3-Subcontractors-Subconsultants-Suppliers Requirement.docx

DOCX document 42 KB Posted

Attached to
Trend Micro TippingPoint Support
Solicitation number
TCH2132898B1
Issued by
Broward County, Florida

About this file

This is a Subcontractors/Subconsultants/Suppliers Requirement form for Broward County, Florida, related to a Trend Micro TippingPoint Support contract for the Broward County Aviation Department IT and other county agencies. Vendors must submit a complete listing of all subcontractors, subconsultants, and major material suppliers with their assigned contract portions. Major material suppliers are defined as firms providing construction materials or commodities exceeding $50,000. The form requires detailed information for each subcontracted firm, including name, address, telephone number, contact person details, email, and type of work or supplies provided. The completed and signed form must be returned with the vendor's initial submittal or within three business days of the County's request, with failure to comply potentially resulting in the vendor being deemed nonresponsive. The vendor must maintain an up-to-date list for the contract duration and certify the final list of non-certified subcontractors, subconsultants, and suppliers upon contract completion and final payment.

The form requires vendors to confirm that none of the listed subcontractors, subconsultants, or suppliers' principals, officers, affiliates, or related companies have been debarred from conducting business with Broward County or any other governmental agency. If participation goals apply to the contract, only non-certified firms—those not listed as firms for attainment of participation goals such as County Business Enterprises or Disadvantaged Business Enterprises—shall be identified on the form. The listing of subcontractors or suppliers does not relieve the prime vendor of full responsibility for satisfactory contract performance. Vendors should scan and upload additional forms in the electronic bidding system as needed. The form includes space for up to four subcontracted firms and requires certification by the vendor representative with signature, printed name, title, and date.

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Text version

SUBCONTRACTORS/SUBCONSULTANTS/SUPPLIERS REQUIREMENT

The completed and signed form(s) should be returned with the Vendor’s submittal. If not provided with submittal, the Vendor must submit within three business days after County’s request. Vendor may be deemed nonresponsive for failure to fully comply within the stated timeframes.

A. The Vendor must submit a listing of all subcontractors, subconsultants, and major material suppliers (firms), if any, and the portion of the contract they will perform. A major material supplier is considered any firm that provides construction material for construction contracts, or commodities for service contracts, in excess of $50,000, to the Vendor.

B. If participation goals apply to the contract, only non-certified firms shall be identified on the form. A non- certified firm is a firm that is not listed as a firm for attainment of participation goals (e.g., County Business Enterprise or Disadvantaged Business Enterprise), if applicable to the solicitation.

C. This list shall be kept up-to-date for the duration of the contract. If subcontractors, subconsultants, or suppliers are stated, this does not relieve the Vendor from the prime responsibility of full and complete satisfactory performance under any awarded contract.

D. After completion of the contract/final payment, the Vendor shall certify the final list of non-certified subcontractors, subconsultants, and suppliers that performed or provided services to the County for the referenced contract.

E. The Vendor has confirmed that none of the listed subcontractors, subconsultants, or suppliers’ principal(s), officer(s), affiliate(s), or any other related companies, have been debarred from doing business with Broward County or any other governmental agency.

If none, state “none” on this form. Use additional sheets as needed. Vendor should scan and upload any additional form(s) in electric bidding system.

1. Subcontracted Firm’s Name: Click or tap here to enter text.

Subcontracted Firm’s Address: Click or tap here to enter text.

Subcontracted Firm’s Telephone Number: Click or tap here to enter text.

Contact Person’s Name and Position: Click or tap here to enter text.

Contact Person’s E-mail: Click or tap here to enter text.

Type of Work/Supplies Provided: Click or tap here to enter text.

2. Subcontracted Firm's Name: Click or tap here to enter text.

Subcontracted Firm’s Address: Click or tap here to enter text.

Subcontracted Firm’s Telephone Number: Click or tap here to enter text.

Contact Person’s Name and Position: Click or tap here to enter text.

Contact Person’s E-mail: Click or tap here to enter text.

Type of Work/Supplies Provided: Click or tap here to enter text.

3. Subcontracted Firm's Name: Click or tap here to enter text.

Subcontracted Firm’s Address: Click or tap here to enter text.

Subcontracted Firm’s Telephone Number: Click or tap here to enter text.

Contact Person’s Name and Position: Click or tap here to enter text.

Contact Person’s E-mail: Click or tap here to enter text.

Type of Work/Supplies Provided: Click or tap here to enter text.

4. Subcontracted Firm's Name: Click or tap here to enter text.

Subcontracted Firm’s Address: Click or tap here to enter text.

Subcontracted Firm’s Telephone Number: Click or tap here to enter text.

Contact Person’s Name and Position: Click or tap here to enter text.

Contact Person’s E-mail: Click or tap here to enter text.

Type of Work/Supplies Provided: Click or tap here to enter text.

By signature below, I certify on behalf of the Vendor that the information stated above is true and correct to the best of my knowledge.

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 .