6-Scrutinized Companies Form.pdf

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Attached to
Bee Hives - Town Wide
Solicitation number
ITB No. 2026-015
Issued by
Palm Beach County, Florida

About this file

This is a Scrutinized Company Certification form required by the Town of Palm Beach, Florida for vendors seeking to participate in a bee hives installation and maintenance contract at the Par 3 Golf Course. The Town is soliciting bids from qualified contractors to install and maintain beehives, harvest and package honey in accordance with the attached scope of work. Bidders must possess a certified food facility for packing jars for resale and obtain kosher certification. The solicitation requires online bid submission through the Euna Procurement (Bonfire) eProcurement platform. A non-mandatory pre-bid meeting will be held virtually via Microsoft Teams; attendance is strongly encouraged as the only direct opportunity to seek clarification from the project manager and Town staff. Award will be made to the lowest responsive and responsible bidder meeting all requirements and criteria. The Town reserves the right to award on an all-or-none or line-by-line basis. Price quotations must remain valid for ninety (90) days from bid closing. The contract term is five (5) years.

The Scrutinized Company Certification form requires vendors to certify that the company is not participating in a boycott of Israel, does not appear on the Scrutinized Companies with Activities in Sudan or Iran Petroleum Energy Sector lists, and is not engaged in business operations in Cuba or Syria, in accordance with Florida Statutes 215.4725, 215.473, and 287.135. The vendor must sign and date the certification attesting to compliance with these requirements as of the submission date. No pricing information, funding sources, or set-aside provisions are detailed in this particular document.

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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:

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