3-Scrutinized Companies Form.pdf
PDF 605 KB Posted
- Attached to
- Progressive Design-Build Services for Town of Palm Beach Mid-Town Seawall Replacement Project
- Solicitation number
- RFQ No.2026-020
- Issued by
- Palm Beach County, Florida
About this file
This is a Scrutinized Company Certification Form required by the Town of Palm Beach Purchasing Division for the Progressive Design-Build Services for Town of Palm Beach Mid-Town Seawall Replacement Project. The form certifies vendor compliance with Florida Statutes 215.4725, 215.473, and 287.135, requiring vendors to affirm they are not participating in boycotts of Israel, do not appear on Scrutinized Companies lists with activities in Sudan, Iran's petroleum energy sector, Cuba, or Syria. The mandatory Pre-Proposal Meeting and Site Visit is scheduled for March 31, 2026, at 10:00 AM EST at the Public Works Building (951 Okeechobee Road, West Palm Beach, FL 33401), followed by a site visit at the Worth Avenue Clock Tower (423 S. Ocean Blvd., Palm Beach, FL 33480). Failure to attend this mandatory meeting will result in disqualification from the solicitation process. The project involves design-build services for the replacement of the Mid-Town Seawall, approximately 2,700 linear feet along South Ocean Boulevard between Gulfstream Road and Royal Palm Way, with work encompassing Town right-of-way, Town-owned property, and areas seaward of the coastal construction control line.
The Town of Palm Beach accepts proposals exclusively through the EUNA Procurement (formerly Bonfire) platform linked to the Town website. Vendors must complete and submit the scrutinized company certification form as part of their proposal package to confirm they meet all eligibility requirements under Florida law. The selected firm will be responsible for both design and construction services at a Guaranteed Maximum Price (GMP) and must be prepared to complete all scope items as outlined in the Design Criteria Package, as well as any additional work necessary for project completion. Proposals must remain firm for one hundred eighty days from submission. This certification requirement applies to all vendors regardless of contract value and serves as a prerequisite for proposal consideration.
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Text version
11/16/18
Scrutinized Company Certification
1. This company is not participating in a boycott of Israel such that it is not refusing to deal, terminating business activities, or taking other actions to limit commercial relations with Israel, or persons or entities doing business in Israel or in Israeli-controlled territories, in a discriminatory manner.
2. This Company does not appear on the Scrutinized Companies with Activities in Sudan List where the
State Board of Administration has established the following criteria:
a. Have a material business relationship with the government of Sudan or a government-created project involving oil related, mineral extraction, or power generation activities, or
b. Have a material business relationship involving the supply of military equipment, or
c. Impart minimal benefit to disadvantaged citizens that are typically located in the geographic periphery of Sudan, or
d. Have been complicit in the genocidal campaign in Darfur.
3. This Company does not appear on the Scrutinized Companies with Activities in the Iran Petroleum
Energy Sector List where the State Board of Administration has established the following criteria:
a. Have a material business relationship with the government of Iran or a government-created project involving oil related or mineral extraction activities, or
b. Have made material investments with the effect of significantly enhancing Iran‘s petroleum sector.
4. This Company is not engaged in business operations in Cuba or Syria.
VENDOR/COMPANY NAME:
NAME:
TITLE:
SIGNATURE:
DATE:
TOWN OF PALM BEACH
PURCHASING DIVISION
951 Okeechobee Road Suite D West Palm Beach, Florida 33401
Telephone: (561) 838-5406
PURCHASING DIVISION
951 Okeechobee Road Suite D West Palm Beach, Florida 33401
Telephone: (561) 838-5406 Facsimile (561) 835-4688 Website: www.townofpalmbeach.com
I hereby swear or affirm that as of the date below this company is not listed on a Scrutinized Companies list created pursuant to 215.4725, 215.473, or 287.135, Florida Statutes. Pursuant to 287.135, Florida Statutes I further affirm that:
http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0215/Sections/0215.4725.html http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0215/Sections/0215.4725.html http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0287/Sections/0287.135.html
| VENDORCOMPANY NAME: |
| Name: |
| Title: |
| Signiture: |
| Date: |
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