9-Attachment K - Proposal Affidavit rev.012125 fillable.pdf
PDF 170 KB Posted
- Solicitation number
- 26RFP43
- Issued by
- Williamson County, Texas
About this file
This is a Proposal Affidavit document for Williamson County, Texas, related to the procurement of generator maintenance and repair services. The affidavit establishes certification requirements that all proposers must complete and sign as part of their bid submission. The contract opportunity seeks to establish agreements for inspection, preventative maintenance, repair, and rental of generators and automatic transfer switches for Williamson County-owned premises on an as-needed basis. Contracts exceeding $100,000 will require proposers to furnish a bid bond equal to 5% of the total contract price. The affidavit does not specify response dates, bid opening dates, site visits, bidders' conferences, award dates, or contract terms.
The Proposal Affidavit requires certification across six primary areas: compliance with Texas Government Code Chapter 2271 regarding Israel boycotts; compliance with Texas Government Code Subchapter F, Chapter 2252 regarding business restrictions with Iran, Sudan, foreign terrorist organizations, and sanctioned entities; compliance with Chapter 2276 regarding energy company boycotts; compliance with Chapter 2274 regarding firearm and ammunition industry boycotts; verification of no debarment from doing business in Texas; and acknowledgment that awarded contracts may be adopted through interlocal agreement by other agencies, with the exception of professional services. Proposers must also certify that proposals were not prepared in collusion with competitors and that no pricing control agreements exist. The affidavit notes that exceptions apply to these provisions for sole proprietorships, companies with fewer than ten employees, or entities excluded from federal sanctions regimes. Firms acknowledge that termination and payment withholding may result from inaccurate certifications.
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PROPOSAL AFFIDAVIT
The undersigned makes the following certifications or represents that it satisfies the requirements of one or more exceptions to the Texas Government Code provisions listed below:
1. Consultant Certification Regarding Boycotting Israel. Pursuant to Chapter 2271, Texas Government Code, Firm certifies that it
(1) is a sole proprietorship or company with fewer than ten (10) employees; or (2) does not currently boycott Israel and will not boycott Israel during the term of this Agreement.
1.1. Exception: This provision only applies to contracts for goods and services between a governmental entity and a Company with ten (10) or more full-time employees with a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity.
2. Consultant Certification Regarding Business with Certain Countries and Organizations. Pursuant to Subchapter F, Chapter 2252, Texas Government Code, Firm certifies it (1) is a “Company,” as that term is defined in Texas Government Code Section 806.001; and (2) is not engaged in business with Iran, Sudan, a foreign terrorist organization, or any company that is identified on a list prepared and maintained under Texas Government Code Section 806.051, 807.051, or 2252.153.
2.1. Exception: A company that the United States government affirmatively declares to be excluded from its federal sanction’s regime relating to Sudan, its federal sanctions regime relating to Iran, or any federal sanctions regime relating to a foreign terrorist organization is not subject to contract prohibition under this subchapter.
3. Consultant Certification Regarding Boycotting Energy Companies. Pursuant to Chapter 2276, Texas Government Code, Firm certifies that either (1) is a sole proprietorship or company with fewer than ten (10) employees; or (2) Firm does not currently boycott energy companies and will not boycott energy companies during the Term of this Agreement.
3.1. Exception: This provision only applies to contracts for goods and services between a governmental entity and a Company with ten (10) or more full-time employees with a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity.
4. Consultant Certification Regarding Boycotting Firearm and Ammunition Industries. Pursuant to Chapter 2274, Texas Government Code, Firm certifies that either (1) Consultant is a sole proprietorship or company with fewer than ten (10) employees;
or (2) Firm does not currently boycott firearm and ammunition industries and will not boycott firearm and ammunition industries during the term of this Agreement.
4.1. Exception: This provision only applies to contracts for goods and services between a governmental entity and a Company with ten (10) or more full-time employees with a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity.
5. Consultant Certification Regarding Doing Business in Texas. Firm certifies that it has not been debarred from doing business in the State of Texas.
6. Interlocal Agreement Adoption of Awarded Contracts. In support of this collaborative effort, all awards made by Williamson County may be adopted by other agencies. By signing below, you acknowledge other entities will be able to piggyback from County awarded contracts and solicitations. This does not apply to Professional Services.
I hereby certify that the foregoing Proposal has not been prepared in collusion with any other Respondent or other person or persons engaged in the same line of business prior to the official opening of this Proposal. Further, I certify that the Respondent is not now, nor has been for the past six (6) months, directly or indirectly concerned in any pool or agreement or combination, to control the price of services/commodities Proposal on, or to influence any person or persons to submit a Proposal or not to submit a Proposal thereon.
Firm acknowledges this Agreement may be terminated and payment withheld if this certification is inaccurate. For purposes of this form, the terms have the meanings assigned by Texas Government Code sections referenced above.
Signed By: ___________________________________ Title: _________________________________________________
Company Name: ______________________________Date: _________________________________________________
Name: ______________________________________ Email:_________________________________________________
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