1-Pre-Advertisement, BLD2131488P1.pdf

Project Details

BLD2131488P1 - Risk Management and Claims Administration System BPRO Electronic Procurement System Back to list

Project: Risk Management and Claims Administration System

Ref. #: BLD2131488P1

Department: FASD - Purchasing

Type: RFP

Status: DRAFT

Open Date: Oct 14th 2026, 1:00 PM EDT

Questions Due Date: Oct 27th 2026, 5:00 PM EDT

Contact Information: Karlene Grant (Primary), Mary Moss, mmoss@broward.org (Alternate), kgrant@broward.org

Close Date: Nov 13th 2026, 2:00 PM EST

Days Left: --

Contract Duration:

Open-End; Five-Year Initial

Contract Renewal:

Five One-Year Renewals

Bid Validity:

Not Applicable

Bonding Required:

No

Total Amount of Pass-Thru Allowance (Initial Term or Fixed):

OESBD Designation Goal Participation Type (Non-Multi):

No Goal

Goal Assigned Percentage (0 if No Goal):

Public Works/Construction:

No

October 2026

Project Description:

Scope of Work: Broward County Risk Management is seeking a qualified firm to provide all services necessary to deliver, implement, and maintain a turnkey Risk Management Information System (RMIS) to support the County’s needs. Scope includes tracking claim costs, deadlines, documents, dispositions, and other relevant data, and ideally will interface with the County’s Third-Party Administrators (TPA’s) information system.

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Requested Information: BPRO's Requested Information section identifies "required" and "optional" items for submittal, however all documents and information are relevant to the evaluation process. Therefore, vendors are strongly encouraged to provide all files at time of submittal, including those listed as “optional” in BPRO, to enable a timely and comprehensive review by the County.

Solicitation Provisions/Requirements: (Vendor is cautioned that this is a summary only and the full solicitation must be reviewed).

- Broward County Service Level Agreement

- Enterprise Technology Services Security Requirements

Office of Economic and Small Business Development (OESBD) Requirements

- Procurement Preferences for Small Business Enterprises (SBE) and County Business Enterprises (CBE)

Questions and Answers: The County provides a specified time for Vendors to ask questions and seek clarification regarding the solicitation requirements. All questions or clarification inquiries must be submitted through BPRO by the Questions due date. The County will respond to questions in BPRO (Messages section).

Submittals: Vendor MUST submit its solicitation response electronically through BPRO and receive a Submission Receipt. It is solely the Vendor’s responsibility to ensure its response is submitted and received through BPRO by the closing date and time. The County will not consider solicitation responses received by other means. Vendors are encouraged to submit in advance of the closing date and time. Refer to the Purchasing Division website or contact support@gobonfire.com for submittal instructions. In the event that the Vendor is having difficulty submitting a document, immediately notify the Purchasing Agent and then contact support@gobonfire.com for technical assistance.

Important Events:

Commodity Codes:

NIGP 20447 Integrated Hardware-Software I.T. Solution, Microcomputer NIGP 20837 Database Software, Microcomputer NIGP 92044 Risk Management for Software Development NIGP 95861 Insurance and Risk Management Services

Supporting Documentation:

Search

Status Event Name

Location Description Dates

UPCOMING Open Dat e

Online Portal

Posting date for the Opportunity Oct 14th 2026, 1:00 PM EDT N/A

UPCOMING Optional Pre-prop osal conf erence

Virtual Attendance at the pre-proposal conference is optional. This information s ession presents an opportunity for vendors to clarify any concerns regard ing the bid requirements. The vendor is cautioned that, although the pre-proposal conference is optional, no modification or any changes will be al lowed in the pricing because of the failure of the vendor(s) to have attend ed the conference. The virtual meeting will be hosted via Microsoft Team

s. If the Vendor does not have Microsoft Teams, the Vendor may use the call-in option. If you require any auxiliary aids for communication, please call (954) 357-6066 so that arrangements can be made in advance.

Oct 23rd 2026, 10:30 AM EDT - Oct 23rd 2026, 11:30 AM EDT No

UPCOMING Question s Due Da te

Online Portal

Deadline to submit Questions Oct 27th 2026, 5:00 PM EDT N/A

UPCOMING Close Da te

Online Portal

Deadline for Submissions Nov 13th 2026, 2:00 PM EST N/A

Search

File Type Description Date Created A

Agreement Exceptions - RFP-RFQ-RLI.docx Documentation May 8th 2025, 5:06 PM EDT

Criminal History Screening Practices Certification.docx Documentation Complete and sign this form. Sep 6th 2024, 1:09 PM EDT

Demonstration Script BLD2131488P1.pdf Documentation Sep 3rd 2026, 10:20 AM EDT

Enterprise Technology Services Security Requirements Exhibit – High Risk.pdf Documentation Jul 15th 2026, 1:36 PM EDT

DRAFT

Requested Information:

Listed below are the documents and information needed to complete your submission:

Required with submission

If not provided with submittal, Vendor must submit within 3 business days of County's request

Provide with submission; County will not request after submittal

Evaluation Criteria BLD2131488P1.pdf Documentation Sep 3rd 2026, 10:20 AM EDT

Foreign Country of Concern Attestation (PII).docx Documentation Complete and sign this form. Sep 3rd 2026, 10:43 AM EDT

Functionality Checklist BLD2131488P1.xlsx Documentation Sep 3rd 2026, 10:20 AM EDT

Instructions to Vendors BLD2131488P1.pdf Documentation Sep 3rd 2026, 10:20 AM EDT

Insurance Requirements Form.pdf Documentation May 19th 2026, 4:37 PM EDT

Litigation History.docx Documentation Sep 10th 2024, 12:25 PM EDT

Lobbyist Registration Requirement Certification.docx Documentation Complete and sign this form. Sep 6th 2024, 1:09 PM EDT

Location Certification - RFP-RFQ-RLI.docx Documentation Complete and sign this form. Jun 18th 2026, 10:06 AM EDT

OESBD - Procurement Preferences SBE-CBE.docx Documentation Sep 3rd 2026, 10:19 AM EDT

OESBD Affiliated Entities of the Principals Certification.docx Documentation Complete and sign this form. Sep 6th 2024, 1:09 PM EDT

Scope of Services BLD2131488P1.pdf Documentation Oct 2nd 2026, 10:48 AM EDT

Security Requirements.docx Documentation Sep 7th 2024, 12:18 PM EDT

Subcontractors-Subconsultants-Suppliers Requirement.docx Documentation Complete and sign this form. Sep 6th 2024, 1:09 PM EDT

Summary of Vendor Rights for Broward County Competitive Solicitations.docx Documentation Sep 6th 2024, 1:09 PM EDT

Vendor Questionnaire and Standard Certifications - RFP-RFQ-RLI.docx Documentation Complete and sign this form. Oct 21st 2025, 3:26 PM EDT

Vendor Security Questionnaire.xlsx Documentation May 19th 2026, 4:36 PM EDT

Volume of Previous Payments Attestation - RFP-RFQ-RLI.docx Documentation Jun 23rd 2026, 4:21 PM EDT

Name Type # Files Requirement Instructions

Bid Table - BLD2131488P1 (BT-23BW) BidTable: Excel (.xlsx)

1 REQUIRED

You will need to fill out the provided Response Template for this BidTable.

Vendor Proposal (including Evaluation Criteria Responses)

File Type: Any (.*) Multiple REQUIRED

Functionality Checklist File Type: PDF (.pdf) Multiple REQUIRED

Name Type # Files Requirement Instructions

Certificate of Insurance/Letter from Insurance Carrier or Requirements File Type: Any (.*) Multiple OPTIONAL

Broward County Local Business Tax Receipt File Type: Any (.*) Multiple OPTIONAL

Criminal History Screening Practices Certification File Type: Any (.*) Multiple OPTIONAL

Financial Statements File Type: PDF (.pdf) Multiple OPTIONAL

Foreign Country of Concern Attestation Form File Type: PDF (.pdf) Multiple OPTIONAL

Lobbyist Registration Requirement Certification File Type: Any (.*) Multiple OPTIONAL

RFP RFQ RLI Location Certification File Type: PDF (.pdf) Multiple OPTIONAL

Litigation History File Type: Any (.*) Multiple OPTIONAL

OESBD Affiliated Entities of the Principals Certification File Type: Any (.*) Multiple OPTIONAL

OESBD Letter of Intent and/or Application of Good Faith Efforts or Procurement Preference File Type: Any (.*) Multiple OPTIONAL

Subcontractors Subconsultants Suppliers Requirement File Type: Any (.*) Multiple OPTIONAL

Volume of Previous Payments Attestation - RFP-RFQ-RLI.docx File Type: PDF (.pdf) Multiple OPTIONAL

Vendor Security Questionnaire File Type: Any (.*) Multiple OPTIONAL

Vendor Reference Verification - RFP RFQ RLI File Type: Any (.*) Multiple OPTIONAL

Vendor Questionnaire and Standard Certification - RFP RFQ RLI File Type: Any (.*) Multiple OPTIONAL

Submissions and Prime/Subcontractor Interest

Technical Support Portal Security Terms of Service Privacy Policy Sitemap

Document Takers

Interested Contractors

This project is not open for proposal submissions at this time.

Name Type # Files Requirement Instructions Act

Agreement Exceptions - RFP-RFQ-RLI File Type: Any (.*) Multiple OPTIONAL

Search

Vendors # Files Actions

No data available in table

Prime/General Contractors Subcontractors

Search

Vendors Contact Email Phone Subcontract Services

No data available in table

DRAFT

https://procurement-help.eunasolutions.com/hc/en-us https://broward.bonfirehub.com/portal/security https://gobonfire.com/terms-service https://eunasolutions.com/privacy-policy https://broward.bonfirehub.com/sitemap

SUMMARY OF VENDOR RIGHTS FOR BROWARD COUNTY COMPETITIVE SOLICITATIONS

The purpose of this document is to provide vendors with a summary of their rights to object to or protest a proposed award or recommended ranking of vendors in connection with Broward County competitive solicitations. These rights are fully set forth in the Broward County Procurement Code.

1. Right to Object

For Requests for Proposals (RFP), Requests for Qualifications (RFQ), or Requests for Letters of Interest (RLI), vendors may object in writing to a proposed recommendation of ranking made by an Evaluation Committee. Objections must be filed within three business days after the proposed recommendation of ranking (if applicable) is posted on the Purchasing Division's website. The written objection must comply with the requirements stated in Section 21.42(h) of the Broward County Procurement Code. Failure to timely and fully meet any requirement will result in the loss of a right to object.

2. Right to Protest

For Invitations to Bid (ITBs), RFPs, RFQs, and RLIs, vendors may protest the specifications or requirements of a solicitation (or of any addenda). Protests must be received in writing by the Director of Purchasing within five business days after the applicable solicitation (or addenda) is posted on the Purchasing Division's website.

For ITBs, vendors may protest a recommendation for award made by the Broward County Purchasing Division. For RFPs, RFQs, and RLIs, vendors may protest a final recommendation of ranking made by an Evaluation Committee. In all cases, protests must be filed in writing within five business days after a recommended ranking or recommendation for award is posted on the Purchasing Division’s website.

Any protest must comply with requirements stated in Part X of the Broward County Procurement Code, including a filing fee (if applicable). Failure to timely and fully meet any requirement will result in a loss of protest rights.

Vendors may appeal the denial of a protest. Section 21.81 of the Broward County Procurement Code identifies all other matters that may be appealed. Appeals may require payment of an appeal bond. Appeals must comply with requirements stated in Part XII of the Broward County Procurement Code. Failure to timely and fully meet any requirement will result in a loss of appeal rights.

Cone of Silence:

The County’s Cone of Silence Ordinance prohibits all communications, oral or written, relating to a competitive solicitation among vendors/vendor representatives, County Staff, and Commissioner Offices while the cone is in effect.

Communications with Purchasing Division employees, the solicitation’s designated Project Manager(s) or designee(s), the Office of Economic and Small Business (OESBD) Small Business Development Specialist Supervisor (954-357-6400), and others as specifically identified in the Cone of Silence Ordinance are permitted. Additionally, communication is permitted at pre-bid conferences and negotiation meetings, as applicable.

The Cone of Silence begins upon the advertisement of an ITB, RFP, RFQ, or RLI. The Cone of Silence terminates when the solicitation is awarded, all responses are rejected, or the Broward County Board of County Commissioners takes other action which ends the solicitation, as stated in more detail in the Cone of Silence Ordinance.

Any violations of the Code of Silence Ordinance by any vendor or vendor representative may be reported to the County’s Professional Standards/Human Rights Section. If the County’s Professional Standards/Human Rights Section determines that a violation has occurred, a fine shall be imposed as provided in the Broward County Code of Ordinances. At the sole discretion of the Broward County Board of County Commissioners, a violation may void an award of the applicable competitive solicitation.

Review the Cone of Silence Ordinance, Section 1-266 of the Broward County Code of Ordinances, for more detailed information.

Form Date 9/9/24

DRAFT

https://library.municode.com/fl/broward_county/codes/administrative_code?nodeId=CH21OPPOPRCOFIADSEDE https://www.broward.org/EconDev/Pages/default.aspx https://library.municode.com/fl/broward_county/ordinances/code_of_ordinances?nodeId=1134059

SUBCONTRACTORS/SUBCONSULTANTS/SUPPLIERS REQUIREMENT

The completed and signed form(s) should be returned with the Vendor’s submittal. If not provided with submittal, the Vendor must submit within three business days after County’s request. Vendor may be deemed nonresponsive for failure to fully comply within the stated timeframes.

A. The Vendor must submit a listing of all subcontractors, subconsultants, and major material suppliers

(firms), if any, and the portion of the contract they will perform. A major material supplier is considered any firm that provides construction material for construction contracts, or commodities for service contracts, in excess of $50,000, to the Vendor.

B. If participation goals apply to the contract, only non-certified firms shall be identified on the form. A non- certified firm is a firm that is not listed as a firm for attainment of participation goals (e.g., County Business Enterprise or Disadvantaged Business Enterprise), if applicable to the solicitation.

C. This list shall be kept up-to-date for the duration of the contract. If subcontractors, subconsultants, or suppliers are stated, this does not relieve the Vendor from the prime responsibility of full and complete satisfactory performance under any awarded contract.

D. After completion of the contract/final payment, the Vendor shall certify the final list of non-certified subcontractors, subconsultants, and suppliers that performed or provided services to the County for the referenced contract.

E. The Vendor has confirmed that none of the listed subcontractors, subconsultants, or suppliers’ principal(s), officer(s), affiliate(s), or any other related companies, have been debarred from doing business with Broward County or any other governmental agency.

If none, state “none” on this form. Use additional sheets as needed. Vendor should scan and upload any additional form(s) in electric bidding system.

1. Subcontracted Firm’s Name: Click or tap here to enter text.

Subcontracted Firm’s Address: Click or tap here to enter text.

Subcontracted Firm’s Telephone Number: Click or tap here to enter text.

Contact Person’s Name and Position: Click or tap here to enter text.

Contact Person’s E-mail: Click or tap here to enter text.

Type of Work/Supplies Provided: Click or tap here to enter text.

2. Subcontracted Firm's Name: Click or tap here to enter text.

Subcontracted Firm’s Telephone Number: Click or tap here to enter text.

Contact Person’s Name and Position: Click or tap here to enter text.

Contact Person’s E-mail: Click or tap here to enter text.

SUBCONTRACTORS/SUBCONSULTANTS/SUPPLIERS REQUIREMENT

3. Subcontracted Firm's Name: Click or tap here to enter text.

Subcontracted Firm’s Telephone Number: Click or tap here to enter text.

Contact Person’s Name and Position: Click or tap here to enter text.

4. Subcontracted Firm's Name: Click or tap here to enter text.

Subcontracted Firm’s Telephone Number: Click or tap here to enter text.

Contact Person’s Name and Position: Click or tap here to enter text.

By signature below, I certify on behalf of the Vendor that the information stated above is true and correct to the best of my knowledge.

Vendor Name: Click or tap here to enter text.

Signature: ______________________________

Printed Name: Click or tap here to enter text.

Title: Click or tap here to enter text.

Date: Click or tap to enter a date.

Form Date 9/9/24

LOBBYIST REGISTRATION REQUIREMENT CERTIFICATION

The completed form should be submitted with the solicitation response but must be submitted within three business days after County’s request. The Vendor may be deemed nonresponsive for failure to fully comply within stated timeframes.

The Vendor certifies that it understands if it has retained a lobbyist(s) to lobby in connection with a competitive solicitation, it shall be deemed nonresponsive unless the firm, in responding to the competitive solicitation, certifies that each lobbyist retained has timely filed the registration or amended registration required under the Broward County Lobbyist Registration Act, Sections 1-260 through 1-262, Broward County Code of Ordinances;

and it understands that if, after awarding a contract in connection with the solicitation, the County learns that the certification was erroneous, and upon investigation determines that the error was willful or intentional on the part of the Vendor, the County may, on that basis, exercise any contractual right to terminate the contract for convenience.

The Vendor hereby certifies that: (select one)

☐ It has not retained a lobbyist(s) to lobby in connection with this competitive solicitation; however, if retained after the solicitation, the County will be promptly notified.

☐ It has retained a lobbyist(s) to lobby in connection with this competitive solicitation and certifies that each lobbyist retained has timely filed the registration or amended registration required under Broward County Lobbyist Registration Act, Sections 1-260 through 1-262, Broward County Code of Ordinances.

It is a requirement of this solicitation that the names of any and all lobbyists retained to lobby in connection with this solicitation be listed below:

Name of Lobbyist: Click or tap here to enter text. Name of Lobbyist: Click or tap here to enter text.

Lobbyist’s Firm: Click or tap here to enter text. Lobbyist’s Firm: Click or tap here to enter text.

Phone: Click or tap here to enter text. Phone: Click or tap here to enter text.

E-mail: Click or tap here to enter text. E-mail: Click or tap here to enter text.

https://library.municode.com/fl/broward_county/codes/code_of_ordinances?nodeId=PTIICOOR_CH1AD_ARTXIIILOAC_S1-262LORESTFE

LITIGATION HISTORY

A. Vendor is required to disclose to the County all “material” cases during the last three (3) years prior to the solicitation response end date, whether such cases were brought by or against the Vendor, any parent or subsidiary of the Vendor, or any predecessor organization.

B. Additionally, the Vendor is required to disclose to the County all “material” cases against any principal of Vendor, regardless of whether the principal was associated with Vendor at the time of the “material” cases against the principal, during the last three (3) years prior to the solicitation response.

C. A “case” means any filed, pending, or resolved litigation, arbitration, or administrative proceeding.

D. A case is considered “material” if it relates, in whole or in part, to any of the following:

1. A similar type of work that the Vendor is seeking to perform for the County under the current solicitation;

2. An allegation of fraud, negligence, error or omissions, or malpractice against the Vendor or any of its principals or agents who would be performing work under the current solicitation;

3. A vendor’s default, termination, suspension, failure to perform, or improper performance in connection with any contract;

4. The financial condition of the Vendor, including any bankruptcy petition (voluntary and involuntary) or receivership; or

5. A criminal proceeding or hearing concerning business-related offenses in which the Vendor or its principals (including officers) were/are defendants.

E. For each material case, the Vendor is required to provide all information identified in the Litigation History

Form. Additionally, the Vendor shall provide a copy of any judgment or settlement of any material case during the last three (3) years prior to the solicitation response. Redactions of any confidential portions of the settlement agreement are only permitted upon a certification by the Vendor that all redactions are required under the express terms of a pre-existing confidentiality agreement or provision.

F. The County will consider the Vendor’s litigation history information in its review and determination of responsibility.

G. If the Vendor is a joint venture, the information provided must encompass the joint venture and each of the entities forming the joint venture.

H. Vendor is required to disclose to the County any and all cases(s) that exist between the County and any of the Vendor’s subcontractors/subconsultants proposed to work on this project during the last five (5) years prior to the solicitation response.

I. Failure to disclose any material case, including all requested information in connection with each such case, as well as failure to disclose the Vendor’s subcontractors/subconsultants litigation history against the County, may result in the Vendor being deemed nonresponsive.

LITIGATION HISTORY FORM

The completed form(s) should be returned with the Vendor’s submittal. If not provided with submittal, the Vendor must submit within three business days of County’s request. Vendor may be deemed non-responsive for failure to fully comply within stated timeframes.

☐ There are no material cases for this Vendor; or

☐ Material Case(s) are disclosed below:

Is this for a: (check type) ☐ Parent Company ☐ Subsidiary ☐ Predecessor Firm ☐ None of the above

If Yes: Name of Parent Subsidiary/Predecessor: Click or tap here to enter text.

Vendor is Plaintiff ☐ Vendor is Defendant ☐

Case Number: Click or tap here to enter text.

Case Name: Click or tap here to enter text.

Date Filed: Click or tap here to enter text.

Name of Court or other Tribunal: Click or tap here to enter text.

Type of Case: Bankruptcy ☐ Civil ☐ Criminal ☐ Administrative/Regulatory ☐

Claim or Cause of Action and Brief description of each Count: Click or tap here to enter text.

Brief Description of the Subject Matter and Project Involved: Click or tap here to enter text.

Disposition of Case: Pending ☐ Settled ☐ Dismissed ☐

Judgment: Vendor’s Favor ☐ Against Vendor ☐

If Judgment is against, is Judgment Satisfied? Yes: ☐ No: ☐

Attach copy of any applicable Judgment, Settlement Agreement, and Satisfaction of Judgement.

Opposing Counsel Name: Click or tap here to enter text.

Opposing Counsel email: Click or tap here to enter text.

Opposing Counsel Phone: Click or tap here to enter text.

CRIMINAL HISTORY SCREENING PRACTICES CERTIFICATION

The completed form should be returned with the Vendor’s submittal. If not provided with the submittal, Vendor must submit the form within three business days after County’s request. Vendor may be deemed nonresponsive for failure to fully comply within the stated timeframe.

Section 26-125(d) of the Broward County Code of Ordinances (“Criminal History Screening Practices”) requires that a Vendor seeking a contract in the amount of $100,000 or more with Broward County shall certify:

A. Vendor has implemented, or will implement upon award of the contract, policies, practices, and procedures regarding inquiry into the criminal history of an applicant for employment, including a criminal history background check of any such person, that preclude inquiry into an applicant's criminal history until the applicant is selected as a finalist and interviewed for the position.

B. This requirement shall apply only to positions located within the United States that will foreseeably perform work under a contract with Broward County.

C. The failure of Vendor to comply with Section 26-125(d) at any time during the contract term shall constitute a material breach of the contract, entitling Broward County to pursue any remedy permitted under the contract and any other remedy provided under applicable law.

D. If Vendor fails to comply with Section 26-125(d) at any time during the contract term, Broward County may, in addition to all other available remedies, terminate the contract and Vendor may be subject to debarment or suspension proceedings consistent with the procedures in Chapter 21 of the Broward County Administrative Code.

By signing below, Vendor certifies that it is aware of the requirements of Section 26-125(d) of the Broward County Code of Ordinances and certifies the following: (check only one box below).

☐ Vendor certifies that, for positions located within the United States that will foreseeably perform work under a contract with Broward County, it has implemented, or will implement upon award of the contract, policies, practices, and procedures regarding inquiry into the criminal history of an applicant for employment, including a criminal history background check of any such person, that preclude inquiry into an applicant's criminal history until the applicant is selected as a finalist and interviewed for the position.

☐ Vendor is exempt from the requirements of Section 26-125(d) of the Broward County Code of Ordinances because Vendor is required by applicable federal, state, or local law to conduct a criminal history background check in connection with potential employment at a time or in a manner that would otherwise be prohibited by this section, or because Vendor is a governmental agency.

Title: Click or tap here to enter text.

Date: Click or tap to enter a date.

Form Date 9/9/24 https://library.municode.com/fl/broward_county/codes/code_of_ordinances?nodeId=PTIICOOR_CH26PE_ARTVIIICRHICHEMAPVE_S26-125CRHISCPR

AGREEMENT EXCEPTIONS

REQUEST FOR PROPOSAL, REQUEST FOR QUALIFICATION, REQUEST FOR LETTER OF INTEREST

The completed form should be submitted with the solicitation response. If not submitted with solicitation response, it shall be deemed an affirmation by the Vendor that it accepts contract terms and conditions stated in the solicitation.

The Vendor must provide on the form below any and all exceptions it takes to the contract terms and conditions stated in the solicitation, including all proposed modifications to the contract terms and conditions or proposed additional terms and conditions. Additionally, a brief justification specifically addressing each provision to which an exception is taken should be provided.

☐ The Vendor takes no exceptions to the contract terms and conditions stated in the solicitation.

☐ The Vendor takes the following exceptions to the contract terms and conditions stated in the solicitation: (use additional forms as needed; separately identify each article/section number)

Term or Condition Article / Section

Insert proposed modifications to the contract terms and conditions or proposed additional terms and conditions Provide brief justification for proposed modifications

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text. DRAFT

VENDOR QUESTIONNAIRE AND STANDARD CERTIFICATIONS

REQUEST FOR PROPOSAL, REQUEST FOR QUALIFICATION, OR REQUEST FOR LETTER OF INTEREST

The completed form, including standard certifications, should be submitted with the solicitation response. If a response requires additional information, the Vendor should upload a written detailed response with submittal;

each response should be labeled to match the question number.

If not submitted with solicitation response, it must be submitted within three business days after County's written request. Failure to timely submit may affect Vendor's evaluation.

1. Legal business name: Click or tap here to enter text.

2. Doing Business As/Fictitious Name (if applicable): Click or tap here to enter text.

3. Federal Employer I.D. No. (FEIN): Click or tap here to enter text.

4. Dun and Bradstreet No.: Click or tap here to enter text.

5. Website address (if applicable): Click or tap here to enter text.

6. Principal place of business address: Click or tap here to enter text.

7. Office location responsible for this project: Click or tap here to enter text.

8. Telephone No.: Click or tap here to enter text. Fax No.: Click or tap here to enter text.

9. Generic e-mail for purchase orders: Click or tap here to enter text.

(Broward County auto distributes purchase orders; to ensure Vendor receives purchase orders, a company accessible e-mail address is suggested.)

10. Type of business (check appropriate box):

☐ Corporation (specify the state of incorporation) Click or tap here to enter text.

☐ Sole Proprietor

☐ Limited Liability Company (LLC)

☐ Limited Partnership

☐ General Partnership ☐ Other – Specify: Click or tap here to enter text.

11. Authorized Contact(s):

Name: Click or tap here to enter text. Name: Click or tap here to enter text.

Title: Click or tap here to enter text. Title: Click or tap here to enter text.

E-mail: Click or tap here to enter text. E-mail: Click or tap here to enter text.

Telephone No.: Click or tap here to enter text. Telephone No.: Click or tap here to enter text.

12. List name and title of each principal, owner, officer, and majority shareholder:

a) Click or tap here to enter text. d) Click or tap here to enter text.

b) Click or tap here to enter text. e) Click or tap here to enter text.

c) Click or tap here to enter text. f) Click or tap here to enter text.

For Questions 13 – 18, if any answer is “Yes”, specify details in an attached written response with submittal;

each response should be labeled to match the question number.

13. Is Vendor or any of its principals or officers currently a principal or officer of another organization?

☐ Yes ☐ No

14. Has Vendor, or any of its principals, officers, or predecessor organization(s), been debarred or suspended by any government entity within the last three years? ☐ Yes ☐ No

15. Has Vendor ever failed to complete any services and/or delivery of products during the last three years?

16. Have any voluntary or involuntary bankruptcy petitions been filed by or against Vendor, its parent or subsidiaries or predecessor organizations during the last three years? ☐ Yes ☐ No

17. Has Vendor’s surety ever intervened to assist in the completion of a contract or have Performance and/or

Payment Bond claims been made to Vendor’s or its predecessor’s sureties during the last three years?

18. Has Vendor been terminated from a contract within the last three years? ☐ Yes ☐ No

19. Participation in Solicitation Development: By submission of this solicitation response, the Vendor certifies as follows (select one):

☐ I have not participated in the preparation or drafting of any language, scope, or specification that would provide my firm or any affiliate an unfair advantage of securing this solicitation.

☐ I have provided information regarding the specifications and/or products listed in this solicitation. If this box is checked, provide the following:

Name of Person the information was provided to: Click or tap here to enter text.

Date information provided: Click or tap here to enter text.

For what purpose was the information provided? Click or tap here to enter text.

Standard Certifications:

Drug-Free Workplace Certification In accordance with Section 287.087, Florida Statutes, whenever two or more submittals are tied, a submittal received from a Vendor that certifies it has implemented a drug-free workplace program shall be given preference in the award process.

The Vendor hereby certifies that: (only if Vendor is certifying it currently complies, check box)

☐ The Vendor hereby certifies that it has established a drug-free workplace program in accordance with the requirements of Section 287.087, Florida Statutes, (“Preference to businesses with drug-free workplace programs.”)

Non-Collusion Certification Vendor shall disclose, to their best knowledge, any Broward County officer or employee, or any relative of any such officer or employee as defined in Section 112.3135 (1) (c), Florida Statutes, who is an officer or director of, or has a material interest in, the Vendor's business, who is in a position to influence this procurement. Any Broward County officer or employee who has any input into the writing of specifications or requirements, solicitation of offers, decision to award, evaluation of offers, or any other activity pertinent to this procurement is presumed, for purposes hereof, to be in a position to influence this procurement. Failure of a Vendor to disclose any relationship described herein shall be reason for debarment in accordance with the provisions of the Broward County Procurement Code.

The Vendor hereby certifies that: (select one)

☐ The Vendor certifies that this offer is made independently and free from collusion; or

☐ The Vendor is disclosing names of officers or employees who have a material interest in this procurement and is in a position to influence this procurement. Vendor must include a list of name(s), and relationship(s) with its submittal.

Public Entities Crimes Certification In accordance with Public Entity Crimes, Section 287.133, Florida Statutes, a person or affiliate placed on the convicted vendor list following a conviction for a public entity crime may not submit on a contract: to provide any goods or services; for construction or repair of a public building or public work; for leases of real property to a public entity; and may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity; and may not transact business with any public entity in excess of the threshold amount provided in s. 287.017 for Category Two for a period of 36 months following the date of being placed on the convicted vendor list.

The Vendor hereby certifies that: (check box)

☐ The Vendor certifies that no person or affiliates of the Vendor are currently on the convicted vendor list and/or has not been found to commit a public entity crime, as described in the statutes.

Scrutinized Companies List Certification Pursuant to Section 287.135, Florida Statutes, any company or other entity on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in Iran Terrorism Sectors List, or the Scrutinized Companies or Other Entities that Boycott Israel List, are prohibited from bidding on, submitting a proposal for, or entering into or renewing a contract with an agency or local governmental entity for goods or services of (a) $100,000 or more if, at the time of bidding on, submitting a proposal for, or entering into or renewing such contract, the company or other entity is on the Scrutinized Companies or Other Entities that Boycott Israel List, created pursuant to Section 215.4725, Florida Statutes, or is engaged in a boycott of Israel; or (b) $1,000,000 or more if, at the time of bidding on, submitting a proposal for, or entering into or renewing such contract, the company or other entity is on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in Iran Terrorism Sectors List, created pursuant to Section 215.473, Florida Statutes; or is engaged in business operations in Cuba or Syria.

The Vendor hereby certifies that: (check each box)

☐ The company or other entity is aware of the above cited requirements of Sections 287.135215.473, and 215.4725, Florida Statutes, regarding the above cited lists; and

☐ The company or other entity is eligible to participate in this solicitation and are not listed on the cited lists above; and

☐ If awarded the Contract, the company or other entity will immediately notify the County in writing if it is placed on the above cited lists.

I hereby certify the information provided in this Vendor Questionnaire and Standard Certifications is true and correct*:

* I certify that I am authorized to sign this solicitation response on behalf of the Vendor as indicated in Certificate as to Corporate Principal, designation letter by Director/Corporate Officer, or other business authorization to bind on behalf of the Vendor. As the Vendor's authorized representative, I attest that any and all statements, oral, written or otherwise, made in support of the Vendor's response, are accurate, true and correct. I also acknowledge that inaccurate, untruthful, or incorrect statements made in support of the Vendor's response may be used by the County as a basis for rejection, rescission of the award, or termination of the contract and may also serve as the basis for debarment of Vendor pursuant to PART XI of the Broward County Procurement Code. I certify that the Vendor's response is made without prior understanding, agreement, or connection with any corporation, firm or person submitting a response for the same items/services, and is in all respects fair and without collusion or fraud. I also certify that the Vendor agrees to abide by all terms and conditions of this solicitation, acknowledge and accept all of the solicitation pages as well as any special instructions sheet(s).

Form Date 10/10/25

OFFICE OF ECONOMIC AND SMALL BUSINESS DEVELOPMENT REQUIREMENTS

AFFILIATED ENTITIES OF THE PRINCIPAL(S) CERTIFICATION

The completed form should be submitted with the solicitation response. If not submitted with the solicitation response, it must be submitted within three business days after of County’s request. Failure to timely submit may result in Vendor being deemed non-responsive.

a. All Vendors are required to disclose the names and addresses of Affiliated Entities (defined below) of the Vendor’s principal(s) over the last five years (from the solicitation opening deadline) that have acted as a prime vendor with the County.

b. The County will review all Affiliated Entities of the Vendor’s principal(s) for contract performance evaluations and the compliance history with the County’s Small Business Development Program, including County Business Enterprise (CBE), Disadvantaged Business Enterprise (DBE) and Small Business Enterprise (SBE) goal attainment requirements. “Affiliated Entities” of the principal(s) are those entities related to the Vendor by the sharing of stock or other means of control, including but not limited to a subsidiary, parent, or sibling entity.

c. The County will consider the contract performance evaluations and the compliance history of the Affiliated Entities of the Vendor's principals in its review and determination of responsibility.

The Vendor hereby certifies that: (select one)

☐ No principal of the proposing Vendor has prior affiliations that meet the criteria defined as Affiliated

Entities.

☐ Principal(s) listed below have prior affiliations that meet the criteria defined as Affiliated Entities.

Principal’s Name: Click or tap here to enter text.

Names and addresses of Affiliated Entities: Click or tap here to enter text.

SECURITY REQUIREMENTS

A. General Security Requirements:

1. All contractor personnel requiring unescorted access to Broward County facilities must obtain a County-issued contractor identification badge (“contractor ID badge”), unless otherwise specifically stated herein.

The requirements for contractor personnel in this document are also required of subcontractor personnel, unless otherwise expressly stated herein.

2. The background screening requirements for obtaining a contractor ID badge will depend on the facility to which unescorted access is being requested. Contractors may contact Broward County Security at (954) 357-6000 or FMSecurity@broward.org for the required background screening requirements associated with access to specific facilities.

3. Contractor ID badges must be visible and worn at all times together with the contractor’s company/business ID or badge. Requests for contractor ID badges are initially approved by the requesting agency director or designee and then submitted to Facilities Management Division (FMD) Security for final approval.

4. The issuance of a contractor ID badge for unescorted access to General Facilities requires a Level 1 FDLE background check, which can be conducted by the Florida Department of Law Enforcement (FDLE). This Level 1 FDLE background check is the contractor’s responsibility and should be included in the bid price.

FDLE background checks can be done by the contractor by phone at (850) 410-8109 or online at https://web.fdle.state.fl.us/search/app/default

5. Upon completion of the background check, the contractor must attach a copy of the results to the contractor’s application for a contractor ID badge. The Project Manager or designee utilizing the service of the contractor will be the “Sponsor” and will either provide the contractor with a Contractor ID Badge Request Form or assist the contractor in completing an online application for the County issued contractor ID badge.

6. Requests for a contractor ID badge requiring an FDLE background check may require lengthy processing and review by the Broward Sheriff’s Office (BSO). Contractors must therefore submit the request to Broward County Security at least two (2) weeks prior to the start of service by the contractor. When contractor ID badges are ready, Broward County Security will contact the contractor to arrange pick up.

Upon pick up, the applicant must present a valid Florida identification and must be accompanied by their supervisor. Broward County Security will then supply a contractor ID badge valid for the anticipated period within which the work will be performed. The validity period must be clearly stated on the Contractor ID Badge Request Form; however, the period of validity will not exceed one (1) year. Background checks will be required for renewal of contractor ID badges. At the termination of the contract and separation of employee services, the contractor is responsible for the collection and return of all contractor ID badges to the Project Manager and/or to Broward County Security.

7. Compliance with the County’s security requirements is part of the overall contract performance evaluation. Final payment will, in part, be contingent on the return of all contractor ID badges issued to contractor personnel.

8. Broward County Security is located at Governmental Center East, 115 South Andrews Avenue, Fort

Lauderdale, FL 33301. Telephone (954) 357-6000.

mailto:FMSecurity@broward.org https://web.fdle.state.fl.us/search/app/default

9. All contractor personnel must wear distinctive and neat appearing uniforms with the contractor’s company name. Subcontractor personnel must also have Broward County issued contractor IDs and meet the same security requirements and uniform standards as the primary contractor.

10. Contractor personnel will not be allowed unescorted on the job site without a valid contractor ID badge.

11. These General Security Requirements are in addition to any requirements of specific facilities as stated herein. Additional security requirements may also be included in the applicable solicitation or contract or communicated by the Contract Administrator during the contract period.

B. Facilities Critical to Security and Public Safety:

Many Broward County government facilities have areas designated as critical to security and public safety, pursuant to Broward County Code of Ordinances Sections 26-121 and 26-122, as may be amended. The issuance of a contractor ID badge for unescorted access to facilities critical to security and public safety may entail a comprehensive statewide and national background check. Unescorted access to certain facilities occupied by the Broward Sheriff’s Office (BSO) or the State Attorney’s Office will require a national fingerprint-based records check per the Criminal Justice Information System (CJIS) policy.

Any contractor personnel found to have a criminal record consisting of felony conviction(s) shall be disqualified from access to the State Attorney’s Offices and certain BSO facilities. Any contractor personnel with a record of misdemeanor offense(s) may be granted access if the System Security Officer (CSO), Terminal Access Coordinator (TAC), and FDLE determines that the nature of the offense(s) do not warrant disqualification. Applicants shall also be disqualified on the basis of confirmations that arrest warrants are outstanding for such applicants.

C. Contractor Work Crews:

Background investigations are generally not required for each member of a contractor work crew working on County premises outside a building or structure. Examples are landscape crews and roofers. If it is necessary to enter the building or structure unescorted, these work crew members must obtain a contractor ID badge.

If not, work crew members must be escorted at all times by the project manager or other designated escort, and must be under the direct supervision of a foreperson for the contractor. The foreperson must have a contractor ID badge granting access to the applicable building or structure, be aware of the crew members’ whereabouts, have completed the appropriate background check for the location and type of work being undertaken, and been issued and is displaying a contractor ID badge.

All members of a night cleaning crew, and all work crew members who will not be escorted when working at a critical County facility, must complete a background investigation appropriate to the requirements of the facility.

D. Other Vendors:

Other vendors, such as delivery personnel and vending machine operators, without a contractor ID badge may obtain a visitor pass for limited, escorted access. Such persons must be escorted by County personnel when accessing and working in designated non-public and employee work areas at both general facilities and facilities critical to security and public safety.

E. Port Everglades Locations:

1. The Port Everglades Department requires persons to present, at port entry, a valid driver license, and valid reason for wishing to be granted Port access in order to obtain a temporary/visitor ID badge. For persons who will visit the Port more than 15 times in a 90-day period, a permanent identification badge must be obtained and paid for by the contractor for all employees, subcontractors, and agents visiting or working

DRAFT

https://library.municode.com/fl/broward_county/codes/code_of_ordinances?nodeId=PTIICOOR_CH26PE_ARTVIIICRHICHEMAPVE_S26-121CRHICHEMAPVELEIN https://library.municode.com/fl/broward_county/codes/code_of_ordinances?nodeId=PTIICOOR_CH26PE_ARTVIIICRHICHEMAPVE_S26-122CLPEAF on the Port project. A restricted access badge application process will include fingerprints and a comprehensive background check. Badges must be renewed annually and the fees paid pursuant to Broward County Administrative Code, Section 42.6. For further information, please call 954-765-4225.

2. All vehicles that are used regularly on the dock apron must have a Dockside Parking Permit. Only a limited number of permits will be issued per business entity. The fee is $100.00 per permit/vehicle. Individuals requesting a permit must possess a valid Port-issued Restricted Access Area badge with a "Dock" destination. Requests for Dockside Parking Permits must be submitted in writing, on company letterhead, to the ID Badge Office. Applicants must demonstrate a need for access to the dock apron. Requests shall be investigated, and approved, if appropriate justification is provided. Supporting documentation must be supplied, if requested. Dock permits are not transferable and must be affixed to the lower left corner of the permitted vehicle's windshield. Should the permit holder wish to transfer the permit to another vehicle during the term of issuance, the permit will be removed and exchanged at no charge for a new permit. Only one business entity representative will be permitted on the dock at a time at the vessel location.

3. The Federal Government has instituted requirements for a Transportation Worker Identification Credential (TWIC) for all personnel requiring unescorted access to designated secure areas within Port Everglades. The contractor will be responsible for complying with the applicable TWIC requirements. For further information, please call 1-855-347-8371, or go online to https://www.tsa.gov/for-industry/twic.

F. Airport Security Program and Aviation Regulations:

1. Contractors must comply with all security and other applicable requirements of the Federal Aviation Regulations applicable to contractor, including, but not limited to, all regulations of the United States Department of Transportation, the Federal Aviation Administration, and the Transportation Security Administration.