10-Form 8 - Litigation Disclosure Form.pdf
PDF 65 KB Posted
- Attached to
- Non-Incumbent Rental Car Concession
- Solicitation number
- 333-25-AIR-RFP
- Issued by
- Cameron County, Texas
About this file
The document is a Litigation Disclosure form from the City of Brownsville, designed to gather critical background information from potential contractors or service providers. The form requires respondents to disclose any legal or professional history that might impact their eligibility for a contract, specifically asking about criminal convictions, work terminations, and past litigation involving the firm or team members within the past five to ten years.
The form mandates full and truthful disclosure, with a clear warning that failure to provide accurate information may result in proposal disqualification or contract termination. Respondents must circle "YES" or "NO" to three key questions regarding felony/misdemeanor convictions, previous work terminations, and involvement in legal claims. If any question is answered affirmatively, the respondent must provide detailed information on a separate page, including names, natures, and outcomes of the disclosed incidents. The form requires a signature from an authorized representative and provides space for dating the document.
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Text version
CITY OF BROWNSVILLE
LITIGATION DISCLOSURE
Respond to each of the questions below by circling the appropriate answer.
Failure to fully and truthfully disclose the information required by this
Litigation Disclosure form may result in the disqualification of your proposal from consideration or termination of the contract, once awarded.
1. Have you or any member of your Firm or Team to be assigned to this engagement ever been indicted or convicted of a felony or misdemeanor greater that a Class C in the last five (5) years?
Circle One YES NO
2. Have you or any member of your Firm or Team been terminated (for cause or otherwise) from any work being performed for the City of Brownsville or any other Federal, State or
Local Government, or Private Entity?
3. Have you or any member of your Firm or Team been involved in any claim or litigation with the City of Brownsville or any other Federal, State or Local Government, or Private Entity during the last ten (10) years?
If you have answered “YES” to any of the above questions, please indicated the name(s) of the person(s), the nature, and the status and/or outcome of the indictment, conviction, termination, claim or litigation, as applicable. Any such information should be provided on a separate page, attached to this form and submitted with your proposal.
Signature/Title of Authorized Representative
Date
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