13-BC-RFQ-25-008.2 APPENDIX B (1) Certification Compliance.pdf
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- Solicitation number
- BC-RFQ-25-008.2
- Issued by
- Bergen County, New Jersey
About this file
This document is a Certification form (Appendix B) for a Licensed Site Remediation Professional Request for Qualifications (RFQ) issued by the County of Bergen, with the solicitation number BC-RFQ-25-008.2. The form requires potential respondents to certify several key compliance and professional standards, including confirming no conflicts of interest, maintaining equal opportunity employment practices, affirming no current legal violations, and agreeing to restrictions on financial advisory services during the qualification period.
The certification requires firms to attest that their participation will not create conflicts of interest, they practice non-discriminatory hiring, are not under investigation for regulatory violations, and understand they cannot serve as a financial advisor to the County of Bergen while being part of the qualified firms group. The document provides blank fields for a firm's representative to complete, including spaces for firm name, signature, title, and date, indicating this is a formal qualification submission document for a site remediation professional services opportunity.
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CERTIFICATIONS
In addition to responding to the foregoing items, the undersigned Respondent certifies that:
A. The firm’s participation in the matters contemplated by this RFQ will not create any conflict of interest for the firm or any of its officers or employees.
B. The firm is an equal opportunity employer and does not discriminate against applicants or employees on the basis of race, color, religion, sex, age, disability, national origin, or ancestry.
C. The firm is not currently in violation of or under any investigation or review for a violation of any state or federal law or regulation that might have a material adverse impact on the firm’s ability to serve if selected.
D. The firm understands and agrees that during the time it is a member of the group of qualified firms it will not be eligible to serve as financial advisor to the County of Bergen, and that it does not, and will not during that time, have a financial interest in any firm providing financial advisory services to the County of Bergen.
Firm: ______________________
By: ________________________
Name: _____________________
Title: ______________________
Date: ______________________, 20___
APPENDIX B
BC-RFQ-25-008.2
LICENSED SITE REMEDIATION PROFESSIONAL
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