CITY OF PALMETTO COMMUNITY REDEVELOPMENT AGENCY REQUEST FOR PROPOSAL TH AVENUE WEST

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705 10 TH AVENUE WEST January 22, 2015 Proposals Must Be Submitted No Later Than Wednesday, February 25, 2014 at 2:00pm EST

The City of Palmetto s Community Redevelopment Agency (CRA) is requesting sealed proposals from qualified builders or developers to purchase and redevelop the property located at 705 10 th Avenue West in Palmetto, Florida. Copies of the RFP are available for pickup at the address below; please email your request, in advance, to nhaisley@palmettofl.org. In addition, you may download the RFP from the City website at www.palmettofl.org. City of Palmetto Attn: Nixa Haisley 516 8 th Ave West Palmetto, FL 34221 Responses will be received until the time of opening which is at 2:00 PM EST on February 25, 2015 at City Hall. All RFPs will be opened and recorded at that time. Proposals received after 2:00 P.M. EST will not be considered and will be returned to the proposer unopened. The CRA reserves the right to reject any or all proposals, to waive technicalities, to re-advertise, and to otherwise conduct this RFP in the manner it deems to be in the best interests of the CRA. All facts and opinions stated within this RFP, and all supporting documents and data are based on information available from a variety of sources. No representation or warranty is made by the CRA with respect thereto. One (1) original and five (5) copies of the proposal should be submitted for review. Responses should be sent to the address above and should be in one package clearly marked RFP NON-MANDATORY SITE VISIT In order to insure that all prospective bidders have sufficient information and understanding of the CRA s needs, a SITE INSPECTION - WALK THROUGH shall take place on Thursday, January 29, 2015 at 1:30 PM. Sign-In Sheet will be provided. No meeting will take place. Location: Northwest corner of 10 th Avenue and 7 th Street West in Palmetto Florida (705 10 th Ave W). Attendance is not mandatory, but is highly encouraged. For more additional information regarding this Request for Proposals please email or fax: Nixa Haisley, Purchasing Agent nhaisley@palmettofl.org Fax (941)723-4576 The deadline for submitting questions is 5:00pm EST on February 12, 2015 so a written response may be returned and also forwarded to all interested parties by the proposal deadline. 2

Section I. INTRODUCTION The PALMETTO, hereinafter the CRA, is a public body, corporate and politic, created by the City of Palmetto pursuant to Chapter 163, Florida Statutes for the purpose of facilitating the elimination of slum and blight through redevelopment. In 1985, the City of Palmetto adopted the CRA Plan to guide such redevelopment within the CRA Area. The CRA has purchased the property located at 705 10 th Avenue West in Palmetto and intends to sell the buildings and parcel, based upon the successful proposal, to an appropriate builder/developer as selected through this RFP process. 3

4

Section II. PURPOSE The CRA, through the City of Palmetto, requests sealed competitive proposals, hereinafter Proposals, for the purpose of selecting a builder(s) and/or developer(s) to purchase and redevelop the building and property located at 705 10 th Avenue West in Palmetto. The property currently contains two vacant buildings. The main building is single story concrete block structure and is considered historic in Palmetto. The secondary building is a frame structure placed about two to three feet north of the main building. The CRA s objective is to facilitate the redevelopment of the main building and property. The main concrete block structure is considered a historic building, as it was constructed by the Palmetto High School agriculture students and their instructor during World War II. Preservation of that building and its architectural character is a priority. The CRA believes that this RFP process and CRA redevelopment incentives will allow a qualified developer to plan an economically feasible revitalization of the parcel and buildings. This redevelopment should serve as a demonstration project consistent with the Palmetto CRA Plan, CRA Downtown Design Code and the CRA Downtown Commercial Core Incentives. The land within this area is classified by the Palmetto Comprehensive Plan for use, as listed on the following page, which include a wide range of commercial and office uses, open space, church, lodging, health care and mixed use. The property is zoned Commercial Core and the CRA does not intend to request any re-zoning of the property or site approval, which will be processed by the builder(s) and/or developer(s). The builder(s) and/or developer(s) shall be responsible with such other. An environmental survey has been done on the site. The property has no easements or encumbrances. There are no traffic/concurrency related off-site requirements. The CRA is interested in a non-industrial, professional use for the building that preserves the architectural and historic integrity of the main building. Nonprofit entities may apply; the CRA will require that a fee in lieu of taxes be paid to the Agency for the lifespan of the Agency. (Continued) 5

Use may include, but is not limited to the following: 1. Art gallery 2. Museum 3. Library 4. School 5. Newsstand 6. Bakery 7. Eating establishment 8. Banking 9. Business services 10. Funeral home - no crematory 11. Animal hospital no crematory 12. Medical and dental laboratories 13. Business/professional offices 14. Personal services 15. Artisan or fine craftsman. 16. Professional Uses (occupations including engineers, building contractors, physicians, lawyers, dentists, architects that are licensed by the State of Florida Department of Business and Professional Regulation). 6

Section III. ELEMENTS OF THE PROPOSAL Developers/Builders should submit a binding conceptual design plan, and a financial offer to purchase the site. The CRA will select one or more developer/builder(s) based upon proposed designs and offers for purchase, as well as the developer/builder s ability to close on the property within 90 days of selection and to complete the project as proposed. All proposals must respond to the following items in the order stated below. Please answer all parts of each request, as incomplete submittals may be rejected as non-responsive. Please use a legibly sized font. In preparing your response, be sure to address all requirements in this section. THE FOLLOWING ARE PROJECT REQUIREMENTS OF ANY PROPOSAL: A. Project Summary A one-page summary of the major components of your proposed development must include: 1. Proposed use(s) of the building 2. Amount you are prepared to offer for the purchase of the property 3. Construction estimated value 4. Key design features or Conceptual rendering 5. Estimated number of jobs created in Palmetto B. Preliminary Development and Operating Budget All proposals shall include a project budget and schedule addressing the following items: 1. Developer s proposed purchase price for the property 2. All costs associated with the site and building development, including land, design, infrastructure, the installation of an irrigation system (required), building construction, permits, financing, etc. 3. Description of the proposed financing plan. 4. An operating budget for maintenance and/or management of the property through and/or after build out. C. Preliminary Project Schedule 1. Provide an overall schedule detailing key steps in design, financing, construction, and completion of the site improvements. 2. Identify the responsible party(s) for each step and the expected start and completion date. Note: Dates should be presented in relative terms (e.g. months from a non-specific start date) 7

Section IV. EVALUATION AND SELECTION CRITERIA The CRA reserves the right to reject any or all proposals as it judges to be in its best interest. Among the many factors that will be considered, the following general criteria will be used when evaluating the proposals: Project Soundness 1. Feasibility of the proposed financing package. a. Does applicant have existing financing in place? (10 PTS) Public Benefit 1. How many estimated new jobs will development create in the next 4 years? a. Less than $33,000 annual salary per year (x 1 PT) b. Greater than $33,000 annual per year (x 5 PTS) 2. What is the estimated cost of construction? (Amount/ $20,000 PTS) 3. What is the purchase price of the property? (Amount/ $5,000 PTS) Project Design and Development 1. Does the project meet with or exceed the following CRA/City Downtown Commercial Core Documents? a. The Palmetto CRA Downtown Commercial Code (10 PTS) 2. Does the project meet with the CRA/City timeline for redevelopment? (10 PTS) Section V. EVALUATION AND SELECTION PROCESS Responses to the Request for Proposals (RFP) will be initially reviewed using a five (5) member Mayor appointed board. The submissions from each applicant will be reviewed based upon the evaluation and selection criteria described herein. The recommendations from this process will be submitted to the CRA Board. The proposal that obtains the CRA Board s endorsement will be selected and approved. The CRA and the City Commission reserves the right to reject any and all proposals that are deemed non-responsive to this RFP or are not in the best interests of the CRA and the City. The CRA Board and/or the City Commission may request that any developer(s) make a presentation and be available for an interview. All expenses, including travel expenses for any interview with or presentation to the Committee, incurred in the preparation of a Proposal shall be borne by the Proposer and not the CRA or the City of Palmetto, Florida. 8

Section VI. ACCEPTANCE, REJECTION, AND MODIFICATION TO PROPOSALS The CRA reserves the right to request additional information from Proposers as the CRA deems necessary. Notice is hereby given that the CRA reserves the right to award a contract with limited or no negotiation. It is therefore mandatory that all Proposals be complete in all respects. The CRA reserves the right to negotiate modifications to Proposals that it deems acceptable and may reject any and all Proposals in its sole discretion and to waive any minor irregularities in the procedure or Proposal. After Proposals are opened, no corrections or modifications will be allowed Section VII. WITHDRAWAL OF PROPOSAL Proposals may not be withdrawn after the submission deadline. Section VIII. CONTINUING INVOLVEMENT OF THE CRA The involvement of the CRA will continue after selecting the proposal that best satisfies the selection criteria. The CRA s goal is to ensure that the selected proposal is similar to the project that is actually built. Significant deviations can be cause for the CRA to repurchase the property for the price paid by the Developer, without any obligation to reimburse the Developer for any expenses incurred to develop the property. The CRA understands that some modifications from the proposed plan may be necessary. However, to ensure the modifications meet the objectives and requirements of the development, the CRA will need to review and approve all modifications. The CRA also understands that it can be a partner in assisting selected Developers to successfully complete their projects. The CRA is willing to consider other ways in which it can help facilitate completion of the selected proposal. Section IX. RULES, REGULATIONS, LAWS, ORDINANCES AND LICENSES The awarded Developers/Builder shall observe and obey all laws, ordinances, rules, and regulations of all federal, state, and local governments that may be applicable to the development proposed. The awarded Developers/Builder shall be responsible for obtaining all necessary permits or licenses that may be required. Section X. REQUESTS FOR ADDITIONAL INFORMATION In order to ensure consistent and correct information, prospective proposers shall submit all questions and requests for clarification in writing to the City of Palmetto Purchasing Agent, Attention: Nixa Haisley, via fax at (941)723-4576 or via e-mail at nhaisley@palmettofl.org. Telephone inquiries will not be accepted. If information requested is deemed beyond common knowledge, a written addendum will be issued. The deadline for submitting questions is 5:00pm EST on February 12, 2015 so a written response may be returned and also forwarded to all interested parties by the proposal deadline. 9

It will be the responsibility of the company to ascertain if any addenda have been issued, to obtain all such addenda, and to acknowledge receipt of the addenda in their response. No addenda will be issued within five (5) days of the submission due date and no request for additional information or clarification will be honored within that timeframe. Section XI. LOBBYING All contractors, firms or individuals are hereby placed on notice that any communication, whether written or oral, with City of Palmetto elected officials, CRA Advisory Board, CRA or CRA Board Members or any other staff or outside individuals working with the City in respect to this request (with exception of the Purchasing personnel designated to receive requests for interpretation or corrections) is prohibited. These persons shall not be lobbied, either individually or collectively, regarding any request for bid, proposals, qualifications and/or any other solicitations released by the City of Palmetto. To do so is grounds for immediate disqualification from the selection process. The selection process is not considered final until such time as the CRA has made a final and conclusive determination. Section XII. PREFERENCE FOR LOCAL BUSINESSES The CRA may award a preference to Proposers whose principal place of business is within Palmetto or the Greater Tampa Bay area or who can demonstrate significant practical knowledge of and familiarity with the economic and development trends in Palmetto. Section XIII. PREFERENCE TO BUSINESSES WITH DRUG FREE WORKPLACE PROGRAMS The CRA will award a preference to Proposers who provide evidence of compliance with Florida Statutes, 287.087 Drug Free Workplace Program. Section XIV. EQUAL EMPLOYMENT Proposers will not discriminate against any employee or applicant for employment because of race, color, religion, age, sex, national origin, or handicap. Section XV. DISCRIMINATORY VENDOR Anyone, as defined in Florida Statutes, 287.134, who has been placed on the discriminatory vendor list may not submit a bid, proposal, or reply on a contract with the CRA and may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with the CRA for a period of not less than thirty-six (36) months following the date of being placed on the discriminatory vendor list. Section XVI. PUBLIC ENTITY CRIME As requested by Florida State Statute 287.1 13, 2 (a), a person or affiliate who has been placed on the convicted vendor list following a conviction for a Public Entity Crime may not submit a bid on a contract to provide any goods or services to a Public Entity, may not submit a bid on a contract with a Public Entity for the construction or repair of a public building or a public work, 10

may not submit bids 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 from the date of being placed on the convicted vendor list. Any person must notify the City within 30 days after a conviction of a Public Entity crime applicable to that person or to an affiliate of that person. Section XVII. INDEMNIFICATION The selected Proposer shall protect, indemnify and hold harmless the City, its officers and employees from liabilities, damages, losses and costs, including but not limited to reasonable attorney s fees, to the extent caused by the negligence, recklessness, or intentionally wrongful misconduct of the Developers/Builder and other persons employed or utilized by the Developers/Builder in the performance of this contract. Section XVIII. SUBMISSION OF SEALED RESPONSES Developers/Builders shall submit an original and five (5) copies of the sealed Proposal. Sealed responses shall be received by the City of Palmetto not later than 2:00pm EST on Wednesday, February 25, 2015, and shall be mailed or hand delivered to: RE: 705 10 th AVENUE WEST Attn: Nixa Haisley City of Palmetto City Hall 516 8 th Avenue West Palmetto, FL 34221 The reference to the RFP shall be included on the face of the sealed response. It is the sole responsibility of the Proposer to ensure that their package arrives on time. Any Proposals received after 2:00 p.m. on February 25, 2015 will be returned to the sender unopened. No Proposals will be accepted by facsimile or by e-mail. END OF PAGE 11

PROPOSERS CERTIFICATION STATE OF COUNTY OF I,, of (name of company), proposing to furnish the following described materials, equipment, and/or services to the PALMETTO (the CRA ) HEREBY CERTIFIES THAT: 1. Bidder/Proposer has thoroughly inspected the specifications or request for proposal and understands the terms and conditions thereof and they are incorporated by reference in the bid or proposal for said goods or services, and have verified measurements. 2. The bid or proposal is firm and binding and shall be valid for not less than sixty (60) days from the date of bid opening. A longer time may be set out in the bid, the proposal, or as negotiated between the Bidder/Proposer and the CRA. 3. The bid or proposal is made by a person authorized to bind the Bidder/Proposer. 4. The bid or proposal is made without unlawful collusion between another Bidder/Proposer or potential Bidder/Proposer, or with any officer or employee of the CRA. 5. The bid or proposal is in full compliance with the Copeland Anti-kickback statute. 6. The bidder does not discriminate on the basis of race, color, national origin, sex, religion, age, or handicapped status in employment or in the provision of services. Signed Print Name: STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day of, 2015 by, as (title) of (name of company), on behalf of (type of entity). who is personally known to me, who produced as identification, who did take an oath, and who acknowledged before me that he executed the same freely and voluntarily for the purposes therein expressed. (Notary Seal) My Commission Expires: Commission No. Signature Print Name NOTARY PUBLIC-STATE OF 12

NO LOBBYING AFFIDAVIT STATE OF COUNTY OF This,, of, 2015 being first duly sworn, deposes and says that he or she is the authorized representative of (Name of the authorized contractor, firm or individual), maker of the attached request for proposal released by the City of Palmetto, and that the proposer and any of its agents agrees to abide by the City of Palmetto s no lobbying restrictions in regards to this solicitation. Affiant The foregoing instrument was acknowledged before me this day of, 2015, by (name of person, officer, or agent, title of officer or agent), of (name of corporation or partnership, a (state of incorporation or partnership, if applicable). who is personally known to me, who produced as identification, who did take an oath, and who acknowledged before me that he executed the same freely and voluntarily for the purposes therein expressed. (Notary Seal) Signature Print Name NOTARY PUBLIC-STATE OF My Commission Expires: Commission No. 13

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 the Palmetto Community Redevelopment Agency (the CRA ) 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 this sworn 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 bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 3. I understand that convicted or conviction as defined in Paragraph 287.133(1)(b), FLORIDA STATUTES, means a finding of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that an affiliate defined in Paragraph 287.133(1)(a), FLORIDA STATUTES: a. A predecessor or successor of a person convicted of a public entity crime; or b. an entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term affiliate includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one (1) 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 arms length agreement, shall be a prima facie case that one (2) 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 thirty-six (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 of the United States with the legal power to enter into a binding contract and which bids or apples to bid on contracts for the provision of goods or services let by a public entity or which otherwise transacts or applies to transact business with a public entity. The term person includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 14

6. Based on 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 has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one (1) 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 OFFICE FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 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 AMONT PROVIDED IN SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. Date: STATE OF COUNTY OF Signature The foregoing instrument was acknowledged before me this day of, 2015, by, as of, on behalf of. who is personally known to me, or who produced as identification, who did take an oath, and who acknowledged before me that he executed the same freely and voluntarily for the purposes therein expressed. (Notary Seal) Signature Print Name NOTARY PUBLIC-STATE OF My Commission Expires: Commission No. 15

DRUG FREE WORK PLACE CERTIFICATION SWORN STATEMENT PURSUANT TO ORDINANCE NO. 505, AMENDING CHAPTER 2, SECTION 2-57, PALMETTO CODE OF ORDINANCES, ON DRUG FREE WORK PLACES. THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICAL AUTHORIZED TO ADMINISTER OATHS. This sworn statement is submitted to the Palmetto Community Redevelopment Agency (the CRA ), by: (Print individuals name and title) For: (Print name of entity submitting sworn statement) Whose business 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 this sworn statement:. I understand that no person or entity shall be awarded or receive a CRA contract for public improvements, procurement of goods or services (including professional services) or a CRA lease, franchise, concession or management agreement, or shall receive a grant of CRA monies unless such person or entity has submitted a written certification to the CRA that it will provide a drug free work place by: 1. Providing a written statement to each employee notifying such employee that the unlawful manufacture, distribution, dispensation, possession or use of a controlled substance as defined by 893.02(4), Florida Statutes, as the same may be amended from time to time, in the person s or entity s work place is prohibited specifying the actions that will be taken against employees for violation of such prohibition. Such written statement shall inform employees about: I. The dangers of drug abuse in the work place; II. the person s or entity s policy of maintaining a drug free environment at all its work places, including, but not limited to, all locations where employees perform any task relating to any portion of such contract, business transaction or grant; III. any available drug counseling, rehabilitation, and employee assistance programs; and IV. the penalties that may be imposed upon employees for drug abuse violations. 2. Requiring the employee to sign a copy of such written statement to acknowledge his or her receipt of same and advise as to the specifics of such policy. Such person or entity shall retain the statements signed by its employees. Such person or entity shall also post, in a prominent place at all of its work places, a written statement of its policy containing the foregoing elements I through IV. 3. Notifying the employee in the statement required by subsection 1 that this is a condition of employment the employee will: I. Abide by the terms of the statement; and II. Notify the employer of any criminal drug statute conviction for a violation occurring in the work place no later than five (5) days after such a conviction. 16

4. Notifying the CRA within ten (10) days after receiving notice under subsection 3 from an employee or otherwise receiving actual notice of such conviction. 5. Imposing appropriate personnel action against such employee up to and including termination; or requiring such employee to satisfactorily participate in a drug abuse assistance or rehabilitation program approved for such purposes by a federal,, state, or local health, law enforcement, or other appropriate agency. 6. Making a good faith effort to continue to maintain a drug free work place through implementation of sections 1 through 5 stated above. I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PALMETTO IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT ANY CONTRACT OR BUSINESS TRANSACTION SHALL PRVIDE FOR SUSPENSION OF PAYMENTS, OR TERMINATION, OR BOTH, IF THE CONTRACTING OFFICER OF THE PALMETTO CITY CLERK DETERMINES THAT: 1. Such person or entity has made false certification; 2. such person or entity violates such certification by failing to carry out the requirements of sections 1, 2, 3, 4, 5 or 6 or Ordinance No. 505, amending Chapter 2, Section 2-57, Palmetto Code of Ordinances, or 3. such a number of employees of such person or entity have been convicted of violations occurring in the work place as to indicate that such person or entity has failed to make a good faith effort to provide a drug free work place as required by Ordinance No. 505. (Signature) STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day of, 2015, by, as of, on behalf of. who is personally known to me, or who produced as identification, who did take an oath, and who acknowledged before me that he executed the same freely and voluntarily for the purposes therein expressed. (Notary Seal) Signature Print Name NOTARY PUBLIC-STATE OF FLORIDA My Commission Expires: Commission No. 17

CHECKLIST Company Name: This check list is provided to assist Proposers in the preparation of their bid response. Included in this checklist are important requirements that are the responsibility of each Proposer to submit with their response in order to make their bid response fully compliant. This check list is only a guideline; it is the responsibility of each Proposer to read and comply with the Request for Proposal in its entirety. Package has been addressed to: City of Palmetto Attn: Nixa Haisley 516 8 th Avenue W Palmetto, FL 34221 Package is sealed and identified with: Bid Title RFP 705 10 TH Avenue West Bid Opening Date and Time February 25, 20015-2:00pm One (1) Original Set, five (5) copies of the following: Conceptual Design Plan & Financial Offer (per Section III) Proposer s Certification Form No Lobby Affidavit Form Public Entity Crimes Form Drug Free Workplace Certification Form Checklist Form Signed & Sealed This RFP is submitted and signed by the individual duly authorized to enter into agreement. I certify that this RFP is made without prior understanding, agreement or connection with any corporation, firm or person submitting bid for the same materials, supplies or equipment and is in all respects fair and without collusion or fraud. I understand collusive bidding is a violation of State and Federal law and can result in fines, prison sentences and civil damage awards. I have read and agree to abide by all requirements, specifications, terms and conditions of this RFP. Witnesses: Print Name Signature 18