Form 5 - Common or Contracted Carrier.docx

DOCX document 28 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 a Form 5 Common or Contracted Carrier Attestation Form for the Florida Division of Emergency Management (FDEM), specifically related to an Emergency Fueling Contract solicitation (RFP-DEM-24-25-018). The solicitation seeks qualified vendors to provide comprehensive fuel, equipment, and personnel resources for emergency preparedness and disaster response, with requirements including a minimum fleet of 20 vehicles deployable within 24 hours and 100 vehicles within 7 days. The contract will support multiple fuel types (gasoline, diesel, aviation, marine, and propane) with a three-year initial term and potential for three additional one-year renewals. Key procurement 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 comprehensive evaluation criteria with 150 points for technical proposals, 80 points for vendor resources, and 70 points for pricing. Vendors must provide a $5 million performance bond and maintain extensive insurance coverage. While no specific set-aside designations are explicitly mentioned, the solicitation suggests potential preferences for Certified Minority Business Enterprises. Compliance requirements include non-participation in boycotts, E-Verify system compliance, and attestations regarding labor practices and foreign country connections. The contract usage will be entirely dependent on agency needs, with vendors expected to support the State Emergency Response Team (SERT) during various emergency activations. No guaranteed minimum purchase quantity is specified, and the comprehensive nature of the solicitation suggests a potentially significant contract value.

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Other files for this state and local contract opportunity

Other files attached to Emergency Fuels, newest first.
File Type Posted
Attachment B - Price Proposal.xlsx XLSX spreadsheet
Attachment C - Vendor Resources.xlsx XLSX spreadsheet
Form 2 - Vendor Certification Form.docx DOCX document
Form 6 - Subcontractors.docx DOCX document
Addenda 1 RFP-DEM-24-25-018 Emergency Fuels.pdf PDF
Attachment B - Price Proposal.xlsx XLSX spreadsheet
Form 6 - Subcontractors.docx DOCX document
Form 1 - Vendor Acknowledgement.docx DOCX document
Form 5 - Common or Contracted Carrier.docx DOCX document
Form 2 - Vendor Certification Form.docx DOCX document
Form 4 - Use of Coercion Forced Labor.docx DOCX document
Form 7 - Addendum Acknowledgement.docx DOCX document
Form 4 - Use of Coercion Forced Labor.docx DOCX document
RFP-DEM-24-25-018 Emergency Fuels.pdf PDF
Attachment B - Price Proposal.xlsx XLSX spreadsheet
Attachment C - Vendor Resources.xlsx XLSX spreadsheet
Form 1 - Vendor Acknowledgement.docx DOCX document
Form 4 - Use of Coercion Forced Labor.docx DOCX document
Addenda 2 RFP-DEM-24-25-018 Emergency Fuels.pdf PDF
Attachment C - Vendor Resources.xlsx XLSX spreadsheet
Form 1 - Vendor Acknowledgement.docx DOCX document
Form 5 - Common or Contracted Carrier.docx DOCX document
Form 3 - Foreign Countries of Concern.docx DOCX document
Form 3 - Foreign Countries of Concern.docx DOCX document
Form 6 - Subcontractors.docx DOCX document
Form 7 - Addendum Acknowledgement.docx DOCX document
RFP-DEM-24-25-018 Emergency Fuels.pdf PDF
Addenda 1 RFP-DEM-24-25-018 Emergency Fuels.pdf PDF
Form 2 - Vendor Certification Form.docx DOCX document
Form 3 - Foreign Countries of Concern.docx DOCX document
RFP-DEM-24-25-018 Emergency Fuels.pdf PDF
Form 7 - Addendum Acknowledgement.docx DOCX document
Show all 32

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Text version

Form 5

COMMON CARRIER OR CONTRACTED CARRIER ATTESTATION FORM

(PUR 1808)

This form must be completed by a Common Carrier or contracted carrier and submitted to the Governmental Entity with which a Contract being is executed, amended, or renewed. Capitalized terms used herein have the definitions ascribed in section 908.111, F.S.

[Name of Common Carrier or contracted carrier] is not willfully providing and will not willfully provide any service during the Contract term in furtherance of transporting a person into this state knowing that the person is an Unauthorized Alien, except to facilitate the detention, removal, or departure of the person from this state or the United States.

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 1808 (08/22) Page 1 of 1 60A-1.020, F.A.C.

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