10-BC-RFQ-26-006 APPENDIX B (1) Certification Compliance.pdf

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Attached to
Licensed Site Remediation Professional - Request for Qualifications
Solicitation number
BC-RFQ-26-006
Issued by
Bergen County, New Jersey

About this file

This is a certification compliance document for the County of Bergen, New Jersey, in connection with Request for Qualifications (RFQ) BC-RFQ-26-006 for Licensed Site Remediation Professional services. The County seeks qualification statements from respondents with expertise in providing licensed site remediation services for a 12-month period commencing on the date of award. The RFQ requires respondents to certify their qualifications and compliance with specified conditions before submission.

Respondents must certify four key requirements: (1) their firm's participation will not create conflicts of interest for the firm or its officers and employees; (2) the firm is an equal opportunity employer that does not discriminate based on race, color, religion, sex, age, disability, national origin, or ancestry; (3) the firm is not currently in violation of or under investigation for violations of state or federal law or regulations that could materially impact its ability to serve; and (4) the firm understands that during its tenure as a qualified firm member, it will not be eligible to serve as financial advisor to the County of Bergen and will not have financial interests in any firm providing financial advisory services to the County. The certification document requires authorized signature, printed name, title, and date of execution from the responding firm.

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CERTIFICATIONS

In addition to responding to the foregoing items, the undersigned Respondent certifies that:

A. The firm’s participation in the matters contemplated by this RFQ will not create any conflict of interest for the firm or any of its officers or employees.

B. The firm is an equal opportunity employer and does not discriminate against applicants or employees on the basis of race, color, religion, sex, age, disability, national origin, or ancestry.

C. The firm is not currently in violation of or under any investigation or review for a violation of any state or federal law or regulation that might have a material adverse impact on the firm’s ability to serve if selected.

D. The firm understands and agrees that during the time it is a member of the group of qualified firms it will not be eligible to serve as financial advisor to the County of Bergen, and that it does not, and will not during that time, have a financial interest in any firm providing financial advisory services to the County of Bergen.

Firm: ______________________

By: ________________________

Name: _____________________

Title: ______________________

Date: ______________________, 20___

APPENDIX B

BC-RFQ-26-006

LICENSED SITE REMEDIATION PROFESSIONAL

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