Checklist_-_Vendor_Checklist_.pdf
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- Attached to
- Wellness Engagement Platform
- Solicitation number
- 26-8653
- Issued by
- Collier County, Florida
About this file
This is a Vendor Checklist document issued by Collier County Government's Procurement Services Division in Florida for use in response to a Request for Proposals for a Wellness Engagement Platform. The platform will be implemented and managed by the County's Human Resources Division and Wellness Team to administer employee wellness programs across all Constitutional agencies. The system must support two primary operational pathways: an Insurance Qualifying Process tracking preventive screenings, laboratory work, biometrics, and wellness education, and an Employee Health Reimbursement Account (HRA) program allowing insured employees to earn up to $300 annually in Healthy Bucks through participation in County-sponsored wellness activities. The checklist serves as a submission requirement guide rather than detailing specific contract timelines, quantities, or award dates.
Vendors responding to this solicitation must submit all applicable documents electronically through OpenGov and verify completion of each checklist item, including execution of the Vendor Declaration Statement, Conflict of Interest Certification, Immigration Affidavit Certification, and W-9 Form. Additional requirements include proof of Florida business status, active E-Verify enrollment, reference questionnaires if applicable, appropriate licenses and certifications, evidence of insurance capability, acknowledgment of Collier County Purchase Order Terms and Conditions, and execution of all issued addenda. Failure to provide applicable documents may result in the proposal being deemed non-responsive or non-responsible. The checklist emphasizes that all required documents must be executed with either wet signatures or verifiable electronic signatures and submitted prior to proposal evaluation.
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Rev. 1 2025
Procurement Services Division
Vendor Check List
IMPORTANT: PLEASE REVIEW CAREFULLY AND SUBMIT WITH YOUR PROPOSAL. ALL APPLICABLE
DOCUMENTS SHALL BE SUBMITTED ELECTRONICALLY THROUGH OPENGOV. VENDOR SHOULD
CHECKOFF EACH OF THE FOLLOWING ITEMS. ALL DOCUMENTS REQUIRING EXECUTION SHOULD BE EITHER BY WET SIGNATURES OR VERIFIABLE ELECTRONIC SIGNATURES. FAILURE TO PROVIDE THE
APPLICABLE DOCUMENTS MAY DEEM YOU NON-RESPONSIVE/NON-RESPONSIBLE.
General Instructions has been acknowledged and accepted.
Collier County Purchase Order Terms and Conditions have been acknowledged and accepted.
Form 1: Vendor Declaration Statement
Form 2: Conflict of Interest Certification
Proof of status from Division of Corporations - Florida Department of State (If work performed in the State) -http://dos.myflorida.com/sunbiz/ should be attached with your submittal.
Vendor MUST be enrolled in the E-Verify - https://www.e-verify.gov/ at the time of submission of the proposal/bid.
Form 3: Immigration Affidavit Certification MUST be signed and attached with your submittal.
E-Verify Memorandum of Understanding or Company Profile page should be attached with your submittal.
Form 4: Reference Questionnaire form must be utilized for each requested reference and included with your submittal, if applicable to the solicitation.
Form 5: Grant Provisions and Assurances package in its entirety, if applicable, are executed and should be included with your submittal.
Vendor W-9 Form.
Vendor acknowledges Insurance Requirements and is prepared to produce the required insurance certificate(s) within five
(5) days of the County’s issuance of a Notice of Recommend Award.
Copies of all requested licenses and/or certifications to complete the requirements of the project.
All addenda have been signed and attached.
County’s IT Technical Architecture Requirements has been acknowledged and accepted, if applicable.
Any and all supplemental requirements and terms has been acknowledged and accepted, if applicable.
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