2-07. Submittal Form- Certifications- Yes No.docx
DOCX document 19 KB Posted
- Solicitation number
- UDOT270063MP
- Issued by
- Utah
About this file
This is a Submittal Form - Certifications document for the Utah Department of Transportation (UDOT) IFB for Traffic Control services across UDOT Regions 1, 2, and 3. The form functions as a certification checklist requiring bidders to affirm compliance with various contractual and regulatory requirements through yes/no responses. The document serves as a mechanism to verify that prospective contractors meet mandatory qualifications, insurance requirements, licensing standards, and other prerequisites established by UDOT for providing continuity of traffic control services across the specified regions. Bidders must complete this certification form as part of their proposal submission to demonstrate their ability and willingness to comply with all stated specifications and requirements outlined in the solicitation.
The certifications form appears to address critical compliance areas including business registration, insurance coverage, safety standards, equipment specifications, personnel qualifications, and adherence to applicable regulations and codes. By requiring affirmative certifications through this standardized form, UDOT establishes a clear baseline for evaluating bidder eligibility and ensuring that selected contractors possess the necessary qualifications, resources, and commitment to perform traffic control operations reliably across multiple regions. This document is essential to the bid evaluation process as it provides documented evidence of contractor compliance with mandatory requirements prior to contract award.
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Other files
| File | Type | Posted |
|---|---|---|
| 6-02. Scope of Work- Freeway Operations Temporary Traffic Control.docx | DOCX document | |
| 1-05. Submittal Form- Attachment A- Agency Terms and Conditions- Yes No.docx | DOCX document | |
| 4-03. Submittal Form- Vendor Set Up Form And W-9.pdf | ||
| 5-01. IFB General Bid Information.doc | DOC document | |
| 3-04. Submittal Form- Business Confidentiality- Yes No.doc | DOC document | |
| 7-06. Submittal Form- Price List Traffic Control.doc | DOC document | |
| 8-08. Map- 5 regions.pdf |
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Text version
Certifications- Debarment, Conflict of Interest, Outstanding Tax Lien, Other Information
1. DEBARMENT- Is vendor presently or has vendor ever been debarred, suspended, proposed for debarment, or declared ineligible by any government department or agency, whether international, national, state, or local? If answer is "Yes", vendor must provide a statement explaining the circumstances.
No, I have not been debarred, suspended, proposed for debarment, or declared ineligible.
Yes, I am or have been debarred, suspended, proposed for debarment, or declared ineligible (see as follows):
2. CONFLICT OF INTEREST- Does Vendor have any conflict, or potential conflict of interest, that might arise during the contract? If answer is "Yes", vendor must provide a statement explaining the circumstances.
No, I do not have any Conflict or Potential Conflict of Interest.
Yes, I do have a Conflict or Potential Conflict of Interest (see as follows):
3. OUTSTANDING TAX LIEN- Does vendor have an outstanding tax lien in the State of Utah? If answer is "Yes", vendor must provide a statement explaining the circumstances.
No, I do not have an outstanding Tax Lien.
Yes, I do have an outstanding Tax Lien (see circumstances as follows):
4. OTHER INFORMATION- Does vendor have any information that is not already provided within its proposal that if known to the State would impact the State’s determination on vendor's responsiveness for a contract award (i.e., legal action, recent turn-over in major personnel, loss of a major contract, any alleged violations of federal, state or local regulations, etc.). Please see UCA 63G-6a-120 & 902. If answer is "Yes", vendor must provide a statement explaining the circumstances.
No, I do not have any Other Information.
Yes, I do have Other Information (see as follows):
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