6-00460 - Scrutinized.pdf
PDF 80 KB Posted
- Attached to
- Indian River County Fire/EMS Station #15
- Solicitation number
- 2026026
- Issued by
- Indian River County, Wilton Manors City, Florida
About this file
This is a certification form required for submission with bids and proposals to Indian River County, Florida for the construction of Fire/EMS Station #15. The form mandates that respondents certify compliance with Florida's scrutinized companies statutes, specifically that neither the bidder nor any of its subsidiaries, parent companies, or affiliates have been placed on the Scrutinized Companies that Boycott Israel List or are engaged in a boycott of Israel. For contracts valued at one million dollars or more, respondents must additionally certify that they are not on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, and are not engaged in business operations in Cuba or Syria as defined by Florida Statute 215.473.
The county retains the right to immediately terminate any resulting contract upon written notice if the respondent or related entities are found to have submitted false certifications or if they are subsequently placed on any of the aforementioned scrutinized companies lists or found to be engaged in prohibited business operations. The form requires completion by an authorized representative of the responding entity, including signature, printed name, title, and date. This certification must accompany all bid submissions and serves as a compliance mechanism for state-mandated restrictions on contracting with companies engaged in specific boycotts and business activities.
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Text version
Scrutinized 00460 - 1
00460 - CERTIFICATION REGARDING PROHIBITION AGAINST
CONTRACTING WITH SCRUTINIZED COMPANIES
(This form MUST be submitted with your bid/proposal/SOQ)
I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit have been placed on the Scrutinized Companies that Boycott Israel List created pursuant to s. 215.4725 of the Florida Statutes, or are engaged in a boycott of Israel.
In addition, if this solicitation is for a contract for goods or services of one million dollars or more, I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit are on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to s. 215.473 of the Florida Statutes, or are engaged in business operations in Cuba or Syria as defined in said statute.
I understand and agree that the County may immediately terminate any contract resulting from this solicitation upon written notice if the undersigned entity (or any of those related entities of respondent as defined above by Florida law) are found to have submitted a false certification or any of the following occur with respect to the company or a related entity: (i) it has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, or (ii) for any contract for goods or services of one million dollars or more, it has been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or it is found to have been engaged in business operations in Cuba or Syria.
Name of Respondent: ___________________________________
By: ________________________________________________ (Authorized Signature)
Name:
Title: ______________________________________________
Date:_____________________________
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