Form 3 - Foreign Countries of Concern.docx
DOCX document 31 KB Posted
- Attached to
- Emergency Fuels State and local contract opportunity
- Solicitation number
- RFP-12351
- Issued by
- Leon County, Florida
About this file
The document is Form 3 - Foreign Countries of Concern, a compliance attestation form for the Florida Division of Emergency Management's (FDEM) Emergency Fueling Contract solicitation (RFP-DEM-24-25-018). The RFP seeks qualified vendors to provide comprehensive fuel, equipment, and personnel resources for emergency preparedness and disaster response, with vendors required to mobilize a minimum of 20 vehicles within 24 hours and 100 vehicles within 7 days. The contract will support multiple fuel types including gasoline, diesel, aviation, marine, and propane, with a three-year initial term and potential for three additional one-year renewals. Key dates include a question submission deadline of April 24, 2025, proposal due date of May 13, 2025, a public opening on May 14, 2025, and an anticipated Notice of Intent to Award by June 24, 2025.
The solicitation includes multiple compliance requirements impacting vendor eligibility, such as certification of non-participation in boycotts, E-Verify system compliance, and attestations regarding labor practices and foreign country connections. Vendors must provide a $5 million performance bond and maintain extensive insurance coverage. While no specific set-aside designations are explicitly mentioned, the Form 6 Subcontractors document suggests potential preferences for Certified Minority Business Enterprises. The evaluation will allocate 150 points to technical proposals, 80 points for vendor resources, and 70 points for price proposal. Contractors will be required to support the State Emergency Response Team (SERT) during various emergency activations, with contract usage dependent on agency needs and no guaranteed minimum purchase quantity specified.
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Text version
FORM 3
FOREIGN COUNTRY OF CONCERN ATTESTATION
(PUR 1355)
This form must be completed by an officer or representative of an entity submitting a bid, proposal, or reply to, or entering into, renewing, or extending, a contract with a Governmental Entity which would grant the entity access to an individual’s Personal Identifying Information. Capitalized terms used herein have the definitions ascribed in Rule 60A-1.020, F.A.C.
Name of entity is not owned by the government of a Foreign Country of Concern, is not organized under the laws of nor has its Principal Place of Business in a Foreign Country of Concern, and the government of a Foreign Country of Concern does not have a Controlling Interest in the entity.
Under penalties of perjury, I declare that I have read the foregoing statement and that the facts stated in it are true.
Printed Name:
Title:
Signature: Date:
PUR 1355 (10/23) Page 1 of 1 Rule 60A-1.020, F.A.C.
File details come from the government source that posted it. Updated .