3-OESBD Affiliated Entities of the Principals Certification.docx
DOCX document 39 KB Posted
- Solicitation number
- PNC2130115P1
- Issued by
- Broward County, Florida
About this file
This is an affiliated entities certification form required by Broward County's Office of Economic and Small Business Development for vendors responding to the Consulting Services for Building Systems Assessment and Design - Group 1 solicitation for Port Everglades Building Improvements for Cruise Terminals. The form must be submitted with the solicitation response or within three business days of the County's request, with failure to timely submit potentially resulting in the vendor being deemed non-responsive. The consulting services scope includes building systems condition assessments, designs, bid packages, permitting assistance, bidding support, construction administration, construction engineering inspections and warranty inspections for capital upgrades to existing specific cruise terminals at Port Everglades.
The certification requires vendors to disclose names and addresses of affiliated entities of the vendor's principals over the last five years that have acted as prime vendors with the County, where affiliated entities are defined as those related by sharing of stock or other means of control including subsidiaries, parent, or sibling entities. The County will review these affiliated entities for contract performance evaluations and 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, and will consider this information in determining vendor responsibility. The procurement falls under Florida's Consultants' Competitive Negotiation Act (CCNA) and includes County/State license requirements and Office of Economic and Small Business Development requirements.
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Text version
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
File details come from the government source that posted it. Updated .