Form 4 - Sub-contractors.pdf

PDF 65 KB Posted

Attached to
ITB-DEM-25-26-020 - WebEOC
Solicitation number
ITB-15570
Issued by
Leon County, Florida

About this file

This is Form 4, a Subcontractors declaration document used by the Florida Division of Emergency Management for the ITB-DEM-25-26-020 solicitation regarding WebEOC software and services. Respondents to this invitation to bid are required to submit a separate Form 4 for each subcontractor that will provide services necessary to meet the solicitation requirements. The form requests comprehensive information about proposed subcontracting arrangements, including the subcontractor's legal business name, Federal Employer Identification Number (FEID), primary contact information, and complete address. Respondents may indicate that no subcontracting is required by initialing the designated space on the form.

The form requires respondents to provide a detailed description of the services or assets each subcontractor will deliver to support the Division's comprehensive web-based Emergency Management platform. Additionally, respondents must disclose whether the proposed subcontractor maintains Certified Minority Business Enterprise (CMBE) status and obtain the subcontractor's authorized signature along with printed name on the declaration. Submission of Form 4 does not constitute Division approval of the proposed subcontractors but rather provides the Division with information for evaluation and review purposes during the bid assessment process.

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Text version

FORM 4 – SUBCONTRACTORS

Respondents must complete a separate Form 3 for each subcontractor that will provide services to the Respondent in order to meet the requirements of the solicitation. Submission of this form does not indicate the Division’s approval but provides the Division with information on proposed subcontractors for review.

If no subcontracting will be required for this solicitation, please initial here: ________.

If subcontracting will be required, please fill out the information below:

Name of Subcontractor/Company: ________________________________________________

FEID of Subcontractor: _________________________________________________________

Contact Name: _______________________________________________________________

Contact Phone: _______________________________________________________________

Address: ____________________________________________________________________

Description of services or assets to be provided:

Is the Subcontractor registered as a Certified Minority Business Enterprise? _______________

Signature of Subcontractor: _______________________________

Printed Name: _________________________________________

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