HomeMy WebLinkAboutAgreement_General_2/8/2024_Fastenal Village of Tequesta
345 Tequesta Drive 561-768-0700
Tequesta, FL 33469 www.tequesta.org
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STAFF MEMO
Date: December 29, 2023
To: Jeremy Allen,Village Manager
From: Nate Litteral, Water Plant Manager, Utilities Department
Through: Marjorie G Craig, PE, Director, Utilities Department
Re: Consider Approval of Fastenal Company Credit Account Application
The Utilities Department recommends approval of a credit account application from Fastenal, a
company that provides industrial hardware and supplies that are resistant to harsh or corrosive
environments that can be found at the water treatment plant.
Some of the conditions that require specialty hardware and supplies include the proximity to saltwater,
water treatment plant chemicals, wind, vibration, and other industrial environments in which the water
plant exists.
CC: Jeff Snyder, Director, Finance Department
MGC/mgc/nl
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
FL W E 1/RBFL
1 C 7656 Byron Dr
Riviera Beach,FL
33404
Ph:334-566-3278
INDUSTRIAL&CONSTRUCTIONSUPPLIES 11/29/2023
CREDIT APPLICATION AND GUARANTY AGREEMENT Date
APPLICANT: Village of Tequesta Years in Business 66
Tax Exempt? ❑ No Ek Yes ID# 59-6044081 If yes;Please include copy of tax exempt certificate.
❑ Corporation ❑ Partnership ❑ Individual/Sole proprietor ❑ Other Government
❑ Contractor ❑ Manufacturer ❑ Maintenance and Repair ❑ Other
Annual Revenue(figures Low 5 ❑ High 5❑ Low 6❑Mid 6 ❑ Iligh 61:11 7+ Number of Employees
345 Tequesta Drive Tequesta FL 33469
Business Address City State Tip
( 561 ) 768-0700 (_) jmccorkle@tequesta.org
Phone Fax Account Payable Email Address(required)
136 Bridge Road Tequesta FL 33469
Mailing Address City State Zip
Phone Fax Contact Name
901 Old Dixie Highway Tequesta FL 33469
Shipping Address(if other than business address) City State Zip
(--AL) 766-262-1044 (_) Juan Rivas _
Phone Fax Contact Name
PRINCIPALS:
Name of Principal Position Address Phone
Name of Principal Position Address Phone
Has the Applicant,ur any principal ever filed for bankruptcy? When?
FINANCE:
Bank Account Number Type
Address Phone Fax
REFERENCES:
1. TDBank
Business Name Phone Fax
2. Advantage Bundling ( 866) 286-3546 (_)
Business Name Phone Fax
3, Terracon Services,Inc. ( 561) 743-1079 (_)
Business Name Phone Fax
Terms: Fastenal credit terms are Net 30 days from receipt of invoice. Fastenal reserves the right to charge interest at the rate of 18%per annum(1.5%
monthly)or at the highest rate available under applicable law,to any account balance exceeding 30 days Net. Statements and invoices will be paid in
accordance with terms set firth by Fastenal. Guarantee:It is(ally understood and agreed that upon approval of this application or reapplication and in
consideration of credit being extended,the undersigned Principal(s)will unconditionally,individually,and jointly and severally guarantee fall payment
of the purchase price of goods and merchandise so delivered. It is understood and agreed that the purchaser will pay,to the extent permitted under
applicable law,all reasonable collection fees, attorney fes, and court costs incurred by Fastenal in connection with any collection action.
Certification:I/We certify that all inbrmation on this application is correct and the listed bank and ref fences are authorized to release appropriate
inf)rmation to Fastenal,which will be held in confidence, necessary fir credit approval and that an authorized officer, owner,partner or representative
has signed this application.
By signing below,I/we acknowledge and agree to the foregoing conditions.
The following are authorized to purchase: Applicant:JeremyAllen
_Jeremy Allen Digitally signed byleremy Allen
Juan Rivas By; Date:2w3.rl.2grl:4r.4s-os'oo'
Nate Litteral Title:Village Manager Date:11/29/2023
Joe O'Connor Principal:
❑ All employees authorizedto purchase Credit amount requested: $
TO BE COMPLETED BY BRANCH PERSONNEL
SIC CODE Branch Manager
00009 12/17/21
DR-14
Consumer's Certificate of Exemption R.01/18
oil Issued Pursuant to Chapter 212, Florida Statutes
FLDRIDA
85-8015833079C-7 02/28/2022 02/28/2027 MUNICIPAL GOVERNMENT
Certificate Number Effective Date Expiration Date Exemption Category
This certifies that
VILLAGE OF TEQUESTA
345 TEQUESTA DR
JUPITER FL 33469-3062
is exempt from the payment of Florida sales and use tax on real property rented, transient rental property rented, tangible
personal property purchased or rented, or services purchased.
a] 11 DR-14
Important Information for Exempt Organizations R.01/18
FLORIDA
1. You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases.
See Rule 12A-1.038, Florida Administrative Code(F.A.C.).
2. Your Consumer's Certificate of Exemption is to be used solely by your organization for your organization's
customary nonprofit activities.
3. Purchases made by an individual on behalf of the organization are taxable, even if the individual will be
reimbursed by the organization.
4. This exemption applies only to purchases your organization makes. The sale or lease to others of tangible
personal property, sleeping accommodations, or other real property is taxable. Your organization must register,
and collect and remit sales and use tax on such taxable transactions. Note: Churches are exempt from this
requirement except when they are the lessor of real property(Rule 12A-1.070, F.A.C.).
5. It is a criminal offense to fraudulently present this certificate to evade the payment of sales tax. Under no
circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for
payment of the sales tax plus a penalty of 200% of the tax, and may be subject to conviction of a third-degree
felony. Any violation will require the revocation of this certificate.
6. If you have questions about your exemption certificate, please call Taxpayer Services at 850-488-6800. The
mailing address is PO Box 6480, Tallahassee, FL 32314-6480.
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/."