2-Subcontractors-Subconsultants-Suppliers Requirement.docx
DOCX document 42 KB Posted
- Attached to
- Upper-Level Roadway Improvements, Phase 3 at FLL
- Solicitation number
- PNC2132347C1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Subcontractors/Subconsultants/Suppliers Requirement form for Broward County, Florida, related to the Upper-Level Roadway Improvements, Phase 3 project at Fort Lauderdale-Hollywood International Airport. The form requires vendors to identify all subcontractors, subconsultants, and major material suppliers (defined as firms providing materials or commodities exceeding $50,000) that will participate in the contract, along with their specific roles and contact information. Vendors must submit this completed and signed form with their initial bid submittal or within three business days of the County's request, with failure to comply potentially resulting in a nonresponsive designation. The underlying contract involves furnishing all labor, materials, equipment, and services necessary to perform essential bridge maintenance and structural repairs at the active airport facility, including removing and replacing bridge expansion joints, repairing concrete spalls, sealing cracks, executing bridge jacking plans, and replacing bridge bearings while maintaining continuity of airport operations and uninterrupted pedestrian and vehicular access.
The vendor maintains prime responsibility for full and complete satisfactory performance regardless of subcontractor involvement. If participation goals apply to the contract, only non-certified firms must be listed on the form. The vendor must certify 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 subcontractor listing must be kept current throughout the contract duration, and vendors must submit a final certified list of non-certified subcontractors, subconsultants, and suppliers upon contract completion and final payment. The solicitation is subject to County and State license requirements, Federal Aviation Administration requirements, and bonding requirements, with the project funded through state and federal sources.
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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 .