20- Form 7555-18 Bidders Certifications2.docx
DOCX document 771 KB Posted
- Solicitation number
- 2120656
- Issued by
- Jefferson County, New York
About this file
This document is a Bidder's Certifications form from New York State, specifically addressing multiple certification requirements for state procurement. The form requires bidders to complete three key certifications: (1) compliance with Executive Order 177 regarding non-discrimination and harassment policies, (2) New York State Finance Law 139-L certification confirming a written sexual harassment prevention policy and annual employee training, and (3) a non-collusive bidding certification affirming that bid prices were developed independently without consultation or agreement with competitors.
The certifications are comprehensive legal statements that bidders must complete and sign, attesting to their organizational practices around workplace harassment, discrimination prevention, and fair bidding processes. Bidders must provide details about their company, including names of corporate officers, legal residence information, and signatures from authorized representatives. The form includes provisions for sole proprietorships, partnerships, and corporations, requiring detailed information about partners, principals, and key corporate leadership. Failure to complete these certifications accurately could disqualify a bidder from consideration in the state procurement process.
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Other files
| File | Type | Posted |
|---|---|---|
| 061122 - Request for Qualifications-Blake Hall Renovation.pdf | ||
| 06 - 7555-15 Subconsultant Staffing List-Architecture and Engineering3.docx | DOCX document | |
| 19 - Form 7557-110 Workforce Utilization Report2.xlsx | XLSX spreadsheet | |
| 16 - OSC Form B2.doc | DOC document | |
| 02 - Design Team Summary Table3.xlsx | XLSX spreadsheet | |
| 18 - Form 7557-108 EEO Staffing Plan2.docx | DOCX document | |
| 07 - 7557-104 MWBE EEO2.doc | DOC document | |
| 17 - OSC Form A2.doc | DOC document |
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Text version
Bidder’s Certifications
NY HUMAN RIGHTS LAW EXECUTIVE ORDER 177 CERTIFICATION
In accordance with Executive Order No. 177, the Bidder hereby certifies that it does not have institutional policies or practices that fail to address the harassment and discrimination of individuals on the basis of their age, race, creed, color, national origin, sex, sexual orientation, gender identity, disability, marital status, military status, or other protected status under the Human Rights Law.
Executive Order No. 177 and this certification do not affect institutional policies or practices that are protected by existing law, including but not limited to the First Amendment of the United States Constitution, Article 1, Section 3 of the New York State Constitution, and Section 296(11) of the New York State Human Rights Law.
| Bidder Name: | ____________________________________________________ | |
| By (signature): | ____________________________________________________ | |
| Name: | ____________________________________________________ | |
| Title: | ____________________________________________________ | |
| Date: | ______________________, 20__ |
NEW YORK STATE FINANCE LAW 139-L CERTIFICATION
By submission of this bid, each Bidder and each person signing on behalf of any Bidder certifies, and in the case of a joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that the Bidder has and has implemented a written policy addressing sexual harassment prevention in the workplace and provides annual sexual harassment prevention training to all of its employees. Such a policy shall, at a minimum, meet the requirements of section two hundred one-g of the Labor Law.
If the Bidder cannot make the foregoing certification, such Bidder shall so state and shall furnish with the bid a signed statement that sets forth in detail the reasons that the Bidder cannot make the certification.
| Bidder Name: | ____________________________________________________ | |
| By (signature): | ____________________________________________________ | |
| Name: | ____________________________________________________ | |
| Title: | ____________________________________________________ | |
| Date: | ______________________, 20__ |
NON-COLLUSIVE BIDDING CERTIFICATION
By submission of this bid, Bidder and each person signing on behalf of Bidder certifies, and in the case of a joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of their knowledge and belief:
1. The prices of this bid have been arrived at independently, without collusion, consultation, communication, or agreement, for the purposes of restricting competition, as to any matter relating to such prices with any other Bidder or with any competitor;
2. Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the Bidder and will not knowingly be disclosed by the Bidder prior to opening, directly or indirectly, to any other Bidder or to any competitor; and
3. No attempt has been made or will be made by the Bidder to induce any other person, partnership or corporation to submit or not to submit a bid for the purpose of restricting competition.
A bid shall not be considered for award nor shall any award be made where [1], [2], [3] above have not been complied with; provided however, that if in any case the Bidder(s) cannot make the foregoing certification, the Bidder shall so state and shall furnish below a signed statement which sets forth in detail the reasons therefor:
Subscribed to under penalty of perjury under the laws of the State of New York, this _____ day of _______, 20____ as the act and deed of said corporation of partnership.
IF BIDDER IS A SOLE PROPRIETER OR PARTNERSHIP, COMPLETE THE FOLLOWING:
| NAMES OF PARTNERS OR PRINCIPALS | LEGAL RESIDENCE | |
| ____________________________________________ | _____________________________ | |
| ____________________________________________ | _____________________________ | |
| ____________________________________________ | _____________________________ | |
| ____________________________________________ | _____________________________ |
IF BIDDER IS A CORPORATION, COMPLETE THE FOLLOWING:
NAME LEGAL RESIDENCE
President:___________________________________________ _____________________________ Secretary:___________________________________________ _____________________________ Treasurer:___________________________________________ _____________________________ Joint or combined bids by companies or firms must be certified separately on behalf of each participant.
Identifying Data:
Bidder
Address
Telephone
Name of Responsible Corporate Officer
Title of Responsible Corporate Officer
Joint or combined bids by companies or firms must be certified separately on behalf of each participant.
Legal name of person, firm or corporation
By (signature): ___________________________ Name: _________________________________ Title: ___________________________________ Address: ________________________________ SUNY Procedure 7554 & 7555 Form 7554-20 & 7555-18 September 2020
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