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ADVANCED ENVIROMENTAL LABORATORIES, INC. - LABORATORY WATER QUALITY TESTINGA CONTRACT AWARD SHEET INSTRCUTIONAL GUIDE TO ASSIST YOU WITH THE INFORMATION CONTACINED HEREIN IS AVAILABLE IN THE PURCHASING SECTION OF OUR WEBPAGE AT: www.hialeahfl.gov CITY OF HIALEAH CONTRACT AWARD PURCHASING DEPARTMENT CITY OF HIALEAH CONTRACT: PIGGYBACK ITB 2018-11 UTL LAB WATER QUALITY TESTING DESCRIPTION: LABORATORY WATER QUALITY TESTING CONTRACT PERIOD: 10/25/2022-10/09/2023 SECTION #1 – VENDOR AWARD Name: ADVANCED ENVIROMENTAL LABORATORIES, INC. Name: Contact: TIFFANY MACKIE Contact: Phone: 954-292-1579 Phone: Fax: Fax: E-mail: TMACKIE@AELLAB.COM E-mail: Name: Name: Contact: Contact: Phone: Phone: Fax: Fax: E-mail: E-mail: SECTION #2 – AWARD/BACKGROUND INFORMATION/APPLICABLE ORDINANCES/NOTES CITY COUNCIL APPROVED ON: 10/25/2022, ITEM NN AMENDED AMOUNT: RESOLUTION NO: INSURANCE REQUIREMENTS: ANNUAL CONTRACT AMOUNT: $115,000.00 PERFORMANCE BOND: APPLICABLE ORDINANCES: Notes: SECTION #3 – REQUESTING DEPARTMENT CITY OF HIALEAH, DEPARTMENT OF PUBLIC WORKS Contract Administrator: Armando Vidal Phone: 305-556-3800 SECTION #4 – PROCURING AGENCY CITY OF HIALEAH, DEPARTMENT OF PUBLIC WORKS Contract Administrator: Armando Vidal Phone: 305-556-3800 Prepared by: Marilin Gutierrez \TEM# ~ ~ • v· .-, 1 •4C:,f.::0 "1 O CT2'·t "L;. • ~ I -1RECEiVEO - OCT 2 5 2022 r ( (' -9 20 z COUNCIL AGENDA ITEM REQUEST FC RM 9 ~~ l J """"'!:~ft .:: This form, letter from the department head addressed to the Mayor an l ~ ''""'.41-•aA M 1'e5-we-._ -as supporting documents are due the Monday of the week prior to th e ity CCfft:(; r,c:u ., VEn Date of Request: October 19, 2022 oc r 2 o /n?,, J Requesting City De partment : Dep artment of Public Works r -.... ,_ ' L MA YOR·s nr-.--_ Requested Council Meeting October 25, 2022 •1....t: J Date: - Action Requested from the x Issue a purchase order City Council: 0 Increa se a purc hase order 0 Award a bid 0 Bid No . 0 Reject a bid 0 Bid No. 0 Speci al Events Permit 0 Street Closure 0 Other: Scope of servi ce (s) or Laboratory W ater Quality Testing product(s): V en dor : Adv anced En vi ronmenta l Laboratories, IN C. 6681 So uthPoint PKWY Jacks onv ill e, FL 322 16 Expenditure Amount: $115 ,000.00 Funding So u rc e (i .e., acco un t Profes siona l Se rv ices W ater Quali ty Tes ting funding th e exp e nditure ): 4 50 .95 10.5333 15 Page 1 Purchasing Process : Advanced Environmental laboratories, INC lJ Competitive Bidding n An exception to competitive bidding applies: D Professional services in the nature of consultants, accountants and attorneys lJ Sole source provider LJ Emergency based on object facts D Credit facilities X Competitive bidding is not required because the City is utilizing a bid that has been awarded or under contract by state, county or other governmental agencies. X Title of state, county or other governmental agencies Contract : x ITB 2018-11-UTL Laboratory Tes ting Se rvices- Utilities Deoartment Piggy-back contract expiration date: October 9, 2023 D Waive Competitive Bidding D Reason(s) it is not advanta geous to the City to utilize comp etitiv e bidd i n g: Page 2 Advanced Environmental laboratories, INC r Signatures: OCT 19 2022 Manager Page 3 CITY OF HIALEAH DEPARTMENT OF PUBLIC WORKS 3700 W 4™ AVENUE, HIALEAH, FL 33012 MEMORANDUM DATE: October 19, 2022 TO: Esteban Bovo, Jr., Mayor FROM: Armando Vidal, P.E., Direct ' SUBJECT: Advanced Environmental Laboratories OC1 1·9 2022 RECOMMENDATION; The Department is requesting authority to piggyback ITB 2018-11- UTL laboratory Testing Services between Cooper City and Advanced Environmental Laboratories and issue a Purchase Order to Advanced Environmental Laboratories for water quality testing in the amount of $115,000.00. PROJECT NAME: Laboratory Water Quality Testing PROJECT LOCATION: Citywide PROIECT DESCRIPTION/EXPLANATION: Advanced Environmental Laboratories, a ' Certified Florida laboratory and a Florida corporation in good standing, provides water quality testing as required by the Florida Department of Health. MANAGING DEPARTMENT: Department of Public Works FISCAL lMPACT/FUNDING SOURCE: Professional Services Water Quality testing #450.9510.533315 a n expenditure of $115,000.00 SECOND AND FINAL AMENDMENT TO AGREEMENT BRTWEEN CITY OF COOPER CITY AND ADVANCED ENVIRONMENTAL LAilORATOltms, INC. THIS SECOND AMENDMENT elated the--+--day of £ G (!T?:tVt ber2022 by and between: TJ-U~ CITY OF COOPER CITY, FLORIDA C'C!TY"), a municipal corporation of the State of Florida, with a busine ss address of 9090 SW 50 111 Place, Cooper City, rlorida 33026; and ADVANCED ENVIRONMENTAL LABORATORIES, INC. CCONTRACTOR"), a rlorida for profit company, with a business address of I 0200 USA Today Way, Miramar , FL 33025. (CITY and CONTRACTOR may hereinafter be coll ectively referred to as the "PARTIES"). WITNESSETH: WHEREAS, on October 10, 20 18 , the PARTJES ent ere d into an AGREEMENT whereby CONTRACTOR agreed to provide laboratory te s tin g serv ices to our Uti l ities Departm ent pursuant to solicitation number 1TB_2018-11-UTL, dated October l 0, 2018, (hereinafter referred to as the "Original Agreement"); a nd WHEREAS, the Ori g ina l Agreement provid es for two (2) successive o ne (l) year renewal period s by mutua l agreement of th e CTTY and CONTRACTOR; WHEREAS, the Original Agree ment was renewed on October I 0, 202 1, and the current ag reemen t is set to terminate on Oct obe r 9, 2022; and WHEREAS, the Partie s desire to re new th e Origina l Agree ment fo r th e seco nd re newa l pe ri od of one (1) year from October I 0, 2022, and is set to terminate on Octobe r 9, 2023 . Page l WHEREAS, the Parties also seek to amend the Original Agreement to ensure compliance with recent amendments to Florida law. NOvV, THEREFORE, for and in consideration of the sum of the mutual covenants and other good and valuable consideration, the receipt of which are hereby acknow ledged, the parties hereto agree as follows: Section 1. That the recitations set forth above in the "WHEREAS" c lauses of this Agreement are true and correct and incorporated herein by this reference . . Section 2. The Original Agreement is hereby renewed for the second successive renewal pe riod of one (1) year. The renewal term shall commence on October 10, 2022 and shall terminate on October 10 , 2023 . Section 3. Scrutinized Companies. CONTRACTOR, its principals or owners, certify that they are not listed on the Scrutinized Companies that Boycott Israe l List, Scrutinized Companies with Activities in Sudan List, Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or are engaged in business operations with Syria. In accordance with Section 287.135, Florida Statutes, as amended, a company is in eligib le to, and may not, bid on, submit a proposal for, or enter into or renew a contract with any agency or local governmental entity for goods or services of: 3.1 Any amount if, at the time bidding on, submitting a proposa l for, or entering into or renewing such contract, the company is on the Scrutinized Companies that Boycott lsrael List, created purs uant to Section 215.4725, Florida Statutes, or is engaged in a boycott of Israel; or 3.2 One million dollars or more if, at th e time of bidding on, s ubmitting a proposal for, or entering into or ren ewing s uch contract, the company: 3.2. I ls on the Scrutinized Companies with Ac tivities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector Li s t, created pursuant to Section 2 15.473, florida Statutes; or 3.2.2 l s engaged in bus in ess operations in Syria. Section 4. The Original Agreement is hereby modified and amended to include the following provi s ion s required by Florida law: Page 2 E-Vcrifv~ CONTRACTOR certifies that it is aware of and complies with the requirements of Section 448.095 , Florida Statues, as may b e amended from time to time and briefly described herein b e low. Definitions for thi s Section: "Contractor" means a p erson or entity that has entered or is attempting to enler into a contract with a public e mployer to provide labor, s uppli es, or services lo such employer in exchange for salary, w ages, or other r e muneration. "Contractor" includes, but is not limited to , CONTRACTOR or consultant. "Subcontractor" means a person or entity tha t provides labor, supplies, or services to or for a contractor or a nother subc ontractor in exchan ge fo r sala ry, wages, o r other remuneration. "E-Verify system" means an Internet-based s yste m operated by the United States Department of Homeland Security that allows pa1ticipating e mployers to electronically verify the employment e li gibil ity of newly hire d employees. Registration Require m en t ; Termination: Pursu a nt to S ection 448.095, Florida Statutes, effective January 1, 2021, C ontractors, shall registe r with and use the E-vcrify system in orde r to verify the work authorization status of all newly hired employees. Contractor shall r e gister for and utilize the U.S . Department of Jlomeland S ecurity's E-Verily System Lo ve rify the e mploym e nt e ligibility of: All persons empl oyed b y a Contractor to perform e mpl oyment duties within F lorida during the te1m of th e contrac t; Al l p e rsons (including subconsultants/subcontractors) assigned by Contractor to perform work pursuant to the contract with th e C ity of Cooper City. The Contractor ackn owledges a nd agrees that reg is tration and u se of the U.S. D ep artm ent of Homeland Security's E-Verify System during the term of the contract is a condition of the contract w ith th e C ity or Cooper City; and T h e Con tractor s h a ll comply with the provisions of Section 448.0 95, Fla. S t a t., "E mployment Eligibility," as amend ed from Lime to time . This includes, but is n ot limited to regis tration and utili z ation of the E-Verify System to verify the work au tho ri zati on status of a ll newly hired e mp loyees. Con trac tor shall also req uire all s ubcontracto rs to provid e an affidavit a tl esl in g th a t th e su bco ntractor d oes not emp1oy, contract with, or s ub contract w ith , an unauthor ized a lien . T h e Contra ctor shall m a inta in a copy of s uc h affidavit for th e duration of th e co nt rac t. Fa ilure to comply will lead to termination of thi s Contract, or i f a s ub con trac tor knowingly v iol a t es the s tah1tc , the subcontract mu s t be terminated immediate ly. A ny challenge to te rm inati o n und er this provision must b e filed in th e C irc uit Co urt no la te r than tw e nty (20) c alendar days after th e d ate of termin a ti o n. T e rmination of thi s Contract und er thi s Secti o n is n ot a breac h of contract a nd may not b e consid e red as such. Tf t hi s contra ct is t e rminate d for a v io la tion of th e s tatute by th e Contrac tor , the Page 3 Contractor may not be awarded a public contract for a period of one ( l) year after the date of termination. Section 5. That the Oiiginal Agreement, as amended and executed by the parties, shall remain in full force and effect except as specifically amended herein. (SIGNATURE PAGE TO FOLLOW) Page 4 ATTEST : BY : TEDRA ALLEN, City Clerk APPROVED AS TO FORM JACOB G. HOROWITZ, City Attorney STATE OF FLORIDA STATE OF FLORID/\ COUNTY OF BROWARD CITY OF COOPER CITY, a Florida Municipal Corporation ~----------- JOSEPH NAPOLI, City Manage r CONTRACTOR: Title Date SWORN TO (or affirrne;p and subscr~lle!'ore me by mea ns of ~physical pre.se nce or Don line not arization, this _J _'S __ clay of f_.\-· 2022, by ___ . __ , in their capacity as . , of , a State of __ EC. __ . corporntion, on behalf of the corporation. ~ ~-- N ARY PUBLIC _k_ Perso nall y Known OR Produc ed Identifi ca ti o n Type of ldenti ficati o n Produced Page 5 -\ ,,-·,-;"' CHRISTOPHER ALLAN STON~· /Y. -~f) MY COMMISS ION #HH 69061 !_,/ EXPIRES: OEC 03, 2024 ~ Bonded th rough 1 sl Slate lnsuranr.e • AGREEMENT AMENDMENT #1 BETWEEN THE CITY OF COOPER CITY AND ADVANCED ENVIRONMENTAL LABORATORIES, INC. The City of Cooper City, a municipal corporation, with principal offices located at 9090 SW 50 Place, Cooper City, FL 33328 (CHY), and Advanced Environmental Laboratories, Inc., located at 10200 USA Today Way, Miramar, FL 33025 (the "Contractor") agree to amend the original Agreement dated October 10, 2018 to provide laboratory testing services to our Utilities Department pursuant to solicitation number RFP 2018-11-UTL. 1. Pursuant to the terms of ~~ecl:lon 5, ScoQ~ ___ of Work/Techol.£91 .5.iw clflcations, the orlglnal Agreement dated October 10, 2018, between the City and Advanced Environmental Laboratories, Inc. and in recognition of satisfactory performance under the current term of the Agreement, the CHY hereby exercises its rights to exercise the first (1) of two (2) year renewal options of the Agreement for the term October 10, 2021 through October 9, 2022, and Contractor agrees to such renewal. * * * 2. Se ction 3, entitled "General Conditions", set forth In the ITB, is h e re by revised and amended to include subsections 3.45 and 3.46, as set forth below: 3 .45 SCRU TINIZED COM PANIES --2 87.135 AND 215.47 3 SCRUTINI Z ED COMPANI ES. CONTRACTOR certifi e s that it a nd a ny of its a ffiliates are not scrutinized compa nies as identified in Section 28 7 .135, F.S. In a ddition, CONTRA CT OR agrees to observe the r e quirements of S ection 287.135, F.S ., for applicable sub-agreements entered into for the performance of work under this Agreement. Pursuant to Section 287.1351 F.S., the CITY may immediately terminate this Agree ment for cause if the CONTRACTOR, its affiliates, or its subcontra c tors a re found to ha v e submitted a false cei-tification; or if th e CONTRACTOR, its affiliat es, or its s ub co ntra ctors a re pla ce d on a ny appli ca bl e s crutinized compa ni es li s t or e ngaged in pro hibited contracting a ctivity during t h e t e rm of the AgreP-rn e nt. As provid ed l n Subsection 287 .135(8), F .S ., if federal law cease s to authoriz e t he se contrac ting prohibitions then the y s hall b er.o m e inopera ti ve. 3.46 E-VERIFY A. Registration Requirement; Termination. Pursuant to Section 448.095, Florida Statutes, effective January 1, 2021, Contractors, shall register with and use the E-verify systeni in order to verify the work a L.Jthorization status of all newly hired employees . Contractor shall register for and utilize the U.S . Department of Homeland Security's E-Verify System to verify the employment eligibility of: (i) All persons employed by a Contractor to perform employment duties within Florida during the term of the contract; and (ii) All persons (including sub v endors/sub consultants/subcontractors) assigned by Contractor to perform work pursuant to the contract with the City of Cooper City. The Contractor acknowledges and agrees that registration and use of the U.S, Department of Homeland Security's E-Verify System during the term of the contract is a condition of the contract with the City of Cooper City; and (iii) The Contractor shall comply with the provisions of Section 448.095, Fla . Stat., "Employment Eligibility," as amended from time to time. This Includes, but Is not limited to registration and utiliz ation of the E-Verify System to verify the work authorization s tatus of all newly hired employees. Contractor shall also require all subcontractors to provide an affidavit attesting that the subcontractor does not employ, contract with, or subcontract with, an unauthorized alien. Th e Contractor shall maintain a copy of such affidavit for the duration of th e contract. Failure to comply will lead to t ermination of this Contract, or if a subcontractor knowingly violates the statute, the subcontract must be termin at ed immediate ly, Any challenge to termination under this provision must be filed in th e Circuit Court no later than twenty (2 0) calendar days ci ~er the date of termination. Termination of this Contract und er this Section is not a bre ach of c ontra ct and may not be con s idered as such. If this co ntrac t i s t ermin ated for a violation of the st atute by the Contrac tor, the Contracto r m ay not be aw a rd ed a public contrac t for a period of one ( 1) year after the date of termination . * * * All oth er provis ion s of th e orig in al a gre e m ent r emain in effect as writte n . I ' I ' r .. i ,., •.. 1'.", : -: '-~, '' "~ " .... ;.·:. ,. . . ,·; ·~·:·::; IN WITNESS WH!:REOF , the parties have made and executed this Agreement on the respective dates under ·each signature. CITY OF COOPER CITY, signing by and through its City Manµger, and ADVANCED ENVrRONMENTAL LABORATORIES, INC., signing by and through its authorized signator, duly authorized to execute same, AiTt:ST : city Clerk Da te ~. r9T; t ///. - . _,.. . L __ ,_ __ _ _ r-fJ(J(C1t e Se cr.etar-y Chu ck Ged Type/Print Name of Cor porate Sec y. c:nv OF· COOPER CITY City Mana$Jer Date Approved as to form and legal sufficiency: ---·----------City Attorn ey Date Chuck Ged ENVI RONMENTAL S INC . Presfdent ____ _ 2;19;2on Date ... CORPORATE ACKNOWLEDGEMENT STATE Or Florida --------~ COUNTY OF Duval ------ I HEREBY CERTIFY that on this day, before me, an Officer duly autharli.ed' In the State aforesafd and In the County aforesalcf to take acknowledgments, pe~onally appeared Chuck Ged of ADVANCED ENVIRONMENTAL LABORATORIES, !NC., a Florida Corporation, to me known to be the p.ers.on(s) described in and whb executed the foregoing instrument and acknowledged before me that he/.she exe(uted the same , WITNESS my hand and official seal this !2day of. Februpry , 20~. -~~ Sig llature ffEJ~otarYlic S t~ t tWJll)'fOfflEA·A~b\ltITTONI! M'l'cOMMl\l6lON HHH 60061 E>(l'IAES: ll~O 03, 2024 --llerido<!J!m11111!rhl ·9 1 !1$'lnittm:~· P rl n t e--Gr.....Sram Name oft Notary Public ~ Personally known to me or D f'roduc~d : Identification Type oO.D. Produce.d 0 DID take an oath, or 0 DlD NOT take an o a th. ~ Rdvanced ~ £nvironmental ~aborntories. Inc. September 7, 2018 City of Cooper City Purcha.~ing Division 9090 ~W sorn Place Coo pe r City, FL 33 328 RE: ITD 2018-11-UTL Laboratory Testing Services w Utillties Department To Whom It May Concern: 11601 Southpoinl Porkwoy )u t:ksonvi ll o, Florido 322 l ti 190·1) 363-9350 FAX 1904) 363-935~ Advanced Environmental Laboratories, Inc., (AEL) is pleased to provide this proposal to the City of Cooper City for ITB 2018-11-UTL Laboratory Testing Services -Utiliti es Department. AEL was fow1ded in L 994 in Jacksonv ille, FL an<l has since expand ed to seven locations around th e s tate (including Miramar), mak ing it th e largest lab oratory network in Florida. The AEL Miramar, FL lab oratory is located in Browa rd County and it is wi thln 10 miles of the City of Coo per City. Although the majority of the ana ly sis will be perfonned within th e AEL laboratory network, AEL purposes to subco ntr ac t to KNL Environmental Testing, EM Analytical, Inc., Cape F ear Analyti ca l, LLC, and Northern Lake Service, Tnc . who have helped us provide excell ent data and servi ce to our customers for the pas t several years. AEL is ve ry exc ited about the opporhmity t o begin work with the City of Cooper City . Should yo u n eed any further infol1ll.at ion, please <l o not hes itat e to con tact our Mir amar Clien t Serv ices Mana ger -Tiffany Mackie -via emai l at tt n ~.!!;kL~@oe ll ab.com or phone at 954-292-1579. Re..(spcc)ullt:/ /'V-_ )Jf '-,. Charl es M. Ge el Pr es id en t Advanc ed Enviro mn e nt 11 I Laborntorics, In c . City of Cooper City, Florida ITB 2018-11-UTL, Lat)oratory Testing Services -Utllltles Department Attachment A (Page 1 of 12) City of Cooper City, Florida Bid Form Laboratory Testing Services -Utilities Department ITB 2018·11-UTL Bids Due: Wednesday, September 12, 2018 For Information contact the Purchasing Division: Kem Anne Fisher -Purchasing Agent Claudia Portocarrero -Purchasing Assistant Tel: 954-434-4300 ext. #297 Pu rchosinq@CQoQerCityFL .orq Date Relea se: Thursday, August 16, 2018 Submitted by: !\d11anced E1:w!ronmental Laboratories, Inc. (C ompany name) 22 City al Cooper City, Florida !TB 2018 -11-UTL, Laborotory Testing Services -Ulllilles Department Pro)ecl: Contract Identification: Bids submitted to: Altai :hmcnl A (Page 2 of 'f 2) LABORATORY TESTING SERVICES -UTILITIES DEPARTMENT ITB 2018-11-UTL Office of !he City Clerk City of Cooper City 9090 SW 50tt• Place Cooper City, Florida, 33328 1. The underslgnetl BIDDEH proposes and agrees, if this Bid Is accepled, lo enter into an agreement with City In the form included in the contract documents to perform and furnish all wori\ as specifle<:l or Indicated in the conliacl documents for lhe contract price and wilhln the contract time Indicated In this bid and In accordance with lhe other tem1s and condlUons of the contract documents. · 2. Bidder accepts all of Iha terms and condlllons of the advertisement of Invitation to Bid and Instruction to Bidders iJlcluding, wilhoul llmltallon, those dealing with the Bid requirements . This Bid will rema in in hlll forcn for 90 days from the date of lhe bid opening. Bidder will sign and submit an agreement with \he Bonds Bnd other documents required by \he Bidding R~uirements within fifteeri days after the City's noUce ol award. 3, In submllling this Bid, Bidder represents, as more fully set forth in \he Agreement that: a. Bidder has examined copies of all plans, and bidding documsnts, contract specl1icaUons and lnstrnction lo bidders . b. Bidder has famillariwd itself 'Mlh the nature and extent of the Conlract Documents, worlo; site, locality, local condl~ons and the laws end regulations lhal In any manner may affuct the cost. progress, performance or furnishing ol lhe work. c. Bidder has studied carefully all reports and drawings of the project and the physi~I condition s of the project site areas and accepts the extent of the technical data contained in such reports and drawings upon which Bidder is entlfted lo rely, d. Bidder has c.orrolaled the results of his stud ies and reviews, observalions, investigaUons, exploraoons, lests, and studies with the terms and conditions of !he contracl documenls. e. Bidder has given City written notice of all conflicts, errors or discre pancies \hat is has discovere<I in the se docum ents and the written resoluUon !hereof by City is acceptable to Bidder. f. This Bid is genuine and not made in Iha interest of or on IJeh alf of any undisclosed pe rs on, firm or corporalG and is not submitted In conformity with any agree monl or rules of any group, association, organi w ti on or co rpomllon; Bidde r ha s not directly or indirectly induced or solicited any other Bidd er to submil a fals e Bid , and Bidd er has not soug ht by collunion to obtain for itself any advantag e over any other Bidder or the City . 4. Bid Copies ONE (1) ORIGINAL, TWO (2) COPIES and ON E (1) ELECTllONIC COPY (Flash Drive or CD) of lhe Bid should be submitt ed lo the City of Cooper City, City Hall, 9090 SW 5Qlh Place, Cooper City, Florida 33328, lo lhe attention of the Office of th e C i~/ Cler1<. If by US mail, Bids shall be submitted to PO Box 29 0910, Coop er Ci ty, Florida 33329 -0910 . 5. Addend a, Addition al lnfonn ation-Cont i:!c t with City Staff Any add end fl or answ ers to written qu esllon s suppli ed by lhe City to partlclpaling Bidders be come part of U1i s Invit ation to Bid and !he resultino con tra ct. The Bid Fann shall be signed hy an aulhortzed co mpany repre se nt ative dnted and returned with the pro posal Bid. No negoti ation s, decisin ns or ac tions sh all be in iLi<J ted or exec ut ed by th e Bidd er ;is re sult ol any d i s c u ~s i on s with any City empl oyee . Only th ose r.ornmuni calions wh ich are in wrillno fr om th e City ma y be con sid ered as a dul y auU1 ori zcd ex pres sion. Als o, only co mmun ic<1Lions from bidd er lh <i t am slgnf:!d anr1 in writing will be ~co gnized by U1 e City as duly auth ori zed exp ressi on s on behci lf of \he bidd er. 23 City of Cooper City, Florida ITB 2018 -11-UTL, Lnboratory Testing Servi ce s -Utilities Department Attachment A (Page 3 of 12) Specific questions related lo the Scope of Services requested sha!! be directed in writing to the City o! Cooper Ci!y Purchas ing Division . Questions must bo emailed to Purcha ain~@Coal)(!rCi ly FL.org, who may respond In kind wllh copie s to all Bidde rs . The deadline for submission of questions Is 5:00PM, Wednesday, September 5, 2018 . The successful bidder shall be required to execute a City contract coveri ng the scope of serviC€s to be provided [Ind setting forth the duties, rights and responsibilities of the parties. This contract mu st be exec uted by the successful tJ\<l<ler prior to recommendation of awsrd and presentation to the City Commission. IN MOST CASES THE AWARDED BIO WILL SERVE AS THE CONTRACT . 6. Summary of Document s to be submitted with Bid _X Bid Fonn x Referen ce Form x Public Entity Crimes (PEG) Fenn X ADA Affidavit ~--______ Busin ess Entity Affidavi t ola Bidder's Foreign (Non-Florid a) Corpo rate Statem en t (If ap pl ica bl e) _x__ W-9, Reques t for Taxpayer ldenUfi catlon Number x Proof of Workers Compensation I muranc e or Exemption _x____ Proof of Liability Insurance __x_ ___ Ownership Disclosure Affidavit x Drug -Free Workpl ace Certificate __x__ ___ _ Employee Background Verifica tion Affidavit REMA IN DER OF PAGE INTENTI ONALLY LEFT BLANK . 24 ( City of Cooper City, Florida ITB 201B-11 -UTL, Laboratory Testing Services -Utilities Department Name of Company : Address: Primary Contact: Title : Tel: Email Address (Required): Alternate Contact Title: Tel: Emall Address (Required): Company's Websi te: Attachment A (Pago 4 of ·t 2) Vendor/ Bidder Contact Information Advanced Environmental Laboratories, Inc. 10200 USA Today Way Miramar, FL 33025 David Radtke PruJect Manager 95_4-_B_8_9-_2_2s_a ________ Mobi1e: __ 9_s_11_-a_B_9_-2_2_sa ____ _ dradtke@aellab.com Tiffany Mackie C lient Services Manager _9_S4_-_s_s9_-__ 22_s_s _______ .M obil e: 954 -29 2-1579 tmackie@ae llab.com www.aellab.com Remit to Add ress (if differen t from above): Advanced Environmental Laborato r ies, Inc. P O Box 55 1580 Jackso nvill e, FL 32255-1580 Remit to Co nt act: Nandini Amrit 25 ( City of Cooper City, Florida ITB 2018-11-UTL, Laboratory Testing Services -Utilities Department Attachment A (Pll(JB 5Of12) PRICING SHEET Laboratory Testing Services -Utilities Department ·-----·-· -------:=-=-:=-=-:=-:-:=-:-::-:-==:-=~=-=--=-..,.. c:-;-:--:-=:==----------1 POTABLE WATER SYSTEM ANALYSES r------------~----~---· --·-.---·----------·- Annual Unit of Estimated Measurement --~ojoct Name & Parameter Quantity -~JUOM) Price oerUOM Extended Price Potable Water.SvstemAnalvses · Prima~_9anlcs (FAC 62·550Table1)_,. _____ , AnlimonY. _________ 1--____ 1 Each $ 6.00 $ 6.00 Arsenic 1 Each $ 6.00 $ 6.00 Asbestos 1 Each $ 110.00 $ 110.00 ~·~---------f----~i--~----+--~---r----- Barium BelVllium Cadmium 1 Each $ 6,00 $ 6.00 1 Each $ 6.oo $ 6.00 1 Each $ 6~00 $ 6.00 1_C_h_ro_m_iu_m ________ 1 ______ 1_1_E.:..ac"-h ____ 1 $ 6.00 $ 6.00 _ Qyanide (as free Cyanide) 1 .. Each _ J_ 1 B.00 .... $ l B.00 Fluorklt'l 1 Each $ 10.00 ____ _L __ lO ,OQ___ 1 Each $ 6,00 $ 6.00 Lead ,_ ____________ , _____ _ ·-'-M-'e-'--rc_urv_.__ __________ ,_. ____ 1 Each $ 15,00 $ is .no __ Mickel 1 Each $ 6,DO $ 6.00 Nitrate 1 Each $ 10.0o $ -·----· --------~ NII rite 1 Each $ l0.00 $ --·-------+--··----+-------l-'-~----1--'----"-'-"--=---1 Total Nitrate and _Nitrite ·----r-----1 ,,_Ea_ch__ $ 12.00 __ 1_$ __ =·"--- Sele nium Sodium Thallium 1 Each $ 6.00 $ -----------r-----r----~-r------t---~---'---1 1 Each $ 6.00 $ 1 Each $ 6.00 _____ 1 _$ __ -,-__ 1 1-------Potable Water ~ystemAnalyses-Primary l11oroanlc s (FAC 62-560 Table '\) Subtotal $ Potable Water System Analyses • Dl:ilnrnctonl Residuals :=c=,ll=lo=rin=e==--------_ .. ___ _,J_____ 1 J fo;h J $ 12 .0.Q. ---~=_\~$ _ __,_,~-- -~------- Potable Wat er Svsto111 Analyse s · Disinfection ~yp_J'ad u c ts ______ _ TTHM HAA 5 16 Eac h I $ 25 .00 $ 400 .00 _______ J_ -.. 10J~. --_l!.__45 ,00 -~~--$ -_?20.00 __ __ --~~e Waler System A -~~yses · _l?i5i_n!ec Uo_n 8y_p.r~d~~cls~~~tot a l $ ~20.~0-! 26 ( City of Cooper City, Florlda I TB 2018 -11-UTL, Laboratory Tes ling Services -Utilities Department A!lachment 8. (Page 6of12) PRICING SHEET Laboratory Testing Services -Utilities Department ·- Potablo Water Sy_~~em Analyses· VOC's (FAC_ 62·550 Table 4) Annual Unit of Estimated Measurement -Project Name & Parameter Quanl!!Y._. IUOM) Price per UOM Extended Price ·-· VOC's Annual 1 Each $ 40 .00 $ 110 .00 1, 1-Dichloroethvlene (75-35-4) Included 1, 1, 1-Trichloroethane (71-55-B) Included 1, 1,2-Tricholoroethane (79 -00-5) Included ---- 1.2-Dlchloroetha.ne (107-06-2) tncluded 1,2-Dichloroeroeane (78-87-5) Included 1,2,~· Trlcholombenzene ('120 -82-1) Included Benzene (71-43-2) Included Carbon telrachlorlde (56-23-5) Included - cls-1,2-Dlchloroelh~lene (156-59-2L __ Included ·------ Olchloromethane (75-09-2) Included ---- Eb_ylbenzene (100-41..;\) Included -~--. Mo nochloJob~nzene ( 108 -9M) Included -- o-Dlchlorob enzene (95 -5 0-1) Included . ---- oara-Dichlorobonzene (106·46-7) Included Styrene (100-42-5) Included ------·---------·· T etrachloroelhylene ( 127 -18 -4 ) Included --~------· Toluene (108-08-3) Included ---~ --·-----~ -· - lr ans-1 ,2-Dichtoroethvlen e (156 -60-5) ··--Included T rlcilf oroelhylvne (7 9-01 -6) __ Includ ed ---··--··--·--·-Vin~I chloride ('1 5·0 ·1-4) Includ ed L~~lenes (lolal) (13 30-20-7 } ---·-----··---·--Included ----------------. 27 City of Cooper City, Florida ITB 2018-11-UTL, Laboratory Testing Services -Utilitie s Oepartmen1 --.. --- Attachment A (Page 7of12) PRIC IN G SHEET Laboratory Testing Serv ices -Utilities Department ----- Potable Water System Ana lys es · SO C's (FAG 62·550 Table 5\ Annual Unit of Estimated Measurement ---·-- Pro~t Name & Parameter Quantity (UO_ML_ Price ~or UOM Exto11ded Prlce SOC 's Annual 1 Each $ 800.00 __ UOOJ)JL __ ~.3 7,8-TCDD !Diox in) 11746-01-6) Included --- 2,4-D (94-75-7) Included 2,4,5-TP (Silve x) (93 -72·1\. Included Alachlor ('15972-6 0-8) Included ~ -· Alrazine (191 2-24-9) Included Benzo(alP.Y!ene !50 -32-8) Included Carbofuran (1 563·66 -?) _______ ,_ Includ ed Chlordane (57-74-9) Included Dalapon {'15-99-0l Included DH2-ethyJhexy l)adipale lt 03 -23 -1 \ Included 01(2-ethy lheXY.llE_h thalate ('117 -81 ·7) Included ... -u•---• ----.. -· _ Dlbromochlorooropeme (DBCP) (96 -12-8) ____ In cluded -------- Dlnoseb (88-115-7) Included ·-· Dlauat IB 5-00-7 l Included ---- Endothall (145-73-3) Includ ed ··---· - En drtn {72·20-8) Included ----- Ethylene dibromlde (EDB) (106-93 ·4) Included L - .2!Y.Dhosate 11071·B3-6 l Inclu ded --- ~~ptachlor Q.6-44 -~l. Included -1· -.. --- Heotachlor enoxld0 (l 024 -57-3) Includ ed ------ Hexachlorobenzene (110-74-1) l11cluded ~-_..,.------------ Hexachloror.vc lopentadiene (7 7 -47 _:.1_)__~ Inclu ded ... -----..--------------------· Lindm1e {58 -89-~--Included ------· -·-----· --· Meth oxy_ch lor 172-43 -5) Includ ed --··-------------- Ox<1my l ('1'.c!~e) (23 1 ~:22 -0 L ~-ln clu cl ed --·:] ___ ---------··· ----- Pe1 1tar.l1lon'JQ!.18110L(f!1-0 6·'.i)_ In cluded ----·----.. -- ....E!Qi_orn rn t191 B-02-1) Includ ed -----------~-~----------------- J:'olychl ori m1tod bi~l1 c 11yl s {P CB!i) _ --·-Includ ed ---------·-- . Slmaz ln e (I ?.?.-3 4-9) In clud ed --------------· ----- Toxaph ~n~ (13001 -35 -:1 1 l11 clud ed -------------- 28 City of Cooper City, Florida ITO 2018-11-UTL, Labo ratory Tesling Services -Utilitie s Department Attach rnent A (Page 8 of 12) PRICING SHEET Laboratory Testing Services -Utilities Department ·---·---- Potable ~at~r -~ys tcm AnalY.~Mlcrobiolo le ~---·-. Annual Uni t of Est imated Measurement Prolect Name & Parameter Quantity (UOM) Prlco per UO M Extended Price Total Co liform 540 Each $ A no $ 4)7.o. on - Fec81 Coliform 6 Each $ t0.00 $ 60.00 Potable Waler System Analy ses -Mlcroblologioal Sub lo tal $ 4,380.00 Potable Water System Analyses . Radlonuc llde s Radionuclides Annu al -·~---1 [fuh I $ 375 ,QO_ 1$ '.175.00 Combined radlum226 and radiurn228 In clu ded Gross alph a parllcle activity lncludlng radlum226 Included but excluding radon and uranium -.. Uranium Included Potab le Water Systsrn Ana lyses • Lead and Coe_eer - Lead 40 Each $ 6 .00 $ 2'l0 .00 -Copper 40 Each . J--6.JJO $ 240,0!) ·- Alk alinity 2 Each $ 12.00 $ 2'1 .00 • OrU1opho sph f_1lc ____ 2 Each $ 10 ()() $ 211.00 Potable Water System Analyses · Lead an~ Copper Subtota l $ 52'1,[)() ·--- .. Potable Wat e r_§y~.!_~111 Analy se~· ~c ond iuyjlrlnhln.u Water Contom ln anls !FAG 62-6 50 Tablo 6) Aluminum 1 Ea ch $ 6,00 $ 6.00 ·--.,_..... Chlori~---1 Ea ch --·-$ !().()() _ $ 10,(_lO ___ Coo nor 1 Eac h $ 6.00 $ 6.llo ·-·--------·---- Fl umtc!Q__ _______ 24 Each $ woo $ 241).00 --··----· I run 1 Each $ 6 .00 L0.oo .. -----·--· Manaano se 1 Each ...L..6-.oo $ 6..QO .,,. .. _ ~----· Silver 1 Eac h $ 6 .00 J.. 6,00 - . .... ~-·· --------·--------·-- Sulfate 1 Eac h $ 10 .00 $ JO.DO ------·----------·-------- Zi nc '1 Eac h $ 6 ,00 1-.ii:Q.0 __ -I-------· -----·-·--··----- Colo r 1 Ea ch J__l~ . .OJL -J_ 15.0()_ -----· --_pJ:L t Each J .. .J.:Qll __ ·--~ ~.~o~-·-. -------,. ____ Total Disso lved So lid s 1 Each $ l ;i,.OO $ l 2.00 Fo~~ni;1g_6Je;1~ . ---==_ ~~ ~ I . . .. -1 _ Eac h ---~ $~-~o ~1 $ :i u.,o o ~ = t .. _ ~la~~ Wa ler Sys l_ern An a l yse ~· -~eco n dary ~rin k ln ~~u l e r C~~~i nan l s (FAC 62~5~Tablo ~ Subtotal . $ J~MIJJ. _ _ 29 ( City of Cooper City , Florida ITB 201B·11-UTL, Lnboralory Testing Services -Utilities Department Attachment A (Page 9 of 12) PRICING SHEET Laboratory Testing Services -Utilities Department ---····----------------·-----------------~ ---------··· Potable Water System Analyses • Ph~!cal Charactorl stlce -----· - Project Nam!' & Parameter J UrbidilY.~--...... ------i------1----- Colo r TD S Hard ness WASTEWATER COLLECTION/TREATMENT SYSTEM ANALYSES Annual Unit of Es tim ated Measurement Prolect Name & Parameter Quantlt IUOMI Price por UOM Extended Price f----'--~-~-----'---'-'--'-'-'-A -'---•--~--'----'-"-----'-----.::_:_;_;..::_-1 8 0 05 ... ____ ,. __ 5_2 _____ E_ac_h ___ $ l ~.9'=0~ __ _,_$ CBOD5 104 Each s l 3.00 $ l,351,_QQ__ - ~ta l Suspended So lid s _____ , ___ 1_04 ___ i--__ E_ac __ h ___ 1 $ 10.00 $ 1,040 .00 _ Fecal Co liform ·-----------· 120 Each $ ip .oo j _ L 200 .00 __ pH I ota! Nitro~----_ To tal Phosphorns 104 Each $ _5,D O $ 52 0.0 Q __ _ ·--___ s_2 __ , _____ §..~c_h __ _L_J,oJ2JL $ l,04o .oo 52 Each $ 16.0_0 _____ $_8_32.00 __ l!]tr_a_te ________ __,, __ 5_2 __ ,__ __ E_Hc_h__ $ 10.00 __ $_5_20&0 __ 1-N_i1n_·1_0 _____ _ --·-·· __ 5_2__ Ea ch $ 10.00 .. l.__29,00 __ % CBOO E !~~!l.<'.Y 52 -Each $ 0 ----· i_ __ o . --.. % TSS Elfl cl e11i;y ___ 52 Eac h $ o $ O --·-------· ~~----------··-· ·-····-·· --- 1\mrnon!'~-____ _ 52 Each _j_ 15.00 __ $_ll-~lLQI)__ _ O rth o-Phn s p li:1~_8 --··· -~---· _ Each _j_. __ L0.00 ··-· $ ~:rn.llCL _ I(~l a l S_9 1~------.. -· _____ 10i._ Eac h $ l0.00 _____ $_1.IH0.00 __ _T olal l<j o ld alllJ.~1lrof.!£.~UI!~~L-. 52 __ .. Each _ $ _--1.2.:Q_Q_ __ _ _$ _ _11!0 .0JL. _ -· ~-Wfl~f\w1cito r Cc ll ec lio0rrrea t rnt'~ S y oh::r11 ~~~l.Y~!:l s · ~n fiu en t E Hlu en l ~~e u se Su htolal $ I 0,82 0 oo 30 City of Cooper City, Florlda ITB 20 18-11 -UTL, Laboratory Testing Services -Utllille s Department Attachment A (Page 10of12) PRICING SHEET L b a orato~~ T estmg S Utll'tl erv1ces-1 es Department Wastewater CollectlonfTreatmont Svstcm Analvses • Biosollds Annual Unit of Estimated Measurement ProJect Name & Parametor Quantity (UO M) Price per UOM Extended Price Nllro<ien 6 Each $ 20.00 $ 120.00 Phosphorus 6 Each $ 16.00 $ 96.00 Potassium 6 Each $ 6 .00 $ 36.00 .. Arsenic D~ Weight 6 Each $ 6.00 $ 36.00 Cadmium DIV Welpht 6 Each $ 6.00 $ 36.00 Coooer, Tot, Orv Wt . l as Cu) 6 Each $ 1'..Qn $ 36.00 Lead 6 Each $ 11QO $ 36.00 Mercury, Dry Weight 6 Eac h $ 15 .00 $ 90.00 Molybdenum, Dry Weight 6 Each .~ill! $ 36.00 Nickel D!J'. Wel!lhl 6 Each $ 6,00 $ ~Q;QQ · Selenium Dry Weight 6 Each $ 6.00 $ 36.00 Zinc Orv Weloht 6 Each $ 6.00 $ 36.00 oH 6 Each $ 5.00 $ 30.00 Co liform, Fecal 28 Each $ 5 0.00 $ 1400.00 Volatile Omanlc Compounds 6 Each $ 50.00 $ 300.00 -- % Volatiles 52 ··'-----Each $ 15.00 $ 780.00 % To tal Solids 58 Each $ in l)O $ 580.00 Specinc Oxyqan Uptake Rate ($OUR) 4 Each $ 10 .00 $ 10.00 Wastewater CollecUoo/Treatment Sys tem Analyses -Biosolids Subtot al $ 3,760.00 Wast ewate r Co llectlon/Trea lmenl Svs tern Ana lv sc~s ·In-Hous e L<tboratqrv Certification DMR-QA 1 Each $ $ 120.00 Wastew ate r Co ll ect io n/Traatrnent Svslen!__f\nal~ses Tota l $ 14,700.00 31 ( r City of Cooper City, Florida ITB 2018-11 -UTL, Lo~oralory Testing Services -Utilities Dspar1ment Attachment A (Page 11of12) PRICING SHEET Laboratory Testing Services -Utilities Department DEEP INJECTION WELL/MONITOR WELL ANALYSES --·--- Annual Unit of Estimated Measurement Prole9t Name & Parameter Qua~ (UOM) Price per UOM pH 36 Each $ 5.00 _§_flecrnc Conductance 36 Each $ 5.00 Ammonia 36 Each $ 15.00 Calcium Hardness as CaC03 36 ·--·· Each $ 10.00 Total Hardness as CaC03 36 Each $ 12.00 .. Chloride 36 Each $ 10.00 .. Ma~nesium Hardness ns CaC03 36 Each $ 10.00 Nitrate + Nitrite as N 36 Each l....1200 Total Kjeldahl Nitronen (TKN) 36 Each $ LS.OD Sulfate 36 Each $ 10.00 ----- _!2tal Dissolved Solid s (TDS) ____ ~ -. 36 Each .. .t.J.:2 .0Q GrossAl~ha 12 Each $ 50.00 Radium 226 -·--·· 12 Eac h $ l00.00 Radium 228 12 Eac h $ ino .oo Tomoerature 36 Each $ 0 -·-- Extended Prlc a . $ 180.00 $ 180.00 $ 540 .00 $ 360.0Q $ '13;1..00 $ 360.00 $ 360~00 . -.L..1Uuml ___ . $ 540.00 $ 360.00 $ 432 .00 $ 600,00 $ 1200 ,0 0 ~ $ 17.00.QO $ () -·---· - Compo sit/Grab Samplin\:l 36 Each $ 40.0 0 $ l,'l1IO .OO Dcl'.1p lnjccti<Jn Well/Moni tor Well An aly :;o s T0 tt1I _ $ B.616 .00 1-·----·· GROUND/SURFACE WATER ANALYSES - Annual Unit of Es timated Measurem ent __ _il:_o~_t Name ~_P aramet y Quantity {UOM) Price ~or UOM Extended Price EPA Melhod 8270 ij Eac h $ 150.00 $ 600 .00 ----... -. --· Monitor WEJ.11 Sn mplln g_ ct:~rn~ _ 16 Eac h $ 40.00 $ 610.00 --· -· ----- ·-. -------~~und/Surf ace ~ater A~n l y sos Total . L _ U.1Q.O.O ... - 32 City of Coope r City, Florida IT B 2018 -11 -UTL, Labom tory Testi ng Se rv ices -UtlliLies Oepart menl Attach men t A (Pege 12 011 2) PRICIN G SHEET Lab orat ory Testing Serv ices -Utllltles Depart ment -· -·---•••& ~~-...... REAGENTS & SUPP LI ES 1--..r• ProJecl Namo & Parameter --·- Buffer pH 4.0 Buffer pH 7.0 Buffer nH 10.0 Ca lcium Hardn ess Buffer ~' -----·---· Total Hardness Butler --- Calclu111 Hardness Indicator (0 oz powd er) To tal Hardnes s lndlcalor 18 oz QOWtler) Sulf\Jric Acid Methyl Purple lndlca l or Ph enolplllhaleln lndicalor -- EDTA Fluoride Standard ( 1 p.Qr!1]_ -·- Tis ab Conduc_liVi\)' So lution (1412) . .. Colo r Standard ·- -- Item - Afler llours/Holiuar.s/Emerg enc y Call s Submitted by : . l~~1_:1i·I t~_!. _Ge_.d ... ,_,,__ (l'n11I) A~ur;' ~-: _ _ij_ __ '-_/_ , __ / (Sl<JoJ Company Nam e: .A~~.l'..~.d .f~~~l ro in1enl<1 I La bo rci torie_!'., In c. Da te: .. --- Ann ual Unit of ~s ll ma te d Mea su re ment Quan ti ty (UOML Price par UOM Exlondeu Price ---·· 20 Quart $ 20.00 _$ 400,00 -- 20 Quart $ 20.00 $ 400 .00 20 Quart $ 20.00 $ 400.00 ·- 6 Pi nt $ 47 no $ 282 .0 0 ···- 6 Pint $ 105.00 $ 630.00 6 Each $ 21.00 _!~Q_Q ___ 6 Ea ch $ 105.00 $ 78.00 8 Quart $ l7 nn Lrui.!l(L_ 6 Pint $ 49.00 J 294.0 0 -------- 6 Pi nt $ 2 6 .00 $ 156.00 8 112 Gallon $ 'S ... o.o___ $ 200.0Q ____ ·- 12 Quart $ 49 .. 00 $__}88 .Q_O __ 12 Ga ll on $ l ~l.00 $ 1,5 72 .. _90~- 6 Quart $ 104.00 $ 624 .00 B Pint $ 105.00 $ 1 ..ion.r~g- Rengrmts & Supplles Totals $ 7..lli.lll_J - Grand Tota l I $ 42,4 7 1.00 Atlclltlon al Serv ic e STAT E: C:OUNTY: 1$ l'LOllUJA Du val -----· ------·---. Pr ice per Call 200.00 --- ~l\'o rn 10 (or ;iifi!' n\L•d ) ,1 n d s u b scrib ed b du rc rn c th Is J1.ih. cby of Sep\e mb ei:.. .. 20 J.§liy .. Q.Lulll!laJil. GF,_d __ ---· -· ,\/(,II:\· j!/ (I I !Ot: ,~•c.1u r 1) ~t 11(l'!!-'f { _\\..~)C\.;1(&_s, ~ ()s::J,"~ ~ . ~l11 :11 1 .:w·t-o/,\lo:r .. r_.·i'11 •I · •:;.n1 .:ffll'J "·:· (NOT:\HY Sbl.L) Naridini Arnrit l i 'cr;•Jn ~il!·,. Kn~1,·n L O R l'1'o;dt1 rnd ld·,11l ll1 rn 1i c11 T ~·pe cd 1,\.:1 1t1t 1c.l f'.o ri h '1.ir\~11 J d . . __ -··--. --· --_I 3J City of Coope r Cily, Florida ITB 2018 -11 -UTL, Lab oratory Testing Services -Utllitles Department Attacl1mont _!} REFERENCES All references shall be from entit ies/companies regularly engaged in the bu sin ess of providin g the goods and/o r ser1ices as described in th is solicit ati on . 1. ENTITY/COMPANY NAME: SoU d Waste Authority of Palm Beach ADDRESS: 750 1 N Jog Road West Palm Beach, FL 33412 CONT ACT NAME : Tom Sirna CONTACT'S TITiLE: Hydro geologist TELEPHONE: 561-640-4000 E-MAIL (REQUlf~ED): tsirna@swa.org CONTRACT PERIOD: 2013 Present FROM: __ ~ ____ TO: __ ~~--- 2. ENTITY/COMPANY NAME: Town of Lantana ADDRESS : 510 W Pine Street Lake W orth, FL 33462 CONTACT NAME : Steve Sweade CONTACT'S TITILE : Chi ef Operator TELEPHONE: 561 ~540-576 0 E-MAIL (REQUIRED): sswcade@lan tana.org CONTRACT PERIOD: FROM : _2_0_1_2 _____ TO :. Present 3. ENTITY/COMPANY NAME: ~~1)1 of Miramar ADDRESS : 4100 S . Flamins o Road Mira mar, FL _33027 CONTACT NAM E: Shel anda Krekreghe CONTA CT'S TITTLE: W a t e r Qu ality M an age r TE LEPHONE: 95 4 -883 -52 0 3 ·--------- E-MAIL (REQ UIR ED): skrekregh e@ mira m;i r fl . gu v CO NTRACT PERI OD : FROM: 20 16 TO : Prese nt - Th is page sha ll be compl eted JN FULL and sub mitt ed with your bid . 34 City or Cooper City, Florida ITB 2010-11 -UTL, L;:iboratory Testing Services -Ulililies Department ATfACHMENTC (Page 1of2) 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 stalement is subm itted to the CITY OF COOPER CITY, FLORIDA by: __ c _h _ar_le_s_M_._G_e_d_, _P_re_s_id_e_,_nt ____________ _ (µ111·11 /nll/~lduol's nn(l)t) onit llllol Advanc ed Bnvironm crtl a Li\ )Oralories , lnc. for. (prlnl name oionllty submitting sworn sfntomontj p ·-·-------- whoss business address Is : 10200 USA To<la~y Mi~amar, FL 33025 ond (if applicable) Its Federal Employer lctentificaUon Number (FEIN) is: 59-3274470 {If the entity has no FEIN, includ e the Soc/al Security Number of !he lndlv/duB/ signing II/is sworn str.ilement: __ • ___ ._). 2. I understand that a 'public entity crime' as defined in Paragraph 267.133(1)(9), f lorida Statutes, means a violation or any stale or redaral law by a person with respect to and directly related to the transaction or business with any public enUly or with <1n agency or political subdivision of any other state or of the United Stale s, Including bu! not limited to, any bid or contract for goads or servic es to be provided lo any public entity or an agency or polltlcnl subdivision of any other state or of th e Un ited Slates and Involving antit111sl, fraud, \h eft, bribery, collus ion , rack etee ring , conspiracy, or material mlsropre sentaUons . 3. I unde rs tand th at 'convicted" or "conviction" as defin ed in Paragraph 287.133(1)(b), Flo1ida Statu.!fill, mea ns a finding of guilt or a con vie lion of a public entity crime , with or without an adjudic ation of guil~ In any federal or slate trial court of ree-0rd rnlatlng to charges brought by indictment or lnrom1ation after July 1, 1989 , as a re sult of a jury verdict, non·jury trial, or entry of a plea or guilty or nolo contend ere. 4. I understand th at an 'affiliate" as defin ed in Parag ra ph 2B7.133(1)(n), Florida Slatutes, means : a) A pred ecess or or succe ss or of a person conv ict ed of a public entity crime: or b) An entity under the co ntrol of any naturnl perso n who is ac tive ln th e rmm agern ent of the entity and who has be en convicted of a publlc enUty crime . The term "nfliliale " Includes lhos e officers , dlreGtors , executives, partners , sha re holde rs , employees, memb ers , and agents who are acLive in lhe m1:1nagllmenl of an afftlf ate. The own erah fp by orie person or shares con stituting a contro llin g intere st In anoth er pers on, or a pooling of e ~ulpme nt or inc ome amo ng perso ns when not for fair marke t valu e und er an an11's length agree ment, shall be a prima rac le cas e that on e parson co ntrols anoth er pet son, A person who kn owin gly enters ln\9 a join t ven ture with a perso n who has bee n co nvicted of a publi c enti ty crirne in Florid a du ri ng th e pr ece ding 36 month s shall be co nsidetud an affili ate . 5. I und erst Bnd th at a "p erson" as defin ed in Parag raph 287.133 ( l)(e), Fl rnitla Slat4le s, mea ns any natu ra l pe rs on or entity organi zed under the laws of any slate or of the United States with lhe legal powe r to enter in lo a bindi ng contract and which bids or appli es to bid on contrnct s to r the provision of good s or se rvi ces let by a public entity. or which oth erwis e \ra nsac ts or app lies lo tran sa cl busin ess wilh a pub llt; entity. Th o tem1 'pr.roa n' include s th ose officer>, direc tor s, executives , partn ers, shar eholders , employees, memb ers, an d age nt s wh o are acLiv e in rnan a\]emenl of an entity. 35 City of Cooper City, Flor ida ITS 20 J ll-11-UTL, Lubora tory Testing Serv ices -Utilitie s Department AHACHMENT C (Page 2 o( 2) 6. Based on Information and belief, the statement that 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 officers, directors , exec utives, partne rs, share holders, employees , members, or agents who are acUve In the management of the entity, not any atrillate or the entity, has been charyEJcl with and convictod of a public entity crime subsequent to July 1, 1989. _ This entity submllllng this sworn statement, or one or more of its officer.;, directors, executives , pa rtners , shareholders , employees, rnernbers, or agents who are active In the management of tl\e entity, or an affiliate of the entity has been charged wilh and convicted of a public entity crime subsequent to July 1, 1089. _ The entity suhmitUng lhis swotii statem en t, or one or more of its office rs, dire ctoro, execuUves , pa rtn ers, 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 lo July 1, 1989. However, there has been a subsequent proceeding before a Heuring Otncar of !he State of Florida, Division or Adrninlslrallve He aring s· and ·th e Final Orcler entered by the HeA rlng Offi ce r de tennln ed that it w.a.s not in the public Interes t to plac e the enllty submlllln g this swo rn statement on U1e convicted vendor list. (atta ch a copy of the final order). t UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 ABOVE ts FOR THAT PUBLIC ENTITY ONLY AND THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF 1HE CAL ENDAR YEAR IN WHICH IT IS Fil.ED. I ALSO UNDERSTAND THAT t AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENT ERING INT~~,ONTRAC T IN EXCESS 0 HE TH RESHO LD AMOUNT PROVIDED IN SECTION 207.017, f.LD111DA STATlITES r:DR C C.~2 AN;GE IN rHt:zl:CONTAINEOINTHIS FORM Siqrrutrifu STATE: CO UNTY: FL ORID A Duval Sworn t o (o r Hffirn1ed) 31ld s ubs crib ed b eforn nrn thi s -2\!.1. clay of ~~r.tem ~. 2 0~ by: Charles M . Ged Nani e of pe "~ar: n:okir.g s t1; I e111 enc (NOTAHY SEAL ) Nandtni Am@_ • _ _ __ _ i\10}11c: o[Noinry Ty,u~ri. Pri'll tsci. or S.~rn i V.,~J Pe rsona ll y l(n o w n X OR P roc\u ce cl l d 0 111ifi(>ltion _____ _ Typi; of lci enlifk;Jtio n Produce d _ I ---~----- 36 r City of Cooper City, Florida ITB 2018 -'l 1-UTL, Laboratory Testing Services-Utilities Department ATIACHMENT 0 AMERICANS WITH DISABILITIES ACT (ADA) DISABILITY NONDISCRIMINATION STATEMENT THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER QA THS. This sworn statemenl is submitted to lhe CITY OF COOPER CITY, FLORIDA by: Charles M. Ged, President (print lnrl/v/diml's namo ond /ilia) for: Advanced Environmental Labora tories, Inc . (print 11umo of or~ifY. s ullm/ll/119 11_w~111 s/olamo ril) whose business address is: 10200 USA 1 otl~y Wny Miram<1r, FL 3:~02 5 and (if applicable) its Federal Employer Identification Number (FEIN) Is : .59 -37.71'170 (If the Bnfily has no FEIN, include the Social Security Number of the Individual signing this sworn statement: __ -__ _ __ .) I, being duly first sworn state: That Iha above named firm. corporation or organization is In compliance with and agreed lo continue to comply with, and assure Uiat any subcontractor, or third party contraclor under this project complies wilh al l applicable requirements of the laws listed below including, but not limited to, U1ose provisions port<iining lo employment, provision of programs and services, lransportal lon, communications, access to facilities, renovallons, and new construction. The American wilh Disabilities Act of 1990 (ADA}, Pub , L. 101-336, 104 Stat 327, 42 USC 1210112213 and 47 USC Sections 225 and 661 including Title I, Employment; Title II, Public Services: Title Ill, Publ ic Acc ommodations and Services Operated by Private entities; TIUe IV, Telecornmunlcallons; and Tille V, Miscellaneou s Provision s. The Florida Americans with Disabilities Acca ssibility Implementation Act of 1993 , Seclion 553 .501-553 .513, Florida Statutes : ll/\N DINI AMnlT MY COIAM!SS\011 U!lll01 9'1 2l' FXl;ill ES: lolM 00 , 20'2 I Uor.~i d lh Nti Qh Int Slnln \n1u 1an~~ ~-----··----------- STATE: CO UNTY: FLORID/\ Duvnl Swo r n to ((H ~ffll'll 1 e d ) ;rn J suusn ib e r.l b 2 fot·e me t.h\s 5!~ <lay of . ~~1_'.'!_m ue r _ -.!n_1.Q. liy : .... ~t.:_'.l r l ~~ M :-9.e.~ -·-- x~,n '!. cfp~r:;m; ll:Dk ll:!J )/Q(f.1 ~~.:,r:c J ._() 0 fft o ·~ F\.~~ .. _ . Sl gn nt u 1't: ofN·?,11'0' f111 btic · 5t ut~ Jff !od1 :",, Nandinl A nni\ ·--·-·-. ·-· OR Prc>cl u ced Id i<ll I i f\c:~'lion JI City or Cooper City, Florlda ITB 2018 -11-UTL, Laboratory Te sting Se rvic es -Utilities Depart ment ATTACHMENT E BUSINESS ENTITY AFFIDAVIT Charles M. Gcd I, _____________________ __, being first duly sworn slate: The fUll legal name and busin ess address of the person(s) or entity proposing to contract or lransact bus iness with the City of Cooper City ('City') are (Post Office addresses are not acce pt abl e), as follows : 59-3274470 Federal Employer ldentlflc atlon Numb er (FEIN) (If none , Social Sec urity Numb er) Advanced Environm ental Laboratories, Inc. Name of Entity, lndivtdual, Partners or Corporation Doing Business As (If same as above, leave blank) 10200 USA Today Way Miramar Flo iida Street Address ---~S-u~ll e-------,,C~lty-----,S~t a--.,.te __________ _ Florida 10/3/94 Ch arles M . Ged Print Name STATE : COUNTY: FLOH.lDA Du val Sw orn to (o r affirmed) <ind subscrib ed before m e this ...fil.t1-. day of §eptember , 2 0~ by: Cha rle s M. Ged k ()_Q.ct)~~f'\\ ~~'\ -" - Si 9na.~~ro· of:Voiol)' P:ib.'ic · S:a:e of Florid a (NOTARY SEA L) Nandini Amrl t Pers011.~ll y Kno\\'n X OR Proclu c:e d icl e ntiflc:Hlon Typ e of Jclentificatio n Pr o<lu ce ct _____ _ -----------------·-------- 38 City of Cooper City, Florida ITB 2018-11-UTL, Labo ratory Testing Services -Uiilitles Department 1n '!-.· £l~ni:1 t ... , lO\.\l D.~I' 11111\i.nl ~I 1h.;. T 111 a~u:-J ln1ti:1i.11 i-\P.••i1!1U.J :-i11-r1":~ Attachment G Request for Taxpayer Identification Number and Certification 1:"''" W-9 J I "l ,'J'l•.' fo •, \!:.:>>'111 ~W,r.i;C·rn~ J,11 1·~11:111), N.'II 11 : I tOl·:lli IQ;I .~·fl lh1':. f1r.~;',jl) t~•JI ~·:·,,.,_, l ht:. l 11ol \1l,1n~ 01 2 :lt.11 11it~.\ ~1,11 ;1•!/~•:r=·~J;d,,,j 'i;11 :1 :v 11 :;1i:·J,-:i" Jiii.:ii:~\ f,,,,_n ;m·'.11•> Advanced Environmen tal Laboratories, Inc. ,, "' ~-j C•:!!~~ ~lf.!J)IO,nl1&l11) toJx. kt lndo;>rnl li\:t. 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H 1i:1 j'1·: .. r.'•J •, .\,1 .u :.-11 : •: i: i:".:, " 1 :r ,. ! •. l 1 :. r •11 "\ 11 i . v 1 111:-~ :11:·~· ·Ji.··i;· . 1 l :lf ~ ,1 n~1 ;;1l p ,;.:.·rr.n h~·'ll .1 1,1 .:; 11 :,d~ ,-_. \.'V· ,. 1·.:1 1; ni:: .1.llJL'"' :r:ill~ \\1tnn .l.J1 :0,1 I.IA ·l.l k·1 •:'(/h ~ :.l1 :•"",~· •;l -.11·~ .-,: ::·.-. l1•11.111 •:•:1111 .; ::·~'1 •... ;i'•) !/1 I ;::,~;: ~;:!'.?::' .. :\·;,:: F~r;·iX :;E'· i:.z:. ,: : ;.i.;': :,!·· '.i:· :·:.,;:r:·~·.: ·~ ,;·,:;'\';~; ~ ;·~;·y:~.,". ·----·---------------------- ~o City of Cooper City, Florida /TB 2018-11-UTL, Laboratory Tasting Services-Utilities Department Attachment H REQUEST FOR PROOF OF WORKERS COMPENSATION INSURANCE OR EXEMPTION Dear Provider of Services or Goods: In order lo provide services or goods to City of Cooper City, we require that you provide us either proof of workers compe~saUon coverage or proof of exemption. Workers compensation insurance Is requlre<l of all employers in Florida that employ 4 or more part or lull time employoos . In the event that you are an employer In Iha construclion industry, you are required to helve workers compensation Insurance Ir you employ one or more workers. Corporate officers and sole proprietors are included when calculating lhe number of employees. Note: Corporate officers may claim exemplion from workers compensation coverage on themselves only, by filing Form DWC 250, Notice of Elec/lon lo Se Exempt. This form can be found at http://fldfs .com/WC/ronns.html. If you meet the above criterla to be exempt, you MUST provide us with one of tile following: II your business Is a sole proprietorship or unincorporated buslhE:lss: provide us a Ver1ficaUon of AutomaUc Exempt Certificate. This verillcation is a letter that is issued by the Slate of Florida Department of Financial Services. To receive a letter from the Stale, complete the following directions: 1) Call the National Council of Compensation Insurance 1-000-622-4123, OpUon 5, and ask them for the class code ror your type of business, 2) Once you have received this code, call the Department or Financial Services al 1- 850-413-1601 and provide them your business name, class code, mailing address, and contact phone number. They will send you the Verification of AutomaUc Exempt Certificate. 3) Provide us a copy of the Verification or Automatic Exempt Certificate. • If your business Is a corµorallon (Including a professional association or limited liability company), and you are not required to have workers compensation Insurance as per the requirements as ouUined above, you must complete the attached Workers Compensation Exemption Affidavit, have it notarize<l, and return the original to us. If you are an employer that meets the requirements of workers compensation and needs lo obtain coverage, conlact your cunent business Insurance agent, or you msy use the following resources to locale an agent: !'f..WW.faia.c.9.ffi., ~,Q.iafl.org/l'll}lnfo.pdf, or call (850) 893-8245 . Please be reminded that the furnishing of this infom1ation to City or Cooper Ci ty is a non-negotiable requ irement to perform services for us. Failure to provide this Umely may resull in either tennination of your se rvices or del ay of payment for services. Your workers compensation Certificate of Cover age, Work ers Compensation Exemption Afftde1vil, or Verifi ca tion of Automatic Exernpl Certificate must be delivered or mailed to the Purchasing Division located at Cily Hall, 9090 SW 50 Place , Cooper City, Florida 33328, or emailed lo PLjrchasing@_CooperCltyFL.org. 41 r City of Cooper City, Florida ITB 2018-11 -UTL, Laboratory Tes ting Services -Utilities Department AnAGIMf.NT I OWNERSHIP DISCLOSURE AFFIDAVIT 1. If the contact or business transaction Is with a corporation, the full legal name and business address shall be provided for each officer and director and each stockholder who holds direcUy or indirectly five percent (5%) or more of the corporation's stock. If the contract or business transaction is with a trust, the full legal name and address shall be provided ror each trustee and each beneficiary, All such names and addresses are (Post Office addresses are not acceptable), as follows: Full Leqal Nan~ Ownership Charles M . Ged 13698 Mar sh Harbor Drive Jacksonville, FL 32225 55 % ~~Ie~~~n~ifi~c~r~G~c~d~~~~Sam~~-~~~~~~~~~~~~~~~~~~~~~--'4~5~% ~~~~~~~~~~~~~~~~~~~--~~~~~~~~~~~~-~~~~~-% 2. The full legal names and business address of any other Individual (other than subcontractors, materlalmen, supplier.;, laborers, or lenders) who have, or will have, any interest (legal, equitable, beneffclal or otherwise} In the contract or business transaction with lhe City are (Post Offlca addresses are not acceptable), as follows : STATE: COUNTY: E<LORTDA Duval Sworn to (or affirmed) and subsc.t·lbed btifo re me this 5th da y of September .. 2 0~ by: _ __,,C"-'h=art"'e=s~M~. G=e.=d,,_. ______ _ .'i<lf1:c of pu ~on ·J1!r.klr1& slaltlll4nt ~m&~ \\:l ~~~ :\- sr9Ha tlJn!.-o/ Not ury Pub Ur:· Statc-oj-. F~lo-ri~da- (NOT A RY SE AL) Nandlni Arnrit Nn IM of No:arr T:1'p<d. Pd nc ~d. 01· S~n ll:p o d P1i 1·so nally Kno1-..•11 X OR Pl'o du ce d Id en tifi ca tion Type o f lli t!n tlft cation Prod uce d __________ _ --·--··---~ ~-·-----~-----.. ---- 42 r City of Cooper City, Florida ITB 2018 -11-UTL, La bomtory Testing Services -Utilities Department ATIACHMENT J DRUG FREE WORKPLACE CERTIFICATE I, the undersign ed, in acco rdance with Florida Statute 287.087, hereby certify that , (print or type name of nrm) Advanced Environmental Lal>orato ri r;~, Inc. )> Publishes a written statement notifying that the unlawful manufacture, distribution , dispensing, possession or use of a controlled subst ance Is prohibited in the workplace named above, and specifying actions that will be taken against viola ti ons of such prohlbillor 1. » lnfonns employees about the dangers of drug abuse in the work place, the firm's policy of maint aining a drug free working environment, and av ailable drug counsel ing, rehabilitation, and employee assi stance programs . and th e penalties that may be impo~d upon employees for drug use violation s, » Gives each employ ee eng aged in providing commod iti es or contra ctu al services that are und er bid or proposal, a copy of th e statsment specified above. » Notifies the employees that as a condillon of working on !he commo<liUes or contractual services lhat are under bid or proposal, the empl oyee will ahlde by th e terms of lhe slalemonl and will notify th e employ er of any conviction of, pleas c;( guilty or nolo coritendere to, any 11lolallon of Chapter 1893, or of any contr olled substance l9w of the Slate of Florida or lhe Uni ted States, for ii vlol ajion oc curring in the work place, no later than flve (5) days after such r.onvlcli on, and requires employ ees lo sign copi es of such wrlt1e n (') statement lo ac knowledge their receipt. );.> Imposes a sanction on, or requi res the sa ti sfaclory particip ation in, a drug abuse assist anc e or re habilitati on pro gram , ii such is available In the employee's community, by any employee who is so convicted , '» Makes a good fullh effort to continu e to malnfain a drug free worl< place through the Implementation of the drug free workplace ~~. ' "As~~ p e rn.~n i a tti o/led to .slgn)!his stat7dnt, I certify that the above named business, finn or corpora llon compil es fully with the requir 1evs setr herein ', //, ---~/_~J$L --U _ Sig nl tiroof Affiant · ~--- C h a.rl c ~ M . (l ed S'f AT E: FLORIDA Prlnt Nam e / CO UNTY: Duval 9/5.[£Qlli__ .. Date Swon1 to (or a ffirm ed) <i nd s ub sc:rlb f!d befortJ m e this Bb_ clay of S ~r..t e rnb ei:_, «ml!! by : Ch ar les M. Ged :Vr.m~ c,frw rs on nH;k fna r t otdm~r.~ l-0_C4J.<l\.5i\~\ ~ ~ .t 5i.c:i~MttJ~'-' ofNornry Pub/I r.· StM~-o-fr-.1-on-·a-·o (NOT :\RY SE AL) Nandini Amr lt Perso n a lly Known X OR Pro d uced iclentific;ition --------· Type of !J..,ntifkation P ro d \\t;e tl __ . .::__~-. __:::_~~=~-.. := .. --·--.~I 13 City of Cooper City, Florida ITB 2018 -11-UTL, Laboratory Testing Servic es -Utilities Department ATIACMMENT K EMPLOYEE BACKGROUND VERIFICATION AFFIDAVIT I, Chuck M. Ged of Adv~nc ed E nvironment~! l.11b ornto r ies , lnc1 attest that all personnel us&d in (Pn'nf Name) (Company Name) lhe performance of this work have had a criminal background check with a passing grade and have been drug tested h a passing grade and re legally documented to worl< In the Unlled States . Date NANOI NI AM RIT lrf'( CO MMISSION ll'ilG079~22 EXPIRES: MAil 00, 2021 llolldet! \Jiro~ Isl Slllle lo1u~oce STATE; COUNTY: FLORIDA Duval Sw o rn t o (ol' a ffil'm r:<l) <1nd sub s cl'ib ed b afo 1·e me U1is ...filh_ d a y o f Septe mbe r 20 18, bv\ Ch ar les M_._G_.e""'ct ________ . -· 1 -~ --~~/vt.rs o n mGi.H :os tatiJrr.c:ir.i ~DC~·.\. \"\; \2\\'f\\' \ r S<r111'ottm.• o/ No tn•)' PulJ/i ~· St ole af Flotidn (NOTAR Y SEAL) Nand lnl Amrit .Vn me o/Nota r,· rr,uen'. Pri ,1t<d. o r S<a mp~ri Pe r so n a ll y K11 own ...2$__ OR Pro c\u cecl Iden ti ficatio n Type o fl den tifirntio n Pr o d11 ce d __ _ ----··~------------------~-- 44 r ADVAN·B r---...,.fl~1P_.l[l ~ll~ I DATE (MMIDOIYYYY) Ou/2612010 CERTIFICATE OF LIABILITY I N SURANCE nns C.EllllFICATE IS ISSU ED AS A MATIER OF INFORMATION ONLY AHO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERrlFICATE DOES llOT AFFIRMATIVELY OR NEG/\nVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BEi.OW. THIS CERTIFICAlE OF INSURANCE: DOES NOT CONSTITUTE A cmlTRACT BElWEEN THE ISSUING IN SLIR ltR(S), AllTHOR IZF-Il RF.f'RE:SENTAllVE OR PRODUCER, ANO rne CERTIFICATE HOUlER. 1"4PORTANT : If tho certlflcal11 holdor Is an ADDITIONAL INSURED, the pollcy(lon) muat have ADDITIONAL INSURED provlnlon~ or be endoraed. II SUBROGATION IS WAIVED, ~ubjocl to tho tarme and condlilonu of Lim p11llcy, cDrtaln pollclo~ may require an undot11nmonL A stalomont on Uils ccrtlrlt:a lo do uo not co11(or rln ht ~ lo tho r.nrUflc nto ho ldut In llou ol B!1,_c_h_,c,,,n~d~o_rs_,e~m~•..,m~t..,(a,.l~· --------------------t rncrnucr:n 9 0•1 -6 6 5-1952 JiXUif:',..cr_J_a.,,.m~l ~o ~P=o.,_p_,o==-z--------··-::- 13rown & Brown of Flmhla, Inc. jA18!\r"o E>fll 904-565··1952 I trtf~;",,90 4·5U5 ·2•14 0 --· Oulfdlna 100, Sultu 100 _ '-9· ---· _ ·--i-= ·-'"-__ ·10161 tJoorwood Park Ellvd · ilif'afsu: JJlOPO@bb)ax.com Jac:,tnonVUlo, FL J:.!256 --- Jim Porrloh i-----,:-._ill!lUf!fJllGIN'Fonn11mc:ov~l!r.10J'~-----~·- INSURE D /\dvnn~o·d E1.1vlro11111onl ;1I Lahorntorlo·,, Inc. 6 60'1 Southpoh1t Porkwny Ja~kuonvlllo, FL ~2216 --------1-"'""'~"'u,.,,nE"'ll""'"J Brldgli(lold Employoru Inn . Co . . ·-·---10 701 __ J llGURon a , Colony lnsu rnnco Company ~ ____ . ·--__ ..!!.U!Y.Uf~n~c~:-----------~ IN9 lfll~l10: .lli.,Q..UReA ~ ! '---------------------------~.),,_tk"'•L~'M=f\'-f.,_: __________________ ..__ ___ _, Mi.J.:S CE HilflQ.AIElill.Ml.lER; RE~lll.(JC()1JulJ:11l.lW!'"""i="'"li..' -------. THIS IS TO c;i:1mf'Y Tl IAT TH E l'Ol.IClf:S OF INGlJRANCE 1.l3Tf.D tlELOW HAVE flf~EH IS SUED TO THE .INSURED t~AM EO ArlOVE FOR r~IE POLI CY PC:HIOD IMtll CATEU. No·rw m1STAfjfll lKl /\NY REQ UI REMt:NT, Tl!HM Oil C:ONL1 1Tl0 1l OF ~NY CONTRACT Oil OTHER OOCIJMr;tff Willi RE81'tCT TO WHICH mis CER llFICATE MAY OE ISS UE[) Oil MAY l'EHT/llN, rHE IN!'J Ul'!ANOE /\FFO RP EIJ OY THE POUCIES UES CRlllEO HER EIN IS SUBJECT TO AL L TllE TE llMS, l:XCLUSl.ONS AND CQND lilOllS OF SUCH l'OUCIES. LI MITS llilOW N MAY HAVE IJ EEN REOU CEO BY ;...P:..:Al::::D_.:C:c:.l/IJ:c=M.:.:S:.; •. ---------------~f11.-· TYPli OF INSU~Hr.e (Miifil ~~,~.. 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Waiver or ~ubroga ti o n In r a v or or the City of Cooper C it y i•nd lls a genUi, ornpl oynt'!:l an d orncla l s Is Inc lud ed .. Cl:l3TlflCAf F l:!Q!Jl[fl_ __ City or Cooper City 0090 S W 50 Pl ace Cooper Ci ty, FL 33328 ~-~-~~----·------ AC ORD 25 ji016/03) ____ ,_M.tl.8'.t!...AT..,.IOuctl.__ ________________ _ C OOPE03 SH OU LO Alff OF TH E ABOVE DESCRIBED POLI CIES OE CANCEL\£0 flE FORE THE EXPlf\AllOH DATE THE11EOF, NOT ICE WILL BE DE LIV ERED I N ACCORDAllCI: \~l!H TH F. POI.I CY PROV IS ION5. A ijY~()rulEO ll l;P nl.Sf)IT/IT1V ~ ~~,~~- © H60·2 015 ACORD CO RP ORAT I ON. 1\11 ri 11htH ro~e rvad . The ACORD name and lo go aro fll!J lelorod marks o f ACORD NOTEPAD: 110LoeR cooe C00PE03 1H&Uf16o·a HAME Advanced Environmental ADVAN·6 OP ID: RA on tho Wol:k<>r.O Compli>nDat:l.on policy when requir"d 0 by "'ritten oontr111ot . rfot.ica of oanoollal::l.·on provia<Jd per pol.icy provi1d.ono, PAOR 2 0 •1• 06126/2018 -----------·------------·---·-· ---------- . ~ RECO<;,._ t!-..· v~. x,V .• y-. ~~t ~ra~-. l} .. ;S -~ ... -;--~-£-· -"'~c· ("',... ~"'~--~ .. tO .. ~o~~ -~~-·---HfAitA State of Florida ~ Department of Healtll, Bureau of Public Health Laboratories This is to certify that !r" ~ E82535 ADVANCED ENVIRONMENTAL LABORATORIES, INC. -MIAMI 10200 USA TODAY WAY MIRAMAR, Fl 33025 has compiied wjth Florida Administrative Code 64E-1, for the ex2min2tlon of environmental samples in the following categories DRJNKING WATER-GROUP II UNR::CGU'..J\TED CONTAMINANTS, DRJNKING WATER-MICROBIOLOGY, DRJNKJNG WATER-OTHER REGULATED CONTAMINA"JTS, DRINKING WATER -PRIMARY INORGANIC CONTAMINANTS. DRINKING WATER -SECONDARY INORGANIC CONTAMINANTS, DRINKING WATER -SYNTHEJIC ORGANIC CONTAMINANTS. NON-POTABLE WATER -EXTRACT ABLE ORGANICS, NDN-PDTABLE WATER -GENERAL CHEMISTRY, NON-POTA3LE WATER -METALS. NON-POTABLE WATER -MICROBIOLOGY, NON-POTABLE WATER-c ;:sncmES-HERBICIDES-PCB'S. NON-POTABLE WATER -VOLATILE ORGANICS, SOUO AND CHEMICAL MATERIALS-EXTRACTABLE ORGMJICS, SOLIO AND CHEMICAL MATERIALS -GENERAL CHEMISTRY. SOUO AND CHEMICAL MA TE.RIALS-METALS, SOUD AND CHEMICAL MATER'tALS-MICROBICLOGY. SOLID AND CHEMICAL MATERIALS -PESTICIDES-HERB/CfDES-PCB'S, SOLID ANO CHEMICAL MATERIALS -VOLATILE ORGANICS Co:1tin\;ec certification is conlingenL upon successful on-,going compliance with the NELAC Standards and FAC Rule 64E-l re:gulc.:.icns. Spedf!c methods and ana!ytes certified are cited on the Laboratory Scope of Accreditation for this laboratory and are on iiie at r.he Bureau of Public He.ait.h Labnratories, ?. 0. Box 210, Jacksonv11le, Florida 322.31. Clients and customers are urged to verify with this agency the laboratory's certification status in Florida for particular methods and analytes. '~3 Date Issued: July 01, 2018 Expiration Date: June 30, 2019 ,..(' / .-_ ...... ~~----,,-------(../ Farry A Lewar.dows,'<i. MBA. MT(ASCP) Chief Bureau of Public Health Laboratories DH Form 1697, 7/04 NON-TRANSFERABLE EB2535-64-07/01f2018 Supersedes all previously issued certificates ?~~CoG .. . . -.'Y' '"l-~" . ~ ~~;i:~~::..-~ CJ ~-.~~ t~';/ : ';\. -z .. ~ ,~ ... .ti~~ ~ \cp~..Y""b ·.c-Drrnno~~ -:--~-~----·· : --· -··· HEA~TH State of Florida Department of Health, Bureau of Public Health Laboratories Thcs is to cenify thac E82574 ADVANCED ENVIRONMENTAL LABORATORIES. INC. 6681 SOUTHPOINT PARKWAY JACKSONVILLE. Fl 32216 has complied with Florida Administrative Code 64E-1. for the examination of environmental samples in the following categories DRINKING WATE.R -GROUP I UN REGULA TED CONTAMINANTS, ORINKlNG WATER-GROUP It UNREGULATED CONTAMINANTS, DRINKING WATER -MICROBlOLOGY, DRINKING WATER.-OTHER REGULATED CONTAMINANTS, DRJNKlNG WATER-PRIMARY INORGANIC CONTAMINANTS. DP.INKING WATER-SECONDARY INORGANJC CONTAMINANTS, DRINKING WATER -RADIOCHEMISTRY, DRINKJNG WATER-SYNTHETIC ORGANIC CONTAMINANTS, NON-POTABLE WATER-EXTRACTABLE ORGAMCS, NON-POTABLE WATER -GENERAL CHEMISTRY, NON-POTABLE 11/ATER -METALS, NON-POTABLE WATER -MICROBIOLOGY, NON-POTABLE WATER-PESTICIDES-HERBICIDES-?CS'S, NON-POTABLE WATER-VOLA TILE ORGANICS, SOLID AND CHEMICAL MATERIALS -EXTRACTABLE ORGANICS, SOUO AND CHEMJCAL MATERJALS-GENERAL CHEMISTRY. SOLID AND Ci-iEMICAL MATERIALS -METALS, SOLID AND CHEMJCAL MATERIALS-MICROBIOLOGY, SOLID AND CHEMrCAL MA ERIALS -PESTICIDES-HERBJCIOES-PCB'S, SOLID ANO CHEMICAL MATERIALS -VOLATILE ORGANICS ~ ,elr__§T·-. Continll€d certification is contingent upon successful on-golng compliance with !.he-NELAC Scandards and FAC Rule 64E-1 regulations. Specific methods ano analy;:es certlfied are cited on the L.aboratory Scope of.Accreditation for this laboratory and are on file at the Bureau of Publlc Healtn Laboratories, P. 0. Box 210, Jacksonv1lle, Florida 32231. Clients and rustomers are urged to verify with this agency the laboratory's certification status in Florida for particular methods and analytes. .. -~.:~=5!"~~~' .-_...... ..~ --.. e·o,. .. {~~~\~ ·:~~~o::. r-:~~/.~-~ : ·-.-:;'.~_!) ·.·.·s-iv.'3-.:;-~ -... ...... ---~. Date Issued; July 01, 2018 Expiration Date: June 30, 2019 r .-:-~ .,./-!"----·----?atty A.? L"'>''ji;'neowski, MBA. MT{ASCP) Chief Bureau of Public Health Laborato<ies OH Fomi 1697, 7104 NON-TRANSFERABLE EB2574-5!?-07I01/201 B supersedes all previously issued cen:ificates ;? ,;Eeoc,...,.._ ".J ..;:;, ~~·~::.~~ 'S_.r..,;~~~ ~~)£i·-?;f ~l~~ ·~...,~-.. ~v ""Dfi"JlJiO• ;::;-.--·:...-:----=---' ' HEA§TH State of Florida Department of Health, Bureau of Public Health Laboratories This is to certify that "~ ~ ~~ ....... E84589 ADVANCED ENVIRONMENTAL LABORATORIES, INC_ -TAMPA 9510 PRINCESS PALM AVENUE TAMPA, FL 33619 has compiled with Florida Administrative Code 54E-1, for the examination of environmental samples in the following categories DR!NKING WATER -GROUP I UNREGULATED CONTAMINANTS, DRINKING WATER-GROUP II UNREGULATED CONTAMINANTS, DRINKING WATER -tll!CROBIOLOGY, DRIN.'<ING WATER-OTHER REGULATED CONTAMINANTS. DRINKING WATER-PRIMARY INORGANIC CONTAMINANTS, DRINKING WATER-SECONDARY INORGANIC CONTAMIN.AITTS, DRINKING WATER-SYNTHETIC ORGANIC CONTAMINANTS, NON-POTABLE WATER -EXTRACTABLE ORGANICS, NON-POTABLE WATER -GENERAL CHEMISTRY. NON-POTABLE WATER -M£TALS. NON-POTABL.£ WATER-MICRGBIOLOGY. NON-POTABLE WATER -PESTICIDES-HERBICIDES-PCB'S, NON-POTABLE WATER -VOLATILE ORGANICS, SOLID AND CHEMICAL MATERIALS· EXTRACTABLE ORGANICS, SOLID AND CHEMICAL MATERIALS -GENERAL CHEMISTRY, SOLID AND CHEMICAL MATER!ALS-M2 ALS, SOLID AND CHEMICAL MATERIAL<; -MICROBIOLOGY. SOLID ANO CHEMICAL MATERIALS -PESTICIOES-HERBICIDES-PCB'S. SOUD AND CHEMICAL MATERIALS -VOLATILE ORGANICS Conti!':.Jf:d ~rt:fil?Jtio:i is contin~ent upon suc~essful or:-going compllance. with the NE_!-AC Sta0d<!rdS and ~AC Rule 64E-1 reguiat!O!'ls_ Spec1 r;c methods ana analvtes cernfied are crte<l on the Laboratory Scope or Accred1.tat1on for this labcrato;-y and are on fiie at the Bure.au of Pubiic Healtfi Labo:c;tories. p_ 0. Box 210. Jacksonv1!le. Florida 322:!1. C!ie:its end customers are urged to verify with this agency the laboratory's certification status in Florida for particular methods and analytes. "Ji1r Date Issued: July 01, 2018 Expiration Date: June 30, 2019 ,.·( ~ C' _7~ -~'-"-·"'~o.-----Parry A Lemndowski. MBA. MT(ASCP) Cnici Bureau of Public Health laborarories DH Form 1697, 7104 NON-TRANSFERABLE EB4589-53-D1 IDl /2018 Supersedes all previously issued certificates ., ~:-:: L~ :~-j ·~==~.-.;. H~l~.g~H s~..1-] !i State of Florida Department of Health, Bureau of Public Health Laboratories This is to certify that EB2001 ADVANCED ENVIRONMENTAL LABORATORIES, INC.· GAINESVILLE 4965 SW 41ST BLVD. GAINESVILLE, FL 32608 has comolied with Florida AdminisLrative Code 64E-1, tor the examination of environmentar samples in the following categories DRINKING WATER -MICROBIOLOGY, DRINKING WATER -PRJMAAY INORGANIC CONTAMINANTS. DRINKING WATER-SECONDARY INORGANIC cmJTAMINANTS, NON-POTABLE WATER -GENERAL CKEMISTRY, NON-POTABLE WATER-MICROBIOLOGY, SOLID AND CHEMICAL MATERIALS -GENERAL CHEMISTRY, SOLID AND CHEMICAL MATERIALS -MICROBIOLOGY ~ ~.~-Continued o;rtification is contingent upon successful on-going.compliance with the NELAC Standards and FAG Rule 64E-l regulations. Specific methods pno an?iytes certified are cited on the Laboratory Scope of Accreditation for this .laboratory and are on file at the Bureau of Public Heaith Laborator[es, P. 0. Box 210. Jacksonv1lfe, Florida 32231. Clien!S and customers are urged to verify with this agency the laboratory's eertific.::tion status in Florida for particular methods and analytes. Date Issued: July 01, 2018 Expiration Date: June 30, 2019 .-( r ~ ,...-5;;?-~..;----:;,.-___ _ ,,,,.--:_,;;1 Fan:y A. le.v3ndollr.;r:i. MBA, MT(ASCP} Chief Bureau of Public Health la.boratories DH Form 1697, 7f04 NON-TRANSFERABLE ES200l-5B-07/0112D1B Supersedes all pceviously issued certificates ? :>.ECoc;~,.... <,:.J' -~-.;:-.·.:...---·o ~~~ ~-·~~= ~~~4:,__. -v_~-; ~;_:!';~~~~ (;... -~:.".'.f~c=-7'00 ·'-'?~~~~ :--·~--H: -~·A'~·Tw ~,_~ !Z ~-State of Florida Department of Health, Bureau of Public Health Laboratories This is to certify that E86772 E. M. ANP.L YTICAL INC. 8000 NORTH OCEAN DRIVE DANIA, Fl 33004 has como!ied with Fletrida Administrative Code 64E· 1, for the examinaticn of environmental samples in the following categories DRINKING WATER-PRIMARY INORGANIC CONTP.MINANTS ~ ~~, Cont:nued certification is cont!r.aent upon successftJ! on-going compliance with the NELP.C Standards and FAG Rule 64E· l rsgut:itioAs. SDecific methods and analytes certified are dtea on the Laboratory Scope· of Accreditation for this laboratory and are on file at t'ie. Bureau of Public Heqlll1 Laboratories. P. 0. Bax 210. Jacksonv?lle, Fiorida 32231. Clients and customers are urged to verify with this agency the laboratory's certification status in Florida for particular methods and analytes. ;'rji~; Date Issued: July 01, 2018 Exp~ration Date: June 30, 2019 ,. c:---:r-2'---l~-= ......---:: ------Patty A.,. t.atii'nacwski. MBA, MT(ASCPJ Chief Bureau of Public Health Laboratories DH Form 1697, 7104 NON-TRANSFERABLE EB6772-14-07J01/201S Supersedes al[ previously issued certiricates } ------.. -::·~~ ~ .. =·::·~· ~~ ~ s wx: r., e -ra_~ MP.:.AL~ n State of Florida Department of Health, Bureau of Public Health laboratories This is to certify that ~ "' .~. E84025 KNL ENVIRONMENTAL TESTING 3202 N. FLORIDA AVE. TAMPA. FL 33603 has complied with Florida Administrative Co.de 64E·l, for the examination of environmental samples in the foJJowing categories DRINKING WATER -MICROBIOLOGY. DRINKING WATER· PRIMARY INORGANIC CONTAMINANTS. DRJNKJNG WATER. RADIOCHEMISTRY, DRINKING WATER-SECONDARY fNORGANIC COITTAMJNANTS, NON-POTABLE WATER-GENERAL CHEMISTRY, NON-POTABLE WATE.~ -METALS, NON-POTABLE WATER -MICROBIOLOGY, NON-POTABLE WATER-RADIOCHEMISTRY Continued certification is contingem upon successful on-going compliance with.the NELAC Standartis and FAC Rule 64E-1 requlations. Specific merrcods anc a:ialytes certified are cited cm the Laboraw~ Scope of Accreditation for this !aborarcrf .and are on file at the Bureau of Public Healtfi umoratOiiES. P. 0. Box 210, Jacksonv11le. Florida 32231. Clients .and custom8rS are urged to verify with this agency the laboratory's certification status in Florida for particular methods and analytes. ':('~~; '·".°~'"'-.:.~, . .:;;~~~=}:-=~~ Date Issued: July 01, 2018 Expiration Date: June 30, 2019 ,, :---;;::-:~ ./>~ ---· Patty AI~~'1dcws!-J, MBA. MT(ASCP) Chie:f Bureau of Public Health Laboratorles DH Form 1697, 7/04 NON-TRANSFE.RASLE E84025-47-07.A:l1/2018 Supersedes all previously issued cenificatEs ' (~,ri~ .. ·+~ .H~u_~ gt State of Florida Department of Health .. Bureau of Public Health Laboratories This is to certify that ei ~ -~ EB71081 CAPE FEAR ANAL YT!CAL, LLC 3306 KITTY HAWK ROAD, SUITE 120 WILMINGTON. NC 28405 has complied with Florida Administrative Code 54E-1, for the examination of envfronmental samples in the fellowing categories DRINKING WATER -DIOXIN, NON-POTABLE WATER-EXTRACTABLE ORGANICS, NON-POTABLE WATER-PESTICJDES-HERB!CIDES-PCB'S, SOLID AND CHEMICAL MATERIALS -EXTRACTABLE ORGANICS, SOLID AND CHEMICAL MATERJALS -PEST!CIDES-HER81CIDES-PCB'S C:or.dnued ::an:ificaticn is co·ntingent upon successful on-going complian~ with the NELAC Standards and FAG Rule 54E-1 r<:gulations. Specific methods and analytes Certified are cited on the Laboracorv Scope of Accreditation for this laboratory and are on fife at the Bureau of Public Hi:!allh Laboratories. P. 0. Box 210, Jacksonvllle. Florida 32231. Clients and customers are urged to verify with this agency the laboratory's certification status in Florida for particular methods and analytes. Date Issued: July 01, 2018 Expiration Date: June 30, 2019 ~· A /. __..--;:.~,...L. -Patty A. LC?\<;=rtt:!o-.1ts.'ti. MBA, MT(ASCP) Chief Bureau of Pubiic Health Laborarories OH Form 1697. 7/04 NON-TRANSFERABLE E87108l-09-07/011201B Supersedes all previously issued certificates United States Environmental Protection Agency Office of Water Or-tlce of Ground Water and Drinking Water Technical Support Center UCMR Laboratory Approva l Program Based on the review of submitted appllcatlons for each of the ll~ted methods, EPA has gra nt ed the status .of "authorized" to your laboratory for the method(s) listed below to the following laboratory at the l.lsted address: Northern Lake Service, Inc . 400 N. lake Avenue Crandon, Wl54520 The application criteria are listed In the "UCMR 4 Laboratory Approval Requirements and Information Document, Version 2.0." Your laboratory Is now "authorized" to conduct UCM R 4 an<1 lyses using the following rnethod(s): LablD: WI00034 Method Name SM 5310 C EPA 300.0 (Rev . 2.1) Status Authorlied Authorized End of Method Ult D~tc 1/9/2017 1/9/2017 This Inform ation wlll be Included In the list of UCMR 4 approved laboratories. Your status will be maintained during UCMR 4 by continuing to meet the criteria given In the "UCMR 4 Uiboratory Approval Requirements and Inform ation Document, Version 2.0," and any rev isions to tha aforementioned document. Please be aware that you are only permitte d to conduct UCMR 4 analys es using those methods for which you have EPA approval. Should you wish to comment on a ny of these determinations, ple ase write ta: UCMA 4 Labo ratory Approv al coordinator US EPA, Technlr.al Support Center 26 W. Martin Luther Kin g Drive (MS 140) Cincinn a ti, OH 45268 UCM R_La b ... AP proval@epa .gov United States Environmental Protection Agency Ol!k1: ul Wa\er Offic e of Ground Water end Drinking Water Standards and lll sk Management Division TeChnlcal 5upport Ce11tcr UCMR Laooratory Approval Program llased on the review of subm itted applications ond successful participation In a PronciencyTestlng (Pn Study for tha fourth Unr<!!lulated Contaminant MonitorlnB Rule (UCMR 4), EPA has granted tha status of •approved" to your laboratory for the method(s) listed below to the following laboratory at the listed au dress: Northern Lake Service, Inc. 400 N. Lake Avenue Crandon, WI 54520 The appl!ca11on and PT crlterfa are listed fn the "UCMA 4 l<Jboratory Approval Requirement> and Information Document, Version 2.D." Your laboratory Is now "approved" to conduct UCMR 4 analyse.s using the followlng methlld(s): LablD: W100034 Method Name Status Date EPA 200.8 Approved 2/G/2017 EPA 525.3 Approved 6/19/2017 EPA 530 flppr,oved 2/6/2017 EPA 541 Apppo ved G/19/2017 EPA 544 Approved 6/19/2017 EPA 545 Approved 4/3/2017 EPA 546 Approv e d 6/19/2017' EPA ssi.3 Approved 4/3/W17 End of Method List This Information will be Included In th e list of UCMR 4 approved laboratories on our webslta. Your ap proval rut1.1s will be rnaintoined during UCMR 4 by con t inu ins to meet the criteria given in the "UCMR 4 Uiboratory Approval Requirements and Information Document, Version 2.0 ," and a"ny revi sio ns to th e alorernentlo11ed do cument. Please be a war e th~t you ar ~ only perm itt e d to conduct UCMfl 4 analyses using those me th ods for which you have EPA approval. Should you wish to comment on any of thes e determinations, please writ e t o: UCMR 4 Laboratory Approval Cowdlnatar U5EPA, Techni cal Support Center 2fi W. Martin Luther King Driv e (MS 140) Cinclri.~11ti, 0.H 4~S.J.6 B UCM R_La b_Ap,proval@ e•Pa.gov City of Cooper City, Florida ITB 2018-11-UTL, Laboratory Testing Services Addendum #1 Addendum #1 -Questions & Answers (Issued Friday, September 07, 2018) ITB 2018-11-UTL, Labo ratory Testing Services This addendum Is issued lo make the following change (s)/correctlon (s)lciartnca tfon(s) to: Questi on 1: Answer 1: Question 2: Answer 2: Que stion 3: Answer 3: Ouesli on 4: Answer 4: On page 29 of pricing, in the Secondary Contaminants section, the Fluoride Is listed as 24 srimples however all othe r ana lysis are listed as one samp le. How often is this submitted? We are required to collect two Fluoride samples a month from the distribution system. On pa ge 30 of pricing , in Potable Waler System An alysis -Physica l Char acte rls Ucs, there Is on e sample however the qua ntity of th e compos ite/gr ab samp ling charge s is listed at 24 . Is the sampl e being co ll ected every hour for 24 hours? · This Is just a request for a price in case we would like the lab to collect the sample5. Page 44, Empl oyee Bac kg rou nd Verifi ca tio n Aflid avit, does this pertain to only the personnel th at Would be onsite al th e City of Coope r City such as the fie ld te am and couriers and would be upon reward of bid and not prior to? AnACHMENT IC EMPLOYEE BACKGROUND VERIFICATION AFFIDAVIT I. _____ of . . ____ , attest lhal all personne l used in (Print Name) (Co mpany Name) the perform ance of this work have had a cr imin al bacl19 round check wi th a pass in g grade and have bee n dr ug tested wi th i:l pf1 ssing grad e and are legfl lly docu 111 ent ecl lo work in the Unit ed Slates . Pag e 44, Emp loyee l3 <J ckgrou:1d Veriij calion Alli d.:w il. does this form need lo be inclucled for the bid lo be accepted and oworcle u? Yes, please see page 24, item 6. City of Cooper City, Florida ITB 2018-11-UTL, L11boratoiy TesLing Services Addendum#1 Question 5: Answer 5: Question 6: Answer 6: For the analysis ol Chlorine listed under Disinfectant residuals, this is a field test and has a holding liine of 15 minutes. Will this be accepted to be reported out of hold if you would like It analyzed in lhe laboratory? No, It will not be accepted to be reported out of hold, only if It's done in the field. --------·--· Under Reagents and Supplies -Can you please provide the usage information, or description or application, for the Calcium Hardness Butter and Total Hardness Buffer. Calcium Hardness Buffer is 1used to test Calcium Hardness. Total Hardness Buffer Is used to test Total Hardness. All bids are due on We<lnesday, September 12, 2018 al 3:00PM EST. Acknowledgment of Addendum #1 Bidders heroby acknowledges Iha/ 110/she 11Js received and 1~;:JJ} rs/ands Iha Info rmal/on contained in this Addendum. Blddt1rs furthe r ack nowledges that this page Ml /J o sii 1eid and re turned wilJ/s Bid, along with any rev/sod Bid Fonns, If appllcablo. Ac~now(e(igedby: , . . //111 :.~ · Compa;1y: "A~v~~ced Envki:l~.~l ~.nia°tL at.m~~toiJ,es , Inc. Print Name: Oate: . S'ept '7, 2o1:S. __ · __ 10!21121, 4:•12 PM Detail by Entity Name Florid a Profit Corporation ADVANCED ENVIRONMENTAL L ABORATORIES, INC, Eill1m.l.lllilrru.ntl.2.n Docunrnnt Number FEllEIN Number Date Fllect Sta1e Status Lnst Ev ent Event Date Flied frlru;J1iu~~ 6681 SOUTHPOINT PKWY JACl<SONVILLE, FL 32216 Changed: 03/25/2013 M.!lilln gJilWttl~ 6681 SOUTHPOINT PKWY JACKSONVILLE. FL 322·16 P040D0072353 59·3274470 10/03/1994 FL ACTIVE REINSTATE MENT 11/17/1997 Changed: 03/25/2013 8"gl.fil!Hl!il.bEJOJlillfilng..JLJ\J!.1J(W.~ GED, CHARLES M 6681 SO U T HP OINT PKWY JACKSO NVILLE, FL 32216 Address C hanged: 03/25 /2013 Q [JJ.r..9JiLl.J!'..\L!;lP. r._Q11J.i!] l N ;inio & Addre s5 Ti tl e P GED , CHAKLES M 6681 SO UTllPOINT PAR l<WAY JACl<SON VI LLF., FL 322"16 T ill e V P Oelall by E11lil y Mnine ;: ... • ..... ,, ,, ( . .i ·· ,,_' •. . ) .:1 ,.,,, , .. ; -~( )~~ ~J( ),· •.'i'lf ,II •·I ... ,' ·! 10/21 /2 1, 4:42PM ·GEO, JENNIFER L 6681 SOUTHPOINT PARKWAY JACKSONVILLE, FL 32210 .8J.W.llil.l 8.!l RQ!ll Report Year 2019 2020 2021 Filed Date 0~/08/2019 04/13/2020 04/26/2021 ll!lli:&!;l!J.(,L:;./)NMJAL J'IFl•()[rf {Jd(ljV£!1.;>!.l_:.: . .MIU\il)L 1'11 \1:'!.ll [I !Wl\11/lt 1.1.lL~ lll:JN.Ll/\L ISt'.!:mn 9.1Lllfillll.l!L-:. 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A p pr.op i)~.tc~·' ·• · :\'.r~~iJchdc ~_.,1,:'/';,;E n c~in~tJ:e.!'.~~'f/;~r ::·.:-Hnl ~n cc·,;t:i/;'~:!?.Y.~.~,t;,J>1!Jcfi·;) 500,000.00 475 ,000.00 0.00 0.00 475,000 .00 12/l 712021 To ta l for (2) Opcrnting Expen se s 500,000.00 475,000.00 Total cx1icnses 9500 (Funcl 450) WS-1\clrn:inistration .. •,,\ Tothl Expenses foi· li'1"111<1 :450 · 450 Water & Sewers Division Fund JOO,OOIJ.IJO 475,000.00 0.00 0.00 475,000.00 475,000.00 ~ -· · ~ ~-·r,•r·.'--:--'. ,·:.: :·~ • ' ·: ·-~ : . ~ , :-~: _ .~-;. .,~ • • ••::·.:;1':.: ::; .':·:" 1 1 · '!' ... 1);~ :~ -::r ~,:;:•::·r:r ::~ ~:~..'..·-;"'..:::!': ").::!'"..:-.' =i•~:t.·:O.! "!.t<it;l.;1:.'S·:~~:_•a". .. ·~;~~): . 't'.~F ~~~~f t~\:\i;~(~'.'J~':i?/·'.:'.i;)i;r':~)~'.l'.;~~~~f 1!'~'.'/ll~~~l~~~~lV.llf~f:~ '•'. 1' \ ·:. ~.i: '. -.....;-'.-. Fund Totals $475,000.00 $0.00 $0.00 $475,000.00 Hcv enuc/Ex pcnses Ba lance: $0.0 0 '. : : 1 45 0 Water & Sew er s Divi s io n fund Trinl Uu l uncc -lixpense.1· Printed : 2/1 4/2022 Png c: 2 ( 450 Water & Sewers Division Fund Fiscal Year: 2022 Trinl Bnln11 cc - ·Account : .. 1 ".· · ·'Pe·rcent< 450.9510.5333 15 38 % .;· ·. : .:-·' .. •·:'~ A rrrp!}~ia.tc..~~-'y/ i:··>)~x p ~ntlc~~i::~;::·:_,.Ip11~i!JEY~.tC:c1:r.~~L; ~:\~~!~:~~~~;0J{~;£~UP~~fo:'iJ 10,000.00 PROFESSIONAL SERVICES -WATER QUAL ITY TESTING 75,000.00 28,681.00 46,319.00 0 .00 2/8/2022 Total for (2) Op ernting Expenses 70,000.00 75,000.00 28,681.00 46,319.00 0.00 Totnl expenses 9510 (Funtl 450) 10,000.1/IJ ws -water Serv.ice!> 75,000.00 28,681.00 46,319.00 0.00 f?und Totals 450 Water & Sewers Division Fund $75,000.00 $28,681.00 $46,319.00 $0.00 Hcvcnnc/Expcnscs Balance: $28,681.00 ··0·· O· + 70.000 . + 70.000. * 450 Waler & Sewers Divi s ion Fund T ri nl Balance -l-.\pense.1 Printed : 2/ I ;\/2022 l'agc:2 ( 10/1 9/22 , 1 :05 PM Detail by Entity Name Florida Profit Corporation ADVANCED ENVIRONMENTAL LABORATORIES, INC . Filing Information Document Number FEl/EIN Number Date Filed State Status Last Event Event Date Filed 6681 SOUTHPOINT PKWY JACKSONVILLE, FL 32216 Changed: 03/25/2013 Mailing Addres$ 6681 SO UTHPOINT PKWY JACKSONVILLE, FL 32216 Ch anged : 03/25/20 13 P94000072353 59-3274470 10/03/1994 FL ACTIVE REINSTATEMENT 11/17/1997 ~gis tere ct Ag ent NruD..L./l<...8 dclre ss GE D, CHARLES M 668 1 SOUTHPOINT PKWY JACKSONVILLE, FL 322 16 Address Changed: 03/25/20 13 Officer/Director Det a il Name & Address Titl e P GE D, CH ARLES M 6681 SO UTHPO IN T PARK WAY JACKSO NVILLE, FL 322 16 Ti tl e VP De tail by Entity Name i}i ,·r·,1 1 J 'rJ/ ( ~ I ; .. ; j ( ) ~ " : . ; ' I () I ' : _: ~ ' ..• . . https://search .s unbiz.org/lnqu iry/Corp ora ti onSearch/Sea rchRe sultD etail ?inq uiry type=E nt ityN ame&directionType=l niti al&sea rc hN a rn eOrder=ADVANC .. 1/2 r 10/19/22, 1:05 PM GED, JENNIFER L 6681 SOUTHPOINT PARKWAY JACKSONVILLE, FL 32216 AnnualReRQfil Report Year 2020 2021 2022 Filed Date 04/13/2020 04/26/2021 0412712022 Document Images 04!;1[JL.W2 .L:o . .81•J~I UA l. 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J b!NWAL._131:.':POf.SI 04/14!1998 ··AN NUAL REPORT .i.11 171; 11<t LJ3.l.-:;!iJ.'iI·~1Eivl!;:.i:il View image in PD F format View im age in PDF Format View im age in PD F fo rmat I I I View i_rnage in PD F forn~ _J ViP.w imag" in PDF Fo rm at View im ,.ve in PDF for"mal l/iew imag e in PDF fum 1a1 View imHge in PDF Fo rmat D e tail by Entity Name h ttp s ://search .sunb iz.org/l nquiry/Corp oral ionSea r c h/Sea r c h Res ultDe t a il?inq uiryl ype =E n tily N a m e &dir eclio n Type =l nitia l&searchNa m eOrd e r =ADVAN C ... 2/2 450 Water & Sewers Division Fund Fiscal Year: 2023 Trial Balance - Account Percent Appro riate_d __ _ Expended Last Date 450.95 I 0.5333 I 5 O % o oo PROFESSIONAL SERVICES-WATER 150 ,000 .00 0.00 0.00 150 ,000 .00 10/19 /2022 QUALITY TESTING r --------; o-t~l -f~~ (;)-~~;r~t~~ ~~~;n~~s----------------------------------------------------------------- 150,000.00 0.00 150,000.00 Total expenses 9510 (Fund 450) WS -W a t er Services Total Expenses for Fund 450 450 Wate r & Sewers Divis ion Fund 150,000.00 150,000.00 Fund Totals $150,000.00 $0.00 Revenue/Ex penses Balance: $0.00 4 50 Water & Sewe rs Di vis ion Fund T ri a l Bala nce -Expenses 0.00 150,000.00 $0.00 $150,000.00 35.008· * Printed: I 0/20/2 0 22 Page: 2