__5_Bidder_Certification_Form_to_be_completed__signed_and_submitted_with_bid_and_compliance_verification_documents.pdf__5_Bidder_Certification_Form_to_be_completed__signed_and_submitted_with_bid_and_compliance_verification_documents.pdf

BIDDER’S CERTIFICATION

The Bidder hereby acknowledges that the following representations in this bid are material and not mere recitals:

1. Bidder has read and understands the Specifications and agrees to comply with all requirements of the Specifications, regardless of whether the Bidder has actual knowledge of the requirements and regardless of any statement or omission made by the Bidder which might indicate a contrary intention.

2. The Bidder represents that the bid is based upon the standards specified by the Specifications.

3. Bidder has visited the site, become familiar with local conditions and has correlated personal observations about the requirements of the Specifications. The Bidder has no outstanding questions regarding the interpretation of the Specifications.

4. Independent Contractor shall comply with the requirements under R.C. 125.111. Independent Contractor shall not discriminate against anyone because of race, color, religion, creed, sex, age, disability, national origin or ancestry.

5. The Bidder certifies as to such party’s organization, under penalty of perjury, that to the best of the undersigned’s knowledge and belief: (A) the base bid, unit prices or any alternate bid in the bid have been arrived at independently without collusion, consultation, communication or agreement, for the purpose of restricting competition as to any matter relating to such base bid, unit prices or alternate bid with any other bidder;

(B) Unless otherwise required by law, the base bid, unit prices or alternate bid which have been quoted in the bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to the bid opening, directly or indirectly, to any other bidder that would have interest in the base bid, unit prices or alternate bid; (C) no attempt has been made or will be made by the bidder to induce any other individual, partnership or corporation to submit or not to submit a bid for the purpose or restricting competition.

6. Bidder will enter into and execute a Purchase Order with the State, if awarded on the basis of this bid, and if the Bidder does not execute their duties in accordance with the specifications for any reason, other than as authorized by law, the Bidder and the Bidder's Surety (if applicable) are liable to the State of Ohio.

7. Bidder certifies that upon the award of a Purchase Order and Official Notice to Proceed Letter, the Contractor will make a good faith effort to ensure that all Contractor employees, while working on State property, will not purchase, transfer, use, or possess illegal drugs or alcohol or abuse prescription drugs in any way.

8. Bidder agrees to furnish any information requested by the Department to evaluate the responsibility of the Bidder. At this time, COMPLIANCE

VERIFICATION DOCUMENTATION MUST BE SUBMITTED WITH QUOTE. A list of required verification documents can be found on the Request for Quotes document attached to the solicitation.

If the Bidder is a corporation, partnership, or sole proprietorship, an officer, partner, or principal of the Bidder, as applicable, shall print or type the legal name of the Bidder on the line provided and sign the Bid Form. Signature may be electronic. Contact information must be current and applicable in case the department must make contact with the signer. Community sales lines are not sufficient.

The respective proposal, including proposal submission instructions, Specific Terms and Conditions, Standard Terms and Conditions, solicitation, any amendments to the solicitation, specifications, pricing schedules, Scope of Work, and any attachments incorporated by reference and accepted by ADJ become a part of this Contract and constitutes the entire agreement between the parties, and any changes or modifications to this Contract must be in writing.

TO SHOW AGREEMENT, the vendor has signed below.

BIDDER'S NAME:

Authorized Signature:

Print Name:

Title:

Company Name:

Mailing Address:

Telephone Number:

Vendor Identification Number:

Contact person for contract processing:

Email for contract processing: