11-Attachment B-Bidders Cert.pdf
PDF 1 MB Posted
- Attached to
- 201 BUILDING SUITES 200 & 210
- Solicitation number
- PROJ-26-050
- Issued by
- Volusia County, Florida
About this file
This is a Bidders Certification document for Halifax Health Medical Center, a healthcare facility in Florida seeking qualified responses for architectural and engineering design services. The certification form establishes the foundational compliance requirements and representations that bidding firms must acknowledge and sign to participate in the procurement process for the minor renovation and interior enhancement of Suites 200 and 205/210 within the Halifax Health 201 Building.
The document requires bidders to certify that they have received complete bid papers, have not engaged in collusion or unethical practices, comply with all federal, state, and local equal opportunity employment laws, have adopted a written sexual harassment policy in accordance with applicable regulations, and will abide by all applicable federal, state, and local codes and regulations. Additionally, bidders must provide a tax certification confirming they are not barred from contracting with any unit of local government in Florida due to tax delinquencies with the Florida Department of Revenue, unless they are actively contesting their tax liability through established procedures. The form requires signature by an authorized corporate official with the company name, address, contact information, and notarization of the executing officer's oath before submission.
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Text version
ATTACHMENT B
HALIFAX HEALTH MEDICAL CENTER
BIDDERS CERTIFICATION
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 ( )
HALIFAX HEALTH MEDICAL CENTER
STATE OF FLORIDA
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 , 2024.
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 , 2024.
Notary Public
(SEAL)
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