6-Scrutinized Companies Form.pdf
PDF 600 KB Posted
- Attached to
- Bee Hives - Town Wide
- Solicitation number
- ITB No. 2026-013
- Issued by
- Palm Beach County, Florida
About this file
This is a Scrutinized Company Certification form required by the Town of Palm Beach, Florida Purchasing Division for vendors bidding on a beehive installation and honey harvesting project at the Par 3 Golf Course. The Town is seeking a qualified contractor to install and maintain beehives, harvest and package honey in accordance with the project scope. The qualified vendor must possess a certified food facility for packing jars for resale and maintain kosher certification. A non-mandatory pre-bid meeting will be held virtually via Microsoft Teams, with details provided in the solicitation's Files and Events sections. Attendance is strongly encouraged as this will be the only forum for direct clarification from the Project Manager and Town staff. Award will be made to the lowest responsive and responsible bidder whose bid meets all requirements and criteria. The Town reserves the right to award based on which bidder best serves the Town's interests, accept or reject any bids, and award on an all-or-none or line-by-line basis. Prices must remain valid for ninety days from bid closure, and the contract term is five years.
The certification form requires vendors to affirm compliance with multiple scrutinized companies lists pursuant to Florida Statutes 215.4725, 215.473, and 287.135. Specifically, vendors must certify they are not participating in boycotts of Israel, do not appear on the Scrutinized Companies with Activities in Sudan List or Iran Petroleum Energy Sector List, and are not engaged in business operations in Cuba or Syria. All vendors submitting bids must complete and sign this certification form as part of the responsible vendor determination process outlined in Section 287.05701, Florida Statutes.
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Text version
11/16/18
Scrutinized Company Certification
1. This company is not participating in a boycott of Israel such that it is not refusing to deal, terminating business activities, or taking other actions to limit commercial relations with Israel, or persons or entities doing business in Israel or in Israeli-controlled territories, in a discriminatory manner.
2. This Company does not appear on the Scrutinized Companies with Activities in Sudan List where the
State Board of Administration has established the following criteria:
a. Have a material business relationship with the government of Sudan or a government-created project involving oil related, mineral extraction, or power generation activities, or
b. Have a material business relationship involving the supply of military equipment, or
c. Impart minimal benefit to disadvantaged citizens that are typically located in the geographic periphery of Sudan, or
d. Have been complicit in the genocidal campaign in Darfur.
3. This Company does not appear on the Scrutinized Companies with Activities in the Iran Petroleum
Energy Sector List where the State Board of Administration has established the following criteria:
a. Have a material business relationship with the government of Iran or a government-created project involving oil related or mineral extraction activities, or
b. Have made material investments with the effect of significantly enhancing Iran‘s petroleum sector.
4. This Company is not engaged in business operations in Cuba or Syria.
VENDOR/COMPANY NAME:
NAME:
TITLE:
SIGNATURE:
DATE:
TOWN OF PALM BEACH
PURCHASING DIVISION
951 Okeechobee Road Suite D West Palm Beach, Florida 33401
Telephone: (561) 838-5406
PURCHASING DIVISION
951 Okeechobee Road Suite D West Palm Beach, Florida 33401
Telephone: (561) 838-5406 Facsimile (561) 835-4688 Website: www.townofpalmbeach.com
I hereby swear or affirm that as of the date below this company is not listed on a Scrutinized Companies list created pursuant to 215.4725, 215.473, or 287.135, Florida Statutes. Pursuant to 287.135, Florida Statutes I further affirm that:
http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0215/Sections/0215.4725.html http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0215/Sections/0215.4725.html http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0287/Sections/0287.135.html
| VENDORCOMPANY NAME: |
| Name: |
| Title: |
| Signiture: |
| Date: |
File details come from the government source that posted it. Updated .