8-Scrutinized Companies Form.pdf
PDF 600 KB Posted
- Attached to
- Pinewalk Transfer Station Repairs
- Solicitation number
- ITB No. 2026-012
- Issued by
- Palm Beach County, Florida
About this file
This is a Scrutinized Company Certification form issued by the Town of Palm Beach Purchasing Division in Florida for the Pinewalk Transfer Station Repairs project. The certification requires bidders to attest that their company is not participating in boycotts of Israel, does not appear on scrutinized companies lists related to Sudan, Iran's petroleum sector, or Cuba and Syria operations, and complies with Florida Statutes 215.4725, 215.473, and 287.135. The Pinewalk Transfer Station project involves restoration, repair, and replacement of deteriorated steel, hardware, concrete components, and pavement surfaces at the transfer station located on the premises of the Ocean Course at the Breakers in Palm Beach. Additional work includes replacement of ramp access guide rails, installation of a leachate drain connected to a brick manhole, application of maintenance coating, and replacement of erosion controls on the ramp. The Engineer's Opinion of Cost is $206,290, and bidders must submit proposals online through Euna Procurement (Bonfire). A non-mandatory pre-bid meeting will be held virtually via Microsoft Teams, with details provided in the project files and events section. Award will be made to the lowest responsive and responsible bidder whose bid meets all requirements and criteria specified in the Invitation to Bid.
The form requires vendor or company name, signatory name, title, signature, and date to be completed by all bidding contractors. Completion and submission of this certification form is a mandatory requirement for bid consideration, demonstrating the contractor's compliance with state-mandated scrutinized companies protocols. No specific response deadline, contract term, or renewal options are detailed within this certification document itself.
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Text version
11/16/18
Scrutinized Company Certification
1. This company is not participating in a boycott of Israel such that it is not refusing to deal, terminating business activities, or taking other actions to limit commercial relations with Israel, or persons or entities doing business in Israel or in Israeli-controlled territories, in a discriminatory manner.
2. This Company does not appear on the Scrutinized Companies with Activities in Sudan List where the
State Board of Administration has established the following criteria:
a. Have a material business relationship with the government of Sudan or a government-created project involving oil related, mineral extraction, or power generation activities, or
b. Have a material business relationship involving the supply of military equipment, or
c. Impart minimal benefit to disadvantaged citizens that are typically located in the geographic periphery of Sudan, or
d. Have been complicit in the genocidal campaign in Darfur.
3. This Company does not appear on the Scrutinized Companies with Activities in the Iran Petroleum
Energy Sector List where the State Board of Administration has established the following criteria:
a. Have a material business relationship with the government of Iran or a government-created project involving oil related or mineral extraction activities, or
b. Have made material investments with the effect of significantly enhancing Iran‘s petroleum sector.
4. This Company is not engaged in business operations in Cuba or Syria.
VENDOR/COMPANY NAME:
NAME:
TITLE:
SIGNATURE:
DATE:
TOWN OF PALM BEACH
PURCHASING DIVISION
951 Okeechobee Road Suite D West Palm Beach, Florida 33401
Telephone: (561) 838-5406
PURCHASING DIVISION
951 Okeechobee Road Suite D West Palm Beach, Florida 33401
Telephone: (561) 838-5406 Facsimile (561) 835-4688 Website: www.townofpalmbeach.com
I hereby swear or affirm that as of the date below this company is not listed on a Scrutinized Companies list created pursuant to 215.4725, 215.473, or 287.135, Florida Statutes. Pursuant to 287.135, Florida Statutes I further affirm that:
http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0215/Sections/0215.4725.html http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0215/Sections/0215.4725.html http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0200-0299/0287/Sections/0287.135.html
| VENDORCOMPANY NAME: |
| Name: |
| Title: |
| Signiture: |
| Date: |
File details come from the government source that posted it. Updated .