2-Subcontractors-Subconsultants-Suppliers Requirement.docx

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Attached to
Broward County Health Department Clinic HVAC and BAS Replacement
Solicitation number
PNC2132023C1
Issued by
Broward County, Fort Lauderdale City, Florida

About this file

This is a Subcontractors/Subconsultants/Suppliers Requirement form issued by Broward County, Florida for the Health Department Clinic HVAC and BAS Replacement project located at 2421 SW 6th Avenue, Fort Lauderdale, Florida. The form requires vendors to submit a comprehensive listing of all subcontractors, subconsultants, and major material suppliers (defined as firms providing materials or commodities exceeding $50,000) that will perform work on the contract. Vendors must complete and return the form with their initial submittal or within three business days of the County's request, with failure to comply potentially resulting in a nonresponsive determination. The project scope involves furnishing all labor, materials, equipment, services, and incidentals for HVAC system replacement on the first and second floors, including removal and reinstallation of interior finishes, roof work limited to replacing existing chillers and exhaust fans, and VAV box replacement with associated ceiling work. A mandatory site visit is required as part of the solicitation process.

The form requires vendors to maintain an updated list of subcontractors, subconsultants, and suppliers throughout the contract duration and certify the final list upon contract completion. Vendors must confirm that none of the listed firms or their principals, officers, or affiliates have been debarred from doing business with Broward County or any governmental agency. If participation goals apply to the contract, only non-certified firms shall be identified. The vendor remains fully responsible for complete and satisfactory performance regardless of subcontractor involvement. The form accommodates up to four subcontractor entries with required information including firm name, address, telephone number, contact person details, email, and type of work or supplies provided, with additional sheets available as needed through the electronic bidding system.

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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 .