11-Domestic Partnership Act Certification.docx
DOCX document 47 KB Posted
- Solicitation number
- PNC2131539B1
- Issued by
- Broward County, Florida
About this file
This is a Domestic Partnership Act Certification form required by Broward County, Florida for vendors bidding on contracts valued over $100,000. The certification serves dual purposes: establishing vendor responsiveness to the solicitation requirements and determining eligibility for a domestic partnership tiebreaker advantage in competitive bidding. Vendors must complete and return the form either with their initial bid submittal or within three business days of the County's request to avoid being deemed nonresponsive. For the related Port Everglades 2025 Air Emissions Inventory and Reduction Planning contract, this certification requirement applies given the anticipated contract value exceeds the $100,000 threshold.
The Domestic Partnership Act, codified in Broward County Code of Ordinances Sections 16-150 through 16-165, requires compliant vendors to provide benefits to registered domestic partners of employees on the same basis as spousal benefits, with limited exceptions. Vendors must certify one of four compliance positions: current compliance, future compliance by contract award, non-compliance, or eligibility for an exception based on employee count (fewer than five employees), lack of employee benefits, organizational type (governmental, nonprofit, or religious entities), or federal/state law conflicts. The certification form is dated September 9, 2024, and requires authorized vendor signature, printed name, title, and date to be considered valid for bid evaluation purposes.
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Text version
DOMESTIC PARTNERSHIP ACT CERTIFICATION
INVITATION TO BID
Refer to applicable section below. The completed form should be returned with the Vendor’s submittal. Failure to submit this form by stated timeframes may deem the Vendor nonresponsive to the solicitation or ineligible for the Domestic Partnership tiebreaker, as applicable.
Domestic Partnership Responsiveness Requirement (Refer to Instructions to Vendors, if applicable) This completed and signed form should be returned with the Vendor’s submittal. If not provided with the submittal, the Vendor must submit this form within three business days after County’s request. A Vendor shall be deemed nonresponsive for failure to fully comply within stated timeframes.
Domestic Partnership Tiebreaker (Refer to Instructions to Vendors, if applicable) To be eligible for the Domestic Partnership tiebreaker, the Vendor must currently offer the Domestic Partnership benefit and the completed form must be returned at the time of solicitation submittal. Vendors who fail to comply with this submittal deadline will not be eligible for the Domestic Partnership tiebreaker.
The Domestic Partnership Act, Sections 16½ - 150 through 16½ -165, Broward County Code of Ordinances (the “Act”), requires Vendors contracting with the County for goods and services in an amount over $100,000 to provide benefits to the registered domestic partners of their employees on the same basis as they provide benefits to the employees’ spouses, with certain exceptions as provided by the Act.
For all submittals over $100,000, the Vendor, by virtue of the signature below, certifies that it is aware of the requirements of Broward County’s Domestic Partnership Act, Section 16½-157, Broward County Code of Ordinances, and certifies the following: (check only one box below)
☐ The Vendor currently complies with the requirements of the County’s Domestic Partnership Act and provides benefits to registered domestic partners of its employees on the same basis as it provides benefits to its employees’ spouses.
☐ The Vendor will comply with the requirements of the County’s Domestic Partnership Act at the time of contract award and provide benefits to registered domestic partners of its employees on the same basis as it provides benefits to its employees’ spouses.
☐ The Vendor will not comply with the requirements of the County’s Domestic Partnership Act at the time of award.
☐ The Vendor does not need to comply with the requirements of the County’s Domestic Partnership Act at the time of award because the following exception(s) applies: (check only one below).
☐ The Vendor employs less than five (5) employees.
☐ The Vendor does not provide benefits to employees’ spouses.
☐ The Vendor is a governmental entity, not-for-profit corporation, or charitable organization.
☐ The Vendor is a religious organization, association, society, or non-profit charitable or educational institution.
☐ The Vendor provides an employee the cash equivalent of benefits (Attach an affidavit in compliance with the County’s Domestic Partnership Act stating the efforts taken to provide such benefits and the amount of the cash equivalent).
☐ The Vendor cannot comply with the provisions of the Domestic Partnership Act because it would violate the laws, rules, or regulations of federal or state law, or would violate or be inconsistent with the terms or conditions of a grant or contract with the United States or State of Florida. Indicate the law, statute, or regulation (State the law, statute, or regulation and attach explanation of its applicability).
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 .