3-03 - Offeror Acknowledgment.pdf
PDF 124 KB Posted
- Solicitation number
- RFP 2025-006
- Issued by
- Johnson County, Texas
About this file
This document is an Offeror Acknowledgment form from the City of Burleson, Texas Purchasing Department, requiring vendor compliance with multiple state legislative bills. The form requires vendors to affirm agreement with five specific legislative requirements: (1) not boycotting Israel, (2) not doing business with Iran, Sudan, or foreign terrorist organizations, (3) not boycotting energy companies, (4) not discriminating against firearm entities or trade associations, and (5) not being owned or controlled by citizens or governments of China, Iran, North Korea, Russia, or other designated countries.
The document is a standard compliance certification form that vendors must complete and sign when submitting a proposal to the City of Burleson, ensuring they meet specific state-mandated ethical and geopolitical business standards. By signing, the vendor affirms the accuracy of their statements and agrees to maintain these compliance standards throughout the duration of any potential contract with the city. The form provides checkbox options for agreeing or disagreeing with each legislative requirement and includes signature lines for the vendor's representative to complete.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-04 - Form 1295 Certificate of Interested Parties.pdf | ||
| 6-112 se gardens (1).zip | ZIP file | |
| 2-05 - W9 Form.pdf | ||
| 1-02 - Conflict of Interest Questionnaire.pdf | ||
| 5-01 - RFP 2025-006.pdf | ||
| 7-RFP 2025-006 Addendum 1.pdf |
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Text version
Offeror Acknowledgment
Compliance with HB 89: Proposer agrees per HB 89 vendor shall not boycott Israel at any time while providing products or services to the City of Burleson.
Yes, we agree No, we do not agree
Compliance with SB 252: Proposer agrees per SB 252 vendor shall not do business with Iran, Sudan or a foreign terrorist organization while providing products or services to the City of Burleson.
Yes, we agree No, we do not agree
Compliance with SB 13: Proposer agrees per SB 13 vendor does not boycott energy companies as those terms are defined in the Texas Government Code § 809.001, and will not boycott energy companies during the term of any contract with the City of Burleson.
Yes, we agree No, we do not agree
Compliance with SB 19: Proposer agrees per SB 19 vendor does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association as those terms are defined in the Texas Government Code § 2274.001, and that vendor will not so discriminate during the term of any contract with the City of Burleson.
Yes, we agree No, we do not agree
Compliance with SB 2116: Proposer agrees per SB 2116 it is not owned by or the majority of its stock or other ownership interest is held or controlled by i) individuals who are citizens of China, Iran, North
Korea, Russia, or a designated country as defined by Texas Government Code § 2275.0101; or ii) a company or other entity, including a governmental entity, that is owned or controlled by citizens of or is directly controlled by the government of China, Iran, North Korea, Russia, or a designated country; nor is it headquartered in China, Iran, North Korea, Russia, or a designated country
Yes, we agree No, we do not agree
I acknowledge that my signature affixed hereto verifies that I have read and understood the contents of this document, and I affirm the accuracy and truthfulness of the information provided therein
Vendor:
By:
Name:
Title:
Date:
File details come from the government source that posted it. Updated .