10-Volume of Previous Payments Attestation - RFP-RFQ-RLI.docx

DOCX document 47 KB Posted

Attached to
Risk Management and Claims Administration System
Solicitation number
BLD2131488P1
Issued by
Broward County, Florida

About this file

This is a Volume of Previous Payments Attestation form issued by Broward County, Florida's Purchasing Division for use in Request for Proposals, Request for Qualifications, or Request for Letters of Interest solicitations. The form requires vendors to document all payments received from Broward County Board of County Commissioners as a prime vendor over the five-year period preceding the current solicitation's closing date, as well as all confirmed payments made to approved County Business Enterprise (CBE) firms utilized as subcontractors or subconsultants to meet CBE goal commitments. The attestation applies to the Risk Management and Claims Administration System solicitation (Reference BLD2131488P1), with proposals due November 13, 2026 at 2:00 PM EST. The contract structure provides a five-year initial term with five one-year renewal options. Two versions of the form are provided: one for individual vendors and one for Joint Venture entities, with the latter requiring documentation of each member firm's equity percentage and submission of executed Joint Venture agreements.

Scoring for Volume of Previous Payments is calculated by subtracting confirmed CBE payments from total prime payments received within the five-year reporting period. Per Broward County Procurement Code Sections 21.41(h)(4) and 21.42(d)(3), the vendor with the lowest dollar volume of previous payments receives the tie-breaker advantage, incentivizing participation by vendors with limited County contract history. The form requires completion and submission with the vendor's initial proposal; failure to provide it may result in submission within three business days of County request, with delays potentially affecting vendor evaluation. No specific pricing, estimated contract value, or pass-through allowances are identified in this attestation form, as pricing will be evaluated separately as part of the RFP process.

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Text version

The completed form(s) should be returned with the Vendor’s submittal. If not provided with the submittal, Vendor must submit the form(s) within three business days after County’s request. Failure to timely submit this form and supporting documentation may affect the Vendor’s evaluation.

Points assigned for Volume of Previous Payments will be based on the amount paid-to-date by the Broward County Board of County Commissioners (County) to a prime Vendor MINUS the Vendor’s confirmed payments paid-to-date to approved certified County Business Enterprise (CBE) firms performing services as Vendor’s subcontractor/subconsultant to obtain the CBE goal commitment as confirmed by County’s Office of Economic and Small Business Development. Reporting must be within five (5) years of the current solicitation’s closing date.

Vendor must list all received payments paid-to-date by contract as a prime vendor from Broward County Board of County Commissioners. Reporting must be within five (5) years of the current solicitation’s closing date.

Vendor must also list all total confirmed payments paid-to-date by contract, to approved certified CBE firms utilized to obtain the contract’s CBE goal commitment. Reporting must be within five (5) years of the current solicitation’s closing date.

In accordance with Section 21.41(h)(4) and 21.42(d)(3) of the Broward County Procurement Code, the Vendor with the lowest dollar volume of payments previously paid by the County over a five-year period from the current solicitation’s closing date will receive the Tie Breaker.

The Vendor attests to the following:

Project Title
Contract No.
Department/Division
Date Awarded
Prime: Paid to Date
CBE: Paid to Date
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Has the Vendor been a member/partner of a Joint Venture firm that was awarded a contract by the County?

☐ Yes (if Yes, Vendor must submit a Joint Venture Volume of Previous Payments Attestation.)

☐ No Vendor Name: Click or tap here to enter text.

Form Date 9/9/24

VOLUME OF PREVIOUS PAYMENTS ATTESTATION

REQUEST FOR PROPOSALS, REQUEST FOR QUALIFICATIONS, OR REQUEST FOR LETTERS OF INTEREST

VOLUME OF PREVIOUS PAYMENTS ATTESTATION FORM FOR JOINT VENTURE

The completed form(s) should be returned with the Vendor’s submittal. If not provided with the submittal, Vendor must submit the form(s) within three business days after County’s request. Failure to timely submit this form and supporting documentation may affect the Vendor’s evaluation.

If a Joint Venture, the payments paid-to-date by contract provided must encompass the Joint Venture and each of the entities forming the Joint Venture. Points assigned for Volume of Previous Payments will be based on the amount paid-to-date by contract to the Joint Venture firm MINUS all confirmed payments paid-to-date to approved certified CBE firms utilized to obtain the CBE goal commitment. Reporting must be within five (5) years of the current solicitation’s closing date. Amount will then be multiplied by the member firm’s equity percentage.

In accordance with Section 21.41(h)(4) and 21.42(d)(3) of the Broward County Procurement Code, the Vendor with the lowest dollar volume of payments previously paid by the County over a five-year period from current solicitation’s closing date will receive the Tie Breaker.

The Vendor attests to the following:

Project Title
Contract No.
Department/ Division
Date Awarded
JV Equity Percent
Prime: Paid to Date
CBE: Paid to Date
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Vendor is required to submit an executed Joint Venture agreement(s) and any amendments for each project listed above. Each agreement must be executed prior to the opening date of this solicitation.

Vendor Name: Click or tap here to enter text.

Form Date 9/9/24

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