18-Vendor Eligibility Check (FDOT Form No. 375-030-91).pdf

PDF 208 KB Posted

Attached to
Royal Palm Boulevard from East of University Drive to Riverside Drive
Solicitation number
TRN2132636C1
Issued by
Broward County, Florida

About this file

This is a Vendor Eligibility Check form (FDOT Form No. 375-030-91) from the State of Florida Department of Transportation used to verify contractor eligibility prior to contract award for the Royal Palm Boulevard roadway project in the City of Coral Springs, Florida, which is funded through the Broward County Highway Construction and Engineering Division. The project scope includes furnishing all labor, materials, equipment, and services required for widening, milling, and resurfacing the roadway from East of University Drive to Riverside Drive, constructing raised curb medians, removing and replacing damaged sidewalk, upgrading ADA curb ramps and driveways, upgrading signing and pavement markings, upgrading pedestrian crossing signals, and installing mast arms. The project is funded through Federal Highway Administration (FHWA) resources from the State of Florida Department of Transportation and Broward County Transportation Surtax Funds. Vendors must submit solicitation responses electronically through BPRO and receive a Submission Receipt by the specified closing date and time.

The eligibility verification process requires checking multiple vendor lists and databases prior to contract award, including the Convicted Vendor List, Discriminatory Vendor List, Suspended Vendor List, Antitrust Violator Vendor List, Scrutinized List of Prohibited Companies, and the Federal Excluded Parties List System in the System for Award Management (SAM). Vendors are prohibited from bidding if they appear on the Scrutinized Companies that Boycott Israel List (for any contract amount) or the Scrutinized Companies with Activities in Sudan or Iran Terrorism Sectors Lists (for contracts $1,000,000 or more). All vendors and known subconsultants must be verified for suspension and debarment status in accordance with 2 CFR parts 180 and 1200. County and State licensing and bonding requirements apply to this solicitation.

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Text version

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

Vendor Eligibility Check Prior to Contract Award 375-030-91

PROCUREMENT

09/24

Project Description(s):

Financial Project Number(s):

In accordance with State law:

The Convicted Vendor List/ Discriminatory Vendor List / Suspended Vendor List/Antitrust Violator Vendor List/Scrutinized List of Prohibited Companies/Federal Excluded Parties List are available at the following Department of Management Services site:

http://www.dms.myflorida.com/business_operations/state_purchasing/vendor_information/convicted _suspended_discriminatory_complaints_vendor_lists

A public entity may not accept any bid, proposal, or reply from, award any contract to, or transact any business in excess of the threshold amount provided in s. 287.017. F.S., for CATEGORY TWO with any person or affiliate on the convicted vendor list for a period of 36 months following the date that person or affiliate was placed on the convicted vendor list unless that person or affiliate has been removed from the list pursuant to Section 287.133(3)(f), F.S. A public entity that was transacting business with a person at the time of the commission of a public entity crime resulting in that person being placed on the convicted vendor list may not accept any bid, proposal, or reply from, award any contract to, or transact any business with any other person who is under the same, or substantially the same, control as the person whose name appears on the convicted vendor list so long as that person’s name appears on the convicted vendor list.

A contract award (reference 2 CFR 1200 and 2 CFR 180) must not be made to parties listed on the government-wide Excluded Parties List System in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1986 Comp., p. 189) and 12689 (3 CFR Part 1989 Comp., p. 235), “Debarment and Suspension.”

Pursuant to 23 CFR 172.7(b)(3), a contracting agency shall verify suspension and debarment actions and eligibility status of consultants and subconsultants prior to entering into an agreement or contract in accordance with 2 CFR part 1200 and 2 CFR part 180, when the identities of such subconsultants are known prior to execution of the subject agreement or contract. The Excluded Parties List System in SAM contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.

Section 287.135, F.S. prohibits a company from bidding on, submitting a proposal for, or entering into or renewing a contract for goods or services of any amount if the company is on the Scrutinized Companies that Boycott Israel List, created pursuant to Section 215.4725, F.S. or is engaged in a boycott of Israel. Section 287.135, F.S. also prohibits a company from bidding on, submitting a proposal for, or entering into or renewing a contract for goods or services of $1,000,000 or more, if the company is on either the Scrutinized Companies with Activities in Sudan List, or the Scrutinized Companies with Activities in the Iran Terrorism Sectors Lists which are created pursuant to s. 215.473, F.S.

http://www.dms.myflorida.com/business_operations/state_purchasing/vendor_information/convicted_suspended_discriminatory_complaints_vendor_lists http://www.dms.myflorida.com/business_operations/state_purchasing/vendor_information/convicted_suspended_discriminatory_complaints_vendor_lists

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

Vendor Eligibility Check Prior to Contract Award 375-030-91

PROCUREMENT

09/24

The List of Scrutinized Companies that Boycott Israel, and the Scrutinized List of Prohibited Companies (Activities in Sudan/Iran Terrorism Sectors) are available at the following Florida State Board of Administration site:

https://www.sbafla.com/governance/global-governance-mandates *Please note that the two lists are under separate links on the same site.

I have checked the aforementioned lists that apply to this procurement, as applicable to verify that the vendor (and all subs where known) is eligible for contract award/execution:

Procurement Office or Contracting Awarding Office:

Printed Name

Signature

Date:

https://www.sbafla.com/governance/global-governance-mandates

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