STEINHATCHEE COMMERCIAL SEAFOOD FACILITY

4:00

NOTICE OF REQUEST FOR

STATEMENT OF QUALIFICATIONS

The Taylor County Board of County Commissioners, in conformance with the Consultants' Competitive Negotiations Act (CCNA), Florida Statutes 287.055et. seq. and the policies and procedures of Taylor County is soliciting sealed Statements of Qualifications from professional firms that are interested in providing professional services for the STEINHATCHEE COMMERCIAL SEAFOOD FACILITY PLANNING AND FEASIBILITY STUDY PROJECT IN TAYLOR COUNTY, FLORIDA.

Qualified firms or individuals desiring to provide the requested services must submit their bid package in an envelope or similar package marked: Sealed bids for "STEINHATCHEE COMMERCIAL SEAFOOD FACILITY PLANNING AND FEASBILITY STUDY PROJECT IN TAYLOR COUNTY, FLORIDA" to the Clerk of Court, 1st Floor Courthouse, 108 North Jefferson Street, Perry, Florida 32347 to arrive no later than 4:00 pm local time, on August 14, 2026. All bids MUST have name and mailing address clearly shown on the outside of the envelope or package when submitted. Bids will be opened and respondents announced at 6:00 pm local time, or as soon thereafter as practical, on August 18, 2026 at the Taylor County Administrative Complex, 201 East Green Street, Perry, Florida 32347. ALL SOQs MUST have the respondent's name and mailing address clearly shown on the outside of the envelope or package when submitted. Respondent should submit one (1) original and two (2) copies of the SOQ.

SOQ information can be downloaded from the Taylor County website at .

The County reserves the right, in its sole absolute discretion, to reject any or all SOQS, to cancel or withdraw this Request For SOQs at any time or waive any irregularities in the SOQ process. The County reserves the right to award any contract(s) to the Respondent which it deems to offer the best overall service. The County, in its sole and absolute discretion, also reserves the right to waive minor defects in the process and to accept the SOQ deemed to be in the County's best interest. NO FAXED SOQ's WILL BE ACCEPTED.

DBE/MBE/WBE and Service and Disabled Veteran Business Enterprises owned businesses are encouraged to submit a proposal if qualified.

Taylor County is an AA/EOE employer and requires all contractors and subcontractors to comply with Executive Order 11246.

Additional information may be obtained from:

Melody Cox

(850) 371-0377

ORDER OF TAYLOR COUNTY BOARD OF COMMISSIONERS, Taylor County, Florida.

GENERAL INFORMATION

Bid documents may be obtained from Melody Cox at Telephone (850) 371-0377 or . Documents may also be obtained from .

Bids MUST be submitted to the Clerk of Court, 1st Floor Courthouse, 108 North Jefferson Street Perry FL 32347, to arrive no later than 4:00 p.m. local time, August 14, 2026.

Bids MUST be in a sealed envelope plainly marked on the outside: "STEINHATCHEE COMMERCIAL SEAFOOD FACILITY PLANNING AND FEASBILITY STUDY, TAYLOR COUNTY, FLORIDA".

All SOQs MUST have a name and mailing address shown on the outside of the envelope or package when submitted.

SOQs that are not delivered to the physical address of the Clerk of Court prior to the specified time will not be considered and will be returned to the responder unopened.

Once opened, no SOQ may be withdrawn prior to the Board of County Commissioners action without written consent of the Clerk of Court.

Responders must complete and furnish with their SOQ, the Florida Public Entity Crimes Statement as required by F.S. 287.133(3)(a).

SOQs shall be received and respondents announced on Tuesday, August 18, 2026 at 6:00 p.m. or as soon thereafter as practical, at the Taylor County Administrative Complex, 201 East Green Street, Perry, Florida, 32347.

The Taylor County Board of County Commissioners reserves the right, in its sole absolute discretion, to reject any or all SOQs, to cancel or withdraw the Request at any time or waive any irregularities in the SOQ process. The County reserves the right to award any contract(s) to the Respondent which it deems to offer the best overall service, therefore, the County is not bound to award any contract(s). The County, in its sole and absolute discretion, also reserves the right to waive minor defects in the process and to accept the SOQ deemed to be in the County's best interest.

It is the responsibility of the responders to fully understand and follow all contract expectations.

All proposals submitted require General Liability and Workmen's Compensation Insurance, and must include a Certificate of Insurance showing $1,000,000.00 liability insurance coverage, listing Taylor County as an additional insured, or sworn statement from an insurance agent, verifying that if the prospective respondent is awarded the SOQ, a Certificate of Insurance will be issued to the successful respondent within thirty (30) days of the acceptance of the proposal, in the amount stated. Also include the Declaration Page from the insurance policy, showing Workmen's Compensation Insurance on all employees working on the project. Any respondent who does not furnish the required insurance documents within thirty (30) days after the SOQ award, is hereby advised that the SOQ will be given to the next highest respondent who meets all proposal specifications. Workmen's Compensation exemptions will be accepted upon providing a current Florida Workman's Compensation Exemption Certificate, and a signed Taylor County Workmen's Compensation Hold Harmless and Indemnity Agreement. Every employee must be listed on the Exemption Certificate. Any responder who does not furnish the required insurance documents, will not be considered and the bid will be disqualified.

Respondents must include with the bid E-Verify certification pursuant to F.S.448.095. The E-verify Memorandum of Understanding and Registration Verification may be used for certification.

Taylor County is an AA/EOE employer and requires all contractors and subcontractors to comply with Executive Order 11246.

The Taylor County Board of County Commissioners Does Not Accept Faxed Bids.

Respondents who elect to send sealed bids Overnight Express or Federal Express, must send to the physical address of: Clerk of Court, 1st Floor Courthouse, 108 North Jefferson Street Perry FL 32347.

INTENT AND GENERAL INFORMATION

Taylor County, Florida through Notice Of Request For Statement Of Qualifications (SOQ), is soliciting proposals from qualified businesses registered to do business with the State of Florida, with the required expertise and capability to perform a Commercial Seafood Facility Planning and Feasibility Study herein referred to as ("Services"). Services will include: Minimum of three stakeholder meetings and/or workshops; Feasibility Study; Environmental Assessments and Surveys; and Economic Development and Capital Costs Planning Study. The project's specific elements are included in the Scope of Work section of this Request For SOQs.

Firms interested in preparing a response for this Request For SOQs must complete the requirements set forth in this Request For SOQs, its attached documents and documents incorporated by reference (collectively referred to as the "SOQ"). Under the proposal process of Taylor County, the conditions set forth herein are binding on the Proposer as confirmed by the signature of a person with legal authority to bind the Respondent on the cover letter transmitting its Proposal to the County in response to this Request For SOQs.

If this Request For SOQs is amended, the County will issue an appropriate addendum to the Request. If an addendum is issued, all terms and conditions of this Request that are not specifically modified in the addendum shall remain unchanged. An addendum to this Request For SOQs will be issued if any of the dates and/or times change. Any addendum's will be posted on the County's website at no less than five (5) days before the deadline to submit proposals.

It is the Respondents sole responsibility to be familiar with the Steinhatchee area and the requirements and capital infrastructure needs of a commercial seafood facility and distribution facility.

It is understood and the Respondent hereby agrees to be solely responsible for obtaining all materials and determining the best methods that will be utilized to meet the intent of the specifications of this Request For SOQs. Failure by the Respondent to acquaint themselves with the available information will not relieve them from responsibility for estimating properly the difficulty of successfully performing the required "Services". Respondents are expected to examine the specifications and all instructions pertaining to the required Services. Failure to do so will be at the Respondent's own risk.

The County reserves the right to reject any SOQ found to be non-responsive, vague, or non- conforming. The County also reserves the right at any time to withdraw all or part of this Request For SOQs in order to protect its best interests. The County is not liable for any costs incurred by the Respondent in preparing its response, nor is a response an offer to contract with a Respondent. Pursuant to Chapter 119, Florida Statutes (FS), all responses are subject to Florida's public records laws.

While every effort is made to ensure the accuracy and completeness of information in the Request for SOQs, it is recognized that the information may not be complete in every detail and that all work may not be expressly mentioned in the Request. It is the responsibility of the Respondent to include their SOQ all pertinent information in accordance with the objectives of the Request For SOQs.

SCOPE OF WORK

STEINHATCHEE COMMERCIAL SEAFOOD FACILITY PLANNING AND FEASIBILITY STUDY PROJECT IN TAYLOR COUNTY, FLORIDA

Taylor County has been awarded a Florida Commerce Rural Infrastructure Fund (RIF) grant for the planning and feasibility of a commercial seafood off-loading , processing , and distribution facility in Steinhatchee, Florida. Steinhatchee is located directly on the Gulf at the mouth of the Steinhatchee River. The RIF fund was created to facilitate the planning, preparing, and financing of infrastructure projects in rural communities by promoting tourism, trade, and economic development. Steinhatchee suffered catastrophic losses from Hurricanes Idalia and Helene and is in the process of rebuilding. There is a critical need for a commercial seafood off-loading , processing, and distribution facility in Steinhatchee. Though the County is renowned for the abundance and quality of seafood off of the County's coast, there is no longer a commercial seafood off-load facility located in the County. The County's commercial seafood industry operates year-round with the primary harvest being grouper, snapper, flounder, blue crab, and stone crab. Taylor County's commercial seafood fishermen and harvesters must now travel out of County to have their catch off-loaded, processed and distributed. Several local harvesting businesses have closed their operations in recent years due to the lack of facilities and associated expenses. Taylor County is a designated Rural Area of Opportunity as well as a Rural Economic Development Initiative area. Steinhatchee is a designated Waterfronts Florida Partnership community. The Scope of Work includes the following Tasks and Deliverables:

Pre- Study and Planning Activities

Conduct at least one stakeholder meeting to determine priorities for the development and essential facilities for the commercial seafood facility.

County to obtain Willing Seller Statements from potential landowners with viable sites to be included in the Study. Selected firm to meet with appropriate County staff to review and discuss sites and determine viability of site prior to expenditures of funds on required studies and surveys.

Environmental Assessments and Survey

Prepare a Phase 1 Environmental Assessment and Survey, Dredge Quantity Assessment, Vehicular and Vessel Traffic Assessment, Upland and Waterfront Impact Assessment, and Tide Action Assessment.

Conduct Bathymetric Survey(s).

Conduct Wetland Delineations and Mapping (if applicable).

Economic Development and Capital Costs

Determine the sustainability of the commercial facility and its needs to facilitate future growth.

Determine if the commercial facility will operate as a cooperative or County owned.

Determine the potential site(s) for the commercial facility

Complete a conceptual site plan including infrastructure (i.e. docking, facility needs, parking and roadway access.

Conduct a cost analysis to determine if the County will be utilizing existing facilities or will need to construct new infrastructure.

Determine a probable acquisition cost for the potential site(s).

Determine potential funding sources for land acquisition, site development and capital equipment.

Hold at least one stakeholder to discuss outcomes determined in items 1 thru 7 and obtain Board of Commissioners , commercial seafood harvester's, and public input.

Feasibility Study

Prepare feasibility study summarizing the results of the project, including all tasks in the Scope of Work.

Present study to the Board of Commissioners, and project stakeholders.

The selected firm/contractor shall provide the County one (1) original and one (1) copy of all Studies and Assessments as well as an electronic copy. Maps and drawings must include a legend of symbols and abbreviations used on drawings.

Taylor County as well as the Grantor requires the selected firm /contractor to utilize Minority Business Enterprises and Service-Disable Veterans Enterprises as sub-contractor's (if applicable) for the project when possible.

STATEMENT OF QUALIFICATION RESPONSE REQUIREMENTS

Overview

The County has established certain mandatory requirements that must be included as part of any SOQ. The use of the terms "shall," "must," or "will" (except to indicate simple futurity) in this Request For SOQs indicates a mandatory requirement or condition. The words "should" or "may" in this Request For SOQs indicate desirable attributes or conditions but are permissive in nature. Deviation from, or omission of, such a desirable feature will not by itself cause rejection of a SOQ.

SOQs not meeting all material requirements of this request, or which fail to provide all required information, documents, or materials such as request forms, bonds, etc., will be rejected as non-responsive. Material requirements of the SOQ are those set forth as mandatory, or without which an adequate analysis and comparison of replies is impossible, or those which affect the competitiveness of replies or the cost to the County.

The County reserves the right to determine which SOQs meet the material requirements of the Request for SOQs and which SOQs are responsible and/or responsive. Further, the Board of County Commissioners may reject any and all SOQs and seek new SOQs when it is in the best interest of the County to do so.

A SOQ by a corporation shall be executed in the corporate name by the president or a vice-president or other corporate officer accompanied by evidence of authority to sign. The corporate seal shall be affixed and attested by the secretary or an assistant secretary. The corporate address and state of incorporation shall be provided on the SOQ Form, for a SOQ by a/an:

Partnership shall be executed in the partnership name and signed by a partner (whose title must appear under the signature), accompanied by evidence of authority to sign. The official address of the partnership shall be provided on the SOQ Form.

Limited Liability Company shall be executed in the name of the firm by a member and accompanied by evidence of authority to sign. The state of formation of the firm and the official address of the firm shall be shown.

Individuals shall show the Respondent's name and business address.

SOQs submitted by a joint venture shall be executed by each joint venture member in the manner indicated on the SOQ form. The official address of the joint venture must be provided on the SOQ Form.

All names shall be printed in ink below the signatures.

The SOQ shall contain an acknowledgment of receipt of all Addenda.

The postal and email addresses and telephone number for communication regarding the SOQ shall be shown.

Respondents seeking to do business with the County shall, at the time of submitting a SOQ, be appropriately registered with the Department of State in accordance with the provisions of Chapters 605, 607, 617, or 620 Florida Statutes, as applicable. For further information on required filing and forms, please go to the following sites: or.

The SOQ shall contain evidence of the Respondent's authority and qualification to do business in the state or locality where the Project is located, or Respondent shall covenant in writing to obtain such qualification prior to award of the Contract and attach such covenant to the SOQ. The proposer's state contractor license number, if any, shall also be shown on the SOQ Form.

EVALUATION OF PROPOSALS AND SELECTION PROCESS

Statement Of Qualifications submitted to this Request for SOQs that satisfy the required qualifications and are deemed to be submitted by responsive and responsible Respondents shall be ranked by a Selection Committee authorized by the County Administrator.

The County reserves the right to reject any or all SOQs, including without limitation, nonconforming, nonresponsive, unbalanced, or conditional SOQs. The County further reserves the right to reject the SOQ of any Respondent whom it finds, after reasonable inquiry and evaluation, to be non-responsible.

More than one SOQ for the same Services from an individual or entity under the same or different names will not be considered. Reasonable grounds for believing that any Respondent has an interest in more than one SOQ for the "Services" may be cause for disqualification of the Respondent and the rejection of all SOQs in which that Respondent has an interest.

The County may conduct such investigation as it deems necessary to establish the responsibility, qualifications, and financial ability of Respondents, proposed subcontractors, suppliers, individuals, or entities to perform the "Services" in accordance with a Contract document.

In ranking SOQs, the Selection Committee shall evaluate the SOQs on the basis of the information provided by the Respondent and rank each SOQ for compliance with the qualifications of each Respondent and compliance with the mandatory requirements of the SOQ. The County reserves the right to award more than one Respondent.

The selection committee will evaluate the SOQs that are responsive to the requirements of this Request using the following weighted criteria listed in order of importance:

The SOQs deemed best by the selection committee shall be presented in the form of an Agenda Request to the Taylor County Board of Commissioners, who shall either accept or deny the recommendation of the selection committee.

Individual Committee members will be removed from the Committee if unable to participate in all reviews, and scoring will be based on scores of the remaining Committee members.

INTENT TO AWARD AND CONTRACT EXECUTION

Negotiations between the County and the priority Respondent (Respondent highest ranked by the Committee) and approved by the Board of Commissioners will proceed as follows:

Negotiations may be conducted by the Board of County Commissioners or at the pleasure of the Board by the County Administrator and/or the County Attorney.

Negotiations will be held with the first Respondent/Firm on the priority list.

If no tentative agreement can be reach with the first Respondent/Firm then negotiations will commence with the second vendor on the list.

If no tentative agreement can be reached with the second Respondent/Firm, then negotiations will begin with the third Respondent.

If no agreement is reached with the third Respondent, then the County shall consider negotiations with the order of the ranking of the Respondents.

Taylor County reserves the right to negotiate with one or more Respondents/Firms for the services in the Scope of Work and as outlined in the Request For SOQs.

After completion of negotiations, the Board shall approve the terms, conditions, and costs associated with a Task Order and/or overall Contract for services. Upon the successful negotiations of an agreement, a formal contract will be prepared and submitted to the County Commission for approval and executed by both Parties.

Any cost to prepare a response to this solicitation and any subsequent presentation/interviews are solely that of the Respondent/Firm and the County assumes no responsibility for costs incurred by the Respondent.

Direct one-on-one contact with any of the Board of Commissioner members, the Bid Review Committee, County Administrator, or the County Attorney is not allowed after the opening of the SOQs and the review process unless initiated by the County to request specific information that will assist in understanding information in the proposal.

The County reserves the right before awarding a contract, to require Respondent to submit such evidence of its qualifications as it may deem necessary. The County will be the sole judge of the competency of the Respondents pertaining to the project.

Florida Commerce Rural Infrastructure Fund (RIF) Program staff may also review and approve any and all contracts that may be awarded with the grant funds as well as approve the required Tasks and Deliverables.

Respondent(s) who may be awarded a contract for the Steinhatchee Commercial Seafood Facility Planning and Feasibility Study Project will be required to meet all terms and conditions in the County's Grant Agreement with the Florida Department of Commerce.

The Successful Proposer will be required to assume responsibility for all services offered in the SOQ. The County will consider the Successful Respondent to be the sole point of contact regarding contractual matters, including payment on any or all charges.

FLORIDA PUBLIC RECORDS LAW AND CONFIDENTIALITY

By submitting a SOQ in response to this Request For SOQs, a Respondent acknowledges that the County is a governmental entity subject to the Florida Public Records Law (Chapter 119, Florida Statutes). The Respondent further acknowledges that any materials or documents provided to the County may be "public records" and, as such, may be subject to disclosure to, and copying by, the public unless otherwise specifically exempt by Law.

Should the Respondent provide the County with any materials which it believes, in good faith, contain information that would be exempt from disclosure or copying under Florida Law; the Respondent shall indicate that belief by typing or printing, in bold letters, the phrase "PROPRIETARY INFORMATION" on the face of each affected page of such materials. The Respondent shall submit to the County both a complete copy of such material and a redacted copy in which the exempt information on each affected page, and only such exempt information, has been rendered unreadable. In the event a Respondent fails to submit both copies of such material, the copy submitted will be deemed a public record subject to disclosure and copying regardless of any annotations to the contrary on the face of such document or any page(s) thereof.

Should any person request to examine or copy any material so designated, and provided the affected Respondent has otherwise fully complied with this provision, the County, in reliance on the representations of the Respondent, will produce for that person only the redacted version of the affected materials. If the person requests to examine or copy the complete version of the affected material, the County shall notify the Respondent of that request, and the Respondent shall reply to such notification, in writing that must be received by the County no later than 4:00 p.m., EST, of the County business day following Respondent's receipt of such notification, either permitting or refusing to permit such disclosure or copying.

Failure to provide a timely written reply shall be deemed as consent to disclosure and copying of the complete copy of such material. If the Respondent refuses to permit disclosure or copying, the Respondent agrees to, and shall, hold harmless and indemnify the County for all expenses, costs, damages, and penalties of any kind whatsoever which may be incurred by the County, or assessed or awarded against the County, regarding the County's refusal to permit disclosure or copying of such material. If litigation is filed in relation to such request and the Respondent is not initially named as a party, the Respondent shall promptly seek to intervene as a defendant in such litigation to defend its claim regarding the confidentiality of such material. This provision shall take precedence over any provisions or conditions of any SOQ submitted by Respondent in response to this Request For Statement Of Qualification and shall constitute the County's sole obligation regarding maintaining confidentiality of any document, material, or information submitted to the County.

CONSTRUCTION AND VENUE

The validity, construction, and effect of this Request For SOQs and subsequent Contract shall be governed by the Laws of the State of Florida. The provisions of the SOQ, Successful Respondent's SOQ and subsequent Contract shall be complied with by the Parties, but only to the extent they are consistent with applicable law and the Contract. In the event of an inconsistency, the Order of Precedence shall be followed:

Laws of Florida and Contract

Request For SOQs and all of its addendums and attachments

Successful firm's Response (SOQ)

Venue for all actions arising under the SOQ and subsequent Contract shall lie exclusively in Taylor County, Florida, United States.

CONTRACT TERMS AND TERMINATION

The term of a Contract shall commence on the date of its execution by the Board of

County Commissioners and continue until the completion of the project.

The County may, at any time, without cause, order Respondent in writing to suspend, delay or interrupt the work in whole or in part for such period of time as the County may determine, or to terminate all or a portion of the Contract for the County's convenience. Upon such termination, the Contract Price earned to the date of termination shall be paid to Respondent, but Respondent waives any claim for damages, including loss of profits arising out of or related to the early termination. Those Contract provisions which by their nature survive final acceptance shall remain in full force and effect. If the County orders a suspension, the Contract price and Contract time may be adjusted for increases in the cost and time caused by suspension, delay or interruption. No adjustment shall be made to the extent that performance is, was or would have been so suspended, delayed or interrupted by reason for which Respondent is responsible; or that an equitable adjustment is made or denied under another provision of this Contract.

PROJECT IDENTIFICATION: STEINHATCHEE COMMERCIAL SEAFOOD PLANNING AND FEASIBILITY STUDY PROJECT

THIS STATEMENT OF QUALIFICATIONS IS SUBMITTED TO:

Clerk of Courts, Taylor County

1st Floor Courthouse

108 N. Jefferson Street

Perry, Florida 32347

SOQ FORM

The undersigned RESPONDENT proposes and agrees, if this SOQ is accepted, to enter into an agreement with OWNER in the form of a negotiated Contract for the professional services for the STEINHATCHEE COMMERCIAL SEAFOOD PLANNING AND FEASIBILITY STUDY PROJECT in Steinhatchee, located in Taylor County. The RESPONDENT agrees to perform and furnish all work as specified in the Request For Statement Of Qualifications and subsequent contract documents.

RESPONDENT accepts all the terms and conditions of the Advertisement of the Request For Statement Of Qualifications.

In submitting this SOQ, RESPONDENT represents, as more fully set forth in the Agreement, that:

RESPONDENT has examined and carefully studied the request For SOQ Documents and the following Addenda receipt (if applicable) of all which is hereby acknowledged.

RESPONDENT has visited the project area (Steinhatchee) and become familiar with and satisfied as to the general, local and area conditions that may affect cost, progress, performance and furnishing of the Scope of Work.

RESPONDENT is familiar with and is satisfied to all federal, state and local laws and regulations that may affect cost, progress, performance and furnishing of the "Services".

RESPONDENT is aware of the general nature of "Services" to be performed by the County that relates to "Services" for which this SOQ is submitted and as indicated in subsequent Contract documents.

This SOQ is genuine and not made in the interest of, or on behalf of any undisclosed person, firm or corporation and submitted in conformity with any agreement or rules of any group, association, organization, or corporation to refrain from submitting an SOQ; and Respondent has not sought by collusion to obtain for itself any advantage over any other Respondent(s) or over Owner.

Respondent agrees that the "Services" will be completed in accordance with the General Conditions (see Scope of Work for details) on or before the dates or within the number of calendar days indicated in a negotiated Contract. Respondent will accept the provisions of the negotiated Contract as to liquidate damages in the event of failure to complete the "Services" within the time specified in the Contract.

Communications concerning this SOQ shall be addressed to:

Melody Cox, Grants Administrator

201 E. Green Street

Perry, FL 32347

(850)371-0377

OR

LaWanda Pemberton, County Administrator

201 E. Green Street

Perry, FL 32347

(850) 838-3500 Ext. 6

SUBMITTED on , 2026

IF RESPONDENT IS:

AN INDIVIDUAL:

By (seal)

Individual's Name

Doing business as

Business address

Telephone No.:

A PARTNERSHIP:

By: (seal)

Firm Name

General Partner:

Business Address:

Telephone No.:

A CORPORATION:

By: (seal)

State of Incorporation:

By: (seal)

Name of Person Authorized to Sign

(Corporate Seal)

Title

Attest: As Secretary

Business Address:

Telephone No.:

Date of Qualification To Do Business Is:

SOQ CHECK-LIST

Check Items Included

With SOQ:

___________ 1. Statement of Qualifications

___________ 2. Certificate of Liability Insurance or Agent Statement as outlined in the General Considerations (MUST BE INCLUDED WITH SOQ).

___________ 3. Declaration Page from Workers' Compensation Insurance or Exemption Certificate issued by the State. (MUST BE INCLUDED WITH SOQ).

___________ 4. Public Entity Crimes Affidavit, signed and notarized, as required by Chapter 287.133(3) (a) (AFFIDAVIT MUST BE INCLUDED WITH SOQ SPECIFICATIONS).

___________ 5. If a performance Bond is required, the successful Respondent must provider to the County prior to execution of a Contract.

___________ 6. E-Verify certification is required, (MUST BE INCLUDED WITH SOQ).

___________ 7. Hold Harmless, Release and Indemnify Agreement (MUST BE INCLUDED WITH SOQ)

____________ 8. Documentation of MBE/DBE/WBE or Veteran Owned Business Enterprise (if applicable)

The SOQ Checklist must be included in the submitted SOQ package.

SWORN STATEMENT UNDER SECTION 287.133(3)(a),

FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES

THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS.

This sworn statement is submitted with Bid, Proposal or Contract No. for

This sworn statement is submitted by

(Name of entity submitting sworn statement)

Whose business address is

and

(if applicable) its Federal Employer Identification Number (FEIN) is ,

(If entity has no FEIN, include the Social Security Number of the individual signing this sworn

statement: .)

My name is and my relationship to the entity

named above is .

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 with the United States, including, but not limited to, any bid, proposal, reply, or contract for goods or services, any lease for real property, or any contract for construction or repair of a public building or public work, involving antitrust, fraud, theft bribery, collusion, racketeering, conspiracy, or material misrepresentation.

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 or record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonjury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.

I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means:

A predecessor or successor of a person convicted of a public entity crime: or

An entity under the control of 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 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.

I understand that a "person" as defined in Paragraph 287.133(1)(g), Florida Statutes, means any natural person or entity organized under the laws of any state or the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts 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.

Based on information and belief, the statement, which I have marked below, is true in relation to the entity submitting this sworn statement. (Please indicate which statement applies)

Neither the entity submitting this sworn statement, nor any officers, directors, executives,

partners, shareholders, employees, members, and agents who are in the management of the entity, nor 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 the officers, directors, executives,

partners, shareholders, employees, members, and agents who are in the management of an entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989 AND (Please indicate which additional statement applies.)

There has been a proceeding concerning the conviction before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer did not place the person or affiliate on the convicted vendor list. (Please attach a copy of the final order.)

The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing office of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer determined that it was in the public interest to remove the person or affiliate on the convicted vendor list. (Please attach a copy of the final order.)

The person or affiliate has not been placed on the convicted vendor list. (Please describe any action taken by or pending with the Department of General Services.)

(Signature) (Date)

STATE OF

COUNTY OF

PERSONALLY APPEARED BEFORE ME, the undersigned authority, ,

(Name of individual signing)

who, after first being sworn by me, affixed his/her signature in the space provided above on this day of , .

NOTARY PUBLIC

My commission expires:

*A public entity may not accept any bid, proposal, or replay from, award any contract to, or transact any business in excess of the threshold amount provided in s.287.017 for CATEGORY TWO with any person or affiliate on the convicted vendor list for a period of 36 months following the date that person or affiliate was placed on the convicted vendor list unless that person or affiliate has been removed from the list pursuant to paragraph (3)(f).

HOLD HARMLESS, RELEASE AND INDEMNITY AGREEMENT

COMES NOW, ________________________________, and after having obtained a State of Florida Worker's Compensation Certificate, a copy of which is attached hereto and marked Exhibit "A" and in consideration of Taylor County having accepted the said Worker's Compensation exemption and Taylor County having agreed for me to proceed with the following project, to-wit:

I hereby agree to indemnify, hold harmless and defend Taylor County, Florida from any liability claim, demand, action, cause of action, suit, loss, damage, expense, cost attorney fee, settlement, or judgment as a result of my being injured while performing the above project. I will not allow anyone to subcontract, and no other person will be allowed on the job site.

I also hereby indemnify and release Taylor County, from any liability, claim, demand, and action, cause of action, suit, loss, damage, expense, cost, settlement, or judgment for any medical, dental, orthopedic, surgery or any rehabilitation or any expense as a result of any injury on said project.

I hereby release Taylor County from any liability of whatever kind or nature because of any injury on the above project.

I hereby agree that venue of any litigation, as a result of this Hold Harmless Release and Indemnity Agreement shall be exclusively in Taylor County, Florida and the laws of the State of Florida shall govern.

I hereby agree that I have relied on the legal advice of my attorney and that I fully understand this agreement and I have voluntarily executed same.

DONE AND EXECUTED this __________ day of ______________________, 2026.

WITNESS:

__________________________ _____________________________

__________________________

STATE OF FLORIDA

COUNTY OF TAYLOR

I hereby certify that on this day personally appeared before me, an officer duly authorized to administer oaths and take acknowledgments, ________________________, personally known to me ( ) produced identification ( ) to be the individual described in and who executed the foregoing, and acknowledged before me that they executed the same freely and voluntarily for the purpose therein expressed.

Witness may hand and official seal this _________ day of _______________, 2026.

________________________

NOTARY PUBLIC

My Commission Expires:

Accepted by Taylor County, Florida this ______ day of ______________, 2026, by

_________________________________________