7-Attachment B-Bidders Cert.pdf
PDF 134 KB Posted
- Attached to
- NETAPP Storage Hardware
- Solicitation number
- PROJ-26-024
- Issued by
- Volusia County, Florida
About this file
This is a Bidder's Certification form for Halifax Health Medical Center related to ITB #PROJ-26-024 for NetApp Storage Hardware in Florida. The certification document requires bidders to affirm receipt of complete bid papers, confirm compliance with federal, state, and local laws regarding equal opportunity employment, and attest that they have adopted written sexual harassment policies in accordance with applicable regulations. Bidders must also certify that they have not engaged in collusion or unethical practices and will abide by all applicable federal, state, and local codes, rules, regulations, ordinances, and statutes.
The second section of the document contains a tax certification affidavit requiring the bidder's executing officer to swear under oath that all statements are true and correct and made on behalf of the bidder with proper authorization. The affidavit specifically certifies that the bidder is not barred from contracting with any unit of local government in Florida due to delinquency in payment of taxes administered by the Florida Department of Revenue, unless the bidder is contesting such liability through established legal procedures. The document requires notarization and must be signed and dated by the bidder's authorized representative, with attestation and witness signatures required on the tax certification page.
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Text version
ATTACHMENT B
HALIFAX HEALTH MEDICAL CENTER
BIDDER’S CERTIFICATION
ITB # PROJ-26-024
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-26-024
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 .