6-Scrutinized Companies Form.pdf
PDF 605 KB Posted
- Attached to
- Security Guard Services for TOPB Marina
- Solicitation number
- RFP No. 2026-038
- Issued by
- Palm Beach County, Florida
About this file
This is a Scrutinized Company Certification form required by the Town of Palm Beach Purchasing Division for vendors participating in the Security Guard Services for TOPB Marina solicitation in Florida. The certification confirms that the bidding company is not listed on any scrutinized companies lists established by Florida Statutes and certifies compliance with state requirements regarding business operations and relationships with specified countries and regions. The contract opportunity seeks security guard service contractors to protect marina customer safety and assets, maintain town property, and control access to four dock gates and three parking lots. The contractor must provide all necessary labor, management, supervision, equipment, and materials. Proposals must be submitted online through Euna, the Town's eProcurement platform. A non-mandatory pre-proposal conference will be held virtually via Microsoft Teams, with details provided in the solicitation files and events section. If interviews are conducted, they are scheduled for June 12, 2026, at 1:00 PM. Award will be made to the proposer offering the best value to the Town, and no proposer may withdraw their proposal for 180 days from the opening date.
The certification form requires vendors to affirm that their companies do not participate in boycotts of Israel, do not appear on scrutinized company lists for Sudan or Iran petroleum sector activities, and are not engaged in business operations in Cuba or Syria. The form must be signed and dated by an authorized company representative with title and name clearly indicated. The Town reserves the right to reject any or all proposals and to re-advertise the solicitation as deemed in its best interest. Specific pricing terms, funding sources, and contract duration information are not detailed in this certification document but would be contained in the full solicitation materials.
View the file
Other files
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .