9-Attachment B-Bidders Cert.pdf
PDF 134 KB Posted
- Attached to
- SEVCC CU3&CU6 Replacements
- Solicitation number
- PROJ-26-027
- Issued by
- Volusia County, Florida
About this file
This is a Bidder's Certification form for Halifax Health Medical Center, a healthcare facility in Florida seeking qualified contractors to replace two air-cooled condensing units (CU-3 and CU-6) at Halifax Hospice, Southeast Volusia Care Center (SEVCC). The project, identified as ITB #PROJ-26-027, requires contractors to submit turnkey, all-inclusive proposals that encompass the complete demolition and disposal of existing units, with installation of replacement equipment. The certification document serves as the formal attestation required from all bidding contractors prior to proposal submission.
The Bidder's Certification obligates responding contractors to affirm compliance with multiple regulatory and ethical standards, including adherence to all federal, state, and local laws; certification of non-collusion and ethical business practices; compliance with equal opportunity employment regulations; and implementation of written sexual harassment policies. Additionally, bidders must certify under oath that they are not debarred from contracting with any Florida local government unit due to tax delinquencies with the Florida Department of Revenue, unless formally contesting such liability. The form requires authorized signatures from corporate officials and notarization to validate the certifications and sworn statements.
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Text version
ATTACHMENT B
HALIFAX HEALTH MEDICAL CENTER
BIDDER’S CERTIFICATION
ITB # PROJ-26-027
I/We hereby certify that:
A. A complete set of bid papers, as intended, has been received, and I/We will abide by the contents and/or information received and/or contained herein.
B. I/We have not entered into any collusion or other unethical practices with any person, firm, or employee of the District which would in any way be construed as unethical practice.
C. I/We comply with all current federal, state and local laws, statutes, rules, and regulations referencing equal opportunity employment practices.
D. I/We have adopted a written sexual harassment policy which is in accordance with the requirements of federal, state and local laws, regulations and policies.
E. I/We will abide by all other federal, state and local codes, rules, regulations, ordinances and statutes.
COMPANY NAME
ADDRESS
DISTRICT/STATE/ZIP CODE
NAME OF CORPORATE/COMPANY OFFICIAL
(PLEASE TYPE OR PRINT CLEARLY)
TITLE
AUTHORIZED OFFICIAL SIGNATURE
DATE
TELEPHONE ( )
HALIFAX HEALTH MEDICAL CENTER
STATE OF FLORIDA
ITB # PROJ-26-027
COUNTY OF
BIDDER’S TAX CERTIFICATION
(BIDDER’S EXECUTING OFFICER), being first duly sworn on oath, deposes and states that all statements made herein are made on behalf of the Bidder, that this respondent is authorized to make them and that the statements contained herein are true and correct. Bidder deposes, states and certifies that Bidder is not barred from contracting with any unit of local government in the State of Florida as result of a delinquency in payment of any tax administered by the Florida Department of Revenue unless Bidder is contesting, in accordance with the procedures established by the appropriate statute, its liability for the tax or the amount of the tax.
DATED this day of , 2026.
By (Bidder’s Executing Officer)
(Name of Bidder’s Executing Officer)
(Title)
ATTEST/WITNESS:
By
Title
Subscribed and sworn to before me this day of , 2026.
Notary Public
(SEAL)
File details come from the government source that posted it. Updated .