9-Scrutinized Companies Form.pdf
PDF 600 KB Posted
- Attached to
- Palm Trees for 400 Block of Peruvian Avenue
- Solicitation number
- ITB No. 2026-036
- 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 bidding on the Palm Trees for 400 Block of Peruvian Avenue project. The project involves furnishing and installing approximately eleven Royal Palm trees (Roystonea regia) with 25 feet of canopy top and approximately five Green Malayan Coconut Palm trees (Cocos nucifera) with 15 feet of canopy top in the right of way along the 400 block of Peruvian Avenue. All plant material must meet Florida No. 1 grade standards and be free from pests, diseases, and mechanical damage. The contractor is responsible for supplying all materials, labor, tree bracing, and locates, and must warrant the survival of all palms for one year from the date of substantial completion, excluding losses from acts of God or owner neglect. A non-mandatory pre-bid meeting will be held virtually via Microsoft Teams, with details provided in the Events section. Bids must be submitted online through Euna Procurement (Bonfire), the Town's eProcurement platform. Award will be made to the lowest responsive and responsible bidder meeting all requirements and criteria, and the Town reserves the right to reject any or all bids.
The certification form requires vendors to affirm under Florida Statutes 215.4725, 215.473, and 287.135 that their company does not appear on any Scrutinized Companies lists and is not engaged in boycotts of Israel, activities in Sudan involving oil extraction or military equipment supply, investments in Iran's petroleum sector, or business operations in Cuba or Syria. The vendor or company representative must sign and date the certification form, confirming compliance with all stated conditions as of the submission date. No pricing information or funding sources are specified in this particular 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 .