Common use of AFFIDAVIT Clause in Contracts

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20# Y21-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 191 This contract Contract is not valid unless bilaterally executed. Subject to mutual agreement made as of the day of , 2021 by and between Orange County, a Political Subdivision of the State of Florida, hereby enters into by and through its Board of County Commissioners, hereinafter referred to as the COUNTY, and [ ] an individual, [ ] a contract subject partnership, [ ] a corporation authorized to do business in the followingState of Florida, hereinafter referred to as the CONTRACTOR, whose Federal I.D. or Social Security number is . In consideration of the mutual promises contained herein, the COUNTY and the CONTRACTOR agree as follows:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL 1011-MV MSBU & NON-MSBU RETENTION POND MOWING AND MAINTENANCE XXXX XXXXX, XXXX I, XXXX XX, XXXXXXXXX AND BITHLO This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, hereby County Board of County Commissioners xxxxxx enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR 133-MV STREET SWEEPING SERVICES FOR SKILLED GENERAL MAINTENANCE EPD LAKE MANAGEMENT This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, hereby County Board of County Commissioners xxxxxx enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:Expires

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 1025 PROFESSIONAL LANGUAGE INTERPRETATION SERVICES This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, hereby County Board of County Commissioners xxxxxx enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 186-AH REMOVAL AND PROCESSING WASTE TIRES This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, hereby County Board of County Commissioners xxxxxx enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires to execute the (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:Expires

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 1070-MV LIQUID CARBON DIOXIDE This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20-158 TEMPORARY LABOR 180 TRANSPORT, PROCESSING AND DISPOSAL OF BIOSOLIDS FOR SKILLED GENERAL MAINTENANCE THE EASTERN AND NORTHWEST WATER RECLAMATION FACILITIES This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR 1081 GRAPHIC DESIGN SERVICES FOR SKILLED GENERAL MAINTENANCE REGIONAL HISTORY CENTER This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, hereby County Board of County Commissioners xxxxxx enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR 1092 LIQUID POLYMER FOR SKILLED GENERAL MAINTENANCE EASTERN WATER RECLAMATION FACILITY This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL 1011-MV MSBU & NON-MSBU RETENTION POND MOWING AND MAINTENANCE XXXX XXXXX, XXXX I, XXXX XX, GOLDENROD AND BITHLO This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, County Board of County Commissioners hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD IFB/RFP Number & Title: Bidder/Proposer Name: EQUAL OPPORTUNITY WORKFORCE SCHEDULE See: Sec. 17-322 (Establishment of goals; employment), Orange County Code of Ordinances Directions: Review the definition of “minority” in Sec. 17-319 (Definitions), Orange County Code of Ordinances, and record the demographics of your workforce by inserting the number of applicable employees in each box below. The County will only consider your total workforce (“TWF”) that falls within the “employee types” designated by an asterisk (*) when evaluating this Bid/Proposal Response. For data collecting purposes, record any applicable employees located in the Orlando Metropolitan Statistical Area (“OMSA”) of Lake, Orange, Osceola, and Seminole counties. If a Joint Venture is bidding, each entity must fill out a separate schedule. WORKFORCE African American Asian American Hispanic American Native American Caucasian/Other TOTAL TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA Employee Types (MALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Dislocated Workers MALE SUBTOTAL Employee Types (FEMALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Dislocated Workers FEMALE SUBTOTAL TOTAL Form Completed by (Print): Signature: Form Approved by (Print): Signature: SCHEDULE OF Procurement Division COUNTY COMMISSIONERS CONTRACT NOSUB-CONTRACTING - M/WBE PARTICIPATION FORM RFP Number & Title: Proposers shall list all subcontractors to be used regardless of racial or gender grouping. Y20Include all names, addresses, telephone numbers, type of work subcontracted and percentage of participation and M/WBE designation or majority (non-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE This contract is not valid unless bilaterally executedM/WBE owned company.) Designations are: MBE-BM (Black Male); M/WBE-BF (Black Female); MBE-HM (Xxxxxxxx Xxxx); M/WBE-HF (Hispanic Female); MBE-NAM (Native American Male); M/WBE-NAF (Native American Female); MBE-AM (Asian Male); M/WBE-AF (Asian Female); and WBE-WF (White Female). Subject Provide all information requested. Use additional sheets if necessary. Will your firm perform all the work with your own forces? Yes No (If no complete the form below) Name of Subcontractor Address Type of Work to mutual agreement Orange Countybe Performed (Shall be a Certified OC M/WBE) Percent of Contract Value to be Subcontracted M/WBE Designation Or Majority Owner NOTE: An authorized signature on this form constitutes a binding commitment of subcontract the percentage and type of work listed above. Company Name: Signature: Date: SCHEDULE OF SUB-CONTRACTING - SDV PARTICIPATION FORM RFP Number & Title: Additional points will be available for proposers who subcontract with registered SDV business enterprises. List all Registered Service-Disabled Veterans subcontractors to be used. Include all names, Floridaaddresses, hereby enters into telephone numbers, type of work subcontracted and percentage of participation. Provide all information requested. Use additional sheets if necessary. Name of Subcontractor Address Type of Work to be Performed (Shall be a contract subject Registered OC SDV) Percent of Contract Value to be Subcontracted NOTE: An authorized signature on this form constitutes a binding commitment of subcontract the followingpercentage and type of work listed above. Company Name: Signature: Date:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NORFP #Y22-143-AH, PROFESSIONAL PLANNING SERVICES Bidder/Proposer Name: EQUAL OPPORTUNITY WORKFORCE SCHEDULE See: Sec. Y2017-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE This contract 322 (Establishment of goals; employment), Orange County Code of Ordinances Directions: Review the definition of “minority” in Sec. 17-319 (Definitions), Orange County Code of Ordinances, and record the demographics of your workforce by inserting the number of applicable employees in each box below. The County will only consider your total workforce (“TWF”) that falls within the “employee types” designated by an asterisk (*) when evaluating this Bid/Proposal Response. For data collecting purposes, record any applicable employees located in the Orlando Metropolitan Statistical Area (“OMSA”) of Lake, Orange, Osceola, and Seminole counties. If a Joint Venture is not valid unless bilaterally executedbidding, each entity must fill out a separate schedule. Subject to mutual agreement Orange CountyWORKFORCE African American Asian American Hispanic American Native American Caucasian/Other TOTAL TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA Employee Types (MALE) Officials, FloridaManagers, hereby enters into a contract subject to the following:and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Dislocated Workers MALE SUBTOTAL Employee Types (FEMALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Dislocated Workers FEMALE SUBTOTAL TOTAL

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20-158 TEMPORARY LABOR 109-MV BOTTLED DRINKING WATER FOR SKILLED GENERAL MAINTENANCE ORANGE COUNTY CONVENTION CENTER This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. RFP #Y20-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE This contract 1049-AH; Financial Advisory Services Bidder/Proposer Name: EQUAL OPPORTUNITY WORKFORCE SCHEDULE See: Sec. 17-322 (Establishment of goals; employment), Orange County Code of Ordinances Directions: Review the definition of “minority” in Sec. 17-319 (Definitions), Orange County Code of Ordinances, and record the demographics of your workforce by inserting the number of applicable employees in each box below. The County will only consider your total workforce (“TWF”) that falls within the “employee types” designated by an asterisk (*) when evaluating this Bid/Proposal Response. For data collecting purposes, record any applicable employees located in the Orlando Metropolitan Statistical Area (“OMSA”) of Lake, Orange, Osceola, and Seminole counties. If a Joint Venture is not valid unless bilaterally executedbidding, each entity must fill out a separate schedule. Subject WORKFORCE African American Asian American Hispanic American Native American Caucasian/Other TOTAL TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA Employee Types (MALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Dislocated Workers MALE SUBTOTAL Employee Types (FEMALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Dislocated Workers FEMALE SUBTOTAL TOTAL Form Completed by (Print): Signature: Form Approved by (Print): Signature: SCHEDULE OF SUB-CONTRACTING - M/WBE PARTICIPATION FORM RFP #Y20-1049-AH; Financial Advisory Services Proposers shall list all subcontractors to mutual agreement Orange Countybe used regardless of racial or gender grouping. Include all names, Floridaaddresses, hereby enters into telephone numbers, type of work subcontracted and percentage of participation and M/WBE designation or majority (non-M/WBE owned company.) Designations are: MBE-BM (Black Male); M/WBE-BF (Black Female); MBE-HM (Xxxxxxxx Xxxx); M/WBE-HF (Hispanic Female); MBE-NAM (Native American Male); M/WBE-NAF (Native American Female); MBE-AM (Asian Male); M/WBE-AF (Asian Female); and WBE-WF (White Female). Provide all information requested. Use additional sheets if necessary. Will your firm perform all the work with your own forces? Yes No (If no complete the form below) Name of Subcontractor Address Type of Work to be Performed (Shall be a contract subject Certified OC M/WBE) Percent of Contract Value to be Subcontracted M/WBE Designation Or Majority Owner NOTE: An authorized signature on this form constitutes a binding commitment of subcontract the followingpercentage and type of work listed above. Company Name: Signature: Date: SCHEDULE OF SUB-CONTRACTING - SDV PARTICIPATION FORM RFP #Y20-1049-AH; Financial Advisory Services Additional points will be available for proposers who subcontract with registered SDV business enterprises. List all Registered Service-Disabled Veterans subcontractors to be used. Include all names, addresses, telephone numbers, type of work subcontracted and percentage of participation. Provide all information requested. Use additional sheets if necessary. Name of Subcontractor Address Type of Work to be Performed (Shall be a Registered OC SDV) Percent of Contract Value to be Subcontracted NOTE: An authorized signature on this form constitutes a binding commitment of subcontract the percentage and type of work listed above. Company Name: Signature: Date: DISLOCATED WORKER PROPOSED HIRING INFORMATION Section I: To be Submitted with Proposal Firm: Address: Phone Number: Email Address: Number of Individuals to be Hired: Signature of Authorized Representative of Above Firm: Printed Name:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 1045 Right-of-Way Mowing Apopka Area II This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, County Board of County Commissioners hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD RFP: Y22-156-MV, Tennis Management Services at Fort Xxxxxx Recreation Complex Bidder/Proposer Name: EQUAL OPPORTUNITY WORKFORCE SCHEDULE See: Sec. 17-322 (Establishment of goals; employment), Orange County Code of Ordinances Directions: Review the definition of “minority” in Sec. 17-319 (Definitions), Orange County Code of Ordinances, and record the demographics of your workforce by inserting the number of applicable employees in each box below. The County will only consider your total workforce (“TWF”) that falls within the “employee types” designated by an asterisk (*) when evaluating this Bid/Proposal Response. For data collecting purposes, record any applicable employees located in the Orlando Metropolitan Statistical Area (“OMSA”) of Lake, Orange, Osceola, and Seminole counties. If a Joint Venture is bidding, each entity must fill out a separate schedule. WORKFORCE African American Asian American Hispanic American Native American Caucasian/Other TOTAL TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA Employee Types (MALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Dislocated Workers MALE SUBTOTAL Employee Types (FEMALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Dislocated Workers FEMALE SUBTOTAL TOTAL Form Completed by (Print): Signature: Form Approved by (Print): Signature: SCHEDULE OF Procurement Division COUNTY COMMISSIONERS CONTRACT NOSUB-CONTRACTING - M/WBE PARTICIPATION FORM Y22-156-MV, TENNIS MANAGEMENT SERVICES AT FORT XXXXXX RECREATION COMPLEX Proposers shall list all subcontractors to be used regardless of racial or gender grouping. Y20Include all names, addresses, telephone numbers, type of work subcontracted and percentage of participation and M/WBE designation or majority (non-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE This contract is not valid unless bilaterally executedM/WBE owned company.) Designations are: MBE-BM (Black Male); M/WBE-BF (Black Female); MBE-HM (Xxxxxxxx Xxxx); M/WBE-HF (Hispanic Female); MBE-NAM (Native American Male); M/WBE-NAF (Native American Female); MBE-AM (Asian Male); M/WBE-AF (Asian Female); and WBE-WF (White Female). Subject Provide all information requested. Use additional sheets if necessary. Will your firm perform all the work with your own forces? Yes No (If no complete the form below) Name of Subcontractor Address Type of Work to mutual agreement Orange Countybe Performed (Shall be a Certified OC M/WBE) Percent of Contract Value to be Subcontracted M/WBE Designation Or Majority Owner NOTE: An authorized signature on this form constitutes a binding commitment of subcontract the percentage and type of work listed above. Company Name: Signature: Date: SCHEDULE OF SUB-CONTRACTING - SDV PARTICIPATION FORM Y22-156-MV, FloridaTENNIS MANAGEMENT SERVICES AT FORT XXXXXX RECREATION COMPLEX Additional points will be available for proposers who subcontract with registered SDV business enterprises. List all Registered Service-Disabled Veterans subcontractors to be used. Include all names, hereby enters into addresses, telephone numbers, type of work subcontracted and percentage of participation. Provide all information requested. Use additional sheets if necessary. Name of Subcontractor Address Type of Work to be Performed (Shall be a contract subject Registered OC SDV) Percent of Contract Value to be Subcontracted NOTE: An authorized signature on this form constitutes a binding commitment of subcontract the followingpercentage and type of work listed above. Company Name: Signature: Date: DISLOCATED WORKER PROPOSED HIRING INFORMATION Section I: To be Submitted with Proposal Firm: Address: Phone Number: Email Address: Number of Individuals to be Hired: Signature of Authorized Representative of Above Firm: Printed Name:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR 1091 LIQUID POLYMER FOR SKILLED GENERAL MAINTENANCE NORTHWEST WATER RECLAMATION FACILITY This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 1021 AERIAL MOSQUITO CONTROL This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 1083 JANITORIAL SERVICES – ORANGE COUNTY SUN RAIL STATIONS This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, hereby County Board of County Commissioners xxxxxx enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:Expires

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL 179 BUILDING AUTOMATION SYSTEMS PREVENTATIVE MAINTENANCE AND REPAIRS This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, hereby County Board of County Commissioners xxxxxx enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 1068-MV SODIUM HYPOCHLORITE This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 1157 CRANE AND HOIST INSPECTION, TESTING AND CERTIFICATION This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD IFB/RFP Number & Title: Y19-135-AV LEGAL COUNSEL FOR CODE ENFORCEMENT FORECLOSURES Bidder/Proposer Name: EQUAL OPPORTUNITY WORKFORCE SCHEDULE See: Sec. 17-322 (Establishment of goals; employment), Orange County Code of Ordinances Directions: Review the definition of “minority” in Sec. 17-319 (Definitions), Orange County Code of Ordinances, and record the demographics of your workforce by inserting the number of applicable employees in each box below. The County will only consider your total workforce (“TWF”) that falls within the “employee types” designated by an asterisk (*) when evaluating this Bid/Proposal Response. For data collecting purposes, record any applicable employees located in the Orlando Metropolitan Statistical Area (“OMSA”) of Lake, Orange, Osceola, and Seminole counties. If a Joint Venture is bidding, each entity must fill out a separate schedule. WORKFORCE African American Asian American Hispanic American Native American Caucasian/Other TOTAL TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA Employee Types (MALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Displaced Workers MALE SUBTOTAL Employee Types (FEMALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Displaced Workers FEMALE SUBTOTAL TOTAL Form Completed by (Print): Signature: Form Approved by (Print): Signature: SCHEDULE OF Procurement Division COUNTY COMMISSIONERS CONTRACT NOSUB-CONTRACTING - M/WBE PARTICIPATION FORM Y19-135-AV LEGAL COUNSEL FOR CODE ENFORCEMENT FORECLOSURES Proposers shall list all subcontractors to be used regardless of racial or gender grouping. Y20Include all names, addresses, telephone numbers, type of work subcontracted and percentage of participation and M/WBE designation or majority (non-158 TEMPORARY LABOR M/WBE owned company.) Designations are: MBE-BM (Black Male); M/WBE-BF (Black Female); MBE-HM (Xxxxxxxx Xxxx); M/WBE-HF (Hispanic Female); MBE-NAM (Native American Male); M/WBE-NAF (Native American Female); MBE-AM (Asian Male); M/WBE-AF (Asian Female); and WBE-WF (White Female). Provide all information requested. Use additional sheets if necessary. Will your firm perform all the work with your own forces? Yes No (If no complete the form below) Name of Subcontractor Address Type of Work to be Performed Percent of Contract Amount to be Subcontracte d M/WBE Designatio n Or Majority Owner NOTE: An authorized signature on this form constitutes a binding commitment of subcontract the percentage and type of work listed above. Company Name: Signature: Date: SCHEDULE OF SUB-CONTRACTING - SDV PARTICIPATION FORM RFP Number & Title: Y19-135-AV LEGAL COUNSEL FOR SKILLED GENERAL MAINTENANCE This contract is not valid unless bilaterally executedCODE ENFORCEMENT FORECLOSURES Additional points will be available for proposers who subcontract with registered SDV business enterprises. Subject List all Registered Service-Disabled Veterans subcontractors to mutual agreement Orange Countybe used. Include all names, Floridaaddresses, hereby enters into telephone numbers, type of work subcontracted and percentage of participation. Provide all information requested. Use additional sheets if necessary. Name of Subcontractor Address Type of Work to be Performed Percent of Contract Amount to be Subcontracted NOTE: An authorized signature on this form constitutes a contract subject binding commitment of subcontract the percentage and type of work listed above. Company Name: Signature: Date: DISPLACED WORKER PROPOSED HIRING INFORMATION Section I: To be Submitted with Proposal Firm: Address: Phone Number: Email Address: Number of Individuals to the followingbe Hired: Signature of Authorized Representative of Above Firm: Printed Name:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20-158 TEMPORARY LABOR 113 RADIOLOGICAL EXAMINATION SERVICES FOR SKILLED GENERAL MAINTENANCE THE ORANGE COUNTY MEDICAL CLINIC This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 1125 COMMUNITY CENTER SECURITY ALARM MONITORING, INSPECTION, REPAIR, AND INSTALLATION SERVICES This contract is not valid unless bilaterally executed. Subject to mutual agreement Orange County, Florida, hereby enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR 137 EVIDENCE BASED COGNITIVE BEHAVIORAL PROGRAMS FOR SKILLED GENERAL MAINTENANCE INMATES AT ORANGE COUNTY CORRECTIONS – PARENTING INSIDE OUT This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, hereby County Board of County Commissioners xxxxxx enters into a contract subject to the following:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. RFP Number & Title: Y20-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE This contract 1094-TJ REAL ESTATE MANAGEMENT STAFF AUGMENTATION SERVICES Bidder/Proposer Name: EQUAL OPPORTUNITY WORKFORCE SCHEDULE See: Sec. 17-322 (Establishment of goals; employment), Orange County Code of Ordinances Directions: Review the definition of “minority” in Sec. 17-319 (Definitions), Orange County Code of Ordinances, and record the demographics of your workforce by inserting the number of applicable employees in each box below. The County will only consider your total workforce (“TWF”) that falls within the “employee types” designated by an asterisk (*) when evaluating this Bid/Proposal Response. For data collecting purposes, record any applicable employees located in the Orlando Metropolitan Statistical Area (“OMSA”) of Lake, Orange, Osceola, and Seminole counties. If a Joint Venture is not valid unless bilaterally executedbidding, each entity must fill out a separate schedule. Subject WORKFORCE African American Asian American Hispanic American Native American Caucasian/Other TOTAL TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA TWF OMSA Employee Types (MALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Dislocated Workers MALE SUBTOTAL Employee Types (FEMALE) Officials, Managers, and Supervisors* Professionals* Technicians* Sales Workers Office and Clerical Craftsman (Skilled) Operatives (Semi-Skilled) Laborers (Unskilled) Service Workers Apprentice* Interns/Co-Ops* Dislocated Workers FEMALE SUBTOTAL TOTAL Form Completed by (Print): Signature: Form Approved by (Print): Signature: SCHEDULE OF SUB-CONTRACTING - M/WBE PARTICIPATION FORM RFP Number & Title: Y20-1094-TJ REAL ESTATE MANAGEMENT STAFF AUGMENTATION SERVICES Proposers shall list all subcontractors to mutual agreement Orange Countybe used regardless of racial or gender grouping. Include all names, Floridaaddresses, hereby enters into telephone numbers, type of work subcontracted and percentage of participation and M/WBE designation or majority (non-M/WBE owned company.) Designations are: MBE-BM (Black Male); M/WBE-BF (Black Female); MBE-HM (Xxxxxxxx Xxxx); M/WBE-HF (Hispanic Female); MBE-NAM (Native American Male); M/WBE-NAF (Native American Female); MBE-AM (Asian Male); M/WBE-AF (Asian Female); and WBE-WF (White Female). Provide all information requested. Use additional sheets if necessary. Will your firm perform all the work with your own forces? Yes No (If no complete the form below) Name of Subcontractor Address Type of Work to be Performed (Shall be a contract subject Certified OC M/WBE) Percent of Contract Value to be Subcontracted M/WBE Designation Or Majority Owner NOTE: An authorized signature on this form constitutes a binding commitment of subcontract the followingpercentage and type of work listed above. Company Name: Signature: Date: SCHEDULE OF SUB-CONTRACTING - SDV PARTICIPATION FORM RFP Number & Title: Y20-1094-TJ REAL ESTATE MANAGEMENT STAFF AUGMENTATION SERVICES Additional points will be available for proposers who subcontract with registered SDV business enterprises. List all Registered Service-Disabled Veterans subcontractors to be used. Include all names, addresses, telephone numbers, type of work subcontracted and percentage of participation. Provide all information requested. Use additional sheets if necessary. Name of Subcontractor Address Type of Work to be Performed (Shall be a Registered OC SDV) Percent of Contract Value to be Subcontracted NOTE: An authorized signature on this form constitutes a binding commitment of subcontract the percentage and type of work listed above. Company Name: Signature: Date: DISLOCATED WORKER PROPOSED HIRING INFORMATION Section I: To be Submitted with Proposal Firm: Address: Phone Number: Email Address: Number of Individuals to be Hired: Signature of Authorized Representative of Above Firm: Printed Name:

AFFIDAVIT. The undersigned swear or affirm that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the undersigned covenant and agree to provide to the County current, complete and accurate information regarding actual joint venture work and the payment therefore and any proposed changes in any of the joint venture. Also, permit authorized representatives of the County to audit and examine records of the joint venture. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm: Name of Firm: Signature: Signature: Name: Name: Title: Title: Date: Date: INFORMATION FOR DETERMINING JOINT VENTURE ELIGIBILITY – PAGE 4 Date State of County of On this AFFIDAVIT day of , 20 , before me appeared (name) , to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) Date State of County of On this day of _ , 20 , before me appeared (name), to me personally known, who being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission Expires (Seal) ORANGE COUNTY BOARD OF Procurement Division COUNTY COMMISSIONERS CONTRACT NO. Y20Y19-158 TEMPORARY LABOR FOR SKILLED GENERAL MAINTENANCE 172 LEACHATE HAULING This contract is not valid unless bilaterally executed. Subject to mutual agreement the Orange County, Florida, hereby County Board of County Commissioners xxxxxx enters into a contract subject to the following: