Form_1_Vendor_Declaration_Statement.pdf
PDF 122 KB Posted
- Attached to
- Emergency Catering Services (GRANT FUNDED)
- Solicitation number
- 25-8520
- Issued by
- Collier County, Florida
About this file
This is a Vendor Declaration Statement form issued by Collier County, Florida's Board of County Commissioners Procurement Services Division for the Emergency Catering Services Request for Proposal. The form requires vendors to declare that their proposal is submitted in good faith without collusion or fraud and in compliance with the County's Procurement Ordinance and ethical standards. Vendors must certify that no elected or appointed county officials, their spouses, or household members have a financial interest exceeding one percent of the bid amount in the vendor, subcontractors, or suppliers. Proposals are due January 16, 2026, at 3:00 PM through the Collier County Procurement Services Division Online Bidding System. The County intends to award Primary, Secondary, and Tertiary vendors for an initial three-year contract term with potential one to two two-year renewal options. The contract requires vendors to provide meal support during disaster response scenarios such as hurricanes, tropical storms, wildfires, and pandemics at two primary locations with potential expansion to additional sites, utilizing either off-site boxed meal delivery or on-site mobile kitchen deployment models.
This form requires vendors to acknowledge receipt and acceptance of all solicitation documents, terms, conditions, requirements, and specifications. Vendors must agree to accept either a Purchase Order or formal Collier County contract upon award and to comply with all stated requirements and pricing. The form mandates that if a subcontractor is a related entity to the vendor, no mark-up of subcontractor fees is permitted. Related entities include parent or subsidiary companies and any business in which the vendor holds ownership interest. The form must be completed by a duly authorized corporate representative with signature authority and submitted under penalties of perjury. Historical context indicates the previous contract was activated four times for major hurricanes with total expenditures of approximately $800,000 and meal volumes ranging from 1,200 to 2,615 meals per day. The contract is grant-funded through FEMA Public Assistance and requires vendors to maintain comprehensive insurance coverage, including $1,000,000 per occurrence Commercial General Liability coverage with Collier County named as additional insured.
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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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