HomeMy WebLinkAboutDocumentation_Audit_Tab 07_10/30/2008Request for Proposals
Annual Audit Services
VILLAGE OF TEQUESTA
345 TEQUESTA DRIVE
TEQUESTA, FL 33469
TABLE OF CONTENTS
General Information
PAGE
Request for Proposal 2
Public Entity Crimes Statement 3
1-1 Purpose and Invitation to Propose 5
1-2 Village of Tequesta 5
1-3 Proposal Submission and Opening 5
1-4 Inquiries 6
1-5 Proposal Withdrawal 6
1-6 Proposal Disclosure 6
1-7 Timetable 6
1-8 Delays 7
1-9 Addenda 7
1-10 Oral Presentation 7
1-11 Acceptance or Rejection of Proposals 7
1-12 Development Costs 7
1-13 Sworn Statement on Public Entity Crimes 8
1-14 Code of Ethics 8
1-15 Conflict of Interest 8
1-16 Non-Collusion 8
1-17 Florida Public Records Act 8
Statement of Work
2-1 Introduction g
2-2 Scope of Work g
A. General g
B. Reports to be Issued 10
C. Special Considerations 11
D. Additional Services 11
E. Working Papers 11
2-3 Field Work 12
2-4 Audit Report Deadline and Distribution 12
2-5 Proposal Requirements 12
A. Title Page 12
B. Table of Contents 12
C. Letter of Transmittal 12
D. Profile of Proposer 13
E. Audit Approach 14
F. Availability of Proposer 14
G. Compensation-Sealed Cost Proposal 14
H. Additional Data 15
2-6 Litigation Status 16
2-7 Evaluation of Proposals 16
Attachment A 17
REQUEST FOR PROPOSAL
ANNUAL AUDIT SERVICES
The Village of Tequesta is requesting proposals from qualified firms of Certified Public
Accountants to provide annual financial audit services. The Request for Proposal (RFP)
provides guidelines for submission and outlines the services desired concerning the
auditing of the Village's general-purpose financial statements. Sealed proposals will be
accepted at the Office of the Village Clerk, Tequesta Village Hall, 345 Tequesta Drive,
Tequesta, FL 33469, until 10:00 a.m. (EST) Tuesday, December 16, 2008, at which time
all proposals will be publicly opened.
On the envelope containing the proposal shall be written in large letters:
Proposal for: Audit Services for Village of Tequesta -FIN 4-08
To be opened: Tuesday, December 16, 2008
Proposal documents including a description of the services desired may be obtained at
the Village of Tequesta, 345 Tequesta Drive, Tequesta, Florida 33469 or by contacting
Lori McWilliams, Village Clerk, at 561-575-6244.
The Village of Tequesta reserves the right to reject any or all proposals and to waive
technicalities, if necessary.
PALM BEACH POST: November 16, 2008
November 30, 2008
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GENERAL INFORMATION
PART 1
1-1 PURPOSE AND INVITATION TO PROPOSE
The Village of Tequesta is requesting proposals from qualified firms of certified public
accountants to audit its general-purpose financial statements. The audits shall be
conducted for the purpose of forming an opinion on the basic financial statements taken
as a whole and to determine whether operations were conducted in accordance with
legal and regulatory requirements. The term of the engagement shall be for three (3)
years beginning with the fiscal year ending September 30, 2009 and ending with fiscal
year ending September 30, 2011 . The option to extend at the end of the third year is
subject to review by the Audit Committee and the Village Council.
This Request for Proposal (RFP) provides guidelines for the submission of proposals for
the service. Proposers should prepare their proposals simply and economically,
providing a straight forward and concise description of the Proposer's ability to meet the
requirements of the RFP.
This invitation to propose is extended to all qualified proposers.
1-2 VILLAGE OF TEQUESTA
The Village of Tequesta, Florida is a municipal corporation of the State of Florida,
incorporated in 1957. The Village operates as aCouncil-Manager form of government
and provides general municipal services such as recreation, public works, cultural events
and general administrative services. The Village has 85 full time employees. The
population for 2007 was 5,864. More detailed information on the Village can be found in
the annual audit and budget documents. Access to these documents can be obtained
by contacting JoAnn Forsythe, Finance Director at (561) 575-6270.
1-3 PROPOSAL SUBMISSION AND OPENING
The following material is required to be received by 10:00 a.m. on December 16, 2008,
for a proposing firm to be considered:
A. One unbound original (for Village Clerk) and six (6) copies of the proposal as
outlined in this document marked:
Proposal for: Audit Services for Village of Tequesta -FIN 4-08
To be opened: Tuesday, December 16, 2008
Proposers should send the completed proposal consisting to the following address:
Village of Tequesta
Village Clerk's Office
3
345 Tequesta Drive
Tequesta, FL 33469
The Village cautions respondents to assure actual delivery of mailed or hand delivered
proposals to the Office of the Village Clerk at the Tequesta Village Hall, 345 Tequesta
Drive, Tequesta, FL 33469, prior to the deadline set for the opening proposals.
Telephone confirmation of timely receipt of the proposals may be made by calling (561)
575-6244 before proposal opening time. PROPOSALS DELIVERED AFTER THE
ESTABLISHED DEADLINE WILL BE RETURNED UNOPENED TO THE PROPOSER.
The Village will not accept or consider proposals submitted via facsimile transmission or
email.
1-4 INQUIRIES
The Village encourages interested proposers to contact the Village to discuss this RFP.
You may do so by contacting JoAnn Forsythe, Finance Director, weekdays at (561) 575-
6270.
1-5 PROPOSAL WITHDRAWAL
Proposers may withdraw their proposals by notifying the Village Clerk in writing at any
time prior to the bid opening. Proposers may withdraw their proposals in person or
through an authorized representative. Proposers and authorized representatives must
disclose their identity and provide receipt for the proposal. Proposals, once opened,
become the property of the Village and will not be returned to the Proposers.
1-6 PROPOSAL DISCLOSURE
Upon opening, proposals become "public records" and shall be subject to public
disclosure consistent with Chapter 119, Florida Statutes. Proposers must invoke in
writing the exemptions to disclosure provided by law in the response to the RFP by
providing the specific statutory authority for claimed exemptions, identifying the data or
other materials to be protected, and stating the reasons why such exclusion from public
disclosure is necessary.
1-7 TIMETABLE
The Village and proposers shat{ adhere to the following schedule in all actions
concerning this RFP:
A. November 18, 2008 -Request for Proposals issued.
B. November 18, 2008 -December 16, 2008 (10:00 a.m.) -The Village will receive
and answer inquiries.
C. December 16, 2008 - 10:00 a.m. -Deadline to receive proposals and Proposal
Opening.
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D. January 15, 2009 - 9:00 a.m. -Audit Committee will meet to review and short list
submitted RFP's for presentations. Committee will develop follow up questions
for presentation.
E. January 22, 2009 - 9:00 a.m. -Presentations by requested proposers.
F. January 23, 2009 - 9:00 a.m. -Committee to discuss presentations to make
recommendation to Council
G. February 12, 2009 -Council review and selection of accounting firm for
independent auditing services.
All dates above are subject to change.
1-8 DELAYS
The Village may delay or modify scheduled due dates if it is to the advantage of the
Village to do so. The Village will notify proposers of all changes in scheduled due dates
by written addenda.
1-9 ADDENDA
If revisions become necessary, the Village will provide written addenda to all proposers
who requested the RFP. Those receiving RFP via the website should access addenda
from the website. All addenda issued by the Village will include a receipt form
(Attachment A) which must be signed and included with any proposals that are
submitted to the Village. In the event multiple addenda are issued, a separate receipt
for each addendum must be included with the proposal at the time it is submitted to the
Village.
If issued, the Village will mail written addenda or it can be accessed from the website.
All proposers should view the website to ascertain whether any addenda have been
issued. Failure to do so could result in an unresponsive proposal.
1-10 ORAL PRESENTATION
In its discretion, the Village may require oral presentations from all short listed
respondents. These presentations provide an opportunity for the proposer to clarify the
proposal for the Village. The Village will schedule any such presentations.
Presentations, if scheduled, will be conducted on January 23, 2009 at 9:00 a.m.
1-11 ACCEPTANCE OR REJECTION OF PROPOSALS
The Village reserves the right to reject any and all proposals when (1) such rejection is in
the best interest of the Village; or (2) if the proposal contains any irregularities; provided,
however, that the Village reserves the right to waive any minor irregularities and to
accept the most responsive and responsible proposal as determined by the Village. The
Village also reserves the right to cancel this RFP at any time and/or to solicit and re-
advertise for other proposals.
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1-12 DEVELOPMENT COSTS
Neither the Village nor its representatives shalt be liable for any expenses incurred in
connection with the preparation, submission or presentation of a response to this RFP.
1-13 SWORN STATEMENT ON PUBLIC ENTITY CRIMES
The Proposer shall be required, pursuant to Section 287.133, Florida Statutes, to
execute the attached "Sworn Statement on Public Entity Crimes" (Attachment B) upon
the submission of this proposal. By executing this sworn statement, the Proposer is
affirmatively stating that neither it nor an affiliate (as defined in the Statute} has been
convicted of a public entity crime and that it is not barred from entering into a contract
with the Village. The proposer further acknowledges that any misstatement or lack of
compliance with the Statute shall result in the contract being null and void and/or subject
to immediate termination by the Village, and in the event of such termination, the Village
shall not incur any liability for any work or materials furnished by the Proposer.
1-14 CODE OF ETHICS
If any proposer violates or is a party to violation of the code of ethics of the State of
Florida with respect to this proposal, such- proposer may be disqualified from performing
the work described in this proposal or from furnishing the goods or services forwhich the
proposal is submitted and may be further disqualified from bidding on any future
proposals for work, goods or services for the Village of Tequesta.
1-15 CONFLICT OF INTEREST
All bidders must disclose with their proposal the name of any officer, director, or agent
who is an elected official, appointed official or an employee of the Village of Tequesta.
Further all bidders must disclose the name of any elected official, appointed official or
employee of the Village who owns directly or indirectly, any interest in the Proposers firm
or any of its branches.
1-16 NON-COLLUSION
Bidder certifies that this offer is made without prior understanding, agreement, or
connection with any corporation, firm or person submitting an offer for the same
materials, services, supplies, or equipment and is in all respects fair and without
collusion or fraud.
No premiums, rebates or gratuities are permitted, either with, prior to or after any
delivery of material or provision of services. Any violation of this provision may result in
the Contract cancellation, return of materials or discontinuation of services and the
possible removal from the vendor Bid list(s).
1-17 FLORIDA PUBLIC RECORDS ACT
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All material submitted regarding this bid becomes the property of the Village. Bids may
be reviewed by any person ten (10) days after the public opening. Bidders should take
special note of this as it relates to any proprietary information that might be included in
their offer.
Any resulting contract may be reviewed by any person after the contract has been
executed by the Village. The Village has the right to use any or all information/material
submitted in response to this bid and/or any resulting contract from same.
Disqualification of a bidder does not eliminate this right.
1-18 DRUG FREE WORKPLACE
All proposals must include a signed copy of the Drug Free Work Place Form
(Attachment C).
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STATEMENT OF WORK
PART 2
2-1 INTRODUCTION
Section 11.45, Florida Statutes, requires each local government entity to have
completed, within twelve (12) months of each fiscal year-end an annual financial audit of
its accounts and records. The Village is soliciting proposals from qualified certified
public accounting firms to audit its financial statements for the three fiscal years ending
September 30, 2009, 2010 and 2011. At the end of the three year period an extension
may be available if terms can be agreed to by both parties. Additionally, during the term
of this agreement either party may terminate this agreement with 90 days written notice
prior to the fiscal year end.
These audits are to be performed in accordance with all applicable regulations and
requirements of governmental entities and further requirements of the GFOA Certificate
of Achievement including but not limited to:
1. Generally Accepted Auditing Standards as issued by the American
Institute of Certified Public Accountants (AICPA)
2. Government Auditing Standards issued by the Comptroller General of the
United States
3. OMB Circular No. A-133, Audits of States, Local Governments, and Non-
profit Organizations
4. Federal Single Audit Act, as amended
5. Florida Single Audit Act
6. Rules of the Auditor General, State of Florida
7. Rules of the Florida Department of Financial Services
8. Section 218.39, Florida Statutes and any other applicable Florida Statutes
9. Provisions of any other rule, regulation, statute, ordinance or order which
may pertain to the engagement.
2-2 SCOPE OF WORK
A. General
The auditor's examination will be a financial and compliance audit in orderto express an
opinion on the fairness with which the statements present the financial positions, results
of operations, and changes in financial position in conformity with generally accepted
accounting principles. The scope of work will include:
Compile, prepare and complete aii required Basic Financial Statements. The
report is to be consistent with GAAP, including all applicable GASB
pronouncements, and consistent with GFOA Certificate of Achievement for
Excellence in Financial Reporting standards and practices.
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2. The audit report must include an examination of all funds and account groups
of the Village. The auditor is not required to audit the statistical section of the
report..
3. An opinion is to be expressed on the combined and individual funds as well as
on fund types.
4. The preparation of a Management Letter with appropriate suggestions for
improvement of accounting procedures and internal controls for the Village's
consideration.
5. Preparation of all Notes to Financial Statements
B. Reports to be Issued
Following the completion of the audit of the fiscal year's financial statements, the auditor
shall issue all required reports including but not limited to the following:
A report of the fair presentation of the financial statements in conformity with
generally accepted accounting principles.
2. A report on the internal control structure based on the auditor's understanding
of the control structure and assessment of control risk.
3. A report on compliance with applicable laws and regulations.
4. A management letter detailing deficiencies discovered during the course of the
audit.
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5. Schedules of federal and state financial assistance and related reports on the
administering of federal and state financial assistance programs, if applicable.
Irregularities and Illegal Acts
Auditors shall be required to make an immediate, written report of all irregularities and
illegal acts or indications of illegal acts of which they become aware to the following
parties:
Mayor/Village Council
Village Manager
Finance Director
Reporting to Management
Auditors shall assure themselves that the Village is informed of each of the following:
The auditor's responsibility under generally accepted auditing standards.
2. Significant accounting policies
3. Management judgments and accounting estimates.
4. Significant audit adjustments.
5. Other information in documents containing audited financial statements.
6. Disagreements with management.
7. Management consultation with other accountants.
8. Major issues discussed with management prior to retention.
9. Difficulties encountered in performing the audit.
C. Special Considerations
The Village of Tequesta will send its comprehensive annual financial report to the
Government Finance Officers Association of the United States and Canada for
review in its Certificate of Achievement for excellence in Financial Reporting
program. It is anticipated that the auditor will be required to provide special
assistance to the Village to meet the requirements of that program in all years of
the engagement.
2. Included as a part of the annual audit shall be a review of the Annual Financial
Report of Units of Local Governments prior to submission to the Department of
Banking and Finance.
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D. Additional Services
If during the contractual period covered by the agreement, additional services, such as
grants or operational audits, preparation of bond issues, or management advisory
services are needed, the accounting firm may, at the option of the Council, be engaged
to perform these services. Total compensation shall be negotiated separately for each
service and shall be based on the hourly billing rates included in the sealed cost
proposal.
E. Working Papers
For a period of three (3) years after completion of any work provided herein, unless the
firm is notified in writing by the Village of the need to extend the retention period, the
auditor's working papers shall be retained. The Village Council and their representatives
shall be entitled, at any time during such three (3) year period, to inspect and reproduce
such documents as deemed necessary. If contract is terminated by either party, the
Village reserves the right to request work product from auditing firm for required record
retention purposes.
2-3 FIELD WORK
For the first year of the engagement, planning of the audit field work should commence
immediately after the execution of a professional services agreement between the
Council and the accounting firm.
2-4 AUDIT REPORT DEADLINE AND DISTRIBUTION
A. The auditor shall submit drafts of the audited general-purpose financial
statements and all required reports no later than February 15, following the close
of the fiscal year. Written responses to management comments will then be
prepared by the Finance Department. The responses will be provided to the
auditor to be used for the final report. A separate audit exit conference for
discussion of audit findings will be held with the administration prior to submission
of the final report.
B. A final and complete report of the audit shall be submitted no later than February
28; following the close of the fiscal year.
C. The partner in charge of the audit and the audit manager shall be free to attend
up to two public meetings to discuss the audit report.
D. The auditor shall compile, prepare and deliver copies as requested and three (3)
unbound copies (2 for Finance and one for Village Clerk) of the Comprehensive
Annual Financial Report.
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2-5 PROPOSAL REQUIREMENTS
The proposal must name all persons or entities interested in the proposal as principals.
In each proposal by an individual or firm, there shall be stated the name and address of
every person having an interest in the proposal; and in the case of a corporation, the
names and addresses of its officers. Proposals shall be signed by the person or
member of the firm making the proposal, and in the case of a corporation, by an
authorized officer or agent subscribing the name of the Corporation and his or her own
name. The proposal must declare that it is made without collusion with any other person
or entity submitting a proposal pursuant to this RFP.
The proposer shall provide the following information regarding their desire and ability to
conduct the audit.
A. Title Page
Proposer's name, address and telephone number (of the accounting firm's
principal office in or nearest to Tequesta, Florida) and date of proposal.
B. Table of Contents
C. Letter of Transmittal
A statement of understanding of the services requested and a commitment to
perform these services shall be made. The letter should include the principal
firm's contact representative and the name of the engagement partner, if different
from the contact representative.
D. Profile of the Proposer
The firm should provide an affirmative statement that is independent of the
Village of Tequesta as defined by generally accepted auditing standards.
2. Summit evidence that the firm is a legal and licensed entity in the State of
Florida and has performed continuous certified public accounting services
for a minimum of five (5) years.
3. Certify that the firm is a member in good standing of the American Institute
of Certified Public Accountants and the firm is independent.
4. Submit a copy of the report on its most recent external quality review, with
a statement whether that quality control review included a review of
specific government engagements. The firm shall also provide information
on the results of any federal or state desk reviews or field reviews of its
audits during the past three years.
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5. Provide the number of professional auditing staff employees by
employee's classification as follows:
Audit Staff Em to ee Class Total Number # of CPA's
TOTAL
6. Identify the principal supervisory and management staff, including
engagement partners, managers, other supervisors and specialists, who
would be assigned to the engagement. Indicate whether each person is
licensed to practice as a certified public accountant in Florida. Provide
information on the government auditing experience of each person,
including specific engagements and information on relevant continuing
professional education for the past three (3) years and membership in
professional organizations relevant to the performance of this audit.
Provide relevant information regarding the number, qualifications,
experience and training, including continuing professional education, of
the specific staff to be assigned to this engagement.
See Attachment D for form to use.
7. Provide a list of current or recent governmental audits by the firm,
especially in the municipal government field, which are similar in size and
nature. Provide names, addresses, and telephone numbers of clients that
could be contacted.
8. Describe the firm's specific policies, plans, procedures ortechniques used
to develop information for management letters including your firm's
philosophy on the issuance and purpose of management letters.
9. Describe the nature and extent of electronic data processing (EDP) audit
techniques typically employed by the firm in the examination of client's
financial statements which have substantial data processing applications.
10. Describe the nature and extent of the use of personal computers during
the conduct of an audit.
11. Describe your local office's experience in preparing governmental financial
statements in conformance with the Governmental Accounting Standards
Board Statements and Interpretations.
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E. Audit Approach
The proposal should set forth a written work plan, including an explanation of the
audit methodology to be followed, to perform the services required in Part 2 of this
RFP. In developing the work plan, reference should be made to such sources of
information as the Village's budget and related materials, organizational charts,
manuals and programs, and financial and other management information systems.
F. Availability of Proposer
The proposer shall indicate their ability and willingness to commit and maintain
staffing, both number and level, to successfully conclude the audit examination within
the time constraints outlined in Section 2-4 of the Request for Proposals. The
Proposal must commit in writing the availability of the partners and managers of staff
to meet with the administration and Village Council on any material matters that
could affect the financial position or results of operations.
G. Compensation -Sealed Cost Proposal
This section of the proposal should clearly state the proposed cost for the
engagement, in the format delineated in Attachment E, as well as a proposed
schedule for progress payments, if desired.
A firm fixed price contract will be awarded by the Village. The total price for the
engagement shall include all contractor expenses, including travel, incidentals and
"other costs."
1. Total All-Inclusive Price
The sealed cost proposal should contain all pricing information relative to
performing the audit engagement as described in this RFP. The total all-inclusive
price should contain all direct and indirect costs including all out-of-pocket
expenses.
The Village will not be responsible for expenses incurred in preparing and
submitting the technical proposal or the sealed cost proposal. Such costs should
not be included in the proposal.
The first page of the sealed cost proposal should include the following
information:
_ Name of firm,
_ Certification that the person signing the proposal is entitled to represent the
firm and is empowered to submit the proposal, and
_ Total all-inclusive price for the engagement.
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2. Rates by Partner, Specialist, Supervisory and Staff Level Times Hours
Anticipated for Each
The second page of the related cost proposal should include a schedule of
professional fees and expenses, presented in the format provided in the
attachment (Attachment A), that supports the total all-inclusive price.
3. Out-of-Pocket Expenses Included in the Total All-Inclusive Price and
Reimbursement Rates
All estimated out-of-pocket expenses included in the total all-inclusive price
should be presented on the second page of the sealed cost proposal in the
format in the attachment (Attachment A).
4. Rates for Additional Professional Services
If it should become necessary for the Village to request the auditor to render any
additional services requested in the RFP or to perform additional work as a result
of the specific recommendations included in any report issued on this
engagement, then such additional work shall be performed only if set forth in an
amendment to the contract between the Village and the firm. Any such additional
work agreed to between the Village and the firm shall be performed at the same
annual rates set forth in the schedule of fees and expenses included in the
sealed cost proposal.
5. Pricing for Contract Years 1, 2, and 3
Use the lower section of Attachment A to provide the total all-inclusive price for
contract years 1, 2, and 3. If the proposed hourly rates used to calculate the total
all-inclusive price for any contract year are different from contract year 1 rates,
provide those rates for each staff level and each contract year forwhich there is a
change. Also include a statement as to whether those rates will be applicable for
any additional professional services which may be requested during those
contract years.
H. Additional Data
Additional information that the accounting firm deems appropriate to assist in
evaluating the proposal should be submitted.
2-6 LITIGATION STATUS
The firm is requested to furnish information on the nature and magnitude of any litigation
whereby, a court and / or regulatory licensing agency has ruled against the firm in any
matter related to the professional activities of the firm. Similar information should be
described for any litigation, current or pending. The firm is to include the information on
litigation as part of the formal proposal. Recognizing the need to maintain confidentiality
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in this matter, the firm may provide this information in a separate letter directly to:
Corbett & White P.A.
1111 Hypoluxo Road Ste 207
Lantana, FL 33462
The Village cannot assure confidentiality of this information in the event it is determined,
in the discretion of the Village that said information is subject to inspection and copying
under the Florida public records law or other law applicable thereto.
2-7 EVALUATION OF PROPOSALS
The proposals will be evaluated and a recommendation will then be presented to the
Village Council to select the proposal which meets the best interests of the Village. The
Village shall be the sole judge of its own best interest, the proposal, and any resulting
negotiated agreement. The Village's decision will be final.
Evaluation considerations will include, but not be limited to, the following:
A. The firm's past experience and performance on comparable municipal engagements
with emphasis on familiarity with the GFOA Certificate of Achievement Program.
B. Responsiveness of the proposal in clearly stating an understanding of the work to be
performed.
C. Technical ability of the firm to perform required services and their understanding of
the audit engagement requirements involving knowledge of Florida Law, Rules and
Regulations.
D. Size and structure of the proposed audit team, including an estimate of expected
supervisor's manager's and partner's participation, with a consideration of the
location of the firm in relation to the Village.
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ATTACHMENT A
ADDENDA RECEIPT
- --- --
Add+~nda Received:
Date: Ex. #:
Date: Ex. #:
Date: Ex. #:
ATTEST: PROPOSER:
Typed Name
Signature
Title
Date
Typed Name
Signature
Title
Date
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ATTACHMENT B
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a),
FLORIDA STATUTES, ON ENTITY CRIMES
1. This sworn statement is submitted to the Village of Tequesta, Florida by
(print individual's name and title)
for
(print name of entity submitting sworn statement)
whose business address is
and (if applicable) its Federal Employer Identification Number (FEIN) is:
(If the entity has no FEIN, include the Social Security Number of the Individual
signing this sworn statement: )
2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g),
Florida Statutes, means a violation of any state or federal law by a person with respect
to and directly related to the transaction of business with any public entity or with an
agency or political subdivision of any other state or of the United States, including, but
not limited to, any bid or contract for goods or services to be provided to any public entity
or an agency or political subdivision or any other state or of the United States and
involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material
misrepresentation.
3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b),
Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or
without an adjudication of guilt, in any federal or state trial court of record relating to
charges brought by indictment or information after July 1, 1989, as a result of jury
verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.
4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida
Statutes, means:
a. A predecessor or successor of a person convicted of a public entity crime; or
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b. An entity under the control any natural person who is active in the management of the
entity and who has been convicted of a public entity crime. The term affiliate" includes
those officers, directors, executives, partners, shareholders, employees, members, and
agents who are active in the management of an affiliate. The ownership by one person
of shares constituting a controlling interest in another person or a pooling of equipment
or income among persons when not for fair market value under an arm's length
agreement, shall be a prima facie case that one person controls another person. A
person who knowingly enters into a joint venture with a person who has been convicted
of a public entity crime in Florida during the preceding 36 months shall be considered an
affiliate.
c. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes,
means any natural person or entity organized under the laws of any state or of the
United States with the legal power to enter into binding contract and which bids or
applies to bid on contracts for the provision of goods or services let by a public entity, or
which otherwise transacts or applies to transact business with a public entity. The term
"person" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in management of an entity.
d. Based on information and belief, the statement which I have marked below is true in
relation to the entity submitting this sworn statement. (indicate which statement
applies.)
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Neither the entity submitting this sworn statement, nor any of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, nor any affiliate of the entity has been charged
with and convicted of a public entity crime subsequent to July 1, 1989.
The entity submitting this sworn statement, or one or more of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, or an affiliate of the entity has been charged with
and convicted of a public entity crime subsequent to July 1, 1989.
The entity submitting this sworn statement, or one or more of its officers,
directors, executives, partners, shareholders, employees, members, or agents who are
active in the management of the entity, or an affiliate of the entity has been charged with
and convicted of a public entity crime subsequent to July 1, 1989. However, there has
been a subsequent proceeding before a Hearing Officer of the State of Florida,
Division of Administrative Hearings and the Final Order entered by the Hearing Officer
determined that it was not in the public interest to place the entity submitting this sworn
statement on the convicted vendor list. (attach a copy of the final order)
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING
OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE
IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH
DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO
UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO
ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT
PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY TWO OF
ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
(signature)
Subscribed and sworn (or affirmed) before me this day of
20
Personally known
OR produced identification Notary Public -State of Florida
My commission expires
(Type of identification)
(Printed typed or stamped commissioned name of notary public)
22
ATTACHMENT C
DRUG-FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that
(name of business) does /does not
(circle appropriate response):
1. Publish a statement notifying employees that the unlawful manufacture,
distribution, dispensing, possession, or use of a controlled substance is prohibited
in the workplace, and specifying the actions that will betaken against employees
for violations of such prohibition.
2. Inform employees about the danger of drug abuse in the workplace, the
business's policy of maintaining adrug-free workplace, and any available drug
counseling.
23
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ATTACHMENT E
SCHEDULE OF PROFESSIONAL FEES AND EXPENSES FOR AUDIT OF THE
SEPTEMBER 30, 2009 - 2011 FINANCIAL STATEMENTS:
SUPPORTING SCHEDULE FOR AUDIT SERVICES
Hours Pro osed Hourl Rates
Partners
Mana er
Su erviso Staff
Staff
Other (Specify)
SUBTOTAL:
Out of Pocket Ex enses
Meals and Lod in
Trans ortation
Other (Specify):
TOTAL YEAR:
1
2
3
Grand Total Price for Audit Services (3 Years)
25