8-Attachment B-Bidders Cert.pdf
PDF 134 KB Posted
- Attached to
- ROC Security Equipment Addition
- Solicitation number
- PROJ-26-018
- Issued by
- Volusia County, Florida
About this file
This is a Bidder's Certification form for Halifax Health Medical Center related to ITB #PROJ-26-018 for the ROC Security Equipment Addition project in Florida. The certification document establishes the formal requirements and representations that bidders must acknowledge and execute as part of their bid submission. Bidders are required to certify that they have received a complete set of bid papers, have not engaged in collusion or unethical practices, comply with all federal, state, and local laws regarding equal opportunity employment, maintain a written sexual harassment policy in accordance with applicable regulations, and will abide by all federal, state, and local codes and statutes. The form requires the company name, address, authorized official signature, contact information, and submission date.
The second page contains a tax certification component requiring the bidder's executing officer to swear under oath that all statements are true and correct and made on behalf of the bidder with proper authorization. The certification specifically addresses Florida tax compliance, requiring the bidder to confirm 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, except where the bidder is actively contesting the tax liability or amount through established statutory procedures. The document requires notarization with the notary public seal and signature, dated for execution in 2026.
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Text version
ATTACHMENT B
HALIFAX HEALTH MEDICAL CENTER
BIDDER’S CERTIFICATION
ITB # PROJ-26-018
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-26-018
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 .