3-Vendor Eligibility Check Prior to Contract Award.pdf.pdf

PDF 180 KB Posted

Attached to
Pipeline Work Order Construction Services - WORCs 6
Solicitation number
IFB-26-00426
Issued by
Hillsborough County, Florida

About this file

This is a Vendor Eligibility Check form issued by the State of Florida Department of Transportation prior to contract award for the Hillsborough County Pipeline Work Order Construction Services - WORCs 6 project. The form documents verification that a vendor and all known subcontractors meet eligibility requirements for contract participation. The project involves construction and installation of water mains, reclaimed water mains, and wastewater force mains, along with miscellaneous installations and modifications at various water, reclaimed water, and wastewater facilities, pumping stations, and equipment operated by the Hillsborough County Water Resources Department, with an estimated project value of $12,075,000.00.

The eligibility verification process requires checking multiple vendor lists maintained by the Florida Department of Management Services, including the Convicted Vendor List, Suspended Vendor List, Discriminatory Vendor List, and the federal Excluded Parties List System in the System for Award Management (SAM). Vendors placed on the convicted vendor list cannot participate in public contracts exceeding the Category Two threshold for 36 months from the date of listing, unless removed pursuant to state statute. The contract opportunity includes a 6% Small Business Enterprise (SBE) subcontractor participation goal. The form provides space for the Procurement Office or Contracting Awarding Office representative to document completion of vendor eligibility verification, including printed name, signature, and date.

View the file

Other files

File Type Posted
25-Payment Bond.pdf PDF
7-Payment Assistance (SBE Set-Aside).pdf.pdf PDF
4-Allowance Authorization Release Form.pdf.pdf PDF
20-Attachment A - Supplemental Specifications - 10.09.2026.pdf PDF
5-Application for Payment.pdf.pdf PDF
6-Consent of Surety-Change Order.pdf.pdf PDF
12-Substitute W9 Form.pdf.pdf PDF
17-SBE Goal Participation SBE-1 Form Tutorial.mp4 MP4 file
16-Subcontractor Letter of Intent .pdf PDF
9-Consent of Surety to Final Payment.pdf.pdf PDF
18-Attachment B - Utility Accomodation Guide and ROW Use Procedures.pdf PDF
14-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf PDF
22-1. Terms and Conditions.pdf PDF
8-Subcontractors Statement of Satisfaction.pdf.pdf PDF
15-AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 02.26.2026.docx DOCX document
24-Bid Bond.pdf PDF
1-Drug Free Workplace Form.doc.doc DOC document
2-Florida Trench Safety Act, Certification and Disclosure Statement.pdf.pdf PDF
19-Attachment C - Insurance Requirements.pdf PDF
23-Agreement - IFB-26-00426.pdf PDF
21-NEW SBE Subcontractors Material Suppliers List SBE-1 Form-10.2026.pdf PDF
13-Direct Deposit Authorization Form 5.15.2025.pdf.pdf PDF
11-Insurance Certificate.doc.doc DOC document
10-Change Order Form.pdf.pdf PDF
26-Performance Bond.pdf PDF
Show all 25

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

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

Vendor Eligibility Check Prior to Contract Award 375-030-91

PROCUREMENT

10/16

Project Description(s):

Financial Project Number(s):

In accordance with State law:

Section 287.133(2)(b), Florida Statutes, provides that public entities may not contract with firms that have been excluded from participating in the public contracting process.

A public entity may not accept any bid, proposal, or reply from, award any contract to, or transact any business in excess of the threshold amount provided in s. 287.017. F.S., for CATEGORY TWO with any person or affiliate on the convicted vendor list for a period of 36 months following the date that person or affiliate was placed on the convicted vendor list unless that person or affiliate has been removed from the list pursuant to Section 287.133(3)(f), F.S. A public entity that was transacting business with a person at the time of the commission of a public entity crime resulting in that person being placed on the convicted vendor list may not accept any bid, proposal, or reply from, award any contract to, or transact any business with any other person who is under the same, or substantially the same, control as the person whose name appears on the convicted vendor list so long as that person’s name appears on the convicted vendor list.

A contract award (reference 2 CFR 180.220) must not be made to parties listed on the government-wide

Excluded Parties List System in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1986 Comp., p. 189) and

12689 (3 CFR Part 1989 Comp., p. 235), “Debarment and Suspension.” Pursuant to 23 CFR 172.7(b)(3), a contracting agency shall verify suspension and debarment actions and eligibility status of consultants and subconsultants prior to entering into an agreement or contract in accordance with 2 CFR part 1200 and 2 CFR part 180, when the identities of such subconsultants are known prior to execution of the subject agreement or contract. The Excluded Parties List System in SAM contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.

The Convicted Vendor List/ Suspended Vendor List / Discriminatory Vendor List / Federal Excluded

Parties List/ Vendor Complaint Lists are available at the following Department of Management Services site:

http://www.dms.myflorida.com/business_operations/state_purchasing/vendor_information/convicted

_suspended_discriminatory_complaints_vendor_lists

I have checked the aforementioned lists to verify that the vendor (and all subs where known) is eligible for contract award/execution:

Procurement Office or Contracting Awarding Office:

Printed Name

Signature

Date:

http://www.dms.myflorida.com/business_operations/state_purchasing/vendor_information/convicted_suspended_discriminatory_complaints_vendor_lists http://www.dms.myflorida.com/business_operations/state_purchasing/vendor_information/convicted_suspended_discriminatory_complaints_vendor_lists

File details come from the government source that posted it. Updated .