18-Certification for Tax-Felony Convictions.docx
DOCX document 31 KB Posted
- Solicitation number
- PNC2131299P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a Tax Delinquency and Felony Convictions Certification document required by the Broward County Aviation Department (BCAD) for the Environmental Planning and Consulting Services solicitation at Fort Lauderdale-Hollywood International Airport and North Perry Airport in Florida. Vendors must complete two certification statements confirming their current status regarding tax delinquency and felony convictions. The document requires vendors to indicate whether they are or are not a corporation with unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability. Additionally, vendors must certify whether they are or are not a corporation convicted of a criminal violation under any Federal law within the preceding 24 months. The certification must be signed and dated by an authorized company representative.
Vendors awarded a contract resulting from this solicitation are required to incorporate this certification provision in all lower-tier subcontracts. The document provides spaces for the vendor to enter the date, signature, company name, and title of the signatory. This certification is a mandatory compliance requirement for participation in the solicitation and serves as a prerequisite for contract award eligibility.
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Text version
Tax Delinquency and Felony Convictions
Vendor must complete the following two certification statements. Vendor must indicate its current status as it relates to tax delinquency and felony conviction by checking the box in the space following the applicable response. Vendor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification in all lower tier subcontracts.
1. Vendor represents that [check applicable box:] it is ☐ is not ☐ a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.
Vendor represents that [check applicable box:] it is ☐ is not ☐ a corporation that was convicted of a criminal violation under any Federal law within the preceding 24 months.
Click or tap to enter a date.
| Date | Signature |
| Click or tap here to enter text. | Click or tap here to enter text. |
| Company Name | Title |
Tax and Felony Convictions (rev. 02/09/26) Page 2 of 2
File details come from the government source that posted it. Updated .