3-OESBD Affiliated Entities of the Principals Certification.docx
DOCX document 39 KB Posted
- Solicitation number
- PNC2131324P1
- Issued by
- Broward County, Florida
About this file
This is a certification form issued by the Broward County Office of Economic and Small Business Development (OESBD) requiring vendor disclosure of affiliated entities for the Airport Safety Assessment contract at North Perry Airport (HWO) in Florida. Vendors must complete and submit this form with their solicitation response or within three business days of the County's request; failure to submit timely may result in the vendor being deemed non-responsive. The form requires all vendors to disclose the names and addresses of affiliated entities of the vendor's principal(s) from the preceding five years that have served as prime vendors with the County. Affiliated entities are defined as those related to the vendor through 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 vendor must certify either that no principal has prior affiliations meeting the defined criteria or provide a complete listing of principals and their affiliated entities with addresses. The County will consider the contract performance evaluations and compliance history of affiliated entities in its determination of vendor responsibility for the Airport Safety Assessment project.
View the file
Other files
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .