7-Attachment B-Bidders Cert.docx

DOCX document 33 KB Posted

Attached to
COMPACT UTILITY TRACTOR
Solicitation number
PROJ-26-072
Issued by
Florida

About this file

This is a Bidder's Certification document for Halifax Health Medical Center in Florida, ITB #PROJ-26-072, which pertains to a compact utility tractor procurement for facility operations. The certification form requires bidders to confirm receipt of complete bid papers and commit to abiding by all contained information and requirements. Bidders must certify compliance with all federal, state, and local laws governing equal opportunity employment practices and must attest to having adopted a written sexual harassment policy in accordance with applicable regulations. The document establishes that bidders will adhere to all federal, state, and local codes, rules, regulations, ordinances, and statutes, and certifies that no collusion or unethical practices have occurred with any person, firm, or employee of the District.

The document includes a tax certification oath requiring the bidder's executing officer to swear under oath that all statements are made on behalf of the bidder, that the respondent is authorized to make such statements, and that the information provided is true and correct. The certification further requires the bidder to confirm that it is not barred from contracting with any unit of local government in the State of Florida due to tax delinquency with the Florida Department of Revenue, unless the bidder is actively contesting such liability through established procedures. The certification must be executed by an authorized corporate or company official and notarized, with signature, date, and contact information required on the document.

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Text version

ATTACHMENT B

HALIFAX HEALTH MEDICAL CENTER

BIDDER’S CERTIFICATION

ITB # PROJ-26-072

I/We hereby certify that:

A. A complete set of bid papers, as intended, has been received, and I/We will abide by the contents and/or information received and/or contained herein.

B. I/We have not entered into any collusion or other unethical practices with any person, firm, or employee of the District which would in any way be construed as unethical practice.

C. I/We comply with all current federal, state and local laws, statutes, rules, and regulations referencing equal opportunity employment practices.

D. I/We have adopted a written sexual harassment policy which is in accordance with the requirements of federal, state and local laws, regulations and policies.

E. I/We will abide by all other federal, state and local codes, rules, regulations, ordinances and statutes.

COMPANY NAME

ADDRESS

DISTRICT/STATE/ZIP CODE

NAME OF CORPORATE/COMPANY OFFICIAL

(PLEASE TYPE OR PRINT CLEARLY)

TITLE

AUTHORIZED OFFICIAL SIGNATURE

DATE

TELEPHONE ( )

EMAIL

HALIFAX HEALTH MEDICAL CENTER

STATE OF FLORIDA

ITB # PROJ-26-072

COUNTY OF

BIDDER’S TAX CERTIFICATION

(BIDDER’S EXECUTING OFFICER), being first duly sworn on oath, deposes and states that all statements made herein are made on behalf of the Bidder, that this respondent is authorized to make them and that the statements contained herein are true and correct. Bidder deposes, states and certifies that Bidder is not barred from contracting with any unit of local government in the State of Florida as result of a delinquency in payment of any tax administered by the Florida Department of Revenue unless Bidder is contesting, in accordance with the procedures established by the appropriate statute, its liability for the tax or the amount of the tax.

DATED this day of , 2026.

By (Bidder’s Executing Officer)

(Name of Bidder’s Executing Officer)

(Title)

ATTEST/WITNESS:

By

Title

Subscribed and sworn to before me this day of , 2026.

Notary Public

(SEAL)

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