8-09 - Texas Government Code Section 2252.pdf
PDF 77 KB Posted
- Solicitation number
- RFQ 26-19496-KM
- Issued by
- Henderson County, Texas
About this file
This is a certification form required by the City of Lubbock Purchasing and Contract Department for the Quincy Park Public Improvement District (PID) Stormwater Drainage Improvement Project, which is located in Lubbock, Texas. The project seeks Design, Landscape Architecture, Engineering, or Architecture and Engineering services to develop design specifications for stormwater drainage improvements on the southeastern area of Quincy Park adjacent to the Quitman Avenue and 91st Street intersection at 9002 Rochester Avenue, Lubbock, Texas 79424. The initial contract term is six (6) months with one (1) optional six-month extension available. An Optional Scope of Work Expansion is also being offered for construction management and oversight services related to the drainage improvement project, which would add an additional six (6) months to the contract with an optional six-month extension, with fees to be negotiated between the selected firm and City Staff.
This certification form requires company representatives to certify compliance with Texas Government Code Section 2252.152, specifically that the bidding company is not listed on the Comptroller of the State of Texas website as doing business with Iran, Sudan, or any Foreign Terrorist Organization under Sections 806.051, 807.051, or 2253.153. Signatories must be adults over eighteen (18) years of age and must commit to immediately notifying the City of Lubbock Purchasing and Contract Department should the company subsequently appear on such listings. The form requires the company name, signature, printed name and title of the authorized representative, and the date of certification.
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Text version
TEXAS GOVERNMENT CODE SECTION 2252.152
I, ______________________________________________, the undersigned representative of
________________________________________________ (Company or business name) being an adult over the age of eighteen (18) years of age, pursuant to Texas Government Code, Chapter 2252, Section 2252.152, certify that the company named above is not listed on the website of the Comptroller of the State of Texas concerning the listing of companies that are identified under Section 806.051, Section 807.051 or Section 2253.153. I further certify that should the above-named company enter into a contract that is on said listing of companies on the website of the Comptroller of the State of Texas, which do business with Iran, Sudan or any Foreign Terrorist
Organization, I will immediately notify the City of Lubbock Purchasing and Contract Department.
Company Name:
SIGNED BY:
Print Name & Title:
Date Signed:
| I: |
| Company or business name being an adult over the: |
| Company Name: |
| SIGNED BY: |
| Print Name: |
| Date Signed: |
File details come from the government source that posted it. Updated .