4-Subcontractors-Subconsultants-Suppliers Requirement.docx
DOCX document 42 KB Posted
- Attached to
- Phoenix LED Floodlights
- Solicitation number
- BLD2132882B1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Subcontractors/Subconsultants/Suppliers Requirement form issued by Broward County, Florida for the Phoenix LED Floodlights procurement opportunity managed by the Port Everglades Department. Vendors must submit a completed listing of all subcontractors, subconsultants, and major material suppliers that will perform work on the contract, identifying the specific portions each entity will perform. Major material suppliers are defined as firms providing construction materials or commodities exceeding $50,000. The form requires vendors to provide firm name, address, telephone number, contact person information, and a description of work or supplies provided for each subcontractor or supplier. The completed and signed form must be submitted with the vendor's initial submittal, or the vendor must submit it within three business days of the County's request; failure to comply within the stated timeframe may result in the vendor being deemed nonresponsive. This listing must be maintained current throughout the contract duration, and vendors must certify a final list of all non-certified subcontractors, subconsultants, and suppliers upon contract completion and final payment.
If participation goals apply to the contract, only non-certified firms—those not listed for attainment of participation goals such as County Business Enterprise or Disadvantaged Business Enterprise—shall be identified. Vendors must confirm that none of the listed subcontractors, subconsultants, or suppliers' principals, officers, affiliates, or related companies have been debarred from doing business with Broward County or any other governmental agency. Submission of this information does not relieve the prime vendor from full responsibility for satisfactory contract performance. The form was last updated on September 9, 2024, and vendors are instructed to upload additional forms through the electronic bidding system as needed.
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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 .