4-08 - Texas Government Code Section 2252.pdf

PDF 77 KB Posted

Attached to
On-Call Consulting Services at Lubbock Preston Smith International Airport
Solicitation number
RFQ 26-19404-TF
Issued by
Henderson County, Texas

About this file

This is a certification form required by the City of Lubbock, Texas, for on-call consulting services at Lubbock Preston Smith International Airport, in compliance with Texas Government Code Section 2252.152. The form requires an authorized company representative to certify that the bidding company is not listed on the Texas Comptroller's website as a company that conducts business with Iran, Sudan, or any Foreign Terrorist Organization. The representative must also commit to immediately notify the City of Lubbock Purchasing and Contract Department should the company's status change during the contract period. The form requires the company name, signature of authorized representative, printed name and title, and date of certification.

This certification is a mandatory compliance document that must be completed and submitted as part of the bid package for the on-call consulting services opportunity. No specific scope of work, hourly rates, or fixed proposal costs should be included with the submittal according to the solicitation guidelines. The form serves as a contractual attestation of the company's eligibility to conduct business with the City of Lubbock and ensures compliance with federal and state restrictions on commerce with designated entities and organizations.

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Text version

TEXAS GOVERNMENT CODE SECTION 2252.152

I, ______________________________________________, the undersigned representative of

________________________________________________ (Company or business name) being an adult over the age of eighteen (18) years of age, pursuant to Texas Government Code, Chapter 2252, Section 2252.152, certify that the company named above is not listed on the website of the Comptroller of the State of Texas concerning the listing of companies that are identified under Section 806.051, Section 807.051 or Section 2253.153. I further certify that should the above-named company enter into a contract that is on said listing of companies on the website of the Comptroller of the State of Texas, which do business with Iran, Sudan or any Foreign Terrorist

Organization, I will immediately notify the City of Lubbock Purchasing and Contract Department.

Company Name:

SIGNED BY:

Print Name & Title:

Date Signed:

I:
Company or business name being an adult over the:
Company Name:
SIGNED BY:
Print Name:
Date Signed:

File details come from the government source that posted it. Updated .