Tetra Tech, Inc

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RFQ No 2012-10 Continuing Contract for Professional Services SECTION 6.0 CITY REQUIRED FORMS 6.1 ACKNOWLEDGEMENT FORM NAME OF COMPANY: SIGNA. (Sign in TITLE: Vice Jon Fox, PE (Print Name) _________ Mana~rMAlL ADDRESS: jon.foxt~tetratech.com ADDRESS: 201 E. Pine Street, Ste. 1000. Orlando, FL 32801 TELEPHONE NO.: (407) 839-3955 FAX NO.: ___________ (407) 839-3790 By signing and submitting this submittal, we acknowledge having read and agreeing to all times and conditions of these specifications, including, but not limited to, agreeing to indemnify and hold the City harmless from any and all claims, suits, actions, damages, causes of action, or attorney’s fees arising from any personal injury, loss of life, or damage to person or property sustained by reason of or as a result of the products or services supplied, or negligence of contractor supplier, his employees, agents, or assigns. By signing and submitting this bid proposal, we certify that this company has current insurance coverage specified herein. The insurance policy number(s) and expiration date(s) are provided below, or copies of the insurance certificate(s) are enclosed. If awarded the contract, we will provide the City with proof of the required insurance and include the City as an additional insured on our general liability coverage. Do you give prompt payment discounts? DYes, Percentage of discount ____.___% Term__________ ~No I certify that this submittal is made without prior understanding, agreement or connection with any corporation, firm, or person submitting a proposal for the same materials, supplies, or equipment, and is in all respects fair and without collusion or fraud. I agree to abide by all conditions of this bid and certify that I am authorized to sign this bid for the bidder. INSURANCE POLICY NO(S): Copy provided on following page(s) EXPIRATION DAT (S):_____________________________________ INSUR CE TI ATE(S) ENCLOSED: x YES NO __________________________________ Jon Fox, PE, Vice President/Operations Manager NTIES (Sign In Ink) (Print Name) Any specific warranty provided for in the contract shall be limited to the provision of services in accordance with the industry standard (NOT the Thighest’ industry standard) for the type of services provided. For engineering services, the standard would be in conformance with the services provided by an experienced and competent professional engineering organization rendering the same or similar services. Any specific warranty provided for in the contract related to remedial work shall also be limited in terms of a dollar ceiling, and time frame not to exceed one year after compledon of remediation services. If the undersigned contractor is awarded a construction Agreement on this Proposal, the Surety who will provide the Public Construction Payment and Performance Bond will be: Safeco Ins Co of America whose address is 1001 4th Ave., Ste. 1700, Seattle, WA Zip Code__98154 Page 38 of 69 Page 92
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/08/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Insurance Services West, Inc. Los Angeles CA Office 707 Wilshire Boulevard Suite 2600 Los Angeles CA 90017-0460 USA CONTACT NAME: PHONE (A/C. No. Ext): E-MAIL ADDRESS: (866) 283-7122 FAX (847) 953-5390 (A/C. No.): INSURER(S) AFFORDING COVERAGE NAIC # Holder Identifier : INSURED Tetra Tech, Inc. 201 East Pine Street Orlando FL 32801 USA INSURER A: INSURER B: INSURER C: INSURER D: National Union Fire Ins Co of Pittsburgh Insurance Company of the State of PA Chartis Specialty Insurance Company Lexington Insurance Company 19445 19429 26883 19437 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570044594400 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL SUBR INSR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LIABILITY GL4871170 10/01/2011 10/01/2012 EACH OCCURRENCE X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) CLAIMS-MADE X OCCUR MED EXP (Any one person) X X,C,U Coverage PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG POLICY X PRO- JECT X LOC A AUTOMOBILE LIABILITY CA 170 73 88 10/01/2011 10/01/2012 COMBINED SINGLE LIMIT (Ea accident) X ANY AUTO BODILY INJURY ( Per person) ALL OWNED SCHEDULED BODILY INJURY (Per accident) X AUTOS AUTOS PROPERTY DAMAGE HIRED AUTOS X NON-OWNED (Per accident) AUTOS $1,000,000 $1,000,000 $10,000 $1,000,000 $2,000,000 $2,000,000 $1,000,000 D X UMBRELLA LIAB X OCCUR TH1100027 10/01/2011 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION B WORKERS COMPENSATION AND WC20635697 10/01/2011 10/01/2012 WC STATU- X OTH- TORY LIMITS ER B EMPLOYERS' LIABILITY Y / N WC20635698 10/01/2011 10/01/2012 ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT $1,000,000 B OFFICER/MEMBER EXCLUDED? N N / A WC20635699 10/01/2011 10/01/2012 (Mandatory in NH) E.L. DISEASE-EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 C Contractor Prof COPS1952583 10/01/2011 10/01/2012 Each Clain $5,000,000 Prof/Poll Liab Agggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of Insurance. Project Start Date: 10/01/11, Project End Date: 10/01/12. Stop Gap Coverage for the following states: OH, WA, WY. CERTIFICATE HOLDER Tetra Tech, Inc. 201 E Pine Street, Suite 1000 Orlando FL 32801 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 7777777707070700077763616065553330770637577237455607742104663435111072773457356311330747373712657322107526637130272110075040135762745700776621711243655407506633530272310077727252025773110777777707000707007 6666666606060600062606466204446200620002604226202006002006262040020062222062620622020600222626024220006200024262060000062222242600420220602220626226000206202226242062220066646062240664440666666606000606006 Certificate No : 570044594400 ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Page 93
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A. TITLE PAGE Name of Respondent’
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Executive Summary INTRODUCTION AND
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Executive Summary 5) Continuing Wat
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Executive Summary • Quality Assur
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PART I - A-D CONTRACT SPECIFIC QUAL
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E. RESUMES OF KEY PERSONNEL PROPOSE
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g. h. i. j. various infrastructure;
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F. EXAMPLE PROJECTS WHICH BEST ILLU
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Continuing Contract for Professiona
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Page 47 and 48: Norwood-Oeffler Water Treatment Pla
Page 49 and 50: Alexander Orr Water Treatment Plant
Page 51 and 52: Water System Master Planning, Mappi
Page 53 and 54: Pump Station Conversion Project Hol
Page 55 and 56: Lift Station 104, 306 and 420 Impro
Page 57 and 58: Hydrogeology Page 57
Page 59 and 60: Communication Tower Design & Permit
Page 61 and 62: Northwest Wellfield Wetlands Monito
Page 63 and 64: Stormwater Master Plan Update Key B
Page 65 and 66: Stormwater Master Plan Update Naple
Page 67 and 68: Continuing Miscellaneous Engineerin
Page 69 and 70: D.2 Part II - Statement and License
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Page 73 and 74: D.3 - Supplemental Material- Qualit
Page 75 and 76: D.3 - Supplemental Material 4) Key
Page 77 and 78: D.3 - Supplemental Material Complet
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Page 81 and 82: E Acknowledgements E.1 Addenda and
Page 83 and 84: City of North Miami Beach, Florida
Page 87 and 88: Vice Pr OPe\ations Manager City of
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Page 99 and 100: RFQ No. 2012-10 Continuing Contract
Page 113 and 114: Exceptions to Proposal Provisions E
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