8-Scrutinized Companies Form.pdf
PDF 600 KB Posted
- Attached to
- North Lake Way Living Shoreline
- Solicitation number
- ITB No. 2026-039
- Issued by
- Palm Beach County, Florida
About this file
This is a Scrutinized Companies Certification Form required by the Town of Palm Beach, Florida for vendors participating in the North Lake Way Living Shoreline construction project. The form serves as a compliance certification whereby bidders affirm that their company does not appear on any state-designated scrutinized companies lists and is not engaged in prohibited business activities. The project involves construction of a living shoreline stabilization and enhancement initiative along North Lake Way at the Lake Worth Lagoon, incorporating a nearshore rock breakwater system, restored mangrove habitat, and stabilized upland slope with native vegetation. A non-mandatory pre-bid meeting is scheduled for Thursday, April 30, 2026 at 9:00 AM EST via Microsoft Teams, and attendance is strongly encouraged as the only forum for direct clarification from the Project Manager and Town staff. Bids must be submitted online through the Euna Procurement (Bonfire) platform, and award will be made to the lowest responsive and responsible bidder meeting all stated requirements, with the Town reserving the right to reject any or all bids.
The certification form requires vendors to affirm compliance with four specific prohibitions under Florida Statutes: (1) not participating in a boycott of Israel; (2) not appearing on the Scrutinized Companies with Activities in Sudan List; (3) not appearing on the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List; and (4) not engaged in business operations in Cuba or Syria. All certifications must be signed and dated by an authorized company representative. The form does not address pricing terms, set asides, funding sources, or contract renewal options, as it functions solely as a pre-bid eligibility and compliance verification document.
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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 .