Police_Mobile_Command_Post_Generator_Replacement.pdf

For more information, please visit our online supplier portal, located at https://procurement.opengov.com/portal/pembrokepines

POLICE MOBILE COMMAND

POST GENERATOR

REPLACEMENT

INVITATION FOR BID # PD-25-06

Issuance of Solicitation: Thursday, December 18, 2025

Questions Due Date: Tuesday, December 30, 2025

Bid Submission Deadline: Tuesday, January 13, 2026

THE CITY OF PEMBROKE PINES

PROCUREMENT DEPARTMENT

8300 SOUTH PALM DRIVE

PEMBROKE PINES, FLORIDA 33025

(954) 518-9020

IFB # PD-25-06 SECTION 1 - NOTICE Page 2

Table of Contents

1. NOTICE

2. GENERAL PROJECT INFORMATION & TIMELINE

3. PURPOSE AND BACKGROUND

4. SCOPE OF WORK

5. PRICE PROPOSAL / BID TABLE

6. SUBMITTAL DOCUMENTS

7. EVALUATION OF PROPOSALS & PROCESS SELECTION

8. INSURANCE REQUIREMENTS

9. GENERAL TERMS AND CONDITIONS

10. SPECIAL TERMS & CONDITIONS

Attachments:

A - 12.0HDKCD-2209 Spec Sheet

B - Sample Insurance Certificate

City of Pembroke Pines

SECTION 1 - NOTICE

Notice is hereby given that the City Commission of the City of Pembroke Pines is seeking sealed proposals for:

IFB # PD-25-06

Police Mobile Command Post Generator Replacement

Solicitations may be found on the City of Pembroke Pines website under the Procurement

Department at http://www.ppines.com/index.aspx?NID=667, and may be downloaded directly from the OpenGov platform at https://procurement.opengov.com/portal/pembrokepines.

For Technical Support, proposers can reach the OpenGov Service Desk between 7:00 am to 10:00 pm from Monday through Friday via the following methods:

o Chat (preferred method): Click the button in the lower right-hand corner of the portal.

o E-mail: procurement-support@opengov.com o Phone: 1 (650) 336-7167

If additional help is needed with downloading the solicitation package please contact the

Procurement Department at (954) 518-9020 or by email at purchasing@ppines.com. The

Procurement Department hours are between 7:00 am to 6:00 pm on Monday through Thursday and is located at 8300 South Palm Drive, Pembroke Pines, FL 33025.

Bidders shall submit all questions regarding this bid via the City's e-Procurement Portal, located at https://procurement.opengov.com/portal/pembrokepines. Please note the deadline for submitting questions. All answers will be posted on the City's e-Procurement Portal. Bidders may also click

“Follow” on this bid to receive an email notification when answers are posted. It is the bidder's responsibility to check the portal for updates. Only written responses issued through the OpenGov platform will be considered official for interpretations or clarifications.

Proposals will be accepted until 2:00 pm on Tuesday, January 13, 2026, electronically at https://procurement.opengov.com/portal/pembrokepines/projects/213096.

Bid Opening: The sealed electronic proposals will be publicly opened at 2:30 pm, on the bid due date, by the City Clerk’s Office, in the City Clerk’s Office Conference Room located on the 4th

Floor in the Charles F. Dodge City Center/City Hall Administration Building, located at 601 City

Center Way, Pembroke Pines, Florida, 33025.

Virtual Bid Opening: In light of public health concerns and to ensure accessibility for all, the City encourages interested parties and the public to participate virtually via live streaming instead of attending the meeting in person. As a result, meetings may be a combination of in-person and virtual, all as provided by law. To virtually attend the bid opening, please use the Cisco Webex

Meetings platform.

Virtual Meeting Details:

http://www.ppines.com/index.aspx?NID=667 https://procurement.opengov.com/portal/pembrokepines mailto:procurement-support@opengov.com mailto:purchasing@ppines.com https://procurement.opengov.com/portal/pembrokepines/projects/213096 o WebEx Meeting Link: https://ppines.webex.com/meet/purchasing o Cisco Webex Meeting Number: 717 019 586 o Join by Phone Number: +1-408-418-9388

The public may download the Cisco Webex Meetings app from https://www.webex.com/downloads.html/.

To ensure an efficient meeting process, participants are requested to mute their audio and camera during the meeting. While the public is welcome to attend the virtual bid opening, please note that active participation and commenting will not be allowed during the proceedings.

For further information about the bid opening or assistance in accessing the virtual meeting, please contact:

Daniel Deleon or other Procurement Staff in the Procurement Department

City of Pembroke Pines

8300 South Palm Drive, Pembroke Pines, FL 33025

(954) 518-9061 Ext: 59021 or 954-518-9020 purchasing@ppines.com https://ppines.webex.com/meet/purchasing https://www.webex.com/downloads.html/ mailto:purchasing@ppines.com

SECTION 2 - GENERAL PROJECT INFORMATION & TIMELINE

2.1 Project Timeline

Products shall be delivered within 30 calendar days of the City's issuance of a Purchase Order.

2.2 Tentative Schedule of Events

Issuance of Solicitation (Posting Date): December 18, 2025

Question Due Date: December 30, 2025, 6:00pm

Issuance of Final Answers to Questions: January 5, 2026

Bid Submission Deadline: January 13, 2026, 2:00pm

Bid Opening: Will be held at 2:30 pm on the day of bid submissions are due.

Evaluations by Staff: To Be Determined (TBD)

Recommendation of Contractor to City

Commission for Award:

February 18, 2026

Issuance of Notice to Proceed (NTP): February 25, 2026

2.3 Pre-Bid Meeting

This project will not have a pre-bid meeting.

2.4 Estimated Project Cost

$30,000

2.5 Liquidated Damages

Liquidated damages for this project shall be FIVE HUNDRED DOLLARS AND NO

CENTS ($500.00) per day.

2.6 Grant/Federal Funding

Not applicable for this project.

2.7 Proposal Security/Bid Bond

A Proposal Security shall not be required for this project.

2.8 Payment and Performance Bonds

Payment and Performance Bonds shall not be required for this project.

SECTION 3 - PURPOSE AND BACKGROUND

3.1 Purpose

The City of Pembroke Pines is seeking bids from qualified firms, hereinafter referred to as the

Contractor, to supply and install two diesel generators for the Police Department's Mobile Command

Post and remove aged equipment, in accordance with the terms, conditions, and specifications contained in this solicitation.

3.2 Background

Pembroke Pines, Florida, ranked as the eleventh largest city among the state's four hundred plus municipalities and the second largest in Broward County, maintains a welcoming small-town ambiance that resonates with its residents. Located conveniently in southwest Broward County, the city provides seamless access to major highways, employment centers, entertainment venues, parks, golf courses, and a diverse array of dining and shopping options.

With a population of approximately 170,000 residents spread across 32.68 square miles, Pembroke

Pines is renowned as one of the best cities to live in America. The city boasts 28 superior parks, lush landscaping, and a distinctive South Florida charm that contributes to its natural beauty. Notably recognized as 2024's Best Place to Raise a Family in Florida, and 2024's Best City of Hispanic

Entrepreneurs by WalletHub, Pembroke Pines also earned a place as the on Money Magazine's esteemed Best Places to Live list in 2014, as the sole Florida representative, ranking in at #32 in the nation.

Incorporated in 1960, Pembroke Pines is celebrated as a safe and desirable community, having received accolades such as the All-America City designation. The city's commitment to arts and culture, exceptional schools, diverse population, numerous parks, and forward-thinking approach in an ever-evolving world make it a standout destination.

Pembroke Pines is also the home to the largest municipal-run charter school system in the nation, serving over 6,000 students across five separate campuses. The City’s award-winning charter school system is located in the Broward County School District, which is the sixth largest school district in the nation.

SECTION 4 - SCOPE OF WORK

4.1 General Information

The following is a general list of the work included.

• Uninstall two (2) Cummings Onan CMQD 12000 diesel generators that are currently installed in the Police Mobile Command Post

• Perform repair and maintenance needed to safely install new generators in the Police Mobile

Command Post

• Furnish and safely install two (2) diesel generators of equivalent or superior capacity to those described in Section 4.2.

4.2 Current Install Specifications

Mobile Command Post

• MT-55 Model

• Freightliner Chassis by LDV

• Two (2) Generator Bays o Generator Bay Dimensions: 25" x 45" x 38"

Generators: Cummings Onan CMQD 12000 (2)

Model #: 12HDCAD-2209C

• Engine: 3-Cylinder In-Line, Water-Cooled, Indirect-Injection, 4-Stroke Cycle Diesel

• Power: 10,000W - 12,000W

• Voltage: 120/240 V

• Frequency: 60 Hz

• Serial Numbers: H040680030 / F040663171

• Weight: 660 lbs

• Dimensions: 24.5" x 41.4" x 27" in

4.3 Requested Generator Specifications

A full specification sheet is available in the Attachments Section under Attachment A.

Model #: 12.0HDKCD-2209

• Engine: 4-cycle, liquid-cooled diesel engine

• Power: 12,000W

• Voltage: 120/240 V

• Frequency: 60 Hz

• Weight: 815 lbs

• Dimensions: 24.5" x 41.5" x 27" in

Note: Any alternative generator system suggested should be designed to specification for an RV -generator systems should be bottom mounted for use and maintenance.

SECTION 5 - PRICE PROPOSAL / BID TABLE

The vendor must provide their pricing electronically through the designated line items listed on the

Bid Sheet/Pricing Table via the City's e-Procurement portal on OpenGov.

Vendor Notes: The bid tables includes a “Vendor Notes” column for any additional comments regarding the requested line item(s). A comment is preferred in the “Vendor Notes” column. If the vendor does not need to submit any comments, they may leave it blank or enter N/A or similar.

Primary Responses: The initial Bid Table is for the primary responses so that the vendors can submit the requested goods and/or services.

Additional Responses: The second Bid Table allows for bidders to submit alternative options.

Substitutions of brands or products must be submitted as an alternative for the City’s review and approval.

A. To submit an alternative, please clearly identify any brand or product substitutions in the

“Vendor Notes” column for the respective part.

B. In addition, please upload any pertinent information relating to the alternative in the

"Alternatives" section of the SUBMITTAL DOCUMENTS.

GENERATOR AND LABOR

Line Item Manufacturer Part # Description Quantity Unit of

Measure Unit Cost Total Vendor

Notes

1 Cummins Inc. 12.0HDKCD-

New Diesel Generators

Model # 12.0HDKCD-2209 2 Ea

2 Removal of currently installed generators 2 Ea

3 Installation of new generators 2 Ea

4 Labor 1 LS

5 Additional Materials 1 Ea

TOTAL

ALTERNATIVE GENERATOR AND LABOR

https://procurement.opengov.com/portal/pembrokepines/projects/213096/document?section=undefined

Line Item Manufacturer Part # Description Quantity Unit of

Measure Unit Cost Total No Bid Vendor

Notes

1 Alternative

Diesel

Generators

2 Ea

2 Removal of currently installed generators

2 Ea

3 Installation of new generators

2 Ea

4 Labor 1 LS

5 Additional

Materials 1 Ea

TOTAL

SECTION 6 - SUBMITTAL DOCUMENTS

Bids must be submitted electronically at https://procurement.opengov.com/portal/pembrokepines on or before 2:00 pm on Tuesday, January 13, 2026. Please note vendors should be registered on

OpenGov under the name of the organization that they are operating as and it should match the organization name on the documents that they are submitting and utilizing when responding to the solicitation. In addition, the vendor must complete the required documents in this section and provide any additional information requested throughout this solicitation. Any additional information requested in the solicitation should be scanned and uploaded. The City recommends for proposers to submit their proposals as soon as they are ready to do so. Please allow ample time to submit your proposals on the https://procurement.opengov.com/portal/pembrokepines website. Proposals may be modified or withdrawn prior to the deadline for submitting Proposals.

PLEASE DO NOT SUBMIT ANY PROPOSALS VIA MAIL, E-MAIL OR FAX.

Prospective proposers interested in responding to this solicitation are requested to provide all of the applicable information listed in this section. Submittals that do not respond completely to all of the requirements specified herein may be considered non-responsive and eliminated from the process.

Brevity and clarity are encouraged.

1 CONFIRMATION TO BIND

1.1 I certify that I have read, understood and agree to the terms in this solicitation, and that I am authorized to submit this response on behalf of my company.*

☐ Please confirm

*Response required

2 CERTIFICATION OF INSURANCE COMPLIANCE AND INTENT TO PROCURE

REQUIRED COVERAGE

NOTE: Vendors are not required to purchase any additional insurance in order to submit a bid.

However, they must certify that they either currently hold, or are able and willing to obtain, all required insurance coverages, endorsements, and limits prior to award and execution of the contract.

2.1 I certify that, if awarded this contract, I will be required to obtain and maintain all insurance policies as detailed in the INSURANCE REQUIREMENTS Section of this solicitation before any work may commence, and throughout the life of the contract.*

☐ Please confirm

*Response required

2.2 Do you confirm that you will only use insurance carriers licensed to do business in the

State of Florida and rated no less than “A” as to management, and no less than “Class VI” as to financial strength by A.M. Best, and that you understand all endorsements required

(e.g., Additional Insured, Waiver of Subrogation, etc.) must be included?*

☐ Yes

☐ No https://procurement.opengov.com/portal/pembrokepines https://procurement.opengov.com/portal/pembrokepines/projects/213096/document?section=1998106

*Response required

2.3 Do you currently carry insurance policies that meet or exceed the minimum requirements outlined in the INSURANCE REQUIREMENTS section of this solicitation?*

☐ Yes

☐ No

*Response required

When equals "Yes"

2.3.1 Please upload your current certificate(s) of insurance that demonstrate compliance with the insurance requirements outlined in this solicitation.*

*Response required

When equals "No"

2.3.2 Please upload documentation showing that you have obtained a letter from your insurance broker or carrier, such as a Letter of Intent to Insure, Evidence of Insurability, or a

Conditional Certificate of Insurance.*

Documentation should show that:

• You can obtain the required insurance.

• The limits and types of coverage will meet the INSURANCE REQUIREMENTS outlined in the solicitation.

• You will provide a COI upon contract award.

*Response required

When equals "No"

2.3.3 Please upload your current certificate(s) of insurance.*

*Response required

2.4 Do you believe you are exempt from one or more insurance requirements (e.g., Workers'

Compensation)?*

☐ Yes

☐ No

*Response required

When equals "Yes"

2.4.1 Please upload written documentation requesting an exemption on your company letterhead, subject to City approval.*

*Response required

2.5 Do you plan on using subcontractors for this project?*

☐ Yes

☐ No

When equals "Yes"

2.5.1 Do you acknowledge that all subcontractors must also carry the same insurance or be covered under your policy, and that proof of such coverage must be provided to the City?*

☐ Yes

☐ No

*Response required

3 REFERENCE # 1

The minimum experience for this project is five (5) years. Provide specific examples of similar experience conducting licensed work of equal or similar scope of work, preferably delivered by the proposed team members. A minimum of 3 references should be from the last five years and should be capable of explaining and confirming your firm’s capacity to successfully complete the scope of work outlined herein. As part of the proposal evaluation process, the City may conduct an investigation of references, including a record check or consumer affairs complaints. Proposers’ submission of a proposal constitutes acknowledgment of the process and consent to investigate. The

City is the sole judge in determining Proposers qualifications. In this section you will have the ability to enter information for 5 different references including their contact details and specific project information.

Please note that the City prefers references who are not current employees of the City of Pembroke

Pines, as we generally do not contact our own employees for reference checks.

Proposers are advised to confirm that:

A. Each reference provided by the Respondent has up to date contact persons and contact information;

B. The contact person provided for each reference is someone who has personal knowledge of the Proposer's performance during the referenced project; and

C. The contact person for each reference has been contacted by the Proposer regarding this specific bid submittal and such person confirmed their willingness to serve as a reference.

3.1 Reference Contact Information - Name of Firm, City, County or Agency*

*Response required

3.2 Reference Contact Information - Reference's Business Address*

*Response required

3.3 Reference Contact Information - Reference's Contact Name & Title*

3.4 Reference Contact Information - Reference's E-mail Address*

3.5 Reference Contact Information - Reference's Phone Number*

*Response required

3.6 Project Information - Was your firm the prime contractor for the listed project?*

☐ Yes

☐ No

*Response required

3.7 Project Information - Name of Contactor Performing the Work*

*Response required

3.8 Project Information - Name and location of the project*

*Response required

3.9 Project Information - Nature of the firm's responsibility on the project and work for which staff was responsible for*

*Response required

3.10 Project Information - Project Duration*

*Response required

3.11 Project Information - Completion (Anticipated) Date*

*Response required

3.12 Project Information - Size of Project*

*Response required

3.13 Project Information - Cost of Project*

*Response required

4 REFERENCE # 2

4.1 Reference Contact Information - Name of Firm, City, County or Agency*

*Response required

4.2 Reference Contact Information - Reference's Business Address*

*Response required

4.3 Reference Contact Information - Reference's Contact Name & Title*

*Response required

4.4 Reference Contact Information - Reference's E-mail Address*

*Response required

4.5 Reference Contact Information - Reference's Phone Number*

4.6 Project Information - Was your firm the prime contractor for the listed project?*

☐ No

*Response required

4.7 Project Information - Name of Contactor Performing the Work*

*Response required

4.8 Project Information - Name and location of the project*

*Response required

4.9 Project Information - Nature of the firm's responsibility on the project and work for which staff was responsible for*

*Response required

4.10 Project Information - Project Duration*

*Response required

4.11 Project Information - Completion (Anticipated) Date*

*Response required

4.12 Project Information - Size of Project*

*Response required

4.13 Project Information - Cost of Project*

*Response required

5 REFERENCE # 3

5.1 Reference Contact Information - Name of Firm, City, County or Agency*

*Response required

5.2 Reference Contact Information - Reference's Business Address*

*Response required

5.3 Reference Contact Information - Reference's Contact Name & Title*

*Response required

5.4 Reference Contact Information - Reference's E-mail Address*

*Response required

5.5 Reference Contact Information - Reference's Phone Number*

*Response required

5.6 Project Information - Was your firm the prime contractor for the listed project?*

☐ Yes

5.7 Project Information - Name of Contactor Performing the Work*

5.8 Project Information - Name and location of the project*

*Response required

5.9 Project Information - Nature of the firm's responsibility on the project and work for which staff was responsible for*

*Response required

5.10 Project Information - Project Duration*

*Response required

5.11 Project Information - Completion (Anticipated) Date*

*Response required

5.12 Project Information - Size of Project*

*Response required

5.13 Project Information - Cost of Project*

*Response required

6 REFERENCE # 4

6.1 Reference Contact Information - Name of Firm, City, County or Agency

6.2 Reference Contact Information - Reference's Business Address

6.3 Reference Contact Information - Reference's Contact Name & Title

6.4 Reference Contact Information - Reference's E-mail Address

6.5 Reference Contact Information - Reference's Phone Number

6.6 Project Information - Was your firm the prime contractor for the listed project?

☐ Yes

☐ No

6.7 Project Information - Name of Contactor Performing the Work

6.8 Project Information - Name and location of the project

6.9 Project Information - Nature of the firm's responsibility on the project and work for which staff was responsible for

6.10 Project Information - Project Duration

6.11 Project Information - Completion (Anticipated) Date

6.12 Project Information - Size of Project

6.13 Project Information - Cost of Project

7 REFERENCE # 5

7.1 Reference Contact Information - Name of Firm, City, County or Agency

7.2 Reference Contact Information - Reference's Business Address

7.3 Reference Contact Information - Reference's Contact Name & Title

7.4 Reference Contact Information - Reference's E-mail Address

7.5 Reference Contact Information - Reference's Phone Number

7.6 Project Information - Was your firm the prime contractor for the listed project?

☐ Yes

☐ No

7.7 Project Information - Name of Contactor Performing the Work

7.8 Project Information - Name and location of the project

7.9 Project Information - Nature of the firm's responsibility on the project and work for which staff was responsible for

7.10 Project Information - Project Duration

7.11 Project Information - Completion (Anticipated) Date

7.12 Project Information - Size of Project

7.13 Project Information - Cost of Project

8 PROJECT DOCUMENTS

8.1 PROPOSERS BACKGROUND INFORMATION FORM*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Proposers_Background_Inform...

*Response required

9 SWORN STATEMENT ON PUBLIC ENTITY CRIMES UNDER FLORIDA

STATUTES CHAPTER 287.133(3)(a)

9.1 SWORN STATEMENT ON PUBLIC ENTITY CRIMES FORM*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Sworn_Statement_on_Public_E...

*Response required

9.2 Public Entity Crimes Status*

▪ Which option did you select on the Sworn Statement on Public Entity Crimes Form:

• A) Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, nor any affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989.

https://government-project.s3.us-west-2.amazonaws.com/109708/d19d1648-daba-4f13-be21-890a8a862354_Proposers_Background_Information_Form_%281%29.xlsx?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4P6SGRWAM%2F20251218%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20251218T221637Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjENX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJGMEQCIErbhgEuEgINL20ZUx83Mrfe5q1QkNbVMVxTcnfwcFg%2BAiBPYleSYexUulhTWvt7gThlW%2FOxnFpgqfMjCYYgkudD0iqOBQie%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDg5MjM2NDY4NzY3MiIMw7lISYIUs7vC0gNcKuIEEficCzDK04HXq50ZrHirDTL59sY%2BZBLt9DyLzq6QcTG2Ln5WcnghEdLqGZESMF8KW1wCCGPLBgutlSVVxn%2FQqGVXABM8O8YujWHzMje9oFzfkejKPfk3itpyLPR8eU0B97p%2F8F9rm7v3DSCR6nBypIncqz%2FopxKAMbZ6P0Az9yIQICSC5HWoUU%2FJmZPtABfH7CJ3cK%2FhHu0Ap2BTJFPXPnXsPR8Jhky%2FoVGSX%2FAy6FbX2xAV8XfljEhn1cVAg0GbHswWgXnZJnMk%2Ff8ztBaW%2BHV%2BA5n8U6bPUNvIqUZnHAkVUL4tXBQ%2FZCHhdH%2BAJ3unSPDc5eguYbQxA3YyzU9g0JhHcS2KUIWm0ubTEuCq2rUNpErzQQPXfEJC5ZWI6bgmYzNoW4Zi5227zYiAHQul8e0NWknGgKc%2BuWpqe2p5bQ%2BXeeGEZ6pITPpKWMXTtHXiFp2w3tFgKD3XpDnUw1xTUCkTHDCJfW%2BJOxgmWujwL%2F8kXQpLaNV4SDI6Kxxqh%2Fk8nHNxYLkICDfm4ngNaBj%2BLRknMVeXXhHSsov9%2BhGn3uwdcDYpzsJX06361I1ZJiXGFfhBRjlznYXr67xss4yIf6v5P0ToX3VQW4espKCvgJdtgvZ3bdWHTiGxOb8QP7tj3lgAEKWSw4DRz9wXCx8HtUYMGLsU77bPgmZa8F69XMM2eI9%2FZKyM0Kdlbj3F2a48TDtYmwG4WyunJ5CdcA6OQe4tj0YsJO9d9hMF%2FuhNn46QVLHpJjTNmzGdOx3ED7j7puKoofbD%2BQTfgl5CdVUZpKSM5OlNt%2FjYoSjRRCTmrgHcIjDpypHKBjqaAQeH4tXMD2AFUAAVhPKt9%2B396GcS7feSLNsnDRy%2FnaZtr77wv8C%2FEfHsYijlqIbW9q9GNOpcPJKzAMgDCO1MeyM1R9O813sosZ2suLrs5fkMYivOyGglO8G2fvESqgWkQETvrgeFO6PVQ%2FXmCQqnKAAXMGO4i%2BpGDFy3%2B%2B3dmpZgsPK2%2BZi9IXIU2H1h8WhrCCZVjqoiMernZmg%3D&X-Amz-Signature=eb0a9aa7045b13e85302dc29bd98f406ed5d874bbdcf6616cfb42d73791908eb&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Proposers_Background_Information_Form_%281%29.xlsx%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/101918/a08213be-7bed-4db1-94ae-c1ceb315d196_Sworn_Statement_on_Public_Entity_Crimes.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4P6SGRWAM%2F20251218%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20251218T221637Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjENX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJGMEQCIErbhgEuEgINL20ZUx83Mrfe5q1QkNbVMVxTcnfwcFg%2BAiBPYleSYexUulhTWvt7gThlW%2FOxnFpgqfMjCYYgkudD0iqOBQie%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDg5MjM2NDY4NzY3MiIMw7lISYIUs7vC0gNcKuIEEficCzDK04HXq50ZrHirDTL59sY%2BZBLt9DyLzq6QcTG2Ln5WcnghEdLqGZESMF8KW1wCCGPLBgutlSVVxn%2FQqGVXABM8O8YujWHzMje9oFzfkejKPfk3itpyLPR8eU0B97p%2F8F9rm7v3DSCR6nBypIncqz%2FopxKAMbZ6P0Az9yIQICSC5HWoUU%2FJmZPtABfH7CJ3cK%2FhHu0Ap2BTJFPXPnXsPR8Jhky%2FoVGSX%2FAy6FbX2xAV8XfljEhn1cVAg0GbHswWgXnZJnMk%2Ff8ztBaW%2BHV%2BA5n8U6bPUNvIqUZnHAkVUL4tXBQ%2FZCHhdH%2BAJ3unSPDc5eguYbQxA3YyzU9g0JhHcS2KUIWm0ubTEuCq2rUNpErzQQPXfEJC5ZWI6bgmYzNoW4Zi5227zYiAHQul8e0NWknGgKc%2BuWpqe2p5bQ%2BXeeGEZ6pITPpKWMXTtHXiFp2w3tFgKD3XpDnUw1xTUCkTHDCJfW%2BJOxgmWujwL%2F8kXQpLaNV4SDI6Kxxqh%2Fk8nHNxYLkICDfm4ngNaBj%2BLRknMVeXXhHSsov9%2BhGn3uwdcDYpzsJX06361I1ZJiXGFfhBRjlznYXr67xss4yIf6v5P0ToX3VQW4espKCvgJdtgvZ3bdWHTiGxOb8QP7tj3lgAEKWSw4DRz9wXCx8HtUYMGLsU77bPgmZa8F69XMM2eI9%2FZKyM0Kdlbj3F2a48TDtYmwG4WyunJ5CdcA6OQe4tj0YsJO9d9hMF%2FuhNn46QVLHpJjTNmzGdOx3ED7j7puKoofbD%2BQTfgl5CdVUZpKSM5OlNt%2FjYoSjRRCTmrgHcIjDpypHKBjqaAQeH4tXMD2AFUAAVhPKt9%2B396GcS7feSLNsnDRy%2FnaZtr77wv8C%2FEfHsYijlqIbW9q9GNOpcPJKzAMgDCO1MeyM1R9O813sosZ2suLrs5fkMYivOyGglO8G2fvESqgWkQETvrgeFO6PVQ%2FXmCQqnKAAXMGO4i%2BpGDFy3%2B%2B3dmpZgsPK2%2BZi9IXIU2H1h8WhrCCZVjqoiMernZmg%3D&X-Amz-Signature=71d7b851012d304ca0d74f0a503bb78f97ed6a0356a751e05c15d16505e9958f&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Sworn_Statement_on_Public_Entity_Crimes.pdf%22&x-id=GetObject

• B1) The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND There has been a proceeding concerning the conviction before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer did not place the person or affiliate on the convicted vendor list. (Please attach a copy of the final order.)

• B2) The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer of the State of Florida, Division of Administrative Hear¬ings. The final order entered by the hearing officer determined that it was in the public interest to remove the person or affiliate from the convicted vendor list. (Please attach a copy of the final order.)

• B3) The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND The person or affiliate has not been placed on the convicted vendor list.

(Please describe any action taken by or pending with the Department of General

Services.)

☐ A) No convictions.

☐ B1) Convicted, final order did not place on the convicted vendor list.

☐ B2) Convicted, listed, then removed.

☐ B3) Convicted, not listed, action pending.

*Response required

9.3 Did you select option B1 or B2 above?*

☐ Yes

☐ No

When equals "Yes"

9.3.1 Please upload a copy of the final order issued by the hearing officer of the State of

Florida, Division of Administrative Hearings.*

*Response required

9.4 Did you select option B3 above?*

☐ Yes

☐ No

*Response required

When equals "Yes"

9.4.1 Please describe any action taken by or pending with the Department of General

Services.*

*Response required

10 EQUAL BENEFITS CERTIFICATION FOR DOMESTIC PARTNERS AND ALL

MARRIED COUPLES

10.1 EQUAL BENEFITS CERTIFICATION FORM*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Equal_Benefits_Certificatio...

*Response required

10.2 Equal Benefits Status*

▪ Which option did you select on the Equal Benefits Certification Form:

• A. Contractor currently complies with the requirements of this section; or

• B. Contractor will comply with the conditions of this section at the time of contract award; or

• C. Contractor will not comply with the conditions of this section at the time of contract award: or

• D. Contractor does not comply with the conditions of this section because of the following allowable exemption (Check only one box below):

o 1. The Contractor does not provide benefits to employees' spouses in traditional marriages;

o 2. The Contractor provides an employee the cash equivalent of benefits because the Contractor is unable to provide benefits to employees' Domestic

Partners or spouses despite making reasonable efforts to provide them. To meet this exception, the Contractor shall provide a notarized affidavit that it has made reasonable efforts to provide such benefits. The affidavit shall state https://government-project.s3.us-west-2.amazonaws.com/101918/c88d69bd-c36f-4592-b33e-7363f6f57448_Equal_Benefits_Certification_Form.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4P6SGRWAM%2F20251218%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20251218T221637Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjENX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJGMEQCIErbhgEuEgINL20ZUx83Mrfe5q1QkNbVMVxTcnfwcFg%2BAiBPYleSYexUulhTWvt7gThlW%2FOxnFpgqfMjCYYgkudD0iqOBQie%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDg5MjM2NDY4NzY3MiIMw7lISYIUs7vC0gNcKuIEEficCzDK04HXq50ZrHirDTL59sY%2BZBLt9DyLzq6QcTG2Ln5WcnghEdLqGZESMF8KW1wCCGPLBgutlSVVxn%2FQqGVXABM8O8YujWHzMje9oFzfkejKPfk3itpyLPR8eU0B97p%2F8F9rm7v3DSCR6nBypIncqz%2FopxKAMbZ6P0Az9yIQICSC5HWoUU%2FJmZPtABfH7CJ3cK%2FhHu0Ap2BTJFPXPnXsPR8Jhky%2FoVGSX%2FAy6FbX2xAV8XfljEhn1cVAg0GbHswWgXnZJnMk%2Ff8ztBaW%2BHV%2BA5n8U6bPUNvIqUZnHAkVUL4tXBQ%2FZCHhdH%2BAJ3unSPDc5eguYbQxA3YyzU9g0JhHcS2KUIWm0ubTEuCq2rUNpErzQQPXfEJC5ZWI6bgmYzNoW4Zi5227zYiAHQul8e0NWknGgKc%2BuWpqe2p5bQ%2BXeeGEZ6pITPpKWMXTtHXiFp2w3tFgKD3XpDnUw1xTUCkTHDCJfW%2BJOxgmWujwL%2F8kXQpLaNV4SDI6Kxxqh%2Fk8nHNxYLkICDfm4ngNaBj%2BLRknMVeXXhHSsov9%2BhGn3uwdcDYpzsJX06361I1ZJiXGFfhBRjlznYXr67xss4yIf6v5P0ToX3VQW4espKCvgJdtgvZ3bdWHTiGxOb8QP7tj3lgAEKWSw4DRz9wXCx8HtUYMGLsU77bPgmZa8F69XMM2eI9%2FZKyM0Kdlbj3F2a48TDtYmwG4WyunJ5CdcA6OQe4tj0YsJO9d9hMF%2FuhNn46QVLHpJjTNmzGdOx3ED7j7puKoofbD%2BQTfgl5CdVUZpKSM5OlNt%2FjYoSjRRCTmrgHcIjDpypHKBjqaAQeH4tXMD2AFUAAVhPKt9%2B396GcS7feSLNsnDRy%2FnaZtr77wv8C%2FEfHsYijlqIbW9q9GNOpcPJKzAMgDCO1MeyM1R9O813sosZ2suLrs5fkMYivOyGglO8G2fvESqgWkQETvrgeFO6PVQ%2FXmCQqnKAAXMGO4i%2BpGDFy3%2B%2B3dmpZgsPK2%2BZi9IXIU2H1h8WhrCCZVjqoiMernZmg%3D&X-Amz-Signature=0d52d816dc0ed959a3060ed55b7a02376a489dad73f7cdae03e58975a9ae27a6&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Equal_Benefits_Certification_Form.pdf%22&x-id=GetObject the efforts taken to provide such benefits and the amount of the cash equivalent. Cash equivalent means the amount of money paid to an employee with a Domestic Partner or spouse rather than providing benefits to the employee's Domestic Partner or spouse. The cash equivalent is equal to the employer's direct expense of providing benefits to an employee's spouse;

o 3. The Contractor is a religious organization, association, society, or any non-profit charitable or educational institution or organization operated supervised or controlled by or in conjunction with a religious organization, association, or society;

o 4. The Contractor is a governmental agency;

☐ A) Contractor currently complies.

☐ B) Will comply by contract award.

☐ C) Will not comply.

☐ D1) Does not comply due to an exemption: No spousal benefits for anyone.

☐ D2) Does not comply due to an exemption: Provides cash equivalent after trying.

☐ D3) Does not comply due to an exemption: Religious or related nonprofit.

☐ D4) Does not comply due to an exemption: Government agency.

*Response required

10.3 Did you select option D2 above?*

☐ Yes

☐ No

*Response required

When equals "Yes"

10.3.1 Please upload a notarized affidavit detailing the reasonable efforts made to provide benefits to employees' Domestic Partners or spouses, along with the amount of the cash equivalent provided.*

*Response required

11 DRUG-FREE WORKPLACE CERTIFICATION

11.1 VENDOR DRUG FREE WORKPLACE CERTIFICATION FORM*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Vendor_Drug-Free_Workplace_...

*Response required

11.2 Drug-Free Status*

☐ Complies fully.

https://government-project.s3.us-west-2.amazonaws.com/109708/95904db9-709d-4b3e-95c7-64795b66f8b1_Vendor_Drug-Free_Workplace_Certification_Form.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4P6SGRWAM%2F20251218%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20251218T221637Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjENX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJGMEQCIErbhgEuEgINL20ZUx83Mrfe5q1QkNbVMVxTcnfwcFg%2BAiBPYleSYexUulhTWvt7gThlW%2FOxnFpgqfMjCYYgkudD0iqOBQie%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDg5MjM2NDY4NzY3MiIMw7lISYIUs7vC0gNcKuIEEficCzDK04HXq50ZrHirDTL59sY%2BZBLt9DyLzq6QcTG2Ln5WcnghEdLqGZESMF8KW1wCCGPLBgutlSVVxn%2FQqGVXABM8O8YujWHzMje9oFzfkejKPfk3itpyLPR8eU0B97p%2F8F9rm7v3DSCR6nBypIncqz%2FopxKAMbZ6P0Az9yIQICSC5HWoUU%2FJmZPtABfH7CJ3cK%2FhHu0Ap2BTJFPXPnXsPR8Jhky%2FoVGSX%2FAy6FbX2xAV8XfljEhn1cVAg0GbHswWgXnZJnMk%2Ff8ztBaW%2BHV%2BA5n8U6bPUNvIqUZnHAkVUL4tXBQ%2FZCHhdH%2BAJ3unSPDc5eguYbQxA3YyzU9g0JhHcS2KUIWm0ubTEuCq2rUNpErzQQPXfEJC5ZWI6bgmYzNoW4Zi5227zYiAHQul8e0NWknGgKc%2BuWpqe2p5bQ%2BXeeGEZ6pITPpKWMXTtHXiFp2w3tFgKD3XpDnUw1xTUCkTHDCJfW%2BJOxgmWujwL%2F8kXQpLaNV4SDI6Kxxqh%2Fk8nHNxYLkICDfm4ngNaBj%2BLRknMVeXXhHSsov9%2BhGn3uwdcDYpzsJX06361I1ZJiXGFfhBRjlznYXr67xss4yIf6v5P0ToX3VQW4espKCvgJdtgvZ3bdWHTiGxOb8QP7tj3lgAEKWSw4DRz9wXCx8HtUYMGLsU77bPgmZa8F69XMM2eI9%2FZKyM0Kdlbj3F2a48TDtYmwG4WyunJ5CdcA6OQe4tj0YsJO9d9hMF%2FuhNn46QVLHpJjTNmzGdOx3ED7j7puKoofbD%2BQTfgl5CdVUZpKSM5OlNt%2FjYoSjRRCTmrgHcIjDpypHKBjqaAQeH4tXMD2AFUAAVhPKt9%2B396GcS7feSLNsnDRy%2FnaZtr77wv8C%2FEfHsYijlqIbW9q9GNOpcPJKzAMgDCO1MeyM1R9O813sosZ2suLrs5fkMYivOyGglO8G2fvESqgWkQETvrgeFO6PVQ%2FXmCQqnKAAXMGO4i%2BpGDFy3%2B%2B3dmpZgsPK2%2BZi9IXIU2H1h8WhrCCZVjqoiMernZmg%3D&X-Amz-Signature=5e6c6a290bd4bc9b7227e058e3e6c3e51f6076a7714f7377c5bf3ccf9a5dba61&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Vendor_Drug-Free_Workplace_Certification_Form.pdf%22&x-id=GetObject

☐ Does not comply.

12 STANDARD DOCUMENTS

The following documents are standard documents that the City generally requires for every solicitation. As a result, we recommend vendors to keep these documents updated and readily available so that they can be easily uploaded for each project that the vendor would like to participate in. In the event that the City does not have one of the forms or documents listed below for your company, the City may reach out to your company after the bid has closed to obtain the document(s).

12.1 NON-COLLUSIVE AFFIDAVIT*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Non-Collusive_Affidavit.pdf

*Response required

12.2 SCRUTINIZED COMPANY CERTIFICATION*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Scrutinized_Company_Certifi...

*Response required

12.3 E-VERIFY SYSTEM CERTIFICATION*

a. Please download the attached document, complete all required fields, and upload the completed form here.

b. Effective January 1, 2021, pursuant to Section 448.095. Florida Statues, the City may not enter into a contract with a vendor/contractor/subcontractor unless that vendor/contractor/subcontractor is registered with and uses the E- Verify system administered by the U.S. Department of Homeland Security (“DHS”).

c. Contractor shall also require all subcontractors to provide an affidavit attesting that the subcontractor does not employ, contract with, or subcontract with, an unauthorized alien. The Contractor shall maintain a copy of such affidavit for the duration of the contract.

• E-Verify_System_Certificati...

*Response required https://government-project.s3.us-west-2.amazonaws.com/101918/08f82742-419a-4dde-b6b9-9037dd638daf_Non-Collusive_Affidavit.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4P6SGRWAM%2F20251218%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20251218T221637Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjENX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJGMEQCIErbhgEuEgINL20ZUx83Mrfe5q1QkNbVMVxTcnfwcFg%2BAiBPYleSYexUulhTWvt7gThlW%2FOxnFpgqfMjCYYgkudD0iqOBQie%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDg5MjM2NDY4NzY3MiIMw7lISYIUs7vC0gNcKuIEEficCzDK04HXq50ZrHirDTL59sY%2BZBLt9DyLzq6QcTG2Ln5WcnghEdLqGZESMF8KW1wCCGPLBgutlSVVxn%2FQqGVXABM8O8YujWHzMje9oFzfkejKPfk3itpyLPR8eU0B97p%2F8F9rm7v3DSCR6nBypIncqz%2FopxKAMbZ6P0Az9yIQICSC5HWoUU%2FJmZPtABfH7CJ3cK%2FhHu0Ap2BTJFPXPnXsPR8Jhky%2FoVGSX%2FAy6FbX2xAV8XfljEhn1cVAg0GbHswWgXnZJnMk%2Ff8ztBaW%2BHV%2BA5n8U6bPUNvIqUZnHAkVUL4tXBQ%2FZCHhdH%2BAJ3unSPDc5eguYbQxA3YyzU9g0JhHcS2KUIWm0ubTEuCq2rUNpErzQQPXfEJC5ZWI6bgmYzNoW4Zi5227zYiAHQul8e0NWknGgKc%2BuWpqe2p5bQ%2BXeeGEZ6pITPpKWMXTtHXiFp2w3tFgKD3XpDnUw1xTUCkTHDCJfW%2BJOxgmWujwL%2F8kXQpLaNV4SDI6Kxxqh%2Fk8nHNxYLkICDfm4ngNaBj%2BLRknMVeXXhHSsov9%2BhGn3uwdcDYpzsJX06361I1ZJiXGFfhBRjlznYXr67xss4yIf6v5P0ToX3VQW4espKCvgJdtgvZ3bdWHTiGxOb8QP7tj3lgAEKWSw4DRz9wXCx8HtUYMGLsU77bPgmZa8F69XMM2eI9%2FZKyM0Kdlbj3F2a48TDtYmwG4WyunJ5CdcA6OQe4tj0YsJO9d9hMF%2FuhNn46QVLHpJjTNmzGdOx3ED7j7puKoofbD%2BQTfgl5CdVUZpKSM5OlNt%2FjYoSjRRCTmrgHcIjDpypHKBjqaAQeH4tXMD2AFUAAVhPKt9%2B396GcS7feSLNsnDRy%2FnaZtr77wv8C%2FEfHsYijlqIbW9q9GNOpcPJKzAMgDCO1MeyM1R9O813sosZ2suLrs5fkMYivOyGglO8G2fvESqgWkQETvrgeFO6PVQ%2FXmCQqnKAAXMGO4i%2BpGDFy3%2B%2B3dmpZgsPK2%2BZi9IXIU2H1h8WhrCCZVjqoiMernZmg%3D&X-Amz-Signature=aaf939890e4690903a60be4f5f6aa9013e648501101cc0633ed311bc6f9fdf8f&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Non-Collusive_Affidavit.pdf%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/109708/16499809-6cf6-45c6-82b3-2f8344bf336b_Scrutinized_Company_Certification.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4P6SGRWAM%2F20251218%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20251218T221637Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjENX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJGMEQCIErbhgEuEgINL20ZUx83Mrfe5q1QkNbVMVxTcnfwcFg%2BAiBPYleSYexUulhTWvt7gThlW%2FOxnFpgqfMjCYYgkudD0iqOBQie%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDg5MjM2NDY4NzY3MiIMw7lISYIUs7vC0gNcKuIEEficCzDK04HXq50ZrHirDTL59sY%2BZBLt9DyLzq6QcTG2Ln5WcnghEdLqGZESMF8KW1wCCGPLBgutlSVVxn%2FQqGVXABM8O8YujWHzMje9oFzfkejKPfk3itpyLPR8eU0B97p%2F8F9rm7v3DSCR6nBypIncqz%2FopxKAMbZ6P0Az9yIQICSC5HWoUU%2FJmZPtABfH7CJ3cK%2FhHu0Ap2BTJFPXPnXsPR8Jhky%2FoVGSX%2FAy6FbX2xAV8XfljEhn1cVAg0GbHswWgXnZJnMk%2Ff8ztBaW%2BHV%2BA5n8U6bPUNvIqUZnHAkVUL4tXBQ%2FZCHhdH%2BAJ3unSPDc5eguYbQxA3YyzU9g0JhHcS2KUIWm0ubTEuCq2rUNpErzQQPXfEJC5ZWI6bgmYzNoW4Zi5227zYiAHQul8e0NWknGgKc%2BuWpqe2p5bQ%2BXeeGEZ6pITPpKWMXTtHXiFp2w3tFgKD3XpDnUw1xTUCkTHDCJfW%2BJOxgmWujwL%2F8kXQpLaNV4SDI6Kxxqh%2Fk8nHNxYLkICDfm4ngNaBj%2BLRknMVeXXhHSsov9%2BhGn3uwdcDYpzsJX06361I1ZJiXGFfhBRjlznYXr67xss4yIf6v5P0ToX3VQW4espKCvgJdtgvZ3bdWHTiGxOb8QP7tj3lgAEKWSw4DRz9wXCx8HtUYMGLsU77bPgmZa8F69XMM2eI9%2FZKyM0Kdlbj3F2a48TDtYmwG4WyunJ5CdcA6OQe4tj0YsJO9d9hMF%2FuhNn46QVLHpJjTNmzGdOx3ED7j7puKoofbD%2BQTfgl5CdVUZpKSM5OlNt%2FjYoSjRRCTmrgHcIjDpypHKBjqaAQeH4tXMD2AFUAAVhPKt9%2B396GcS7feSLNsnDRy%2FnaZtr77wv8C%2FEfHsYijlqIbW9q9GNOpcPJKzAMgDCO1MeyM1R9O813sosZ2suLrs5fkMYivOyGglO8G2fvESqgWkQETvrgeFO6PVQ%2FXmCQqnKAAXMGO4i%2BpGDFy3%2B%2B3dmpZgsPK2%2BZi9IXIU2H1h8WhrCCZVjqoiMernZmg%3D&X-Amz-Signature=7a1443bd7c3e37ba0cc995f8042d3002dfff7bb6cc79caffe2249bd3994bac2e&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Scrutinized_Company_Certification.pdf%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/109708/1c1f60e5-e6d8-4883-a9f2-dfa4448291d1_E-Verify_System_Certification_Statement.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4P6SGRWAM%2F20251218%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20251218T221637Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjENX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJGMEQCIErbhgEuEgINL20ZUx83Mrfe5q1QkNbVMVxTcnfwcFg%2BAiBPYleSYexUulhTWvt7gThlW%2FOxnFpgqfMjCYYgkudD0iqOBQie%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDg5MjM2NDY4NzY3MiIMw7lISYIUs7vC0gNcKuIEEficCzDK04HXq50ZrHirDTL59sY%2BZBLt9DyLzq6QcTG2Ln5WcnghEdLqGZESMF8KW1wCCGPLBgutlSVVxn%2FQqGVXABM8O8YujWHzMje9oFzfkejKPfk3itpyLPR8eU0B97p%2F8F9rm7v3DSCR6nBypIncqz%2FopxKAMbZ6P0Az9yIQICSC5HWoUU%2FJmZPtABfH7CJ3cK%2FhHu0Ap2BTJFPXPnXsPR8Jhky%2FoVGSX%2FAy6FbX2xAV8XfljEhn1cVAg0GbHswWgXnZJnMk%2Ff8ztBaW%2BHV%2BA5n8U6bPUNvIqUZnHAkVUL4tXBQ%2FZCHhdH%2BAJ3unSPDc5eguYbQxA3YyzU9g0JhHcS2KUIWm0ubTEuCq2rUNpErzQQPXfEJC5ZWI6bgmYzNoW4Zi5227zYiAHQul8e0NWknGgKc%2BuWpqe2p5bQ%2BXeeGEZ6pITPpKWMXTtHXiFp2w3tFgKD3XpDnUw1xTUCkTHDCJfW%2BJOxgmWujwL%2F8kXQpLaNV4SDI6Kxxqh%2Fk8nHNxYLkICDfm4ngNaBj%2BLRknMVeXXhHSsov9%2BhGn3uwdcDYpzsJX06361I1ZJiXGFfhBRjlznYXr67xss4yIf6v5P0ToX3VQW4espKCvgJdtgvZ3bdWHTiGxOb8QP7tj3lgAEKWSw4DRz9wXCx8HtUYMGLsU77bPgmZa8F69XMM2eI9%2FZKyM0Kdlbj3F2a48TDtYmwG4WyunJ5CdcA6OQe4tj0YsJO9d9hMF%2FuhNn46QVLHpJjTNmzGdOx3ED7j7puKoofbD%2BQTfgl5CdVUZpKSM5OlNt%2FjYoSjRRCTmrgHcIjDpypHKBjqaAQeH4tXMD2AFUAAVhPKt9%2B396GcS7feSLNsnDRy%2FnaZtr77wv8C%2FEfHsYijlqIbW9q9GNOpcPJKzAMgDCO1MeyM1R9O813sosZ2suLrs5fkMYivOyGglO8G2fvESqgWkQETvrgeFO6PVQ%2FXmCQqnKAAXMGO4i%2BpGDFy3%2B%2B3dmpZgsPK2%2BZi9IXIU2H1h8WhrCCZVjqoiMernZmg%3D&X-Amz-Signature=1c890887586e7eec3d0a41937faf34bf77d1e75f9eee70adf71d00abde8edb81&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22E-Verify_System_Certification_Statement.pdf%22&x-id=GetObject

12.4 HUMAN TRAFFICKING AFFIDAVIT*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Human_Trafficking_Affidavit...

*Response required

13 VENDOR REGISTRATION

13.1 Do you currently have a City of Pembroke Pines Vendor Number registered in the

PaymentWorks System?*

▪ The City of Pembroke Pines utilizes OpenGov as its e-Procurement platform for solicitation and bid submission purposes. However, please be advised that vendor registration for onboarding and processing payments is handled separately through the City's Accounts Payable Division using PaymentWorks, a secure online vendor management platform.

▪ All vendors that will be submitting invoices and requiring payments from the City are required to register on the PaymentWorks platform. If the vendor is not currently registered with the City via PaymentWorks and does not have a Vendor Number, the

City will have to invite the vendor to register.

▪ For formal solicitations such as this project, the Procurement Department will send

PaymentWorks registration invitations to vendor(s) who are under active consideration for award. Please be aware that not all vendors who submit proposals will receive an invitation, in order to manage system usage and avoid onboarding vendors who are unlikely to receive payments from the City.

▪ Invitations will typically be sent to the contact listed on the submitted Vendor

Information Form.

☐ Yes

☐ No

*Response required

When equals "Yes"

13.1.1 What is your Vendor Number?*

*Response required

13.2 VENDOR INFORMATION FORM*

a. Please download the attached document, complete all required fields, and upload the completed form here.

• Vendor_Information_Form.pdf https://government-project.s3.us-west-2.amazonaws.com/114165/a3a3055c-98a3-4fe8-aefe-baaaa244149c_Human_Trafficking_Affidavit.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4P6SGRWAM%2F20251218%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20251218T221637Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjENX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJGMEQCIErbhgEuEgINL20ZUx83Mrfe5q1QkNbVMVxTcnfwcFg%2BAiBPYleSYexUulhTWvt7gThlW%2FOxnFpgqfMjCYYgkudD0iqOBQie%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDg5MjM2NDY4NzY3MiIMw7lISYIUs7vC0gNcKuIEEficCzDK04HXq50ZrHirDTL59sY%2BZBLt9DyLzq6QcTG2Ln5WcnghEdLqGZESMF8KW1wCCGPLBgutlSVVxn%2FQqGVXABM8O8YujWHzMje9oFzfkejKPfk3itpyLPR8eU0B97p%2F8F9rm7v3DSCR6nBypIncqz%2FopxKAMbZ6P0Az9yIQICSC5HWoUU%2FJmZPtABfH7CJ3cK%2FhHu0Ap2BTJFPXPnXsPR8Jhky%2FoVGSX%2FAy6FbX2xAV8XfljEhn1cVAg0GbHswWgXnZJnMk%2Ff8ztBaW%2BHV%2BA5n8U6bPUNvIqUZnHAkVUL4tXBQ%2FZCHhdH%2BAJ3unSPDc5eguYbQxA3YyzU9g0JhHcS2KUIWm0ubTEuCq2rUNpErzQQPXfEJC5ZWI6bgmYzNoW4Zi5227zYiAHQul8e0NWknGgKc%2BuWpqe2p5bQ%2BXeeGEZ6pITPpKWMXTtHXiFp2w3tFgKD3XpDnUw1xTUCkTHDCJfW%2BJOxgmWujwL%2F8kXQpLaNV4SDI6Kxxqh%2Fk8nHNxYLkICDfm4ngNaBj%2BLRknMVeXXhHSsov9%2BhGn3uwdcDYpzsJX06361I1ZJiXGFfhBRjlznYXr67xss4yIf6v5P0ToX3VQW4espKCvgJdtgvZ3bdWHTiGxOb8QP7tj3lgAEKWSw4DRz9wXCx8HtUYMGLsU77bPgmZa8F69XMM2eI9%2FZKyM0Kdlbj3F2a48TDtYmwG4WyunJ5CdcA6OQe4tj0YsJO9d9hMF%2FuhNn46QVLHpJjTNmzGdOx3ED7j7puKoofbD%2BQTfgl5CdVUZpKSM5OlNt%2FjYoSjRRCTmrgHcIjDpypHKBjqaAQeH4tXMD2AFUAAVhPKt9%2B396GcS7feSLNsnDRy%2FnaZtr77wv8C%2FEfHsYijlqIbW9q9GNOpcPJKzAMgDCO1MeyM1R9O813sosZ2suLrs5fkMYivOyGglO8G2fvESqgWkQETvrgeFO6PVQ%2FXmCQqnKAAXMGO4i%2BpGDFy3%2B%2B3dmpZgsPK2%2BZi9IXIU2H1h8WhrCCZVjqoiMernZmg%3D&X-Amz-Signature=8a1426dbc25118bc69d372a292a11c271952aab844e572ef8870637774be6b55&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Human_Trafficking_Affidavit.pdf%22&x-id=GetObject https://government-project.s3.us-west-2.amazonaws.com/114165/088bda00-6cd4-4789-81d9-846bb5d8f2d5_Vendor_Information_Form.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4P6SGRWAM%2F20251218%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20251218T221637Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjENX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJGMEQCIErbhgEuEgINL20ZUx83Mrfe5q1QkNbVMVxTcnfwcFg%2BAiBPYleSYexUulhTWvt7gThlW%2FOxnFpgqfMjCYYgkudD0iqOBQie%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDg5MjM2NDY4NzY3MiIMw7lISYIUs7vC0gNcKuIEEficCzDK04HXq50ZrHirDTL59sY%2BZBLt9DyLzq6QcTG2Ln5WcnghEdLqGZESMF8KW1wCCGPLBgutlSVVxn%2FQqGVXABM8O8YujWHzMje9oFzfkejKPfk3itpyLPR8eU0B97p%2F8F9rm7v3DSCR6nBypIncqz%2FopxKAMbZ6P0Az9yIQICSC5HWoUU%2FJmZPtABfH7CJ3cK%2FhHu0Ap2BTJFPXPnXsPR8Jhky%2FoVGSX%2FAy6FbX2xAV8XfljEhn1cVAg0GbHswWgXnZJnMk%2Ff8ztBaW%2BHV%2BA5n8U6bPUNvIqUZnHAkVUL4tXBQ%2FZCHhdH%2BAJ3unSPDc5eguYbQxA3YyzU9g0JhHcS2KUIWm0ubTEuCq2rUNpErzQQPXfEJC5ZWI6bgmYzNoW4Zi5227zYiAHQul8e0NWknGgKc%2BuWpqe2p5bQ%2BXeeGEZ6pITPpKWMXTtHXiFp2w3tFgKD3XpDnUw1xTUCkTHDCJfW%2BJOxgmWujwL%2F8kXQpLaNV4SDI6Kxxqh%2Fk8nHNxYLkICDfm4ngNaBj%2BLRknMVeXXhHSsov9%2BhGn3uwdcDYpzsJX06361I1ZJiXGFfhBRjlznYXr67xss4yIf6v5P0ToX3VQW4espKCvgJdtgvZ3bdWHTiGxOb8QP7tj3lgAEKWSw4DRz9wXCx8HtUYMGLsU77bPgmZa8F69XMM2eI9%2FZKyM0Kdlbj3F2a48TDtYmwG4WyunJ5CdcA6OQe4tj0YsJO9d9hMF%2FuhNn46QVLHpJjTNmzGdOx3ED7j7puKoofbD%2BQTfgl5CdVUZpKSM5OlNt%2FjYoSjRRCTmrgHcIjDpypHKBjqaAQeH4tXMD2AFUAAVhPKt9%2B396GcS7feSLNsnDRy%2FnaZtr77wv8C%2FEfHsYijlqIbW9q9GNOpcPJKzAMgDCO1MeyM1R9O813sosZ2suLrs5fkMYivOyGglO8G2fvESqgWkQETvrgeFO6PVQ%2FXmCQqnKAAXMGO4i%2BpGDFy3%2B%2B3dmpZgsPK2%2BZi9IXIU2H1h8WhrCCZVjqoiMernZmg%3D&X-Amz-Signature=4f099ec8b94605d5fd471ec811df3dc1aeeaebd87eff7fb5e3345ab6ac7aea4a&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Vendor_Information_Form.pdf%22&x-id=GetObject

13.3 FORM W-9 (REVISED MARCH 2024)*

a. Please download the attached document, complete all required fields, and upload the completed form here.

b. Note - Please use the March 2024 version of the form as previously dated versions of this form may delay the processing of any payments to the selected vendor.

• Form_W-9_(Rev_March_2024).pdf

*Response required

14 OPTIONAL DOCUMENTATION

14.1 TRADE SECRETS

a. The Proposer’s response to this solicitation is a public record pursuant to Florida law, which is subject to disclosure by the City under the State of Florida Public Records

Law, Florida Statutes Chapter 119.07 (“Public Records Law”). The City shall permit public access to all documents, papers, letters or other material submitted in connection with this solicitation and the Contract to be executed for this solicitation, subject to the provisions of Chapter 119.07 of the Florida Statutes.

b. Any language contained in the Proposer’s response to the solicitation purporting to require confidentiality of any portion of the Proposer’s response to the solicitation, except to the extent that certain information is in the City’s opinion a Trade Secret pursuant to Florida law, shall be void.