5-Subcontractors-Subconsultants-Suppliers Requirement.docx

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Attached to
Won-Door FireGuard Doors Repair Services
Solicitation number
BLD2130672Q1
Issued by
Broward County, Florida

About this file

This is a subcontractor/subconsultant/supplier requirement form from Broward County, Florida, related to a Won-Door FireGuard Doors Repair Services contract for the Broward County Aviation Division. The form requires vendors to provide a complete listing of all subcontractors, subconsultants, and major material suppliers (those exceeding $50,000 in value) that will be involved in contract performance, including their contact information, addresses, telephone numbers, and the type of work or supplies they will provide. The completed form must be submitted with the vendor's proposal or within three business days of the County's request, with failure to comply potentially resulting in the vendor being deemed nonresponsive.

For contracts with participation goals, only non-certified firms (those not qualifying for County Business Enterprise or Disadvantaged Business Enterprise status) should be listed on this form. The vendor must maintain an updated list throughout the contract duration and certify the final list of subcontractors upon contract completion. The form includes certification that none of the listed firms or their principals, officers, affiliates, or related companies have been debarred from conducting business with Broward County or any other governmental agency, and provides space for up to four subcontracted firms with detailed contact and scope information for each.

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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 .