25-8426_Vendor_Checklist.pdf
PDF 202 KB Posted
- Attached to
- Collection Agency Services
- Solicitation number
- 25-8426
- Issued by
- Collier County, Florida
About this file
This is a Vendor Checklist document issued by Collier County's Procurement Services Division for a Request for Proposals to provide Collection Agency Services to the Emergency Medical Services Division. The checklist serves as a submission requirement document that vendors must complete and submit electronically through OpenGov along with their proposal. All vendors must acknowledge and accept general instructions and Collier County Purchase Order Terms and Conditions, and must provide evidence of compliance with multiple regulatory and administrative requirements including Florida Division of Corporations registration, E-Verify enrollment, immigration certification, and applicable business tax receipts. Vendors must submit executed forms including the Vendor Declaration Statement, Conflict of Interest Certification, Immigration Certification, Local Business Certification (if applicable), Reference Questionnaire forms (if applicable), Grant Provisions and Assurances (if applicable), W-9 Form, and proof of required licenses and certifications. All documents require either wet signatures or verifiable electronic signatures.
The RFP indicates that Collier County historically has spent approximately $940,000 on collection agency services, though this amount may not reflect future purchasing patterns. All proposed pricing must be submitted on the Bid Schedule attached to the solicitation. Vendors must acknowledge insurance requirements and be prepared to produce required insurance certificates within five days of receiving a Notice of Recommended Award. Additional submission requirements include acknowledgment of all issued addenda, County IT Technical Architecture Requirements (if applicable), and any supplemental requirements and terms. Failure to provide applicable documents may result in a vendor being deemed non-responsive or non-responsible. The checklist provided shows all checkboxes unchecked, indicating this is a blank template for vendor completion.
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Text version
Version 2 9.2.25
Procurement Services Division
Vendor Checklist
IMPORTANT: PLEASE REVIEW CAREFULLY AND SUBMIT WITH YOUR PROPOSAL/BID. ALL APPLICABLE
DOCUMENTS SHALL BE SUBMITTED ELECTRONICALLY THROUGH OPENGOV. VENDOR SHOULD
CHECKOFF EACH OF THE FOLLOWING ITEMS. ALL DOCUMENTS REQUIRING EXECUTION SHOULD BE EITHER BY WET SIGNATURES OR VERIFIABLE ELECTRONIC SIGNATURES. FAILURE TO PROVIDE THE
APPLICABLE DOCUMENTS MAY DEEM YOU NON-RESPONSIVE/NON-RESPONSIBLE.
General Instructions have been acknowledged and accepted.
Collier County Purchase Order Terms and Conditions have been acknowledged and accepted.
Form 1: Vendor Declaration Statement
Form 2: Conflict of Interest Certification
Proof of status from Division of Corporations - Florida Department of State (If work performed in the State) -http://dos.myflorida.com/sunbiz/ should be attached with your submittal.
Vendor MUST be enrolled in the E-Verify - https://www.e-verify.gov/ at the time of submission of the proposal/bid.
Form 3: Immigration Certification MUST be signed and attached with your submittal.
E-Verify Memorandum of Understanding or Company Profile page should be attached with your submittal.
Form 4: Certification for Claiming Status as a Local Business, if applicable, has been executed and returned. Collier or Lee County Business Tax Receipt should be attached with your submittal to be considered.
Form 5: Reference Questionnaire form must be fully completed for each requested reference, if applicable, are executed and should be included with your submittal.
Form 6: Grant Provisions and Assurances package in its entirety, if applicable, are executed and should be included with your submittal.
Vendor W-9 Form.
Vendor acknowledges Insurance Requirements and is prepared to produce the required insurance certificate(s) within five
(5) days of the County’s issuance of a Notice of Recommend Award.
The Bid Schedule has been completed and attached with your submittal, applicable to bids.
Copies of all requested licenses and/or certifications.
All addenda have been signed and attached.
County’s IT Technical Architecture Requirements have been acknowledged and accepted, if applicable.
Any and all supplemental requirements and terms have been acknowledged and accepted, if applicable.
http://dos.myflorida.com/sunbiz/ https://www.e-verify.gov/
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