11-Prohibited Contracts Form.pdf

PDF 117 KB Posted

Attached to
Santa Fe/Downtown River Parks Master Plan/Design Services
Solicitation number
RFQ PK-04-25
Issued by
Travis County, Texas

About this file

This document is a "Verification Related to Prohibited Contracts" form issued by the City of San Angelo, Texas Purchasing Division. The form requires a declarant from a contracting company to confirm several key certifications regarding potential business relationships and corporate policies. Specifically, the company must attest that it does not and will not:

  1. Have contracts with entities known to have connections to foreign terrorist organizations, 2) Boycott Israel during the contract term, 3) Boycott energy companies, or 4) Discriminate against firearm and ammunition industries. The document requires the declarant to sign under penalty of perjury and commits the company to promptly notify the City of San Angelo if any circumstances change during the contract period. The form is designed to ensure potential contractors meet specific ethical and political standards set by Texas state legislation, including Senate Bills 13 and 19 from the 87th Legislative Session in 2021.

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Text version

CITY OF SAN ANGELO, TEXAS

PURCHASING DIVISION

72 West College Avenue, San Angelo, Texas 76903

325.657.4219 • sapurch@cosatx.us

Verification Related to Prohibited Contracts

CITY OF SAN ANGELO, TEXAS

My name is “Declarant”;

FIRST MIDDLE LAST

My date of birth is ; and, BIRTHDAY

My address is , .

STREET CITY STATE

, and .

ZIP CODE COUNTRY

My position with , contracting company, is .

CONTRACTING COMPANY OFFICE HELD

(1) The foregoing named contracting Company does not now and will not during the term of this contract, have contracts with or provide supplies or services to, an entity or company known to have contracts with or to provide supplies or services to a foreign terroristic organization or with an entity or company identified as providing such on a list prepared and maintained by the Texas Comptroller pursuant to Subchapter “F”, Sections 2252.151 et. seq., Chapter 2252 “Contracts with Governmental Entity” of the Texas Government Code; neither is contracting Company identified as an entity providing such supplies or services on said list.

(2) The foregoing named contracting Company does not boycott Israel; and will not boycott Israel during the term of the contract with the City of San Angelo.

(3) Entities that Boycott Energy Companies. In accordance with Senate Bill 13, Acts 2021, 87th Leg., R.S., pursuant to Section 2274.002 of the Texas Government Code (relating to prohibition on contracts with companies boycotting certain energy companies), the foregoing named contracting Company represents and warrants that it does not, and will not for the duration of the Contract, boycott energy companies.

(4) Entities that Discriminate Against Firearm and Ammunition Industries. In accordance with Senate Bill 19, Acts 2021, 87th Leg., R.S., pursuant to Section 2274.002 of the Texas Government Code (relating to prohibition on contracts with companies that discriminate against firearm and ammunition industries), The foregoing named contracting Company verifies that it does not, and will not for the duration of the Contract, have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association.

(5) If circumstances relevant to this provision change during the course of the Contract the City of San Angelo shall be promptly notified.

I declare under penalty of perjury that the foregoing is true and correct.

Executed in County, State of , on the

COUNTY OFFICE HELD

day of , 20

DAY MONTH YEAR

Declarant Signature mailto:sapurch@cosatx.us

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