Attachment G, Mandatory Responsive Requirements.pdf
PDF 111 KB Posted
- Attached to
- Natural Gas Supply ITB V2
- Solicitation number
- ITB-14666
- Issued by
- Florida
About this file
Summary of Attachment G, Mandatory Responsive Requirements
This document is a mandatory responsive requirements certification form issued by the Florida Department of Management Services for ITB No. 25-83101601-ITB-V2, the Natural Gas Supply contract procurement. The attachment serves as a comprehensive compliance checklist that bidders must complete and sign to certify their eligibility and adherence to state requirements. Bidders must confirm authorization to submit bids on behalf of their company, compliance with Florida disclosure requirements under section 286.101 F.S., and absence from various state vendor lists including the Suspended Vendor List, Convicted Vendor List, Discriminatory Vendor List, and Antitrust Violator Vendor List. Additionally, bidders must certify no placement on the Forced Vendor List within the past 365 days and absence of any legal or financial conditions that would prohibit contract fulfillment. The form requires attestation regarding compliance with PUR1001 form requirements, non-involvement in boycotts of Israel, and absence from scrutinized company lists related to Sudan, Iran, and terrorist financing activities.
For contracts valued at $1 million or more, bidders must certify compliance with section 287.135 F.S., confirming they are not on the State Board of Administration's Scrutinized List of Prohibited Companies, have no business operations in Cuba or Syria, and comply with section 448.095(5)(a) F.S. regarding contract terminations by public employers within the past year. Bidders must provide proof of current Florida Department of State registration or exemption prior to contract execution, with out-of-state corporations required to provide a Florida Certificate of Authority. The form mandates submission of pricing on Attachment C (Firm Markup Sheet), completion of Attachment F (PUR 7801 Vendor Certification Form), Attachment I (PUR 2023 regarding forced labor), and Attachment O (Principal Place of Business Letter). By signing, bidders acknowledge ongoing obligation to notify the Procurement Officer of any changes rendering certifications invalid.
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Attachment G Mandatory Responsive Requirements
ITB No. 25-83101601-ITB-V2 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-V2 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 Vendor Certification Form includes any required forms referenced therein.
The Bidder certifies it has provided a completed Attachment G, Mandatory Responsive Requirements.
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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