18-Volume of Previous Payments Attestation - RFP-RFQ-RLI.docx
DOCX document 47 KB Posted
- Attached to
- Group Long Term Disability Insurance
- Solicitation number
- GEN2129113P1
- Issued by
- Broward County, Florida
About this file
This document is a Volume of Previous Payments Attestation form for Broward County, Florida, related to a solicitation for Group Long Term Disability Insurance. The form requires vendors to report their payment history with Broward County over the past five years, including prime contract payments and payments to Certified County Business Enterprise (CBE) firms. Vendors must disclose all contracts awarded by the Broward County Board of County Commissioners, with specific attention to joint venture arrangements and equity percentages.
The solicitation emphasizes the importance of CBE participation and uses the volume of previous payments as a potential tie-breaker mechanism. Vendors must electronically submit their responses through BPRO (Broward County's procurement system) and may be required to provide supporting documentation within three business days of request. The form includes provisions for both individual vendors and joint venture firms, with points assigned based on payment volumes and CBE goal commitments. The procurement process involves the Broward County Human Resources Division and the Office of Economic and Small Business Development, with a focus on providing long-term disability insurance and related administrative services for benefit-eligible employees.
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The completed form(s) should be returned with the Vendor’s submittal. If not provided with the submittal, Vendor must submit the form(s) within three business days after County’s request. Failure to timely submit this form and supporting documentation may affect the Vendor’s evaluation.
Points assigned for Volume of Previous Payments will be based on the amount paid-to-date by the Broward County Board of County Commissioners (County) to a prime Vendor MINUS the Vendor’s confirmed payments paid-to-date to approved certified County Business Enterprise (CBE) firms performing services as Vendor’s subcontractor/subconsultant to obtain the CBE goal commitment as confirmed by County’s Office of Economic and Small Business Development. Reporting must be within five (5) years of the current solicitation’s closing date.
Vendor must list all received payments paid-to-date by contract as a prime vendor from Broward County Board of County Commissioners. Reporting must be within five (5) years of the current solicitation’s closing date.
Vendor must also list all total confirmed payments paid-to-date by contract, to approved certified CBE firms utilized to obtain the contract’s CBE goal commitment. Reporting must be within five (5) years of the current solicitation’s closing date.
In accordance with Section 21.41(h)(4) and 21.42(d)(3) of the Broward County Procurement Code, the Vendor with the lowest dollar volume of payments previously paid by the County over a five-year period from the current solicitation’s closing date will receive the Tie Breaker.
The Vendor attests to the following:
| Project Title |
| Contract No. |
| Department/Division |
| Date Awarded |
| Prime: Paid to Date |
| CBE: Paid to Date |
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Has the Vendor been a member/partner of a Joint Venture firm that was awarded a contract by the County?
☐ Yes (if Yes, Vendor must submit a Joint Venture Volume of Previous Payments Attestation.)
☐ No Vendor Name: Click or tap here to enter text.
Form Date 9/9/24
VOLUME OF PREVIOUS PAYMENTS ATTESTATION
REQUEST FOR PROPOSALS, REQUEST FOR QUALIFICATIONS, OR REQUEST FOR LETTERS OF INTEREST
VOLUME OF PREVIOUS PAYMENTS ATTESTATION FORM FOR JOINT VENTURE
The completed form(s) should be returned with the Vendor’s submittal. If not provided with the submittal, Vendor must submit the form(s) within three business days after County’s request. Failure to timely submit this form and supporting documentation may affect the Vendor’s evaluation.
If a Joint Venture, the payments paid-to-date by contract provided must encompass the Joint Venture and each of the entities forming the Joint Venture. Points assigned for Volume of Previous Payments will be based on the amount paid-to-date by contract to the Joint Venture firm MINUS all confirmed payments paid-to-date to approved certified CBE firms utilized to obtain the CBE goal commitment. Reporting must be within five (5) years of the current solicitation’s closing date. Amount will then be multiplied by the member firm’s equity percentage.
In accordance with Section 21.41(h)(4) and 21.42(d)(3) of the Broward County Procurement Code, the Vendor with the lowest dollar volume of payments previously paid by the County over a five-year period from current solicitation’s closing date will receive the Tie Breaker.
The Vendor attests to the following:
| Project Title |
| Contract No. |
| Department/ Division |
| Date Awarded |
| JV Equity Percent |
| Prime: Paid to Date |
| CBE: Paid to Date |
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Vendor is required to submit an executed Joint Venture agreement(s) and any amendments for each project listed above. Each agreement must be executed prior to the opening date of this solicitation.
Vendor Name: Click or tap here to enter text.
Form Date 9/9/24
File details come from the government source that posted it. Updated .