11-11. REQUIRED Responsible Vendor Review Form.docx
DOCX document 33 KB Posted
- Attached to
- Hopkins Rice SCR Catalyst Replacement
- Solicitation number
- IFB-026-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Responsible Vendor Review Form required by the City of Tallahassee for vendors responding to the Hopkins Rice SCR Catalyst Replacement solicitation in Florida. The City of Tallahassee owns and operates seven Wartsila engines (five 50SG engines and two 34SG engines) equipped with emissions control catalysts that require replacement. The solicitation seeks three types of catalysts for emissions control: SCR catalysts (HUG RFV 1300.103.C5.00.S150.450.000 or equivalent) for nitrogen oxide reduction, ROM catalysts (HUG ROM 1300.103.C3.D1.S150.045.255 or equivalent) for nitrogen oxide reduction with ammonia suppression, and OXI catalysts (HUG OCT 1500.141.A7.00.S150.150.000 or equivalent) for catalytic oxidation of CO, VOCs, and formaldehyde. The form does not specify response dates, due dates, or contract term information.
The Responsible Vendor Review Form requires vendors to disclose any disciplinary actions, suspensions, debarments, indictments, contract terminations, or fraud judgments within the last ten years in Florida or any other jurisdiction. Vendors must also confirm they possess the necessary organization, experience, accounting controls, and professional and technical skills to meet contract obligations. The City of Tallahassee will evaluate vendor responsibility based on information provided in the form, the overall solicitation response, financial information, and independent research including the System for Award Management (SAM). Vendors must immediately notify the Procurement Officer if any information becomes erroneous prior to contract execution. The form requests identification of any active State Term Contracts (STC) or General Administrative Services (GSA) contracts similar in scope to this solicitation.
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| 9-9. REQUIRED Local Vendor Affidavit.docx | DOCX document | |
| 8-8. REQUIRED Vendor Conflict of Interest.docx | DOCX document | |
| 4-4. Attachment B-Sample Contract - Hopkins RICE Emissions Control Catalyst.docx | DOCX document | |
| 2-2. REQUIRED Attachment A-Price Schedule - Hopkins RICE Emissions Control Catalyst MRM.docx | DOCX document | |
| 10-10. REQUIRED Representations Certifications.docx | DOCX document | |
| 6-6. REQUIRED Certification of a Drug Free Workplace (1).pdf | ||
| 1-1. IFB 026-26-RM SEC 123 updated 2025-07-02 JHupdates.docx | DOCX document | |
| 3-3. Attachment C-Drawings.docx | DOCX document | |
| 7-7. REQUIRED Non Collusion Affidavit of Respondent.docx | DOCX document | |
| 5-5.REQUIRED HUMAN TRAFFICKING AFFIDAVIT.pdf |
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Text version
A contract can only be awarded to a “responsible vendor”. A responsible vendor has the capability in all respects to fully perform the contract requirements and the integrity and reliability that will assure good faith performance.
To assist in making this determination, Vendors responding to this Solicitation are required to fully and accurately answer each of the questions below. For each “Yes” answer to questions 1.1 through 1.8, Vendor must provide a detailed explanation and attach copies of any relevant document cited in the explanation. Answering “Yes” to questions 1.1 through 1.8 will not necessarily disqualify a Vendor from participating in this Solicitation. However, failure to provide additional information as requested by the City of Tallahassee may disqualify a Vendor.
The City of Tallahassee (COT) will base its determination of a Vendor’s responsibility on: (a) information provided by Vendor in response to this form; (b) information provided elsewhere in a Vendor’s response to the Solicitation (including financial information) and (c) information obtained from independent research (including information COT obtains from the internet or third parties, including System for Award Management (SAM)).
Vendors shall provide immediate written notice to COT if any time prior to contract execution, a Vendor learns that the information provided in connection with this form was erroneous when submitted or has become erroneous for reason of changed circumstances. Vendor must contact the Procurement Officer with any questions regarding this form.
1.0 Within the last ten (10) years, in the State of Florida or any State or Federal jurisdiction has the Vendor or any of its officers, directors or owner:
| 1.1 |
| Been, subject to a revocation, suspension, disbarment, administrative complaint, sanction, fine, adverse action, or disciplinary action relating to any business or professional permit, certification, and/or license? |
| · Yes |
· No
| 1.2 |
| Been suspended, debarred, or disqualified from any government contracting process or agreed to voluntary exclusion from any government procurement process? |
| · Yes |
· No
| 1.3 |
| Been subject to formal monitoring agreement or corrective action plan as part of a contract with a government entity? |
| · Yes |
· No
| 1.4 |
| Been subject to an indictment, administrative proceeding, civil action or judgment in connection with any government contract? |
| · Yes |
· No
| 1.5 |
| Had a government contract terminated for cause? |
| · Yes |
· No
Responsible
Vendor
Review
Form
| 1.6 |
| Been convicted of a crime related to governmental or nongovernmental contracting? |
| · Yes |
· No
| 1.7 |
| Been subject to governmental investigation relating to alleged violation of any statutory regulatory violation? |
| · Yes |
· No
| 1.8 |
| Had a judgement entered in a civil lawsuit based on an allegation of fraud? |
| · Yes |
· No
| 2.0 |
| Does the vendor have the necessary organization, experience, accounting and operational controls, and professional and technical skills to meet its obligations under the proposed contract with COT, taking into consideration all existing commercial and governmental business commitments? |
| · Yes |
· No
| 3.0 |
| General Information |
Do you have an active State Term Contract (STC) or General Administrative Services (GSA) Contract similar to the scope of services for this solicitation. If yes, provide an attachment with links to the contract(s)
· STC
· GSA
· Not Applicable
By my signature below, I certify that I am an authorized representative of the Vendor named below and that all of the information provided above is true and complete to the best of my knowledge.
Name and Title Vendor Name
Signature Date
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