17. PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT.pdf

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Attached to
Laguna Creek Trail and Bruceville Road Sidewalk Improvements Project
Solicitation number
147067
Issued by
Sacramento County, California

About this file

This is a Public Contract Code Section 10285.1 Statement form required for bid submission with the State of California on the Laguna Creek Trail and Bruceville Road Sidewalk Improvements Project. The form requires bidders to declare under penalty of perjury whether they have been convicted within the preceding three years of offenses including fraud, bribery, collusion, conspiracy, or violations of state or Federal antitrust laws in connection with bidding upon, award of, or performance of public works contracts. The term "bidder" encompasses any partner, member, officer, director, responsible managing officer, or responsible managing employee of the bidding entity. Bidders must place a checkmark in one of two provided spaces to indicate either that they have or have not been convicted of such offenses.

This certification form must be submitted with the bid proposal, and signing the proposal signature page constitutes signature of this statement. Bidders are cautioned that submission of false certifications may subject the certifier to criminal prosecution. The form does not contain pricing information, project timelines, quantities, or other substantive contract terms, as it functions solely as a mandatory compliance and eligibility verification document.

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THIS FORM MUST BE SUBMITTED WITH THE BID

64 Part III. Federal Provisions

17. PCC Section 10285.1 Statement

PUBLIC CONTRACT CODE QUESTIONAIRE

17. PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT

In conformance with Public Contract Code Section 10285.1, the Bidder hereby declares under penalty of perjury under the laws of the State of California that the Bidder has ___ , has not ___ been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The term "bidder" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1.

Note: The Bidder must place a checkmark after "has" or "has not" in one of the blank spaces provided. The above

Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution.

THIS FORM MUST BE SUBMITTED WITH THE BID

Contractor/Subcontractor Signature

Date Title

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