8-04 RFP~1.PDF

ITEM 4: State Certifications

ENTITIES THAT BOYCOTT ISRAEL (TEXAS GOVERNMENT CODE §2271.002)

Vendor herby certifies that (I) it does not, and shall not for the duration of the contract, boycott Israel or (2) the verification required by Section 2271.002 of the Texas Government Code does not apply to the contract. This section applies only to a contract that: (a) is between a governmental entity and a company with ten (10) or more full-time employees; and (b) has a value of$100,000 or more that is to be paid wholly or partly from public funds ofthe governmental entity. The term " Boycott Israel" means refusing to deal with, terminating business activities or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. If circumstances relevant to this provision change during the course of the agreement, Vendor shall promptly notify Laredo ISO.

Does Vendor agree? YES __ Initials of Authorized Representative of Vendor

FOREIGN TERRORIST ORGANIZATIONS (TEXAS GOVERNMENT CODE §2252.152)

Vendor herby certifies that it is not a company identified on the Texas Comptroller's list of companies known to have contracts with, or provide supplies or services to, the government of Iran, the government of Sudan, or a foreign organization designated as a foreign terrorist organization by the U.S. Secretary of State, see Texas Government Code Section 2252.152-

2252.154. For contracts related to critical infrastructure in Texas, contractor herby certifies that it is not owned or controlled by individuals, any company, or headquartered in China, Iran, North Korea, Russia, or a designated country, even if publicly traded, in accordance with the Texas Government Code, Chapter 2274.

Does Vendor agree? YES _ _ Initials of Authorized Representative of Vendor

PROIDBITED EMPLOYMENT ASSISTANCE (CHF LEGAL) 20 USC 7926

Vendor certifies and agrees that it shall not assist an employee, contractor, or agent of Laredo ISO obtaining a new job if the Vendor knows, or has probable cause to believe, that the individual engaged in sexual misconduct regarding a minor or student in violation of the law. Routine transmission of an administrative or personnel file does not violates this prohibition.

Does Vendor agree? YES __ Initials of Authorized Representative of Vendor

Prohibition on Contracts with Companies Boycotting Certain Energy Companies (SB 13) Vendor herby certifies and agrees by submitting its proposal that, pursuant to Texas Government Code Chapter 2274, it does not boycott energy companies; and will not boycott energy companies during the term of the Agreement. This verification is not required for an agreement where a governmental entity determines that these requirements are inconsistent with the governmental entity's constitutional or statutory duties related to the issuance, incurrence, or management of debt obligations or the deposit, custody, management, borrowing, or investment of funds.

Does Vendor agree? YES __ Initials of Authorized Representative of Vendor

Prohibition on Contracts with Companies That Discriminate Against Firearm and Ammunition Industries (SB 19) Vendor herby certifies and agrees by submitting its proposal that, pursuant to Texas Government Code Chapter 2274, it does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and will not discriminate during the term of the contract against a firearm entity or firearm trade association.

Does Vendor agree? YES __ Initials of Authorized Representative of Vendor

Small and Minority Firms, Women's Business Enterprise, and Labor Surplus Area Firms (Historically Underutilized Business or HUB) 2 CFR 200.321 Necessary affirmative steps to procure from minority firms, women ' s business enterprises, and labor surplus area firms whenever possible

Required inclusion in solicitations/contracts using federal funds; requires contractors to encourage and facilitate participation by small businesses, minority-owned firms, and women's business enterprises whenever to the maximum extent possible.

Preference Points to Encourage Participation of Small and Minority Businesses, Women's Business Enterprises, and Labor

Surplus Area Firms CEs may include the following preference points in the evaluation to promote small, minority, and women 's businesses and labor surplus forms.

-Placing qualified small and minority businesses and women's business enterprises on solicitation lists. - Assuring that small and minority businesses and women' s business enterprises are solicited whenever they are potential sources.

II

-Dividing specifications and/or technical requirements, when economically feasible, into smaller tasks or quantities to permit maximum participation by small and minority businesses, and women 's business enterprises.

- Establishing delivery schedules, where the requirement permits, which encourage participation by small and minority businesses, and women's business enterprises.

-Using the services and assistance, as appropriate, of such organizations as the Small Business Administration and the

Minority Business Development Agency of the Department of Commerce.

Does Vendor agree? YES _ _ Initials of Authorized Representative of Vendor

Debarment and Suspension (Executive Orders 12549 and 12689) A contract award (see 2 CFR 180.220) must not be made to parties listed on the government wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p.235), "Debarment and Suspension." SAM Exclusions contains the name of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.

Pursuant to federal Rule (H) above, when federal funds are expended by Laredo lSD, Vendors certifies that during the term of an award for all contracts by Laredo lSD resulting from procurement process, Vendor certifies ineligible, or voluntarily excluded from participation by any federal department or agency.

Does Vendor agree? YES __ Initials of Authorized Representative of Vendor

ANTITRUST CERTIFICATION STATEMENT

Pursuant to Texas Government Code § 2155.005 , I affirm under penalty of perjury of the laws of the State of Texas that:

I. I am duly authorized to execute this contract on my own behalf or on behalf of the company, corporation, firm, partnership or individual (Company) listed below;

2. In connection with this bid, neither I nor any representatives of the Company have violated any provision of the Texas Antitrust laws codified in Tex. Bus. & Comm. Code Chapter 15;

3. In connection with this bid, neither I nor any representative of the Company have violated any federal antitrust law; and

4. Neither I nor any representatives of the Company have directly or indirectly communicated any of the contents of this bid to a competitor of the Company or any other company, Does Vendor agree? YES __ Initials of Authorized Representative of Vendor

Please acknowledge the "State Certifications- Agreement Form" on the next page.

State Certifications -Agreement Form The Proposer confirms they have reviewed and understand all regulations and requirements outlined in the document. By placing their initials in the below field and completing signature panel, the proposer certifies agreement with all set forth in this document.

Name of Regulation Initials of Authorized Company Officials

ENTITIES THAT BOYCOTT ISRAEL (TEXAS GOVERNMENT CODE §2271.002)

FOREIGN TERRORIST ORGANIZATIONS (TEXAS GOVERNMENT CODE

§2252.152)

PROHIBITED EMPLOYMENT ASSISTANCE (CHF LEGAL) 20 USC 7926

Prohibition on Contracts with Companies Boycotting Certain Energy Companies (SB 13)

Prohibition on Contracts with Companies That Discriminate Against Firearm and Ammunition Industries (SB 19) Small and Minority Firms, Women's Business Enterprise, and Labor Surplus Area Firms (Historically Underutilized Business or HUB)

ANTITRUST CERTIFICATION STATEMENT

Company Name: ____________________________________________________________ __

Company Address: ----------------------------------------------------------

Authorized Company Official (Please Print) ------------------------------------------

Authorized Company Official: ---------------------------------------------------- (Signature- Digital Accepted)

Date Signed: ----------------------------------------------------