Environmental_Specialists_for_Residential_Home_Inspection.pdf

For more information, please visit our online supplier portal, located at https://procurement.opengov.com/portal/pembrokepines

ENVIRONMENTAL SPECIALISTS

FOR RESIDENTIAL HOME

INSPECTION

REQUEST FOR QUALIFICATION # PL-26-01

Issuance of Solicitation: Tuesday, June 23, 2026

Questions Due Date: Sunday, July 12, 2026

Bid Submission Deadline: Tuesday, July 21, 2026

THE CITY OF PEMBROKE PINES

PROCUREMENT DEPARTMENT

8300 SOUTH PALM DRIVE

PEMBROKE PINES, FLORIDA 33025

(954) 518-9020

Table of Contents

1. NOTICE

2. GENERAL PROJECT INFORMATION & TIMELINE

3. PURPOSE AND BACKGROUND

4. SCOPE OF WORK

5. SUBMITTAL DOCUMENTS

6. EVALUATION & SELECTION PROCESS

7. INSURANCE REQUIREMENTS

8. GENERAL TERMS AND CONDITIONS

9. SPECIAL TERMS & CONDITIONS

10. LOCAL, STATE, AND FEDERAL REQUIREMENTS

Attachments:

A - HUD Section 3 Implementation Plan and Forms 1-6

B - HUD's Davis-Bacon and Labor Standards Contractor Guide Addendum

C - Specimen Contract - Contractual Services Agreement

D - Sample Insurance Certificate

RFQ # PL-26-01 SECTION 1 - NOTICE Page 3

City of Pembroke Pines

SECTION 1 - NOTICE

Notice is hereby given that the City Commission of the City of Pembroke Pines is seeking sealed proposals for:

RFQ # PL-26-01

Environmental Specialists for Residential Home Inspection

Solicitations may be found on the City of Pembroke Pines website under the Procurement

Department at http://www.ppines.com/index.aspx?NID=667, and may be downloaded directly from the OpenGov platform at https://procurement.opengov.com/portal/pembrokepines.

For Technical Support, proposers can reach the OpenGov Service Desk between 7:00 am to 10:00 pm from Monday through Friday via the following methods:

o Chat (preferred method): Click the button in the lower right-hand corner of the portal.

o E-mail: procurement-support@opengov.com o Phone: 1 (650) 336-7167

If additional help is needed with downloading the solicitation package please contact the

Procurement Department at (954) 518-9020 or by email at purchasing@ppines.com. The

Procurement Department hours are between 7:00 am to 6:00 pm on Monday through Thursday and is located at 8300 South Palm Drive, Pembroke Pines, FL 33025.

Bidders shall submit all questions regarding this bid via the City's e-Procurement Portal, located at https://procurement.opengov.com/portal/pembrokepines. Please note the deadline for submitting questions. All answers will be posted on the City's e-Procurement Portal. Bidders may also click

“Follow” on this bid to receive an email notification when answers are posted. It is the bidder's responsibility to check the portal for updates. Only written responses issued through the OpenGov platform will be considered official for interpretations or clarifications.

Proposals will be accepted until 2:00 pm on Tuesday, July 21, 2026, electronically at https://procurement.opengov.com/portal/pembrokepines/projects/269606.

Bid Opening: The sealed electronic proposals will be publicly opened at 2:30 pm, on the bid due date, by the City Clerk’s Office, in the City Clerk’s Office Conference Room located on the 4th

Floor in the Charles F. Dodge City Center/City Hall Administration Building, located at 601 City

Center Way, Pembroke Pines, Florida, 33025.

Virtual Bid Opening: In light of public health concerns and to ensure accessibility for all, the City encourages interested parties and the public to participate virtually via live streaming instead of attending the meeting in person. As a result, meetings may be a combination of in-person and virtual, all as provided by law. To virtually attend the bid opening, please use the Cisco Webex

Meetings platform.

Virtual Meeting Details:

http://www.ppines.com/index.aspx?NID=667 https://procurement.opengov.com/portal/pembrokepines mailto:procurement-support@opengov.com mailto:purchasing@ppines.com https://procurement.opengov.com/portal/pembrokepines/projects/269606

RFQ # PL-26-01 SECTION 1 - NOTICE Page 4 o WebEx Meeting Link: https://ppines.webex.com/meet/purchasing o Cisco Webex Meeting Number: 717 019 586 o Join by Phone Number: +1-408-418-9388

The public may download the Cisco Webex Meetings app from https://www.webex.com/downloads.html/.

To ensure an efficient meeting process, participants are requested to mute their audio and camera during the meeting. While the public is welcome to attend the virtual bid opening, please note that active participation and commenting will not be allowed during the proceedings.

For further information about the bid opening or assistance in accessing the virtual meeting, please contact:

Jamie Chen or other Procurement Staff in the Procurement Department

City of Pembroke Pines

8300 South Palm Drive, Pembroke Pines, FL 33025

(954) 518-9061 or 954-518-9020 purchasing@ppines.com https://ppines.webex.com/meet/purchasing https://www.webex.com/downloads.html/ mailto:purchasing@ppines.com

RFQ # PL-26-01 SECTION 2 - GENERAL PROJECT INFORMATION & TIMELINE Page 5

SECTION 2 - GENERAL PROJECT INFORMATION & TIMELINE

2.1 Project Timeline

This contract shall be for an initial 2-year period with no renewal terms.

2.2 Tentative Schedule of Events

Issuance of Solicitation (Posting Date): June 23, 2026

Question Due Date: July 12, 2026, 12:00am

Issuance of Final Answers to Questions: July 14, 2026

Bid Submission Deadline: July 21, 2026, 2:00pm

Bid Opening: Will be held at 2:30 pm on the day of bid submissions are due.

Evaluation Committee Meeting: To Be Determined (TBD)

2.3 Pre-Bid Meeting

This project will not have a pre-bid meeting.

2.4 Estimated Project Cost

Not Applicable

2.5 Grant/Federal Funding

Yes, the City plans to utilize the following grant(s)/federal fund(s) for this project:

U.S. Department of Housing and Urban Development (HUD), Community Development Block

Grant Program (CDBG), Home Investment Partnerships Program (HOME), State Housing Initiatives

Partnership (SHIP)

2.6 Additional U.S. Department of Housing and Urban Development (HUD) Requirements

The project is federally funded through the U.S. Department of Housing and Urban Development

(HUD) and must adhere to strict federal guidelines. This includes compliance with the Davis-Bacon

Act, which requires the payment of prevailing wages for all laborers and mechanics working on the project. The Contractor will be responsible for submitting certified payroll records reflecting the applicable prevailing wages for each trade involved. Please see "HUD's Davis-Bacon and Labor

Standards Contractor Guide Addendum" in the attachments section for further information.

Additionally, the project is governed by Section 3 of the Housing and Urban Development Act of

1968, as amended. Section 3 ensures that employment and economic opportunities created by HUD

RFQ # PL-26-01 SECTION 2 - GENERAL PROJECT INFORMATION & TIMELINE Page 6 assistance benefit low- and very low-income individuals, especially those residing within the project’s service area. Contractors must demonstrate their compliance with Section 3 requirements, please see "HUD Section 3 Implementation Plan and Forms 1-6" in the attachments section for additional information. This may include providing information on how they will hire qualified low-and very low-income individuals and/or utilize Section 3 businesses as part of the project. As part of the bidding process, Contractors must return Form 1 with their bid submission, as failure to do so may result in the disqualification of your submittal. In addition, Forms 2-6 must be submitted with final reporting, 30 days after project completion, as applicable.

2.7 Proposal Security/Bid Bond

A Proposal Security shall not be required for this project.

2.8 Payment and Performance Bonds

Payment and Performance Bonds shall not be required for this project.

RFQ # PL-26-01 SECTION 3 - PURPOSE AND BACKGROUND Page 7

SECTION 3 - PURPOSE AND BACKGROUND

3.1 Purpose

The City of Pembroke Pines is seeking statements of qualifications from qualified firms, hereinafter referred to as the Contractor, to acquire proposals from qualified firms with specialized skills and interest in providing professional services to conduct environmental inspection services to determine the extent of mold and lead that is present in the property and the cost for each repair, in accordance with the terms, conditions, and specifications contained in this solicitation.

The intent of this RFQ is to contract with approximately two (2) or three (3) Environmental

Specialists to perform environmental inspections for home health hazards, such as lead and mold.

Interested firms shall submit qualification statements, performance data and other information relative to the proposed Scope of Services. Responses will be evaluated by a Selection/Evaluation

Committee. Firms that do not provide the information requested, or which fail to meet the minimum qualification criteria, shall be disqualified from further consideration.

The City of Pembroke Pines receives funds from the U.S. Department of Housing and Urban

Development (HUD) through multiple programs including the Community Development Block

Grant (CDBG) Program, and HOME Investment Partnerships Program (HOME). In addition, it receives State Housing Initiatives Partnership (SHIP) funds from the Florida Housing Finance

Corporation. From time to time, it may receive similar types of funds to carry out similar activities.

The City utilizes a pool of General Contractors, Home Inspectors, and Environmental Specialists for these projects. The pool of contractors for Home Inspectors and Environmental Specialists services is set to expire in September 2026.

The City is issuing RFQ # PL-26-01 “Environmental Specialists for Residential Home Inspection” and RFQ # PL-26-02 “Residential Home Inspection and Cost Estimating Services”. These solicitations will replace the existing pool of contractors. Pursuant to regulations of the U.S.

Department of Housing and Urban Development, a vendor can only participate in one of the three pools of vendors; therefore, a proposer can only submit a response for one of the two RFQs.

Any vendor (including vendors currently under contract with the City) that wishes to be part of the new pool of contractors must submit a response to this solicitation.

Compliance

The work to be performed under this contract is subject to the requirements of Section 3 of the

Housing and Urban Development Act of 1968, as amended, and its implementing regulations at 24

CFR Part 75. The purpose of Section 3 is to ensure that economic opportunities, including employment and contracting, generated by certain HUD financial assistance shall, to the greatest extent consistent with 24 CFR Part 75, be directed to low- and very low-income persons and to

Section 3 business concerns.

RFQ # PL-26-01 SECTION 3 - PURPOSE AND BACKGROUND Page 8

3.2 Background

Pembroke Pines, Florida, ranked as the eleventh largest city among the state's four hundred plus municipalities and the second largest in Broward County, maintains a welcoming small-town ambiance that resonates with its residents. Located conveniently in southwest Broward County, the city provides seamless access to major highways, employment centers, entertainment venues, parks, golf courses, and a diverse array of dining and shopping options.

With a population of approximately 170,000 residents spread across 32.68 square miles, Pembroke

Pines is renowned as one of the best cities to live in America. The city boasts 28 superior parks, lush landscaping, and a distinctive South Florida charm that contributes to its natural beauty. Notably recognized as 2024's Best Place to Raise a Family in Florida, and 2024's Best City of Hispanic

Entrepreneurs by WalletHub, Pembroke Pines also earned a place as the on Money Magazine's esteemed Best Places to Live list in 2014, as the sole Florida representative, ranking in at #32 in the nation.

Incorporated in 1960, Pembroke Pines is celebrated as a safe and desirable community, having received accolades such as the All-America City designation. The city's commitment to arts and culture, exceptional schools, diverse population, numerous parks, and forward-thinking approach in an ever-evolving world make it a standout destination.

Pembroke Pines is also the home to the largest municipal-run charter school system in the nation, serving over 6,000 students across five separate campuses. The City’s award-winning charter school system is located in the Broward County School District, which is the sixth largest school district in the nation.

RFQ # PL-26-01 SECTION 4 - SCOPE OF WORK Page 9

SECTION 4 - SCOPE OF WORK

4.1 Lead Inspection

1. If property was built on or before 1978, a program specialist will contact an environmental inspection company to conduct a lead examination.

2. Results and prices will be provided to The City Contract Housing Administrator along with the steps necessary to nullify the presence of lead.

3. Submit invoice for payment, per program procedures.

4.2 Mold Inspection

1. If property is suspected to have a mold issue, the home inspector will report it to the program specialist.

2. An environmental inspection will be requested to determine the presence of mold.

3. A report and prices will be submitted detailing the steps necessary to remove the mold.

4. The contractor will remove the mold and then request a post-mold inspection.

5. Environmental inspector will conduct a post-mold inspection to ensure all of the mold was removed.

6. Submit invoice for payment, per program procedures.

4.3 Environmental Inspector’s Fee Schedule

Description Cost

Lead Inspection $500

Mold Inspection $650

Post-Mold Inspection $600

Total $1750

4.4 Contract Performance

Specimen Contract

A Specimen contract is included herein for general information of bidder. Upon award of the proposal, the awarded contractor shall be required to sign and agree to the terms of the attached

Specimen Contract.

Manner of Performance

The Vendor(s) shall perform all its obligations and functions under this Contract in accordance with the requirements and standards contained herein and in a professional and businesslike manner. The

Vendor(s) shall use its best efforts to coordinate its activities with and adjust its activities to the needs and requirements of the City of Pembroke Pines.

RFQ # PL-26-01 SECTION 4 - SCOPE OF WORK Page 10

Poor Performance

The City of Pembroke Pines reserves the right to terminate the agreement with Successful Proposers, including revocation of registration, for any reason that the City determines is in the best interests of its residents and citizens, including but not limited to:

• Excessive complaints.

• Failure to perform as required.

• Failure to provide necessary documentation.

• Unethical business practices.

• Expiration or revocation of any required license or certification.

• Falsification of documents.

• Failure to pay fees, if required.

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 11

SECTION 5 - SUBMITTAL DOCUMENTS

Bids must be submitted electronically at https://procurement.opengov.com/portal/pembrokepines on or before 2:00 pm on Tuesday, July 21, 2026. Please note vendors should be registered on

OpenGov under the name of the organization that they are operating as and it should match the organization name on the documents that they are submitting and utilizing when responding to the solicitation. In addition, the vendor must complete the required documents in this section and provide any additional information requested throughout this solicitation. Any additional information requested in the solicitation should be scanned and uploaded. The City recommends for proposers to submit their proposals as soon as they are ready to do so. Please allow ample time to submit your proposals on the https://procurement.opengov.com/portal/pembrokepines website. Proposals may be modified or withdrawn prior to the deadline for submitting Proposals.

PLEASE DO NOT SUBMIT ANY PROPOSALS VIA MAIL, E-MAIL OR FAX.

Prospective proposers interested in responding to this solicitation are requested to provide all of the applicable information listed in this section. Submittals that do not respond completely to all of the requirements specified herein may be considered non-responsive and eliminated from the process.

Brevity and clarity are encouraged.

1 CONFIRMATION TO BIND

1.1 I certify that I have read, understood and agree to the terms in this solicitation, and that I am authorized to submit this response on behalf of my company.*

☐ Please confirm

*Response required

2 CERTIFICATION OF INSURANCE COMPLIANCE AND INTENT TO PROCURE

REQUIRED COVERAGE

NOTE: Vendors are not required to purchase any additional insurance in order to submit a bid.

However, they must certify that they either currently hold, or are able and willing to obtain, all required insurance coverages, endorsements, and limits prior to award and execution of the contract.

2.1 I certify that, if awarded this contract, I will be required to obtain and maintain all insurance policies as detailed in the INSURANCE REQUIREMENTS Section of this solicitation before any work may commence, and throughout the life of the contract.*

☐ Please confirm

*Response required

2.2 Do you confirm that you will only use insurance carriers licensed to do business in the

State of Florida and rated no less than “A” as to management, and no less than “Class VI” as to financial strength by A.M. Best, and that you understand all endorsements required

(e.g., Additional Insured, Waiver of Subrogation, etc.) must be included?*

☐ Yes

☐ No https://procurement.opengov.com/portal/pembrokepines https://procurement.opengov.com/portal/pembrokepines/projects/269606/document?section=2598411

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 12

*Response required

2.3 Do you currently carry insurance policies that meet or exceed the minimum requirements outlined in the INSURANCE REQUIREMENTS section of this solicitation?*

☐ Yes

☐ No

*Response required

When equals "Yes"

2.3.1 Please upload your current certificate(s) of insurance that demonstrate compliance with the insurance requirements outlined in this solicitation.*

*Response required

When equals "No"

2.3.2 Please upload documentation showing that you have obtained a letter from your insurance broker or carrier, such as a Letter of Intent to Insure, Evidence of Insurability, or a

Conditional Certificate of Insurance.*

Documentation should show that:

• You can obtain the required insurance.

• The limits and types of coverage will meet the INSURANCE REQUIREMENTS outlined in the solicitation.

• You will provide a COI upon contract award.

*Response required

When equals "No"

2.3.3 Please upload your current certificate(s) of insurance.*

*Response required

2.4 Do you believe you are exempt from one or more insurance requirements (e.g., Workers'

Compensation)?*

☐ Yes

☐ No

*Response required

When equals "Yes"

2.4.1 Please upload written documentation requesting an exemption on your company letterhead, subject to City approval.*

*Response required

2.5 Do you plan on using subcontractors for this project?*

☐ Yes

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 13

☐ No

When equals "Yes"

2.5.1 Do you acknowledge that all subcontractors must also carry the same insurance or be covered under your policy, and that proof of such coverage must be provided to the City?*

☐ Yes

☐ No

*Response required

3 EXPERIENCE AND CAPABILITIES

The relative experience and qualification of each applicant’s proposed team, with respect to the project scope, will be judged and a relative rating assigned. This parameter expresses the general and specific project-related capability of the team and indicates the adequate depth and abilities of the organization which it can draw upon as needed. This will include management, technical, and support staff.

3.1 Explain your firm’s interest in working on this project, a positive commitment to perform the required work and a description of the firm.*

*Response required

3.2 Describe the size of your firm.*

*Response required

3.3 Describe your firm’s financial history, strength and stability.*

*Response required

3.4 Describe your firm’s range of activities.*

*Response required

3.5 Describe the specialized experience and technical competence of the firm or persons with respect to working on similar projects.*

*Response required

3.6 Do you have a minimum of five (5) years of experience? Please provide proof of such experience.*

*Response required

3.7 The firm must provide information on their proximity to and familiarity with the area in which the project is located.*

*Response required

3.8 Explain the availability and access to the firm’s top level management personnel.*

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 14

3.9 Identify the contact person and supervisory personnel who will work on the various projects, including the relative experience of all professionals proposed for use on the team.*

*Response required

3.10 Provide summaries of key persons and on-site staff to be assigned to the project with emphasis on their experience with similar work.*

*Response required

3.11 Explain the ability and experience of the field staff with specific attention to project related experience.*

*Response required

3.12 Contractor should list any applicable qualification, including education, experience, honors and awards received, and professional associations of which the firm and/or its personnel are members.*

*Response required

3.13 Provide the recent, current, and projected workload of the firm.*

*Response required

3.14 What is your reputation compared to your peers in the market?*

*Response required

3.15 What is your reputation like among customers and how have you developed it?*

*Response required

3.16 How does your service differ from similar competitors? How do you win and retain business?*

*Response required

3.17 A brief statement must be included which explains why your proposal would be the most effective and beneficial to the City of Pembroke Pines.*

*Response required

4 FIRM'S UNDERSTANDING AND APPROACH TO THE WORK

The understanding that the applicant and consultants demonstrate as to the requirements and needs of the project, including an evaluation of the thoroughness demonstrated in analyzing and investigating the scope of the project.

4.1 Provide a narrative statement demonstrating an understanding of the overall intent of this solicitation, as well as the methods used to complete assigned tasks.*

*Response required

4.2 Please clearly describe all aspects of the project proposed.*

*Response required

4.3 Include details of your approach and work plans.*

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 15

4.4 How would you organize this project in terms of milestones?*

4.5 Identify any issues or concerns of significance that may be appropriate.*

*Response required

4.6 How do you ensure the quality of your services?*

*Response required

4.7 What criteria do you use to measure your quality?*

*Response required

4.8 How often do you find mistakes or errors in your work and what is done to correct these errors, and what is the average correction time?*

*Response required

4.9 Describe the firm’s techniques for quality control. At a minimum describe the firm’s technique to control design and contract documentation, including record keeping.*

*Response required

5 PREVIOUS EXPERIENCE

In this section, vendors are required to provide a detailed account of their previous experience relevant to the services outlined in this solicitation. The aim is to assess the vendor's capability and track record in delivering similar projects.

5.1 How many clients have you provided Services for?*

*Response required

5.2 What similar or related projects have you worked on within the past three years?*

*Response required

5.3 What challenges did you face and how did you overcome them?*

*Response required

5.4 How many of your clients are repeat clients?*

*Response required

5.5 How much of your revenue is derived from managing projects similar to ours?*

*Response required

5.6 Please describe the past record of performance of the firm or person with respect to accessibility to clients, ability to meet schedules, communication, and coordination skills. *

*Response required

6 REFERENCE # 1

The minimum experience for this project is five (5) years. Provide specific examples of similar experience conducting licensed work of equal or similar scope of work, preferably delivered by the proposed team members. A minimum of 3 references should be from the last five years and should be capable of explaining and confirming your firm’s capacity to successfully complete the scope of

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 16 work outlined herein. As part of the proposal evaluation process, the City may conduct an investigation of references, including a record check or consumer affairs complaints. Proposers’ submission of a proposal constitutes acknowledgment of the process and consent to investigate. The

City is the sole judge in determining Proposers qualifications. In this section you will have the ability to enter information for 5 different references including their contact details and specific project information.

Please note that the City prefers references who are not current employees of the City of Pembroke

Pines, as we generally do not contact our own employees for reference checks.

Proposers are advised to confirm that:

A. Each reference provided by the Respondent has up to date contact persons and contact information;

B. The contact person provided for each reference is someone who has personal knowledge of the Proposer's performance during the referenced project; and

C. The contact person for each reference has been contacted by the Proposer regarding this specific bid submittal and such person confirmed their willingness to serve as a reference.

6.1 Reference Contact Information - Name of Firm, City, County or Agency*

*Response required

6.2 Reference Contact Information - Reference's Business Address*

*Response required

6.3 Reference Contact Information - Reference's Contact Name & Title*

*Response required

6.4 Reference Contact Information - Reference's E-mail Address*

*Response required

6.5 Reference Contact Information - Reference's Phone Number*

*Response required

6.6 Project Information - Was your firm the prime contractor for the listed project?*

☐ Yes

☐ No

*Response required

6.7 Project Information - Name of Contactor Performing the Work*

*Response required

6.8 Project Information - Name and location of the project*

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 17

6.9 Project Information - Nature of the firm's responsibility on the project and work for which staff was responsible for*

*Response required

6.10 Project Information - Project Duration*

*Response required

6.11 Project Information - Completion (Anticipated) Date*

*Response required

6.12 Project Information - Size of Project*

*Response required

6.13 Project Information - Cost of Project*

*Response required

7 REFERENCE # 2

7.1 Reference Contact Information - Name of Firm, City, County or Agency*

*Response required

7.2 Reference Contact Information - Reference's Business Address*

*Response required

7.3 Reference Contact Information - Reference's Contact Name & Title*

*Response required

7.4 Reference Contact Information - Reference's E-mail Address*

*Response required

7.5 Reference Contact Information - Reference's Phone Number*

*Response required

7.6 Project Information - Was your firm the prime contractor for the listed project?*

☐ Yes

☐ No

*Response required

7.7 Project Information - Name of Contactor Performing the Work*

*Response required

7.8 Project Information - Name and location of the project*

*Response required

7.9 Project Information - Nature of the firm's responsibility on the project and work for which staff was responsible for*

*Response required

7.10 Project Information - Project Duration*

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 18

7.11 Project Information - Completion (Anticipated) Date*

7.12 Project Information - Size of Project*

*Response required

7.13 Project Information - Cost of Project*

*Response required

8 REFERENCE # 3

8.1 Reference Contact Information - Name of Firm, City, County or Agency*

*Response required

8.2 Reference Contact Information - Reference's Business Address*

*Response required

8.3 Reference Contact Information - Reference's Contact Name & Title*

*Response required

8.4 Reference Contact Information - Reference's E-mail Address*

*Response required

8.5 Reference Contact Information - Reference's Phone Number*

*Response required

8.6 Project Information - Was your firm the prime contractor for the listed project?*

☐ Yes

☐ No

*Response required

8.7 Project Information - Name of Contactor Performing the Work*

*Response required

8.8 Project Information - Name and location of the project*

*Response required

8.9 Project Information - Nature of the firm's responsibility on the project and work for which staff was responsible for*

*Response required

8.10 Project Information - Project Duration*

*Response required

8.11 Project Information - Completion (Anticipated) Date*

*Response required

8.12 Project Information - Size of Project*

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 19

8.13 Project Information - Cost of Project*

9 REFERENCE # 4

9.1 Reference Contact Information - Name of Firm, City, County or Agency

9.2 Reference Contact Information - Reference's Business Address

9.3 Reference Contact Information - Reference's Contact Name & Title

9.4 Reference Contact Information - Reference's E-mail Address

9.5 Reference Contact Information - Reference's Phone Number

9.6 Project Information - Was your firm the prime contractor for the listed project?

☐ Yes

☐ No

9.7 Project Information - Name of Contactor Performing the Work

9.8 Project Information - Name and location of the project

9.9 Project Information - Nature of the firm's responsibility on the project and work for which staff was responsible for

9.10 Project Information - Project Duration

9.11 Project Information - Completion (Anticipated) Date

9.12 Project Information - Size of Project

9.13 Project Information - Cost of Project

10 REFERENCE # 5

10.1 Reference Contact Information - Name of Firm, City, County or Agency

10.2 Reference Contact Information - Reference's Business Address

10.3 Reference Contact Information - Reference's Contact Name & Title

10.4 Reference Contact Information - Reference's E-mail Address

10.5 Reference Contact Information - Reference's Phone Number

10.6 Project Information - Was your firm the prime contractor for the listed project?

☐ Yes

☐ No

10.7 Project Information - Name of Contactor Performing the Work

10.8 Project Information - Name and location of the project

10.9 Project Information - Nature of the firm's responsibility on the project and work for which staff was responsible for

10.10 Project Information - Project Duration

10.11 Project Information - Completion (Anticipated) Date

10.12 Project Information - Size of Project

10.13 Project Information - Cost of Project

11 PROJECT DOCUMENTS

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 20

11.1 PROPOSERS BACKGROUND INFORMATION FORM*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Proposers_Background_Inform...

*Response required

12 SWORN STATEMENT ON PUBLIC ENTITY CRIMES UNDER FLORIDA

STATUTES CHAPTER 287.133(3)(a)

12.1 SWORN STATEMENT ON PUBLIC ENTITY CRIMES FORM*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Sworn_Statement_on_Public_E...

*Response required

12.2 Public Entity Crimes Status*

▪ Which option did you select on the Sworn Statement on Public Entity Crimes Form:

• A) Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, nor any affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989.

• B1) The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND There has been a proceeding concerning the conviction before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer did not place the person or affiliate on the convicted vendor list. (Please attach a copy of the final order.)

• B2) The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer of the State of Florida, Division of Administrative Hear¬ings. The final order entered by the hearing officer determined that it was in the public interest to remove the person or affiliate from the convicted vendor list. (Please attach a copy of the final order.)

https://government-project.s3.us-west-2.amazonaws.com/114860/47c8d454-6a72-46c3-88cd-faf3efa0cfbb_Proposers_Background_Information_Form.xlsx?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4GSVXV34F%2F20260623%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20260623T150051Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEFUaCXVzLXdlc3QtMiJHMEUCIQCV2kJEtmj4RAySQeGWJJNdoWNXiPqizFlqzJN%2Fq8LaxAIgO7IlQnk%2BD%2FMNLl8b8W6sE%2B4t5xBNv7Jv4aILo9Kc7MQqjAUIHhACGgw4OTIzNjQ2ODc2NzIiDJBHdSCEDDWUdXl6BCrpBEiLhf0W7IoMDoc%2BgqhPjwed9%2BDts94KMmdmPAxBVRq5LTKsLRlYe1ZzaofSJ15FZl8T9rMGPTVJoIJTkoZsU64jTerZFzlmyts883GHBbMvgIXqNSrK0BoFnYrGDJWMzRigELl5zSd2d%2BmDhbtJWuOfhI8CDwVMLaBOpSnaIDkJjwhiFYVaTIEgzkL5rU5fmrwmGu18p2FLwejv7ah5dzSO%2FnDMHgdvlNerZwkvgu8hGw3xqnATcW%2F2Dg9gynfRoU8WLj9h9eeIEX%2Fd9iZE7HSuJmXZrXt8nSR5o3S5mnqgjX%2Bw%2F15xEV2mqbD8Kxy1YMil%2BJaW0cbn7JO1bP66Zzd9OJDa2bYqB0Qpoz7ZYJ%2Fql5rQDQEvc4NGwgOWESNjvhUmLV2Rd8iCE4yd4wAhCD7awH4OvOQNYcDo0yATswHMOXu3bHVvUUKo6yZfk5RfKwKfWRYsZVLgrwP63z%2BR80etD4B9KB7Mn8wgQA2Cu1cy23bnFWgJam36uWvWbJ97Cx1pjppbfbK7%2BenDPNGHNIQM720uOPkkl7tLJGG%2BxpYsvDg8SplRpxAcLo8vJS4tnsjRG3yLqOYNI6VVrOjPkkx6ukH6aN1WAnIDvNg4z%2F5Q6xvAI%2FXN48yz4kA6SBdffUG2oQ0Pk7SvnM8%2FT8ir2I1i8%2B%2FapEc8fDiyl158UFwSTDqW0WU9DDKo3hs%2Fl59Ycym8MvCyawnYDzQkRhp1wmXYeKlUAPswqdbK4ewTt2UybzPZtPfj6qxWEr%2Bh5fO1SurBW74i8SDL5E9NDNMi08sj%2Fjk0cXRuMv2SD5yUkpjAks%2F7c51hi8o9MJGM6tEGOpkB4r33w7PBCKbGii10IOl65vCqBSIor8SVRRAZD9fTuLlSpm8%2FVidaT%2F%2FdsOa30sRMTEoguHGjeOPoo2%2Bt6ppwamhAZDGpDKD3w2eLvu7GPOwQAt78kgg4vIa%2BD%2F5q5ycXNLzvbKnEma0IFjZLe7katxpYseQ9jKpTcuoiCJuMxPR6TS1I228b%2BvTBhJ2wDC04HSVxzR%2BwJr3k&X-Amz-Signature=8ae6df074fff6c3e4c63428cc81673da8fd9e29e882e334508b5cd04ca1437e2&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Proposers_Background_Information_Form.xlsx%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/101918/a08213be-7bed-4db1-94ae-c1ceb315d196_Sworn_Statement_on_Public_Entity_Crimes.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4GSVXV34F%2F20260623%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20260623T150051Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEFUaCXVzLXdlc3QtMiJHMEUCIQCV2kJEtmj4RAySQeGWJJNdoWNXiPqizFlqzJN%2Fq8LaxAIgO7IlQnk%2BD%2FMNLl8b8W6sE%2B4t5xBNv7Jv4aILo9Kc7MQqjAUIHhACGgw4OTIzNjQ2ODc2NzIiDJBHdSCEDDWUdXl6BCrpBEiLhf0W7IoMDoc%2BgqhPjwed9%2BDts94KMmdmPAxBVRq5LTKsLRlYe1ZzaofSJ15FZl8T9rMGPTVJoIJTkoZsU64jTerZFzlmyts883GHBbMvgIXqNSrK0BoFnYrGDJWMzRigELl5zSd2d%2BmDhbtJWuOfhI8CDwVMLaBOpSnaIDkJjwhiFYVaTIEgzkL5rU5fmrwmGu18p2FLwejv7ah5dzSO%2FnDMHgdvlNerZwkvgu8hGw3xqnATcW%2F2Dg9gynfRoU8WLj9h9eeIEX%2Fd9iZE7HSuJmXZrXt8nSR5o3S5mnqgjX%2Bw%2F15xEV2mqbD8Kxy1YMil%2BJaW0cbn7JO1bP66Zzd9OJDa2bYqB0Qpoz7ZYJ%2Fql5rQDQEvc4NGwgOWESNjvhUmLV2Rd8iCE4yd4wAhCD7awH4OvOQNYcDo0yATswHMOXu3bHVvUUKo6yZfk5RfKwKfWRYsZVLgrwP63z%2BR80etD4B9KB7Mn8wgQA2Cu1cy23bnFWgJam36uWvWbJ97Cx1pjppbfbK7%2BenDPNGHNIQM720uOPkkl7tLJGG%2BxpYsvDg8SplRpxAcLo8vJS4tnsjRG3yLqOYNI6VVrOjPkkx6ukH6aN1WAnIDvNg4z%2F5Q6xvAI%2FXN48yz4kA6SBdffUG2oQ0Pk7SvnM8%2FT8ir2I1i8%2B%2FapEc8fDiyl158UFwSTDqW0WU9DDKo3hs%2Fl59Ycym8MvCyawnYDzQkRhp1wmXYeKlUAPswqdbK4ewTt2UybzPZtPfj6qxWEr%2Bh5fO1SurBW74i8SDL5E9NDNMi08sj%2Fjk0cXRuMv2SD5yUkpjAks%2F7c51hi8o9MJGM6tEGOpkB4r33w7PBCKbGii10IOl65vCqBSIor8SVRRAZD9fTuLlSpm8%2FVidaT%2F%2FdsOa30sRMTEoguHGjeOPoo2%2Bt6ppwamhAZDGpDKD3w2eLvu7GPOwQAt78kgg4vIa%2BD%2F5q5ycXNLzvbKnEma0IFjZLe7katxpYseQ9jKpTcuoiCJuMxPR6TS1I228b%2BvTBhJ2wDC04HSVxzR%2BwJr3k&X-Amz-Signature=38e556881a6f330636cd2f2528750c45bac988294030fd5206c037b9e883ad40&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Sworn_Statement_on_Public_Entity_Crimes.pdf%22&x-id=GetObject

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 21

• B3) The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND The person or affiliate has not been placed on the convicted vendor list.

(Please describe any action taken by or pending with the Department of General

Services.)

☐ A) No convictions.

☐ B1) Convicted, final order did not place on the convicted vendor list.

☐ B2) Convicted, listed, then removed.

☐ B3) Convicted, not listed, action pending.

*Response required

12.3 Did you select option B1 or B2 above?*

☐ Yes

☐ No

*Response required

When equals "Yes"

12.3.1 Please upload a copy of the final order issued by the hearing officer of the State of

Florida, Division of Administrative Hearings.*

*Response required

12.4 Did you select option B3 above?*

☐ Yes

☐ No

*Response required

When equals "Yes"

12.4.1 Please describe any action taken by or pending with the Department of General

Services.*

*Response required

13 DRUG-FREE WORKPLACE CERTIFICATION

13.1 VENDOR DRUG FREE WORKPLACE CERTIFICATION*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Vendor_Drug-Free_Workplace_...

https://government-project.s3.us-west-2.amazonaws.com/109708/95904db9-709d-4b3e-95c7-64795b66f8b1_Vendor_Drug-Free_Workplace_Certification_Form.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4GSVXV34F%2F20260623%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20260623T150051Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEFUaCXVzLXdlc3QtMiJHMEUCIQCV2kJEtmj4RAySQeGWJJNdoWNXiPqizFlqzJN%2Fq8LaxAIgO7IlQnk%2BD%2FMNLl8b8W6sE%2B4t5xBNv7Jv4aILo9Kc7MQqjAUIHhACGgw4OTIzNjQ2ODc2NzIiDJBHdSCEDDWUdXl6BCrpBEiLhf0W7IoMDoc%2BgqhPjwed9%2BDts94KMmdmPAxBVRq5LTKsLRlYe1ZzaofSJ15FZl8T9rMGPTVJoIJTkoZsU64jTerZFzlmyts883GHBbMvgIXqNSrK0BoFnYrGDJWMzRigELl5zSd2d%2BmDhbtJWuOfhI8CDwVMLaBOpSnaIDkJjwhiFYVaTIEgzkL5rU5fmrwmGu18p2FLwejv7ah5dzSO%2FnDMHgdvlNerZwkvgu8hGw3xqnATcW%2F2Dg9gynfRoU8WLj9h9eeIEX%2Fd9iZE7HSuJmXZrXt8nSR5o3S5mnqgjX%2Bw%2F15xEV2mqbD8Kxy1YMil%2BJaW0cbn7JO1bP66Zzd9OJDa2bYqB0Qpoz7ZYJ%2Fql5rQDQEvc4NGwgOWESNjvhUmLV2Rd8iCE4yd4wAhCD7awH4OvOQNYcDo0yATswHMOXu3bHVvUUKo6yZfk5RfKwKfWRYsZVLgrwP63z%2BR80etD4B9KB7Mn8wgQA2Cu1cy23bnFWgJam36uWvWbJ97Cx1pjppbfbK7%2BenDPNGHNIQM720uOPkkl7tLJGG%2BxpYsvDg8SplRpxAcLo8vJS4tnsjRG3yLqOYNI6VVrOjPkkx6ukH6aN1WAnIDvNg4z%2F5Q6xvAI%2FXN48yz4kA6SBdffUG2oQ0Pk7SvnM8%2FT8ir2I1i8%2B%2FapEc8fDiyl158UFwSTDqW0WU9DDKo3hs%2Fl59Ycym8MvCyawnYDzQkRhp1wmXYeKlUAPswqdbK4ewTt2UybzPZtPfj6qxWEr%2Bh5fO1SurBW74i8SDL5E9NDNMi08sj%2Fjk0cXRuMv2SD5yUkpjAks%2F7c51hi8o9MJGM6tEGOpkB4r33w7PBCKbGii10IOl65vCqBSIor8SVRRAZD9fTuLlSpm8%2FVidaT%2F%2FdsOa30sRMTEoguHGjeOPoo2%2Bt6ppwamhAZDGpDKD3w2eLvu7GPOwQAt78kgg4vIa%2BD%2F5q5ycXNLzvbKnEma0IFjZLe7katxpYseQ9jKpTcuoiCJuMxPR6TS1I228b%2BvTBhJ2wDC04HSVxzR%2BwJr3k&X-Amz-Signature=0eeebe3680c49182143be12eb97a8fdfe1e14b53fc1a7d5ea1f2dea300bc888c&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Vendor_Drug-Free_Workplace_Certification_Form.pdf%22&x-id=GetObject

RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 22

13.2 Drug-Free Status*

☐ Complies fully.

☐ Does not comply.

*Response required

14 STANDARD DOCUMENTS

The following documents are standard documents that the City generally requires for every solicitation. As a result, we recommend vendors to keep these documents updated and readily available so that they can be easily uploaded for each project that the vendor would like to participate in. In the event that the City does not have one of the forms or documents listed below for your company, the City may reach out to your company after the bid has closed to obtain the document(s).

14.1 NON-COLLUSIVE AFFIDAVIT*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Non-Collusive_Affidavit.pdf

*Response required

14.2 SCRUTINIZED COMPANY CERTIFICATION*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Scrutinized_Company_Certifi...

*Response required

14.3 E-VERIFY SYSTEM CERTIFICATION*

a. Please download the attached document, complete all required fields, and upload the completed form here.

b. Effective January 1, 2021, pursuant to Section 448.095. Florida Statues, the City may not enter into a contract with a vendor/contractor/subcontractor unless that vendor/contractor/subcontractor is registered with and uses the E- Verify system administered by the U.S. Department of Homeland Security (“DHS”).

c. Contractor shall also require all subcontractors to provide an affidavit attesting that the subcontractor does not employ, contract with, or subcontract with, an unauthorized alien. The Contractor shall maintain a copy of such affidavit for the duration of the contract.

• E-Verify_System_Certificati...

*Response required https://government-project.s3.us-west-2.amazonaws.com/101918/08f82742-419a-4dde-b6b9-9037dd638daf_Non-Collusive_Affidavit.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4GSVXV34F%2F20260623%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20260623T150051Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEFUaCXVzLXdlc3QtMiJHMEUCIQCV2kJEtmj4RAySQeGWJJNdoWNXiPqizFlqzJN%2Fq8LaxAIgO7IlQnk%2BD%2FMNLl8b8W6sE%2B4t5xBNv7Jv4aILo9Kc7MQqjAUIHhACGgw4OTIzNjQ2ODc2NzIiDJBHdSCEDDWUdXl6BCrpBEiLhf0W7IoMDoc%2BgqhPjwed9%2BDts94KMmdmPAxBVRq5LTKsLRlYe1ZzaofSJ15FZl8T9rMGPTVJoIJTkoZsU64jTerZFzlmyts883GHBbMvgIXqNSrK0BoFnYrGDJWMzRigELl5zSd2d%2BmDhbtJWuOfhI8CDwVMLaBOpSnaIDkJjwhiFYVaTIEgzkL5rU5fmrwmGu18p2FLwejv7ah5dzSO%2FnDMHgdvlNerZwkvgu8hGw3xqnATcW%2F2Dg9gynfRoU8WLj9h9eeIEX%2Fd9iZE7HSuJmXZrXt8nSR5o3S5mnqgjX%2Bw%2F15xEV2mqbD8Kxy1YMil%2BJaW0cbn7JO1bP66Zzd9OJDa2bYqB0Qpoz7ZYJ%2Fql5rQDQEvc4NGwgOWESNjvhUmLV2Rd8iCE4yd4wAhCD7awH4OvOQNYcDo0yATswHMOXu3bHVvUUKo6yZfk5RfKwKfWRYsZVLgrwP63z%2BR80etD4B9KB7Mn8wgQA2Cu1cy23bnFWgJam36uWvWbJ97Cx1pjppbfbK7%2BenDPNGHNIQM720uOPkkl7tLJGG%2BxpYsvDg8SplRpxAcLo8vJS4tnsjRG3yLqOYNI6VVrOjPkkx6ukH6aN1WAnIDvNg4z%2F5Q6xvAI%2FXN48yz4kA6SBdffUG2oQ0Pk7SvnM8%2FT8ir2I1i8%2B%2FapEc8fDiyl158UFwSTDqW0WU9DDKo3hs%2Fl59Ycym8MvCyawnYDzQkRhp1wmXYeKlUAPswqdbK4ewTt2UybzPZtPfj6qxWEr%2Bh5fO1SurBW74i8SDL5E9NDNMi08sj%2Fjk0cXRuMv2SD5yUkpjAks%2F7c51hi8o9MJGM6tEGOpkB4r33w7PBCKbGii10IOl65vCqBSIor8SVRRAZD9fTuLlSpm8%2FVidaT%2F%2FdsOa30sRMTEoguHGjeOPoo2%2Bt6ppwamhAZDGpDKD3w2eLvu7GPOwQAt78kgg4vIa%2BD%2F5q5ycXNLzvbKnEma0IFjZLe7katxpYseQ9jKpTcuoiCJuMxPR6TS1I228b%2BvTBhJ2wDC04HSVxzR%2BwJr3k&X-Amz-Signature=58a67b73272a30f96aa755a1bf61942c7ad3cdacaaa02c1206384cc1dbf6e613&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Non-Collusive_Affidavit.pdf%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/109708/16499809-6cf6-45c6-82b3-2f8344bf336b_Scrutinized_Company_Certification.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4GSVXV34F%2F20260623%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20260623T150051Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEFUaCXVzLXdlc3QtMiJHMEUCIQCV2kJEtmj4RAySQeGWJJNdoWNXiPqizFlqzJN%2Fq8LaxAIgO7IlQnk%2BD%2FMNLl8b8W6sE%2B4t5xBNv7Jv4aILo9Kc7MQqjAUIHhACGgw4OTIzNjQ2ODc2NzIiDJBHdSCEDDWUdXl6BCrpBEiLhf0W7IoMDoc%2BgqhPjwed9%2BDts94KMmdmPAxBVRq5LTKsLRlYe1ZzaofSJ15FZl8T9rMGPTVJoIJTkoZsU64jTerZFzlmyts883GHBbMvgIXqNSrK0BoFnYrGDJWMzRigELl5zSd2d%2BmDhbtJWuOfhI8CDwVMLaBOpSnaIDkJjwhiFYVaTIEgzkL5rU5fmrwmGu18p2FLwejv7ah5dzSO%2FnDMHgdvlNerZwkvgu8hGw3xqnATcW%2F2Dg9gynfRoU8WLj9h9eeIEX%2Fd9iZE7HSuJmXZrXt8nSR5o3S5mnqgjX%2Bw%2F15xEV2mqbD8Kxy1YMil%2BJaW0cbn7JO1bP66Zzd9OJDa2bYqB0Qpoz7ZYJ%2Fql5rQDQEvc4NGwgOWESNjvhUmLV2Rd8iCE4yd4wAhCD7awH4OvOQNYcDo0yATswHMOXu3bHVvUUKo6yZfk5RfKwKfWRYsZVLgrwP63z%2BR80etD4B9KB7Mn8wgQA2Cu1cy23bnFWgJam36uWvWbJ97Cx1pjppbfbK7%2BenDPNGHNIQM720uOPkkl7tLJGG%2BxpYsvDg8SplRpxAcLo8vJS4tnsjRG3yLqOYNI6VVrOjPkkx6ukH6aN1WAnIDvNg4z%2F5Q6xvAI%2FXN48yz4kA6SBdffUG2oQ0Pk7SvnM8%2FT8ir2I1i8%2B%2FapEc8fDiyl158UFwSTDqW0WU9DDKo3hs%2Fl59Ycym8MvCyawnYDzQkRhp1wmXYeKlUAPswqdbK4ewTt2UybzPZtPfj6qxWEr%2Bh5fO1SurBW74i8SDL5E9NDNMi08sj%2Fjk0cXRuMv2SD5yUkpjAks%2F7c51hi8o9MJGM6tEGOpkB4r33w7PBCKbGii10IOl65vCqBSIor8SVRRAZD9fTuLlSpm8%2FVidaT%2F%2FdsOa30sRMTEoguHGjeOPoo2%2Bt6ppwamhAZDGpDKD3w2eLvu7GPOwQAt78kgg4vIa%2BD%2F5q5ycXNLzvbKnEma0IFjZLe7katxpYseQ9jKpTcuoiCJuMxPR6TS1I228b%2BvTBhJ2wDC04HSVxzR%2BwJr3k&X-Amz-Signature=c276ae1bad60fee500fbc8271c54d275debd0a4d0b914c79a9d9181c887c4641&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Scrutinized_Company_Certification.pdf%22&x-id=GetObject 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RFQ # PL-26-01 SECTION 5 - SUBMITTAL DOCUMENTS Page 23

14.4 HUMAN TRAFFICKING AFFIDAVIT*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Human_Trafficking_Affidavit...

*Response required

15 VENDOR REGISTRATION

15.1 Do you currently have a City of Pembroke Pines Vendor Number registered in the

PaymentWorks System?*

▪ The City of Pembroke Pines utilizes OpenGov as its e-Procurement platform for solicitation and bid submission purposes. However, please be advised that vendor registration for onboarding and processing payments is handled separately through the City's Accounts Payable Division using PaymentWorks, a secure online vendor management platform.

▪ All vendors that will be submitting invoices and requiring payments from the City are required to register on the PaymentWorks platform. If the vendor is not currently registered with the City via PaymentWorks and does not have a Vendor Number, the

City will have to invite the vendor to register.

▪ For formal solicitations such as this project, the Procurement Department will send

PaymentWorks registration invitations to vendor(s) who are under active consideration for award. Please be aware that not all vendors who submit proposals will receive an invitation, in order to manage system usage and avoid onboarding vendors who are unlikely to receive payments from the City.

▪ Invitations will typically be sent to the contact listed on the submitted Vendor

Information Form.

☐ Yes

☐ No

*Response required

When equals "Yes"

15.1.1 What is your Vendor Number?*

*Response required

15.2 VENDOR INFORMATION FORM*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Vendor_Information_Form.pdf…