R24-071 1 RESOLUTION NO. R24-071
2
3 A RESOLUTION OF THE CITY OF BOYNTON BEACH, FLORIDA,
4 APPROVING TASK ORDER SW-17-2024 WITH JOHNSON-DAVIS, INC.,
5 FOR GRAVITY SANITARY SEWER POINT REPAIRS, AND PURCHASE
6 ORDER FOR AN AMOUNT NOT TO EXCEED $298,425; PROVIDING AN
7 EFFECTIVE DATE;AND FOR ALL OTHER PURPOSES.
8
9 WHEREAS, the City issued a Request for Qualifications ("RFQ") No. 028-2821-19/MFD-
10 Pre-Qualification of Contractors for Minor Utility Construction Services; and
11 WHEREAS, on January 30, 2020, the City and Johnson-Davis, Inc. ("Contractor"), entered
12 into a Minor Utility Construction Services Agreement (the "Agreement") for RFQ No. 028-2821-
13 19/MFD for Pre-Qualification of Contractors for Minor Utility Construction Services; and
14 WHEREAS, the City issued an Invitation to Bid ("ITB") for Task Order No. SW-17-2024
15 for Gravity Sanitary Sewer Point Repairs; and
16 WHEREAS, the City selected Johnson-Davis Inc., for Task Order No. SW-17-2024 for
17 Gravity Sanitary Sewer Point Repairs; and
18 WHEREAS, the City Commission of the City of Boynton Beach, Florida, deems it to be in
19 the best interests of the citizens and residents of the City of Boynton to approve Task Order No.
20 SW-17-2024 for Gravity Sanitary Sewer Point Repairs with Johnson-Davis Inc., and a Purchase
21 Order for an amount not to exceed of $298,425.
22 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF
23 BOYNTON BEACH, FLORIDA, THAT:
24
25 SECTION 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
26 being true and correct and are hereby made a specific part of this Resolution upon adoption
27 hereof.
28 SECTION 2. The City Commission hereby approves Task Order No. SW-17-2024 for
29 Gravity Sanitary Sewer Point Repairs with Johnson-Davis Inc., and a Purchase Order for an
30 amount not to exceed of $298,425, in form and substance similar to that attached as "Exhibit
31 A", and authorizes the City Manager to execute the Task Order.
32
33 SECTION 3. The fully executed Task Order shall be retained by the City Clerk as a
34 public record of the City, and a copy shall be provided to Poonam Kalkat, Utilities Director, and
35 Taralyn Pratt to forward to the Contractor.
36 SECTION 4. This Resolution shall take effect as provided by law.
37
38
39
40
41
42
43
44
45
46 [signatures on following page]
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63 PASSED AND ADOPTED this 2nd day of April 2024.
64 CITY OF BOYNTON BEACH, FLORIDA
65 YES NO
66 ✓
67 Mayor - Ty Penserga
68
69 Vice Mayor—Aimee Kelley
70
71 Commissioner—Angela Cruz
72
73 Commissioner—Woodrow L. Hay
74
75 Commissioner—Thomas Turkin
76
77 VOTE 5-0
78
79 ATTEST:
80
81
82
83 Maylee DDesus, MP', MMC Ty Pe. < ga
84 City Cler' = 1ON 6,„‘‘,
.
OyN...... Ma .r
85 i��:�QORATE 90N1 Ma
86 �$V- 'oo APPROVED AS TO FORM:
87 #i v t\tac,00( 0 S
88 (Corporate Seal) '4 2 '
3
89 `+‘ -a" L_SA.
90 Shawna G. Lamb
91 City Attorney
Johnson-Davis Inc.
THE DOCUMENTS
BEHIND THIS PAGE
MUST ACCOMPANY PROPOSAL
IN ORDER FOR SUBMITTAL
TO BE CONSIDERED
COMPLETE AND ACCEPTABLE
1133 -
o
TON
Gravity Sanitary Sewer Point Repairs—Minor Construction 123
• 0„,
rjr
w
�L `r
�rON 0-
ADDENDA ADDENDA
CITY OF BOYNTON BEACH
FLORIDA
BID TITLE: GRAVITY SANITARY SEWER POINT REPAIRS
BID TASK ORDER NO.: SW-17-2024
BIDDER: Johnson-Davis Inc.
DATE SUBMITTED: January 26, 2024
We propose and agree, if this bid is accepted, to contract with the City of Boynton Beach, in
the Contract Form, to furnish all material, equipment, machinery, tools, apparatus, means of
transportation, construction, coordination, labor, and services necessary to complete/provide
the work specified by the Contract documents.
Having studied the documents prepared by:
City of Boynton Beach
and having examined the project site (when indicated in these specifications to do so), we
propose to perform the work of this Project according to the Contract documents and the
following addenda which we have received:
ADDENDUM NO. DATE ADDENDUM NO. DATE
[(NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs-Minor Construction 124
V �♦
Ff
V
~ •
►ow •
TRENCH SAFETY ACT
AFFIDAVIT
On October 1, 1990, House Bill 3183, known as the Trench Safety Act became law. This incorporates the
Occupational Safety & Health Administration (OSHA) revised excavation safety standards, citation 29
CFR.S.1926.650, as Florida's own standards.
The Proposer, by virtue of its signature below, affirms that it is aware of this Act, and will comply with all
applicable trench safety standards. Such assurance shall be legally binding on all persons employed by
the Contractor and its subcontractors.
The proposer is also obligated to identify its anticipated method and cost of compliance with the applicable
trench safety standards.
PROPOSER ACKNOWLEDGES THAT INCLUDED IN THE VARIOUS ITEMS OF THE PROPOSAL AND
IN THE TOTAL BID PRICE ARE COSTS FOR COMPLYING WITH THE FLORIDA TRENCH SAFETY ACT
(90-96 LAWS OF FLORIDA). THESE ITEMS ARE A BREAKOUT OF THE RESPECTIVE ITEMS
INVOLVING TRENCHING AND WILL NOT BE PAID SEPARATELY. THEY ARE NOT TO BE CONFUSED
WITH BID ITEMS IN THE SCHEDULE OF PRICES, NOR BE CONSIDERED ADDITIONAL WORK.
IN ORDER TO BE CONSIDERED RESPONSIVE, THE PROPOSERS MUST COMPLETE* THIS FORM,
I.E. IDENTIFY THE COSTS AND METHODS SUMMARIZED BELOW, SIGN AND SUBMIT IT WITH THEIR
BID DOCUMENTS.
Johnson-Davis Inc.
Name of Proposer
Clark Crye5yice-President
Authorized Signature of Proposer
*COMPLETION REQUIRES PROPOSERS TO FILL IN THE APPROPRIATE DETAILS UNDER THE
FOLLOWING HEADINGS:
Description Unit Quantity Unit Price Extended Price Method
Trench Safety LSU 1 $3,500.00 $3,500.00 Trench Slope/Box
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs—Minor Construction 175
Y coo
1 rr
•
E4TQN •`r
CERTIFICATION PURSUANT TO FLORIDA
STATUTE § 287.135
TO BE COMPLETED AND UPLOADED ONLINE
1, Clark Cryer, Vice-President , on behalf of Johnson-Davis Inc. certify
Print Name and Title Company Name
that Johnson-Davis Inc. does not:
Company Name
1. Participate in a boycott of Israel; and
2. Is not on the Scrutinized Companies that Boycott Israel List; and
3. Is not on the Scrutinized Companies with Activities in Sudan List; and
4. Is not on the Scrutinized Companies with Activities in the Iran Petroleum
Energy Sector List; and
5. Has not engaged in business operations in Syria.
Submitting a false certification shall be deemed a material breach of contract. The City shall provide notice,
in writing, to the Consultant of the City's determination concerning the false certification. The Consultant
shall have ninety (90) calendar days following receipt of the notice to respond in writing and demonstrate
that the determination of false certification was made in error. If the Consultant does not demonstrate that
the City's determination of false certification was made in error then the City shall have the right to terminate
the contract and seek civil remedies pursuant to Florida Statute § 287.135.
Section 287.135, Florida Statutes, prohibits the City from:
1) Contracting with companies for goods or services if at the time of bidding on, submitting a proposal for,
or entering into or renewing a contract if the company is on the Scrutinized Companies that Boycott Israel
List, created pursuant to Section 215.4725, F.S. or is engaged in a boycott of Israel; and
2) Contracting with companies, for goods or services that are on either the Scrutinized Companies with
activities in the Iran Petroleum Energy Sector list, created pursuant to s. 215.473, or are engaged in
business operations in Syria.
As the person authorized to sign on behalf of the Consultant, I hereby certify that the company identified
above in the section entitled "Consultant Name" does not participate in any boycott of Israel, is not listed
on the Scrutinized Companies that Boycott Israel List, is not listed on either the Scrutinized Companies with
activities in the Iran Petroleum Energy Sector List, and is not engaged in business operations in Syria. I
understand that pursuant to section 287.135, Florida Statutes, the submission of a false certification may
subject the company to civil penalties, attorney's fees, and/or costs. I further understand that any contract
with the City for goods or services may be terminated at the option of the City if the company is found to
have submitted a false certification or has been placed on the Scrutinized Companies with Activities in
Sudan list or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List.
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs-•Minor Construction 126
t
Johnson-Davis, Inc.
COMPANY NAME SIGNATURE
Clark Cryer Vice-President
PRINT NAME TITLE
January 26, 2024
DATE
THIS PAGE 15 TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs—Minor Construction 127
1((r ae
1
•
O
a 4v.
*ON •
ANTI-KICKBACK AFFIDAVIT
TO BE COMPLETED AND UPLOADED ONLINE
STATE OF FLORIDA
: SS
COUNTY OF PALM BEACH
I, the undersigned hereby duly sworn, depose and say that no portion of the sum herein submitted will be
paid to any employees of the City of Boynton Beach as a commission, kickback, reward of gift, directly or
indirectly by me or any member of my integrator or by an officer of the corp ration.
By:
N ME - SIGNATURE
Johnn-Davis Inc.
Clark Cryer, Vice-President
Sworn and subscribed before me
this 4 -` day of )u^ -r , 2024
Printed Information:
Clark Cryer
NAME
2p�'RY P�B(,n LARISA DITU PELKEY
.,,j * Commission#HH 178111 Vice-President
Nl "ate Expires January 22,2026 TITLE
9r`OF Fos` Bonded Tluv Budget Notary Services
N TARY P ; , Sta e if Florida
at Large Johnson-Davis Inc.
COMPANY
"OFFICIAL NOTARY SEAL" STAMP
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs—Minor Construction 128
//r o!
I ~
• r
~PON •
NON-COLLUSION AFFIDAVIT OF PROPOSER
TO BE COMPLETED AND UPLOADED ONLINE
State of Florida •
County of Palm_ Beach
Clark Cryer , being first duly sworn, deposes and says that:
1) a She is Vice-President of Johnson-Davis Inc. , the proposer that
(Title) (Name of Corporation or Integrator)
has submitted the attached BID:
2) CD She is fully informed respecting the preparation and contents of the attached submittal and of all
pertinent circumstances respecting such submittal;
3) By signing and submitting this bid, the BIDDER certifies that this bid is made independently and free
from collusion;
4) Further, the said bidder nor any of its officers, partners, owners, agents, representatives, employees or
parties in interest, including this affiant, has in any way colluded, conspired, connived, or agreed,
directly or indirectly with any other Bidder, integrator or person to submit a collusive or sham BID in
connection with the Contract for which the attached BID has been submitted or to refrain from bidding
in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or
collusion or communications or conference with any other bidder, integrator or person to fix the price
or prices in the attached BID or of any other bidder, or to fix any overhead, profit or cost element of the
BID price or the BID price of other proposer or to secure through any collusion, conspiracy, connivance
or unlawful agreement any advantage against the City of Boynton Beach or any person interested in
the proposed Contract; and
5) The price or prices quoted in the attached bid are fair and proper and are not tainted by any collusion,
conspiracy, connivance, or unlawful agreement on the part of the bidder or any of its agents,
representatives, owners, employees, or parties in interest, including this affiant.
6) BIDDER shall disclose below, to their best knowledge, any City of Boynton Beach officer or employee,
or any relative of any such officer or employee as defined in Section 112.3135(1) (c), Florida Statutes
(2022), who is an officer of director or, or has a material interest in, the BIDDER's business, who is in
a position to influence this procurement. Any City of Boynton Beach officer or employee who has any
input into the writing of specifications or requirements, solicitation of offers, decision to award,
evaluation of offers, or any other activity pertinent to this procurement is presumed,for purposes hereof,
to be in a position to indirectly own any of the total assets or capital stock of any business entity owned
or operated by the BIDDER, or if they otherwise stand to personally gain if the contract is awarded to
this BIDDER.
7) Failure to submit this executed statement as part of the bid shall make the bid nonresponsive and not
eligible for award consideration. In the event the BIDDER does not indicate any names, the CITY shall
interpret this to mean that the BIDDER has indicated that no such relationships exist. Failure of a
BIDDER to disclose any relationship described herein shall be reason for termination of bid or award,
whichever is applicable, with no time to cure.
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs-Minor Construction 129
NAME RELATIONSHIP
Witnesses: BIDDER: ,Johns9n-Davis Inc.
Signed
Typed name: Robert Henning III Name: C ar . r er
c-t- 40. Title: Vice-P esident
" m
Pe, '
Subscribed and sworn to before me
This 2 day of dAzAk_aa-- , 20
tN`.Y '6 LARISA DITU PELKEY
Commission tt HH 178111 Notary Public (Sig - i
t
71 .• r Expires January 22,2026
9' OFFto BondedThio Budget Notary Services My Commission Expires: or 7+- • ? ;
( gned)
lark Cry r
(Title) Vice-President
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs—Minor Construction 130
`tY OA,
• z
oii. v
1, 4
7'014 •
SAFETY PROGRAM COMPLIANCE
Safety is a high priority in the conduction of business in the City of Boynton Beach. Preference shall be
given to contractors with an established safety program following O.S.H.A. guidelines, and documented
results establishing a safe working environment.
1. Bidder shall provide a copy of the Safety Program(s) to be in effect for the duration of the Contract
(attach to the back of this form).
2. The City reserves the right to conduct periodic safety inspections of the contractor, subcontractor,
employees, agents, etc. throughout the duration of the Contract.
3. The City reserves the right to terminate the Contract where it is determined that the contractor or
subcontractor is in non-compliance of the safety terms, regulations, or requirements established by
O.S.H.A. or the State.
As the person authorized to sign the statement, I certify that this firm complies fully with the above
requirements.
Joh n-Davi Inc.
AUTHORIZED SIGNATURE
Clark Cryer, Vice-President
THIS PAGE 15 TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs—Minor Construction 131
V0,
(r~
\
V•4°4 �� `'
ETON •
WARRANTIES
In consideration of, and to induce the Award of THE CITY OF BOYNTON BEACH, FLORIDA, Construction
Contract described in these Bid Documents, the Contractor represents and warrants to the City of Boynton
Beach, Florida:
1. The Contractor is financially solvent and sufficiently experienced and competent to
perform all of the work required of the Contractor in the Construction Contract; and
2. That the facts stated in the Contractor's Bid and information given the Contractor
pursuant to the request or proposal for Bids, instructions to Contractors and
Specifications are true and correct in all respects; and
3. That the Contractor has read and complied with all of the requirements set forth in the
request for Bids, instructions to Contractors and Specifications; and
4. That the Contractor warrants all materials supplied by it under the terms of the
Construction Contract are delivered to the City of Boynton Beach, Florida, free from any
security interest, and other lien, and that the Contractor is a lawful owner having the right
to sell the same and will defend the conveyance to the City of Boynton Beach, Florida,
against all persons claiming the whole or any part thereof; and
5. That the materials supplied to the City of Boynton Beach, Florida, under the Construction
Contract are free from the rightful claims of any persons whomsoever, by way of patent
or trademark infringement or the like; and
6. That the materials supplied under the Construction Contract are merchantable within the
meaning of the Uniform Commercial Code Section 2-314; and
7. That the materials supplied under the Construction Contract are free from defects in
materials and workmanship under normal use and service and that any such materials
found to be defective shall be replaced by the Contractor as per the attached Warranty.
8. That the materials supplied pursuant to the Construction Contract are fit for the purposes
for which they are intended to be used; that under normal use and maintenance the
material will continue to be fit for such purposes for the warranty period after delivery,
provided that the City shall give the Contractor notice that the materials failed to fulfill
the warranty; such notice shall state in what respect the materials have failed to fulfill the
warranty, where upon the Contractor shall be allowed a reasonable time after receipt of
such notice to correct the defect and the City agrees to cooperate in this regard. If the
materials cannot be made to fulfill the Contract within the warranty period the Contractor
will either furnish duplicate materials, or at its option refund the amount paid, which shall
constitute a settlement in full for all damages occasioned by reason at this warranty of
fitness; and
9. That this Warranty is included in exposures for which the Contractor has products
liability and completed operations insurance, in minimum amounts of One Million
($1,000,000.00) Dollars for property damage and One Million ($1,000,000.00) Dollars
for personal injury as shown on the Certificates of such Insurance attached hereto, and
the Contractor agrees to keep such insurance coverage during the period of this
Warranty; and
THIS PAGE I5 TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPI FTF AND ACCFPTARI F
1 Gravity Sanitary Sewer Point Repairs—Minor Construction 132
10. That it is an express condition of this Warranty that the item(s) hereby warranted shall
be operated and maintained by the City in accordance with the manufacturer's
recommendations as to those portions of the item(s) that are not fabricated by the
Contractor, and in accordance with the Contractor's recommendations, a copy of which
has either been supplied to the City of Boynton Beach should maintain complete and
accurate records made at the time of performance of maintenance showing compliance
with such instructions, and by acceptance of this Warranty, the City of Boynton Beach,
Florida, agrees to present such records to the Contractor upon request in the event of
a claim hereunder by the City;
11. The foregoing Warranties apply as a minimum and are supplemental to other Warranties
offered. They are not substituted, but in addition to, any other Warranties offered; and
12. That it is agreed and understood by the Contractor that the City of Boynton Beach,
Florida, is induced to enter the Construction Contract in reliance upon this Warranty.
SIGNED, sealed and delivered on this 26th day of January , 2024.
(SEAL) C IQTRACTO . Johnson-Davis Inc.
By: z.
Clark Cry r, Vice-President
ATTEST:
&am.
Secretary hri- Johnson
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs—Minor Construction 133
/-fir O,
f (`
r \
i IP
CITY OF BOYNTON BEACH
E-VERIFY FORM UNDER SECTION 448.095, FLORIDA STATUTES
TO BE COMPLETED AND UPLOADED ONLINE
Project Name: GRAVITY SANITARY SEWER POINT REPAIRS
Solicitation No.: SW-17-2024
1. Definitions:
"Contractor"means a person or entity that has entered or is attempting to enter into a contract with
a public employer to provide labor, supplies, or services to such employer in exchange for salary,
wages, or other remuneration. "Contractor" includes, but is not limited to, a vendor or consultant.
"Subcontractor" means a person or entity that provides labor, supplies, or services to or for a
contractor or another subcontractor in exchange for salary, wages, or other remuneration.
"E-Verify system" means an Internet-based system operated by the United States Department of
Homeland Security that allows participating employers to electronically verify the employment
eligibility of newly hired employees.
2. Effective January 1, 2021, Contractors, shall register with and use the E-Verify System in order to
verify the work authorization status of all newly hired employees. Contractor shall register for and
utilize the U.S. Department of Homeland Security's E-Verify System to verify the employment
eligibility of:
a) All persons employed by a Contractor to perform employment duties within Florida during the
term of the contract; and
b) All persons (including sub-vendors/sub-consultants/sub-contractors) assigned by Contractor to
perform work pursuant to the contract with the City of Boynton Beach. The Contractor
acknowledges and agrees that registration and use of the U.S. Department of Homeland
Security's E-Verify System during the term of the contract is a condition of the contract with the
City of Boynton Beach; and
c) Should contractor become the successful Contractor awarded for the above-named project, by
entering into the contract, the Contractor shall comply with the provisions of Section 448.095,
Fla. Stat., "Employment Eligibility," as amended from time to time. This includes, but is not
limited to registration and utilization of the E-Verify System to verify the work authorization status
of all newly hired employees. Contractor shall also require all subcontractors to provide an
affidavit attesting that the subcontractor does not employ, contract with, or subcontract with, an
unauthorized alien. The Contractor shall maintain a copy of such affidavit for the duration of the
contract.
3. Contract Termination
a) If the City has a good faith belief that a person or entity with which it is contracting has knowingly
violated s. 448.09 (1) Fla. Stat., the contract shall be terminated.
b) If the City has a good faith belief that a subcontractor knowingly violated s. 448.095 (2), but the
Contractor otherwise complied with s. 448.095 (2) Fla. Stat., shall promptly notify the Contractor
and order the Contractor to immediately terminate the contract with the subcontractor.
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THF BID PACKAGE TO BE CONSIDERED COMPI FTF AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs—Minor Construction 134
c) A contract terminated under subparagraph a) or b) is not a breach of contract and may not be
considered as such.
d) Any challenge to termination under this provision must be filed in the Circuit Court no later than
20 calendar days after the date of termination.
e) If the contract is terminated for a violation of the statute by the Contractor, the Contractor may
not be awarded a public contract for a period of 1 year after the date of termination.
Company Name: JOtlflson-Davis Inc.
^
Authorized Signatur
Print Name: Clark Cryer
Title Vice-President
Date: January 26, 2024
Phone: 561-588-1170
STATE OF �jZ.r,Q )
COUNTY OF
(Y-14, i e.“ )
The foregoing instrument was acknowledged before me by means of -physical, presence or ❑ online
notarization, this E4 day of ti y el*" , by 1(i/{,',-,,, 4� .4. on behalf of
j L J x L, 2a n c : , (,' He/s is personally known to me for has produced
as identification.
�1. '...aillirmasoffit 1/-"J
.k.9.......`',POR IARISADITUR� ,_ NOTARY PUBLIC
Commission#HH 178111
s �Il oQ Expires January 22,2026
9r4-0f FL.Oe Raided Thru Budget N &(Name of Notary Typed, Printed or Stamped)
Title or Rank
Serial number, if any
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs—Minor Construction 135
0.
BID TASK ORDER NO.
SCHEDULE OF SUB-CONTRACTORS
The Undersigned Bidder proposes the following major subcontractors for the major areas of work for the Project. The Bidder is further notified that all
subcontractors shall be properly licensed, bondable and shall be required to furnish the City with a Certificate of Insurance in accordance with the contract
general conditions.This page may be reproduced for listing additional subcontractors,if required.
Name and Address of Subcontractors Scope of Work License No. Contract Percentage
Amount j%)of Contract
N/A , All Work Self Performed
•
Signa re ? Date: January26, 2024
ailI
ryyer, 'ice-'resl.en
Title/Company Johr)Son-S avis Inc.
Owner reserves the right to reject any subcontractor who has previously failed in the proper performance of an award,or failed to deliver on time contracts in a
similar nature,'or who is not responsible(financial capability,lack of resources,etc.)to perform under this award.Owner reserves the right to inspect all facilities
of subcontractor in order to make a determination as to the foregoing.
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THE BID PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs—Minor Construction 136
V oft
N/A
rr.
4r
htON •
STATEMENT OF NO BID
If you are not bidding on this service/commodity, please complete and return this form by email to: City of
Boynton Beach, Financial Services, Theresa Gonzalez, Senior Buyer at gonzalezt anbbfl.us.
Failure to respond may result in deletion of vendor's name from the qualified bidder's list for the City
of Boynton Beach.
COMPANY NAME:
ADDRESS:
TELEPHONE:
SIGNATURE:
DATE:
WE, the undersigned have declined to respond to your Bid Task Order No. for
because of the following reasons:
Specifications too "tight", i.e., geared toward brand or manufacturer only (explain below)
Insufficient time to respond to the Invitation
We do not offer this product or an equivalent
Our product schedule would not permit us to perform
Unable to meet specifications
Unable to meet bond requirements
Specifications unclear (explain below)
Other (specify below)
REMARKS:
THIS PAGE IS TO BE SUBMITTED ALONG WITH PROPOSAL IN ORDER
FOR THF RID PACKAGE TO RF CONSIDERED COMPLETE AND ACCEPTABLE
Gravity Sanitary Sewer Point Repairs—Minor Construction 137
Gravity Sanitary Sewer Point Repairs
RFQ NO./MFD PRE-QUALIFICATION OF CONTRACTORS FOR MINOR UTILITIES CONSTRUCTION SERVICES-BID FORM
TECH SPEC.
ITEM SC1025 DESCRIPTION EST QTY UNIT UNIT COST AMOUNT
GENERAL CONDITIONS
Mobilization/Demobilization,Bonds,Insurance and General Requirements.
1 1.11.B Contractor shall be limited to a maximum of six(6%)of the total bid price. 1 LI $ 17,000.00 $ 17,000.00
2 1.11.0 Pre/Post Construction Photos/Videos 1 LS $ 2,500.00 $ 2,500.00
3 1.11.D MOT Residential Street 3 EA $ 5,000.00 $ 15,000.00
4 1.11.E Indemnification 1 $ 25.00 $ 25.00
Sub-Total General Conditions $ 34,525.00_
PIPING CONFIGURATION
5 1.11.F Gravity Sewer Main and Service Lateral Point Repair(211 NE 26th Ave) 1 LS $147,000.00 $ 147,000.00
6 1..11.G Gravity Sewer Main and Service Lateral Point Repair(518 SW 18th St) 1 LS $ 28,900.00 $ 28,900.00
7 1.11.H Gravity Sewer Main and Service Lateral Point Repair(2839 SW 6th St) 1 LS $ 88,000.00 $ 88,000.00
Sub-Total Wastewater $ 263,900.00
Total Bid Price(In Numbers) $ 298,425.00
Two Hundred Ninety-Eight Thousand
Four Hundred Twenty-Five Dollars and
Total Bid Price(In Words) Zero Cents
Name of Firm Submitting Bid Proposal Johnson-Davis Inc.
(PRI T)
Name of Person Submitting Bid Proposal Oar. ryer
Name of Person Submitting Bid Proposal
(SI!NATURE)
Datg>' January 26,2024