Attachment D.docx
DOCX document 19 KB Posted
- Attached to
- UTILITY CARTS MAINTENANCE & REPAIR SERVICES
- Solicitation number
- RQ1450328370
- Issued by
- California
About this file
This is a Payment Certification form (Attachment D) for LA Metro's Utility Carts Maintenance & Repair Services contract. The solicitation is open to all vendors and seeks routine and as-needed preventative repair and maintenance services for utility carts at Union Station East and West Portals in California. Quotes must be submitted via email to narvaezr@metro.net no later than 4:00 p.m. PDT on August 28, 2026. Award selection will be based on best value to Metro, evaluated using submitted information on minimum qualifications and the Schedule of Quantities & Prices. Bidders may submit questions at least three business days prior to the solicitation closing date.
The Payment Certification form requires the certifying official to attest under penalty of perjury that payment requests represent true and correct statements of work performed in accordance with contract terms and that all subcontractors and suppliers have been paid their proportionate share of previous Metro payments. The form includes warnings regarding violations of federal and California False Claims Acts, establishing that knowing presentation of false claims, use of false records, or reckless disregard for accuracy constitutes violations subject to both civil and criminal penalties in addition to contractual remedies. Specific intent to defraud need not be proven under either the Federal or State False Claims Act.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment E.xlsx | XLSX spreadsheet | |
| Statement of Work (SOW).pdf | ||
| Attachment B.pdf | ||
| Attachment C.docx | DOCX document | |
| Minimum Qualifications (MQ).pdf | ||
| Attachment A - List of Locations & Equipment.pdf | ||
| Schedule of Quantities & Prices (SOQ).pdf |
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Text version
ATTACHMENT D
Contract No. OPXXXX8370 Utility Cart Maintenance Services
PAYMENT CERTIFICATION
1. I hereby certify to the best of my knowledge and belief that:
A. This Payment Request represents a true and correct statement of the Work performed;
B. The Work completed to date under this Contract is in full accordance with the terms of the Contract; and
C. All Subcontractors and/or Suppliers who have performed Work on the project through the closing date of the prior Payment Request have been paid their proportionate share of all previous payments from Metro.
2. I understand that it is a violation of both the federal and California False Claims Acts to knowingly present or cause to be presented to Metro a false claim for payment or approval. A claim includes a demand or request for money. It is also a violation of the False Claims Acts to knowingly make use of a false Record or statement to get a false claim paid. The term "knowingly" includes either actual knowledge of the information, deliberate ignorance of the truth or falsity of the information, or reckless disregard for the truth or falsity of the information. Proof of specific intent to defraud is not necessary under the False Claims Acts. I understand that the penalties under the Federal False Claims Act and State of California False Claims Act are non-exclusive, and are in addition to any other criminal and/or civil remedies which Metro may have either under contract or law.
I certify under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct
Firm:
Signature:
Name of Certifying Official:
Title:
Date of Execution:
File details come from the government source that posted it. Updated .