2-Subcontractors-Subconsultants-Suppliers Requirement.docx
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- Solicitation number
- PNC2131631C1
- Issued by
- Florida
About this file
This is a Subcontractors/Subconsultants/Suppliers Requirement form for Broward County, Florida, applicable to the Wiles Road Westbound Departure Lane Transition Improvements project. The form requires vendors to submit a completed listing of all subcontractors, subconsultants, and major material suppliers (defined as firms providing materials or commodities exceeding $50,000) that will perform work or provide services on the contract. The submission must be returned with the vendor's initial submittal or within three business days of the County's request, with vendors subject to being deemed nonresponsive for failure to comply with stated timeframes. The vendor must maintain an updated list of all subcontractors and suppliers for the duration of the contract and certify the final list of non-certified firms upon project completion and final payment.
The form requires vendors to confirm that no listed subcontractors, subconsultants, suppliers, principals, officers, affiliates, or related companies have been debarred from conducting business with Broward County or any other governmental agency. If participation goals apply to the contract, only non-certified firms need to be identified on the form. The vendor retains full prime responsibility for satisfactory contract performance regardless of subcontractor or supplier involvement. The form provides space for up to four subcontracted firms, each requiring the firm name, address, telephone number, contact person information, email, and type of work or supplies provided, with additional sheets permitted as needed. Completion requires certification and signature by an authorized vendor representative with printed name, title, and date.
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Text version
SUBCONTRACTORS/SUBCONSULTANTS/SUPPLIERS REQUIREMENT
The completed and signed form(s) should be returned with the Vendor’s submittal. If not provided with submittal, the Vendor must submit within three business days after County’s request. Vendor may be deemed nonresponsive for failure to fully comply within the stated timeframes.
A. The Vendor must submit a listing of all subcontractors, subconsultants, and major material suppliers (firms), if any, and the portion of the contract they will perform. A major material supplier is considered any firm that provides construction material for construction contracts, or commodities for service contracts, in excess of $50,000, to the Vendor.
B. If participation goals apply to the contract, only non-certified firms shall be identified on the form. A non- certified firm is a firm that is not listed as a firm for attainment of participation goals (e.g., County Business Enterprise or Disadvantaged Business Enterprise), if applicable to the solicitation.
C. This list shall be kept up-to-date for the duration of the contract. If subcontractors, subconsultants, or suppliers are stated, this does not relieve the Vendor from the prime responsibility of full and complete satisfactory performance under any awarded contract.
D. After completion of the contract/final payment, the Vendor shall certify the final list of non-certified subcontractors, subconsultants, and suppliers that performed or provided services to the County for the referenced contract.
E. The Vendor has confirmed that none of the listed subcontractors, subconsultants, or suppliers’ principal(s), officer(s), affiliate(s), or any other related companies, have been debarred from doing business with Broward County or any other governmental agency.
If none, state “none” on this form. Use additional sheets as needed. Vendor should scan and upload any additional form(s) in electric bidding system.
1. Subcontracted Firm’s Name: Click or tap here to enter text.
Subcontracted Firm’s Address: Click or tap here to enter text.
Subcontracted Firm’s Telephone Number: Click or tap here to enter text.
Contact Person’s Name and Position: Click or tap here to enter text.
Contact Person’s E-mail: Click or tap here to enter text.
Type of Work/Supplies Provided: Click or tap here to enter text.
2. Subcontracted Firm's Name: Click or tap here to enter text.
Subcontracted Firm’s Address: Click or tap here to enter text.
Subcontracted Firm’s Telephone Number: Click or tap here to enter text.
Contact Person’s Name and Position: Click or tap here to enter text.
Contact Person’s E-mail: Click or tap here to enter text.
Type of Work/Supplies Provided: Click or tap here to enter text.
3. Subcontracted Firm's Name: Click or tap here to enter text.
Subcontracted Firm’s Address: Click or tap here to enter text.
Subcontracted Firm’s Telephone Number: Click or tap here to enter text.
Contact Person’s Name and Position: Click or tap here to enter text.
Contact Person’s E-mail: Click or tap here to enter text.
Type of Work/Supplies Provided: Click or tap here to enter text.
4. Subcontracted Firm's Name: Click or tap here to enter text.
Subcontracted Firm’s Address: Click or tap here to enter text.
Subcontracted Firm’s Telephone Number: Click or tap here to enter text.
Contact Person’s Name and Position: Click or tap here to enter text.
Contact Person’s E-mail: Click or tap here to enter text.
Type of Work/Supplies Provided: Click or tap here to enter text.
By signature below, I certify on behalf of the Vendor that the information stated above is true and correct to the best of my knowledge.
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 .