2-Subcontractors-Subconsultants-Suppliers Requirement.docx
DOCX document 42 KB Posted
- Attached to
- Deerfield Island ADA Dock
- Solicitation number
- PNC2132293C1
- Issued by
- Broward County, Florida
About this file
This is a Subcontractors/Subconsultants/Suppliers Requirement form for Broward County, Florida, related to the Deerfield Island ADA Dock construction project located at 1720 Deerfield Island Park in Deerfield Beach, Florida. The project involves installation of an aluminum floating dock and gangway, concrete piling, concrete abutment, fire line with hose cabinet, and other miscellaneous appurtenant items. The vendor must submit a completed and signed form listing all subcontractors, subconsultants, and major material suppliers (defined as firms providing materials or commodities exceeding $50,000) along with the portion of the contract each will perform. If the form is not provided with the initial submittal, vendors must submit it within three business days of the County's request, with failure to comply resulting in a nonresponsive designation. The vendor is responsible for maintaining an updated list of all subcontractors and suppliers throughout the contract duration and must certify the final list upon contract completion.
The form requires vendors to confirm that none of the listed subcontractors, subconsultants, suppliers, their 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 shall be identified on the form. The submission must include the firm name, address, telephone number, contact person name and position, contact person's email, and type of work or supplies provided for each subcontractor or supplier. The vendor must certify under signature that all information provided is true and correct. Additional sheets may be used if necessary and should be scanned and uploaded through the electronic bidding system. The form is dated September 9, 2024.
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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 .