5-Attachment B-Bidders Cert.pdf
PDF 123 KB Posted
- Attached to
- COOLING TOWER POWER TRAIN REPLACEMENT
- Solicitation number
- PROJ-26-069
- Issued by
- Volusia County, Florida
About this file
This is a Bidder's Certification document for Halifax Health Medical Center in Florida, related to Invitation to Bid (ITB) #PROJ-26-069 for a cooling tower power train replacement project. The project involves removing and replacing the existing virology hood in the Microbiology and Tissue Processor laboratory area at the main campus located at 303 N. Clyde Morris Blvd., Daytona Beach, FL 32114. The scope of work includes modifications to existing ductwork, fans, and utilities, painting the affected area, and demolition and replacement of vinyl flooring. The certification form requires bidders to confirm receipt of complete bid papers and commitment to abide by all contained information and conditions.
The certification document requires bidders to attest to compliance with multiple regulatory and ethical standards, including federal, state, and local laws regarding equal opportunity employment practices and sexual harassment policies. Bidders must certify that they have not engaged in collusion or unethical practices and will comply with all applicable codes, regulations, and ordinances. The document includes a tax certification section requiring the bidder's executing officer to swear under oath that the bidder is not barred from contracting with any unit of local government in Florida due to tax delinquency with the Florida Department of Revenue, unless such liability is being contested through appropriate statutory procedures. The certification must be notarized and is dated for 2026.
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Text version
ATTACHMENT B
HALIFAX HEALTH MEDICAL CENTER
BIDDER’S CERTIFICATION
ITB # PROJ-26-069
I/We hereby certify that:
A. A complete set of bid papers, as intended, has been received, and I/We will abide by the contents and/or information received and/or contained herein.
B. I/We have not entered into any collusion or other unethical practices with any person, firm, or employee of the District which would in any way be construed as unethical practice.
C. I/We comply with all current federal, state and local laws, statutes, rules, and regulations referencing equal opportunity employment practices.
D. I/We have adopted a written sexual harassment policy which is in accordance with the requirements of federal, state and local laws, regulations and policies.
E. I/We will abide by all other federal, state and local codes, rules, regulations, ordinances and statutes.
COMPANY NAME
ADDRESS
DISTRICT/STATE/ZIP CODE
NAME OF CORPORATE/COMPANY OFFICIAL
(PLEASE TYPE OR PRINT CLEARLY)
TITLE
AUTHORIZED OFFICIAL SIGNATURE
DATE
TELEPHONE ( )
HALIFAX HEALTH MEDICAL CENTER
STATE OF FLORIDA
ITB # PROJ-26-069
COUNTY OF
BIDDER’S TAX CERTIFICATION
(BIDDER’S EXECUTING OFFICER), being first duly sworn on oath, deposes and states that all statements made herein are made on behalf of the Bidder, that this respondent is authorized to make them and that the statements contained herein are true and correct. Bidder deposes, states and certifies that Bidder is not barred from contracting with any unit of local government in the State of Florida as result of a delinquency in payment of any tax administered by the Florida Department of Revenue unless Bidder is contesting, in accordance with the procedures established by the appropriate statute, its liability for the tax or the amount of the tax.
DATED this day of , 2026.
By (Bidder’s Executing Officer)
(Name of Bidder’s Executing Officer)
(Title)
ATTEST/WITNESS:
By
Title
Subscribed and sworn to before me this day of , 2026.
Notary Public
(SEAL)
File details come from the government source that posted it. Updated .