3-OESBD Affiliated Entities of the Principals Certification.docx
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- Attached to
- Public Relations Services
- Solicitation number
- GEN2130519P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is an Affiliated Entities Certification form issued by the Broward County Office of Economic and Small Business Development (OESBD) for the Public Relations Services solicitation managed by the Greater Fort Lauderdale Convention & Visitors Bureau (GFLCVB/Visit Lauderdale). All vendors responding to this solicitation must complete and submit this certification form with their solicitation response, or within three business days of the County's request, or risk being deemed non-responsive. The form requires vendors to disclose the names and addresses of any affiliated entities of the vendor's principal(s) from the preceding five years that have previously acted as a prime vendor with the County. Affiliated entities are defined as those entities related to the vendor through shared stock ownership or other means of control, including subsidiaries, parent companies, or sibling entities.
The County will review all disclosed 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. The performance evaluations and compliance history of affiliated entities will be considered in the County's determination of vendor responsibility. Vendors must certify either that no principal of the proposing vendor has prior affiliations meeting the criteria of affiliated entities, or identify all principals with such prior affiliations and provide the names and addresses of those affiliated entities. The form requires signature, printed name, title, and date from an authorized representative of the vendor.
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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 .