7-Attachment B-Bidders Cert.pdf
PDF 119 KB Posted
- Attached to
- WVCC AHU REPLACEMENT
- Solicitation number
- PROJ-26-074
- Issued by
- Volusia County, Florida
About this file
This is a Bidder's Certification document for Halifax Health Medical Center related to ITB #PROJ-26-074 for the replacement of a 25-ton air handling unit at Halifax Health West Volusia Care Center in Florida. The certification form requires bidders to confirm receipt of complete bid papers and commit to compliance with all applicable federal, state, and local laws, regulations, and statutes. Bidders must certify that they have not engaged in collusion or unethical practices, comply with equal opportunity employment requirements, have adopted written sexual harassment policies, and will abide by all relevant codes and ordinances.
The document includes a tax certification component requiring the bidder's executing officer to swear under oath that the bidder is not barred from contracting with any unit of local government in Florida due to delinquency in tax payments administered by the Florida Department of Revenue, unless the bidder is actively contesting such liability through appropriate statutory procedures. The certification must be notarized and signed by an authorized corporate official with supporting attestation and notary seals.
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Text version
ATTACHMENT B
HALIFAX HEALTH MEDICAL CENTER
BIDDER’S CERTIFICATION
ITB # PROJ-26-074
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-26-074
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 .