Form_1_Vendor_Declaration_Statement.pdf
PDF 122 KB Posted
- Solicitation number
- 25-8428
- Issued by
- Collier County, Florida
About this file
This is a Vendor Declaration Statement form issued by the Collier County Board of County Commissioners in Florida for Solicitation No. 25-8428, pertaining to vehicle fire suppression systems and fire extinguisher services for the Collier Area Transit (CAT) bus fleet. The procurement seeks comprehensive services including inspection, certification, maintenance, and repair of fire suppression systems and portable fire extinguishers for 54 buses equipped with two primary system types (Amerex and Fogmaker) and 80 extinguishers. All work is to be performed at the CAT Maintenance Facility in Naples, Florida. The contract term is three years with two optional one-year renewal periods. Bids are due October 17, 2025, at 3:00 PM EST and must be submitted through the county's online bidding system. Historical annual spending for these services is approximately $40,000, though this may not be indicative of future buying patterns.
The form requires vendors to certify compliance with ethical standards, disclose any conflicts of interest involving county officials or employees, and confirm no collusion or fraud in bid preparation. Vendors must acknowledge acceptance of all solicitation terms, conditions, specifications, and scope of work, and agree to execute a formal contract if awarded. The declaration must be signed by a duly authorized corporate representative under penalties of perjury. Vendors are prohibited from marking up subcontractor fees if the subcontractor is a related entity. The solicitation is grant-funded through the Federal Transit Authority and requires strict compliance with federal contract provisions. Critical compliance requirements include E-Verify program enrollment, immigration law compliance documentation, comprehensive insurance coverage (worker's compensation, general liability, and automobile liability), and performance and payment bonds for projects exceeding $200,000. The county reserves the right to award to the lowest responsive and responsible vendor and may select primary, secondary, and tertiary awardees per category, with unilateral termination rights for non-compliance.
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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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