Mandatory Responsivess Requirements Form.pdf

ITN No. DMS-22/23-089 Elevator Maintenance, Repair, Inspection, & Testing Services Page 24 of 25

MANDATORY RESPONSIVENESS REQUIREMENTS FORM

1. The Respondent certifies that the Respondent is not on the Suspended Vendor List maintained pursuant to section 287.042(1)(a), F.S., and neither the Respondent nor any supplier, subcontractor, nor consultant included in its Reply are on the Convicted Vendor, Discriminatory Vendor, or Antitrust Violator Vendor Lists specified in Section 7 of the PUR1001 form, as modified by section 3.2 of the ITN.

http://www.dms.myflorida.com/content/download/2934/11780/1001.pdf

2. The Respondent certifies that the Respondent is in compliance with the requirements of this ITN, including Section 9 of the PUR 1001 form, as revised by Section 3.2 of the

ITN.

http://www.dms.myflorida.com/content/download/2934/11780/1001.pdf

3. The Respondent certifies that the Respondent is not on the Scrutinized Companies with Activities in Sudan List pursuant to section 215.473, F.S.; is not on the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List pursuant to section 215.473, F.S.; is not on the Scrutinized Companies that Boycott Israel List pursuant to section 215.4725, F.S.; has not been engaged in business operations in Cuba or Syria; is not participating in a boycott of Israel.

4. The Respondent certifies that if awarded a Contract, and prior to execution of a contract, it shall provide a PDF file of its current and active registration with the Florida Department of State, Division of Corporations, or, if exempt from registration, a statement to that effect noting the basis for the exemption. Respondents should note that foreign entities are required to obtain a Florida Certificate of Authorization pursuant to applicable Florida Statutes, from the Florida Department of State, Division of Corporations (www.sunbiz.org), to transact business in the State of Florida.

5. The Respondent certifies that the Respondent will, at all times, comply with Section 8, Liability and Worker’s Compensation Insurance of Attachment B – Draft Contract, if awarded a contract.

6. The Respondent certifies that the Respondent is in compliance with section 448.095(2)(a), F.S., and that within the last year (i.e., within the last 365 days), it has not had a contract terminated under section 448.095(2)(c), F.S., by a public employer, as defined by section 448.095(1)(i), F.S.

7. The Respondent certifies that it has made a site visit to all elevators in all of the Facilities within each Region for which a Reply is submitted, as indicated on Attachment F – Site Visits, which the Respondent certifies is included in the Respondent’s Reply.

http://www.dms.myflorida.com/content/download/2934/11780/1001.pdf http://www.dms.myflorida.com/content/download/2934/11780/1001.pdf

ITN No. DMS-22/23-089 Elevator Maintenance, Repair, Inspection, & Testing Services Page 25 of 25

8. The Respondent certifies that, if awarded a Contract, the Respondent shall complete a Subcontracting Form for each subcontractor it uses.

Execution of this form includes completion of the information below which certifies that the signatory has the authority to respond to this solicitation on the Respondent’s behalf and certifies conformance with all the Mandatory Responsiveness Requirements listed above.

Name of Respondent Signature of Authorized Representative

Print Name Date