Form_1_Vendor_Declaration_Statement.pdf
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- Solicitation number
- 25-8523
- Issued by
- Collier County, Florida
About this file
This is a Vendor Declaration Statement form issued by Collier County Government's Procurement Services Division in Florida for the Bypass Pump Preventative Maintenance, Repair and Replacement solicitation. The form requires vendors to declare that their bid submission is made without collusion or fraud and in compliance with the County's Procurement Ordinance and ethical standards. Vendors must certify that no elected or appointed officials, employees, or their relatives have a financial interest exceeding one percent in the proposed contract, and must disclose any such relationships on company letterhead at the time of submission. The County reserves the right to determine whether conflicts exist and whether to accept or reject submissions. Vendors acknowledge they have reviewed and accepted all instructions, purchase order terms, requirements, and specifications, and agree to either accept a Purchase Order or execute a formal Collier County contract if awarded. The contract term extends for three years with two optional one-year renewals, with bids due February 9, 2026, at 3:00 p.m., submitted electronically through the County's procurement platform. The anticipated scope includes approximately 150 hours of Site Superintendent services, 100 hours of Supervisor services, and 300 hours of Service Technician services, with repairs under $5,000 requiring verbal or written approval and repairs exceeding $5,000 requiring detailed quotes within three business days.
The procurement utilizes a lowest-price award mechanism to identify primary, secondary, and tertiary vendors for maintenance needs. Pricing must include all-inclusive hourly rates for labor categories encompassing travel expenses and equipment, with specific markup rates for equipment, parts, rental equipment, and subcontractor services. Vendors are prohibited from marking up subcontractor fees for related entities. All vendors must be enrolled in E-Verify, possess appropriate business tax receipts, professional licenses, and a Florida Certificate of Conduct Business, along with certifications in diesel engine repair and bypass pump repair and 24/7 availability capability. The contract is grant-funded, potentially through FEMA Public Assistance, introducing additional federal compliance requirements. Historical annual expenditures averaged approximately $45,000; however, spending increased dramatically to $14 million in 2022 due to Hurricane Ian recovery efforts. No pre-bid meeting is scheduled, and no specific set-aside designations for disadvantaged enterprises are outlined.
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Text version
Version 2 9.2.25
Procurement Services Division
Form 1: Vendor Declaration Statement
BOARD OF COUNTY COMMISSIONERS
Collier County Government Complex Naples, Florida 34112
Dear Commissioners:
The undersigned, as Vendor declares that this response is made without connection or arrangement with any other person and the bid/proposal submittal is in every respect fair and made in good faith, without collusion or fraud and in compliance with the Procurement Ordinance, Section Seven, Ethical Standards.
The vendor certifies to the best of their knowledge or belief, no elected/appointed official or employee of Collier County, a spouse thereof or other person residing in the same household, is financially interested, directly or indirectly, in providing the goods or services specified in any submitted bid or proposal. A financial interest is defined as ownership of more than one percent (1%) of the total assets or capital stock or being an officer, director, manager, partner, proprietor, or agent of the business submitting the bid or proposal or of any subcontractor or supplier thereof providing goods or services in excess of one percent (1%) of the total bid or proposal amount. Additionally, the vendor, on company letterhead, must divulge at the time of the submittal of a bid or proposal, any relative, other than those already specified, of an elected or appointed official or employee of the County who has a financial interest, in providing the goods or services specified in the bid or proposal. The County, at its sole discretion, will determine whether a conflict exists and whether to accept or reject the bid or proposal.
The Vendor hereby declares the instructions, purchase order terms and conditions, requirements, and specifications/scope of work of this solicitation have been fully examined and accepted.
The Vendor agrees, if this solicitation submittal is accepted by Collier County, to accept a Purchase Order as a form of a formal contract or to execute a Collier County formal contract for purposes of establishing a contractual relationship between the Vendor and Collier County, for the performance of all requirements to which this solicitation pertains. The Vendor states that the submitted is based upon the documents listed in this solicitation. The Vendor agrees to comply with the requirements in accordance with the terms, conditions and specifications denoted herein and according to the pricing submitted as a part of the Vendor’s bids.
Further, the Vendor agrees that if awarded a contract for these goods and/or services and a subcontractor is a related entity to the Vendor, then the Vendor shall not mark-up the subcontractor’s fees. A related entity shall be defined as any parent or subsidiary of the company and any business, corporation, partnership, limited liability company or other entity in which the company or a parent or a subsidiary of the company holds any ownership interest, directly or indirectly.
Under penalties of perjury, I certify that the information shown on this form is correct to my knowledge and a duly corporate authorized representative with signature authority.
Company Name: _________________________________________
Date: _____________________________
Signature: ____________________________________________ Title: _____________________________
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