4-Litigation Disclosure Form.pdf
PDF 65 KB Posted
- Attached to
- Reconstruct Runway 18/36 Schedules I, II & III
- Solicitation number
- 126-25-AIR-IFB
- Issued by
- Cameron County, Texas
About this file
The document is a Litigation Disclosure form from the City of Brownsville requiring potential contractors or service providers to disclose legal and professional history. The form consists of three key questions that must be answered by circling "YES" or "NO", relating to: (1) any felony or misdemeanor indictments/convictions in the last five years, (2) termination from previous work with governmental or private entities, and (3) involvement in claims or litigation with the City of Brownsville or other governmental/private entities during the past ten years.
The form emphasizes that failure to fully and truthfully complete the disclosure may result in proposal disqualification or contract termination. If a respondent answers "YES" to any question, they are required to provide detailed information on a separate page, including names of individuals involved, the nature of the incident, and its status or outcome. The form must be signed by an authorized representative and dated, serving as a mandatory component of the proposal submission process.
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Text version
CITY OF BROWNSVILLE
LITIGATION DISCLOSURE
Respond to each of the questions below by circling the appropriate answer.
Failure to fully and truthfully disclose the information required by this
Litigation Disclosure form may result in the disqualification of your proposal from consideration or termination of the contract, once awarded.
1. Have you or any member of your Firm or Team to be assigned to this engagement ever been indicted or convicted of a felony or misdemeanor greater that a Class C in the last five (5) years?
Circle One YES NO
2. Have you or any member of your Firm or Team been terminated (for cause or otherwise) from any work being performed for the City of Brownsville or any other Federal, State or
Local Government, or Private Entity?
3. Have you or any member of your Firm or Team been involved in any claim or litigation with the City of Brownsville or any other Federal, State or Local Government, or Private Entity during the last ten (10) years?
If you have answered “YES” to any of the above questions, please indicated the name(s) of the person(s), the nature, and the status and/or outcome of the indictment, conviction, termination, claim or litigation, as applicable. Any such information should be provided on a separate page, attached to this form and submitted with your proposal.
Signature/Title of Authorized Representative
Date
File details come from the government source that posted it. Updated .