7-Attachment B-Bidders Cert.pdf
PDF 133 KB Posted
- Attached to
- DIGITAL BUILDING SIGN
- Solicitation number
- PROJ-26-011
- Issued by
- Volusia County, Florida
About this file
This is a Bidder's Certification form for Halifax Health Medical Center associated with Invitation to Bid (ITB) #PROJ-26-011 for a Digital Building Sign project in Florida. The certification document requires bidders to confirm receipt of complete bid papers and affirm compliance with applicable federal, state, and local laws regarding equal opportunity employment practices, anti-collusion requirements, and ethical business conduct. Bidders must also certify that they have adopted a written sexual harassment policy in accordance with federal, state, and local requirements and agree to abide by all applicable codes, rules, regulations, ordinances, and statutes.
The form includes a tax certification section requiring the bidder's executing officer to swear under oath that all statements are true and correct and that the bidder is not barred from contracting with any unit of local government in Florida due to tax delinquency with the Florida Department of Revenue, unless the bidder is actively contesting the tax liability or amount through established procedures. The certification must be notarized and dated, with the bidder's authorized official signature, company name, address, title, telephone number, and email address required on the form.
View the file
Other files
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
ATTACHMENT B
HALIFAX HEALTH MEDICAL CENTER
BIDDER’S CERTIFICATION
ITB # PROJ-26-011
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 ( )
HALIFAX HEALTH MEDICAL CENTER
STATE OF FLORIDA
ITB # PROJ-26-011
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 , 2025.
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 , 2025.
Notary Public
(SEAL)
File details come from the government source that posted it. Updated .