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

Form 4 is a subcontractor disclosure document required by the Florida Division of Emergency Management for the ITB-DEM-25-26-020 WebEOC procurement. Respondents must submit a separate Form 4 for each proposed subcontractor that will provide services to meet solicitation requirements, or initial the form to indicate no subcontracting will occur. The form requires disclosure of the subcontractor's name, Federal Employer Identification Number (FEID), contact name and phone number, business address, and a detailed description of services or assets to be provided. Respondents must also indicate whether the subcontractor holds Certified Minority Business Enterprise (CMBE) status and obtain the subcontractor's signature and printed name on the form. The submission of Form 4 does not constitute Division approval of the proposed subcontractor but rather provides the Division with information for review and evaluation purposes.

This subcontractor disclosure requirement is part of a comprehensive procurement for a web-based emergency management software platform supporting statewide operations across Leon County and Florida, with deliverables encompassing over 300 product line items including ASP hosting, SaaS subscriptions, perpetual licenses, professional implementation services, training programs, and complementary software modules. The solicitation requires all staff and subcontractors to undergo Level 2 background screening and mandates compliance with drug-free workplace requirements and E-Verify registration for newly hired employees. When identical tie bids are received from certified minority businesses with equal pricing and service ratings, preference is given to vendors with certified drug-free workplace programs. The bid submission deadline is April 28, 2026, at 5:00 PM Eastern Time, with public opening scheduled for April 29, 2026, at 9:00 AM and the anticipated Notice of Intent to Award on May 13, 2026. The contract term spans five years with renewal options for up to three additional years, and bidders must submit one hard copy and one electronic copy via USB flash drive of all required materials.

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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 .