ATTACHMENT B .pdf
PDF 50 KB Posted
- Attached to
- HVAC Direct Digital Controls
- Solicitation number
- S-P36002-00013879
- Issued by
- Washington County, Moro City, Oregon
About this file
This document is Attachment B, a Representations and Certifications form for a state procurement opportunity in Oregon, requiring bidders to complete detailed information about their business and compliance with non-discrimination standards. The form requires respondents to provide their federal tax identification number, certify whether they are a minority-owned or emerging small business, and affirm that they do not discriminate in employment practices across various protected categories including race, age, sex, disability, sexual orientation, and national origin.
The form includes critical compliance statements, such as agreeing to not discriminate against subcontractors based on minority, women-owned, or disabled veteran business status, and committing to adhere to specific Oregon Revised Statutes (ORS) and federal regulations. Bidders must sign and submit the form physically, with electronic signatures explicitly not accepted, and failure to complete the form accurately may result in bid rejection. The document serves as a mandatory certification of the respondent's business practices, legal compliance, and ethical standards for participating in the state procurement process.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT B
REPRESENTATIONS AND CERTIFICATIONS
RESPONDER’S EMPLOYERS FEDERAL TAX IDENTIFICATION NUMBER (EIN)
OR SOCIAL SECURITY IDENTIFICATION NUMBER ______________________
State of Oregon Certified Minority-owned or Emerging Small Business [ ] Yes [ ] No
IF YES, PROVIDE CERTIFICATION NUMBER ___________________________
The undersigned hereby certifies under penalty of perjury that to the best of my knowledge the Responder does not discriminate in its employment proctices with regard to race, creed, age, religious affiliation, sex, disability, sexual orientation, or national origin, Nor has
Responde or will Responder discriminate against a subcontractor in the awarding of a subcontract because the subcontractor is:
● A minority-owned, women-owned, or emerging small business enterprise certified under ORS 200.055, or
● A business enterprise that is owned or controlled by or that employs a disabled veteran, as defined in ORS 408.225.
If awarded, the Responder (contractor) agrees to be bound by and will comply with the provisions of 279C.838, 279.840 or 40 U.S.C.
3141 to 3148.
The Bid submitted is in response to the specific language contained in the RFP, and Responder has made no assumptions based upon either
(a) Vergal or written statements not contained in the RFP, or (b) any previously-issued RFP, if any.
The undersigned hereby certifies that Responder has the authority and/or responsibility to submit a Bid and to represent the Responder in all phases of this Bid process.
Responder’s (Compnay) Name:___________________________________ Date:___________
Signature: _______________________________________________
Printed Name:____________________________________________
Title:____________________________________________________
Street Address:___________________________________________
City:_______________________State:_______ Zip:______________
Phone:_____________________
FAILURE TO COMPLETE, SIGN, AND SUBMIT THIS FORM MAY BE CAUSE FOR BID REJECTION. ELECTRONIC SIGNATURES
NOT ACCEPTED.
File details come from the government source that posted it. Updated .