2-OESBD Affiliated Entities of the Principals Certification.docx
DOCX document 39 KB Posted
- Attached to
- Ground Transportation Management Services for Fort Lauderdale-Hollywood International Airport
- Solicitation number
- GEN2130273P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a certification form issued by the Office of Economic and Small Business Development (OESBD) for Broward County, Florida, required for vendor submissions related to Ground Transportation Management Services at Fort Lauderdale-Hollywood International Airport. The form mandates that all vendors disclose affiliated entities of the vendor's principals that have served as prime contractors with the County over the preceding five years from the solicitation opening deadline. Vendors must submit the completed certification with their solicitation response or within three business days of the County's request, with failure to timely submit resulting in deemed non-responsiveness. The certification requires vendors to identify all affiliated entities—defined as entities related to the vendor through stock ownership or control mechanisms, including subsidiaries, parent companies, or sibling entities—and provide their names and addresses for County review.
The County will evaluate all disclosed affiliated entities for contract performance history and compliance with the Small Business Development Program requirements, including County Business Enterprise (CBE), Disadvantaged Business Enterprise (DBE), and Small Business Enterprise (SBE) goal attainment. The performance evaluations and compliance history of affiliated entities will be considered in the County's determination of vendor responsibility. Vendors must certify either that no principal has prior affiliations meeting the criteria or list all principals with affiliated entities and provide complete identifying information for each. The form is dated September 9, 2024, and requires certification by an authorized vendor representative with signature, printed name, title, and date.
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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), Disadvantaged Business Enterprise (DBE) 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 9/9/24
File details come from the government source that posted it. Updated .