14-OESBD Affiliated Entities of the Principals Certification.docx
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- Solicitation number
- PNC2131299P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is an Affiliated Entities Certification form required by the Office of Economic and Small Business Development for the Broward County Aviation Department's procurement of environmental planning and consulting services for Fort Lauderdale-Hollywood International Airport and North Perry Airport in Florida. The form mandates that all vendors disclose the names and addresses of any affiliated entities of the vendor's principal(s) that have acted as a prime vendor with the County over the preceding five years from the solicitation opening deadline. Affiliated entities are defined as those related to the vendor through stock ownership or other means of control, including subsidiaries, parent companies, or sibling entities. Vendors must submit the completed certification form with their solicitation response; failure to submit it with the proposal requires submission within three business days of the County's request, with untimely submission resulting in the vendor being deemed non-responsive.
The County will review all disclosed affiliated entities for contract performance evaluations and compliance history with the Small Business Development Program, including County Business Enterprise (CBE) and Small Business Enterprise (SBE) goal attainment requirements. The vendor's certified statements regarding affiliated entities—whether affirming no prior affiliations meeting the criteria or listing specific principals and their affiliated entities—will be considered by the County in its determination of vendor responsibility. The certification requires the vendor's authorized representative to sign and date the form, confirming the accuracy of the disclosed information.
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Text version
OFFICE OF ECONOMIC AND SMALL BUSINESS DEVELOPMENT REQUIREMENTS
AFFILIATED ENTITIES OF THE PRINCIPAL(S) CERTIFICATION
The completed form should be submitted with the solicitation response. If not submitted with the solicitation response, it must be submitted within three business days after of County’s request. Failure to timely submit may result in Vendor being deemed non-responsive.
a. All Vendors are required to disclose the names and addresses of Affiliated Entities (defined below) of the Vendor’s principal(s) over the last five years (from the solicitation opening deadline) that have acted as a prime vendor with the County.
b. The County will review all Affiliated Entities of the Vendor’s principal(s) for contract performance evaluations and the compliance history with the County’s Small Business Development Program, including County Business Enterprise (CBE) and Small Business Enterprise (SBE) goal attainment requirements. “Affiliated Entities” of the principal(s) are those entities related to the Vendor by the sharing of stock or other means of control, including but not limited to a subsidiary, parent, or sibling entity.
c. The County will consider the contract performance evaluations and the compliance history of the Affiliated Entities of the Vendor's principals in its review and determination of responsibility.
The Vendor hereby certifies that: (select one)
☐ No principal of the proposing Vendor has prior affiliations that meet the criteria defined as Affiliated Entities.
☐ Principal(s) listed below have prior affiliations that meet the criteria defined as Affiliated Entities.
Principal’s Name: Click or tap here to enter text.
Names and addresses of Affiliated Entities: Click or tap here to enter text.
Principal’s Name: Click or tap here to enter text.
Names and addresses of Affiliated Entities: Click or tap here to enter text.
Principal’s Name: Click or tap here to enter text.
Names and addresses of Affiliated Entities: Click or tap here to enter text.
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 9/23/26
File details come from the government source that posted it. Updated .