Finance Department
at 386-424-2421 or emailed to mgrenham@cityofedgewater.org at least ten (10) days prior to
proposal opening date.
By signing below, I certify that I have read the attached and agree to its contents.
VENDOR INFORMATION:
COMPANY NAME AND ADDRESS:
PHONE #
FAX #
E-MAIL
FEIN#
AUTHORIZED SIGNATURE:
PRINTED SIGNATURE:
TITLE:
DATE SIGNED:
DATE DUE: 2:00 p.m. February 23,2008
Proof that your firm is licensed and insured to perform the above work, a Bid Bond equal to 5% of the
proposal amount, a completed Drug Free Workplace Form, and a completed Public Entity Crimes Form
must be included with this proposal for your proposal to be considered.
Proposal No. 09-PW-003
Replace Fuel System
Page 9 of 9
GENERAL TERMS & CONDITIONS
1. Receipt of Proposals - Due Date: Sealed proposals (original and two copies) shall be submitted
to the City Clerks Office no later than the date and time specified. Proposals will not be accepted
after the advertised time and date. Proposals shall be addressed as follows:
City Clerk
City of Edgewater
PO Box 100
Edgewater, FL 32132
Each proposal shall be submitted in a sealed envelope prior to the time established for the opening
of proposals, and the envelope shall be marked with the proposal number, title of proposal, and
proposal opening date. If submitted other than by mail, it shall be delivered to the City Clerks
Office. Proposals submitted by mail must be received in the City Clerks Office by the time
specified herein for the proposal opening. The City of Edgewater will take no responsibility for
delay caused by poor mail delivery or miscalculation of delivery by the proposer.
2. Withdrawal of Proposals: Proposer may withdraw a proposal after it has been delivered to the
City Clerk any time prior to the stipulated time for opening of the proposals.
3. Pre-Proposal Conference:
a. Mandatory: Mandatory pre-proposal conferences must be attended by all or face
disqualification.
b. Optional: Optional pre-proposal conferences do not require attendance but proposers are
encouraged to attend to obtain more information concerning this price quote.
Prospective proposers will be invited to attend as designated in the request for Price Quote Form
to review a job site and/or to discuss pertinent questions. Any additions to specifications derived
from a pre-proposal conference will be addressed in the form of a Price Quote Amendment to all
proposers. The type of pre-proposal conference (if any) applicable to this project is designated on
the cover page.
If, in the opinion of City officials a review of the job site is required, a mandatory pre-proposal
conference will be scheduled at the job site as stated above.
4. Familiarity with Site Conditions: The responsibility for the determination of accurate
measurements, the extent of the work to be performed, and the conditions surrounding the
performance thereof shall belong to the proposer. Submission of a proposal shall constitute
acknowledgment by the proposer that he/she is familiar with all such conditions. The failure or
neglect of a proposer to familiarize himself/herself with the site of the proposed work shall in no
way relieve him/her from any obligations with respect to his/her proposal.
5. Questions Regarding Specifications or Proposal Process:
To ensure fair consideration for all proposers, the City prohibits communication to or with any
department, division, or employee during the submission process, except as provided in
paragraph "b" below. Additionally, the City prohibits communication initiated by a proposer to the
City official or employee evaluating or considering the proposals prior to the time a proposal
decision has been made. Any communication between proposer and the City will be initiated by
the appropriate City official or employee in order to obtain information or clarification needed to
develop a proper accurate evaluation of the proposal. Such communication initiated by a
proposer may be grounds for disqualification of the offending proposer from consideration of
award for the proposal currently in evaluation and/or any future proposal depending on severity of
the infraction.
a. Any questions relative to interpretation of specifications or the proposal process, shall be
addressed to the Finance Department, in writing, in ample time before the period set for the
receipt and opening of proposals. Inquiries received within ten (10) days prior to the date set
for the receipt of proposals will be not be given consideration. Any interpretation made to
prospective proposers will be expressed in the form of an addendum to the specifications
Proposal No. 09-PW-003 Page 10 of 10
Replace Fuel System
which, if issued, will be conveyed to all prospective proposers no later than five (5) days
before the date set for receipt of proposals. Oral interpretations will not be provided.
b. It will be the responsibility of the proposer to contact the Finance Department prior to
submitting a proposal to ascertain if any addenda have been issued, to obtain all such
addenda, and return executed addenda or acknowledgment thereof with the proposal.
c. Direct inquiries shall be posted with the Finance Department, City of Edgewater, P. O. Box
100, Edgewater, FL 32132.
6. Pricing/Shipment Cost: All prices must be firm for the delivery schedule quoted herein.
Proposals stipulating "price in effect at time of shipment" or other similar conditions will be
considered not responsive to the Proposal request and will not be accepted. All prices shall be
quoted F.O.B. (Free On Board) delivered to any City of Edgewater department facility unless
otherwise stipulated in the PROPOSAL request or exceptions taken by the Proposer.
7. Political Subdivision: Under Florida Law, prices contained in State Term Contracts, State
Negotiated Agreement Pricing Schedules (SNAPS), Cooperative Proposals, or current proposals,
shall be made available to the City of Edgewater unless otherwise accepted by the terms of this
engagement. The City reserves the right to purchase any commodity or service from these said
instruments if in the best interest of the City. Conversely, the City may disregard these instruments
and purchase through alternate means.
8. Proposer's Certification Form:
a. Each proposer shall complete the "Proposer's Certification" form included with this Request for
Proposal, and submits the form along with the proposal.
b. The failure of a proposer to submit this form shall be cause for reject of the proposal.
c. The form must be acknowledged before a Notary Public with a notary seal affixed on the
document.
9. "No Proposal" Response Form: In the event you elect not to submit a proposal, please complete
and return the attached "No Proposal" form.
10. Alternatives/Substitutions to Specifications: Any alternatives or substitutions to the attached
specifications must be clearly delineated, properly marked and submitted with the proposal (use
separate sheets of paper and make them part of the price quote if necessary.)
11. Meeting Specifications: Vendor's price submittal shall be for items that fully meet the
specifications. If it does not, please indicate variances, no matter how slight, and attach Vendor's
detailed specifications for discrepant item(s) in proposal. Please note that the inability to meet
specifications is grounds for proposal disqualification.
12. Period of Offer Validity: Prices quoted in the proposal must remain valid for a period of ninety
(90) days from the date of the proposal opening unless otherwise instructed.
13. Evaluation of Proposal Award: The City reserves the right to award the proposal to the lowest
most responsive and responsible proposer who submits a proposal meeting all specifications,
whose proposal is most advantageous and represents the best value to the City. The City further
reserves the right to consider matters such as, but not limited to, quality offered, delivery terms,
discounts, and service reputation of the proposer, in determining the most advantageous proposal.
14. Criteria For Award or Rejection of Proposals: The purchase order will be awarded to the
lowest, most responsive, and most responsible proposer complying with all the provisions of the
Request for Proposal, provided the proposal price is reasonable and it is in the best interest of the
City to accept it. The City reserves the right to reject any and all proposals and to waive any
informality in proposal received whenever such rejection or waiver is in the City's best interest.
The City also reserves the right to reject the proposal if a proposer who has previously failed to
perform properly or complete on time contracts or purchase orders of a similar nature, or a
proposal of a proposer whose investigation shows is not in a financial or other position to properly
perform the contract.
a. In determining responsibility, the following criteria (not prioritized), in addition to price, will be
considered by the City:
i. The ability, capacity, and skill of the proposer to perform the services required.
Proposal No. 09-PW-003
Replace Fuel System
Page 11 of 11
ii. Whether the proposer can perform or provide the requirements or provide the
services promptly, or within the time specified, without delay or interference.
Hi. The character, integrity, reputation, judgment, experience, and efficiency of the
proposer.
iv. The quality of performance of previous contracts, purchase orders or services
rendered.
v. Previous and existing compliance by the proposer with laws and ordinances
relating to contracts, purchase orders or services.
vi. The sufficiency of the financial resources as they relate to the ability of the
proposer to perform the contract, purchase order, or provide the service.
vii. The quality, availability, and adaptability of the supplies or services to the
particular use required.
viii. The ability of the proposer to provide future maintenance and service for the use
of the subject matter if required by the proposal specifications.
ix. Whether the proposer is in arrears to the City on a debt or is a defaulter on
surety to the City or, whether the proposer's taxes or assessments are
delinquent.
x. Whether the proposer is in litigation or has caused the City to litigate against it
or any of its associates, subsidiaries, etc. at any prior time.
xi. Such other additional criteria as may be developed for a specific price quote.
15. Proposer's Signature: The City requires that all contracts or agreements with corporations
licensed to do business in the State of Florida, such an agreement will be signed by a corporate
official or principal (i.e., President, Vice President, Secretary, Treasurer, or other authorized
official, e.g., Executive Director) with the corporate seal affixed. If the aforementioned corporate
officers or the corporate seal are not readily available, a letter of authorization from a corporate
official or principal may be submitted in lieu thereof. Such letter of authorization must be on
corporate stationery, must clearly state that the person who signed the referenced agreement is
duly authorized to enter into such an agreement on behalf of the corporation and must be signed
by said corporate officials. Failure to submit letters of authorization within two (2) weeks after
notification of award may result in award withdrawal.
In the case of a partnership, the agreement must be signed by the general or managing partner
and notarized as outlined above.
In the case of a sole proprietorship the owner must sign the agreement and have such execution
notarized.
If you have any questions regarding the execution of the signature page, please feel free to contact
the Finance Department at 386.424.2400, for further clarification. Strict adherence to criteria
outlined above is of the utmost importance in the finalization of agreements awarded to successful
proposers.
16. Selection/Rejection of Options: The City of Edgewater reserves the right to select/reject options
based on price or other criteria deemed to be in the best interest of the City.
17. Submittal of Proposals: Proposals shall be submitted utilizing the proposal form(s) provided
herein. All proposals shall be properly executed with all applicable blank spaces completed. The
signatures of all persons signing shall be in longhand. Erasures, interlineations, or other
corrections shall be authenticated by affixing in the margin immediately opposite the correction the
initials of a person signing the proposal. If the unit price and total amount named by a proposer for
any item are not in agreement, the unit price alone shall be considered, as representing the
proposer's intention and the totals shall be corrected to conform thereto.
18. Proposal Tabulation: Proposers may request copies of the proposal tabulation documents in
person or by enclosing a stamped, self-addressed envelope with the proposal.
19. Proposal Award: Award will be made approximately three to six weeks after the advertised
proposal opening date. It is incumbent on proposers to contact the Finance Department at
386.424.2400, to determine the apparent successful proposer(s). Any appeal to the decision to
Proposal No. 09-PW-003
Replace Fuel System
Page 12 of 12
award must be filed in writing five (5) days from the award date to the Finance Department. The
City's governing body shall consider and award all orders or contracts exceeding $15,000.
20. Proposer Qualification: The City reserves the right to conduct an inspection of the proposer's
facility and equipment prior to the award of the agreement. The City will notify you in writing of our
intent to conduct an inspection or survey of your facility. Proposals will be considered from firms
who have adequate personnel and equipment and who are so situated as to perform prompt
services and who maintain the regular business hours of 8:00 a.m. to 4:30 p.m., Monday through
Friday, except for holidays. The City will only consider proposals from firms who maintain current
City occupational license or state certifications. Proposals will be considered only from firms which
are regularly engaged in the business as described in this proposal package; with a record of
performance for a reasonable period of time, which have sufficient financial support, equipment,
and organization to ensure that they can satisfactorily execute the services if awarded an
agreement under the terms and conditions herein stated. The terms "equipment and organization"
as used herein shall be construed to mean a fully equipped and well-established company in line
with the best business practice in the industry and as determined by the City.
21. Legal Requirements: Federal, State, County and local laws, ordinances, rules and regulations
that in any manner affect the item(s) to be procured hereby shall be duly observed. Lack of
knowledge by the Proposer will in no way be cause for relief from responsibility and abidance.
Failure to comply with all applicable legal requirements shall render your PROPOSAL as non-
responsive.
22. Conflict of Interest: The award hereunder is subject to all applicable portions of Chapter 112,
Florida Statutes. All Proposers must disclose with their PROPOSAL the name of any officer,
director, or employee who is also an employee of the City of Edgewater. Further, all Proposers
must disclose the name of any City of Edgewater employee who owns, directly or indirectly, an
interest in one or more of the Proposer's firm(s) or any of its branches.
23. References: If required by the proposal document, proposers shall submit as a part of the
proposal package, three (3) account references, with name of account, address, contact person,
and telephone number. Governmental references are preferred.
24. Failure to Execute Purchase Order: Failure of the successful proposer to accept the purchase
order as specified may be cause for cancellation of the award. In the event that the award is
cancelled, the award may then be made to the second lowest responsive and responsible
proposer, and such proposer shall fulfill every stipulation embraced herein as if he were the
original party to whom the proposal award was made; or the City may reject all the proposals.
Contractors who default are subject to suspension and/or removal from the approved vendor's list.
25. Trade Names: In cases where an item to be proposal is identified by a manufacturer's name, trade
name, catalog number, or reference, it is understood that the proposer proposes to furnish the item
so identified and does not propose to furnish an "EQUAL" unless the proposed "EQUAL" is
indicated in the proposal response therein by the proposer. Generally, the reference to a name
brand is intended to be descriptive but not restrictive and only to indicate to the prospective
proposer articles that will be deemed acceptable. Proposals on other makes and catalogs will be
considered provided each proposer clearly states in his proposal or proposal exactly what
alternative he proposes to furnish and forwards with his proposal a cut illustration or other
descriptive material which will clearly indicate the character of the article covered in this proposal.
The City reserves the right to approve as an equal, or to reject as not being equal, any article the
proposer proposes to furnish which contains major or minor variations from the specification
requirements but may comply substantially therewith.
If no particular brand, model, or make is specified and if no data is required to be submitted with
the proposal, before the successful award and before manufacturing or shipment the vendor may
be required to submit working drawings or detailed descriptive data sufficient to enable the City to
judge if such data and specifications are in compliance with the City's requirements.
26. Right to Audit Records: The City shall be entitled to audit the books and records of the contractor
or subcontractor to the extent that such books and records relate to the performance of the
Proposal No. 09-PW-003
Replace Fuel System
Page 13 of 13
Purchase Order or any supplement to the Purchase Order. Such books and records shall be
maintained by the contractor or subcontractor for a period of three (3) years from the date of final
payment under the Purchase Order unless a shorter period is otherwise authorized in writing by
the City.
27. Fiscal Year Funding Appropriation:
a. Specified Period: Unless otherwise provided by law, a purchase order for supplies or services
may be entered into for any period of time deemed to be in the best interest of the City,
provided the term of the purchase order and conditions of renewal or extension, if any, are
included in the solicitations and funds are available for the initial fiscal period of the purchase
order. Payment and performance obligations for succeeding fiscal periods shall be subject to
the annual appropriation by City Council.
b. Cancellation Due to Unavailability of Funds in Succeeding Final Periods: When funds are not
appropriated or otherwise made available to support continuation of performance in a
subsequent fiscal period, the purchase order shall be cancelled and the contractor shall be
entitled to reimbursement for the reasonable value of any work performed to the date of
cancellation.
28. Execution of the Purchase Order/Contract: The successful proposer shall at the City's option,
within fifteen (15) calendar days after notification of award is issued by the City of Edgewater, to
enter into a purchase order or contract with the City on forms provided by the City for the
performance of work awarded and shall simultaneously provide any required bonds, indemnities,
insurance certificates or other required documentation. Failure to comply with the established
deadline for submittal of required documents may be grounds for cancellation of the award.
29. Florida Prompt Payment Act/Invoicing and Payment: Suppliers shall be paid in accordance
with the State of Florida Prompt Payment Act, Section 218.70 of the Florida Statutes, upon
submission of proper invoice(s) to: Accounts Payable Division, City of Edgewater, P.O. Box 100,
Edgewater, Florida 32132. Invoices are to be billed at the prices stipulated on the purchase order
and as outlined in this PROPOSAL. All invoices must show the City of Edgewater purchase order
number.
30. Discounts: Proposers may offer a cash discount for prompt payments. Discounts will be
computed from the date of satisfactory delivery at place of acceptance and/or from receipt of
correct invoice at the office specified whichever is later. Proposers are encouraged to reflect cash
discounts in the unit prices proposal.
31. Florida Statutes on Drug-Free Workplace Programs: In case of tie proposals, preference must
be given to vendors submitting a certification with their proposal/proposal certifying they have a
drug-free workplace in accordance with Section 287.087, Florida Statutes. This form is included
with this Request for Proposal and must be completed and returned with your proposal.
32. Equal Opportunity Employer: The City is an Equal Employment Opportunity (EEO) employer
and as such encourages all contractors or vendors to voluntarily comply with EEO regulations with
regards to gender, age, race, veteran status, country of origin, and creed. In addition, the
contractor or vendor or anyone under his/her employ shall comply with all applicable rules,
regulations and promulgation's thereby pertaining to the avoidance or appearance of sexual
harassment or on the job discrimination. The contractor or vendor shall maintain a working
environment free of discrimination or unwelcome actions of a personal nature. Any sub-contracts
entered into shall make reference to this clause with the same degree of application being
encouraged. When applicable, the contractor or vendor shall comply with all new State and
Federal EEO Regulations.
33. Public entity crime: A person or affiliate who has been placed on the convicted vendor list
following a conviction for a public entity crime may not submit a proposal or reply on a contract to
provide any goods or services to a public entity; may not submit a proposal or reply on a contract
with a public entity for the construction or repair of a public building or public work; may not submit
proposals or replies on leases of real property to a public entity; may not be awarded or perform
work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity;
Proposal No. 09-PW-003
Replace Fuel System
Page 14 of 14
and may not transact business with any public entity in excess of the threshold amount provided in
F.S. 287.017 for CATEGORY TWO for a period of 36 months following the date of being placed on
the convicted vendor list.
34. Award Dispute Resolution: Proposal award challenges shall be posted in writing with the
Finance Director who (as authorized by the City Manager) is the administrative head of the
Finance Department. The Finance Director will gather evidence and discern facts and make a
recommendation to the City Manager. The City Manager will present his recommendations to the
governing body who will make the final decision on the matter. All decisions of the governing body
are final. Pursuant to Florida Statutes, Chapter 120, a written notice of protest must be filed with
the Finance Director within 5 days after posting of the proposal tabulation or after receipt of notice
by the City of intended award. The nature of protest must be followed within 10 days of filing by a
formal written notice fully detailing all elements, which promulgated the protest.
35. Proposal Award Cancellation: The City reserves the right to withdraw all proposal awards at
anytime for any reason.
36. Suspension or Rescindment of Proposal Privileges:
The City of Edgewater may remove any vendor, contractor, supplier, service provider, or other
entity from its active vendor's list for violation of one or more of the issues listed below.
. Continued failure to deliver products, services, work in accordance with the terms and
conditions of the engagement documentation.
. Disregard for the prudent use of taxpayer's funds.
. Causing the City to litigate.
. Shoddy workmanship.
. Deliberate attempts to deceive the City.
37. Purchasing Policy: All terms and conditions contained in the City's Purchasing Policy dated April
21, 2008 shall apply to this proposal.
THE CITY RESERVES THE RIGHT TO MODIFY, REMOVE, ADD CONDITIONS AT ANY
TIME TO THESE GENERAL CONDITIONS TO PROTECT ITS BEST INTERESTS.
Proposal No. 09-PW-003
Replace Fuel System
Page 15 of 15
PROPOSER'S LEGAL CERTIFICA TION
As witnessed by my signature below, I have carefully examined the Request for Proposal, Instructions
to Proposers, General and/or Special Conditions, Vendor's Notes, Specifications, proposed
Agreement, and any/all other documents accompanying or made part of this proposal request.
~ I hereby propose to furnish the goods or services specified in the Request at the prices or rates
quoted in my proposal. I agree that my proposal will remain firm for a period of up to
ninety (gO) days in order to allow the city adequate time to evaluate the proposals.
~ I agree to propose by all conditions of this proposal and understand that the Edgewater Law
Enforcement Department prior to proposal award may conduct a background investigation.
~ I certify that all information contained in this proposal is truthful to the best of my knowledge
and belief. I further certify that I am duly authorized to submit this proposal on behalf of the
vendor/contractor as its act and deed and that the vendor/contractor is ready, willing, and able
to perform if awarded the proposal.
~ I further certify, under oath, that this proposal is made without prior understanding, agreement,
connection, discussion, or collusion with any other person, firm, or corporation submitting a
proposal for the same product or service; no officer, employee, or agent of any other proposer
is interested in said proposal; and that the undersigned executed this Proposer's Certification
with full knowledge and understanding of the matters therein contained and was duly
authorized to do so.
Company Name:
By:
Signature
Name & Title, Typed or Printed
Mailing Address (City, State & Zip Code):
Telephone/F ax
Number:
State of
County of
Sworn and subscribed before me this
day of
,20
Notary Public
o Personally Known
o Produced 1.0.
Proposal No. 09-PW-003
Replace Fuel System
Page 16 of 16
QUESTIONNNAIRE
This form is to be utilized to provide general information about your firm/company to the City
of Edgewater. Please submit this form with your sealed proposal.
Name of Company Fed 1.0. #
Please answer the following:
1. Number of years your firm/company has been in business: years.
2. Is your firm incorporated in the State of Florida? Yes No.
3. Number of years your firm/company has provided the type of producUservice required
by the Request for Proposal: years.
4. Type of business (check which applies)
Minority Owned Woman Owned Small Other
5. Headquarter address if different from business address
6. Names of key employees who will work on this project and their years of experience in
the type of service related to work specified in this proposal:
Name and Title
Years of Experience
A.
S.
C.
Public Entity Work References Name/Title
Phone Number
A.
S.
C.
Please indicate below the names and addresses of your primary/secondary suppliers for the product
covered under this proposal (if applicable.)
Primary
Name:
Address:
Secondary
Name:
Address:
Name of Person Completing Form:
Phone No.
Contact:
Phone No.
Contact:
Proposal No. 09-PW-003
Replace Fuel System
Page 17 of 17
DRUG-FREE WORKPLACE CERTIFICATION
In case of tie proposals, preference must be given to vendors submitting a certification with their
proposal certifying they have a drug-free workplace in accordance with Section 287.087, Florida
Statutes. The drug-free certification form below must be signed and returned with your
proposal.
In order to have a drug-free workplace program, a business shall:
(1) 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. (2)
Inform employees about the dangers of drug abuse in the workplace, the business' 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. (3) Give each employee engaged in providing the commodities or contractual
services that are under proposal a copy of the statement specified in the first paragraph. (4) In
the statement specified in the first paragraph, notify the employees that, as a condition of
working on the commodities or contractual services that are under proposal, 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 than five (5)
days after such conviction. (5) Impose a sanction 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. (6) 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 firm complies fully with the
above requirements.
Vendor's Signature, Title, Date
STATE OF
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority
who, after being first sworn by me, affixed his/her signature in the space provided above on
this day of , 20
_Personally known
Produced I.D
Notary Public
Proposal No. 09-PW-003
Replace Fuel System
Page 18 of 18
PLEASE COMPLETE AND SUBMIT WITH PROPOSAL
PUBLIC ENTITY CRIMES
Any person submitting a proposal, proposal or reply in response to this request
or a contract, must execute the enclosed form PUR. 7069, sworn statement under
section 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES, including
proper check(s), in the space(s) provided, and enclose it with his quote, proposal, or
proposal. If you are submitting a quote, bid or proposal on behalf of dealers or suppliers
who will ship commodities and receive payment from the resulting contract, it is your
responsibility to see that copy(ies) of the form are executed by them and are included
with your quote, proposal, or proposal. Corrections to the form will not be allowed after
the quote, bid, or proposal opening time and date. Failure to complete this form in
every detail and submit it with your quote, bid, or proposal may result in immediate
disqualification of your bid or proposal.
The 1989 Florida Legislature passed Senate Bill 458 creating Sections 287.132 -
133, Florida Statutes, effective July 1, 1989. Section 287.132(3)(d), Florida Statutes,
requires the Florida Department of General Services to maintain and make available to
other political entities a "convicted vendor" list consisting of persons and affiliates who
are disqualified from public contracting and purchasing process because they have
been found guilty of a public entity crime. A public entity crime is described by Section
287.133, Florida Statutes, as 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 in
Florida or with an agency or political subdivision of any other state or with the United
States, including, but not limited to, any proposal or contract for goods or services to be
provided to any public entity or with an agency or political subdivision and involving
antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material
misrepresentation.
A public entity may not accept any bid, proposal or reply from, award any
contract to, or transact any business in excess of the threshold amount provided in
Section 287.017, Florida Statutes, for CATEGORY TWO with any person or affiliate on
the convicted vendor list for a period of 36 months following the date that person or
affiliate was placed on the convicted vendor list unless that person or affiliate has been
removed from the list pursuant to Section 287.133(3)(f), Florida Statutes.
Therefore, effective October 1, 1990, prior to entering into a contract (formal
contract or purchase order in excess of the threshold amount provided in Section
287.017, Florida Statutes, for CATEGORY TWO) to provide goods or services to THE
CITY OF EDGEWATER, a person shall file a sworn statement with the contracting
officer or Finance Director, as applicable. The attached statement or affidavit will be the
form to be utilized and must be properly signed in the presence of a notary public or
other officer authorized to administer oaths and properly executed.
THE INCLUSION OF THE SWORN STATEMENT OR AFFIDAVIT SHALL BE
SUBMITTED CONCURRENTLY WITH YOUR BID, PROPOSAL OR REPLY
DOCUMENTS. NON-INCLUSION OF THIS DOCUMENT MAY NECESSITATE
REJECTION OF YOUR QUOTE, PROPOSAL OR BID.
Proposal No. 09-PW-003
Replace Fuel System
Page 19 of 19
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 OFFICER AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted with the
Bid/Proposal for THE CITY OF EDGEWATER.
2. This sworn statement is submitted by
whose business address is
and (if applicable) its Federal Employer Identification (FEIN) is
3. My name is (please print name of individual
signing) and my relationship to the entity named above is
4. 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 or with an
agency or political subdivision of any other state or with the United States, including, but
not limited to, any bid, proposal, reply or contract for goods or services, any lease for
real property, or any contract for the construction or repair of a public building or public
work, involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or
material misrepresentation.
5. I understand that "convicted" or "conviction" as defined in Paragraph
287.133(1 )(b), Florida Statutes, means a finding of guilt or a conviction of a public entity
crime, with or without an 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, nonjury trial, or entry of a plea of guilty or nolo contendere.
6. I understand that an "affiliate" as defined in Paragraph 287 .133( 1 )( a), Florida
Statutes, means:
(1) A predecessor or successor of a person convicted of a public entity crime; or
(2) 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 arm's 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 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 any 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 let by a public entity, or which otherwise transacts or applies
to transact business with a public entity. The term "person" includes those officers,
Proposal No. 09-PW-003 Page 20 of 20
Replace Fuel System
directors, executives, partners, shareholders, employees, members, and agents who
are active in management of an entity.
8. Based on information and belief, the statement that 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 any 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, or an affiliate of the entity has 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 Administrative 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 or 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
Administrative Hearings. The final order entered by the hearing officer determined that
it was in the public interest to remove the person or affiliate from 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.)
(Signature)
Date:
STATE OF FLORIDA
COUNTY OF
behalf of
produced
The foregoing instrument was acknowledged before me this day of
, 2008 by , (title) on
. He/she is personally known to me or has
as identification and did ( ) did not ( ) take an oath.
(Notary Signature)
Name:
My Commission Expires:
Commission Number:
Proposal No. 09-PW-003
Replace Fuel System
Page 21 of 21
City of Edgewater Fuel Tank Replacement Project
Addendum 09-PW-003-Al
Posted 02/11/09
o If new canopy is to be installed, it must be at a minimum size of the existing
canopy.
o The Veeder Root system can be either hard-wired or wireless.
o The Veeder Root can be installed near the fueling system with a monitor at the
office. The City cannot guarantee the integrity of the existing conduit.
o Please provide information on the availability of a temporary fueling facility
(temporary tanks with dispensers) that can be used while constructing new
facility. Include size and pricing information.
o Please provide a minimum of five references in Florida that the company has
done previous work for.
qb
AGENDA REQUEST
Date: March 5, 2009
PUBLIC
HEARING
RESOLUTION
ORDINANCE
BOARD
APPOINTMENT
CONSENT
OTHER
BUSINESS March 16. 2009
ITEM DESCRIPTION: Interlocal Agreement between the City of Edgewater and the City of
New Smyrna Beach to accept solid waste from New Smyrna Beach's City Parks.
BACKGROUND: The Parks and Recreation Department of the City of New Smyrna Beach
collects their own solid waste from the Parks within their City. All other solid waste collection is
contracted. The Director of Parks and Recreation requested to transport this solid waste to the
City of Edgewater's Transfer Station rather than hauling it to the Volusia County Landfill in
Daytona. The Florida Department of Environmental Protection has authorized the City of
Edgewater to allow this. An agreement was written by our City Attorney to allow New Smyrna
Beach to dispose of solid waste at the City's transfer station in the amount of $180 per month for
up to 90 cubic yards per month and an additional $2.00 per cubic yard for any waste beyond the
90 cubic yard base amount. The City of New Smyrna Beach has executed the agreement as
written.
STAFF RECOMMENDATION: Approval ofthe agreement with the City of New Smyrna
Beach for acceptance of solid waste at the City of Edgewater' s transfer station facility.
ACTION REQUESTED: A motion to approve the agreement with the City of New Smyrna
Beach for the acceptance of solid waste and authorize the City Manager to execute the
agreement.
FINANCIAL IMPACT: (FINANCE DIRECTOR)
(SPECIFY IF BUDGET AMENDMENT IS REQUIRED) NO
PREVIOUS AGENDA ITEM:
YES
NO
xx
DATE:
AGENDA ITEM NO.
Respectfully submitted,
~ud./ &(//(//7 ~~~
Brenda L. Dewees Robin atusick
Interim Director of Env. Services Paralegal
City of New 8myrna Beach
February 25, 2009
Brenda L. DeWees
Interim Director of Environmental Services
City of Edgewater
P. O. Box 100
Edgewater, Florida 32132-0100
Re: Interlocal Agreement Between the City of Edgewater and the City of
New Smyrna Beach for the Acceptance of Solid Waste
Dear Ms. DeWees,
Enclosed please find the signed original of the Interlocal Agreement between the
City of Edgewater and the City of New Smyrna Beach for the Acceptance of Solid
Waste.
sistance please do not hesitate to call.
JRB/bb
Enclosure as stated
210 6ams Avenue - New 6myrna l':>each, Florida 32168-9985 - 386-424-2100- Fax 386-424-2109
@ PRINTED ON RECYCLED PAPER
"
INTERLOCAL AGREEMENT
BETWEEN THE CITY OF EDGEWATER AND
THE CITY OF NEW SMYRNA BEACH
FOR THE ACCEPTANCE OF SOLID WASTE
/
THIS AGREEMENT, is entered into by and between the City of Edgewater, a
municipal corporation duly incorporated pursuant to the laws of the State of Florida, with its
principal place of business located at 104 Riverside Drive, Edgewater, Florida 32132 (hereinafter
"EDGEW A TER"), and the City of New Smyrna Beach, a municipal corporation duly
incorporated pursuant to the laws of the State of Florida, with its principal place of business
located at 210 Sams Avenue, New Smyrna Beach, Florida 32168 (hereinafter "NEW SMYRNA
BEACH").
WHEREAS, EDGEW A TER and NEW SMYRNA BEACH are authorized by Chapter
166, Florida Statutes, to enter into agreements to conduct municipal government, perform
municipal functions, and render municipal services;
WHEREAS, Chapter 163, Part I, Florida Statutes, authorizes and provides for interlocal
agreements between public entities, including cities;
WHEREAS, public entities are authorized by S 163.01(14), Fla. Stat. (2007), to enter
into contracts for the performance of service functions, but shall not be deemed to authorize
delegation of constitutional or statutory duties and the parties expressly deny any intent, either
express or implied, in this Agreement to provide for delegation of any constitutional or statutory
duties;
WHEREAS, the EDGEW A TER transfer station is capable of accepting solid waste
generated within NEW SMYRNA BEACH;
INTERLOCAL AGREEMENT BETWEEN THE CITY OF EDGEW A TER AND
THE CITY OF NEW SMYRNA BEACH FOR THE ACCEPTANCE OF SOLID WASTE
PAGE 1 OF8
WHEREAS, NEW SMYRNA BEACH desires to seek cooperative arrangements with
EDGEW A TER for the disposal of Class I solid waste generated within NEW SMYRNA
BEACH; and
WHEREAS, EDGEW A TER and NEW SMYRNA BEACH, after evaluation of options
for the provision to its residents of the municipal services enumerated herein, have made a
legislative determination that the interests of their respective residents will best be served by
contracting with each other as outlined herein.
NOW, THEREFORE, in consideration of the mutual promises contained herein, the
parties agree as follows:
PART I.
GENERAL PROVISIONS.
1. The foregoing provisions and representations are true and correct and are
incorporated herein by reference.
2. Purpose. The purpose of this Agreement is for EDGEW A TER to provide limited
solid waste services to NEW SMYNRA BEACH in lieu of NEW SMYRNA BEACH using its
own personnel and equipment for the provision of such services. Specifically, EDGEW A TER
will accept solid waste originating from NEW SMYRNA BEACH parks. The solid waste will
be collected and transported to the EDGEW A TER transfer station by NEW SMYRNA BEACH
using its own equipment and vehicle.
3. Effective Date. This Agreement shall become effective upon execution by the
appropriate officials from EDGEW A TER and NEW SMYNRA BEACH along with the filing of
this Agreement with the Clerk of the Circuit Court of Vol usia County, Florida.
INTERLOCAL AGREEMENT BETWEEN THE CITY OF EDGEW A TER AND
THE CITY OF NEW SMYRNA BEACH FOR THE ACCEPTANCE OF SOLID WASTE
PAGE20F8
.'
4. Duration. This Agreement shall remain in effect for a period of three (3) years
from the effective date, unless terminated by one of the parties. The parties may,
by mutual agreement, renew this Agreement upon the same or modified terms
prior to the termination date
5. Termination. This Agreement may be terminated by either party upon giving 30
days prior written notice to the other party. Such notice shall be delivered by
certified mail, return receipt requested, and the date of the notice shall be the date
the receipt therefore is signed by an employee, official, or representative of the
recipient.
6. Sovereign Immunity. Except to the extent specifically and expressly provided
herein, the parties agree this Agreement shall not waive the sovereign immunity they presently
enjoy under the Constitution and statutes of the State of Florida, particularly with respect to
Chapter 768, Florida Statutes.
P ART II.
SPECIFIC SERVICES.
1. NEW SMYRNA BEACH shall have the right to dispose of municipal/residential,
Class I, solid waste generated within NEW SMYRNA BEACH parks at the EDGEW A TER
transfer station, subject to all state and federal regulations related to solid waste. The solid waste
will be collected and transported to the EDGEW A TER transfer station located at 409 Mango
Tree Drive by NEW SMYRNA BEACH using its own equipment and vehicle during regular
operating hours as set by EDGEW A TER.
2. At no time shall NEW SMYRNA BEACH deliver any solid waste to the
EDGEW A TER transfer station that is prohibited by any applicable law. EDGEW A TER reserves
INTERLOCAL AGREEMENT BETWEEN THE CITY OF EDGEW A TER AND
THE CITY OF NEW SMYRNA BEACH FOR THE ACCEPTANCE OF SOLID WASTE
PAGE 3 OF 8
the right to reject the delivery and unloading of any solid waste it determines to be unacceptable.
Unacceptable solid waste shall be defined as any waste falling outside of Class I solid waste, as
determined by Florida law, or otherwise failing to meet any state or federal law or regulation.
EDGEW A TER's failure to exercise its right to reject an unacceptable delivery shall not
constitute, and shall not be construed as, an acceptance of such material or any liability
associated with it. NEW SMYRNA BEACH shall retain all responsibility and liability for any
unacceptable solid waste delivered to EDGEW A TER's transfer station.
3. NEW SMYNRA BEACH shall pay EDGEWATER $180.00 per month for up to
ninety (90) cubic yards of solid waste. For any solid waste beyond the base amount of ninety
(90) cubic yards per month, NEW SMYRNA BEACH shall pay an additional $2.00 per cubic
yard. EDGEW A TER reserves the right to increase the charges based on the tipping fees and/or
fuel costs it incurs in disposing of NEW SMYRNA BEACH's waste left at the transfer station.
4. Except as otherwise provided herein, each party shall be liable for its own actions
and negligence. To the extent permitted by law, NEW SMYRNA BEACH shall indemnify,
defend, and hold harmless EDGEW A TER against any actions, claims, or damages arising out of
NEW SMYRNA BEACH's negligence in connection with this Agreement, and EDGEWATER
shall indemnify, defend, and hold harmless NEW SMYRNA BEACH against any actions,
claims, or damages arising out of EDGEWATER's negligence in connection with this
Agreement. The foregoing indemnification shall not constitute a waiver of sovereign immunity
beyond the limits set forth in S 768.28, Fla. Stat. (2007), nor shall it be construed to constitute an
agreement by either party to indemnify the other party for such other party's negligent, willful,
or intentional acts or omissions, except as provided herein.
INTERLOCAL AGREEMENT BETWEEN THE CITY OF EDGEW A TER AND
THE CITY OF NEW SMYRNA BEACH FOR THE ACCEPTANCE OF SOLID WASTE
PAGE40F8
"
5. EDGEW A TER shall not be liable to NEW SMYRNA BEACH and shall
otherwise be excused from performance under this Agreement in the event its transfer station is
rendered inoperable for any of the following reasons:
a. An act of God, including hurricanes, tornadoes, landslides, lightning,
earthquakes, fires, floods, and explosions;
b. An act of a public enemy, war, terrorism, blockade or insurrection, riot, or
civil disturbance;
c. An order or judgment of any federal, state, or local court, administrative
agency or governmental body;
d. A change in law;
e. Any unforeseen condition (including the presence of hazardous waste)
which shall prevent the operation of the transfer station;
f. The condemnation, taking, seizure, involuntary conversion, or requisition
of title to or use of the transfer station, or any material portion or part thereof, by the action of
any federal, state, or local governmental agency or authorities, other than EDGEW A TER; or
INTERLOCAL AGREEMENT BETWEEN THE CITY OF EDGEW A TER AND
THE CITY OF NEW SMYRNA BEACH FOR THE ACCEPTANCE OF SOLID WASTE
PAGE 5 OF 8
.'
g. Any act, event, or condition which is determined by mutual agreement of
the EDGEW A TER and NEW SMYRNA BEACH to be of the same general type, and subject to
the same conditions, as those set forth in subparagraphs (a) through (f) above.
In the event EDGEW A TER is unable to accept the solid waste of NEW SMYRNA BEACH as
set forth above, a credit for the monthly payment will be calculated based on the amount of solid
waste actually delivered.
PART III.
MISCELLANEOUS.
1. Third Parties. In no event shall any of the terms of this Agreement confer upon
any third person, corporation or entity other than the parties hereto any right or cause of action
for damages claimed against any of the parties to this Agreement arising from the performance
of the obligations and responsibilities of the parties herein or for any other reason.
2. Assignment. EDGEW A TER shall not assign the performance of this Agreement
to any other governmental or private entity or in any manner contract with a third party without
the express written consent of NEW SMYNRA BEACH.
3. Severability. If any provision of this Agreement is found to be unconstitutional,
illegal or otherwise unenforceable by a judgment of a court of competent jurisdiction, such
judgment shall not invalidate the remainder of this Agreement unless such judgment renders the
purpose or performance of the Agreement no longer practical for either party.
INTERLOCAL AGREEMENT BETWEEN THE CITY OF EDGEW A TER AND
THE CITY OF NEW SMYRNA BEACH FOR THE ACCEPTANCE OF SOLID WASTE
PAGE 6 OF 8
4. Notice. Any notice required to be provided herein shall be directed to the parties'
Chief Executive Officers at the following addresses:
City of Edgewater
Office of the City Manager
104 Riverside Drive
Edgewater, FL 32132
City of New Smyrna Beach
Office of the City Manager
210 Sams Avenue,
New Smyrna Beach, FL 32168
5.
Entire Agreement.
This Agreement reflects the full and complete
understanding of the parties and may be modified only by written document, executed by the
parties with the same formalities as this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement by and
through their duly authorized representatives on the respective dates set forth below.
YRNA BEACH
CITY OF EDGEW A TER
By:
Date:
Date:
ATTEST:
INTERLOCAL AGREEMENT BETWEEN THE CITY OF EDGEW A TER AND
THE CITY OF NEW SMYRNA BEACH FOR THE ACCEPTANCE OF SOLID WASTE
PAGE70F8
I .
" .-
. .
. .
APPROVED AS TO FORM AND
CORRECTNESS
APPROVED AS TO FORM AND
CORRECTNESS BY
Carolyn S. Ansay, City Attorney
/
L//
INTERLOCAL AGREEMENT BETWEEN THE CITY OF EDGEW A TER AND
THE CITY OF NEW SMYRNA BEACH FOR THE ACCEPTANCE OF SOLID WASTE
PAGE80F8
TENTATIVE AGENDA ITEMS
APR 6 (items due Thurs 3/26)
1. Friendship Baptist Church - Special Activity Permit
2. General Employee Pension Board appointment
3. General Employee Pension Board appointment
APR 20 (items due Thurs 4/9)
MAY 4 (items due Thurs 4/23)
MAY 18 (items due Thurs 517)
JUNE 1 (items due Thurs 5/21)
JUNE 15 (items due Thurs 6/4)
JULY 6 (items due Thurs 6/25)
JULY 20 (items due Thurs 7/9)
AUGUST 3 (items due Thurs 7/23)
AUGUST 17 (items due Thurs 8/6)
UNSCHEDULED UPCOMING HEARINGS - PLANNING DEPART APPS RECEIVED
1) SeaGate - Edgewater Lakes Phase II PUD Agreement
2) Coastal Oaks - Haynes sm scale comp plan amend
3) Hickey Residential (RZ-0505)
4) 1st It. Ord. #2007-0-, 442 rezonings
5) Washington Park preliminary plat approval
6) 2nd Reading - 2008-0-05; JC Carder Comprehensive Plan Future Land Use Map amendment for property located
north of Godfrey Road and east of US Highway 1 as Commercial wi Conservation Overlay and Low Density
Residential with Conservation Overlay
7) 2nd Reading - 2008-0-09; JC Carder rezoning request for property located north of Godfrey Road and east of US
Highway 1 as B-3 and R-l.
DEVELOPMENTSERVICES~LANNING)DEPARTMENTPROJECTS
1) Subdivision Architectural Design Standards
2) US # 1 Corridor Guidelines
3) Capital Improvement Element
4) Recreation/Open Space Element
5) Capital Improvement Plan
F:\Council Agenda's\Tentative Agenda Ljst\2009\~.doc
Rev. 11/19/08