9-Domestic Partnership Act Certification - RFP-RFQ-RLI.docx
DOCX document 46 KB Posted
- Solicitation number
- GEN2130575P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Domestic Partnership Act Certification form required by Broward County, Florida for the Parking Management Services contract opportunity at Fort Lauderdale-Hollywood International Airport. The form must be completed and submitted by all vendors bidding on contracts valued over $100,000. For solicitations where the Domestic Partnership tiebreaker applies, vendors must submit the certification at the time of bid submittal to remain eligible for consideration under this preference category. Vendors who fail to submit the form by the specified deadline will be deemed non-responsive to the solicitation or ineligible for tiebreaker consideration, depending on the solicitation type.
The form requires vendors to certify their compliance status with Broward County Code Section 16-157, which mandates that vendors provide domestic partnership benefits to employees on the same basis as spousal benefits. Vendors must select one of four options: current compliance, commitment to comply at contract award, non-compliance, or eligibility for an exception. Exceptions are available for vendors with fewer than five employees, those not providing spousal benefits, governmental entities, religious organizations, those providing cash equivalents, or vendors prevented from compliance by federal or state law. The form was dated September 9, 2024, and must be signed by an authorized vendor representative with appropriate title and date.
View the file
Other files
Show all 23
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
DOMESTIC PARTNERSHIP ACT CERTIFICATION
REQUEST FOR PROPOSAL, REQUEST FOR QUALIFICATION, OR REQUEST FOR LETTER OF INTEREST
Refer to applicable section below. Failure to submit this form by stated timeframes may deem the Vendor nonresponsive to the solicitation or ineligible for the Domestic Partnership tiebreaker, as applicable.
Domestic Partnership Responsiveness Requirement (Refer to Instructions to Vendors, if applicable) This completed and signed form should be returned with the Vendor’s submittal. If not provided with the submittal, the Vendor must submit this form within three business days after County’s request. A Vendor shall be deemed non-responsive for failure to fully comply within stated timeframes.
Domestic Partnership Tiebreaker (Refer to Instructions to Vendors, if applicable) To be eligible for the Domestic Partnership tiebreaker, the Vendor must currently offer the Domestic Partnership benefit and the completed form must be returned at the time of solicitation submittal. Vendors who fail to comply with this submittal deadline will not be eligible for the Domestic Partnership tiebreaker.
The Domestic Partnership Act, Sections 16½- 150 through 16½-165, Broward County Code of Ordinances (the “Act”) requires any Vendor contracting to provide goods or services to the County in an amount over $100,000 to provide benefits to registered domestic partners of its employees on the same basis as the Vendor provides benefits to its employees’ spouses, with certain exceptions as provided by the Act.
For all submittals over $100,000, the Vendor, by virtue of the signature below, certifies that it is aware of the requirements of Broward County’s Domestic Partnership Act, Section 16½-157, Broward County Code of Ordinances, and certifies the following: (check only one below)
☐ The Vendor currently complies with the requirements of the County’s Domestic Partnership Act and provides benefits to Domestic Partners of its employees on the same basis as it provides benefits to employees’ spouses.
☐ The Vendor will comply with the requirements of the County’s Domestic Partnership Act at time of contract award and provide benefits to Domestic Partners of its employees on the same basis as it provides benefits to employees’ spouses.
☐ The Vendor will not comply with the requirements of the County’s Domestic Partnership Act at time of award.
☐ The Vendor does not need to comply with the requirements of the County’s Domestic Partnership Act at time of award because the following exception(s) applies: (check only one below).
☐ The Vendor employs less than five (5) employees.
☐ The Vendor does not provide benefits to employees’ spouses.
☐ The Vendor is a governmental entity, not-for-profit corporation, or charitable organization.
☐ The Vendor is a religious organization, association, society, or non-profit charitable or educational institution.
☐ The Vendor provides an employee the cash equivalent of benefits. (Attach a notarized affidavit in compliance with the Act stating the efforts taken to provide such benefits and the amount of the cash equivalent).
☐ The Vendor cannot comply with the provisions of the Domestic Partnership Act because it would violate the laws, rules or regulations of federal or state law or would violate or be inconsistent with the terms or conditions of a grant or contract with the United States or the State of Florida. (State the law, statute or regulation and attach explanation of its applicability).
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 .