8-Form - Scrutinized.pdf
PDF 77 KB Posted
- Attached to
- Property Appraiser Office Remodel
- Solicitation number
- 2026031
- Issued by
- Indian River County, Wilton Manors City, Florida
About this file
This is a certification form regarding prohibition against contracting with scrutinized companies, required for submission with bids and proposals to Florida jurisdictions. The form applies to the Property Appraiser Office Remodel project in Vero Beach, Florida, which involves approximately 1,410 square feet of interior renovation at 1801 27th Street. Respondents must certify that neither they nor their wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates have been placed on the Scrutinized Companies that Boycott Israel List or are engaged in a boycott of Israel. For contracts valued at one million dollars or more, respondents must additionally certify that neither they nor related entities are on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, nor are they engaged in business operations in Cuba or Syria.
The form requires completion and signature by an authorized representative of the bidding entity and must be submitted with the bid or proposal. The County reserves the right to immediately terminate any resulting contract upon written notice if the respondent or related entities submit false certifications or are subsequently found to be on any of the specified scrutinized companies lists, engaged in prohibited boycotts, or conducting business operations in restricted jurisdictions. Failure to comply with these certification requirements may result in bid rejection or contract termination.
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Text version
CERTIFICATION REGARDING PROHIBITION AGAINST
CONTRACTING WITH SCRUTINIZED COMPANIES
(This form MUST be submitted with your bid/proposal/SOQ)
I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit have been placed on the Scrutinized Companies that Boycott Israel List created pursuant to s. 215.4725 of the Florida Statutes, or are engaged in a boycott of Israel.
In addition, if this solicitation is for a contract for goods or services of one million dollars or more, I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority-owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists for the purpose of making profit are on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to s. 215.473 of the Florida Statutes, or are engaged in business operations in Cuba or Syria as defined in said statute.
I understand and agree that the County may immediately terminate any contract resulting from this solicitation upon written notice if the undersigned entity (or any of those related entities of respondent as defined above by Florida law) are found to have submitted a false certification or any of the following occur with respect to the company or a related entity: (i) it has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, or (ii) for any contract for goods or services of one million dollars or more, it has been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or it is found to have been engaged in business operations in Cuba or Syria.
Name of Respondent: ___________________________________
By: ________________________________________________ (Authorized Signature)
Name:
Title: ______________________________________________
Date:_____________________________
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