12-02 - Proposal Affidavit rev.012125 fillable.pdf
PDF 170 KB Posted
- Attached to
- 26RFCSP29 Jail South AHU Replacement
- Solicitation number
- 26RFCSP29
- Issued by
- Williamson County, Texas
About this file
This is a Proposal Affidavit form for Williamson County, Texas, applicable to the Jail South AHU Replacement project (26RFCSP29), a competitive sealed proposal solicitation for mechanical system upgrades at the County Jail. The project involves phased environmental control system replacements within an actively occupied correctional facility where inmate-area temperatures must be maintained between 65°F and 80°F throughout construction. The County is utilizing a one-step selection process for this solicitation and award. No specific response dates, due dates, site visits, bidder meetings, award dates, or contract term information is provided in this affidavit form.
The affidavit requires proposers to certify compliance with multiple Texas Government Code provisions, including certifications regarding boycotting Israel, business with sanctioned countries and terrorist organizations, boycotting energy companies, and boycotting firearm and ammunition industries. These certifications apply primarily to companies with ten or more employees and contracts valued at $100,000 or more paid from public funds. Proposers must also certify they have not been debarred from doing business in Texas and that proposals were not prepared in collusion with other respondents. The form permits other agencies to adopt awards made by Williamson County through an interlocal agreement piggybacking provision, excluding professional services. No pricing information, set-asides, incumbent data, or specific funding amounts are detailed in this document.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PROPOSAL AFFIDAVIT
The undersigned makes the following certifications or represents that it satisfies the requirements of one or more exceptions to the Texas Government Code provisions listed below:
1. Consultant Certification Regarding Boycotting Israel. Pursuant to Chapter 2271, Texas Government Code, Firm certifies that it
(1) is a sole proprietorship or company with fewer than ten (10) employees; or (2) does not currently boycott Israel and will not boycott Israel during the term of this Agreement.
1.1. Exception: This provision only applies to contracts for goods and services between a governmental entity and a Company with ten (10) or more full-time employees with a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity.
2. Consultant Certification Regarding Business with Certain Countries and Organizations. Pursuant to Subchapter F, Chapter 2252, Texas Government Code, Firm certifies it (1) is a “Company,” as that term is defined in Texas Government Code Section 806.001; and (2) is not engaged in business with Iran, Sudan, a foreign terrorist organization, or any company that is identified on a list prepared and maintained under Texas Government Code Section 806.051, 807.051, or 2252.153.
2.1. Exception: A company that the United States government affirmatively declares to be excluded from its federal sanction’s regime relating to Sudan, its federal sanctions regime relating to Iran, or any federal sanctions regime relating to a foreign terrorist organization is not subject to contract prohibition under this subchapter.
3. Consultant Certification Regarding Boycotting Energy Companies. Pursuant to Chapter 2276, Texas Government Code, Firm certifies that either (1) is a sole proprietorship or company with fewer than ten (10) employees; or (2) Firm does not currently boycott energy companies and will not boycott energy companies during the Term of this Agreement.
3.1. Exception: This provision only applies to contracts for goods and services between a governmental entity and a Company with ten (10) or more full-time employees with a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity.
4. Consultant Certification Regarding Boycotting Firearm and Ammunition Industries. Pursuant to Chapter 2274, Texas Government Code, Firm certifies that either (1) Consultant is a sole proprietorship or company with fewer than ten (10) employees;
or (2) Firm does not currently boycott firearm and ammunition industries and will not boycott firearm and ammunition industries during the term of this Agreement.
4.1. Exception: This provision only applies to contracts for goods and services between a governmental entity and a Company with ten (10) or more full-time employees with a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity.
5. Consultant Certification Regarding Doing Business in Texas. Firm certifies that it has not been debarred from doing business in the State of Texas.
6. Interlocal Agreement Adoption of Awarded Contracts. In support of this collaborative effort, all awards made by Williamson County may be adopted by other agencies. By signing below, you acknowledge other entities will be able to piggyback from County awarded contracts and solicitations. This does not apply to Professional Services.
I hereby certify that the foregoing Proposal has not been prepared in collusion with any other Respondent or other person or persons engaged in the same line of business prior to the official opening of this Proposal. Further, I certify that the Respondent is not now, nor has been for the past six (6) months, directly or indirectly concerned in any pool or agreement or combination, to control the price of services/commodities Proposal on, or to influence any person or persons to submit a Proposal or not to submit a Proposal thereon.
Firm acknowledges this Agreement may be terminated and payment withheld if this certification is inaccurate. For purposes of this form, the terms have the meanings assigned by Texas Government Code sections referenced above.
Signed By: ___________________________________ Title: _________________________________________________
Company Name: ______________________________Date: _________________________________________________
Name: ______________________________________ Email:_________________________________________________
Blank Page
| PROPOSAL AFFIDAVIT: |
| Title: |
| Name: |
| Email: |
| Company Name: |
| Date: |
File details come from the government source that posted it. Updated .