EDP 23-84131512-ITB Attachment F Certification Requirements for Responsiveness.pdf
PDF 122 KB Posted
- Attached to
- Electronic Equipment Insurance
- Solicitation number
- ITB-04499
- Issued by
- Leon County, Florida
About this file
This document is an Attachment F, Certification Requirements for Responsiveness, related to ITB No. 23-84131512-ITB for Electronic Data Processing Equipment Insurance issued by the State of Florida, Department of Management Services. The Bidder must certify compliance with various requirements, including being authorized to respond, not being on certain vendor lists, having a valid Florida certificate of authority, and having experience in the placement and account management of the required insurance coverage. The Bidder must also provide pricing on Attachment B and submit an Insurer Quotation Document with proposed policy details and the Insurer's AM Best rating.
The related state and local contract opportunity is for Electronic Equipment Insurance, where the State of Florida is seeking interested vendors to submit responses via the MFMP Sourcing event on Ariba on Demand. Vendors are responsible for monitoring the Vendor Information Portal throughout the procurement process. Protests regarding the agency decision or intended decision must be timely filed with the Agency Clerk.
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ITB No. 23-84131512-ITB Electronic Data Processing Equipment Insurance
Attachment F Certification Requirements for Responsiveness
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 maintained pursuant to section 287.042(1)(a) F.S., and 287.1351 F.S., and neither the Bidder nor any supplier, subcontractor, nor consultant included in its Bid are on the Convicted Vendor, Discriminatory Vendor, or Antitrust Violator Vendor Lists specified in Paragraphs 7 and 8 of the PUR1001 form, as modified by the Special Instructions section of the ITB.
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 Petroleum Energy Sector List, or the Scrutinized Companies that Boycott Israel List nor is it engaged in a boycott of Israel.
The Bidder certifies that if awarded a Contract, and prior to execution of a contract, it shall provide 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 a Florida Certificate of Authority from the Florida Department of State, Division of Corporations prior to Contract execution.
Website: www.sunbiz.org.
NOTE: Foreign entities are required to obtain a Florida Certificate of Authority pursuant to applicable Florida Statutes from the Florida Department of State, Division of Corporations, to transact business in the State of Florida.
The Bidder certifies that the Bidder is in compliance with section 448.095(2)(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(2)(c), F.S., by a public employer, as defined by section 448.095(1)(i), F.S.
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, Florida Statutes, or are an eligible surplus lines insurer in accordance with section 626.918, Florida Statutes.
The Bidder certifies that it and the selected Insurer each have 10 years of experience in the placement and account management of the insurance coverage described in this ITB.
The Bidder certifies it has provided the Department with pricing on Attachment B, Price Sheet.
The Bidder certifies it has provided the Department with the Insurer Quotation Document on Insurer letterhead with proposed policy period and rates for the policy term and the selected Insurer’s AM Best Key Financial Rating from the current AM Best’s Key Rating Guide, and a list of policy forms of the proposed coverage or a specimen policy.
Signature below certifies that Bidder conforms with all Responsiveness 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 circumstance render these certifications no longer true.
Bidder’s Name
Signature of Bidder’s Authorized Representative Date https://www.dms.myflorida.com/content/download/2934/11780 https://www.dms.myflorida.com/content/download/2934/11780 https://www.dms.myflorida.com/content/download/2934/11780 http://www.sunbiz.org/
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