5-FEDERAL CONTRACT CLAUSE FILLABLE1.pdf

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Attached to
Installation of Lighting and Accessories for Emergency Vehicles
Solicitation number
RCO-RC-EPC-2026-002
Issued by
Rockland County, New York

About this file

This is a Federal Contract Clause fillable form related to Rockland County, New York's procurement for installation of lighting and accessories for emergency vehicles (RCO-RC-EPC-2026-002). The contract covers installation services for law enforcement and emergency vehicles owned and operated by Rockland County or other political subdivisions within the jurisdiction. The scope of work includes on and off-site service, installation, and removal of related equipment on an as-needed basis for County-owned emergency vehicles, encompassing the upfitting of law enforcement and emergency response vehicles with various equipment and accessories.

The form is a standardized federal compliance document requiring vendor certification and notarization across multiple sections addressing federal contract requirements including Equal Opportunity, Labor Construction standards, Anti-Kickback provisions, Debarment and Suspension disclosures, and Lobbying Disclosure compliance. The document appears to be in fillable format awaiting vendor completion and signature before a notary public, with designated spaces for the vendor's name, company name, and contractor information to be entered during the bidding process.

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Text version

Vendor’s�Name�/�Company�Name:��

*Note:��ALL�Sections�on�the�following�pages�must�be�initialed�and�this�Statement�must�be� signed�before�a�Notary� akhterr Typewriter

6TH

“federally contract” “Equal

Opportunity” “Amending Opportunity,”

“Office Labor.”

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“Labor Construction”).

“Anti Kickback” “Contractors

States”).

“funding agreement”�

“funding agreement,” “Rights

Agreements,” akhterr

“Debarment Suspension.”

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“Disclosure Lobbying”, akhterr akhterr akhterr

Vendor’sName/CompanyName:_1:
Vendor’sName/CompanyName:_5:
Vendor’sName/CompanyName:_14:
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fill_5:
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Text Field0: Installation of Lighting and Accessories for Emergency Vehicles
Text Field1: RCO-RC-EPC-2026-002

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