8-Attachment B-Bidders Cert.pdf
PDF 134 KB Posted
- Solicitation number
- PROJ-26-028
- Issued by
- Volusia County, Florida
About this file
This is a Bidder's Certification document for Halifax Health Medical Center in Florida, related to ITB #PROJ-26-028 for first floor service building insulation replacement and associated construction activities. Bidders submitting proposals must complete and submit this certification form as part of their bid package, certifying that they have received all required bid documents and will comply with the terms and conditions outlined therein.
The certification requires bidders to attest that they have not engaged in collusion or unethical practices, comply with all federal, state, and local employment opportunity laws, have adopted a written sexual harassment policy meeting applicable legal requirements, and will adhere to all applicable federal, state, and local codes and regulations. Additionally, bidders must execute a tax certification under oath, swearing that all statements made are true and correct on behalf of the bidding entity and that the bidder is not barred from contracting with any unit of local government in Florida due to tax delinquencies with the Florida Department of Revenue, unless the bidder is contesting such liability through appropriate statutory procedures. The certification must be signed by an authorized corporate official and notarized, with the document dated as of 2026.
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Text version
ATTACHMENT B
HALIFAX HEALTH MEDICAL CENTER
BIDDER’S CERTIFICATION
ITB # PROJ-26-028
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-26-028
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 .