3-OESBD Affiliated Entities of the Principals Certification.docx
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- Solicitation number
- PNC2129492R1
- Issued by
- Florida
About this file
This document is an Affiliated Entities Certification form from the Office of Economic and Small Business Development (OESBD) related to a Professional Engineering Testing Services procurement for a county in Florida. The form requires vendors to disclose affiliated entities of their principals over the past five years who have previously acted as prime vendors with the county, as part of a two-step procurement process involving a Request for Qualifications (RFQ) followed by an Invitation to Bid (ITB).
The certification is designed to enable the county to review contract performance evaluations and compliance history of vendor principals and their affiliated entities, with a specific focus on Small Business Development Program requirements including County Business Enterprise (CBE), Disadvantaged Business Enterprise (DBE), and Small Business Enterprise (SBE) goals. Vendors must complete the form, indicating whether they have no prior affiliations or listing affiliated entities, and submit it with their solicitation response or within three business days of the county's request. Failure to timely submit may result in the vendor being deemed non-responsive, and the county will consider the performance and compliance history of affiliated entities in its responsibility determination.
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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 .