RFP 25-03_Attachment I.docx

DOCX document 54 KB Posted

Attached to
Low-Code Application Development Services
Solicitation number
RFP-15318
Issued by
Polk County, Florida

About this file

This is a Vendor Certification Form for RFP 25-03 issued by the Florida Department of Citrus (FDOC) for Low-Code Application Development Services. The form requires vendors to certify compliance with multiple Florida statutory requirements as conditions of contract eligibility. Key certifications include attestations regarding non-participation in boycotts of Israel, absence from scrutinized companies lists related to Sudan, Iran, Cuba, and Syria activities, non-listing on suspended or convicted vendor lists, E-Verify enrollment and compliance, absence of pending legal or financial conditions that would impair contract performance, and compliance with disclosure requirements under Florida law. For contracts exceeding $1 million in value, vendors must certify non-listing on the Scrutinized List of Prohibited Companies. Additional certifications are required for vendors providing access to personal identifying information (Form PUR 1355), common or contracted carriers (Form PUR 1808), and nongovernmental entities entering into contracts with governmental entities regarding non-use of coercion for labor. The form requires an authorized signatory to execute the certification under penalty of perjury on behalf of the vendor, along with provision of vendor information including FEIN, signatory name, signature, and date.

The form itself contains no pricing terms, set-aside provisions, incumbent information, funding amounts, or contract performance details. Instead, it functions as a mandatory compliance document that vendors must complete and submit as part of their proposal response to establish legal eligibility and responsibility. The form references multiple external resources including the State Board of Administration's quarterly scrutinized companies lists, the Department of Management Services vendor lists, and Florida Administrative Code rules, all of which vendors must verify for their organization and any anticipated subcontractors or consultants prior to submission.

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Other files

File Type Posted
RFP 25-03_Attachment D.pdf PDF
RFP 25-03_Exhibit 2_Statement of Work.pdf PDF
RFP 25-03_Attachment H.pdf PDF
RFP 25-03_Attachment I.docx DOCX document
RFP 25-03_Attachment E.pdf PDF
RFP 25-03_Attachment A.pdf PDF
RFP 25-03_Attachment D.pdf PDF
RFP 25-03_Exhibit 2_Statement of Work.pdf PDF
RFP 25-03_Attachment F.pdf PDF
RFP 25-03_Attachment A.pdf PDF
RFP 25-03_Attachment B.pdf PDF
RFP 25-03_Attachment D.pdf PDF
RFP 25-03_Attachment B.pdf PDF
RFP 25-03_Attachment H.pdf PDF
RFP 25-03_Attachment F.pdf PDF
RFP 25-03_Exhibit 1_Draft Contract.pdf PDF
RFP 25-03_Addendum 1.pdf PDF
RFP 25-03_Attachment E.pdf PDF
RFP 25-03_Attachment B.pdf PDF
RFP 25-03_Attachment I.docx DOCX document
RFP 25-03_Exhibit 1_Draft Contract.pdf PDF
RFP 25-03_Attachment C.pdf PDF
RFP 25-03_Low-Code App Dev Svcs.pdf PDF
RFP 25-03_Low-Code App Dev Svcs.pdf PDF
RFP 25-03_Addendum 1.pdf PDF
RFP 25-03_Attachment E.pdf PDF
RFP 25-03_Attachment G.pdf PDF
RFP 25-03_Attachment F.pdf PDF
RFP 25-03_Attachment A.pdf PDF
RFP 25-03_Exhibit 1_Draft Contract.pdf PDF
RFP 25-03_Exhibit 2_Statement of Work.pdf PDF
RFP 25-03_Attachment G.pdf PDF
RFP 25-03_Attachment C.pdf PDF
RFP 25-03_Exhibit 2_SOW - Revised.pdf PDF
RFP 25-03_Attachment G.pdf PDF
RFP 25-03_Attachment H.pdf PDF
RFP 25-03 Questions and Answers.pdf PDF
RFP 25-03_Attachment C.pdf PDF
RFP 25-03_Low-Code App Dev Svcs.pdf PDF
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Text version

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.

N/A
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.
Required
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.

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 Form PUR 7801 (07/2024) Rule 60A-1.002, F.A.C.

File details come from the government source that posted it. Updated .