2-Attachment B-Bidders Cert.pdf
PDF 1 MB Posted
- Attached to
- Recumbent Cross Trainer
- Solicitation number
- PROJ-26-023
- Issued by
- Volusia County, Florida
About this file
This is a Bidders Certification document for Halifax Health Medical Center in Daytona Beach, Florida, related to Invitation to Bid (ITB) #PROJ-25-002 for the procurement of three (3) NuStep T5XR Recumbent Cross Trainers with full-service delivery. The certification form requires bidders to affirm receipt of complete bid papers, compliance with federal, state, and local laws regarding equal opportunity employment, and confirmation that they have not engaged in collusion or unethical practices with any District personnel or other bidders.
The document includes attestation requirements whereby the bidder's authorized executing officer must certify under oath that all statements are true and correct, and that the bidder is not barred from contracting with any unit of local government in Florida due to delinquency in payment of taxes administered by the Florida Department of Revenue. The certification also requires the bidder to confirm adoption of a written sexual harassment policy in accordance with applicable federal, state, and local laws and regulations, and commitment to abide by all relevant codes, rules, regulations, ordinances, and statutes. The form requires execution by an authorized corporate or company official with notarization and must be completed with company name, address, contact information, and the responsible official's signature and date.
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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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