14-OESBD Affiliated Entities of the Principals Certification.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 document is an Affiliated Entities of the Principal(s) Certification form issued by Broward County, Florida's Office of Economic and Small Business Development (OESBD) for the Consultant Services for Broward County Convention Center Interior and Northport Garage Renovation project. All vendors responding to this solicitation are required to complete and submit this certification form either with their initial solicitation response or within three business days of the County's request, with failure to timely submit resulting in the vendor being deemed non-responsive. The form requires vendors to disclose the names and addresses of all affiliated entities of the vendor's principal(s) from the preceding five years that have acted as prime vendors with Broward County.

The County will use the disclosed information to review contract performance evaluations and compliance history of affiliated entities with the County's Small Business Development Program, including County Business Enterprise (CBE) and Small Business Enterprise (SBE) goal attainment requirements. Affiliated entities are defined as entities related to the vendor by stock ownership or other means of control, including subsidiaries, parent companies, or sibling entities. The County will consider the contract performance and compliance history of these affiliated entities in determining vendor responsibility and contract award eligibility. Vendors must certify either that no principal has prior affiliations meeting the affiliated entity criteria or provide detailed information on principals and their associated affiliated entities with names and addresses.

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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 .