Hillsborough County Aviation Authority

Bid Form

Hillsborough County Aviation Authority

ITB No. 14-534-037

Software Maintenance and Support for Security Access Control and CCTV Systems

Table of Contents

Section I Respondent’s Information

Section II Minimum Qualifications Documentation

Section III Bid Guaranty

Section IV W/MBE Assurance and Participation

Section V Equal Opportunity Report Statement

Section VI Drug Free Workplace Certification

Section VII ePayable Payment Solution

Section VIII Pricing

Section IX Acknowledgement of Addenda

Section X Acknowledgement of Bid

Section XI Signature Authority

I. Respondent’s Information

Provide information on Respondent as follows:

A.  Legal name including any dba.

<Name>

B.  State of organization or incorporation (if not applicable, enter “Not Applicable”).

<State>

C.  Ownership: SELECTSole ProprietorPartnershipLLCCorporationS-CorporationNon-profitLLPJoint Venture (Identify All Owners)Other (Identify) (identify, if applicable)

D.  Federal Employer Identification Number.-

OR

Social Security Number. --

E.  Corporate headquarters.

Address:

City: / State: / Zip Code: -

Phone: --

F.  Primary representative during this Solicitation process.

Name:

Phone: -- Ext.

E-mail: @.

Mailing Address:

City: / State: / Zip Code: -

G.  Secondary representative during this Solicitation process.

Name:

Phone: -- Ext.

E-mail: @.

Mailing Address:

City: / State: / Zip Code: -

H.  Provide the location and phone number of the primary servicing office(s) designated for the Authority’s account.

Location / Phone
1.
2.

I.  Detail any organizational and ownership changes the Respondent’s company has undergone in the past three years, including acquisitions, mergers and significant increases or reductions in the number of professional personnel.

<Response>

J.  Attest if the Respondent provides services to anyone related to or employed by the Hillsborough County Aviation Authority (“Authority”), including the Authority’s Board members.

No, the Respondent does not provide services to anyone related to or employed by the Authority, including Authority Board members.

Yes, the Respondent provides services to someone related to or employed by the Authority, including Authority Board members.

If yes, identify each individual and explain the relationship.

K.  Attest if the Respondent employs anyone related to an employee of the Authority, including Authority Board members.

No, the Respondent does not employ anyone related to an employee of the Authority, including Authority Board members.

Yes, the Respondent does employ a relative of an employee of the Authority, including Authority Board members.

If yes, identify each individual and explain the relationship.

L.  Provide Respondent’s current W-9. NOTE: W-9 must be dated and signed.

W-9 is included with this Bid Form.

M.  Number of Full Time Employees:

N.  Number of Part Time Employees:

O.  Has Respondent ever been involved in a bankruptcy or financial reorganization?

Yes No

If yes, provide details.

P.  Is Respondent involved in any current or pending litigation?

Yes No

If yes, provide details.

Q.  Provide blank copy of Company’s standard Software Maintenance Agreement (SMA) for purchase of licenses for Software House C-Cure 9000 software and Genetec software.

Company’s standard SMA is included with this Bid Form.

II.  Minimum Qualifications Documentation

Information must be provided to confirm the Respondent meets the minimum qualifications for this Solicitation as stated in Section 4.0 of the Solicitation. Provide the required information or documentation. Failure to provide the required information or documentation will result in rejection of the Respondent’s response.

The Respondent:

A.  Is registered with the Florida Department of State, Division of Corporations to do business in the State of Florida. (www.sunbiz.org)

No documentation from Respondent is required. The Authority will verify the status.

B.  Is registered as a supplier with the Authority prior to the Bid Due date. The registration application is located on the Authority's website at www.TampaAirport.com > Airport Business > Supplier Registration.

No documentation from Respondent is required. The Authority will confirm registration.

C.  Is NOT listed on the Florida Department of Management Services, Convicted Vendor List as defined in Florida Statute Section 287.133(3)(d).

(www.dms.myflorida.com/business_operations/state_purchasing/vendor_information/convicted_suspended_discriminatory_complaints_vendor_lists/convicted_vendor_list)

No documentation from Respondent is required. The Authority will verify the status.

D.  Attended the MANDATORY Pre-Solicitation Conference and Site Tour.

Provide the name of Respondent’s representative who attended the mandatory Pre-Solicitation Conference and Site Tour.

E.  Has the ability to obtain the insurance coverage and limits as required in Appendix C, Sample Contract.

Respondent has included SELECTInsurance certificateLetter from insurance providerSelf-Insurance Documentation documentation to confirm it has the ability to obtain the required insurance coverage and limits.

F.  Submit a Bid Guaranty as detailed in Section III below.

Respondent has included a bid guaranty as detailed in Section III below.

G.  Have five years’ experience since May 1, 2009 installing and maintaining Software House C-Cure Access Control and Genetec CCTV Systems. Provide supporting information through notation of the five largest projects involving the maintenance, repair, upgrade, and/or installation of similar Systems in the tables below.

Project #1:
Business name:
Type of System: / SELECTSoftware House C-cure 9000Genetec CCTV SystemOther
If Other, provide name of system:
Services provided: / SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
If other, provide type of service:
Contract start date:
Contract end date:
Contact Information:
Name:
E-mail: / @.
Phone number: / -- Ext.
Project #2:
Business name:
Type of System: / SELECTSoftware House C-cure 9000Genetec CCTV SystemOther
If Other, provide name of system:
Services provided: / SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
If other, provide type of service:
Contract start date:
Contract end date:
Contact Information:
Name:
E-mail: / @.
Phone number: / -- Ext.
Project #3:
Business name:
Type of System: / SELECTSoftware House C-cure 9000Genetec CCTV SystemOther
If Other, provide name of system:
Services provided: / SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
If other, provide type of service:
Contract start date:
Contract end date:
Contact Information:
Name:
E-mail: / @.
Phone number: / -- Ext.
Project #4:
Business name:
Type of System: / SELECTSoftware House C-cure 9000Genetec CCTV SystemOther
If Other, provide name of system:
Services provided: / SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
If other, provide type of service:
Contract start date:
Contract end date:
Contact Information:
Name:
E-mail: / @.
Phone number: / -- Ext.
Project #5:
Business name:
Type of System: / SELECTSoftware House C-cure 9000Genetec CCTV SystemOther
If Other, provide name of system:
Services provided: / SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
If other, provide type of service:
Contract start date:
Contract end date:
Contact Information:
Name:
E-mail: / @.
Phone number: / -- Ext.

H.  Have one year maintenance and/or installation experience specifically with Software House C-Cure 9000 Access Control. Provide supporting information in the table below.

Business name:
Type of System: / Software House C-Cure 9000 Access Control
Services provided: / SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
SELECTMaintenanceInstallationRepairUpgradeOther
If other, provide type of service:
Contract start date:
Contract end date:
Contact Information:
Name:
E-mail: / @.
Phone number: / -- Ext.

I.  Be a designated Genetec Certified Partner and provide documentation reflecting active Genetec certification.

A copy of the active Genetec Partner designation is attached.

J.  Have a minimum of two Genetec certified staff at the local office dedicated to the work required in this Solicitation. Provide documentation for each certified staff member dedicated to the work required in this Solicitation reflecting active Genetec certification.

Name of certified staff / A copy of an active Genetec certificate is attached for each certified staff member
1.  / Yes No
2.  / Yes No

K.  Be a designated Software House Certified Partner and provide documentation reflecting active Software House certification.

A copy of the active Software House Certified Partner designation is attached.

L.  Have two Software House certified staff at the local office dedicated to the work required in this Solicitation. Provide documentation for each certified staff member dedicated to the work required in this Solicitation reflecting active Software House certification.

Name of certified staff / A copy of an active Software House certificate is attached for each certified staff member
1.  / Yes No
2.  / Yes No

M.  Be a designated Pivot3 Certified Partner and provide documentation reflecting active Pivot3 certification.

A copy of the active Pivot3 Certified Partner designation is attached.

N.  Have two Pivot3 certified staff at the local office dedicated to the work required in this Solicitation. Provide documentation for each certified staff member dedicated to the work required in this Solicitation reflecting active Pivot3 certification.

Name of certified staff / A copy of an active Pivot3 certificate is attached for each certified staff member
1.  / Yes No
2.  / Yes No

O.  Have a local office from which certified staff operates located within a 60 mile radius of the Airport. Office must be an established business that has been in operation for a minimum of three years at the site from which staff will be dispatched. Provide address from which certified staff will be dispatched in the table below. Provide an internet based map system reflecting exact distance from Respondent’s office address to Airport. Identify which internet based map system was used and attach a printed copy of the map system showing the office is within the required 60 mile radius.

Office Address:

City: / State: / Zip Code: -

Year office was open at this location:

A copy of an internet based map that reflects the exact distance from the Respondent’s office to the Airport is attached.

III. Bid Guaranty

Required – provide the required Bid Guaranty as detailed below.

The Bid must be accompanied by a Cashier's or Official Bank Check on any national or state bank or Bid Bond on the forms provided below in the amount of five percent (5%) of the total amount of the Bid for the maximum annual charge. If a Bid Bond is provided in lieu of a Cashier's or Official Bank Check, it must be accompanied by a valid Surety Bond Affidavit indicating that the person signing the Bond on behalf of the Surety has full legal authority to do so.

After the award, the Authority will return the Cashier’s Check or Official Bank Check or other collateral accompanying those Bids which in its judgment would not be considered in making the award. When the award is made, the successful Respondent's collateral, and that of the next lowest Respondent, will be retained until a Contract has been fully executed, after which the collateral will be returned to the Respondents. Should the award be delayed more than ninety (90) days, all Respondents' collateral will be returned, unless such delay is from causes beyond the control of the Authority.

Bid Bond (Bond No. ___ )

(DO NOT FILL OUT IF A CASHIER'S CHECK IS SUBMITTED)

KNOW ALL MEN BY THESE PRESENTS: That the undersigned , as Principal, and , as Surety, are held and firmly bound unto the Hillsborough County Aviation Authority in the sum of 5% of the bid amount shown in the PRICING SECTION below for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns.

THE CONDITION OF THIS OBLIGATION is such that if Principal:

1. Does not withdraw the attached Bid Amount shown in the PRICING SECTION for Authority Solicitation No. ITB 14-534-037 entitled Software Maintenance and Support for Security Access and CCTV Systems at Tampa International Airport for a period of 120 days after the date on which the Bids are opened; and

2. Enters into a Contract and furnishes the required Certificates of Insurance, and Payment and Performance Bonds with surety or sureties acceptable to the Hillsborough County Aviation Authority within seven days after the date of award of the Contract, then this obligation will be void; otherwise the same will be in full force and the full amount of this Bid Bond will be paid to the Hillsborough County Aviation Authority as stipulated herein as liquidated damages.

Signed this day of , 20 .

(PRINCIPAL MUST INDICATE

WHETHER CORPORATION, PARTNER- Principal (Name of Respondent) (Seal)

SHIP, COMPANY OR INDIVIDUAL) By:

(Signature)

THIS PERSON SIGNING WILL IN Type Name and Title below:

THEIR OWN HANDWRITING SIGN THE

PRINCIPAL'S NAME AND THEIR TITLE.

WHERE THE PERSON SIGNING FOR Address:

A CORPORATION IS OTHER THAN THE

PRESIDENT OR VICE PRESIDENT, THEY Telephone No.:

MUST FURNISH A CORPORATE Fax No.:

RESOLUTION SHOWING THEIR AUTHORITY

TO BIND THE CORPORATION.

Surety

By: ______Attorney in Fact: (Seal)

Florida Licensed Insurance Agent (Signature) By:

(Signature)

Type Name and License No. below: Type Name and Title below:

Address: Address:

Telephone No: Telephone No.:

Fax No.: Fax No.:

Florida License No.:______

SURETY BOND AFFIDAVIT

STATE OF

COUNTY OF

BEFORE ME, THE UNDERSIGNED AUTHORITY, PERSONALLY APPEARED
, WHO, BEING DULY SWORN, DEPOSES AND SAYS THAT THEY ARE A DULY AUTHORIZED FLORIDA LICENSED INSURANCE AGENT, PROPERLY LICENSED UNDER THE LAWS OF THE STATE OF ______, TO REPRESENT OF , A COMPANY AUTHORIZED TO MAKE CORPORATE SURETY BONDS UNDER THE LAWS OF THE STATE OF ______(THE "SURETY").

SAID FURTHER CERTIFIES THAT AS AGENT FOR THE SAID , THEY HAVE SIGNED THE ATTACHED BOND AS A LICENSED AGENT, IN THE SUM OF 5% OF THE BID AMOUNT SHOWN ON THE PRICING SECTION BELOW FOR ITB No. 14-534-037, ON BEHALF OF , TO THE HILLSBOROUGH COUNTY AVIATION AUTHORITY COVERING Software Maintenance and Support for Security Access and CCTV Systems AT Tampa International Airport, TAMPA, FLORIDA.

SIGNED: SURETY:

By: ______By: ______

Florida Licensed Insurance Agent (Signature) Attorney-In-Fact (Signature)

Acknowledgment For

Address Of Agent Attorney-In-Fact

Sworn To And Subscribed Before Me

Phone Number This Day Of , 20 .

______

Fax Number

By: ______

Address Of Bond Company (Signature of Notary Public)

NOTARY PUBLIC

Phone Number STATE OF

______MY COMMISSION EXPIRES:

Fax Number

IV. W/MBE Assurance and Participation

Select one of the following responses:

No. Respondent is NOT proposing W/MBE participation expectancy.

No specific expectancy for W/MBE participation has been established for this Solicitation; however, the Respondent will make a good faith effort, in accordance with Authority's W/MBE Policy and Program, throughout the term of the awarded Contract, to subcontract with W/MBE firms certified as a woman-owned or minority-owned business by the City of Tampa, Hillsborough County, the State of Florida Department of Management Services, Office of Supplier Diversity, or as a Disadvantaged Business Enterprise (DBE) under the Florida Unified Certification Program in the performance of the awarded Contract.