3-RFQ Appendix 1-3 Federal Tax Liability and Convictions certification.pdf

This document is a Federal Tax Liability and Recent Felony Convictions certification form from the Agency for Community Transit, applicable to contracts exceeding $10,000. The form requires vendors to certify that they have no outstanding federal tax liability and have not been convicted of a federal felony within the preceding 24 months. The certification applies to the primary contractor and all subcontractors at every tier.

The certification requires bidders or proposers (including private corporations, partnerships, trusts, joint-stock companies, sole proprietorships, and other business associations) to affirm two key points: (1) they have no assessed federal tax liability for which all judicial and administrative remedies have been exhausted, and which is not being paid in a timely manner through an agreement with the tax collection authority, and (2) they have not been convicted of a felony criminal violation under any federal law in the past 24 months. The form provides space for the company's date, name, signature, and the signatory's title.