8-Attachment B-Bidders Cert.pdf
PDF 119 KB Posted
- Attached to
- PO ROC RTU #3 Replacement
- Solicitation number
- PROJ-26-075
- Issued by
- Florida
About this file
This is a Bidder's Certification form for Halifax Health Medical Center in Florida, ITB #PROJ-26-075, related to a replacement of one rooftop unit (RTU) at Halifax Health Port Orange Cancer Center. The certification document serves as the formal attestation by bidding contractors that they have received complete bid papers and will comply with all terms and conditions outlined in the solicitation. Bidders must certify their receipt of all bid documents, confirm they have not engaged in collusive or unethical practices, and attest to their compliance with federal, state, and local employment laws and equal opportunity requirements. Additionally, bidders must confirm they have adopted a written sexual harassment policy consistent with applicable federal, state, and local regulations, and pledge to abide by all relevant codes, rules, ordinances, and statutes.
The second page of the certification requires the bidder's executing officer to provide a tax certification affirming that all statements made on behalf of the bidder are accurate and that the bidder is authorized to execute the document. The tax certification specifically certifies that the bidder is not debarred from contracting with any unit of local government in Florida due to tax delinquencies with the Florida Department of Revenue, unless the bidder is actively contesting its tax liability or the amount owed through established statutory procedures. The certification must be executed and notarized, with a notary public seal affixed to validate the sworn statements.
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-26-075
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-26-075
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 .