7-1002HVAC Anti-Terrorism Certification.pdf

PDF 58 KB Posted

Attached to
CNS POINT OF SALES DISTRICT WIDE State and local contract opportunity
Solicitation number
1072CNPS
Issued by
Victoria County, Texas

About this file

The document is an Anti-Terrorism Certification form for Lyford CISD (Consolidated Independent School District) in Texas, requiring companies to certify they are not on state-maintained scrutinized company lists related to specific government code sections. The certification requires the company representative to declare that their organization is not identified on lists prepared under Texas Government Code Sections 2270.0201, 807.051, or 2252.153, and commits to immediately notifying the Lyford CISD Business Office if the company's status changes.

The certification form is a legal document that requires the company representative to sign under penalty of perjury, providing their name, company name, date of birth, county, state, and date of execution. The purpose is to ensure that the school district does not engage with companies that may have connections to terrorist activities or are otherwise deemed problematic under specific Texas state regulations. By signing, the representative affirms the company's compliance with these state guidelines and agrees to ongoing transparency about any potential future listing.

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9-1002HVAC Lobbying Certification.pdf PDF
4-1002HVAC Felony Conviction Notification.pdf PDF
8-1002HVAC Tex Govt Code 2270 Verification.pdf PDF
11-1002HVAC Certificate of Residency.pdf PDF
2-1002HVAC Deviations Form.pdf PDF
5-1002HVAC Form CIQ.pdf PDF
13-1002HVAC W-9 Form.pdf PDF
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15-1003INSU Specifications.pdf PDF
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Text version

Attachment f.

ANTI-TERRORISM CERTIFICATION

I, _______________________________________, the undersigned representative of ______________________________ (the “Company”), my date of birth being ________________________, pursuant to Texas Government Code Chapter 2252, certifies that the above-named Company is not identified on the list prepared and maintained under Texas Government Code Section 2270.0201 (formerly 806.051) as a scrutinized company, Section 807.051, or Section 2252.153. I further certify that should the above-named Company become listed in accordance with any of the foregoing Sections (or as the Sections may be amended or supplemented) or enter into a contract with a company that is on said listings, I will immediately notify Lyford CISD Business Office.

I declare under penalty of perjury that the foregoing is true and correct.

Executed in ___________________ County, State of __________________, on the ___________ day of ________________________ 20____.

File details come from the government source that posted it. Updated .