2-3 Acceptance and Disclosures Form.pdf
PDF 16 KB Posted
- Attached to
- RE-BID Pumping and Portable Toilet Services
- Solicitation number
- ITB-2026-10RB
- Issued by
- Mckinley County, New Mexico
About this file
This is an Acceptance and Disclosures Form for a procurement solicitation by Gallup McKinley County Schools (GMCS). The document requires vendors submitting bids or proposals to certify several key compliance aspects, including understanding all bid/proposal documents, accepting procurement conditions, and agreeing to keep their proposal firm for up to 60 days while the district evaluates qualifications.
The form requires vendors to disclose potential conflicts of interest, affirm they have not colluded with other entities in preparing their bid, and certify they are not suspended or debarred from government contracting. Vendors must also confirm they do not have direct financial interests involving GMCS employees or board members, have not participated in preparing specifications, and agree to immediately notify GMCS Procurement if their eligibility status changes. The document provides space for an authorized representative to sign, date, and certify compliance with these requirements.
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Text version
ACCEPTANCE AND DISCLOSURES FORM
As utilized herein, the term "Vendor" shall mean that entity submitting a bid/proposal to Gallup McKinley County
Schools (GMCS) in response to the attached solicitation.
ACCEPTANCE OF CONDITIONS GOVERNING PROCUREMENT
The Vender certifies that they have read and understand all general and special conditions and bid/proposal documents, and that they accept these conditions and submit the attached response in full compliance with these conditions, specifications, applicable scope of work, and contract. The Vendor agrees that the bid/proposal will remain firm for the period of up to 60 days in order to allow the District adequate time to evaluate the qualifications submitted.
CONFLICT OF INTEREST
The authorized Person, Firm and/or Corporation states that to the best of his/her belief and knowledge: No employee or board member of GMCS (or close relative), with the exception of the person(s) identified below, has a direct or indirect financial interest in the Vendor or in the proposed transaction. Vendor neither employs, nor is negotiating to employ any GMCS employee, board member or close relative, with the exception of the person(s) identified below. Vendor did not participate, directly or indirectly, in the preparation of specifications upon which the quote or offer is made.
CERTIFICATION OF NON-COLLUSION
Vendor certifies under penalty of perjury that its response to this procurement solicitation is in all respects bona fide, fair, and made without collusion or fraud with any person, joint venture, partnership, corporation or other business or legal entity.
Initials of Authorized Representative _________
DEBARMENT/SUSPENSION STATUS
The Vendor certifies that it is not suspended, debarred or ineligible from entering into contracts with the Federal Government, or any State agency or local public body, or in receipt of a notice or proposed debarment from any Federal or State agency or local public body. The vendor agrees to provide immediate notice to the GMCS Procurement Department in the event of being suspended, debarred or declared ineligible by any department or agency of the Federal government, or any agency of local public body of the State of New Mexico, or upon receipt of a notice of proposed debarment that is received after the submission of the quote or offer but prior to the award of the purchase order or contract.
CERTIFICATION
The undersigned hereby certifies that he/she has read the above ACCEPTANCE, CONFLICT OF INTEREST, NONCOLLUSION and DEBARMENT/SUSPENSION status requirements and that he/she understands and will comply with these requirements. The undersigned further certifies that they have the authority to sign, bind, and certify compliance for the Vendor named and that the information contained in this document is true and accurate to the best of their knowledge.
Signature Date
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File details come from the government source that posted it. Updated .