ITB 2023-26 Part3.pdf

BID NO: ITB 2023-26 Classroom Assessment Scoring System Observation Support

ATTACHMENT ‘E’

STATE OF FLORIDA DEPARTMENT OF EDUCATION

MINORITY SUB CONTRACTORS’ UTILIZATION SUMMARY

The Department’s Supplier Diversity initiative strives to ensure the promise of Florida’s future is shared by all of its residents, regardless of race, ethnicity, disability, neighborhood or background. To that end, the Department is dedicated to support, track and increase its small, minority-, women-, and service-disabled veteran business enterprise spending with prime contractors and subcontractors. This form was developed to assist in these efforts.

The Prime Contractor shall report all small, minority-, women-, and service-disabled veteran business enterprise Subcontractors, identifying the Name, Address, Type of Certification and Dollar Amount on the form below. The Prime Contractor shall submit this form with each invoice submitted for payment, whether or not funds have been spent with a small, minority-, women-, and service-disabled veteran business enterprise Subcontractor for the period covered by the invoice. The Office of Supplier Diversity, Florida Department of Management Services will assist in furnishing names of qualified minorities. The Office of Supplier Diversity can be reached at (850/487-0915); the Internet Web address is http://dms.myflorida.com/other_programs/office_of_supplier_diversity_osd .

PRIME CONTRACTOR:

CONTRACT NO.:

CONTRACT TITLE:

MBE CONTRACTORS

Full Name, Address, Telephone Number

State Certified

Non- Certified

Non- Profit

Dollar Amount

Total Amount $________________

Certified True and Correct by: Submit Report to:

_________________________________________ Mr. Winston McGriff Prime Contractor Bureau of Contracts, Grants & Procurement _________________________________________ Management Services Title 344 Turlington Bldg.

_________________________________________ 325 West Gaines Street Date Tallahassee, FL 32399-0400

For additional information, you may call Mr. McGriff at 850/245-0733, or email winston.mcgriff1@fldoe.org http://dms.myflorida.com/other_programs/office_of_supplier_diversity_osd mailto:winston.mcgriff1@fldoe.org

ATTACHMENT ‘F’

VENDOR CERTIFICATION REGARDING

SCRUTINIZED COMPANIES LISTS

Respondent Vendor Name: _____________________________________________________ Vendor FEIN: __________________ Vendor’s Authorized Representative Name and Title: ___________________________________ Address: ______________________________________________________________________ City: _____________________ State: _____________________________ Zip: ______________ Phone Number: ____________________________________ Email Address: _

Section 287.135, Florida Statutes, prohibits agencies from contracting with companies, for goods or services over $1,000,000, that are on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. Both lists are created pursuant to section 215.473, Florida Statutes.

As the person authorized to sign on behalf of Respondent, I hereby certify that the company identified above in the section entitled “Respondent Vendor Name” is not listed on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. I understand that pursuant to section 287.135, Florida Statutes, the submission of a false certification may subject company to civil penalties, attorney’s fees, and/or costs.

Certified By: __________________________________________________________, who is authorized to sign on behalf of the above referenced company.

Authorized Signature Print Name and Title: _________________________________________

BID RESPONSE CHECKLIST

(DOES NOT NEED TO BE RETURNED WITH YOUR BID RESPONSE)

This Checklist is provided as a guideline only, to assist Vendors in the preparation of their Bid Response.

Included are some important matters that the Bidder should check. This checklist is just a guideline and is not intended to include all matters required by the ITB. Bidders are responsible to read and comply with the ITB in its entirety.

Check off each the following:

____ 1. The Deliverables have been thoroughly reviewed for compliance to the Bid requirements.

____ 2. The DMS Vendor Information Portal website - MyFloridaMarket Place Vendor Information Portal has been checked and any Addenda(s) posted have been completed, signed, and included in the Bid Response.

____ 3. Price(s) bid has been reviewed for accuracy and any price corrections have been initialed in ink.

____ 4. The "Transmittal Letter" has been completed on company letterhead, signed, and enclosed in the Bid Response.

____ 5. The "Disclosure Statement" has been read, completed, and enclosed in the Bid Response.

____ 6. The "Minority Business Enterprise (MBE) Certification" has been attached, if applicable

____ 7. The "Scrutinized Companies Lists" for has been completed, signed and enclosed in the Bid

Response, if applicable

____ 8. The following information has been written on the Lower Left-Hand Corner of the Envelope transmitting your Bid Response:

BID NO.: ITB 2023-26

TITLE: CLASSROOM ASSESSMENT SCORING SYSTEM OBSERVATIONS AND SUPPORTS

DUE DATE & TIME:

https://vendor.myfloridamarketplace.com/