1-Subcontractors-Subconsultants-Suppliers Requirement.docx

DOCX document 42 KB Posted

Attached to
Broward County Judicial Court West Tower Repairs
Solicitation number
PNC2132739C1
Issued by
Broward County, Florida

About this file

This is a Subcontractors/Subconsultants/Suppliers Requirement form for Broward County, Florida, related to the Judicial Court West Tower Repairs contract. The form requires vendors to submit a comprehensive listing of all subcontractors, subconsultants, and major material suppliers (defined as firms providing materials or commodities exceeding $50,000) that will perform work or provide services on the project. The vendor must identify each firm's name, address, telephone number, contact person information, and type of work or supplies to be provided. This list must be submitted with the initial vendor proposal or within three business days of the County's request, and vendors may be deemed nonresponsive for failure to comply within the specified timeframe. The listing must be maintained and updated throughout the contract duration, and vendors must submit a final certified list of all participating subcontractors, subconsultants, and suppliers upon contract completion and final payment.

The form specifies that if participation goals apply to the contract, only non-certified firms (those not listed for attainment of participation goals such as County Business Enterprise or Disadvantaged Business Enterprise designations) shall be identified. Vendors must certify that none of the listed subcontractors, subconsultants, suppliers, or their principals, officers, affiliates, or related companies have been debarred from doing business with Broward County or any other governmental agency. The submission of a subcontractor list does not relieve the prime vendor of full responsibility for satisfactory contract performance. The form provides space for up to four subcontracted firms with detailed information fields and requires certification by an authorized vendor representative with signature, printed name, title, and date.

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Text version

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 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.

3. 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.

4. 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.

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

File details come from the government source that posted it. Updated .