APPENDIX B Certification Form.docx
DOCX document 21 KB Posted
- Attached to
- IFB 26. 0001 Allen Elementary Boiler Replacement
- Solicitation number
- IFB 26.0001 Allen Elementary Boiler Replacement
- Issued by
- Washtenaw County, Michigan
About this file
This document is an Appendix B Certification Form for Invitation for Bid (IFB) 26.0001 issued by Ann Arbor Public Schools for a boiler replacement project at Allen Elementary School in Michigan. The certification form requires prospective contractors to verify compliance with various legal, operational, and ethical standards related to the project, including understanding the bid documents, regulatory compliance, employee licensing, conflict of interest disclosures, and non-discrimination practices.
The certification form covers critical contractor qualifications and commitments, such as confirming that the bidder is not currently debarred or suspended from government contracts, is eligible under the Iran Economic Sanctions Act, agrees to provide criminal background checks for employees, and pledges to avoid misclassifying construction workers. By signing the document, contractors attest to the accuracy of their representations and agree to provide services in accordance with the specifications outlined in the invitation for bid, with the intention that this certification becomes part of the final contract between Ann Arbor Public Schools and the selected contractor.
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Other files
| File | Type | Posted |
|---|---|---|
| APPENDIX E Ichat packet 5-2021.pdf | ||
| APPENDIX D Familial Disclosure Form (ONLY REQUIRED FOR CONSTRUCTION).docx | DOCX document | |
| APPENDIX H BID PRICING FORM.docx | DOCX document | |
| APPENDIX I Prevaliling Wage.pdf | ||
| APPENDIX G MECHANICAL PLANS MODIFIED.pdf | ||
| APPENDIX F SPECIFICATIONS.docx | DOCX document | |
| APPENDIX C Iran Economic Sanctions Form.docx | DOCX document | |
| IFB 26.0001 ALLEN ELEMENTARY BOILER REPLACEMENT.docx | DOCX document | |
| APPENDIX A Contractor Information.docx | DOCX document |
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Text version
IFB 26.0001 ALLEN ELEMENTARY BOILER REPLACEMENT
APPENDIX B – CERTIFICATION FORM
Contractor hereby certifies the following by checking yes or no by each item below.
YES|NO
| 1. |
| 2. |
1. Contractor certifies they have read and understand all aspects of the IFB, including all addenda, terms and conditions, specifications and will provide as described herein for the prices set forth in this proposal.
| 2. |
| 3. |
2. Contractor certifies they have carefully checked the enclosed figures and understands that they shall be responsible for any error or omission in the proposal submission.
| 1. |
| 2. |
| 3. | Contractor certifies they have answers to any questions with regards to the form |
| or substance of this IFB and waived any right to protest the selection process. |
| 1. |
| 2. |
4. Contractor certifies they understand and will comply with all Federal, State and Local regulatory laws, codes, and policies that apply to the requirements of this project.
| 1. |
| 2. |
5. Contractor certifies all employees and subcontractors working on this project will remain current on all applicable licenses required by law for all licensed occupations.
| 1. |
| 2. |
6. Contractor certifies execution of this contract constitutes a representation by the contractor that no conflict of interest exists between the Ann Arbor Public Schools Board or Superintendent and the Contractor or its employees and agents.
| 1. |
| 2. |
7. Contractor certifies they submitted their proposal without any previous agreement and/or understanding with any other person, firm or corporation submitting a proposal for the same purpose and in all respects are fair and without collusion or fraud.
| 1. |
| 2. |
8. Contractor certifies they are not currently debarred, suspended, proposed for
| debarment, or declared ineligible or voluntarily excluded from participation in this |
| transaction by any State, or Federal Departments or Agency. |
| 1. |
| 2. |
9. Contractor certifies they are eligible to submit a proposal based on the Iran Economic Sanctions Act (P.A. 517 or 2012).
| 1. |
| 2. |
10. Contractor certifies construction workers will not be misclassified as independent contractors in violation of State and Federal laws.
| 1. |
| 2. |
11. Contractor certifies they are an equal opportunity employer and does not discriminate based on race, familial status, sex, age, religion, national origin, marital status, sexual orientation or gender identity, height, weight, or disability.
| 1. |
| 2. |
12. Contractor certifies they shall provide the necessary information to the District in order to conduct criminal background checks on all employees working on this project, if awarded the contract.
The contractor certifies the information they have provided is correct and agrees to provide the scope of work in this IFB, including all addenda. The parties intend for this to become part of the final and complete contract between Ann Arbor Public Schools and the contractor.
| Signature | Title | |
| ______________________________________ | ___________________________________ | |
| Name (print) | Date |
File details come from the government source that posted it. Updated .