RESPONSIVE REQUIREMENTS FORM.pdf

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Attached to
ITB DMS-2223-124 Chiller Inspection Services
Solicitation number
ITB-05679
Issued by
Leon County, Florida

About this file

This document is a Responsive Requirements Form for an Invitation to Bid (ITB) issued by the State of Florida, Department of Management Services' Division of Real Estate Development and Management (the Department) for Chiller Inspection Services. The ITB seeks providers to establish a contract for these services, with requirements that bidders must have at least one service center located within 250 miles of each facility in the region(s) bid, not be a discriminatory or convicted vendor, comply with applicable laws and regulations, and have relevant licenses, certifications, and experience. Bidders must also submit a completed price sheet and visit all facilities in the region(s) they are bidding on.

The pricing terms and details are not explicitly stated, but the document indicates the Department requires an annual Preferred Pricing Affidavit from the awarded contractor(s). There are no details provided about set-asides, incumbents, funding requirements, or other salient financial information.

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ITB No.: DMS-22/23-124 Chiller Inspection Services Page 21 of 22

RESPONSIVE REQUIREMENTS FORM

1. The person submitting the Bid and its pricing certifies to being authorized to respond to this ITB on the Bidder’s behalf.

2. The Bidder certifies that the Bidder will have at least (1) Service Center located within 250-miles of each Facility within a Region for which the Bidder submits a bid prior to Contract execution, and has provided the Service Center Location Form with its bid.

3. The Bidder certifies that the Bidder is not a Discriminatory Vendor or Convicted Vendor as defined in Sections 7 and 8 of the PUR 1001 form.

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

4. The Bidder certifies that the Bidder is in compliance with Section 9 of the PUR 1001 form, as revised by subsection 3.2 http://www.dms.myflorida.com/content/download/2934/11780/1001.pdf

5. The Bidder certifies that the Bidder is not on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List or the Scrutinized Companies that Boycott Israel List and is not participating in a boycott of Israel.

https://www.sbafla.com/fsb/Portals/FSB/Content/Performance/Quarterly/2019_01_2 9_Web_Update_PFIA_Prohibited_List.pdf?ver=2019-01-29-130702-420

6. The Bidder certifies it 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.

7. The Bidder certifies that the Bidder has an active Florida Department of State registration or will attain, prior to contract execution, authorization through the Department of State, Division of Corporations, should the Bidder be awarded the Contract. Website: www.sunbiz.org.

8. The Bidder certifies that the Bidder will, if awarded, submit to the Department, at least annually, the completed signed Preferred Pricing Affidavit as outlined in Section 22 of the Contract.

9. The Bidder certifies it holds a Florida Certified Class B or Class C Air-Conditioning Contractor license, or a Florida Certified Mechanical Contractor license, in accordance with Section 3.6.3.

10. The Bidder certifies it has a minimum of five years’ experience in providing the services described in Attachment A, Statement of Work, in accordance with Section 3.6.3.

11. The Bidder certifies it has a minimum of two (2) technicians with an Environmental Protection Agency-approved Section 608 Technician Certification in each region bid, in accordance with Section 3.6.3.

http://www.dms.myflorida.com/content/download/2934/11780/1001.pdf http://www.dms.myflorida.com/content/download/2934/11780/1001.pdf https://www.sbafla.com/fsb/Portals/FSB/Content/Performance/Quarterly/2019_01_29_Web_Update_PFIA_Prohibited_List.pdf?ver=2019-01-29-130702-420 https://www.sbafla.com/fsb/Portals/FSB/Content/Performance/Quarterly/2019_01_29_Web_Update_PFIA_Prohibited_List.pdf?ver=2019-01-29-130702-420 http://www.sunbiz.org/

ITB No.: DMS-22/23-124 Chiller Inspection Services

12. The Bidder certifies that it has provided a completed ATTACHMENT D – PRICE SHEETS, in accordance with section 3.10, Price Sheet Instructions.

13. The Bidder certifies that it timely visited all Facilities within the Region the Bidder is bidding and has provided confirmation from the Facility Manager by way of a dated signature on the Bidder’s submitted ATTACHMENT C – FACILITY LIST AND SITE

VISITS.

Execution of the Responsive Requirements Form includes completion of the information below which certifies that the signatory has the authority to respond to this solicitation on the Bidder’s behalf and certifies conformance with all Responsive Requirements listed above. Signature below further certifies acknowledgment of the Bidder’s ongoing duty to provide updates to the Procurement Officer should a change in Bidder’s circumstances render these certifications no longer true.

Name of Bidder’s Organization

Signature of Organization’s Authorized Representative

Date

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