1056.R1 Contractor Tax Compliance Certification Fillable Form.pdf

PDF 2 MB Posted

Attached to
RFP City of Medford Regional Water Reclamation Facility (RWRF) Upgrade Project
Solicitation number
WFC2402-CMGC
Issued by
Jackson County, Cheshire CDP, Oregon

About this file

The document is a Contractor Certification of Tax Compliance form issued by the City of Medford, Oregon. The form requires a contractor to certify compliance with Oregon state tax laws, including ORS 305.620 and ORS chapters 316, 317, and 318, as well as any tax provisions imposed by local jurisdictions for a period of six calendar years preceding the submission. The contractor must also provide written notice to the agency within two business days of any change in their tax law compliance status.

This certification is part of the City of Medford's procurement process for the Regional Water Reclamation Facility (RWRF) Upgrade Project, which involves selecting a Construction Manager/General Contractor (CM/GC) through a best-value competitive process. The form serves as a critical compliance document ensuring that potential contractors maintain good standing with state and local tax regulations, which is a key consideration in the city's vendor selection process.

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Text version

CITY OF MEDFORD

CONTRACTOR CERTIFICATION OF TAX COMPLIANCE

Contractor certifies to the City of Medford that:

To the best of Contractor’s knowledge, after due inquiry, currently and for a period of six calendar years preceding this submittal, Contractor has complied with:

(a) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318;

(b) Any tax provisions imposed by any City, County, or other political subdivision of the State of Oregon that applied to Contractor, to Contractor’s property, operations, receipts, or income, or to

Contractor’s performance of or compensation for any work performed by Contractor.

(c) Offeror shall provide written notice to Agency within two business days of any change to the Offeror’s status of tax law compliance.

Dated this day of , 20

Signed

Name of Contractor

Street Address

City State Zip

1056.R1 5/12/2023

Dated this:
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