2-Attachment B-Bidders Cert.pdf
PDF 1 MB Posted
- Attached to
- HOSPITAL GRADE – UV - C
- Solicitation number
- PROJ-25-130
- Issued by
- Volusia County, Florida
About this file
This is a bidders certification form for Halifax Health Medical Center's Invitation to Bid (ITB) #PROJ-25-002, located in the State of Florida. The document serves as Attachment B and requires bidders to certify compliance with various legal and ethical requirements as part of their bid submission process. The form does not specify the particular products or services being solicited, project details, quantities, response dates, or contract terms, as it functions solely as a certification component of a larger bidding package.
The certification requires bidders to attest that they have received complete bid documents, have not engaged in collusive or unethical practices, comply with federal, state, and local equal opportunity employment laws, have adopted written sexual harassment policies, and will abide by all applicable regulations. Additionally, the document includes a tax certification section where the bidder's executing officer must swear under oath that the company is not barred from contracting with Florida local government units due to tax delinquencies, unless such liability is being contested through proper legal procedures. The form requires notarization and includes fields for company information, authorized signatures, and contact details.
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Text version
ATTACHMENT B
HALIFAX HEALTH MEDICAL CENTER
BIDDERS CERTIFICATION
ITB # PROJ-25-002
I/We hereby certify that:
A. A complete set of bid papers, as intended, has been received, and I/We will abide by the contents and/or information received and/or contained herein.
B. I/We have not entered into any collusion or other unethical practices with any person, firm, or employee of the District which would in any way be construed as unethical practice.
C. I/We comply with all current federal, state and local laws, statutes, rules, and regulations referencing equal opportunity employment practices.
D. I/We have adopted a written sexual harassment policy which is in accordance with the requirements of federal, state and local laws, regulations and policies.
E. I/We will abide by all other federal, state and local codes, rules, regulations, ordinances and statutes.
COMPANY NAME
ADDRESS
DISTRICT/STATE/ZIP CODE
NAME OF CORPORATE/COMPANY OFFICIAL
(PLEASE TYPE OR PRINT CLEARLY)
TITLE
AUTHORIZED OFFICIAL SIGNATURE
DATE
TELEPHONE ( )
HALIFAX HEALTH MEDICAL CENTER
STATE OF FLORIDA
ITB # PROJ-25-002
COUNTY OF
BIDDER’S TAX CERTIFICATION
(BIDDER’S EXECUTING OFFICER), being first duly sworn on oath, deposes and states that all statements made herein are made on behalf of the Bidder, that this respondent is authorized to make them and that the statements contained herein are true and correct. Bidder deposes, states and certifies that Bidder is not barred from contracting with any unit of local government in the State of Florida as result of a delinquency in payment of any tax administered by the Florida Department of Revenue unless Bidder is contesting, in accordance with the procedures established by the appropriate statute, its liability for the tax or the amount of the tax.
DATED this day of , 2024.
By (Bidder’s Executing Officer)
(Name of Bidder’s Executing Officer)
(Title)
ATTEST/WITNESS:
By
Title
Subscribed and sworn to before me this day of , 2024.
Notary Public
(SEAL)
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