Common use of QUALFICIATIONS OF PROPOSER Clause in Contracts

QUALFICIATIONS OF PROPOSER. Proposals shall be considered only from firms normally engaged in performing the type of work specified within the RFP Project Document. The firm proposing must have adequate organization, facilities, equipment, and personnel to ensure prompt and efficient service to the City. In determining a Proposer's responsibility and ability to perform the contract, the City has the right to investigate the financial condition, experience record, personnel, equipment, facilities, and organization of the Proposer. The City has the right to conduct further investigation of the firm’s responsibility. The unreasonable failure of Proposer or firm to promptly supply information in connection with an inquiry with respect to responsibility may be grounds for determination of non-responsibility with respect to such Proposer or firm. ALL FIRMS’ MUST COMPLETE, SIGN AND RETURN ALL FORMS WITH THE FIRM’S SUBMITTAL. UNABLE TO SUBMIT A RESPONSE? We sincerely hope this is not the case. If your firm cannot submit a proposal at this time, please provide the information requested in the space provided below and return form to xxxxxxxxxxx_xxxxxxxxxx@xxxx.xxx: WE (COMPANY NAME) COMPLETE INFORMATION BELOW: SIGNATURE: TITLE: STREET ADDRESS: (OR) P.O. BOX: CITY: STATE: ZIP CODE: TELEPHONE/AREA CODE: ( ) EMAIL ADDRESS: ADDRESS: CITY & STATE: ZIP CODE: TELEPHONE: DATE OF RFP: FACSIMILE NUMBER: E-MAIL ADDRESS: FEDERAL ID NUMBER: NAME & TITLE PRINTED: SIGNED BY: WE (I) the above signed hereby agree to furnish the item(s), service(s) and have read all attachments including specifications, terms and conditions and fully understand what is required. The Request for Proposals, Specifications, Proposal Forms, and/or any other pertinent document form a part of this proposal and by reference made a part hereof. Signature indicates acceptance of all terms and conditions of the RFP.

QUALFICIATIONS OF PROPOSER. Proposals shall be considered only from firms normally engaged in performing the type of work specified within the RFP Project Document. The firm proposing must have adequate organization, facilities, equipment, and personnel to ensure prompt and efficient service to the City. In determining a Proposer's responsibility and ability to perform the contract, the City has the right to investigate the financial condition, experience record, personnel, equipment, facilities, and organization of the Proposer. The City has the right to conduct further investigation of the firm’s responsibility. The unreasonable failure of Proposer or firm to promptly supply information in connection with an inquiry with respect to responsibility may be grounds for determination of non-responsibility with respect to such Proposer or firm. ALL A LL FIRMS’ MUST COMPLETE, SIGN AND RETURN ALL FORMS WITH THE FIRM’S SUBMITTAL. UNABLE TO SUBMIT A RESPONSE? We sincerely hope this is not the case. If your firm cannot submit a proposal at this time, please provide the information requested in the space provided below and return form to xxxxxxxxxxx_xxxxxxxxxx@xxxx.xxx: WE HAVE RECEIVED THE RFP (COMPANY NAME) COMPLETE INFORMATION BELOW: SIGNATURE: TITLE: STREET ADDRESS: (OR) P.O. BOX: CITY: STATE: ZIP CODE: TELEPHONE/AREA CODE: ( ) EMAIL ADDRESS: ADDRESS: CITY & STATE: ZIP CODE: TELEPHONE: DATE OF RFP: FACSIMILE NUMBER: E-MAIL ADDRESS: FEDERAL ID NUMBER: NAME & TITLE PRINTED: SIGNED BY: WE (I) the above signed hereby agree to furnish the item(s), service(s) and have read all attachments including specifications, terms and conditions and fully understand what is required. The Request for Proposals, Specifications, Proposal Forms, and/or any other pertinent document form a part of this proposal and by reference made a part hereof. Signature indicates acceptance of all terms and conditions of the RFP. The City of Hallandale Beach requires the acceptance of any of the following e-payable methods for all work/services rendered as a result of the award of this solicitation. Please provide your firm’s preference of payment terms in the Form provided in the Form’s Section of this RFP.

QUALFICIATIONS OF PROPOSER. Proposals shall be considered only from firms normally engaged in performing the type of work specified within the RFP Project Document. The firm proposing must have adequate organization, facilities, equipment, and personnel to ensure prompt and efficient service to the City. In determining a Proposer's responsibility and ability to perform the contract, the City has the right to investigate the financial condition, experience record, personnel, equipment, facilities, and organization of the Proposer. The City has the right to conduct further investigation of the firm’s responsibility. The unreasonable failure of Proposer or firm to promptly supply information in connection with an inquiry with respect to responsibility may be grounds for determination of non-responsibility with respect to such Proposer or firm. ALL FIRMS’ MUST COMPLETE, SIGN AND RETURN ALL FORMS WITH THE FIRM’S SUBMITTAL. UNABLE TO SUBMIT A RESPONSE? We sincerely hope this is not the case. If your firm cannot submit a proposal at this time, please provide the information requested in the space provided below and return form to xxxxxxxxxxx_xxxxxxxxxx@xxxx.xxx: WE (COMPANY NAME) ARE UNABLE TO RESPOND TO THE RFP AT THIS TIME DUE TO THE FOLLOWING REASONS: COMPLETE INFORMATION BELOW: SIGNATURE: TITLE: STREET ADDRESS: (OR) P.O. BOX: CITY: STATE: ZIP CODE: TELEPHONE/AREA CODE: ( ) EMAIL ADDRESS: RETURN THIS UNABLE TO SUBMIT FORM ONLY TO: CITY OF HALLANDALE BEACH PROCUREMENT DEPARTMENT 000 XXXXX XXXXXXX XXXXXXX, ROOM 242 HALLANDALE BEACH, FL 33009 Any variances to the specifications, RFP, etc., must be specified here (provide additional pages if necessary): THIS PROPOSAL SUBMITTED BY: ADDRESS: CITY & STATE: ZIP CODE: TELEPHONE: DATE OF RFP: FACSIMILE NUMBER: E-MAIL ADDRESS: FEDERAL ID NUMBER: NAME & TITLE PRINTED: SIGNED BY: WE (I) the above signed hereby agree to furnish the item(s), service(s) and have read all attachments including specifications, terms and conditions and fully understand what is required. The Request for Proposals, Specifications, Proposal Forms, and/or any other pertinent document form a part of this proposal and by reference made a part hereof. Signature indicates acceptance of all terms and conditions of the RFP. The City of Hallandale Beach requires the acceptance of any of the following e-payable methods for all work/services rendered as a result of the award of this solicitation. Please provide your firm’s preference of payment terms in the Form provided in the Form’s Section of this RFP. The City’s preferred method of payment is listed below in order of preference: 1) E-payables – it is an electronic method of payment. Vendors are provided a credit card by the City’s bank, Suntrust. Invoice payments will be transferred/deposited to the credit card and the vendor will receive a remittance via e-mail. The Vendor is required to swipe the card to receive the funds. Invoice payments will be processed and issued upon invoice receipt. 2) PCard - Vendor must be able to accept Visa credit card payments. Invoice payments are processed and issued upon invoice receipt. 3) Automated Clearing House (ACH) payment - A direct bank draft to a vendor’s bank account. This method will only be authorized by the City if your firm provides a discount to the City for this payment method. Payments made within 30 days require a 1% discount. Payments made within 20 days require a 2% discount. Payments made within 10 days require a 3% discount. Invoice minimum amount is $500 to receive payment via ACH. 4) Check - Payment will not be issued earlier than 30 days from invoice receipt date. Payment will be mailed or available for pickup. PAYMENT TERMS Firm to choose which payment term firm will accept for this project. 1. E-payables – it is an electronic method of payment. Vendors are provided a credit card by the City’s bank, Suntrust. Invoice payments will be transferred/deposited to the credit card and the vendor will receive a remittance via e-mail. The Vendor is required to swipe the card to receive the funds. Invoice payments will be processed and issued upon invoice receipt. Yes No 2. PCard - Vendor must be able to accept Visa credit card payments. Invoice payments are processed and issued upon invoice receipt. Firm will accept this payment term Yes No 3. Automated Clearing House (ACH) payment - A direct bank draft to a vendor’s bank account. This method will only be authorized by the City if your firm provides a discount to the City for this payment method. Payments made within 30 days require a 1% discount. Payments made within 20 days require a 2% discount. Payments made within 10 days require a 3% discount. Invoice minimum amount is $500 to receive payment via ACH. Firm will accept this payment term Yes No 4. Check - Payment will not be issued earlier than 30 days from invoice receipt date. Payment will be mailed or available for pickup. Firm will accept this payment term Yes No PUBLIC ENTITY CRIME FORM SWORN STATEMENT PURSUANT TO SECTION 287.133(2) (a), FLORIDA STATUTES, PUBLIC ENTITY CRIME INFORMATION “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 bid, proposal, or reply on a contract to provide any goods or services to a public entity; may not submit a bid, 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 bids, 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; and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months following the date of being placed on the convicted vendor list.” Title: Signed and Sealed day of , 2015 Domestic Partnership Certification Form This form must be completed and submitted with your firm’s submittal.

QUALFICIATIONS OF PROPOSER. Proposals shall be considered only from firms normally engaged in performing the type of work specified within the RFP Project Document. The firm proposing must have adequate organization, facilities, equipment, and personnel to ensure prompt and efficient service to the City. In determining a Proposer's responsibility and ability to perform the contract, the City has the right to investigate the financial condition, experience record, personnel, equipment, facilities, and organization of the Proposer. The City has the right to conduct further investigation of the firm’s responsibility. The unreasonable failure of Proposer or firm to promptly supply information in connection with an inquiry with respect to responsibility may be grounds for determination of non-responsibility non‐responsibility with respect to such Proposer or firm. ALL FIRMS’ MUST COMPLETE, SIGN AND RETURN ALL FORMS WITH THE FIRM’S SUBMITTAL. UNABLE TO SUBMIT A RESPONSE? We sincerely hope this is not the case. If your firm cannot submit a proposal at this time, please provide the information requested in the space provided below and return form to xxxxxxxxxxx_xxxxxxxxxx@xxxx.xxx: WE HAVE RECEIVED THE RFP (COMPANY NAME) COMPLETE INFORMATION BELOW: SIGNATURE: TITLE: STREET ADDRESS: (OR) P.O. BOX: CITY: STATE: ZIP CODE: TELEPHONE/AREA CODE: ( ) EMAIL ADDRESS: ADDRESS: CITY & STATE: ZIP CODE: TELEPHONE: DATE OF RFP: FACSIMILE NUMBER: E-MAIL E‐MAIL ADDRESS: FEDERAL ID NUMBER: NAME & TITLE PRINTED: SIGNED BY: WE (I) the above signed hereby agree to furnish the item(s), service(s) and have read all attachments including specifications, terms and conditions and fully understand what is required. The Request for Proposals, Specifications, Proposal Forms, and/or any other pertinent document form a part of this proposal and by reference made a part hereof. Signature indicates acceptance of all terms and conditions of the RFP. The City of Hallandale Beach requires the acceptance of any of the following e‐payable methods for all work/services rendered as a result of the award of this solicitation. Please provide your firm’s preference of payment terms in the Form provided in the Form’s Section of this RFP. The City’s preferred method of payment is listed below in order of preference: 1) E‐payables – it is an electronic method of payment which deposits funds to a credit card distributed by the City’s bank to the Vendor. The City’s bank is Suntrust. 2) PCard ‐ it is a Visa credit card payment 3) Automated Clearing House (ACH) payment. A direct bank draft to a vendor’s bank account. This method will only be authorized by the City if you firm provides a discount to the City for this payment method. PAYMENT TERMS Firm to choose which payment term firm will accept for this project. 1. E‐payables – it is an electronic method of payment which deposits funds to a credit card distributed by the City’s bank to the Vendor. The City’s bank is Suntrust. Firm will accept this payment term Yes No 2. PCard ‐ it is a Visa credit card payment. Firm will accept this payment term Yes No 3. Automated Clearing House (ACH) payment. A direct bank draft to a vendor’s bank account. This method will only be authorized by the City if you firm provides a discount to the City for this payment method. Firm will accept this payment term Yes No SIGNED BY: “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 bid, proposal, or reply on a contract to provide any goods or services to a public entity; may not submit a bid, 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 bids, 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; and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months following the date of being placed on the convicted vendor list.” Title: Signed and Sealed day of , 2015 The firm providing a response, by virtue of the signature below, certifies that it is aware of the requirements of City of Hallandale Beach Ordinance 2013‐03 Domestic Partnership Benefits Requirement, and certifies the following:  1. The Contractor certifies and represents that it will comply during the entire term of the Contract with the conditions of the Ordinance 2013‐03, Section 23‐3, Domestic Partner Benefits Requirement of the City of Hallandale Beach, or  2. The firm does not need to comply with the conditions of Ordinance 2013‐03, Section 23‐ 3, Domestic Partner Benefits Requirement of the City of Hallandale Beach, because of allowable exemption: (Check only one box below):  The firm’s price for the contract term awarded is $50,000 or less.  The firm employs less than five (5) employees.  The firm does not provide benefits to employees’ spouses nor spouse’s dependents.  The firm is a religious organization, association, society, or non‐profit charitable or educational institution or organization operated, supervised or controlled by or in conjunction with a religious organization, association or society.  The firm is a government entity.  The contract is for the sale or lease of property.  The covered contract is necessary to respond to an emergency.  The provision of Ordinance 2013‐03, Section 23‐3 Definition, of the City of Hallandale Beach, would violate grant requirements, the laws, rules or regulations of federal or state law. I, , Name of authorized Officer per Sunbiz Title of Name of Firm as it appears on Sunbiz hereby attest that I have the authority to sign this notarized certification and certify that the above referenced information is true, complete and correct. Signature Print Name STATE OF COUNTY OF SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF TO ME PERSONALLY KNOWN OR PRODUCED IDENTIFICATION: (type of ID) Signature of Notary Commission expires Print Name of Notary Public Seal Below:

QUALFICIATIONS OF PROPOSER. Proposals shall be considered only from firms normally engaged in performing the type of work specified within the RFP Project Document. The firm proposing must have adequate organization, facilities, equipment, and personnel to ensure prompt and efficient service to the City. In determining a Proposer's responsibility and ability to perform the contract, the City has the right to investigate the financial condition, experience record, personnel, equipment, facilities, and organization of the Proposer. The City has the right to conduct further investigation of the firm’s responsibility. The unreasonable failure of Proposer or firm to promptly supply information in connection with an inquiry with respect to responsibility may be grounds for determination of non-responsibility with respect to such Proposer or firm. ALL FIRMS’ MUST COMPLETE, SIGN AND RETURN ALL FORMS WITH THE FIRM’S SUBMITTAL. UNABLE TO SUBMIT A RESPONSE? We sincerely hope this is not the case. If your firm cannot submit a proposal at this time, please provide the information requested in the space provided below and return form to xxxxxxxxxxx_xxxxxxxxxx@xxxx.xxx: WE (COMPANY NAME) COMPLETE INFORMATION BELOW: SIGNATURE: TITLE: STREET ADDRESS: (OR) P.O. BOX: CITY: STATE: ZIP CODE: TELEPHONE/AREA CODE: ( ) EMAIL ADDRESS: ADDRESS: CITY & STATE: ZIP CODE: TELEPHONE: DATE OF RFP: FACSIMILE NUMBER: E-MAIL ADDRESS: FEDERAL ID NUMBER: NAME & TITLE PRINTED: SIGNED BY: WE (I) the above signed hereby agree to furnish the item(s), service(s) and have read all attachments including specifications, terms and conditions and fully understand what is required. The Request for Proposals, Specifications, Proposal Forms, and/or any other pertinent document form a part of this proposal and by reference made a part hereof. Signature indicates acceptance of all terms and conditions of the RFP.

QUALFICIATIONS OF PROPOSER. Proposals shall be considered only from firms normally engaged in performing the type of work specified within the RFP Project Document. The firm proposing must have adequate organization, facilities, equipment, and personnel to ensure prompt and efficient service to the City. In determining a Proposer's responsibility and ability to perform the contract, the City has the right to investigate the financial condition, experience record, personnel, equipment, facilities, and organization of the Proposer. The City has the right to conduct further investigation of the firm’s responsibility. The unreasonable failure of Proposer or firm to promptly supply information in connection with an inquiry with respect to responsibility may be grounds for determination of non-responsibility with respect to such Proposer or firm. ALL A LL FIRMS’ MUST COMPLETE, SIGN AND RETURN ALL FORMS WITH THE FIRM’S SUBMITTAL. UNABLE TO SUBMIT A RESPONSE? We sincerely hope this is not the case. If your firm cannot submit a proposal at this time, please provide the information requested in the space provided below and return form to xxxxxxxxxxx_xxxxxxxxxx@xxxx.xxx: WE (COMPANY NAME) COMPLETE INFORMATION BELOW: SIGNATURE: TITLE: STREET ADDRESS: (OR) P.O. BOX: CITY: STATE: ZIP CODE: TELEPHONE/AREA CODE: ( ) EMAIL ADDRESS: ADDRESS: CITY & STATE: ZIP CODE: TELEPHONE: DATE OF RFP: FACSIMILE NUMBER: E-MAIL ADDRESS: FEDERAL ID NUMBER: NAME & TITLE PRINTED: SIGNED BY: WE (I) the above signed hereby agree to furnish the item(s), service(s) and have read all attachments including specifications, terms and conditions and fully understand what is required. The Request for Proposals, Specifications, Proposal Forms, and/or any other pertinent document form a part of this proposal and by reference made a part hereof. Signature indicates acceptance of all terms and conditions of the RFP. The City of Hallandale Beach requires the acceptance of any of the following e-payable methods for all work/services rendered as a result of the award of this solicitation. Please provide your firm’s preference of payment terms in the Form provided in the Form’s Section of this RFP. The City’s preferred method of payment is listed below in order of preference: 1) E-payables – it is an electronic method of payment. Vendors are provided a credit card by the City’s bank, Suntrust. Invoice payments will be transferred/deposited to the credit card and the vendor will receive a remittance via e-mail. The Vendor is required to swipe the card to receive the funds. Invoice payments will be processed and issued upon invoice receipt. 2) PCard - Vendor must be able to accept Visa credit card payments. Invoice payments are processed and issued upon invoice receipt. 3) Automated Clearing House (ACH) payment - A direct bank draft to a vendor’s bank account. This method will only be authorized by the City if your firm provides a discount to the City for this payment method. Payments made within 30 days require a 1% discount. Payments made within 20 days require a 2% discount. Payments made within 10 days require a 3% discount. Invoice minimum amount is $500 to receive payment via ACH. 4) Check - Payment will not be issued earlier than 30 days from invoice receipt date. Payment will be mailed or available for pickup. PAYMENT TERMS Firm to choose which payment term firm will accept for this project. 1. E-payables – it is an electronic method of payment. Vendors are provided a credit card by the City’s bank, Suntrust. Invoice payments will be transferred/deposited to the credit card and the vendor will receive a remittance via e-mail. The Vendor is required to swipe the card to receive the funds. Invoice payments will be processed and issued upon invoice receipt. Yes No 2. PCard - Vendor must be able to accept Visa credit card payments. Invoice payments are processed and issued upon invoice receipt. Firm will accept this payment term Yes No 3. Automated Clearing House (ACH) payment - A direct bank draft to a vendor’s bank account. This method will only be authorized by the City if your firm provides a discount to the City for this payment method. Payments made within 30 days require a 1% discount. Payments made within 20 days require a 2% discount. Payments made within 10 days require a 3% discount. Invoice minimum amount is $500 to receive payment via ACH. Firm will accept this payment term Yes No 4. Check - Payment will not be issued earlier than 30 days from invoice receipt date. Payment will be mailed or available for pickup. Firm will accept this payment term Yes No “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 bid, proposal, or reply on a contract to provide any goods or services to a public entity; may not submit a bid, 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 bids, 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; and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months following the date of being placed on the convicted vendor list.” Title: Signed and Sealed day of , 2015 The firm providing a response, by virtue of the signature below, certifies that it is aware of the requirements of City of Hallandale Beach Ordinance 2013-03 Domestic Partnership Benefits Requirement, and certifies the following:  1. The Contractor certifies and represents that it will comply during the entire term of the Contract with the conditions of the Ordinance 2013-03, Section 23-3, Domestic Partner Benefits Requirement of the City of Hallandale Beach, or  2. The firm does not need to comply with the conditions of Ordinance 2013-03, Section 23- 3, Domestic Partner Benefits Requirement of the City of Hallandale Beach, because of allowable exemption: (Check only one box below): I, , Name of authorized Officer per Sunbiz Title of Name of Firm as it appears on Sunbiz hereby attest that I have the authority to sign this notarized certification and certify that the above referenced information is true, complete and correct. Signature Print Name STATE OF COUNTY OF SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF , 20 BY TO ME PERSONALLY KNOWN OR PRODUCED IDENTIFICATION: (type of ID) Signature of Notary Commission expires Print Name of Notary Public Seal Below: