3-03 Acceptance and Disclosures Form.pdf
PDF 16 KB Posted
- Solicitation number
- ITB-2026-44BK
- Issued by
- Doña Ana County, New Mexico
About this file
This is an Acceptance and Disclosures Form required by Gallup McKinley County Schools (GMCS) in New Mexico for vendors submitting bids or proposals in response to the Civil Site Construction & Earthwork Services Re-Bid solicitation. The form establishes that vendors must acknowledge and accept all conditions governing the procurement, including general and special conditions, bid documents, specifications, scope of work, and contract requirements. Vendors must certify that their bid will remain firm for up to 60 days to allow the District adequate time to evaluate qualifications. The solicitation seeks to establish one or more Indefinite Delivery/Indefinite Quantity (IDIQ) unit price contracts for civil site construction and earthwork services to support campus operations, maintenance, capital improvements, transportation infrastructure, athletic facilities, utilities, and emergency response activities.
The form requires vendors to disclose any conflicts of interest involving GMCS employees, board members, or their close relatives, and to certify that they did not participate in the preparation of specifications for the bid. Vendors must also certify under penalty of perjury that their response is bona fide and made without collusion or fraud. Additionally, vendors must confirm their debarment and suspension status, certifying they are not suspended, debarred, or ineligible from contracting with the Federal Government, any State agency, or local public body. Vendors must agree to provide immediate notice to the GMCS Procurement Department if they become suspended, debarred, or declared ineligible after submission but prior to contract award. The authorized representative signing the form must certify that they have the authority to bind the vendor and that all information provided is true and accurate.
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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
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