2-Subcontractors-Subconsultants-Suppliers Requirement.docx

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Attached to
FEMA Pipe and Valve Maintenance & Installation Services
Solicitation number
OPN2132461B1
Issued by
Broward County, Florida

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Subcontractors/Subconsultants/Suppliers Requirement Form for Broward County FEMA Pipe and Valve Maintenance & Installation Services Contract

This is a Subcontractors/Subconsultants/Suppliers Requirement form issued by Broward County, Florida for vendors responding to an open-end contract for Federal Emergency Management Agency (FEMA) compliant Pipe and Valve Maintenance & Installation services. The contract will serve Water and Wastewater Services and various other Broward County agencies. Vendors must submit a completed and signed form listing all subcontractors, subconsultants, and major material suppliers that will perform work under the contract, along with the portion of work each firm 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 potentially rendering the vendor nonresponsive. The form requires vendors to identify the subcontracted firm's name, address, telephone number, contact person information, and type of work or supplies to be provided for up to four subcontractor entries.

A major material supplier is defined as any firm providing construction materials for construction contracts or commodities for service contracts in excess of $50,000. The vendor must maintain the subcontractor list throughout the contract duration and certify the final list of non-certified subcontractors, subconsultants, and suppliers upon contract completion and final payment. If participation goals apply to the contract, 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. 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 prime vendor remains fully responsible for complete and satisfactory contract performance regardless of subcontractor involvement.

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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 .