5-RFQ Sec8. (1) Federal Tax Liability and Convictions certification.pdf
PDF 102 KB Posted
- Attached to
- 403(b) Retirement Plan Consultant Services
- Solicitation number
- 25-2-16001
- Issued by
- Madison County, Illinois
About this file
This document is a Federal Tax Liability and Recent Felony Convictions certification form for the Agency for Community Transit (ACT) 403(b) Retirement Plan Consulting Services, solicitation number 25-2-16001. The form is a mandatory certification for vendors bidding on contracts exceeding $10,000, requiring vendors to confirm they have no unpaid Federal tax liability and have not been convicted of a Federal felony within the preceding 24 months.
The certification applies to all business entities, including corporations, partnerships, trusts, and sole proprietorships. Vendors must attest that they have no assessed Federal tax liability for which all judicial and administrative remedies have been exhausted, and that they are not delinquent in tax payments. Additionally, they must certify they have not been convicted of a felony criminal violation under any Federal law in the past 24 months. The form provides blank lines for the vendor to complete with the date, company name, signature, and title, and applies to all subcontracts at every tier.
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Text version
Agency for Community Transit ACT 403(b) Retirement Plan Consulting Services No. 25-2-16001
Federal Tax Liability and Recent Felony Convictions (contracts >$10,000)
Instructions: (1) Vendors must file this certification required by 48 Chapter 1, Subchapter H, Part 52 that it does not have any unpaid Federal tax liability and it has not been convicted of any Federal felony within the preceding 24 months. (2) This term apply to all subcontracts at every tier.
Certification: If the bidder/proposer is a private corporation, partnership, trust, joint-stock company, sole proprietorship, or other business association, the applicant certifies that:
(a) It has no unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and
(b) It has not been convicted of a felony criminal violation under any Federal law within the preceding 24 months
Date
Company
Signature
Title
File details come from the government source that posted it. Updated .