2-05 - Offeror Acknowledgment.pdf
PDF 124 KB Posted
- Attached to
- Delinquent Tax Collection Services
- Solicitation number
- RFQ 2025-002
- Issued by
- Johnson County, Texas
About this file
This Offeror Acknowledgment form is a compliance document required by the City of Burleson, Texas for vendors participating in their procurement process. The form requires proposers to acknowledge compliance with five specific Texas state laws: HB 89 (prohibiting boycotts of Israel), SB 252 (prohibiting business with Iran, Sudan, or foreign terrorist organizations), SB 13 (prohibiting boycotts of energy companies), SB 19 (prohibiting discrimination against firearm entities), and SB 2116 (prohibiting ownership or control by citizens or governments of China, Iran, North Korea, Russia, or other designated countries). Each compliance requirement includes checkboxes for "Yes, we agree" or "No, we do not agree" responses.
The form concludes with a signature section where the vendor representative must affirm they have read and understood the document and attest to the accuracy and truthfulness of the information provided. The signature block includes fields for the vendor name, signatory name, title, and date. This acknowledgment form serves as a mandatory compliance verification that must be completed as part of the City of Burleson's vendor qualification process.
View the file
Other files
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
Offeror Acknowledgment
Compliance with HB 89: Proposer agrees per HB 89 vendor shall not boycott Israel at any time while providing products or services to the City of Burleson.
Yes, we agree No, we do not agree
Compliance with SB 252: Proposer agrees per SB 252 vendor shall not do business with Iran, Sudan or a foreign terrorist organization while providing products or services to the City of Burleson.
Yes, we agree No, we do not agree
Compliance with SB 13: Proposer agrees per SB 13 vendor does not boycott energy companies as those terms are defined in the Texas Government Code § 809.001, and will not boycott energy companies during the term of any contract with the City of Burleson.
Yes, we agree No, we do not agree
Compliance with SB 19: Proposer agrees per SB 19 vendor does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association as those terms are defined in the Texas Government Code § 2274.001, and that vendor will not so discriminate during the term of any contract with the City of Burleson.
Yes, we agree No, we do not agree
Compliance with SB 2116: Proposer agrees per SB 2116 it is not owned by or the majority of its stock or other ownership interest is held or controlled by i) individuals who are citizens of China, Iran, North
Korea, Russia, or a designated country as defined by Texas Government Code § 2275.0101; or ii) a company or other entity, including a governmental entity, that is owned or controlled by citizens of or is directly controlled by the government of China, Iran, North Korea, Russia, or a designated country; nor is it headquartered in China, Iran, North Korea, Russia, or a designated country
Yes, we agree No, we do not agree
I acknowledge that my signature affixed hereto verifies that I have read and understood the contents of this document, and I affirm the accuracy and truthfulness of the information provided therein
Vendor:
By:
Name:
Title:
Date:
File details come from the government source that posted it. Updated .