3-OESBD Affiliated Entities of the Principals Certification
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- Solicitation number
- GEN2130575P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is an Affiliated Entities Certification form required by the Broward County Office of Economic and Small Business Development for vendors responding to the Parking Management Services solicitation for Fort Lauderdale-Hollywood International Airport in Florida. Vendors must disclose all affiliated entities of their principals that have acted as prime vendors with the County over the preceding five years from the solicitation opening deadline. Affiliated entities are defined as those entities related to the vendor through stock ownership or other means of control, including subsidiaries, parent companies, or sibling entities. The completed certification form must be submitted with the solicitation response, or if not timely submitted, within three business days of the County's request; failure to submit timely may result in the vendor being deemed non-responsive.
The County will evaluate all disclosed affiliated entities for contract performance history and compliance with the Small Business Development Program requirements, including County Business Enterprise (CBE), Disadvantaged Business Enterprise (DBE), and Small Business Enterprise (SBE) goal attainment. The vendor's contract performance evaluations and compliance history of its affiliated entities will be considered in the County's determination of vendor responsibility. Vendors must certify either that no principals have prior affiliations meeting the affiliated entities criteria, or identify each principal with affiliated entities and provide the names and addresses of those entities. The form was last updated on September 9, 2024.
Text of this file
OFFICE OF ECONOMIC AND SMALL BUSINESS DEVELOPMENT REQUIREMENTS
AFFILIATED ENTITIES OF THE PRINCIPAL(S) CERTIFICATION
The completed form should be submitted with the solicitation response. If not submitted with the solicitation response, it must be submitted within three business days after of County’s request. Failure to timely submit may result in Vendor being deemed non-responsive.
a. All Vendors are required to disclose the names and addresses of Affiliated Entities (defined below) of the Vendor’s principal(s) over the last five years (from the solicitation opening deadline) that have acted as a prime vendor with the County.
b. The County will review all Affiliated Entities of the Vendor’s principal(s) for contract performance evaluations and the compliance history with the County’s Small Business Development Program, including County Business Enterprise (CBE), Disadvantaged Business Enterprise (DBE) and Small Business Enterprise (SBE) goal attainment requirements. “Affiliated Entities” of the principal(s) are those entities related to the Vendor by the sharing of stock or other means of control, including but not limited to a subsidiary, parent, or sibling entity.
c. The County will consider the contract performance evaluations and the compliance history of the Affiliated Entities of the Vendor's principals in its review and determination of responsibility.
The Vendor hereby certifies that: (select one)
☐ No principal of the proposing Vendor has prior affiliations that meet the criteria defined as Affiliated Entities.
☐ Principal(s) listed below have prior affiliations that meet the criteria defined as Affiliated Entities.
Principal’s Name: Click or tap here to enter text.
Names and addresses of Affiliated Entities: Click or tap here to enter text.
Principal’s Name: Click or tap here to enter text.
Names and addresses of Affiliated Entities: Click or tap here to enter text.
Principal’s Name: Click or tap here to enter text.
Names and addresses of Affiliated Entities: Click or tap here to enter text.
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
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