11-Prohibited Contracts Form.pdf
PDF 117 KB Posted
- Solicitation number
- HR-01-26
- 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, located at 72 West College Avenue. The form requires a contracting company representative to declare compliance with several state legislative requirements regarding business practices. Specifically, the declarant must affirm that their company does not and will not during the contract term: (1) have contracts with foreign terroristic organizations, (2) boycott Israel, (3) boycott energy companies, or (4) discriminate against firearm and ammunition industries.
The verification form is designed to ensure potential contractors meet specific ethical and political standards set by Texas state law, particularly Senate Bills 13 and 19 from the 87th Legislative Session. The document requires the declarant to provide personal information including name, date of birth, address, company name, and position, and mandates that they sign under penalty of perjury. If any circumstances change during the contract period that would contradict these declarations, the company is obligated to promptly notify the City of San Angelo.
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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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