19-OESBD Affiliated Entities of the Principals Certification.docx
DOCX document 40 KB Posted
- Attached to
- Risk Management and Claims Administration System
- Solicitation number
- BLD2131488P1
- Issued by
- Broward County, Florida
About this file
This is an Affiliated Entities of the Principals Certification form required by the Office of Economic and Small Business Development (OESBD) for Broward County, Florida in connection with the Risk Management and Claims Administration System solicitation (Reference BLD2131488P1). The form must be submitted with the vendor's 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. Vendors are required to disclose the names and addresses of all Affiliated Entities of the vendor's principal(s) over the preceding five years that have acted as prime vendors with the County. The optional pre-proposal conference is scheduled for October 23, 2026, with proposals due November 13, 2026 at 2:00 PM EST. The contract will have an initial five-year term with five one-year renewal options available. Questions regarding the solicitation must be submitted by October 27, 2026 at 5:00 PM EDT.
The County will review all 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. "Affiliated Entities" are defined as entities related to the vendor by sharing of stock or other means of control, including subsidiaries, parent entities, or sibling entities. The County will consider the contract performance evaluations and compliance history of Affiliated Entities in determining vendor responsibility. No pricing information, estimated contract value, pass-through allowances, or bonding requirements are specified in this pre-solicitation notice. OESBD procurement preferences for qualified small business enterprises and county business enterprises apply to the solicitation. Vendors must register in BPRO, the County's electronic bidding system, to receive notifications and submit proposals electronically.
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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 .