FORM 5 - Subcontracting.pdf

PDF 98 KB Posted

Attached to
Operation and Management of Contractor-Operated Correctional Facilities – South Bay CF
Solicitation number
ITN-17169
Issued by
Palm Beach County, Florida

About this file

This is a subcontracting form (Form 5) from the Florida Department of Corrections for ITN-27-023, which concerns the operation and management of the South Bay Correctional Facility. The form requires respondents to provide detailed information about all proposed subcontractors that will deliver services under the resulting contract. Respondents must indicate whether subcontractors will be utilized, and if so, must complete a separate form for each subcontractor. For each proposed subcontractor, respondents must supply the service type, company name, primary contact information, occupational license number, and a detailed job description outlining the subcontractor's specific responsibilities and duties in relation to the technical specifications outlined in the solicitation.

The form includes verification requirements for proposed subcontractors, including confirmation of Minority Business Enterprise (MBE), Women-Owned Business (WBE), or Veteran-Owned certifications, if applicable. Respondents must also acknowledge that subcontractors have successfully completed the Department's "Subcontractor Acceptance Process" and provide W-9 verification. Submission of the subcontracting form does not constitute departmental approval of proposed subcontractors; rather, it provides the Department with information for review and evaluation purposes prior to contract award.

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Other files

File Type Posted
FORM 2 - Notice of Conflict of Interest.pdf PDF
FORM 3 - Statement of No involvement.pdf PDF
Attachment H - Current Facility Program Plan - South Bay.pdf PDF
FORM 1 - Contact Information.pdf PDF
FORM 7 - Pass Fail Requirement Certification and Non-Collusion Certification.pdf PDF
Attachment B - South Bay Fixtures, Furnishings & Equipment Inventory.pdf PDF
FORM 8 - PUR1355 Foreign Country of Concern Attestation.docx DOCX document
Attachment L - Reference Questionnaire.docx DOCX document
FORM 9 - PUR 7801 Vendor Certification Form.docx DOCX document
FORM 10 - PUR 2023 and PUR 2024 Combined.pdf PDF
Attachment G - Florida Department of Corrections Alphabetical State Drug Formulary August 2026.pdf PDF
Attachment E - South Bay Operating Per Diem.pdf PDF
Attachment J - Confidentiality and Non-Disclosure Agreement.pdf PDF
ITN-27-023 Contractor Operated CF SBay Final.pdf PDF
FORM 12 - REPLY BOND FORM.docx DOCX document
Exhibit K - Quarterly Performance Measures and Deliverables - South Bay.pdf PDF
Exhibit M - 27-28 IWTF Request Template.pdf PDF
FORM 6 - Mandatory Responsiveness Requiements.pdf PDF
Attachment F - Florida Department of Corrections Menu 2025-2026.pdf PDF
FORM 4 - Business Experience.pdf PDF
Attachment C - South Bay Price Sheet.xlsx XLSX spreadsheet
Exhibit J - Transition Schedule Requirements - South Bay.pdf PDF
FORM 11 - DRUG FREE WORKPLACE.pdf PDF
Attachment M - Business Associate Agreement for HIPPA.docx DOCX document
Exhibit I - Transition Plan Requirements - South Bay.pdf PDF
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Text version

FORM 5 – SUBCONTRACTING

FDC-ITN-27-023

Operation and Management of Contractor-Operated Correctional Facilities

The Respondent is to complete the information below on all subcontractors that shall provide services to the Respondent to meet the requirements of the resultant contract, should the Respondent be awarded. Submission of this form does not indicate the Department’s approval but provides the Department with information on proposed subcontractors for review.

Please complete a separate sheet for each subcontractor.

There will be subcontractors for this solicitation: YES ____ NO ____ (check one)

If no, vendor is not required to complete the remainder of this form.

If yes, vendor is required to complete the remainder of this form.

Service:

Company Name:

Contact:

Address:

Telephone:

Fax:

Occupational License No:

Current Registered as Certified Minority Business Enterprise (CMBE), Women-Owned Business (WBE), or Veteran-Owned? YES ____ NO ____ (check one)

Acknowledgment from Respondent that this subcontractor has successfully complied with the "Subcontractor Acceptance Process"? YES ____ NO ____ (check one)

W-9 verification: YES ____ NO ____ (check one)

In a job description format, describe below the responsibilities and duties of the subcontractor based on the technical specifications outlined in this solicitation.

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