8-Scrutinized.pdf

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Attached to
Replacement of (4) Sodium Hypochlorite Storage Tanks
Solicitation number
2025056
Issued by
Indian River County, Florida

About this file

This document is a Certification Regarding Prohibition Against Contracting with Scrutinized Companies form, applicable to Florida county contracting processes. The form requires bidders/proposers to certify that their company and related entities are not on specific scrutinized companies lists, specifically those related to boycotting Israel, Sudan, Iran Petroleum Energy Sector, Cuba, or Syria. For contracts valued at one million dollars or more, additional restrictions apply regarding business operations in certain countries.

The certification mandates that if a company is found to have submitted a false certification or is placed on any of the specified scrutinized companies lists, the county reserves the right to immediately terminate the contract upon written notice. The form must be submitted with the bid/proposal/Statement of Qualifications (SOQ) and requires an authorized signature, name, title, and date from the respondent. This certification serves as a compliance mechanism to ensure that county contracts are not awarded to companies engaged in specified international business activities deemed problematic.

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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:_____________________________

Name:
Title:
Date:
Firm/Entity:

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