10-Scrutinized.pdf
PDF 77 KB Posted
- Attached to
- New Metal Roof for Fire Station 4 & 5
- Solicitation number
- 2026008
- Issued by
- Indian River County, Florida
About this file
This is a Certification Regarding Prohibition Against Contracting with Scrutinized Companies form required by the State of Florida for the New Metal Roof for Fire Station 4 & 5 project. Respondents must certify that neither they nor their subsidiaries, parent companies, or affiliates have been placed on the Scrutinized Companies that Boycott Israel List or are engaged in a boycott of Israel as established under Florida Statutes section 215.4725. For contracts valued at one million dollars or more, respondents must additionally certify that neither they nor their related entities appear on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, and that they are not engaged in business operations in Cuba or Syria as defined under section 215.473.
The County reserves the right to immediately terminate any resulting contract upon written notice if the respondent submits a false certification or if the company or any related entity is subsequently found to be placed on any of the aforementioned lists, engaged in a boycott of Israel, or engaged in prohibited business operations. Submission of this completed certification form is mandatory and must accompany all bid, proposal, or Statement of Qualifications submissions. The form requires the authorized signature of a representative of the respondent entity along with printed name, title, date, and firm or entity identification.
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Other files
| File | Type | Posted |
|---|---|---|
| 8-Lobbying.pdf | ||
| 1-2026008 - New Metal Roof for Fire Station 4 5.pdf | ||
| 6-Disclosure.pdf | ||
| 4-Bid Bond.pdf | ||
| 2-Sample Agreement and Contract Documents.pdf | ||
| 5-Bid Compliance Form.pdf | ||
| 11-Warranty Information Form.docx | DOCX document | |
| 3-Anti-Human Traffic.pdf | ||
| 7-Drug Free.pdf | ||
| 12-Permit Fees.pdf | ||
| 9-Qualifications Questionnaire.pdf |
Show all 11
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Text version
CERTIFICATION REGARDING PROHIBITION AGAINST
CONTRACTING WITH SCRUTINIZED COMPANIES
(This form MUST be submitted with your bid/proposal/SOQ)
I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit have been placed on the Scrutinized Companies that Boycott Israel List created pursuant to s. 215.4725 of the Florida Statutes, or are engaged in a boycott of Israel.
In addition, if this solicitation is for a contract for goods or services of one million dollars or more, I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit are on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to s. 215.473 of the Florida Statutes, or are engaged in business operations in Cuba or Syria as defined in said statute.
I understand and agree that the County may immediately terminate any contract resulting from this solicitation upon written notice if the undersigned entity (or any of those related entities of respondent as defined above by Florida law) are found to have submitted a false certification or any of the following occur with respect to the company or a related entity: (i) it has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, or (ii) for any contract for goods or services of one million dollars or more, it has been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or it is found to have been engaged in business operations in Cuba or Syria.
Name of Respondent: ___________________________________
By: ________________________________________________ (Authorized Signature)
Name:
Title: ______________________________________________
Date:_____________________________
| Name: |
| Title: |
| Date: |
| Firm/Entity: |
File details come from the government source that posted it. Updated .