5-Vendor Litigation Disclosure Form.pdf
PDF 188 KB Posted
- Attached to
- Utility Line Locating Services
- Solicitation number
- 1190
- Issued by
- Denton County, Texas
About this file
This is a 5-Vendor Litigation Disclosure Form related to the City of Corinth's annual contract solicitation for utility line locating services in Texas. The form serves as a disclosure document for vendors participating in the competitive bidding process. The successful bidder will be responsible for providing all equipment, materials, supplies, labor, permits, insurance, and licenses necessary to deliver utility line locating services in accordance with the proposal specifications and contract terms established by the City of Corinth.
The disclosure form functions as a compliance document requiring vendor acknowledgment regarding litigation matters relevant to the bid evaluation process. This document is part of the overall procurement package and helps the City of Corinth maintain transparency in vendor selection by identifying any potential legal issues or disputes involving prospective contractors before contract award.
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Text version
pg. 1
Vendor Litigation Disclosure Form
Solicitation # __________
1. Vendor Information
• Legal Business Name: ____________________________________________________
• DBA (if applicable): ______________________________________________________
• Address: ____________________________________________________________
• Contact Person: _________________________________________________________
• Phone: _________________________________________________________________
• Email: _________________________________________________________________
2. Litigation Disclosure
• Has your company, or any of its owners, officers, or key employees, been involved in any litigation, arbitration, or administrative proceedings within the past five (5) years? (please circle)
Yes / No
• If yes, provide details for each case:
• Case Name & Number: ___________________________________________________
• Jurisdiction: ____________________________________________________________
• Date Filed: ______________________________________________________________
• Status (Pending, Settled, Resolved): _________________________________________
• Brief Description of the Matter: ____________________________________________
pg. 2
3. Criminal or Regulatory Actions
• Has your company been subject to any criminal charges, regulatory enforcement actions, or government investigations in the past five (5) years? (please circle)
Yes / No
• If yes, provide details: ____________________________________________________
4. Certification
I hereby certify that the information provided above is true, complete, and accurate to the best of my knowledge. I understand that failure to disclose relevant information may result in disqualification from consideration or termination of any awarded contract.
• Authorized Signatory (print): _____________________________________________
• Title: _________________________________________________________________
• Date: _________________________________________________________________
• Signature: _____________________________________________________________
File details come from the government source that posted it. Updated .