Attachment G, Mandatory Responsive Requirements.pdf
PDF 111 KB Posted
- Attached to
- Natural Gas Supply ITB
- Solicitation number
- ITB-13699
- Issued by
- Leon County, Florida
About this file
Attachment G: Mandatory Responsive Requirements for ITB No. 25-83101601-ITB
This document is a mandatory responsive requirements form for a state procurement solicitation. The form requires bidders to complete and sign certification statements confirming compliance with various statutory and regulatory requirements before submission. Key requirements include certification that the submitting representative is authorized to respond on behalf of the bidder; compliance with Florida Statutes sections 286.101 (disclosure requirements) and 448.095(5)(a) (contract termination history); verification that the bidder and its suppliers, subcontractors, and consultants are not listed on any state vendor ineligibility lists including the Suspended Vendor List, Convicted Vendor List, Discriminatory Vendor List, Antitrust Violator List, or Forced Vendor List; and compliance with section 9 of the PUR1001 form as modified by the ITB's Special Instructions. The bidder must also confirm it is not engaged in a boycott of Israel and is not listed on any scrutinized companies lists related to Sudan, Iran, or Israel.
Additional responsive requirements mandate that bidders provide pricing on Attachment C (Firm Markup Sheet); submit a completed Attachment I (PUR 2023) regarding commodities produced by forced labor under section 287.1346(4)(b), F.S.; and submit a completed Attachment O (Principal Place of Business Letter). For term contract awards, bidders must provide prior to contract execution a current Florida Department of State Division of Corporations registration or exemption statement, a Florida Certificate of Authority if out-of-state, and a completed Attachment F (PUR 7801 Vendor Certification Form). The bidder's authorized representative must sign the form certifying conformance with all responsive requirements and acknowledging an ongoing duty to notify the Procurement Officer of any material changes in circumstances that would render the certifications inaccurate.
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Attachment G Mandatory Responsive Requirements
ITB No. 25-83101601-ITB Page 1 of 2
Bidder must complete and sign the fields at the bottom of this Attachment to indicate acknowledgment and acceptance of each Responsive Requirement.
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 or Other Entities 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 Term Contract, and prior to execution of a Term 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 Term Contract execution.
Website: www.sunbiz.org.
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, as defined by section 448.095(1)(i), F.S.
The Bidder certifies it has provided to the Department pricing on the applicable Attachment C, Firm Markup Sheet.
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. 25-83101601-ITB Page 2 of 2
Responsive Requirements
The Bidder certifies that if awarded a Term Contract, and prior to execution of a Term Contract, it shall provide to the Department a completed Attachment F, PUR 7801 Vendor Certification Form. A completed Attachment F, PUR 7801 includes any required forms referenced therein.
The Bidder certifies it has provided a completed Attachment I, PUR 2023, Provision of Commodities Produced by Forced Labor in accordance with section 287.1346(4)(b), F.S.
The Bidder certifies it has provided a completed Attachment O, Principal Place of Business Letter.
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
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 circu...
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