7-Attachment B-Proposers Cert.pdf
PDF 89 KB Posted
- Attached to
- Valet Services
- Solicitation number
- PROJ-26-071
- Issued by
- Volusia County, Florida
About this file
This is a Proposer's Certification document for Halifax Health Medical Center in Florida, establishing the legal and compliance framework for vendors responding to the valet parking services solicitation. The certification requires proposers to affirm receipt of complete proposal documents, confirm compliance with federal, state, and local laws regarding equal opportunity employment practices, and attest that they have adopted written sexual harassment policies in accordance with applicable regulations. Proposers must also declare that they have not engaged in collusion or unethical practices with Halifax Health personnel and commit to abiding by all applicable federal, state, and local codes, rules, regulations, ordinances, and statutes.
The document includes a tax certification section requiring the proposer's authorized representative to swear under oath that all statements are true and correct and made on behalf of the company. Critically, proposers must certify that they are not barred from contracting with any unit of local government in Florida due to tax delinquency with the Florida Department of Revenue, unless the proposer is actively contesting the tax liability or amount through established statutory procedures. The certification requires the signature of a corporate or company official with the authority to bind the organization, along with contact information including telephone number and email address, and must be notarized with the notary's seal affixed.
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Text version
ATTACHMENT D
HALIFAX HEALTH MEDICAL CENTER
PROPOSER’S CERTIFICATION
I/We hereby certify that:
A. A complete set of proposal 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 Halifax Health 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 REPRESENTATIVES SIGNATURE
DATE
TELEPHONE ( )
HALIFAX HEALTH MEDICAL CENTER
STATE OF FLORIDA
COUNTY OF
PROPOSER’S TAX CERTIFICATION
(PROPOSERS AUTHORIZED REPRESENTATIVE),
being first duly sworn on oath, deposes and states that all statements made herein are made on behalf of the Proposer, that this respondent is authorized to make them and that the statements contained herein are true and correct. Proposer deposes, states and certifies that Proposer 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 Proposer 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 (Authorized Representative Signature)
(Print Name of Authorized Representative)
(Title)
ATTEST/WITNESS:
By
Title
Subscribed and sworn to before me this day of , 2025.
Notary Public
(SEAL)
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