Denham Muck Farm Restoration RFQ.docx · Web viewThe Respondent’s mining (sub)contractor shall...

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Name of Contractor: Request for Qualifications Lake Denham Muck Farm Restoration RFQ No. 2021-06 Issued by: Lake County Water Authority 27351 SR 19 Tavares, FL 32778-4251 Telephone: 352-324-6141 Date: _May 24, 2021______ RFQ Deadline is Tuesday, July 20, 2021 at 4:00PM EST._______________

Transcript of Denham Muck Farm Restoration RFQ.docx · Web viewThe Respondent’s mining (sub)contractor shall...

Page 1: Denham Muck Farm Restoration RFQ.docx · Web viewThe Respondent’s mining (sub)contractor shall provide documentation to substantiate this requirement, along with ONE of the following:

Name of Contractor:

Request for QualificationsLake Denham Muck Farm Restoration

RFQ No. 2021-06

Issued by:

Lake County Water Authority27351 SR 19

Tavares, FL 32778-4251Telephone: 352-324-6141

Date: _May 24, 2021______

RFQ Deadline is Tuesday, July 20, 2021 at 4:00PM EST._______________

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REQUEST FOR QUALIFICATIONS (RFQ # 2021-06)Lake Denham Muck Farm Restoration

SERVICE PROJECT NAME: Lake Denham Muck Farm Restoration

RFQ NO: 2021-06

The Board of Trustees of the Lake County Water Authority (LCWA), 27315 SR 19, Tavares, FL 32778-4251 requests that interested parties respond to the solicitation below by 4:00 pm, July 20, 2021. Letter of interest packages may be obtained by emailing or calling Jason Danaher, at [email protected] or (352) 324-6141.

Through the Lake Denham Muck Farm Restoration project (PROJECT), the successful respondent will survey, design, permit, monitor, and construct the restoration tasks detailed below. The PROJECT area is shown in Attachment A, Figure 1. The LCWA intends to offer mineral rights within a portion of the project area to the successful respondent in exchange for property maintenance, water/nutrient management, and comprehensive site restoration. The vertical and horizontal extents and potential value of extractable minerals (e.g., peat) are currently unknown. Prior to receiving mineral rights, the successful respondent will develop a project work plan, schedule and budget that is approved by and cost-neutral to LCWA and that is consistent with the LCWA’s project objectives as follows.

The objective of the PROJECT is to remove a portion of disturbed nutrient-enriched soils along with underlying peat. This effort is intended to reduce the phosphorus and nitrogen load to Lake Denham and may also provide opportunities for new fisheries resources and public recreation through site restoration. Approximately 345 acres of the total 759-acre parcel were previously converted for agriculture use and are considered a potential area to implement the proposed PROJECT (Attachment A, Figure 2). Removal of these soils from the former agricultural portion not only prevents potential release and downstream transport of the associated nutrients but is also expected to provide hydrologic benefits by increasing the available on-site water storage and further reducing loading to Lake Denham. Indirect benefits associated with additional water storage may include improving aquifer recharge conditions and reducing downstream flood potential.

LOCATION: 30553 Flatwoods Rd., Leesburg, FL 34748 (adjacent to Flat Island Preserve)

MANDATORY PRE-BID MEETING:

Tuesday, June 15, 2021 @ 10am EST; 30553 Flatwoods Rd., Leesburg, FL 34748

BACKGROUND:

The Lake County Water Authority (LCWA) recently acquired the Lake Denham Muck Farm (parcel number 321924000100001300) as part of an ongoing effort to provide water quality improvements within Lake County (Attachment A, Figure 1). The acquisition was specifically intended to assist with the achievement of the Lake Denham total phosphorus (TP) and total nitrogen (TN) Total Maximum Daily Load (TMDL) reduction goals established by the Florida Department of Environmental Protection (FDEP). The LCWA intends to implement water quality improvement projects within the parcel that reduce downstream nutrient loading to Lake Denham and restore the site to offer passive recreational opportunities for the public.

Jason Danaher, 04/02/21, RESOLVED
Based on your team’s knowledge of projects like this would 4 months from RFQ posting be adequate for a response?
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The LCWA intends to award a contract to a single respondent. Important information on the evaluation and award procedures are included in the INSTRUCTIONS TO RESPONDENTS.

Schedule of Events

Request for Qualifications Posted May 24, 2021

Mandatory On-site Pre-Proposal Meeting (10am EST) June 15, 2021

Due Date for Written Requests from Applicants for Clarification and/or Additional Information

June 29, 2021

LCWA Releases Responses to Clarification and/or Requests for Additional Information

July 6, 2021

Due Date for Response For Qualifications July 20, 2021

Qualifications Review by LCWA Complete August 20, 2021

In-Person Interviews/Presentation with Top Applicants September 14, 2021

Award Contract to Successful Applicant (Contractor) October 21, 2021

Contract Execution Complete TBD

The LCWA’s Evaluation Committee will meet at the LCWA office at 27351 SR 19, Tavares, FL 32778, to evaluate and rank Letters of Interest as follows:

• 10:00 a.m. and 2:00 p.m. on August 20, 2021 too Discuss the responseso Finalize the initial rankingo Determine a shortlist of Respondentso Decide if oral presentations (by the shortlisted Respondents) are necessary to assist in

facilitating the evaluation process in determining a final recommendation

• 10:00 a.m., September 14, 2021o Oral Presentations will be conducted, if needed, immediately followed by an evaluation

Committee meeting to establish the final rankingso Respondents selected for oral presentations will be notified in advance of the presentation

date

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Co ntentsINSTRUCTIONS TO RESPONDENTS .............................................................................................................41. DEFINITIONS .......................................................................................................................................42. CONTRACT ADMINISTRATION........................................................................................................43. WHERE TO DELIVER LETTER OF INTEREST ................................................................................44. LETTERS OF INTEREST OPENING ...................................................................................................45. PREPARATION AND ORGANIZATION OF LETTERS OF INTEREST ..........................................56. INQUIRIES AND ADDENDA ..............................................................................................................87. BUDGET.................................................................................................................................................88. MINIMUM QUALIFICATIONS ...........................................................................................................99. DISQUALIFICATION OF RESPONDENTS .........................................................................................1010. EVALUATION AND AWARD PROCEDURES .........................................................................................1111. PROJECT DESCRIPTION’S STATEMENT OF WORK.............................................................................1112. EVALUATION CRITERIA — ENGINEERS/SURVEYORS/MINERS…….............................................1413. EXECUTION OF AGREEMENT .................................................................................................................1514. SIGNATURE AND CERTIFICATION REQUIREMENTS.........................................................................1515. REJECTION OF LETTER OF INTEREST...................................................................................................1516. WITHDRAWAL OF LETTER OF INTERESTS..........................................................................................1617. SUBCONTRACTS ........................................................................................................................................1618. EXAMINATION OF AGREEMENT DOCUMENTS AND WORK AREA ..............................................1619. PUBLIC ENTITY CRIMES/DISCRIMINATORY VENDORS ................................................................. 1620. FLORIDA SALES TAX ............................................................................................................................... 1621. NOTICES AND SERVICES THEREOF ..................................................................................................... 1722. PROTEST PROCEDURES........................................................................................................................... 17FORMS ......................................................................................................................... ...................................... 18LETTER OF INTEREST FORM ........................................................................................................................ 18PROPOSED SUBCONTRACTORS ....................................................................................................................19CERTIFICATE AS TO CORPORATION ...........................................................................................................20AFFIDAVIT AS TO NON-COLLUSION AND CERTIFICATION OF MATERIAL CONFORMANCE WITH SPECIFICATIONS ................................................................................................................................... 21RESPONDENT QUALIFICATIONS — GENERAL .......................................................................................... 22RESPONDENT QUALIFICATIONS — SIMILAR PROJECTS ........................................................................27RESPONDENT QUALIFICATIONS — CLIENT REFERENCES ....................................................................36SWORN STATEMENT ON PUBLIC ENTITY CRIMES………………………………………….…………..39DRUG-FREE WORKPLACE FORM...................................................................................................................41EQUAL OPPORTUNITY EMPLOYMENT FORM……………………………………………….…………...42NO RESPONSE FORM…………………………………………………………………………………………43

ATTACHMENT A — LAKE DENHAM RESTORATION PROJECT SITE MAPSATTACHMENT B — PHASE II SITE ASSESSMENTATTACHMENT C — LAKE COUNTY DEVELOPMENT REVIEW COMMENTSATTACHMENT D — PROJECT’S DESCRIPTION STATEMENT OF WORKATTACHMENT E — INSURANCE REQUIREMENTS

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INSTRUCTIONS TO RESPONDENTS

1. DEFINITIONS

The definitions of capitalized terms used in this solicitation are defined herein. A response to this solicitation shall include these Instructions to Respondents, any addenda published by the LCWA, the Letter of Interest submitted by Respondent (“Letter of Interest”), and all required certifications and affidavits.

2. CONTRACT ADMINISTRATION

All inquiries related to this solicitation should be directed to the Contract Administrator:

Jason DanaherPhone: (352) 324-6141E-mail: [email protected]

3. WHERE TO DELIVER LETTER OF INTEREST

Respondents must submit all Letters of Interest in a sealed envelope and deliver them to the followingaddress:

Attn: Jason Danaher, Contract AdministratorLake County Water Authority27351 S.R. 19Tavares, Florida 32778-4251

Respondents must clearly label the Letter of Interest submittal envelope with large bold, and/or colored lettering (place label on the inner envelope if double sealed) as follows:

SEALED RESPONSE – DO NOT OPENRespondent’s Name:Request for Qualification 2021-06Opening Time: 2:00 P.M.Opening Date: July 20, 2021

SPECIAL “LETTER OF INTEREST” SUBMITTAL NOTES:

The Respondent may elect to submit its response electronically instead of a hard copy. See Item 5 on the following page for information and instructions for submitting the response in a hard copy (paper) or electronic-file format.

4. LETTERS OF INTEREST OPENING

Respondents or their authorized agents are invited to attend the opening of the Letters of Interest at the following time and place:

4:00 p.m., July 20, 2021Lake County Water Authority Office27351 S.R. 19Tavares, Florida 32778-4251

The Florida Public Records Act, §119.071(1)(b), Fla. Stat., exempts sealed Letters of Interest from inspection and copying until such time as the LCWA provides notice of an intended decision pursuant to §120.57(3)(a), Fla. Stat., or until 30 days after opening the Letters of Interest, whichever is earlier. This exemption is not waived by the public opening of Letters of Interest.

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Unless otherwise exempt, Respondent’s submittal is a public record that is subject to disclosure upon expiration of the above exemption. If any information submitted with the Letter of Interest is a trade secret as defined in §812.081, Fla. Stat., and exempt from disclosure pursuant to §815.04, Fla. Stat., Respondent must clearly identify any such material as “CONFIDENTIAL TRADE SECRET” in its submittal and explain the basis for such exemption. The LCWA reserves the right, in its sole judgment and discretion, to reject a submittal for excessive or unwarranted assertion of trade secret confidentiality and return the submittal to Respondent.

5. PREPARATION AND ORGANIZATION OF LETTERS OF INTEREST

A. Instructions for Submitting Responses in “Hard Copy” Paper Format to LCWA office:1. Respondents must submit the following fully completed documents on reproduced copies of the

attached forms provided in FORMS:a. Letter of Interest Formb. Certificate as to Corporationc. Affidavit as to Non-collusion and Certification of Material Conformance with Specificationsd. Qualifications (General, Similar Projects, Client References, Subcontractors, and other required

qualification forms)e. Drug-Free Workplace Form (not required unless there is a tie)

2. Respondents shall provide one (1) original and five (5) copies3. Please identify the original Letter of Interest submittal package as “ORIGINAL.”4. In order to assist the LCWA’s review process, each submittal package shall be bound or submitted in

three-ring binders with tabbed dividers for the Criteria identified in the Evaluation Criteria.5. All blank spaces on the Letter of Interest Form shall be typed or legibly printed in ink.6. Respondents may team with other firms in the form of a joint venture, partnership, or contractor-

subcontractor relationship in responding to this solicitation. 7. A Respondent may not submit more than one response as a Primary Respondent whether submitting

as a single firm, or as part of a joint venture or partnership. However, a Primary Respondent may participate as a subcontractor on more than one response. Any Respondent that submits more than one response as a Primary Respondent will result in disqualification of the Respondent pursuant to Paragraph 9 – Disqualification of Respondents.

8. Each submittal must state how the project will be managed (hierarchal relationships, etc.) between the Primary Respondent and the partners in the joint venture or partnership, as applicable.

9. A subcontractor may be a part of more than one response.10. Respondents shall provide and complete the following forms and questionnaires and include them

in their Letter of Interest submittal under the tabs identified below (responses to the forms and questionnaires can be submitted on reproduced copies). Respondents shall include detailed information in a format of their choice for those tabs where no form is provided:

Tab 1: Background and Qualifications, and ability to conduct the work presented in the Project’s Description Statement of Work

Respondents submitting a Letter of Interest shall complete forms ‘a’ through ‘f’ and include them in the submittal.

a) Letter of Interest Formb) Proposed Subcontractorsc) Certificate as to Corporation Formd) Affidavit as to Non-Collusion and Certification of Material Conformance with

Specificationse) Drug Free Workplace Form – required only in the event of a tief) Respondent: Qualifications Form — General

i. Engineer — Qualification Form (one page)ii. Mining (Sub)Contractor – Qualification Form (one page)iii. Surveying (Sub)Contractor — Qualification Form (one page)

Lance, 04/14/21, RESOLVED
Restoration is included in the description of the project type so the respondent should include restoration in their project response
Jason Danaher, 04/02/21, RESOLVED
Should “Restoration” be included in this?
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Tab 2: Personnel

No forms

Tab 3: Client References

a) Respondent Qualifications Form — Similar Projectsi. Engineer — Similar Projects (three pages)ii. Surveying (Sub)Contractor — Similar Projects (three pages)iii. Mining (Sub)Contractor — Similar Projects (three pages)

b) Respondent Qualifications Form — Client Referencesi. Engineer — Similar Projects (one page)ii. Surveying (Sub)Contractor — Similar Projects (one page)iii. Mining (Sub)Contractor — Similar Projects (one page)

Tab 4: Technical Merit

No Forms

Tab 5: Location of Respondent’s Management Office/Project Manager relative to the project area

No forms

Tab 6: Additional Information

a) Standard brochures and specifications may be submitted as additional material but shall not be submitted as the primary qualification data (Information included under this tab will not receive a score).

Tab 7: Anticipated Timelinea) Provide a bar chart with anticipated timelines for tasks through project duration. At this

moment assume seven (7) years to complete removal of nutrient enriched soils on site (Information included under this tab will not receive a score).

11. Respondent is encouraged to include as much pertinent data and information under each section as necessary to ensure proper evaluation of its qualifications. Each section shall be evaluated separately on its own merit.

In the event you decline to submit a Letter of Interest, the LCWA would appreciate submittal of the “No Response Form” provided at the end of the “FORMS” section to describe the reason for not submitting a Letter of Interest.

B. Instructions for Submitting Responses in Electronic Format to LCWA office:

1. Respondent must follow all procedures for electronic submission or the Respondent’s submission may be determined as “non-responsive” and rejected.

2. If the Respondent opts to submit its Letter of Interest in electronic format:a. All information required by the solicitation, including the forms and questionnaires listed

under Item 5.A. above must be completed (typed or hand written) and included in the submission in electronic format (forms must be completed and converted/scanned to PDF format (Adobe).

Lance Lumbard, 04/09/21, RESOLVED
Lance to add
Jason Danaher, 04/02/21, RESOLVED
Not provided in RFP draft currently
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b. All of the forms and questionnaires in the Request for Qualification package are available upon request in Microsoft® Word to aid the Respondent in submitting its Letter of Interest in electronic format.

3. The Letter of Interest package must be submitted as one “PDF” file. Other formats will not be accepted by the LCWA.

4. The file-naming conventions for the Letter of Interest shall include:a. Letter of Interest: RFQ #, Respondent’s name (abbreviated), Due Date

(Example: RFQ 2021-06, LDFR Letter of Interest, 07-20-2021)

5. The Letter of Interest must include a separator page between each “Tabbed” section:a. Example:

Tab 1 – Background and Qualifications and ability to conduct the work presented in the Project’s Description Statement of Work

6. All electronically submitted files shall be saved to a single CD or pin/thumb/jump drive. The CD or pin/thumb/jump drive MUST be placed in a sealed envelope pursuant to the instructions under Item 3 for sealed responses – DO NOT SUBMIT YOUR RESPONSE BY E-MAIL — THIS WILL RESULT IN THE SUBMITTAL BEING REJECTED AS NON-RESPONSIVE

7. If the Respondent elects to submit electronically, only two (2) copies of the submission are required.

C. Instructions for Submitting Responses in Electronic Format to Onvia DemandStar:

1. Respondent must follow all procedures for electronic submission or the Respondent’s submission may be determined as “non-responsive” and rejected.

2. If the Respondent opts to submit its Letter of Interest in electronic format to Onvia DemandStar:a. All information required by the solicitation, including the forms and questionnaires listed

under Item 5.A. above must be completed (typed or hand written) and included in the submission in electronic format (forms must be completed and converted/scanned to PDF format (Adobe).

b. All of the forms and questionnaires in the Request for Qualification package are available upon request in Microsoft® Word to aid the Respondent in submitting its Letter of Interest in electronic format.

3. The Letter of Interest package must be submitted as one “PDF” file. Other formats will not be accepted by the LCWA.

4. The file-naming conventions for the Letter of Interest shall include:a. Letter of Interest: RFQ #, Respondent’s name (abbreviated), Due Date

(Example: RFQ 2021-06, LDFR Letter of Interest, 07-20-2021)

5. The Letter of Interest must include a separator page between each “Tabbed” section:a. Example:

Tab 1 – Background and Qualifications and ability to conduct the work presented in the Project’s Description Statement of Work

6. DO NOT SUBMIT YOUR RESPONSE BY E-MAIL — THIS WILL RESULT IN THE SUBMITTAL BEING REJECTED AS NON-RESPONSIVE.

Jason Danaher, 04/02/21, RESOLVED
I would prefer two. One copy to remain in safe location and other that can be passed around if needed.
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7. If the Respondent elects to submit electronically through Onvia DemandStar, only one (1) copy of the submission is required.

If you need assistance or have any questions about submitting in paper or electronic format, please e-mail or call Jason Danaher at [email protected] or (352) 324-6141.

6. INQUIRIES AND ADDENDA

LCWA staff are not authorized to orally interpret the meaning of the specifications or other Agreement documents, or correct any apparent ambiguity, inconsistency, or error therein. In order to be binding upon the LCWA, the interpretation or correction must be given by the Contract Administrator and must be in writing. The Contract Administrator may orally explain the LCWA’s procedures and assist Respondents in referring to any applicable provision in the Request for Qualifications documents, but the Respondent is ultimately responsible for submitting the Letter of Interest in the appropriate form and in accordance with written procedures.

Every request for a written interpretation or correction must be received at least twenty-one (21) days prior to the opening of Letters of Interest in order to be considered. Requests may be submitted by e-mail at [email protected]. Interpretations, corrections, and supplemental instructions will be communicated by written addenda to this solicitation posted on Onvia DemandStar and www.lcwa.org to all prospective Respondents (at the respective addresses furnished for such purposes) not later than fourteen (14) days prior to the date fixed for the opening of Letters of Interest.

Submission of a Letter of Interest constitutes acknowledgment of receipt of all addenda. Letters of Interest will be construed as though all addenda had been received. Failure of the Respondent to receive any addenda does not relieve Respondent from any and all obligations under the Letter of Interest, as submitted. All addenda become part of the Agreement.

7. BUDGET

The LCWA intends for the successful respondent to utilize revenue generated by the project to complete the required restoration and has therefore allocated no budget to the project. LCWA has not verified the value of the extractable resources within the project area. The LCWA reserves the right to reject all Letters of Interest if subsequent negotiations with qualified Respondents does not result in the LCWA’s intended cost-neutral budget. In addition, the LCWA reserves the right to increase, decrease, or delete any class, item, or part of the Work in order to reduce costs for any reason. The LCWA may discuss alternatives for reducing the cost of the Work with Respondents and make such modifications as it determines to be in its best interest.

The successful Respondent will be responsible for determining the volume of saleable material within the PROJECT area and the associated expense or effort required to design, permit, construct, monitor, and reclaim the PROJECT area in addition to specific site restoration required by the LCWA. The successful respondent will be responsible for all cost items of the project including, but not limited to:

All necessary geotechnical investigations required for permitting the project to include, but not limited to, estimating the mining materials balance to include marketable material volume and the volume of any material that will be excavated but kept on site.

All necessary investigations required for permitting the project to include, but not limited to, estimating the quantity of marketable palm and/or cypress trees to be removed from the site.

All necessary hydrologic investigations to satisfy LCWA and applicable regulatory agencies associated with the PROJECT.

All necessary environmental investigations to satisfy LCWA and applicable regulatory agencies associated with the PROJECT.

Lance Lumbard, 04/09/21, RESOLVED
Changed to www.lcwa.org – review exact location for bid announcements later
Jason Danaher, 04/02/21, RESOLVED
We don’t use. Refer to www.lcwa.org under original bid
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Remediation efforts to address known contamination issues within the PROJECT area as indicated in Attachment B.

Existing levee maintenance and improvements Relocation of approximately 140,000 cubic yards of alum residual from the LCWA’s nutrient

reduction facility at 16100 County Road 48, Mt. Dora, FL 32757 to the PROJECT site for use in final site grading (Attachment A, Figure 3).

Development of an LCWA-approved mine plan and an associated reclamation/restoration plan that is suitable for permitting and includes the LCWA’s specific PROJECT objectives which generally include the establishment of public access, creation of suitable fisheries habitat, and improved management of water quality and quantity (Attachment A, Figure 4).

Preparation, submittal, payment, and receipt of all required state and federal environmental resource permit applications and successful receipt of permits prior to commencement of any mining activities.

Preparation, submittal, payment, and receipt of Lake County mining permit application and successful receipt of the permit prior to commencement of any mining activities.

Preparation, submittal, payment, and receipt of any other application state, local, or federal permits as required to implement the PROJECT prior to the commencement of any mining activities.

Mobilization/demobilization of all equipment and personnel required for the operation of equipment to facilitate the successful completion of mining operations

Removal of any equipment or other appurtenances in accordance with the approved mine plan at the conclusion of mining and restoration/reclamation.

Maintenance of State and Federal water quality standards and that all water discharged from the PROJECT site to meet or exceed the natural background concentrations of 0.03 mg/L TP and 1.07 mg/L TN beginning with contract execution and continuing throughout the life of the mine until the mine reclamation work is accepted by the appropriate regulatory agencies.

Successful completion of mine reclamation and PROJECT restoration plan and any required monitoring up to and including LCWA’s regulatory release from additional reclamation monitoring.

8. MIMINUM QUALIFICATIONS

Respondent must use the “Qualification” forms (GENERAL, SIMILAR PROJECTS, and CLIENT REFERENCES) provided in these documents to document the minimum qualifications listed below. Failure to include these forms with the Letter of Interest may be considered non-responsive.

a. Respondent (or a combination of the firm, individual, or project manager assigned to the work) must have successfully completed at least three projects of a similar nature (i.e., mine design, planning, permitting, construction and reclamation/restoration) within the fifteen years immediately preceding the date set for receipt of responses. Each project must have had a minimum project area of at least 50 acres (use the SIMILAR PROJECTS FORM to document).

b. Respondent (or a combination of the firm, individual, or project manager assigned to the work) must have no less than fifteen years of experience on projects of the nature specified above (Respondent-provided documentation).

c. Lead engineers associated with the work on this project must be currently licensed as a professional engineer through the Florida Department of Business and Professional Regulation and should have expertise in the following disciplines (all things being otherwise equal, those Respondents whose expertise encompasses a greater number of disciplines will receive higher scores) – provide a copy of license(s) with submittal:

Lance Lumbard, 04/09/21, RESOLVED
Change to area (50 acres)
Jason Danaher, 04/02/21, RESOLVED
Forms currently are noted for project values of either $250,000 or $500,000
Michael, 04/15/21, RESOLVED
In addition to State/Federal requirements
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1. Mine design and permitting2. Wetland delineations with emphasis on delineations in former agricultural property3. Geotechnical evaluations4. Site Remediation5. Wetland/watershed/lake restoration design and permitting6. Water quality and nutrient management

d. Lead surveyors associated with the work on this project must be currently licensed as a professional surveyor through the Florida Department of Agriculture and Consumer Affairs and should have expertise in mine surveying – provide a copy of license(s) with submittal.

e. The Respondent shall include the following information to demonstrate that it's mining (sub)contractor currently possesses or has the ability to obtain all of the equipment necessary to accomplish the mining work, material transport, and mine site management. The Respondent’s mining (sub)contractor shall provide documentation to substantiate this requirement, along with ONE of the following: • Proof of current ownership of equipment unit(s) (i.e., copy of title certificate, purchase receipt, or other forms of documentation showing ownership of equipment) OR • A copy of current lease of equipment unit OR • A letter from an equipment vendor or vendors stating that it can provide the equipment within 30 days of the issuance date of a work order to the mining (sub)contractor (letter must be signed by a manager-level individual and be attested)

f. The Respondent shall include copies of safety and environmental protection plans including information to demonstrate that its mining (sub)contractors maintain a workforce professional trained in safety, environmental protection, and other applicable mining requirements.

h. The Respondent shall provide a list of all mine permitting, construction, and reclamation projects completed by its mining (sub)contractor within the past seven years. The list must include the project names, descriptions, awarding agencies, contract numbers, initial and final contract amounts, agency contacts with phone numbers and email addresses.

i. Respondent must provide three client references. At least one of the client references must be from the similar projects listed in response to sub-paragraph (a), above. No more than one of the client references may be from completed LCWA projects. If an LCWA project is cited, do not request a letter from the LCWA staff. The evaluation team will use the project’s closeout documents in lieu of a letter of reference and may consult with the LCWA project manager.

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9. DISQUALIFICATION OF RESPONDENTS

Any of the following causes will be considered as sufficient grounds for disqualification of a Respondent and rejection of the Letter of Interest:

a. Submission of more than one Letter of Interest for the same subject matter by an individual, firm, partnership, or corporation under the same or different names;

b. Evidence of collusion among Respondents;c. Submission of materially false information with the Letter of Interest;d. Information gained through checking of references or other sources which indicates that

Respondent may not successfully perform the Work;e. Incomplete contractual commitment(s) to other persons or entities, which, in the sole

judgment of the LCWA, may hinder or prevent the prompt completion of the Work if awarded to Respondent;

f. Respondent is failing to adequately perform on any existing contract with the LCWA;g. Respondent has defaulted on a previous contract with the LCWA;h. The evidence submitted by Respondent, or the LCWA’s investigation of Respondent, fails

to satisfy the LCWA that Respondent is properly qualified to carry out the obligations of the Agreement in a manner acceptable to the LCWA and within the anticipated time specified (Paragraph 5, Tab 7);

i. Any other cause that is sufficient to raise doubt regarding the ability of a Respondent to perform the Work in a manner that meets the LCWA’s objectives for the Work.

j. Respondent did not attend the Mandatory Pre-Bid meeting on Tuesday, June 15, 2021 @ 10am EST located at 30553 Flatwoods Rd., Leesburg, FL 34748 (adjacent to Flat Island Preserve).

10. EVALUATION AND AWARD PROCEDURES

a. Letters of Interest will be evaluated by a staff Evaluation Committee (the “Committee) based upon the criteria and scoring set forth in “EVALUATION CRITERIA.” The Committee members will meet at LCWA headquarters or other locations as appropriate to discuss the Letters of Interest and their individual evaluations. Each Committee member will complete an evaluation form, from which the overall ranking of Letters of Interest is determined using the total sum of awarded points. Evaluation forms may be submitted at or subsequent to the Committee meeting. If it is determined that it will assist the Committee’s evaluation for some or all Respondents to make an oral presentation, such presentations will be scheduled at LCWA headquarters or other location as appropriate.

b. Following the evaluation process, the LCWA will submit the final ranking of Letters of Interest to the Board of Trustees for approval. All Respondents will be notified in writing of the Committee’s final ranking of Letters of Interest.

c. The Committee will meet in the location(s), time(s), and date(s), stated at beginning of the Request for Qualifications package, to evaluate and rank the Letters of Interest.

d. Contract negotiations will then commence with the Respondent(s) submitting the highest-ranked Letter of Interest. If negotiations fail with the highest-ranked Respondent(s), negotiations will proceed with the next highest-ranked Respondent, and so forth.

e. The Agreement(s) will be awarded to the Respondent(s) having the highest ranked Letter(s) of Interest, which successfully concludes negotiations with the LCWA [the “Successful Respondent(s)”].

f. If two or more Letters of Interest are equal in all respects, the Agreement will be awarded as follows: (1) to the Respondent that certifies compliance with §287.087, Fla. Stat., via the Drug-Free Workplace Form; (2) to a Respondent university in the State University System

Lance Lumbard, 04/09/21, RESOLVED
Clarify that the final score will equal the sum of score sheets from the review committee
Jason Danaher, 04/02/21, RESOLVED
I don’t understand the weighted scoring. It is just a factor that carries through for Response and Presentation. Is it really needed?
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pursuant to §373.63, Fla. Stat.; or (3) by lot.g. The LCWA reserves the right to award the Agreement(s) to the next highest ranked and

available Respondent in the event the Successful Respondent fails to enter into the Agreement, or the Agreement with said Respondent is terminated within 90 days of the effective date.

h. All Respondents will be notified of the LCWA’s intent to award or decision to award the Agreement. For the purpose of filing a protest, the time period will commence as provided in “NOTICES AND SERVICES THEREOF.”

11. PROJECT DESCRIPTION’S STATEMENT OF WORK

The PROJECT includes all permitting, design, remediation, construction, demolition, reclamation, restoration, treatment, and monitoring efforts required for all activities related to removing potentially marketable soils and trees within the PROJECT area based on the following requirements:

A. Within 60 days of award, the successful respondent shall enter into an agreement with LCWA to design, permit, construct, monitor, and reclaim/restore the PROJECT.

B. Within 30 days of CONTRACT execution, the successful Respondent shall submit a draft mining plan development schedule in accordance with Lake County Development Review requirements. The LCWA has conducted a preliminary meeting with Lake County Development Review to discuss permitting requirements. Preliminary comments and associated supporting documentation provided by Lake County Development Review are provided in Attachment C. The draft plan schedule shall include but is not limited to:

• Conceptual mine plan• Hydrology report• Environmental report• Engineering report• Fiscal and economic impact report• Traffic impact• Geotechnical report• Restoration/reclamation design that incorporates the LCWA’s conceptual elements as

shown in Attachment A, Figure 3

The successful Respondent will be responsible for updating the schedule, as necessary. The schedule will be utilized to monitor progress and schedule additional scope items listed below.

C. The successful Respondent shall coordinate with LCWA and FDEP to provide a site remediation plan that addresses contamination issues identified in Attachment B and shall implement the plan once approved and prior to 50% completion of mining activities.

D. The successful Respondent shall coordinate with LCWA to incorporate demolition and removal of an existing structure and concrete slab located on the north central edge of the parcel (outside of the restoration PROJECT footprint) and shall complete demolition and removal prior to 50% completion of mining activities.

E. The successful Respondent shall coordinate with LCWA to incorporate improvements to the

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existing levee structures on the east, west and south portion of the parcel and shall complete prior to 50% completion of mining activities.

F. Prior to commencement of mining activities and within 18 months of contract execution, the successful Respondent shall be responsible for preparing and obtaining necessary local, state, and federal permits and shall be financially responsible for permit applications and all associated permit activities including any potential mitigation.

G. The successful Respondent shall mobilize/demobilize and operate any equipment required to construct the PROJECT.

H. Upon entering into a contract with the LCWA for the PROJECT and prior to any mine period management requirements, the successful Respondent will assume the operation and maintenance of existing pumps within the PROJECT area which control water levels within the PROJECT area or provide and maintain/operate additional similar pumps during project timeline. The successful Respondent shall operate these pumps in accordance within LCWA’s desired water level control ranges within the PROJECT area and will treat and monitor discharge as follows:

• The successful Respondent shall provide for the pre-treatment of any discharge from the PROJECT area to meet Class III water quality standards, and to maintain TP concentrations at or below 0.03 mg/L and TN concentrations at or below 1.07 mg/L.

• The successful Respondent shall provide the LCWA with monthly pump operation summaries and will provide daily monitoring during discharge events with results of any discharge analyses reported to LCWA within seven (7) days.

I. The successful Respondent shall be solely responsible for marketing and sale of any materials excavated from the PROJECT area and LCWA makes no claims regarding the value of such materials.

J. The successful respondent shall assess the actual quantities of alum residual at the LCWA’s Nutrient Reduction Facility, provide any necessary access improvements (or complete resulting repairs), and mobilize any equipment necessary for transportation of approximately 140,000 cubic yards of alum residual to the PROJECT site and shall incorporate the material as part of final site reclamation/restoration activities.

K. The successful respondent shall provide all required site monitoring prior to, during, and following mining and reclamation/restoration activities until the PROJECT site has been released from any necessary site reclamation monitoring.

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12. EVALUATION CRITERIA — ENGINEERS/SURVEYORS/MINERS

Responses shall include information or documentation regarding and will be evaluated using, the evaluation criteria set forth below. The evaluation rating scale is as follows:

Note: If the Evaluation Committee determines that the written submittals are sufficient to finalize its rankings of the Respondents, then oral presentations will not be required and the total scores for the written submittals will be used to determine the rankings

Written Submittal Available Points

Oral Presentation

Available Points

1

Background and Qualifications and ability to conduct the work presented in the Project’s Description Statement of Worka) Knowledge of subjectb) Understanding of the problems and objectivesc) Past performanced) Ability to meet needs and perform worke) Equipment and availability

30 6

2

Personnela) Names and functions of personnel assignedb)Qualifications, resumes, licenses, certifications or

industry recognitionsc) Hours committed to projectd) Special expertise of personnel

10 5

3

Client References and Experience —provide names and contact information for at least three clients and supply a letter of reference from at least two of the three client referencesa) Similar projects (form)b) List of mining projects completed within the past seven

yearsc) Client references (form)

15 3

4

Project Managementa) Allocation of staffb) Management methodsc) Identify sub-contractorsa) Mining — Safety and Environmental Protection Plansd) Commitment to project completion within time and budget constraints

10 5

5

Technical Merita) Completeness and clarity of submittalb) Adequately addresses project objectivesc) Approach adequately describedd) Demonstration of the usefulness of project results

30 5

6

Location of Respondent’s Management Office/Project Manager relative to the project area (see explanation below)Location of managing firm/project manager relative to the project area — higher consideration will be given to firms whose managing firm/project manager is located nearest to the project area. (The LCWA has selected the location of Flat Island Preserve, 30553 Flatwoods Rd., Leesburg, FL 34748 as the reference point for distance calibration purposes.) The website MapQuest.com (using the “Shortest” route type) should be utilized to determine mileage. The LCWA will award points as follows:• Within 0-100 miles of the project area = 5/1 points• > 100 but ≤ 200 miles from of the project area = 4/0.75 points• > 200 but ≤ 300 miles from of the project area = 2/0.5 points• > 300 miles from of the project area = 0 points

5 1

Total Available Points 100 25

Lance, 04/14/21, RESOLVED
Made the scoring easier to understand by using a max of 120 available points with 100 available for the written submittal and 20 available for the oral presentation. With this scoring rubric, written is 83% and oral is 17% of the total available points.
Lance Lumbard, 04/09/21, RESOLVED
Lance to make changes using total points available for each category and written/oral
Jason Danaher, 04/02/21, RESOLVED
Just want to pick your brain about the weighted scores. I guess someone could score high or written proposal but have a poor oral presentation and that could tip the scales towards another group who performed better for oral presentation? But how is the 30% divided between written proposal and oral presentation? 20% written proposal and 10% oral presentation for total 30%?
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13. EXECUTION OF AGREEMENT

Submittal of a Letter of Interest binds the Successful Respondent to perform the Work upon acceptance of the Letter of Interest and execution of the Agreement by the LCWA. Unless all Letter of Interests are rejected, a contract will be provided to the Successful Respondent, who must execute and return the Agreement to the LCWA within ten days of the date of receipt, along with the following:

a. A completed Internal Revenue Service Form W-9;b. Satisfactory evidence of all required insurance coverage;c. Proof satisfactory to the LCWA of the authority of the person or persons executing the

Agreement on behalf of Respondent; andd. All other information and documentation required by the Agreement.

The LCWA will not execute the Agreement until the above documents have been executed and delivered to the LCWA. The Agreement will not be binding until executed by the LCWA. A copy of the fully executed Agreement will be delivered to the Successful Respondent. The LCWA reserves the right to cancel award of the Agreement without liability at any time before the Agreement has been fully executed by all parties and delivered to the Successful Respondent. Failure upon the part of the Successful Respondent to execute the Agreement or timely submit the required evidence of insurance coverage, or any other matter required by the Agreement, will be just cause, if the LCWA so elects, for the recommended award to be annulled.

14. SIGNATURE AND CERTIFICATION REQUIREMENTS

An individual submitting a Letter of Interest must sign his/her name therein and state his/her address and the name and address of every other person interested in the Letter of Interest as principal. If a firm or partnership submits the Letter of Interest, state the name and address of each member of the firm or partnership. If a corporation submits the Letter of Interest, an authorized officer or agent must sign the Letter of Interest, subscribing the name of the corporation with his or her own name and affixing the corporate seal. Such officer or agent must also provide the name of the state under which the corporation is chartered, and the names and business addresses of the President, Secretary, and Treasurer. Corporations chartered in states other than Florida must submit evidence of registration with the Florida Secretary of State for doing business in the state of Florida. Respondent must certify that all persons or entities having an interest as principal in the submittal of the Letter of Interest or substantial performance of the Work have been identified in the Letter of Interest forms.

15. REJECTION OF LETTER OF INTEREST

Letters of Interest must be delivered to the specified location and received before the Letter of Interest opening in order to be considered. Untimely Letters of Interest will be returned to the Respondent unopened. Letters of Interest will be considered irregular and may be rejected if they show material omissions, alterations of form, additions not called for, conditions, limitations, or other material irregularities. The LCWA may consider incomplete any Letter of Interest not prepared and submitted in accordance with the provisions specified herein and reserves the right to waive any minor deviations or irregularities in an otherwise valid Letter of Interest.

THE LCWA RESERVES THE RIGHT TO REJECT ANY AND ALL LETTERS OF INTERESTS AND CANCEL THIS REQUEST FOR QUALIFICATIONS WHEN IT DETERMINES, IN ITS SOLE JUDGMENT AND DISCRETION, THAT IT IS NOT IN ITS BEST INTEREST TO AWARD THE AGREEMENT.

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16. WITHDRAWAL OF LETTER OF INTERESTS

Respondent may withdraw its Letter of Interest if it submits such a written request to the LCWA prior to the designated date and hour of Letter of Interest opening. Respondent may be permitted to withdraw its Letter of Interest no later than 72 hours after the Letter of Interest opening for good cause, as determined by the LCWA in its sole judgment and discretion.

17. SUBCONTRACTS

Respondent must identify all portions of the Work Respondent intends to perform through subcontractors for each portion of the Work exceeding ten percent of the Work on the attached “Proposed Subcontractors” form. Respondent must submit with its Letter of Interest a list of all known subcontractors who will participate in more than ten percent of the Work. Acceptance of the Letter of Interest does not constitute approval of the subcontractors identified with the Letter of Interest.

18. EXAMINATION OF AGREEMENT DOCUMENTS AND WORK AREA

Respondent is solely responsible for being fully informed of the conditions under which the Work is to be performed in relation to existing conditions. Respondent is responsible for carefully examining the general area of the Work, the requirements of the drawings and other documents related to the Work, the time in which the Work must be completed, and any other details of the Work. Respondent must satisfy itself from its knowledge and experience or professional advice as to the character of the Work, the conditions and materials to be encountered, the character, quality, and quantities of the Work, and any other conditions affecting the Work, including surrounding land.

Failure to satisfy the obligations of this paragraph will not relieve a Successful Respondent of its obligation to furnish all material, equipment, and labor necessary to perform the Agreement and to complete the Work for the consideration set forth in its Letter of Interest. Any such failure will not be sufficient cause to submit a claim for additional compensation.

No verbal agreement or conversation with any LCWA officer, agent, or employee, either before or after the execution of the Agreement, will affect or modify any of its terms.

19. PUBLIC ENTITY CRIMES/DISCRIMINATORY VENDORS

In accordance with §287.133 and §287.134, Fla. Stat., a person or affiliate who has been placed on the convicted or discriminatory vendor lists following a conviction for a public entity crime or placement on the discriminatory vendor list 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 contractor under a contract with any public entity; and may not transact business with any public entity in excess of the threshold amount provided in §287.017 for CATEGORY TWO ($35,000) for 36 months following the date of being placed on the convicted or discriminatory vendor lists.

20. FLORIDA SALES TAX

The LCWA is exempt from payment of state of Florida sales tax pursuant to §212.08(6), Fla. Stat.

Lance Lumbard, 04/09/21, RESOLVED
Ok as written
Jason Danaher, 04/02/21, RESOLVED
Way RFQ currently written they have 72 hours to submit protest and/or 72 hours to withdraw if we allow
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21. NOTICES AND SERVICES THEREOF

The LCWA will publish notice of specifications and criteria, including addenda, intended agency decisions, or other matters pertinent to this solicitation on Onvia DemandStar and www.lcwa.org In addition, the LCWA will post notices of intended agency decisions at the LCWA’s office at 27351 SR 19, Tavares, FL 32778, on the date the publication is posted on the LCWA website, www.lcwa.org.

Notices that are posted on www.lcwa.org are deemed received at 8:00 a.m. on the next business day following the date posted. Notices that are posted at the LCWA’s office are deemed received at 8:00 a.m. on the next business day following the date of posting. Notices will be posted for a minimum of 72 hours following the time at which they are deemed received. The time period for filing a Notice of Protest pursuant to the LCWA bid and protest policy [Lake County Water Authority Resolution 2003-03] commences at the time notices are deemed received.

As a courtesy to Respondents, the LCWA may send copies of the notices of intended agency decisions via e-mail or facsimile to the address or phone number provided by Respondent. These courtesy communications neither constitute official notice nor vary the times of receipt set forth above.

22. PROTEST PROCEDURES

Pursuant to LCWA bid and protest policy [Lake County Water Authority Resolution 2003-03], any person adversely affected by the procurement methodology described herein, or the specifications or criteria, including addenda, must file a Notice of Protest within 72 hours after receipt of the solicitation documents or addenda.

Pursuant to LCWA bid and protest policy [Lake County Water Authority Resolution 2003-03], any person adversely affected by an LCWA decision or intended decision to award a contract, or to reject all bids, proposals, or qualifications, must file a Notice of Protest within 72 hours after receipt of the decision or intended decision.

Pursuant to LCWA bid and protest policy [Lake County Water Authority Resolution 2003-03], the protester must file with the LCWA Project Administrator a Formal Written Protest according to the protest policy guidelines. The Formal Written Protest must state with particularity the facts and law upon which the protest is based.

No additional time will be added for mailing. All filings must comply with LCWA bid and protest policy [Lake County Water Authority Resolution 2003-03], and must be addressed to and received by the Project Administrator at the LCWA office in Tavares, Florida within the prescribed time periods. The LCWA will not accept as filed any electronically transmitted facsimile pleadings, petitions, Notice of Protest, or other documents.

FAILURE TO FILE A PROTEST WITHIN THE TIME PRESCRIBED IN LCWA BID AND PROTEST POLICY [LAKE COUNTY WATER AUTHORITY RESOLUTION 2003-03] WILL CONSTITUTE A WAIVER OF PROCEEDINGS.

Jason Danaher, 04/15/21, RESOLVED
Lance Lumbard, 04/09/21, RESOLVED
Jason to provide summary of LCWA protest procedure to replace this text.
Jason Danaher, 04/02/21, RESOLVED
Need to confirm with LCWA team and Kevin
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FORMS

LETTER OF INTEREST FORMOpening time and date: 4:00 p.m., July 20, 2021This form to be included in Letter of Interest submittal

RESPONDENT:The undersigned, as Respondent, hereby declares and certifies that the only person(s) or entities interested in this Letter of Interest as principal(s), or as persons or entities who are not principal(s) of the Respondent but are substantially involved in the performance of the Work, is or are named herein, and that no person other than herein mentioned has any interest in this Letter of Interest or the Agreement to be entered into; that this Letter of Interest is made without connection with any other person, company, or parties submitting a Letter of Interest; and that this Letter of Interest is in all respects fair and in good faith without collusion or fraud.

Respondent represents to the LCWA that, except as may be disclosed in an addendum hereto, no officer, employee or agent of the LCWA has any interest, either directly or indirectly, in the business of Respondent to be conducted under the Agreement, and that no such person shall have any such interest at any time during the term of the Agreement, should it be awarded to Respondent.

Respondent further declares that it has examined the Agreement and informed itself fully in regard to all conditions pertaining to this solicitation; it has examined the specifications for the Work and any other Agreement documents relative thereto; it has read all of the addenda furnished prior to the Letter of Interest opening, as acknowledged below; and has otherwise satisfied itself that it is fully informed relative to the Work to be performed.

Respondent agrees that if its Letter of Interest is accepted and an Agreement negotiated with the LCWA, Respondent shall contract with the LCWA, and shall furnish everything necessary to complete the Work in accordance with the time for completion specified in the Agreement, and shall furnish the required evidence of the specified insurance. Acknowledgment is hereby made of the following addenda (identified by number) received:

Addendum No. Date Addendum No. Date____________ ____________ ____________ ________________________ ____________ ____________ ________________________ ____________ ____________ ____________

____________________________________________________________ _________________________________Respondent (firm name) Date

__________________________________________________________________________________________________Address

__________________________________________________________________________________________________E-mail address

__________________________________________________________ __________________________________Signature Telephone number

__________________________________________________________ __________________________________Typed name and title Fax number

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PROPOSED SUBCONTRACTORS

This form to be included in Letter of Interest submittal

Respondent must identify all portions of the Work Respondent intends to perform through subcontractors.

1. Name and address of subcontractor:_____________________________________________________

Description of work:_________________________________________________________________

__________________________________________________________________2. Name and address of subcontractor:_____________________________________________________

Description of work:_________________________________________________________________

__________________________________________________________________

3. Name and address of subcontractor:_____________________________________________________

Description of work:_________________________________________________________________

__________________________________________________________________

4. Name and address of subcontractor:_____________________________________________________

Description of work:_________________________________________________________________

__________________________________________________________________

5. Name and address of subcontractor:_____________________________________________________

Description of work:_________________________________________________________________

__________________________________________________________________

6. Name and address of subcontractor:_____________________________________________________

Description of work:_________________________________________________________________

__________________________________________________________________

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CERTIFICATE AS TO CORPORATION

This form to be included in Letter of Interest submittal

The below Corporation is organized under the laws of the State of ____________; is authorized by law to respond to this Request for Qualifications and perform all work and furnish materials and equipment required under the Agreement, and is authorized to do business in the State of Florida.

Corporation name:

Address:

Registration No.:

Registered Agent:

By:

(Affix corporate seal)(Official title)

Attest: (Secretary)

The full names and business or residence addresses of persons or firms interested in the foregoing Letter of Interest as principals or officers of Respondent are as follows (specifically including the President, Secretary, and Treasurer and state the corporate office held of all other individuals listed):

Identify any parent, subsidiary, or sister corporations involving the same or substantially the same officers and directors that will or may be involved in the performance of the Project, and provide the same information requested above on a photocopy of this form.

If applicable, attach a copy of a certificate to do business in the State of Florida, or a copy of the application that has been accepted by the State of Florida to do business in the State of Florida, for the Respondent and/or all out-of-state corporations that are listed pursuant to this form.

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AFFIDAVIT AS TO NON-COLLUSION AND CERTIFICATION OF MATERIAL CONFORMANCE WITH SPECIFICATIONS

This form to be included in Letter of Interest submittal

STATE OF

COUNTY OF

I, the undersigned, _, being first duly sworn, depose and say that:

1. I am the owner or duly authorized officer, representative, or agent of:,

the Respondent that has submitted the attached Letter of Interest.

2. The attached Letter of Interest is genuine. It is not a collusive or sham Letter of Interest.

3. I am fully informed respecting the preparation and contents of, and knowledgeable of all pertinent circumstances respecting the attached Letter of Interest.

4. Neither Respondent 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 Respondent, firm, or person to submit a collusive or sham Letter of Interest in connection with the Agreement for which the attached Letter of Interest has been submitted or to refrain from responding in connection with such Agreement, or has in any manner, directly or indirectly, sought by agreement, collusion, communication, or conference with any other Respondent, firm, or person to fix the price or prices that will be submitted in connection with or subsequent to the attached Letter of Interest of any other Respondent, or to fix any overhead, profit, or cost element of the Letter of Interest prices or the Letter of Interest price of any other Respondent, or to secure through collusion, conspiracy, connivance, or unlawful agreement any advantage against the LCWA or any other person interested in the proposed Agreement.

5. No official or other officer or employee of the LCWA, whose salary or compensation is payable in whole or in part by the LCWA, is directly or indirectly interested in this Letter of Interest, or in the supplies, materials, equipment, work, or labor to which it relates, or in any of the profits therefrom.

Signature:

Title:

Subscribed and sworn to before me this ______ day of , 20 _.

Notary Public, State of at Large

My commission expires:

(SEAL)

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RESPONDENT QUALIFICATIONS — GENERAL — QUALIFICATION FORM

This form to be included in Letter of Interest submittal

As part of the Letter of Interest, Respondent shall complete the following so that the LCWA can determineRespondent’s ability, experience, and facilities for performing the Work.

Name of Respondent:

Respondent’s tax identification No.:

Year company was organized/formed:

Number of years Respondent has been engaged in business under the present firm or trade name:

Total number of years Respondent has experience in similar work described in the INSTRUCTIONS TO RESPONDENTS:

Has Respondent previously been engaged in the same or similar business under another firm or trade name? If so, please describe each such instance.

Has Respondent ever been adjudicated bankrupt, initiated bankruptcy, or been the subject of bankruptcy proceedings on behalf of the current entity submitting this Letter of Interest or a prior entity that Respondent substantially operated or controlled? If yes, please describe the nature and result of those proceedings and the entity involved.

Describe the background/experience of the person or persons who will be primarily responsible for directing the Work that will be performed pursuant to this Letter of Interest. This inquiry is intended to encompass the project manager and/or superintendent who will be engaged on a daily basis in directing performance of the Work.

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RESPONDENT QUALIFICATIONS — GENERAL (continued)

SURVEYING (SUB)CONTRACTOR — QUALIFICATION FORM

This form to be included in Letter of Interest submittal

As part of the Letter of Interest, the Respondent’s surveying (sub)contractor shall complete the following so that the LCWA can determine the surveyor’s ability, experience, and facilities for performing the Work.

Name of Respondent:

Respondent’s tax identification No.:

Year company was organized/formed:

Number of years Respondent has been engaged in business under the present firm or trade name:

Total number of years Respondent has experience in similar work described in the INSTRUCTIONS TO RESPONDENTS:

Has Respondent previously been engaged in the same or similar business under another firm or trade name? If so, please describe each such instance.

Has Respondent ever been adjudicated bankrupt, initiated bankruptcy, or been the subject of bankruptcy proceedings on behalf of the current entity submitting this Letter of Interest or a prior entity that Respondent substantially operated or controlled? If yes, please describe the nature and result of those proceedings and the entity involved.

Describe the background/experience of the person or persons who will be primarily responsible for directing the Work that will be performed pursuant to this Letter of Interest. This inquiry is intended to encompass the project manager and/or superintendent who will be engaged on a daily basis in directing the performance of the Work.

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RESPONDENT QUALIFICATIONS — GENERAL (continued)

MINING (SUB)CONTRACTOR — QUALIFICATION FORM

This form to be included in Letter of Interest submittal

As part of the Letter of Interest, the Respondent’s mining (sub)contractor shall complete the following so that the LCWA can determine mining contractor’s ability, experience, and facilities for performing the Work.

Name of Respondent:

Respondent’s tax identification No.:

Year company was organized/formed:

Number of years Respondent has been engaged in business under the present firm or trade name:

Total number of years Respondent has experience in similar work described in the INSTRUCTIONS TO RESPONDENTS:

Has Respondent previously been engaged in the same or similar business under another firm or trade name? If so, please describe each such instance.

Has Respondent ever been adjudicated bankrupt, initiated bankruptcy, or been the subject of bankruptcy proceedings on behalf of the current entity submitting this Letter of Interest or a prior entity that Respondent substantially operated or controlled? If yes, please describe the nature and result of those proceedings and the entity involved.

Describe the background/experience of the person or persons who will be primarily responsible for directing the Work that will be performed pursuant to this Letter of Interest. This inquiry is intended to encompass the project manager and/or superintendent who will be engaged on a daily basis in directing performance of the Work.

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RESPONDENT QUALIFICATIONS — GENERAL (continued)

MINING (SUB)CONTRACTOR — QUALIFICATION FORM (continued)

This form to be included in Letter of Interest submittal

In the last seven years, have any projects on work of a similar nature to that you are seeking with the LCWA taken longer than 20% more time of frame initially agreed to at the onset of the work? If so, provide details below — must include the project names, descriptions, awarding agencies, contract numbers, agency contacts with phone numbers and email addresses. When more additional time was required (greater than 20%), provide information (reason for the delay/additional time) on whether this was the result of a claim for additional time or due to a client-generated change order (attach additional sheets if necessary).

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Have any of the projects exceeded the initial budget by more than 20%? If so, provide details below — must include the project names, descriptions, awarding agencies, contract numbers, initial and final contract amounts, agency contacts with phone numbers and email addresses. Where the final contract amounts are 20% greater than the initial amounts, provide information (reason for the additional compensation) on whether this was the result of a claim for additional compensation or a client-generated change order increase (attach additional sheets if necessary).

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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RESPONDENT QUALIFICATIONS — GENERAL (continued)

MINING (SUB)CONTRACTOR — QUALIFICATION FORM (continued)

This form to be included in Letter of Interest submittal

In the last seven years, has a client terminated your services or have you abandoned a contract? If so, provide details below — must include the project names, descriptions, awarding agencies, contract numbers, and agency contacts with phone numbers and email addresses. Provide the reason for the termination or abandonment (attach additional sheets if necessary).

In the last seven years have litigated a contract dispute in state or federal court? If so, provide the name of the case and the case number.

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RESPONDENT QUALIFICATIONS — SIMILAR PROJECTS

ENGINEER — SIMILAR PROJECTS

This form to be included in Letter of Interest submittal

Respondent (or a combination of the firm, individual, or project manager assigned to the work) must have successfully completed at least three projects of a similar nature as described in the INSTRUCTIONS TO RESPONDENTS within the fifteen years immediately preceding the date set for receipt of responses. Each project shall have a total project area of at least 50 acres (Add additional sheet for optional additional completed projects.)

C o m p l e t ed Pro j ect 1:

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Address of agency/company:

Name of project:

Project description:

Project Plan:

Summary of success criteria:

Project value: Start date: Completion date: (month/year) (month/year)

N a m e ( s) of a s s i g ned pe r so n ne l :

Project manager:

Others:

Lance Lumbard, 04/09/21, RESOLVED
Change dollar value to minimum 50-acre mine size and add a line to indicate the size of the project
Jason Danaher, 04/02/21, RESOLVED
$1,000,000 ?
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28

RESPONDENT QUALIFICATIONS — SIMILAR PROJECTS (continued)

ENGINEER — SIMILAR PROJECTS

This form to be included in Letter of Interest submittal

Respondent (or a combination of the firm, individual, or project manager assigned to the work) must have successfully completed at least three projects of a similar nature as described in the INSTRUCTIONS TO RESPONDENTS within the fifteen years immediately preceding the date set for receipt of responses. Each project shall have had a total project area of at least 50 acres. (Add additional sheet for optional additional completed projects.)

C o m p l e t ed Pro j ect 2 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Address of agency/company:

Name of project:

Project description:

Project Plan:

Summary of success criteria:

Project value: Start date: Completion date: (month/year) (month/year)

N a m e ( s) of a s s i g ned pe r so n ne l :

Project manager:

Others:

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29

RESPONDENT QUALIFICATIONS — SIMILAR PROJECTS (continued)

ENGINEER — SIMILAR PROJECTS

This form to be included in Letter of Interest submittal

Respondent (or a combination of the firm, individual, or project manager assigned to the work) must have successfully completed at least three projects of a similar nature as described in the INSTRUCTIONS TO RESPONDENTS within the fifteen years immediately preceding the date set for receipt of responses. Each project shall have had a total project area of at least 50 acres. (Add additional sheet for optional additional completed projects.)

C o m p l e t ed Pro j ect 3 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Address of agency/company:

Name of project:

Project description:

Project Plan:

Summary of success criteria:

Project value: Start date: Completion date: (month/year) (month/year)

N a m e ( s) of a s s i g ned pe r so n ne l :

Project manager:

Others:

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30

RESPONDENT QUALIFICATIONS — SIMILAR PROJECTS (continued)

SURVEYING (SUB)CONTRACTOR — SIMILAR PROJECTS

This form to be included in Letter of Interest submittal

Respondent’s surveying (sub)contractor (or a combination of the firm, individual, or project manager assigned to the work) must have successfully completed at least three projects of a similar nature as described in the INSTRUCTIONS TO RESPONDENTS within the fifteen years immediately preceding the date set for receipt of responses. Each project shall have had a project area of at least 50 acres. (Add additional sheet for optional additional completed projects.)

C o m p l e t ed Pro j ect 1 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Address of agency/company:

Name of project:

Project description:

Project Plan:

Summary of success criteria:

Project value: Start date: Completion date: (month/year) (month/year)

N a m e ( s) of a s s i g ned pe r so n ne l :

Project manager:

Others:

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31

RESPONDENT QUALIFICATIONS — SIMILAR PROJECTS (continued)

SURVEYING (SUB)CONTRACTOR — SIMILAR PROJECTS

This form to be included in Letter of Interest submittal

Respondent’s surveying (sub)contractor (or a combination of the firm, individual, or project manager assigned to the work) must have successfully completed at least three projects of a similar nature as described in the INSTRUCTIONS TO RESPONDENTS within the fifteen years immediately preceding the date set for receipt of responses. Each project shall have had a project area of at least 50 acres. (Add additional sheet for optional additional completed projects.)

C o m p l e t ed Pro j ect 2 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Address of agency/company:

Name of project:

Project description:

Project Plan:

Summary of success criteria:

Project value: Start date: Completion date: (month/year) (month/year)

N a m e ( s) of a s s i g ned pe r so n ne l :

Project manager:

Others:

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32

RESPONDENT QUALIFICATIONS — SIMILAR PROJECTS (continued)

SURVEYING (SUB)CONTRACTOR — SIMILAR PROJECTS

This form to be included in Letter of Interest submittal

Respondent’s surveying (sub)contractor (or a combination of the firm, individual, or project manager assigned to the work) must have successfully completed at least three projects of a similar nature as described in the INSTRUCTIONS TO RESPONDENTS within the fifteen years immediately preceding the date set for receipt of responses. Each project shall have had a project area of at least 50 acres. (Add additional sheet for optional additional completed projects.)

C o m p l e t ed Pro j ect 3 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Address of agency/company:

Name of project:

Project description:

Project Plan:

Summary of success criteria:

Project value: Start date: Completion date: (month/year) (month/year)

N a m e ( s) of a s s i g ned pe r so n ne l :

Project manager:

Others:

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33

RESPONDENT QUALIFICATIONS — SIMILAR PROJECTS (continued)MINING (SUB)CONTRACTOR — SIMILAR PROJECTS

This form to be included in Letter of Interest submittal

Respondent’s mining (sub)contractor (or a combination of the firm, individual, or project manager assigned to the work) must have successfully completed at least three projects of a similar nature as described in the INSTRUCTIONS TO RESPONDENTS within the fifteen years immediately preceding the date set for receiptof responses. Each project shall have had a project area of at least 50 acres. (Add additional sheet for optional additional completed projects.)

C o m p l e t ed Pro j ect 1 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Address of agency/company:

Name of project:

Project description:

Project Plan:

Summary of success criteria:

Project value: Start date: Completion date: (month/year) (month/year)

N a m e ( s) of a s s i g ned pe r so n ne l :

Project manager:

Others:

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34

RESPONDENT QUALIFICATIONS — SIMILAR PROJECTS (continued)

MINING (SUB)CONTRACTOR — SIMILAR PROJECTS

This form to be included in Letter of Interest submittal

Respondent’s mining (sub)contractor (or a combination of the firm, individual, or project manager assigned to the work) must have successfully completed at least three projects of a similar nature as described in the INSTRUCTIONS TO RESPONDENTS within the fifteen years immediately preceding the date set for receiptof responses. Each project shall have had a project area of at least 50 acres. (Add additional sheet for optional additional completed projects.)

C o m p l e t ed Pro j ect 2 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Address of agency/company:

Name of project:

Project description:

Project Plan:

Summary of success criteria:

Project value: Start date: Completion date: (month/year) (month/year)

N a m e ( s) of a s s i g ned pe r so n ne l :

Project manager:

Others:

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35

RESPONDENT QUALIFICATIONS — SIMILAR PROJECTS (continued)

MINING (SUB)CONTRACTOR — SIMILAR PROJECTS

This form to be included in Letter of Interest submittal

Respondent’s mining (sub)contractor (or a combination of the firm, individual, or project manager assigned to the work) must have successfully completed at least three projects of a similar nature as described in the INSTRUCTIONS TO RESPONDENTS within the fifteen years immediately preceding the date set for receiptof responses. Each project shall have had a project value area of at least 50 acres. (Add additional sheet for optional additional completed projects.)

C o m p l e t ed Pro j ect 3 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Address of agency/company:

Name of project:

Project description:

Project Plan:

Summary of success criteria:

Project value: Start date: Completion date: (month/year) (month/year)

N a m e ( s) of a s s i g ned pe r so n ne l :

Project manager:

Others:

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36

RESPONDENT QUALIFICATIONS — CLIENT REFERENCES

ENGINEER — CLIENT REFERENCES

This form to be included in Letter of Interest submittal

Respondent shall provide three client references, which may include the similar projects listed above. No more than one reference shall be from the LCWA. Respondent shall include a letter from at least two client references attesting to their abilities as it relates to the Project’s Description Statement of Work. (For similar projects listed above, simply state “Similar Project No. .”)

C li e n t R e f ere n ce N o. 1 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Agency/Company Address:

Name of project:

Description:

Project value: Project manager:

C li e n t R e f ere n ce N o. 2 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Agency/Company Address:

Name of project:

Description: __________________________________________________________________________

Project value: Project manager:

C li e n t R e f ere n ce N o. 3 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Agency/Company Address:

Name of project:

Description: __________________________________________________________________________

Project value: Project manager:

Lance Lumbard, 04/09/21, RESOLVED
These are discipline-based – required elements are listed at the beginning of RFQ
Jason Danaher, 04/02/21, RESOLVED
Should one be added for “Restoration”?
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37

RESPONDENT QUALIFICATIONS — CLIENT REFERENCES (continued)

SURVEYING (SUB)CONTRACTOR — CLIENT REFERENCES

This form to be included in Letter of Interest submittal

Respondent’s surveying (sub)contractor shall provide three client references, which may include the similar projects listed above. No more than one reference shall be from the LCWA. Respondent’s surveying (sub)contractor shall include a letter from at least two client references attesting to their abilities as it relates to the Project’s Description Statement of Work. (For similar projects listed above, simply state “Similar Project No. .”)

C li e n t R e f ere n ce N o. 1 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Agency/Company Address:

Name of project:

Description:

Project value: Project manager: C li e n t R e f ere n ce N o. 2 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Agency/Company Address:

Name of project:

Description: __________________________________________________________________________

Project value: Project manager: C li e n t R e f ere n ce N o. 3 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Agency/Company Address:

Name of project:

Description: __________________________________________________________________________

Project value: Project manager: __________________________________

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38

RESPONDENT QUALIFICATIONS — CLIENT REFERENCES (continued)

MINING (SUB)CONTRACTOR — CLIENT REFERENCES

This form to be included in Letter of Interest submittal

Respondent’s mining (sub)contractor shall provide three client references, which may include the similar projects listed above. No more than one reference shall be from the LCWA. Respondent’s mining (sub)contractor shall include a letter from at least two client references attesting to their abilities as it relates to the Statement of Work in the Agreement. (For similar projects listed above, simply state “Similar Project No. .”)

C li e n t R e f ere n ce N o. 1 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Agency/Company Address:

Name of project:

Description:

Project value: Project manager: C li e n t R e f ere n ce N o. 2 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Agency/Company Address:

Name of project:

Description:

Project value: Project manager: __________________________________

C li e n t R e f ere n ce N o. 2 :

Agency/company:

Current contact person at agency/company:

Telephone: Fax: E-mail:

Agency/Company Address:

Name of project:

Description:

Project value: Project manager: __________________________________

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SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES

THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.

1. This sworn statement is submitted to Lake County Water Authority [Print name of the public entity]

by [Print individual's name and title]

for [Print name of entity submitting sworn statement]

whose business address is

and (if applicable) its Federal Employer Identification Number (FEIN) is (If the entity has no FEIN, include the Social Security Number of the individual signing thissworn statement): .

2. 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 of the United States, including, but not limited to, any RFP or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.

3. 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, nonjuring trial, or entry of a plea of guilty or nolo contendere.

4. 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.

5. 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 RFQ or applies to RFQ 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.

6. I understand that 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 RFQ, proposal, or reply on a contract to provide any goods or services to a public entity; may not submit a RFQ, 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 RFQ, 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 s. 287.017 for CATEGORY TWO for a period of 36 months following the date of being placed on the convicted. 7. Based on vendor list information and belief, the statement, which I have marked below, is true in relation to the entity submitting this sworn statement [Indicate which statement applies.]

__________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 of the entity, nor any contractor, supplier, subcontractor, or consultant for this contract, has been charged with and convicted of a public entity crime subsequent to July 1, 1989.

39

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__________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 [attach a copy of the final order]

I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017 FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.

Entity Name:

Date:

Printed Name:

Authorized Signature:

(Rest of page intentionally blank)

40

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DRUG-FREE WORKPLACE PROGRAM CERTIFICATION

Drug-free Workplace Program Requirements:

Pursuant to Section 287.087, Florida Statutes, whenever two or more RFQ which are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a RFQ received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process. 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 person's or entity's policy of maintaining a drug-free workplace, available drug counseling, rehabilitation, 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 RFQ, a copy of the statement specified in subsection 1 (above).

4. In the statement specified in subsection 1 (above), notify the employees that, as a condition of working on the commodities or services that are under RFQ, solicitation, or contract, the employee will abide by the terms of the statement and will notify the employer of any conviction or plea of guilty or nolo contendere and violation of Chapter 893 or any controlled substance law of the United States or any state, or a violation occurring in the workplace, no later than five 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, 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.

The undersigned hereby certifies that the business named below has implemented and maintains a Drug-free Workplace Program in compliance with the requirements of Section 287.087, Florida Statutes.

Entity Name:

Date:

Printed Name:

Authorized Signature:

Note: If your business meets the requirements of Section 287.087, Florida Statutes, complete and return this form with your RFQ.

41

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EQUAL EMPLOYMENT OPPORTUNITY POLICY STATEMENT

It is the policy of (Contractor) (Name of firm)

to provide equal employment opportunity to present and prospective employees without regard to race, color, sex, religion, disability, or national origin, or any other extraneous consideration not directly and substantively related to merit or performance. The Contractor will take affirmative action when necessary to achieve equal employment opportunity in selection and all other personnel actions without regard to race, color, sex, religion, disability, or national origin, or any other extraneous consideration not directly and substantively related to merit or performance. Such action shall include, but not be limited to the following:

Hiring, employment, promotion, upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, recall, rates of pay, benefits and other forms of compensation, and selection for training, including apprenticeship.

Authorized Representative Date

Title

(Rest of page intentionally blank)

42

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NO RESPONSE FORM

LAKE COUNTY WATER AUTHORITYLAKE DENHAM MUCK FARM RESTORATION

LETTER OF INTEREST

Your reasons for not responding to this Request for Letter of Interests are valuable to the Lake County Water Authority’s procurement process. Please complete this form and return it to the Bureau of Procurement Management no later than the date set for receipt of Letter of Interests. Thank you for your cooperation.

Please check (as applicable):

Specifications too “general” (explain below)

Insufficient time to respond to the Request for Letter of Interests

Do not provide this type of work for this project

Schedule would not permit us to perform

Unable to meet Request for Letter of Interest specifications

Specifications unclear (explain below)

Disagree with solicitation or Agreement terms and conditions (explain below)

Other (specify below)

Remarks:

DATE

RESPONDENT (FIRM NAME)

ADDRESS

E-MAIL ADDRESS

SIGNATURE TYPED NAME AND TITLE

TELEPHONE NUMBER FAX NUMBER

43

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ATTACHMENT A

Lake Denham Restoration Project Site Maps

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Page 48: Denham Muck Farm Restoration RFQ.docx · Web viewThe Respondent’s mining (sub)contractor shall provide documentation to substantiate this requirement, along with ONE of the following:
Page 49: Denham Muck Farm Restoration RFQ.docx · Web viewThe Respondent’s mining (sub)contractor shall provide documentation to substantiate this requirement, along with ONE of the following:
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ATTACHMENT B

Phase II Site Assessment

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ATTACHMENT C

Lake County Development Review Comments

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ATTACHMENT D

Project’s Description Statement of Work Lake Denham Muck Farm Restoration

The final Statement of Work will be determined through negotiations with the Successful Respondent(s)and based on the project description included in the INSTRUCTIONS TO RESPONDENTS.

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ATTACHMENT EInsurance Requirements

Contractor shall acquire and maintain until completion of the Work the insurance coverage listed below, which constitutes primary coverage. Contractor shall not commence the Work until the LCWA receives and approves Certificates of Insurance documenting required coverage. Contractor’s General Liability, Watercraft Liability and Umbrella policies shall include Endorsement CG 20101185, or equivalent, naming the Lake County Water Authority (“LCWA”) as Additional Insured. All required policies shall include: (1) endorsement that waives any right of subrogation against the LCWA for any policy of insurance provided under this requirement or under any state or federal worker’s compensation or employer’s liability act; (2) endorsement to give the LCWA no less than a 30 day notice in the event of cancellation or material change. Certificates of Insurance must be accompanied by copies of the requested endorsements.

Any deductibles or self-insured retentions above $100,000 must be declared to and approved by the LCWA. Approval will not be unreasonably withheld. Contractor is responsible for any deductible or self- insured retention. Insurance must be placed with insurers having an A.M. Best rating of A-V or greater. LCWA receipt of insurance certificates providing less than the required coverage does not waive these insurance requirements.

Not all of the liability coverages shown below may be applicable to all Respondents. Liability coverage requirements will be reviewed and determined during negotiations with the Successful Respondent(s).

(a) Workers’ Compensation Insurance. Workers’ compensation and employer’s liability coverage, including maritime workers compensation, if applicable, in not less than the minimum limits required by Florida law. If Contractor claims an exemption from workers’ compensation coverage, Contractor must provide a copy of the Certificate of Exemption from the Florida Division of Workers’ Compensation for all officers or members of an LLC claiming exemption who will be participating in the Work. In addition, Contractor must provide a completed LCWA “Affidavit (Non-Construction)” for non-construction contracts. C o n tr a c t or i s s o l e l y r espon s i b l e f or c o m p li an c e wi t h any F e de r a l w o r k e r s’ co m pensa ti on l a w s such as Jones A ct a nd U SL & H A c t , i n c l u d i ng any ben e f i t s a v a il a b l e t o any w o r k e r s p e rf o r m i ng w o r k on t h i s p r o j e c t .

(b) General Liability. Commercial General Liability Insurance on an “Occurrence Basis,” with limits of liability not less than $1,000,000/$2,000,000, for personal injury, bodily injury, and property damage. Coverage shall include: (1) contractual liability, (2) products and completed operations, (3) independent contractors, and (4) property in the care, control, or custody of the Contractor. Extensions shall be added, or exclusions deleted to provide the necessary coverage.

(c) Automobile Liability. Minimum limits of $100,000/$300,000/$50,000.

(d) Professional Liability. (per claim) $2,000,000 single limits.

(e) Watercraft Liability. $300,000 for bodily injury and property damage.

(f) Pollution/Environmental Impairment Liability Coverage. Not less than $2,000,000 per occurrence and/or aggregate combined single limit, personal injury, bodily injury, and property damage (this may be added as rider to the general liability policy).

(g) Umbrella Policy. Minimum limits of $5,000,000.