HomeMy WebLinkAboutAgreement_General_2/13/2020_Trench Plate RentalVillage
345 Tequesta Drive
Tequesta, FL 33469
9
of Tequestol-
Utilities Department Memorandum
To: Jeremy Allen, Village Manager
5 61-768-0700
www.tequesta.org
From: David Tinoco, Water Distribution and Storm Water Superintendent
Subject: Trench Plate Rental Company Credit Application
Date: January 30, 2020
The following Agenda Item references a Credit Application from Trench Plate
Dental Company. Trench Plate Rental Company requires the Village of
Tequesta to complete the Credit Application in order to purchase from the
company.
Trench Plate Rental Company sells and rents shoring equipment which is
required when digging trenches passed a certain depth.
David Tinoco
Superintendent
Water Distribution and Storm Water
Village of Tequesta
Vice -Mayor Kristi Johnson Mayor Abby Brennan Council Member Vince Arena
Council Member Laurie Brandon Village Manager Jeremy Allen Council Member Kyle Stone
�TG3�a�a
CPL%4m`"
ERG K V11 coo
APPLICATION FOR CREDIT
TRENCH PLATE 19 RENTAL CO
13217 LAURELDALE AVENUE
DOWNEY, CA 90242
PHO' 562-602-1777 EXT4 5
Date: 1/10/2020 Branch -
Business Name: Village of Tequesta Years in Business- 62
Mailing / Billing Address*
Street: 345 Tequesta Drive
City: Teq u esta State: FL ZIP Code: 33469
Phone: 561-768-0700 E-mail: jallen@teqLjesta.org Fax: 561-768-0708
Federal ID#: 85-8015833079C-7 Contractors Ucft' Expiration date:.
Sole Prop, Partnership [] Corporation Ej # of Employees
Type of Business: Date and State of incorporation:
Municipality
NAME(S), ADDRESS, & SOCIAL SECURITY NUMBERS OF OWNERS, PARTNERS, OR OFFICERS
Name: Jeremy Allen, Village Manager Address, 345 Tequesta Dr, Tecluesta, FL 33469 SS4.
rkame: Address: SSA:
Name-. Address., SS # ,
CREDIT / TRADE REFERENCES: OPEN ACCOUNTS ONLY
i. dvantage Bundling Ph: 866-286-3546 Contact'.
2. Terracon Services Ph: 561-743-1079 Contact,
3. Nozzle Nolen Ph: 561-746-3928 Contact:
4. Publix Ph: 877-333-7585 Contact:
Does your company require Purchase Order Numbers? Yes D No LA
TRENCH PLATE' RENTAL CO TERMS: Net 30 days or credit card. A 1'12% (one and one half percent) Service
Charge will incur on accounts exceeding terms. As the Owner; Officer or Manager in authority to obligate, please
sign and print your name,, title and date below.
k; I T I t
ev-1
I
Signature Title
r
Date
A I I
Prine Name: y Please see page 2 for Release Authorization
Application for Credit Pg. I
�TG3[�G9Qa
CP�a4[�`
M�R�G94G1d Qo
AUTHORIZATION TO RELEASE BANK INFORMATION
Date: 1110/2020
Bank Name: TD Bank
Phone: 561-838-2245 Bank Contact:
Bank Address E-mail: Fax:
Street: 2130 Centre Park West Drive
City: West Palm Beach State: FL ZIP Code: 33409
In order to establish a line of credit with Trench Plate Rental Co. we are authorizing you to release our Banking
history
Our Checking Account Number is:
Thank you for your prompt reply to this request.
PERSONS NAME AND COMPANY NAME AUTHORIZING THE RELEASE OF BANK INFORMATION
Names:
Phone: Title,
Company Name: E-mail- Fax:
Street:
City:
Authorized Signature:
State: ZIP Code,
BONDING / SURETY COMPANY
Bonding J Surety Company:
Street:
City:
Phone- State: ZIP Code:
Bond: Contact:
PLEASE E-MAIL THIS TO: APPLYCQ)TPRCO.COM
Application for Credit Pg. 2
P�4� r
�RC�H4GL Cho
RENTAL CONTRACT #
CUSTOMER #
TRENCH PLATE-'' RENTAL CO
PRELIMINARY NOTICE INFORMATION SHEET
FOR TRENCH PLATE RENTAL USE ONLY
Customer Purchase Order #
Customer Name,
Contact Name,
Job Phone:
Date Delivery Required,
Job Site Location:
Property Owner:
Street:
City: State: ZIP Code.,
General Contractor:
Street:
City: State: ZIP Code:
Lender:
or Surety,
PLEASE E-MAIL THIS TO: APPLY-,UTPRC0.00M
Application for Credit Pg. 3
PUBLIC RECORDS. In accordance with Sec. 119.0701f Florida
SLatuLes, CONTRACTOR must keep and maintain this Agreement and any
other records associated therewith and that are associated with
the performance of the work described in the Proposal or Bid. Upon
request from the Village's custodian of public records, CONTRACTOR
must provide the Village with copies of requested records, or allow
such records to be inspected or copied, within a reasonable time
in accordance with access and cost requirements of Chapter 119,
Florida Statutes. A CONTRACTOR who fails to provide the public
records to the Village, or fails to make them available for
inspection or copying, within a reasonable time may be subject to
attorney's fees and costs pursuant to Sec. 119.0701, Florida
Statutes, and other penalties under Sec. 119.1of F1 or da
Statutes. Further, CONTRACTOR shall ensure that any exempt or
confidential records associated with this Agreement or associated
with the performance of the work described in the Proposal or Bid
are not disclosed except as authorized by law for the duration of
the Agreement term, and following comple-L----icn of the Agreement if
the CONTRACTOR does not transfer the records to the
Village. Finally, upon completion of the Agreement, CONTRACTOR
shall transfer, at no cost to the Villag-CE-,, all public records in
oossession of the CONTRACTOR, or keep and maintain public records
required by the Village. Tf the CONTRACTOR transfers all public
records to the Village upon completion of the Agreement, the
CONTRACTOR shall destroy any duplicate public records that are
exempt or confidential and exempt from public records disclosure
requirements. if the CONTRRCTOR keeps and maintains public
records upon completion of the Agreement, the CONTRACTOR shall
meet all applicable requiremen-s for retaining public
records. Records that are stored electronically must be provided
to the VILLAGE, upon request from the Villagers custodian of public
records, in a format that is compatible with the Village's
information technology systems.
IF CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF
CHAPTER 119, FLORIDA STATUTES, TO CONTRACTORtS DUTY TO
PROVIDE PUBLIC RECORDS RELATING TO THIS AGREE TENT . PLEASE
CONTACT THE VILLAGE CLERK, RECORDS CUSTODIAN FOR THE
VILLAGE, AT (561) 768-04401 OR AT
1mcwilliams@te esta.oEq, OR AT 345 TEQUESTA DRIVE,
TEQUESTA. , FLORIDA 33469.
Pursuant to Article xII of the Palm Beach County Charter, the
Office of the Inspector General has jurisdiction to investigate
municipal matters, review and audit municipal contracts and other
transactions, and make reports and recommendations to municipal
governing bodies based on such audits, reviews, or investigations.
All parties doing business with the Village shall fully cooperate
with the inspector general in the exercise of the inspector
general's functions, authority, and power. The inspector general
has the power to take sworn statements, require the production of
records, and to audit, monitor, investigate and inspect the
activities of the Village, as well as contractors and lobbyists of
the Village in order to detect, deter, prevent, and eradicate
fraud, waste, mismanagement, misconduct, and abuses.