2-Scrutinized Companies Form.pdf
PDF 600 KB Posted
- Attached to
- Automotive Parts and Accessories
- Solicitation number
- RFB No. 2026-031
- Issued by
- Palm Beach County, Florida
About this file
This is a Scrutinized Companies Form certification document for the Town of Palm Beach, Florida, related to a solicitation for Automotive Parts and Accessories. The Town of Palm Beach Purchasing Division issued this form as a requirement for vendors participating in the bid process. The request for bid invites qualified companies to provide pricing for automotive parts and accessories, with specifications outlined in the solicitation documents. The bid opening is scheduled to occur virtually via Microsoft Teams Meeting, with specific date and time information provided in the solicitation events section. Prices quoted must remain valid for one year from the bid submission date, and the Town reserves the right to award contracts on an "All-or-None" basis to a single bidder or on an "Item by Item" basis, potentially designating Primary, Secondary, and Tertiary suppliers depending on what is most advantageous to the Town. All bids must be submitted using Town-provided forms with all blanks completed, and no modifications to the forms are permitted.
Payment terms are Net 30 days with F.O.B. destination to West Palm Beach, Florida 33401, with shipping charges included in unit prices. The vendor certification form requires attestation that the company does not appear on any Scrutinized Companies lists established pursuant to Florida Statutes 215.4725, 215.473, or 287.135, and that the company is not participating in boycotts of Israel, does not have prohibited business relationships with Sudan, Iran, Cuba, or Syria, and does not appear on the Iran Petroleum Energy Sector list. Quantities are estimated and non-binding, and vendors are not obligated to bid on all items but may quote only those items currently in their inventory. The Town may consider vendor responsibility determinations under Florida Statutes Section 287.05701 before contract award.
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| 4-RFB – Terms Conditions – Goods and Services.pdf | ||
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Text version
11/16/18
Scrutinized Company Certification
1. This company is not participating in a boycott of Israel such that it is not refusing to deal, terminating business activities, or taking other actions to limit commercial relations with Israel, or persons or entities doing business in Israel or in Israeli-controlled territories, in a discriminatory manner.
2. This Company does not appear on the Scrutinized Companies with Activities in Sudan List where the
State Board of Administration has established the following criteria:
a. Have a material business relationship with the government of Sudan or a government-created project involving oil related, mineral extraction, or power generation activities, or
b. Have a material business relationship involving the supply of military equipment, or
c. Impart minimal benefit to disadvantaged citizens that are typically located in the geographic periphery of Sudan, or
d. Have been complicit in the genocidal campaign in Darfur.
3. This Company does not appear on the Scrutinized Companies with Activities in the Iran Petroleum
Energy Sector List where the State Board of Administration has established the following criteria:
a. Have a material business relationship with the government of Iran or a government-created project involving oil related or mineral extraction activities, or
b. Have made material investments with the effect of significantly enhancing Iran‘s petroleum sector.
4. This Company is not engaged in business operations in Cuba or Syria.
VENDOR/COMPANY NAME:
NAME:
TITLE:
SIGNATURE:
DATE:
TOWN OF PALM BEACH
PURCHASING DIVISION
951 Okeechobee Road Suite D West Palm Beach, Florida 33401
Telephone: (561) 838-5406
PURCHASING DIVISION
951 Okeechobee Road Suite D West Palm Beach, Florida 33401
Telephone: (561) 838-5406 Facsimile (561) 835-4688 Website: www.townofpalmbeach.com
I hereby swear or affirm that as of the date below this company is not listed on a Scrutinized Companies list created pursuant to 215.4725, 215.473, or 287.135, Florida Statutes. Pursuant to 287.135, Florida Statutes I further affirm that:
http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0215/Sections/0215.4725.html http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0215/Sections/0215.4725.html http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0287/Sections/0287.135.html
| VENDORCOMPANY NAME: |
| Name: |
| Title: |
| Signiture: |
| Date: |
File details come from the government source that posted it. Updated .