4-00460 - Scrutinized.pdf
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- Solicitation number
- 2025067
- Issued by
- Indian River County, Florida
About this file
This is a mandatory certification form (Form 00460) required by a Florida county for all bidders, proposers, or statement of qualifications respondents regarding prohibition against contracting with scrutinized companies. The form must be submitted with any bid, proposal, or SOQ and requires entities to certify they are not on Florida's Scrutinized Companies that Boycott Israel List pursuant to Florida Statute 215.4725, nor are they engaged in boycotts of Israel. For contracts valued at one million dollars or more, additional certifications are required confirming the entity is not on the Scrutinized Companies with Activities in Sudan List or Iran Petroleum Energy Sector List, and is not engaged in business operations in Cuba or Syria as defined by Florida Statute 215.473.
The certification applies to the responding entity and all wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates that exist for profit-making purposes. The county reserves the right to immediately terminate any resulting contract upon written notice if false certification is discovered or if the entity or related entities are subsequently placed on any of the specified scrutinized company lists or found to be engaged in the prohibited activities. The form requires an authorized signature, printed name, title, and date from the responding entity.
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Text version
Scrutinized 00460 - 1
00460 - CERTIFICATION REGARDING PROHIBITION AGAINST
CONTRACTING WITH SCRUTINIZED COMPANIES
(This form MUST be submitted with your bid/proposal/SOQ)
I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit have been placed on the Scrutinized Companies that Boycott Israel List created pursuant to s. 215.4725 of the Florida Statutes, or are engaged in a boycott of Israel.
In addition, if this solicitation is for a contract for goods or services of one million dollars or more, I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit are on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to s. 215.473 of the Florida Statutes, or are engaged in business operations in Cuba or Syria as defined in said statute.
I understand and agree that the County may immediately terminate any contract resulting from this solicitation upon written notice if the undersigned entity (or any of those related entities of respondent as defined above by Florida law) are found to have submitted a false certification or any of the following occur with respect to the company or a related entity: (i) it has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, or (ii) for any contract for goods or services of one million dollars or more, it has been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or it is found to have been engaged in business operations in Cuba or Syria.
Name of Respondent: ___________________________________
By: ________________________________________________ (Authorized Signature)
Name:
Title: ______________________________________________
Date:_____________________________
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