Exhibit_J_RESPONSIBILITY_DETERMINATION_FORM.pdf

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Attached to
Western Destin Dune Vegetation Project-FEMA
Solicitation number
ITB TDD 62-26
Issued by
Okaloosa County, Florida

About this file

This is a Responsibility Determination Form used by the Board of County Commissioners of Okaloosa County, Florida, to evaluate contractor qualifications for the Western Destin Dune Vegetation Project funded by FEMA. The form serves as a pre-award assessment tool to verify that selected contractors meet essential capability and compliance requirements before contract execution. The evaluation covers seven critical areas: adequate financial resources, equipment, facilities, and personnel; ability to meet delivery schedules; satisfactory performance history; record of integrity and absence from debarred or suspended vendor lists; receipt of complete necessary data from the supplier; System for Award Management (SAM) verification; and absence of conflicts of interest.

The form requires evaluation personnel to document their research findings for each responsibility criterion by indicating whether requirements have been met and providing brief descriptions of the research conducted and results obtained. This standardized checklist ensures consistent and thorough vetting of all potential contractors before award of the dune vegetation, sand fencing, signage, and post and rope installation contract. The form's systematic approach helps mitigate procurement risk and ensures that contracted work will be completed by qualified, compliant, and financially stable vendors capable of fulfilling the project's scope of work as outlined in the construction drawings and specifications.

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Text version

EXHIBIT J: RESPONSIBILITY DETERMINATION FORM

Bid/RFP No:

Supplier:

Date:

For each of the areas described below, check that the appropriate research has been accomplished and provide a short description of the research and the results.

Acceptable Comment

1. Appropriate financial, equipment, Yes ∆ No facility, and personnel

2. Ability to meet the delivery schedule Yes No

3. Satisfactory period of performance Yes No

4. Satisfactory record of integrity, not Yes No on debarred or suspended listings

5. Receipt of all necessary data from Yes No supplier

6. System for Award Management Yes No

(SAM) check

7. Conflict of Interest Yes No

Blank Page

BidRFP No 1:
BidRFP No 2:
BidRFP No 3:
fill_4:
fill_5:
fill_8:
fill_9:
fill_10:
fill_11:
fill_12:
fill_13:
fill_14:
fill_15:
fill_16:
fill_17:
fill_20:
fill_21:
fill_24:
fill_25:
1:
2:
1_2:
2_2:
1_3:
2_3:
1_4:
2_4:
fill_28:
fill_29:
fill_30:
fill_31:
Check Box8: Off
Check Box9: Off
Check Box10: Off
Check Box11: Off
Check Box12: Off
Check Box13: Off
Check Box14: Off
Check Box15: Off
Check Box16: Off
Check Box17: Off
Check Box18: Off
Check Box19: Off
Check Box20: Off
Check Box21: Off

File details come from the government source that posted it. Updated .