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Miami-Dade County
Procurement Management Services
Solicitation Submittal Form
111 NW 1st
Street, Suite 1300, Miami, FL 33128
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Solicitation
No. FB-00358
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Solicitation
Title: Social Media Consulting Services
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Legal
Company Name (include d/b/a if applicable):
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Federal Tax
Identification Number:
*
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If
Corporation - Date Incorporated/Organized:
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State Incorporated/Organized:
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Company
Operating Address:
*
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City
*
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State
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Zip Code
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Remittance Address
(if different from ordering address):
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City
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State
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Zip Code
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Company Contact
Person:
*
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Email Address:
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Phone
Number
(include
area code):
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Fax
Number
(include
area code):
*
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Company's Internet
Web Address:
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Pursuant
to Miami-Dade County Ordinance 94-34, any individual, corporation,
partnership, joint venture or other legal entity having an officer, director,
or executive who has been convicted of a felony during the past ten (10)
years shall disclose this information prior to entering into a contract with
or receiving funding from the County.
Place a check mark
here only if the Bidder has such conviction to disclose to comply with this
requirement.
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LOCAL
PREFERENCE CERTIFICATION: For the purpose of this
certification, a “local business” is a business located within the limits of
Miami-Dade County (or Broward County in accordance with the Interlocal
Agreement between the two counties) that has a valid Local Business Tax
Receipt, issued by Miami-Dade County; has a physical business address located
within the limits of Miami-Dade County from which business is performed; and
contributes to the economic development of the community in a verifiable and
measurable way. This may include, but not be limited to, the retention and
expansion of employment opportunities and the support and increase to the
County’s tax base.
Place a
check mark here only if affirming the Bidder meets the requirements for Local
Preference. Failure to complete this certification at this time (by
checking the box above) may render the vendor ineligible for Local Preference.
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LOCALLY-HEADQUARTERED
BUSINESS CERTIFICATION: For the purpose of this
certification, a “locally-headquartered business” is a Local Business whose
“principal place of business” is in Miami-Dade County or Broward County in
accordance with the Interlocal Agreement between the two counties.
Place a
check mark here only if affirming the Bidder meets
requirements for the Locally-Headquartered Preference (LHP). Failure
to complete this certification at this time (by checking the box) may render
the vendor ineligible for the LHP.
The address
of the Locally-headquartered office is:
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LOCAL
CERTIFIED VETERAN BUSINESS ENTERPRISE CERTIFICATION:
A
Local Certified Veteran Business Enterprise is a firm that is (a) a local
business pursuant to Section 2-8.5 of the Code of Miami-Dade County and (b)
prior to bid submission is certified by the State
of Florida Department of Management Services as a veteran business enterprise
pursuant to Section 295.187 of the Florida Statutes.
Place
a check mark here only if affirming the Bidder
is a Local Certified Veteran Business Enterprise. A copy of the certification must be submitted with the bid.
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SMALL
BUSINESS ENTERPRISE CONTRACT MEASURES (If Applicable)
An
SBE/Micro Business Enterprise must be certified by Small Business Development
for the type of goods and/or services the Bidder provides in accordance with the applicable Commodity Code(s)
for this Solicitation. For certification information contact Small Business
Development at (305) 375-2378 or access http://www.miamidade.gov/business/business-certification-programs.asp. The SBE/Micro Business Enterprise must be certified by the
solicitation's submission deadline, at contract award, and for the duration
of the contract to remain eligible for the preference. Firms that
graduate from the SBE program during the contract may remain on the contract.
Is your firm a Miami-Dade
County Certified Small Business Enterprise?
YesNo
If yes, please provide your Certification Number:
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SCRUTINIZED
COMPANIES WITH ACTIVITIES IN SUDAN LIST OR THE SCRUTINIZED COMPANIES WITH
ACTIVITIES IN THE IRAN PETROLEUM ENERGY SECTOR LIST:
By executing this bid through a duly authorized representative,
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, as those terms are used and defined in sections 287.135 and 215.473 of
the Florida Statutes. In the event that the Bidder
is unable to provide such certification but still seeks to be considered for
award of this solicitation, the Bidder shall
execute the bid response package through a duly authorized representative and
shall also initial this space:: .
In such event, the Bidder shall
furnish together with its bid response a duly executed written explanation of
the facts supporting any exception to the requirement for certification that
it claims under Section 287.135 of the Florida Statutes. The Bidder agrees
to cooperate fully with the County in any investigation undertaken by the
County to determine whether the claimed exception would be applicable. The
County shall have the right to terminate any contract resulting from this
solicitation for default if the Bidder is
found to have submitted a false certification or to have been placed on the
Scrutinized Companies for Activities in Sudan List or the Scrutinized
Companies with Activities in the Iran Petroleum Energy Sector List.
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IT
IS HEREBY CERTIFIED AND AFFIRMED THAT THE BIDDER SHALL ACCEPT ANY AWARDS MADE
AS A RESULT OF THIS SOLICITATION. BIDDER FURTHER AGREES THAT PRICES QUOTED
WILL REMAIN FIXED FOR A PERIOD OF ONE HUNDRED AND EIGHTY (180) DAYS FROM DATE
SOLICITATION IS DUE.
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Bidder's Authorized Representative's Signature:
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Date
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Type or Print Name
*
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THE
EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF THE BIDDER TO BE BOUND
BY THE TERMS OF ITS OFFER. FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED
ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE BID
NON-RESPONSIVE. THE COUNTY MAY, HOWEVER, IN ITS SOLE DISCRETION,
ACCEPT ANY RESPONSE THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY
BINDS THE BIDDER TO THE TERMS OF ITS OFFER.
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