1-Subcontractors-Subconsultants-Suppliers Requirement.docx

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Attached to
Consultant Services for Broward County Convention Center Interior and Northport Garage Renovation
Solicitation number
PNC2132858P1
Issued by
Broward County, Fort Lauderdale City, Florida

About this file

This is a Subcontractors/Subconsultants/Suppliers Requirement form issued by Broward County, Florida for use in conjunction with consultant services solicitation for the Broward County Convention Center Interior and Northport Garage Renovation project. Vendors are required to submit a completed and signed listing of all subcontractors, subconsultants, and major material suppliers (defined as firms providing materials or commodities exceeding $50,000) with their contract portions. The form must be returned with the vendor's initial submittal, or if not provided, within three business days of the County's request. Failure to comply within the stated timeframe may result in the vendor being deemed nonresponsive. The vendor must maintain this list for the duration of the contract and certify the final list of non-certified subcontractors, subconsultants, and suppliers upon contract completion and final payment.

The form requires vendors to confirm that none of the listed subcontractors, subconsultants, suppliers, or their principals, officers, affiliates, or related companies have been debarred from conducting business with Broward County or any other governmental agency. If participation goals apply to the contract, only non-certified firms (those not listed for participation goal attainment such as County Business Enterprise or Disadvantaged Business Enterprise designations) shall be identified on the form. Submission of this information does not relieve the prime vendor from full responsibility for satisfactory contract performance. The form template accommodates up to four subcontractor/subconsultant/supplier entries with fields for firm name, address, telephone number, contact person information, and type of work or supplies provided, with additional sheets available as needed through the electronic bidding system.

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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 .