8-Attachment B-Bidders Cert.pdf
PDF 134 KB Posted
- Attached to
- France Tower Lobby Area Window Tint
- Solicitation number
- PROJ-25-132
- Issued by
- Volusia County, Florida
About this file
This document is a Bidder's Certification form (Attachment B) for Halifax Health Medical Center's Invitation to Bid (ITB) #PROJ-25-0132, located in the State of Florida. The form serves as a mandatory certification requirement for bidders participating in this procurement process, though the specific products, services, quantities, pricing terms, response dates, or contract details are not specified in this particular attachment.
The certification requires bidders to affirm compliance with multiple legal and ethical requirements, including receipt of complete bid documentation, adherence to anti-collusion practices, compliance with federal/state/local equal opportunity employment laws, implementation of written sexual harassment policies, and general regulatory compliance. Additionally, bidders must provide a separate tax certification sworn under oath, confirming they are not barred from contracting with Florida local government units due to tax delinquencies with the Florida Department of Revenue, unless such taxes are being contested through proper legal procedures. The form requires notarization and includes spaces for company information, authorized official signatures, and witness attestation.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT B
HALIFAX HEALTH MEDICAL CENTER
BIDDER’S CERTIFICATION
ITB # PROJ-25-0132
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-25-132
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 , 2025.
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 , 2025.
Notary Public
(SEAL)
File details come from the government source that posted it. Updated .