5-OESBD Affiliated Entities of the Principals Certification.docx
DOCX document 39 KB Posted
- Attached to
- Container Crane Maintenance and Repair
- Solicitation number
- BLD2129865P1
- Issued by
- Broward County, Florida
About this file
This document is a certification form from the Broward County Office of Economic and Small Business Development (OESBD) related to a container crane maintenance and repair contract at Port Everglades. The solicitation seeks a qualified firm to provide maintenance and repair services for 15 container cranes, with vendors required to electronically submit responses through BPRO by a specified closing date. Vendors must complete this affiliated entities certification form, which must be submitted with their solicitation response or within three business days of the county's request.
The certification form requires vendors to disclose any affiliated entities of their principals over the past five years, including subsidiaries, parent, or sibling entities. The county will review these affiliations for contract performance evaluations and compliance with Small Business Development Program requirements, including County Business Enterprise (CBE), Disadvantaged Business Enterprise (DBE), and Small Business Enterprise (SBE) goal attainment. Vendors must also comply with additional requirements such as living wage provisions, bonding requirements, and Workforce Investment Program guidelines. The county will consider the performance history of affiliated entities when determining vendor responsibility.
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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 .