10-Attachment B-Bidders Cert.pdf

PDF 123 KB Posted

Attached to
Medical Center of Deltona Artwork
Solicitation number
PROJ-26-029
Issued by
Volusia County, Florida

About this file

This is a Bidder's Certification document for Halifax Health Medical Center's Invitation to Bid (ITB #PROJ-26-029) in Florida, requiring qualified vendors to submit artwork for the Medical Center of Deltona. The artwork must be positive in nature, utilize inviting colors, and convey optimism and tranquility while reflecting Florida's landscape, architecture, and lifestyle to support the organization's mission of creating a healing environment for patients, visitors, and staff.

Bidders executing this certification attest that they have received complete bid papers, have not engaged in collusion or unethical practices, comply with all federal, state, and local employment and equal opportunity laws, maintain a written sexual harassment policy in accordance with applicable regulations, and will abide by all relevant federal, state, and local codes and statutes. Additionally, bidders certify that they are not barred from contracting with any unit of local government in Florida due to tax delinquency with the Florida Department of Revenue unless actively contesting such liability through established statutory procedures.

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Text version

ATTACHMENT B

HALIFAX HEALTH MEDICAL CENTER

BIDDER’S CERTIFICATION

ITB # PROJ-26-029

I/We hereby certify that:

A. A complete set of bid papers, as intended, has been received, and I/We will abide by the contents and/or information received and/or contained herein.

B. I/We have not entered into any collusion or other unethical practices with any person, firm, or employee of the District which would in any way be construed as unethical practice.

C. I/We comply with all current federal, state and local laws, statutes, rules, and regulations referencing equal opportunity employment practices.

D. I/We have adopted a written sexual harassment policy which is in accordance with the requirements of federal, state and local laws, regulations and policies.

E. I/We will abide by all other federal, state and local codes, rules, regulations, ordinances and statutes.

COMPANY NAME

ADDRESS

DISTRICT/STATE/ZIP CODE

NAME OF CORPORATE/COMPANY OFFICIAL

(PLEASE TYPE OR PRINT CLEARLY)

TITLE

AUTHORIZED OFFICIAL SIGNATURE

DATE

TELEPHONE ( )

EMAIL

HALIFAX HEALTH MEDICAL CENTER

STATE OF FLORIDA

ITB # PROJ-26-029

COUNTY OF

BIDDER’S TAX CERTIFICATION

(BIDDER’S EXECUTING OFFICER), being first duly sworn on oath, deposes and states that all statements made herein are made on behalf of the Bidder, that this respondent is authorized to make them and that the statements contained herein are true and correct. Bidder deposes, states and certifies that Bidder is not barred from contracting with any unit of local government in the State of Florida as result of a delinquency in payment of any tax administered by the Florida Department of Revenue unless Bidder is contesting, in accordance with the procedures established by the appropriate statute, its liability for the tax or the amount of the tax.

DATED this day of , 2026.

By (Bidder’s Executing Officer)

(Name of Bidder’s Executing Officer)

(Title)

ATTEST/WITNESS:

By

Title

Subscribed and sworn to before me this day of , 2026.

Notary Public

(SEAL)

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