11-IFB 26-1-24600R1 Vol 3 (3a) Federal Tax Cert.pdf

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Attached to
Alton Driver Relief Facility (Rebid)
Solicitation number
26-1-24600R1
Issued by
Madison County, Illinois

About this file

This is a Federal Tax Liability and Recent Felony Convictions certification form required by the Madison County Mass Transit District for the Alton Driver Relief Facility project (Contract No. 26-1-24600R1), a federally funded construction rebid in Alton, Illinois. The certification applies to all contracts exceeding $10,000 and extends to subcontractors at every tier. Bidders must certify compliance with two key requirements: they have no unpaid Federal tax liability that has been assessed and exhausted all judicial and administrative remedies, and they have not been convicted of any Federal felony within the preceding 24 months. The form requires completion by authorized representatives of private corporations, partnerships, trusts, joint-stock companies, sole proprietorships, or other business associations, with fields for date, signature, company name, individual name, and title.

The certification form contains no pricing information, set-asides, or contract terms, as it serves solely as a mandatory compliance document. Submission of this form is a condition of bid eligibility for the project, which includes construction of an 872-square-foot building addition and site improvements to an existing transit facility. The form's requirement reflects federal funding sources and compliance obligations under 48 Chapter 1, Subchapter H, Part 52.

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Madison County Mass Transit District Alton Driver Relief Facility No. 26-1-24600R1

Requested Information Page 1 of 1

Federal Tax Liability and Recent Felony Convictions (contracts >$10,000)

Instructions: (1) Vendors must file this certification required by 48 Chapter 1, Subchapter H, Part 52 that it does not have any unpaid Federal tax liability and it has not been convicted of any Federal felony within the preceding 24 months. (2) This term apply to all subcontracts at every tier.

Certification: If the bidder/proposer is a private corporation, partnership, trust, joint-stock company, sole proprietorship, or other business association, the applicant certifies that:

(a) It has no unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(b) It has not been convicted of a felony criminal violation under any Federal law within the preceding 24 months

Date: __________________________________________________

Signature: __________________________________________________

Company: __________________________________________________

Name: __________________________________________________

Title: __________________________________________________

FTDate:
FTCompany:
FTName:
FTTitle:

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