Attachment B, Mandatory Responsive Requirements.pdf
PDF 174 KB Posted
- Attached to
- Government Crime Insurance
- Solicitation number
- ITB-17050
- Issued by
- Florida
About this file
This document is Attachment B: Mandatory Responsive Requirements for an Invitation to Bid (ITB No. 27-84131514-ITB) issued by the Florida Department of Management Services to establish a contract for Government Crime Insurance. The ITB seeks to replace the current policy through a single award to the lowest responsive and responsible bidder in accordance with Florida Statutes sections 287.057(1) and 287.022. The procurement officer is Jill Soderberg, and all submissions must be made through the MyFloridaMarketPlace Sourcing Event via the SAP Business Network, with vendors required to monitor the Vendor Information Portal (VIP) throughout the procurement process.
Bidders must certify compliance with numerous mandatory responsive requirements as a condition of bid acceptance, including verification of authorized signatory status, absence from various vendor lists (Suspended, Convicted, Discriminatory, Antitrust Violator, and Forced Vendor Lists), compliance with Florida disclosure requirements, and non-involvement in scrutinized company activities related to Sudan, Iran, Israel boycotts, Cuba, or Syria. For services valued at $1 million or more, bidders must verify they are not on the State Board of Administration's Scrutinized List of Prohibited Companies. Additionally, bidders must demonstrate current Florida Department of State corporate registration or provide exemption documentation, maintain current insurance licenses and certificates of authority, provide evidence of ten years of experience in government crime insurance placement and account management, and submit completed attachments including price sheets, vendor certification forms, foreign country of concern attestations, broker information, surplus line placement acknowledgements, and quotation documentation. Bidders must acknowledge their ongoing duty to update the procurement officer of any changes affecting these certifications.
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Attachment B Mandatory Responsive Requirements
ITB No. 27-84131514-ITB Page 1 of 3
Bidder must complete and sign the fields at the bottom of this Attachment to indicate acknowledgment and acceptance of the below Responsive Requirements. Documents required to be submitted as part of the Bid are bolded.
Responsive Requirements
The Bidder certifies it has provided to the Department a completed Attachment B, Mandatory Responsive Requirements.
The person submitting the Bid and its pricing certifies to being authorized by the Bidder to respond to this solicitation on the Bidder’s behalf.
The Bidder certifies it is in compliance with all applicable disclosure requirements set forth in section 286.101, F.S., and has not been deemed ineligible for a grant or contract funded by a state agency pursuant to section 286.101(7), F.S.
The Bidder certifies that the Bidder is not on the Suspended Vendor List; it and its suppliers, subcontractors, or consultants to be utilized under the contract are not on the Convicted Vendor, Discriminatory Vendor, or Antitrust Violator Vendor Lists; if the contract is for the provision of commodities, the Bidder, and any entity under the control of Bidder, has not been placed on the Forced Vendor List within the past 365 days or, if placed on the Forced Vendor List, has been removed pursuant to section 287.1346(5)(d), F.S.; and there is no pending or threatened action, proceeding, or investigation, or any other legal or financial condition, that would in any way prohibit, restrain, or diminish the Bidder’s ability to satisfy the contract obligations.
The Bidder certifies that the Bidder is in compliance with Section 9 of the PUR1001 form, as modified by the “Special Instructions” section of the ITB.
The Bidder certifies that the Bidder is not on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Terrorism Sectors List, or the Quarterly List of Scrutinized Companies that Boycott Israel, nor is it engaged in a boycott of Israel.
If the goods or services to be provided are $1 million or more, in accordance with the requirements of section 287.135, F.S., the Bidder certifies the Bidder is not on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Terrorism Sectors List (collectively, “Scrutinized List of Prohibited Companies”); does not have business operations in Cuba or Syria; and is not on the State Board of Administration’s “Scrutinized List of Prohibited Companies” available under the quarterly reports section at https://www.sbafla.com/reporting/.
The Bidder certifies that if awarded a Contract, and prior to execution of a Contract, it shall provide to the Department a PDF file of its current and active registration with the Florida Department of State, Division of Corporations, or, if exempt from registration, a statement to that effect noting the basis for the exemption. If Bidder is an out-of-state corporation, it certifies it will provide to the Department a Florida Certificate of Authority from the Florida Department of State, Division of Corporations prior to Contract execution. Website:
www.sunbiz.org.
https://www.dms.myflorida.com/content/download/2934/11780 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.sbafla.com%2Freporting%2F&data=05%7C02%7CBrittany.Dambly%40dms.fl.gov%7C0adec150d13b4cc7ab2d08dcc60e9f98%7Ced173fed38394a3ca952140e906fed8d%7C0%7C0%7C638603013353015342%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=4o3wZFH%2B69KW8hJ2rUEAB3vbhSGolxhxlhPd0Bdzs2M%3D&reserved=0 http://www.sunbiz.org/
ITB No. 27-84131514-ITB Page 2 of 3
Responsive Requirements
The Bidder certifies that the Bidder is in compliance with section 448.095(5)(a), F.S., and that within the last year (i.e., within the last 365 days), it has not had a contract terminated under section 448.095(5)(c), F.S., by a public employer.
The Bidder certifies it has provided to the Department pricing on the applicable Attachment C, Price Sheet, in accordance with the Price Sheet instructions.
The Bidder certifies that if awarded a Contract, and prior to execution of a Contract, it shall provide to the Department a completed Attachment F, PUR 7801 Vendor Certification Form.
A completed Attachment F, PUR 7801 Vendor Certification Form includes any required forms referenced therein.
The Bidder certifies it has provided to the Department a completed Attachment I, PUR 1355 Foreign Country of Concern Attestation.
The Bidder certifies it has provided to the Department a completed Attachment J, Broker Information.
The Bidder certifies it has provided to the Department a completed Attachment N, Surplus Line Placement Acknowledgement.
The Bidder certifies that the Broker’s key management personnel assigned to securing the Insurance Policy will maintain current and active insurance license(s) required to provide the services contemplated herein.
The Bidder certifies that the Bidder and the selected Insurer possess a valid and current certificate of authority to transact insurance, in accordance with section 624.404, F.S., or are eligible surplus lines insurers in accordance with section 626.918, F.S..
The Bidder certifies that the Bidder and the selected Insurer each have 10 years of experience in the placement and account management of the insurance coverage described in Attachment A, Scope of Work and Attachment K, Expiring Policy, as endorsed.
The Bidder certifies it has provided to the Department a completed Attachment O, Quotation Documentation.
THE REMAINDER OF THIS PAGE LEFT BLANK INTENTIONALLY
ITB No. 27-84131514-ITB Page 3 of 3
Signature below certifies that Bidder conforms with all Responsive Requirements listed above.
Signature below further certifies acknowledgment of the Bidder’s ongoing duty to provide updates to the Procurement Officer should a change in Bidder’s circumstances render these certifications no longer true.
Bidder (Vendor) Name
Signature of Bidder’s Authorized Representative
Authorized Representative’s Printed Name
Date
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