2-Subcontractors-Subconsultants-Suppliers Requirement.docx
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- Solicitation number
- BLD2131742P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Subcontractors/Subconsultants/Suppliers Requirement form issued by Broward County, Florida in connection with a solicitation for an Artificial Intelligence-Enabled System for Employee Screening X-Ray Machines at Fort Lauderdale-Hollywood International Airport. 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 portions of work each will perform. The form requires detailed information for each subcontracted firm, including name, address, telephone number, contact person details, and type of work or supplies provided. The listing must be returned with the vendor's initial submittal or within three business days of the County's request, with vendors potentially deemed nonresponsive for failure to comply within stated timeframes. This list must be maintained throughout the contract duration and updated as necessary, with a final certified list of non-certified subcontractors, subconsultants, and suppliers required upon contract completion and final payment.
If participation goals apply to the solicitation, only non-certified firms (those not listed for attainment of participation goals such as County Business Enterprise or Disadvantaged Business Enterprise designations) shall be identified on the form. Vendors must confirm that none of the listed subcontractors, subconsultants, or suppliers' principals, officers, affiliates, or related companies have been debarred from doing business with Broward County or any other governmental agency. The submission of this form does not relieve the prime vendor from full responsibility for satisfactory performance under any awarded contract. Additional forms may be submitted using additional sheets and scanned/uploaded through the electronic bidding system (BPRO). The form was dated September 9, 2024, and requires the vendor's authorized representative to certify under signature that all information provided is true and correct.
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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 .