8-Scrutinized Companies Form.pdf
PDF 600 KB Posted
- Attached to
- Par 3 Restroom Renovation
- Solicitation number
- ITB No. 2026-025
- Issued by
- Palm Beach County, Florida
About this file
This is a Scrutinized Company Certification form required by the Town of Palm Beach, Florida for vendors seeking to participate in the Par 3 Restroom Renovation project. The form certifies that the bidding company is not engaged in activities that would disqualify it from doing business with Florida municipalities, including participation in boycotts of Israel, involvement in business operations in Sudan, Iran's petroleum sector, Cuba, or Syria. The certification requires the vendor to attest under oath that the company does not appear on any Scrutinized Companies lists created pursuant to Florida Statutes 215.4725, 215.473, or 287.135 as of the certification date. The form must be signed and dated by an authorized company representative and submitted as part of the bid package for the restroom renovation project at Par 3 Golf Course Old Clubhouse, which has an estimated budget of $232,000 and a project completion timeline from July 7, 2026 through October 15, 2026.
Vendors submitting bids for this project must possess a General Contractor License, Certified Electrical Contractor certification, and Certified Plumbing Contractor certification. Attendance at the mandatory pre-bid meeting and site visit is required; bids from firms without a representative present at this meeting will be deemed non-responsive and ineligible for award. Award will be made to the lowest responsive and responsible bidder that meets all specified requirements. The Town retains the right to reject any or all bids and to select the bidder that best serves the Town's interests. Online bid submission is required through the Euna Procurement platform (Bonfire).
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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 .