3-03 Acceptance and Disclosures Form.pdf
PDF 16 KB Posted
- Attached to
- Re-Bid Modular Home Contractor and Construction Services State and local contract opportunity
- Solicitation number
- RFP-2026-11BK
- Issued by
- Doña Ana County, New Mexico
About this file
This is an Acceptance and Disclosures Form submitted to Gallup McKinley County Schools (GMCS) in New Mexico as part of a solicitation for modular home contractor and construction services to support teacher housing sites within the District. Vendors submitting bids in response to this solicitation must complete and sign this form to certify their understanding and acceptance of all general and special conditions, specifications, scope of work, and contract terms. The form requires that bid proposals remain firm for up to 60 days to allow GMCS adequate time to evaluate vendor qualifications.
The form contains mandatory certifications addressing conflict of interest, non-collusion, and debarment/suspension status. Vendors must declare that no GMCS employees, board members, or close relatives have direct or indirect financial interests in the vendor or proposed transaction, and that the vendor has not participated in preparing the specifications. Vendors must certify under penalty of perjury that their response is bona fide and made without collusion or fraud. Additionally, vendors must confirm they are not suspended, debarred, or ineligible from contracting with the Federal Government, any State agency, or local public body, and agree to provide immediate notice to the GMCS Procurement Department if their status changes after submission but prior to contract award. The authorized representative signing this form certifies they have the authority to bind the vendor and that all information provided is true and accurate.
View the file
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| 12-DIstrict Map 25-26.pdf | ||
| 7-09 NM Resident Veterans Preference Affidavit.pdf | ||
| 1-11 References.pdf | ||
| 8-01.1 General Contractors Statement of Qualificatons Part 1 Fillable.pdf | ||
| 2-06 Campaign Contribution Disclosure Form 2025 Fillable Form.pdf | ||
| 14-Legal Notice RFP-2026-11BK.pdf | ||
| 4-04 Exceptions Form.pdf | ||
| 11-Cost Proposal Criteria.pdf | ||
| 10-02 General Conditions Request For Proposals - Construction Rev. 12-25.pdf | ||
| 6-08 NM Resident Business Contractor Form vs2022.pdf | ||
| 13-01 RFP Re-Bid Modular Homes.pdf | ||
| 9-01.2 General Contractors Statement of Qualifications Part 2 Attachments Fillable.pdf |
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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
Name of Signatory Title
| Date: |
| Name of Signatory: |
| Title: |
| Email: |
| Initials: |
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