HomeMy WebLinkAboutAgreement_General_7/13/2023_Broedell Plumbing SupplyDate:
To:
From:
Re:
Village
345 Tequesta Drive
Tequesta, FL 33469
June 22, 2023
s
tip,` o
� coufi`
Jeremy Allen, Village Manager
Marjorie G Craig, PE, Director, Utilities Department
Broedell Plumbing Supply, Inc., Credit Application
561-768-0700
www.tequesta.org
The Village of Tequesta's (VOT) Utilities Department (LID) needs to purchase various plumbing
and plumbing related tools. Broedell's Plumbing Supply, Inc., (Broedell's) located at 1601
Commerce Lane, Jupiter, FL, 33458, is located close to the VOT municipal limits. In order to
purchase supplies from Broedell's, a vendor credit application must be completed.
Attached is the required vendor credit application.
Funding for plumbing and plumbing tools is budgeted and available in the following accounts:
401-242-546.342 Water System Maintenance
401-242-552.302 Small Tools and Equipment
The UD recommends approval of the vendor credit application in order to use this vendor.
CC: Jeff Snyder, Finance Director
This document may be reproduced upon request in an alternative format by contacting the Village
Clerk's Office at 561-768-0440 or by completing our accessibility form: https://bit.ly/3mnfeU4
C,'editslpplicatioirs, Procedures and Forms
Broedell Plumbing Supply, Inc. Credit Applieation
(Confidential)
Rernsm Ar,�nlirs+tion taYmrc rural .StlnnlyHouse inlcnceS rnle helow -
Revised Dare 1211012020
10994 Metro Parkway
1601 Commerce Lane
362 Commerce Way
8351 State Rd 54
Fort Myers, FL- 33966
Jupiter, FL 33458
Longwood, FL 32750
New Port Richey, FL 34655
(239) 274-7888
(561) 743-6663
(407) 830-6767
(727) 569-2002
(239) 274-7887 (fax)
(561) 7434644 (fox)
(4" 830-5567 (fax)
(727) 569-0488 (fax)
1. Legal Name of Firm Village of Tequesta
Address 136 Bridge Road
City Tequesta State FL? 33469
2. Matluig Address (if different)
Phone ( ) 561-768-0482
Fax ( )
Finali imccorkle@tequesta.org
City State Zip
3. Fotm of Business: ( }Individual ( ) Partners*( ) Corporation, State of Florida
4, Length of Time in Business rm Nature of Business Local covemmenl
5. Do you pay Sales Tax: Yes No X
Sales Tax will be charged until receipt of an original signed Exemption Certificate.
6. Amount of credit needed monthly S Annual Sales
7. Driver's License No. No. of Employees
8. Give names of partner, Corporate Officers and/or Stockholders:
Name Tide Home Address
b.
Social Security No-
b.
Marital Status
Married: Yes No
Marred: Yes No
9. Bank References:
To Bank 2130 Centre Park West Dr, WPB, FL 33490
Home Phone
10, Are you past due on any accounts at this time? If yes, name supplier
11. Trade references (at least one must be another plumbing supplier): r
Name I Address Phone No. Fax ##
Advantage Bundling, 2228 Page Road Ste 103, Durham, NC 27703 ( ) 866-286-3546 ( )
Terramn Services, P>OL Box 2766, Jupiter. FL 33468 ( ) 561-743-1079 /� )
( ) l )
12. Do you require purchase orders? Yes No X Job name required? Yes No
13. Were any of the principals in business before? Yes No
If so, give name of business and reason for discontinuing:
14. Have any principles listed in line #1 or #8 ever been judged bankrupt or insolvent?
15. Invoice preference (check one): O Email ❑ Fax ❑ USPS Mail
The facts set forth above In my application for credit are true and complete. You are hereby authorized to make an Investigation of my personal history
and financial and credit records through any investigative or credit agencies or bureaus of you choice.
We also understand and agree to abide by Broedell Plumbing Supply, Inc.'s payment policy U stated herein:
Broedell Plumbing Supply, Inc.'s monthly cu[-off is the 25th of the month, unless the 25 fails on a Sunday or legal holiday, in which case the cut-off WHI be the last
business day prior to the 25th . A statement of account will be mailed after the 25th of each month to the 'Smaging address" indicated. The entire amount of each
Invoice appearing on the monthly statement is due and payable by the 10th of the month following the statement (cut -oft) date. ALL ACCOUNTS NOT pA1D 1N
FULL BY THE 20 M WILL BE PLACED ON CREDrr HOLD UNTIL PAID IN FULL. On all outstanding balances after the 20th of the month following our
cut -oft a 1 129'o service charge per month (18 /o per antrum) may be charged.
We agree to immediately notify Broedell Plumbing Supply, Inc. at 1601 Commerce Ln, # 100, Jupiter, FL 33458 in writing of any changes in
ownership or form of said business. This instrument shall remain In force and effect until actual notice of revocation is received by Broedell Plumbing Supply, Inc, at
the above address.
Credit Applications, Procedures, and Forms Revised Date 1211012020
We landerstsnd wid agree to pay Broedell Plumbing Supply, Inc.'s cost and expenses of collection, including attomeys fee, if account Is not paid in accordance with
asreerrai-end hereby waive our privilege of being sued in the county of our residence and agree that suit may be brought In Palm Beach County, FL,
X
Individually and as Agent for Applicant Title
Digitally signed by Jeremy Allen
w X Jeremy Allen Date: 2023.06-05 10:17:15 -04'W
runt a ve gnature
Witness X '
Individually and as Agent for Applicant Title
X
Print the Above Signature
Swam to and subscribed before me this day of
My commission expires:
20
Notary Public State of Florida at Large
pMWNAL GUARANTY: In consideration of the extension of credit granted by Broedell Plumbing Supply, Inc, to:
Legal Name of Firm:
I (we), hereby jointly and severally unconditionally guaranty payment of whatever amount shall at any time be owing to, Broedell Plumbing Supply. lne., on account of
good, hereafter supplied, whether said indebtedness be in the farm of notes, bills or open account This shall be an open and continuing guaranty and shall continue in
force not withstanding any change in the form of such indebtedness, or renewals of extensions granted, without obtaining any consent thereto, and until expressly
revolted by written notice from the undersigned as to any indebtedness contracted prior to such revocation. The undersigned additionally joirrnly and severally
unconditionally guaranty payment of any interest due and all costs of collection Including, but not limited to, court costs and reasonable atto, ey fees. Notice of
indebtedness and of default in payment are hereby waived. The undersigned hereby to waive the homestead exemption, notice of acceptance bereot notice of presentment, danand, non-paymrnt, dishonor and protest, and
conseab to and waives notice of any modification, amendment or extension of the terms of the credit agreement hereby guaranteed.
__jt is.s8a11jro�olces reodct��4JaWe upslrf�ignC�iEolLht PSYab1f�QAItL5dS11P11IDlbJngS.VPPIY.IIIC �t Iti01 Commerce I a QjQ4. LyPIt* G.�4$sdlhaLAl__..
the event of default in payment, any suit for collection shall be brought in Palm Beach County, FL
Witness
Witness
Sworn to and subscribed before me this
My commission expires:
Manager Approval
House Account Yes No
Salesman's Number
Date Submitted __,_
X X
Individually and as Agent for Applicant Spouse
X X
Print the Above Signature Print the Above Signature
day of .20
Notary Public State of Florida at Large
FOR OFFICE USE ONLY
Corporate Approval
Credit Limit
Account Number
Date Approved
Manager Comments:
Sec. 10 - Pg. 02
PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statutes, 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. 119.10, Florida
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 completion 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 Village, all public records in possession of the CONTRACTOR, or keep and maintain public
records required by the Village. If 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
CONTRACTOR keeps and maintains public records upon completion of the Agreement, the
CONTRACTOR shall meet all applicable requirements for retaining public records. Records that
are stored electronically must be provided to the VILLAGE, upon request from the Village's
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 CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS AGREEMENT, PLEASE CONTACT THE VILLAGE CLERK, RECORDS
CUSTODIAN FOR THE VILLAGE, AT (561) 768-0440, OR AT
Imcwilliams@teguesta.org, 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.
"The Village of Tequesta strives to be an inclusive environment. As such, it is the Village's policy
to comply with the requirements of Title II of the American with Disabilities Act of 1990 ("ADA")
by ensuring that the Contractor's [ agreement /bid documents and specifications ] are accessible
to individuals with disabilities. To comply with the ADA, the Contractor shall provide a written
statement indicating that all [ agreement /bid documents and specifications], from Contractor,
including files, images, graphics, text, audio, video, and multimedia, shall be provided in a format
that ultimately conforms to the Level AA Success Criteria and Conformance Requirements of the
Web Content Accessibility Guidelines 2.0 (Dec. 11, 2008) ("WCAG 2.0 Level AA"), published by
the World Wide Web Consortium ("WK"), Web Accessibility Initiative ("WAI"), available at
www.w3.org/TR/WCAG%."