CONTRACT FOR BANKING SERVICES (5)
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CON T R ACT
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This Contract is entered into as of the 1st day of October, 1991, by and
between the City of Clearwater, Florida, a municipal corporation, hereinafter
called the "City", and Barnett Bank of Pinellas County, a Florida chartered bank,
located at 1150 Cleveland street, Clearwater, Florida, hereinafter called the
"Bank" :
WIT N E SSE T H:
WHEREAS, it has been deemed advisable to consolidate to the extent possible
all cash resources of the City into accounts in one official depository bank to
be selected by competitive bidding by the commercial banks in the City; and
WHEREAS, the bid most advantageous to the City has been submitted by
Barnett Bank of Pinellas County, which bank is engaged in the business of
commercial banking in the City of Clearwater and is qualified to perform the
required services;
NOW, THEREFORE, the parties agree as follows:
1~ The Bank will perform the services called for in a proposal forwarded
to the Bank under cover of a letter from the Purchasing Manager dated April 15,
1991, a copy of which letter and proposal marked "Exhibit AU are attached hereto,
and by reference made a part of this Agreement as if fully rewritten herein, and
the bid of Barnett Bank of pinellas County, marked "Exhibit B" attached hereto
and by reference made a part of this Agreement as if fully rewritten herein.
2. The City, on its part, agrees to pay for services provided in the
manner specified in "Exhibit B"~
3. This Agreement will remain in effect for three years and may be renewed
for additional three year periods by mutual consent of both parties~
Countersigned
CITY OF CLEAR
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CityMa'
AU.." e.f~Z: !:Ln.-
. ty Clerk .
Approved as to form and correctness:
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City Attorney
Witnesses:
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County
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"EXHIBIT B"
CITY OF CLEARWATER
BANKING SERVICES BID FORM
BANK NAME:
OFFICIAL SUBMITTING:
TITLE OF OFFICIAL:
TELEPHONE NUMBER:,
BARNETT BANK OF PINELLAS COUNTY
M. PHILLIP FREEMAN
SENIOR VICE PRESIDENT
(813) 892-1554
10.
1,1.
1.
Bankinq Service
Account Maintenance
Estimated
Monthly
Activity
3
Unit
Price
7.50
Monthly
Cost
22.50
2.
Account Reconciliation
approx. 4,000 items
.06
240.no
3.
Items Paid 5,600
.08
418.00
4.
Items Deposited 36,000
.05
1800.00
5.
Coin sorting and counting $300,000
$4.00/thsnd.
1200.00
6.
Lock Box Service (OCR Scanned) 30,000
.06
1800.00
"7
stop Payments 5
10.00
50.00
8.
Wire Transfers 4
5.00
20.00
9.
Investment Transactions 15
30.00
450.00
Safety Deposit Box 1
n/c
n/c
Returned Items/Rerun Items 60
1.00
60.00
12.
ACH Items 300
.05
15.00
13.
Deposits Credited unknown
n/c
n/c
other Services:
Lockbox items over 3%
reject rate
unknown
.05
Note: Any additional services may be added
subject to a mutually agreeable charge.
TOTAL ESTIMATED MONTHLY FEES
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other Quotations:
Rate Quotation on Line of Credit: spread under Prime per bond rating and
tax statl1$.
Rate Quotation on Sweep Account: Federal Funds Rate minus 25 basis points.
Type of Collateral for Securities Proposed For Sweep Account: U. S.
Government Securities/Agencies.
Third Party Holder for Collateral Securities for Sweep Account:
Jacksonville Federal Reserve
Statement of Capability:
Our Bank can comply with all aspects of the City's Banking Service
requirements. (Yes or No)~. (If no, list all exceptions on separate
page.) Please refer to our cover letter.
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Barnett Bank 01
Pinellas Counly
Pos I Office 80x12288
51. Pelersburg, Florida 33733.2288
June 3, 1991
Mr. George McKibben
Purchasing Manager
City of Clearwater
711 Maple Street
Clearwater, FL 34615
Dear Mr. McKibben:
Barnett Bank of Pinellaa County thanks you for the opportunity to submit our ProDosal for Bankinl!
Services to the City of Clearwater in response to your Request for Proposal dated April 15, 1991. We
understand and agree that award of these services to us would be under a three year contract, which will
incorporate the above referenced request for proposal and this response.
We are currently providing the banking services covered by the proposal and except as indicated in this
response, we are able to comply with your specifications and requirements. Beginning this summer a third.
party vendor will be used for retail lock-box processing with Barnett retaining full responsibility for service
quality.
Attached please fmd the Banking Services Bid Response Form and other required information, which
should be reviewed in conjunction with this letter. Our bid is to be considered on an "all or none" basis.
Recvcled Paper
We regret that we are unable to comply with your requirements for the use of recycled paper. We
.. understand, however, the importance oUhe issue "f recycling, and as an organization have initiated various
measures to promote recycling.
Lel!al Name
Our legal name, address and telephone number is:
Headquarters:
Barnett Bank of Pinellaa County
(a state chartered bank)
One Progress Plaza (200 Central Avenue)
St. Petersburg, Florida 33701
Telephone: (813) 892-1554
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City of Clearwater
June 3, 1991
Page 2
Main Clearwater Office:
Barnett Plaza Office
1150 Clevehrnd Street
Clearwater, Florida 34615
Telephone: (813) 539-9131
The City may utilize the above Clearwater location or arrangements may be made at the other eight
branch offices located within the City of Clearwater (list attached). Coin deposits from the parking meters
and bridge, however, should be delivered to Barnett's Cash Vault located at 4800 140th Avenue North,
Clearwater.
ColIaterallBank Ratinl!
Barnett Bank ofPineUas County is an approved rmancial institution under the Public Deposit Act, Chapter
280, Florida Statutes. We currently are rated by Moody's Investor Services, a widely followed credit rating
agency. These ratings are Prime _ 1 for short-term certificates of deposit and A2 for long-term certificates
of deposit. Additionally, all 32 banks owned by Barnett Banks, Inc. have the same rating. It is important
to note that under present law all Barnett Banks are hacked by the full strength of the entire organization.
The latest call report for Barnett Bank of PineUas County and the latest aruma! report of Barnett Banks,
Inc. is also included.
Line of Credit
Upon appropriate resolution by the City Commission, a line of credit of $1,000,000.00 would be made
available to the City on mutually agreeable pricing and terms. The interest would be based on the Barnett
Banks, Inc. prime rate as alljusted from time to time with a spread from prime based on the rmancial
standing and bond ratings of the City, as well as the status as to taxability of interest payments_
Dru!! Free Workolace
Although we have responded negatively to the Drug Free Workplace Form as specifically required by you,
Barnett does have a comprehensive policy and program to address substance abuse and safety in the
workplace, which encompasses the material requirements of your form. It includes notification and
information to employees, reporting suspected violators, disciplinary measures including termination,
participation in ass~tance and rehabilitative programs, and drug-screening for employment.
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City of Clearwater
June 3, 1991
Page 3
B!II1k ContaCt
A listing of contact personnel is provided lIS requested for various services. Final responsibility for all
requirements of the City is that of the undersigned or in his absence Mrs. J!II1ene Silver.
It is a plellSure to be of service to the City !II1d we look forward to the opportunity to extend our
relationship.
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M.P. Free: ~
Senior Vice President
MPF/la
AttaChments
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MPF/Ia
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City of Clearwater
June 3, 1991
List of Attachments
Banking Services Bid Response Form
Drug Free Workplace Form
Public Entity Crimes Form
Bank Contacts
References
Clearwater Locations
Community Reinvestment Act Policy Ststement
Community Reinvestment Act Evaluation Letter
Call Report, Barnett Bank of Pine11as County
Annual Report, Barnett Banks, Inc.
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A DRUG-FREE WORKPLACE, IN ACCORDANCE WITH SECT. 287.087
Preference shall be given to businesses with drug-free workplace
programs. Whenever two or more bids which are equal with respect
to price, quality, and service are received by the City for the
procurement of commodities or contractual serrices, a bid received
from a business that certifies that it has implemented a drug-free
workplace program shall be given preference in the award process.
Established procedures for processing tie bids will be followed if
none of the tied vendors have a drug-free workplace program. In
order to have a drug-free workplace program, a business shall:
1) Publish a statement notifying employees that the unlawful
manufacture, d~stribution, dispensing, possession, or use of a
controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees
for violations of such prohibition.
Inform employees about the dangers of drug abuse in the
workplace, the business'S policy of maintaining a drug-free
workplace, any available drug counseling, rehabilitation, and
employee assistance programs, and the penalties that may be
imposed upon employees for drug abuse violations.
2)
3 )
Give each employee engaged in
contractual services that are
statement specified in subsection
providing the
under bid a
(1) .
commodities or
copy of the
4) In the statement specified in subsection (1), notify the
employees that, as a condition of working on the commodities
or contractual services that are under bid, the employee will
abide by the terms of the statement and will notify the
employer of any conviction of, or plea of guilty or nolo
contendere to, any violation of chapter 893 or of any
controlled substance law of the United States or any state,
for a violation occurring in the workplace ~o later than five
(5) days after such conviction.
5 )
Impose a sanction on, or
participation in a drug abuse
program if such is available in
any employee who is so convicted.
require the satisfactory
assistance or rehabilitation
the employee's community, by
6) Make a good faith effort to continue to maintain a drug-free
workplace through implementation of this section.
As the person authorized
this firm ~does not
above requirements.
to sign the statement, I certify that
(select only one) fully comply, 'ith the
Vc.NDOR'S
M. Phillip F~eeman
senior vice President
May 31, 1991
~rnptt Rririk of P;np.l1~~ COllntv
BUSINESS NAME
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SWORN STATEMENT PURSUANT TO SECIlON 287.133(3)(0),
FLORIDA STATUTES. ON PUBLIC ENTIIY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted to citv of Clearwater
[print nome or tbe public entity]
by M. Phi11io Freeman. Senior vice President
[print Individual's name and IIl1e]
for Barnett Bank of pinellas Countv
[print name of endty submitting sworn statement]
whose business address is 1150 Cleveland st.
Clearwater, FL 34615
and (if applic:lble) its Federal Employer Identific:ltion Number (FEIN) is l)g-07l)1 fig4
(ll the entity has no FEIN, include the Social Security Number of the individual signing this sworn
statement:
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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 Slates. 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 of any Olher state
or of the United Slates and involving antitrust. fraud, theft. bribery, collusion, racketeering,
conspiracy, or material misrepresenlation.
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3. I understand that 'convicted" or 'conviction' as defined in Paragraph 287.133(1)(b), Florida Stntutes.
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 indicnoent or
information after July I, 1989, as a result of a jury verdict, nonjury trial, or enuy of a plea of guilty
or nolo contendere.
4. I understand th.at an 'affiliate' as defined in Paragraph 287.133(I)(a), Florida SIDtutes. means:
1. A predecessor or successor of it person convicted of a public entity crime; or
2. An entity under the control of any natural person who is active in ,the management of the entity
and who has been convicted ofa 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 pelSon. A person who knowingly enters into a joint venture with a person who has been
convicted of a public entiry crime in Florida during the preceding 36 months shall be considered
an affiliate.
5. I undersland that a 'person' as defined in Paragraph 287.133(1)(e), Floridn 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 a 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 OfficeIS, directors, executives, panners,
shareholdeIS, employees, members, and agents who are active in management of an entity.
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6. Based on information and belief, the statement which I have marked below is true in relation to
the entity submitting this sworn statement. [lndlCllte which statement appiles.]
--1L 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 tbe
entity, nor any affiliate of the entity baS 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 baS 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 Rorida, Division of Administrative Hearings and the Final Order entered by
the Hearing Officer detennined 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 nnal order]
I UNDERSTAND THAT TIm SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR
THE PUBUC ENTITY IDEN'lll'lJill IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBUC ENTfIY
ONLY AND. TIIAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN
WHICH IT IS FILED. I AL'iO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBUC
ENTITY PRlOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD UNT
PROVIDED IN SEcrION 287.017, FLORIDA STATUTES FOR CATEGORY TW OF ANY C GE IN
THE INFORMATION CONTAINED IN THIS FORM.
STATE OF r \ orLi DA
COUNTY OF 'P I (1 CI/flS
PERSONALLY APPEARED BEFORE ME,lhe..undersigned.authonty,
m . l=>. r a..~ A n who, after first being sworn by me, affixed hislber signature
[nome of individual signing]
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in lbe space provided above on this
3/ -;" day of mAy. 19 q (
,-~rlA ~at
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NOTARY PUBLIC
My com'!lission expires:
NorAR'{ l'UDllC. sO.n: t:";!=' FLORlr.'lA.
rAY COM'l!llSSHYi [;:.r'!E~~~;: -,uu Z, 1933.
BoNDED TlHIU I{O'Ol,RY I'uel.-IC UNDl;rtWRITERt.
Form PUR 7068 (Rev. 04110191)
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BARNE'IT CONTACT PERSONNEL
PREPARED FOR THE CITY OF CLEARWATER
Phillip Freeman, Senior Vice President
892-1554
20 years banking experience, 5 years 'with Barnett. Manager of Corporate Services Group which includes
Cash Management, Corporate al1d Mtmicipal Finance and International Divisions. Primary account officer
responsible for all depository, investment and banking services provided to the City. Specific contact for
General Information, Investments and Safekeeping and Line of Credit.
Janene Silver, Senior Vice President
892-1556
18 years banking experience with Barnett. Manager of the
responsibility for all cash management services used by the City.
and Sweep Account.
Cash Management Department with
Specific contact for Lock Box Services
Deana Harden, Assistant Vice President
892-1558
22 years banking experience, 10 years with Barnett. Manager of the operations area of the Cash
Management Department. Specific contact for Bookkeeping.
Jeanette Benfield, Vice President
539-9131
17 years banking experience, 14 years with Barnett. Manager of Barnett's Plaza Office with responsibility
for the day to day operations of that branch. Specific contact for Head Teller.
Holly Drake, Cash Vault Manager
539-9305
14 years banking experience, 11 years with Barnett. Manager of the Cash Vault Department with
responsibility for the day to day operations of that department. Specific contact for Cash Vault.
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REFERENCES
Although Barnett currently provides the City of Clearwater's banking services, we respectfully submit the
following list of companies as additional references:
The School Board of PineUas County
P.O. Box 4688
Clearwater, FL 34618
Contact: Mr. Terry Culbertson, Cash Management Director
Board of County Commissioners, PineUas County
315 Court Street
Clearwater, FL 34616
Contact: Mr. Jim Tyler, Finance Accountant
Pinellas County EMS
2190 South Belcher Road
Largo, FL 34641
Contact: L. Curtis Bentley, Finance Manager
Golf Hosts, Inc. (Innis brook)
P.O. Drawer 1088
Tarpon Springs, FL 34688
Contact: Richard L. Akin
Jack Eckerd Corporation
P.O. Box 4689
Clearwater, FL 34647
Contact: David Durfee, Director of Treasury Services
Tech Data Corp.
P.O. Box 6260
Clearwater, FL 34618-6260
Contact:. Art Singleton
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CLEARWATER OFFICES
BARNE'IT PLAZA
1160 Cleveland Street
Clearwater 639-9131
EAST CLEARWATER
2160 Cleveland Street
Clearwater 639-9262
ISLAND ESTATES
140 Island Way
Clearwater 639-9575
MISSOURI AVENUE
1610 South Missouri Avenue
Clearwater 539-9104
NORTHWOOD
3000 Enterprise Road East
Clearwater 539-9580
ROOSEVELT
15201 Roosevelt Blvd.
Clearwater 539-9806
SAND KEY
1261 Gulf Blvd., Suite 128
Clearwater 539-9815
SOUTH CLEARWATER
2200 BeUeair Road
Clearwater 539-9577
SUNSET POINT
1825 Sunset Point Road
Clearwater 539-9801
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BARNET': 3ANK OF ?!NELLAS COUNTY
COMMUNITY REINVESTMENT ACT STATEMENT
1991
INTRODUCTION
The Community Reinvestment Act of 1977 ("CRA") and the
regulations promulgated pursuant thereto by the bank regulatory
agencies are intended to encourage banks and ot'.~r financial
institutions to fulfill their continuing and affirmative
obligation to help meet the credit needs of their respective
communities, including low and moderate income neighborhoods,
consistent with the safe and sound operations of these
institutions.
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In this regard, Barnett Bank of pinellas County (referred to as
"bank" hereafter) has developed and adopted this Community
Reinvestment Act Statement which contains the following material
under the headings indicated:
1. Delineation: Map with description of the community
served by the bank.
2. Types of Credit Available: specific types of credit
within certain categories.
3. CRA Notice: The notice displayed in the public lobbies
of each branch.
4. CRA Statements and Public Comments Files: Availability
for public 'inspection of files for public commen~s
regarding CRA compliance and current CRA statements.
5. Annual Review: Bank's Board of Directors policy.
6. Compliance Policy: Bank's policy regarding compliance
with CRA.
It has been .the established policy of Barnett Bank of pinellas
County to be continuously sensitive and responsive to the
changing credit needs of its total community. In this regard,
this bank believes in good faith that adoption by its Board of
Directors of this CRA statement containing the described
materials will reaffirm the bank's policy as we!'l as effectively
complying with the bank's regulatory agency.
DELINEATION
A written description and map is attached
to serve as the bank's communities that
comprise its entire boundaries without
excluding low and moderate income
neighborhoods.
T'I?ES OF CREDI'I'
;"VAlLUlLE
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CRA NOTICE
CRA STATEMENTS/
PUBLIC coMMENTS
FILE
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The following is a list or specific types of
credit available within certain categories.
1. Personal loans
. Purchase of goods-automobiles, boats,
mobile homes, etc.
. Home improvement loans and second
mortgage loans.
. Personal expenses-secured and
unsecured. .
2.
Residential Real Estate
· First and second mortgages.
. One-to-four family dwelling.
. Construction of one-to-four family
dwelling.
3. Commercial Loans
. Working capital 'loans to small and
large businesses.
· Equipment loans.
4. Commercial Real Estate
. Commercial and industrial real estate
secured.
. Five dwelling units and over.
. Construction and development loans.
5. Loans; to federal, state and municipal
governments through purchase of bond
issue,s.
Public not:ices shall be provided in the
public lobby of each of the bank's offices,
other than off-premises electronic deposit
facili ties. A copy of the notice is
attached.
The bank has established and shall continue
to maintai.n files for public comments that
are readily available for public inspection
in the Compliance Department.
Files shall contain:
1. Any signed written comments received
from the public within the past two
yearl; relating to the bank's performance
in eRA,
2. Any responses to the comments that the
bank may make,
3. CRA statements in effect for the last
two years.
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The Bank's Board of Directors shall review
the bank's CRA Statement annually, and shall
act upon any material change made in the
interim. Such actions shall be noted in its
minutes.
ANNUAL REVISW
COMPLIANCE POLICY
It is the policy of the ~ank to comply with
the. requirements of the Cormnunity Reinvest-
ment Act of 1977 and the rules and regula-
tions adopted before and after to fulfill the
continuing need to help meet the credit needs
of its cOllllmunity, including low and moderate
income neighborhoods, consistent with the
safe and sound operation of the bank.
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This community Reinvestment Act Statement is adopted by the
Bank's Board of Directors and shall be duly noted in the minutes
of the meeting.
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"COMMUNITY REINVESTMENT ACT NOTICE"
The Federal community ReinvesOnent Act (CRA) requires the FDIC to
evaluate our performance in hl9lping to meet the credit needs of
this community, and to take this evaluation into account when the
FDIC decides on certain applications submitted by us. Your
involvement is encouraged.
"You" should know that:
*** You may obtain our current CRA Statement for this community
in this 'office.
*** You
, Statement
.to 4800 -
may send signed, written comments about our CRA
or our performance in helping to meet community needs
140th Avenue North, Clearwater.
And to Regional Dire(:tor, Federal Deposit Insurance
Corporation, Suite 1200, 245 Peachtree Center Avenue N.E.,
Atlanta, Ga. 30303. Your let:ter, together with any response by
us, may be made public.
*** You may look at a file of all signed, written comments
received by us within the past two years, any responses we have
made to the comments, and all CRA Statements in effect during the
past two years at our office located at 4800 140th Avenue
North, clearwater.
*** You may ask to look at any comments received by Regional
Director, Federal Deposit Insurance Corporation, suite 1200,
245 Peachtree Center Avenue, N.E., Atlanta, GA 30303.
*** You also may request from the Regional Director, Federal
Deposit Corporation, 550 - 17th Street, N.W., Washington, D.C.
20429 an announcement of applications covered by the CRA filed
with the FDIC.
*** We are a subsidiary of Barnett Banks, Inc., a bank holding
company. You may request from the Federal Reserve Bank of
Atlanta, 104 Marietta Street N.W., Atlanta, GA 30303 announcement
of applications covered by the CRA filed by bank holding
companies.
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Barnett Bank of
Pinellas County
eRA Rating Letter
Post Oflice Box 12288
SI. Pelersburg, Florida 33733.2288
May 30, 1991
~]r. George McKibben
purchasing Manager
City of Clearwater
P.O. Box 474$
Clearwater, FL 34618-4748
Dear Mr. McKibbon:
Pursuant to the requirements stated in the Requests for Proposal -
Banking services, please allo~' this letter to serve as confirmation
of Barnett Bank of pinellas county's satisfactory or greater CRA
rating since 1988. To remain in compliance with Federal and state
regulation, Barnett Bank is not permitted to disclose additional
information regarding this rating to any party outside of the Board
of Directors. For further information regarding the subject
regulation, please contact:
K.R. Frye
Barnett Banks, Inc.
Regional Compliance
(813) 225-2988
We trust this information satisfies your requirements and look
forward to being f service.
MPF!wae
EXHIBIT A
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C I T Y
o F
C I. EAR W ATE R
POST OFFICE BOX 4748
C LEA R W ATE R, F LOR I D A 3 4 6 1 B. 4 74 B
Office of
Finance Director
462-6930
April 15, 1991
The city of Clearwater is currently seeking competitive proposals
for banking services from all banks and savings and loans which are
located within the Clearwater area.
The attached exhibits outline the city's bid procedures, the scope
of the required banking services to be provided, and information
which will help the prospective bidders to understand the size and
nature of the City's account:s.
All bidders are required to provide their responses in the standard
format represented by the "Banking Services Bid Response Form"
which follows the exhibit section. In addition, in order to comply
with Florida statutes, all bidders will be required to complete a
Drug Free Workplace form (F.S. #287.087) and Public Entity Crimes
form (F.S. #287.133). Both documents must be returned with your
Bid Response form.
Very truly yours,
George McKibben
Purchasing Manager
Enclosures
o
.'Equal Employment and Affirmative Action Employer'
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"EXHIBIT A" .
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CITY OF CLEARWATER
BID PROCEDURES
1. Sealed Bids:
Responses to this request for proposals should be submitted
in a sealed envelope, clearly identified as "Proposal for
Banking Services," and IllIailed to:
George McKibben
purchasing Manager
P.O. Box 4748
Clearwater, Florida 34618-4748
or delivered to:
George McKibben
Purchasing Manager
711 Maple Street
Clearwater, Florida 34615
2. Bid Responses:
All responses must be presented on the standardized "Banking
services Bid ReSpOnSE! Form" which has been provided.
Supporting material may be provided; however, the city's
decision will primarily be based upon a comparison of the
standardized bid forms received. The city reserves the right
to reject any or all bids, or to informally negotiate certain
points of the final contract with a qualified bidder.
3. Ouestions and Additional Information:
Requests for clarification or additional information should
be submitted in writin9 to:
Barbara J. Weston
Cash and Investments Manager
P.O. BOle 4748
Clearwa1:er, Florida 34618-4748
Responses will be in writing and copied to all bidders as
addenda to this RFP. Telephone questions to individuals
within the city of Clea.rwater are not encouraged, but will be
permitted with the ~.icit proviso that any such answers are
in no way binding upon the bidding process and upon the award
of contract.
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4. Biddina Schedule:
April 15, 1991
Distribution of Request for Proposals
July 18, 1991
All sealed bids must be in the hands
of the city's purchasing Manager, by
3:00 p.m. .
Recommendation for award to city
Commission.
June 3, 1991
October 1, 1991
Anticipated implementation date for
contract.
5. selection Criteria
The following criteria will be used to evaluate bid responses
and to make a recommendat:ion for award to the city commission:
a. The completeness of the response to all required
items on the s:tandardized bid forms
b. The aggregate cost of banking services
c. The proposed earnings rate on overnight cash
balances
d. Bank rating as provided by Sheshunoff public Finance
Bank Rating service
e. community Reinvestment Exam rating
f. The experiencEl and continuity of the bank officials
identified as primary contact personnel.
g. Responses from references
h. Physical proximity of City offices and activities
6. Riaht To Protest
Any actual or prospec~tive bidder who is aggrieved in
connection with the solicitation or award of a contract may
seek resolution of his/her complaints by contacting the
purchasing Manager.
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7. ComDliance with Recycled PaDer Ordinance
Per ordinance #5059-90, the city shall require all persons
sUbmitting responses to requests for proposals or invitations
to bid to agree to the following as a precondition to contract
award:
a) All reports submitted to the city by a contractor
in fulfillment; of contract obligations shall use
recycled paper when it is available at a reasonable
price and of satisfactory quality to meet
contractual performance standards. For the purposes
of this paragraph, the price of recycled paper shall
be considered "reasonable" if its cost is no more
than ten percent higher than the lowest price
offered for no,n-recycled paper.
b) All reports submitted to the city by a contractor
shall use bo1:h sides of paper sheets whenever
practicable.
c) contractors shall be responsible for maintaining
records docum.enting usage of recycled paper for
reports submi'tted to the city in fulfillment of
contractual obligations. contractors shall submit
such records to the city according to procedures to
be established by the Purchasing Manager not later
than October 1, 1991.
8. No Corrections
Once a competitive proposal is submitted, the city shall not
accept any request by any proposer to correct errors or
omissions in any calculations or competitive price submitted.
9. Retention and DiSDosal of ProDosals
The city reserves the right to retain all submitted
competitive proposals for official record purposes. The city
also reserves the right, to dispose of any or all copies of
competitive proposals in whatever manner it deems appropriate.
No copies of competitive proposals will be returned to the
proposer.
10. Leaal Name
Competitive proposals shall clearly indicate the legal name,
address, and telephone number of the bidder (company, firm
partner-ship, individual). Competitive proposals shall be
signed above the typed or printed name and title of the
signer. The signer shall have the authority to bind the
proposer to the submitted competitive proposal.
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11. Ocennessof Procurement Process
Written competitive proposals, other submissions,
correspondence, and all records made thereof, as well as
negotiations conducted pursuant to this RFP, shall be handled
in compliance with Chapters 119 and 286 Florida statutes. The
city gives no assurance as to the confidentiality of any
portion of any proposal once submitted.
12. No Collusion
By offering a submission to the RFP, the proposer certifies
the proposer has not divulged to, discussed or compared
his/her competitive proposal with other proposers and ,has not
colluded with any other proposers or parties to this
competitive proposal whatsoever. Also, proposer certifies,
and in the case of a joint competitive proposal each party
thereto certifies as to its own organization, that in
connection with the competitive proposal:
a. any prices and/or cost data submitted have been
arr i ved at i.ndependently, wi thout consul tation,
communication, or agreement, for the purpose of
restricting c,ompetition, as to any matter relating
to such pric!~s and/or cost data, with any other
proposer or with any competitor;
b. any prices and/or cost data quoted for this
competitive proposal have not been knowingly
disclosed by the competitive proposal and will not
knowingly be disclosed by the proposer, directly or
indirectly to any other proposer or to any
competitor, prior to the scheduled opening;
c. no attempt has been made or will be made by the
proposer to induce any other person or firm to
submit or not to submit a competitive proposal for
the purpose of restricting competition;
d. the only person or persons interested in this
competitive proposal, principal, or principals
is/are named therein and that no person other than
therein ment:ioned has any interest in this
competitive proposal or in the Agreement to be
entered into; and
e. no person or agency has been employed or retained
to solicit or secure this Agreement upon an
agreement or understanding for a commission,
percentage, brokerage, or contingent fee, excepting
bonafide employees or established commercial
agencies maintained by the purchaser for the purpose
of doing business.
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13. Reiection of Bids/Information Waiver
c.
may reject bids if:
The bidder misstates or conceals any material fact
in the bid; or if,
The bid does not strictly conform to the law or
requirements ()f the bid; of if,
The bid is conditional, except that the bidder may
qualify his bid for acceptance by the city on an
"all or none" basis, or a "low item" basis. An "all
or none" basis: bid must include all items upon which
bids are invi1ted.
The City
a.
b.
The City may, however, lreject all bids whenever it is deemed
in the best interest of the city to do so, and may reject any
part of a bid unless bid has been qualified as provided in
13(C) above. The City may also waive any minor informalities
or irregularities in any bid.
14. RFP Exoenses statement
All vendor costs asso,ciated with this RFP will be the
responsibility of the v,endor.
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SCOPE OF BANKING SERVICES
1. Main Ooeratina Account:
The City's main operating account covers a variety of
activities. .Several of t:he city's departments are responsible
for their own deposits, and require a 24-hour deposit
capability for their collections. Deposits will be made by
either city employees or a security service. with the
exception of parking met:er deposits and bridge deposits, all
deposits will be accompanied by duplicate deposit Slips. Upon
verification of the depclsit, a copy of the deposit slip must
be acknowledged by the bank and mailed to the City'S Finance
Division on the day of verification. Pads of deposit slips
printed with the name of the activity will be furnished at no
charge by the bank, in fluch quantities as may be required.
Should deposited checks be returned because of insufficient
funds (or any other reason), one attempt will be made by the
bank to redeposit the check, after which it will be forwarded
to the city's Finance Division for processing.
The city writes approxi:mately 1,800 checks per month on the
operating account, and makes approximately 1,000 deposits per
month to this account.
The average amount of Imoney processed through this account
each month is $20,000,0010. Of this amount, approximately 1/2
involves investment transactions.
The bank must have the capability of receiving electronic
transfers and wire transfers from the state and federal
government for items such as state revenue sharing, federal
grants, and Community D.~velopment Block Grants.
The average monthly value of this account (including cash and
short-term investments) over the past 12 months has been
approximately $85,000,000.
2. PavrollAccount:
The City is currently on a biweekly payroll basis, paying an
average of 1,650 employees every other Friday. The net
payroll amounts to approximately $1,000,000 per pay period.
In addition, a pension payroll of approximately 320 checks is
issued at the end of each month. Net pay for this pension
payroll amounts to appr10ximately $300,000.00.
The City will not deposit funds to the payroll account.
Instead, the bank will operate a "zero balance account," to
which funds are automatically transferred from the main
operating account as payroll checks are presented to the bank
for payment.
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The city currently offers a voluntary direct deposit payroll
system to its employees. The Bank must have the capability
of processing this "direct deposit payroll" whether the
employees' accounts are at the bank or at other banking
institutions.
(See Exhibit A for detail of Direct Deposit Achtape Layout)
3. Self-Insurance Account:
The city maintains a separate account to handle the
transactions involved in the Self-Insurance Program. This
account is currently administered by Gallagher Bassett
Insurance Service, P.O. IBox 4840, clearwater, Florida 34618-
4840. Approximately three deposits and three wire transfers
flow through this account each month. The maximum value of
this account is $75,000.
4. Bank Statements:
The cut-off date for statement purposes for all city accounts
will be the last day of each month. Statements must be
received by the City's Finance Division within five working
days following the cutoff.
Payroll checks are computer generated. The depository bank
must have computer capability to reconcile checks issued by
the city with checks paid by the bank, using magnetic tapes
supplied by the city and bank computer files of checks paid.
(See Exhibit B for copy of Payroll Check Reconciliation Tape
Layout)
Although payable checks drawn on the City's main operating
account are computer generated, the computer system does not
currently contain a reconciliation module. The city is in the
process of purchasing a new system to process accounts
payable. When a system is purchased the bank will be required
to reconcile paid checks in the same manner as for the payroll
account.
Checks are to be arranged in numeric order prior to their
return to the city with the statements.
A statement must be furnished for all special accounts
required by the city on the same schedule as required for the
operating account. Tille city reserves the right to add
addi tio_nal accounts as necessary.
In addition to regular statements, the bank must provide on
demand, daily balances in the depository accounts if and when
such information is required by the city.
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5. Coin Decosits:
The Clearwater Pass Bridge and city parking meters generate
collections of coins in 1~-5~-10~-25~ denominations, ranging
from approximately $2,500 to $10,000 a day. In the case of
parking meters, these coins are gathered by City employees who
deliver them uncounted to the location and/or individual
specifically designated by the bank. Coins from the bridge
will be delivered to the same place or person, either by a
city employee or by a security service. Collections in these
two instances are not counted in advance of deposit. It will
be necessary for the bank to sort and count the coins,
determine the amount involved, and prepare deposit slips in
duplicate for each location involved. Deposit slips for the
bridge must list the number of each vault delivered and the
amount for each denomination of coins contained in each vault.
The bank must provide adequate internal security to guarantee
proper handling of such deposits. The bank will be expected
to provide such mechanical sorting and/or counting equipment
as may be required. .
The bridge collections will contain tokens that must be
counted and reported the same as regular coins. The City owns
a machine that extracts, counts and bags these tokens. This
machine will be made available to the bank. The bank will
also be required to store the inventory of tokens currently
maintained by the city. The range of inventory of tokens is
between 100,000 to 200,000. A log must be maintained by the
bank, showing the amount of tokens on hand at all times. On
a periodic basis, usually twice a week, the City will deposit
to the bank proceeds from the sale of tokens at the bridge.
The bank will count thJls money, deposit it to the operating
account, then send to the bridge by security service, the
amount of tokens equal to the money deposited (8 tokens for
each $l deposited).
Parking meter collections are segregated by individual parking
lots in containers. Th,ese containers will have to be emptied
into bags or other rec:eptacles to be provided by the bank
periding sorting and cc)unting. The integrity of separate
collections from specific lots must be preserved and separate
deposit slips prepared! on each. The city of Clearwater
currently has 30 lots in operation.
Foreign coins, tokens, slugs, mutilated coins, etc., will not
be counted or assigned a value but will be removed from
deposits, accumulated, and turned over to the city's Finance
Division weekly. Details of this procedure will be worked out
between the city's Finance Division and the bank.
The bank must be able to provide on demand approximately
$4,000 to $5,000 weekly in rolled quarters for change in the
bridge toll booth.
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coin deposits must be counted and documented during the
business day received, Clr the following day if collection is
received after the cut-o,ff time established by the bank. All
deposit slips will be delivered to the city's Finance Division
at city Hall no later than the next working day following the
deposit.
6. Lock Box Services:
The bank will provide a lock box service for the city's
utility collections, acc:ording to the following instructions:
a. The City will provide a post office box. The bank will
retain a key to this post office box and have exclusive use
of same. The bank must provide the internal security needed
to guarantee proper handling of all deposits received through
the post office box.
b. Each morning, the bank's personnel will empty this box of
its contents, at an eclrly enough hour to insure that all
deposits will be processed prior to cutoff. The contents of
the envelopes will be removed, and checks or cash will be
verified against the utility payment stub.
c. All items will be processed by OCR scan, balanced, and
filmed, and the aggregate amount deposited to the operating
account.
d. The utility stubs, cine copy of the deposit slip, any items
that cannot be processed, and a magnetic tape containing all
items processed in step (c) will be delivered to the city's
utility Customer Support Division at 900 Chestnut street,
prior to 3:00 p.m. on 1:he same day that they were received.
The magnetic tape must be compatible to the City's computer
system.
(See Exhibit C for detail of utility collections tape layout)
e. A copy of the same deposit slip will be delivered to the
city's Finance Division at city Hall on the same day that they
were received.
f. The estimated volume of transactions for the above service
is 30,000 items per month.
The city reserves the right to require additional collections
from the post office if the volume of items supports this
request.
7. Investments:
The bank will handle the purchase
investments only upon instruction by
Director or his designl~e.
or liquidation of
the city's Finance
4
Investment transactions must be consummated on the same day
that instructions are received from the city's Finance
Director, or on the next business day if so instructed.
Failure to consummate investments on a timely basis will
constitute a breach of this contract, and will constitute
cause for immediate cancellation of the contract, or legal
action for damages, or both.
Upon maturity or liquidation of an investment, written
notification will be sent to the city's Finance Director
Showing the deposit of the proceeds. The same type of written
notification will be required for all purchases of investments
handled through the bank, whether purchased by check, wire
transfer, electronic debit, etc. These notifications will be
mailed on the same day that the transactions occur.
The City reserves the right to invest in time deposits (of any
bank), U.s. Government securities, repurchase agreements, or
other investments deemed legal and prudent in the opinion of
the city. In no case will the bank be awarded time deposits
at rates lower than those established in the competitive
marketplace.
The bank shall provide safekeeping facilities for investments
owned by the city, either within the bank's own facilities,
or at the Federal Reserve. A copy of all safekeeping receipts
will be issued to the city at the consummation of each
investment transaction. A statement listing the details of
all items in safekeeping will be furnished to the City at the
end of each month.
8. Collateral:
In compliance with the Florida Security for public Deposit
Act, Chapter 280, Florida statutes, all institutions
submitting bids for the city's banking service must be
included on the list of approved financial institutions as
published by the Department of Insurance and Treasurer, of the
state of Florida.
9. Safetv DeDosit Boxes:
The bank shall provide safety deposit boxes, as needed, for
the storage of registered bonds, coupons, or other material
requiring exceptional security.
10. Line of Credit/Credit Cards:
The city will be granted a $1,000,000 line of credit available
as may be required, upon appropriate resolution by the City
Commission.
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EXHllIIT A
I
CITY OF CLEARWATER, FLORIDA
DIRECT DEPOSIT ACHTAPE LAYOUT
TAPE NAME: ACHTAPE
HEADER RECORD LAYOUT: Record length 94
FIELD
Record Type (value 1)
priority
Destination (acct. no.)
(value " 663060209")
origin (acct. no.)
(value " 063106129")
Transaction Date (format YYMMDD)
Transaction Time (format HHMM)
File ID Mode (value A)
Record Size (value 094)
Blocking Factor (value 10)
Format Code (value 1)
Destination Title
(value BARNETT COMPUTING CO.)
origin Title
(value BARNETT BANK-PINELL)
Reference Code
BATCH HEADER RECORD: Record size 94
Record Type (value 5)
Service Class Code (value 200)
Company Name
(value CITYOFCLEARWATER)
company Discretion Data
Company ID (value 59-600289)
Standard Entry Class (value PPD)
Company Entry Description
(value PAYROLL)
company Description DAta
(value 032989)
Effective Entry Date
(format YYMMDD)
Reserved
originate State Code
(value 1)
Origin DFI Code (value 06310612)
Batch Number
PICTURE
9
99
X(10)
X(10)
9(6)
9(4)
X
9 (3)
99
9
X(23)
X(23)
X(8)
9
9(3)
X(16)
X(20)
X(10)
X(3)
X(10)
X(6)
9(6)
X(3)
X
X(8)
9(7)
# OF CHARACTERS
1
2
10
10
6
4
1
3
2
1
23
23
8
1
3
16
20
10
3
10
6
6
3
1
8
7
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CITY OF CLEARWATER, FLORIDA
DIRECT DEPOSIT ACHTAPE LAYOUT
(continued)
DETAIL RECORD: Record size 94
FIELD
Record Type Code (value 6)
Transaction Code
Receiving DFI ID (value 06310612)
Transaction Routing Check Digit
DFI Account Number
Amount
Individual ID number
Individual Name:
First Initial
Middle Initial
Last Name
Discretionary Data
Addenda Rcd Indicator Value
Trace Number:
Filler (value 0063106129)
Trace number (value 1)
ADDENDA RECORD: Record size 94
Record Type Code (value 7)
Addenda Type Code
Return Reason Symbol
Origin Entry Trace Number
Transmission Date (format YYMMDD)
Transit Route Number:
Transaction number
Transaction ABA
Addenda Info
Trace Number:
Filler (value 06310612)
Trace number (value 1)
PICTURE # OF CHARACTERS
9 1
9 2
X(8) 8
9 1
X(17) 17
9(8)V99 10
X(15) 15
X 1
X 1
X(20) 20
XX 2
9 9
X(10) 10
9(5) 5
9 1
99 1
X(3) 3
X(15) 15
9(6) 6
9(4) 4
9(4) 4
X(44) 44
9(8) 8
9 (7) 7
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CITY OF CLEARWATER, FLORIDA
DiRECT DEPOSIT ACHTAPE LAYOUT
(continued)
BATCH CONTROL RECORD: Record size.94
FIELD
Record Type Code (value 8)
Service Class Code (value 200)
Entry Count
Entry Hash
Total Debit
Total Credit
company ID (value 1063106129)
Reserved
Federal Reserve Use
originating DFI ID
(value 0063106129)
Batch number
FILE CONTROL RECORD: Record size 94
Record Type Code (value 9)
Batch Count
Block Count
Entry Count
Entry Hash
Total Debit
Total Credit
Reserved
DUMMY RECORD (trailer record) all nines.
PICTURE
9
9(3)
9(6)
9(10)
9(10)V99
9(10)V99
X(10)
X(19)
X(6)
X(10)
9 (5)
9
9(6)
9(6)
9(8)
9(10)
9(10)V99
9(10)V99
X(39)
# OF C~CTERS
1
3.
6
10
12
12
10
19
6
10
5
1
6
6
8
10
12
12
39
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EXHIBIT B
CITY OF CLEARWATER, FLORIDA
CHECK RECONCILIATION TAPE LAYOUT
BURROUGHS 9495-33M TAPE DRIVE
9 TRACK, 1600 BPI, ODD PARITY, EBCDIC.
TAPE NAME: RECONCILE
BLOCKED 32
RECORD LENGTH 80
STANDARD LABELS
RECORD LAYOUT:
CKR-AGENCY (Payroll Number)
CKR-RCD-TYPE
VALUE I = ISSUE
VALUE V = VOID
CKR-BANK-CODE
CKR-CHECK-NO
CKR-DATE
FORMAT YYMMDD
CKR-AMOUNT
CKR-SSN (Social Security #)
CKR-PAYEE-NAME
CKR-AGENT
PICTURE # OF CHARACTERS
X 1
X 1
9(4) COMP 2
9(8) COMP 4
9(6) COMP 3
S9(9)V99 COMP 6
9 (10) COMP 5
X(36) 36
X(4) 4
FIELD NAME
'.
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EXHIBIT C
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RECORD DESCRIrTIC!,
(This ~ape is created on an IBM System 36
and is read on a DEC VAX 4000 System)
DATE:
PAGE:
1-2-52
1 of
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FILE N/J1E r. A ~H'T' P RECORD llAME
RECORD SIZE (30 RECORDS PER BLOCK 1
RECORD DESCRIPIIotl lJJ<;'l'All. llliCORD
TAPE-REC
RJ:.-vISION lIO.
OF . DICT. DAtA ELEHEllT
nUMBER roSITION CHARAcrms KlDE DESCRIFIION (Plcrmu;) REF. REFERENCE
1 0 1 D PIC x REC-ID6 [ ,,(-, e , II
2 1 1 D PIC X FILLEll
3 2 2 D PIC 99 BAT CII-NO 6 I
h h 10 D PIC X(10) FILLER
5 1h 6 D PIC X(G) DATE-G (Yi/YIfYlOP)
6 20 10 D PIC X(10) ACCT-H06
7 30 10 D PIC X(10) FILLER
8 ho 10 D. PIC 9(5)V99 AI-Ir-~
9 50 30 D FIC X(JO) I FILLEIl
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RECORD DESCRI?rIOl,
DATE I 1-2-82
PAGEl ;].
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FILE NAME CASIITP
RECORD SIZE 00
RECORD DESCRIPrION
RECORD NAME
RECORDS PER BLOCK 1
BATCH TOTAl.
T APF.- Il.F.G7
Rl:.-v.ISION 110.
I UF DICT. DAXA ELEl.lENT
NUMBER roSITION CHAll.ACTEIlS KlDE DESCRIPTION (PICTURE) REF. REFERENCE
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2 1 19 D PIC X(19) FILLER
3 20 3 D PIC 9(J) CNT-!1.
4 23 10 D FIC 9(lJ)V99 Altt-7
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DATE I 1-1-11~
PAGEl 'l or ~
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RECORDS FER BLOCK 1
OVERALL TOTAL
TAPF._RF.r.S1
REVISION 110.
".......... ,Vl! OF DICT. DAXA EC.E!.lENT
NUMBER roSITIOlI CHARACTEItS IfJDZ DESCRIPI:ION (PICTURE) REF. REFERENCE
1 0 1 I D PIC X REC-ID8 &.<Lve: ~)
2 1 1 19 D PIC X(19) FILLER
3 20 h D PIC 9(h) CNT-8 I
11 211 10 D PIC 9(lJ)V99 AMI'-!J
5 3h h6 D PIC X(h6) FILLER
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EXHIB IT D
1
CON T R ACT
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This negotiated Contract entered into this day of , 1991,.
by and between the City of Clearwater, Florida, Municipal corporation,
hereinafter called the "City.', and , located at
, Clearwater, Florida, hereinafter called the "Bank":
WIT N E SSE T H:
WHEREAS, it has been deemed advisable to consolidate to the extent possible
all cash resources of the City into accounts in one official depository bank to
be selected by competitive bidding by the commercial banks in the City; and
WHEREAS, the bid most advantageous to the City has been submitted by
, which bank is engaged in the business of commercial
banking in the City of Clearwater and is qualified to perform the required
services;
NOW, THEREFORE, the parties agree as follows:
to
1;
the
The Bank will perform the services called for in a proposal forwarded
Bank under cover of a letter from the Purchasing Manager dated
, a copy of which letter and proposal marked "Exhibit A" are
attached hereto, and by reference made a part of this Agreement as if fully
rewritten herein, and the bid of
marked "Exhibit B" attached hereto and by reference made a part of this Agreement
as if fully rewritten herein.
2. The City, on its part, agrees to pay for services provided in the
manner specified in "Exhibit B".
3. This Agreement will remain in effect for three years and may be renewed
for additional three year periods by mutual consent of both parties.
CITY OF CLEARWATER, FLORIDA
Countersigned
City Manager
Mayor-Commissioner
Attest:
City Clerk
Approved as to form and correctness:
City Attorney
Witnesses:
By
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CITY OF CLEARWATER
B~KING SERVICES BID RESPONS~FORM
BANK NAME:
OFFICIAL SUBMITTING:
TITLE OF OFFICIAL:
TELEPHONE NUMBER:
Estimated
Monthly Unit Monthly
Bankina Service Activitv Price Cost
1. Account Maintenance 3 $ $
2. Account Reconciliation
approx. 4,000 items $ $
3. Items Paid 5,600 $ $
4. Items Deposited 36,000 $ $
5. Coin sorting and
counting $300,000 $ $
6. Lock Bex Service
(OCR Scanned) 30,000 $ $
7. stop Payments 5 $ $
8. Wire Transfers 4 $ $
9. Investment Transactions 15 $ $
10. Safety Deposit Box 1 $ $
11. REturned Items 60 $ $
12. ACH Items 300 $ $
Other Services:
$ $
$ $
$ $
TOTAL ESTIMATED MONTHLY FEES $
other
Quotations:
Rate Quotation on Line of Credit:
Rate Quotation on Sweep Account:
Type of Collateral Securities Proposed
for Sweep Account:
Third Party Holder for Collateral
Securities for Sweep Account:
Statement of Capability:
Our Bank can comply with all
requirements. (Yes or No)
separate page.)
aspects of the City' sBanking Service
(If no, list all exceptions on
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SWORN STATEMENT PURSUANT TO SEcrION 287,133(3)(a),
FLORIDA STATUTES. ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted to
by
[print name oC the public endty]
[print individual's name and dUe]
for
[print name oC endty submitting swom statement)
whose business address is
and (if applicable) ilS Federal Employer Identification Number (FEIN) is
(ll the entity bas no FEIN, include the Social Security Number of the individual signing this sworn
statement:
.)
2. I undelStand 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 conuact for goods or
services to be provided to any public entity or an agency or political subdivision of any other state
or of the United States and involving antitrust, fraud. theft, bribery, collusion, racketeering,
conspiracy, or material misrepresentation.
3. I andelStand 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 coun of record relating to charges brought by indictment or
information after July I, 1989, as a result of a jury verdict, nonjury trial, or enuy of a plea of guilty
or nolo contendere.
4. I undelSland that an 'affiliate' as defined in Paragraph 287.133(1)(a), Florida Statutes. means:
1. A predecessor or successor of a pelSon convicted of a public entity crime; or
2. An entity ander the control of any natural pelSon who is active in. the management of the entity
and who has been convicted of a public entity crime. The term 'affiliate' includes those officelS,
d1rectolS, executives, pannelS, shateholdelS, employees, membelS, and agenlS who are active in the
management of an affiIiate. The ownership by one person of shares constituting a controlling
interest in another pelSon, or a pooling of equipment or income among pelSons when not for fair
market value under an arm's length agreement, shall be a prima facie case that one pelSon 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 Rorida during the preceding 36 months shall be considered
an affiliate.
5. I understand that a 'person' as defined in Paragraph 287.133(1)(e), Florida Slatutes. means any
natural person or entity organized ander the laws of any state or of the United States with the legal
power to enter into a 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, panners,
shareholders, employees, members, and agents who are active in management of an entity.
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6. Based on information and belief, the statement which [ have marked below is true in relation to
the entity submitting this sworn statement. [Indicate which statement appiJes.]
_ Neither the entity submitting this sworn statement, nor any of its officers, directors, executives,
partners, shareholdern, 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, shareholdern, 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 I, 1989.
_ The entity submitting this sworn statement, or one or more of its officers, directorn, executives,
parmers, shareholders, employees, membern, 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 Slate 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 CONTRAcrING OFFICER FOR
THE PUBUC ENTITY ID~lll'llillIN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBUC 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 PUBUC
ENTITY PRIOR TO ENTERING INTO A CONTRAcr IN EXCESS OF THE THRESHOLD AMOUNT
PROVIDED IN SEcrION 287.017, FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN
THE INFORMATION CONTAINED IN THIS FORM.
[signature]
[dote]
STATE OF
COUNTY OF
PERSONALLY APPEARED BEFORE ME, lhe..undersignedauthority,
who, after first being sworn by me, affixed hisiher signature
[name of individual signing]
in the space provided above on this
day of
. 19
NOTARY punuc
My commission expires:
Form PUR 7068 (Rev. 04110/91)
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A DRUG-FREE WORKPLACE, IN ACCORDANCE WITH SECT. 287.087
Preference shall be given to businesses with drug-free workplace
programs. whenever ~~o or more bids which are equal with respect
to price, quality, and service are received by the City for the
procurement of commodities or contractual services, a bid received
from a business that certifies that it has implemented a drug-free
workplace program shall be given preference in the award process.
Established procedures for processing tie bids will be followed if
none of the tied vendors have a drug-free workplace program. In
~rder to have a drug-free workplace program, a business shall:
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 be taken against employees
for violations of. such prohibition.
2)
Inform employees about the dangers of drug abuse in the
workplace, the business's policy of maintaining a drug-free
workplace, any available drug counseling, rehabilitation, and
employee assistance programs, and the penalties that may be
imposed upon employees for drug abuse violations.
3 )
Give each employee engaged in
contractual services that are
statement specified in subsection
providing the
under bid a
(1) .
commodities or
copy of the
4) In the statement specified in subsection (1), notify the
employees that, as a condition of working on the commodities
or contractual services that are under bid, the employee will
abide by the terms of the statement and will notify the
employer of any conviction of, or plea of guilty or nolo
contendere to, any violation of chapter 893 or of any
controlled substance law of the United States or any state,
for a violation occurring in the workplace ~o later than five
(5) days after such conviction.
5 )
Impose a sanction on, or
participation in a drug abuse
program if such is available in
any employee who is so convicted.
require the satisfactory
assistance or rehabilitation
the employee's community, by
6) Make a good faith effort to continue to maintain a drug-free
workplace through implementation of this section.
As the person authorized
this firm-does/does not
above requirements.
to sign the statement, I certify that
(select only one) fully comply with the
BUSINESS NAME
VENDOR'S SIGNATURE