PUR 7801 (Vendor Certification Form).docx
DOCX document 51 KB Posted
- Solicitation number
- ITB-14026
- Issued by
- Leon County, Florida
About this file
This is a Vendor Certification Form (PUR 7801) issued by the Florida Department of Corrections (FDC) for Invitation to Bid (ITB) No. 25-007, which seeks Statewide Roof Maintenance, Repair, and Replacement Services across 143 correctional facilities organized into four regional jurisdictions. The solicitation requires vendors to possess an active Certified General Contractor license or equivalent certification and submit comprehensive unit cost pricing for various roofing services including minor repairs, full roof replacements, specialized membrane installations, and architectural shingle work. A non-mandatory pre-bid conference and site visit is scheduled for October 22, 2025, at Wakulla Correctional Institute, with sealed bids due on December 15, 2025, at 2:00 p.m. The FDC intends to select one vendor per region, with anticipated contract award in February 2025. The contract term extends up to three years with potential renewals available in accordance with Florida Statute 287.057(14). Addendum #003 revised the vendor certification requirements and replaced the pricing attachment.
Vendor certification requirements mandate compliance with multiple Florida Statutes and state regulations, including attestations regarding Israel boycotts, scrutinized companies lists, suspended vendor status, E-Verify employment verification system usage, disclosure requirements under section 286.101, and anti-coercion for labor attestations. Vendors are required to certify they are not on any state prohibited lists and have not had contracts terminated due to E-Verify violations within the past year. Compensation will be based on unit cost pricing submitted for work performed on an as-needed basis, with invoicing conducted in arrears and contractors obligated to provide a minimum one-year warranty on all completed work supplementing manufacturer warranties. The solicitation does not specify a precise budget range, though the statewide scope covering 143 facilities and multiple roofing service categories suggests substantial potential contract value. No specific set-aside designations for disadvantaged enterprises are explicitly mentioned in the certification form.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ITB-25-007 Addendum #003 v4.pdf | ||
| Addendum 002 Timeline Revision.pdf | ||
| ITB-25-007 Addendum #004_Timeline Revision V3.pdf | ||
| ITB-25-007 Roof Maintenance.pdf | ||
| Addendum 001 Timeline Revision.pdf | ||
| PUR 7801 (Vendor Certification Form).docx | DOCX document |
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Text version
Revised Attachment X – Vendor Certification
ITB-25-007
Vendor Certification Form
I hereby certify the following on behalf of the vendor identified below:
| Customer Indicator (Required, N/A, Determined by Vendor) |
| Vendor Indicator (Certified, N/A) |
| Certification |
| Required | |
| Choose an item. | Regardless of the dollar value of the goods or services provided, in accordance with the requirements of section 287.135(5), F.S., the vendor is not participating in a boycott of Israel and is not on the State Board of Administration’s “Quarterly List of Scrutinized Companies that Boycott Israel,” available at https://www.sbafla.com/governance/global-governance-mandates/ |
| N/A | |
| Choose an item. | If the goods or services to be provided are $1 million or more, in accordance with the requirements of section 287.135, F.S., the vendor is not on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Terrorism Sectors List (collectively, “Scrutinized List of Prohibited Companies”); does not have business operations in Cuba or Syria; and is not on the State Board of Administration’s “Scrutinized List of Prohibited Companies” available under the quarterly reports section at https://www.sbafla.com/reporting/ |
| Required | |
| Choose an item. | The vendor is not on the Suspended Vendor List; it and its suppliers, subcontractors, or consultants to be utilized under the contract are not on the Convicted Vendor, Discriminatory Vendor, or Antitrust Violator Vendor Lists; and there is no pending or threatened action, proceeding, or investigation, or any other legal or financial condition, that would in any way prohibit, restrain, or diminish the vendor’s ability to satisfy the contract obligations. |
The vendor is hereby informed of the provisions of sections 287.133(2)(a), 287.134(2)(a), and 287.137(2)(a), F.S., that identify the impacts to the vendor's ability or its affiliates’ ability to respond to the competitive solicitations of a public entity; to be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with a public entity; or to transact business with a public entity if it, or its affiliates, are placed on the Convicted Vendor, Discriminatory Vendor, or Antitrust Violator Vendor Lists of the Department of Management Services. The vendor is hereby further informed of the provisions of section 287.1351, F.S., that identify the impacts to the vendor’s ability to enter into or renew a contract with an agency, as defined in section 287.012, F.S., if it is placed on the Suspended Vendor List of the Department of Management Services.
| Required | |
| Choose an item. | If the contract grants the vendor access to an individual’s personal identifying information, the vendor is not prohibited from entering into the contract pursuant to section 287.138, F.S., and has completed the Form PUR 1355, “Foreign Country of Concern Attestation Form,” available at http://www.flrules.org/Gateway/reference.asp?No=Ref-15843, and attached it hereto. |
| N/A | |
| Choose an item. | If the vendor is a common carrier, as defined in section 908.111, F.S., or a contracted carrier, it is not prohibited from entering into the contract pursuant to section 908.111, F.S., and has completed the Form PUR 1808, “Common Carrier or Contracted Carrier Attestation Form,” available at http://www.flrules.org/Gateway/reference.asp?No=Ref-14614, and attached it hereto. |
| Required | |
| Choose an item. | The vendor is registered with, and uses, the E-Verify system for all newly hired employees in accordance with section 448.095, F.S.; and has not, within the last year, had a contract terminated under section 448.095(5)(c), F.S., by a public employer, contractor, or subcontractor, as defined by section 448.095(1), F.S. |
| N/A | |
| Choose an item. | The vendor is in compliance with all applicable disclosure requirements set forth in section 286.101, F.S., and has not been deemed ineligible for a grant or contract funded by a state agency pursuant to section 286.101(7), F.S. |
| Required | |
| Choose an item. | If the contract is between a nongovernmental entity and a governmental entity, in accordance with section 787.06, F.S., the vendor has completed an affidavit signed by an officer or a representative of the vendor under penalty of perjury attesting that the vendor does not use coercion for labor or services as defined in section 787.06, F.S. |
[the Customer may add rows to this table for additional certifications required by law or rule]
By signing below, I certify that I am authorized to complete and submit this Vendor Certification Form on behalf of the vendor.
Vendor Information Signatory
Name Signature Date
FEIN Typed or Printed Name
Title Rule 60A-1.002, F.A.C.
FDC ITB-25-007
Addendum #003 Form PUR 7801 (07/2024)
File details come from the government source that posted it. Updated .