Attachment D - Scrutinized Companies List.pdf
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- Attached to
- Radio Antennae
- Solicitation number
- ITB-01382
- Issued by
- Leon County, Florida
About this file
This document is an Attachment D - Scrutinized Companies List Certification related to a state and local contract opportunity issued by the Florida Department of Law Enforcement (FDLE) for the purchase of Radio Antennae. The contract opportunity is open to vendors across the state of Florida, specifically the jurisdictions of Leon County and the City of Tallahassee. Vendors must certify that they are not participating in a boycott of Israel, not listed on the Scrutinized Companies that Boycott Israel List, and if the contract value exceeds $1 million, not listed on the Scrutinized Companies with Activities in Sudan List, Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, and have no business operations in Cuba or Syria. Vendors must submit this certification at the time of bidding or before entering into the contract.
The contract opportunity does not provide details on pricing terms, set asides, incumbents, funding requirements, or other salient information beyond the certification requirements.
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Text version
ATTACHMENT D
SCRUTINIZED COMPANIES LIST CERTIFICATION
Vendor Name: _________________________________________________________________________
Vendor FEIN: __________________________________________________________________________
Vendor’s Authorized Representative Name: _________________________________________________
Vendor’s Authorized Representative Title: __________________________________________________
Address: _____________________________________________________________________________
City: ______________________________________ State: _________________ Zip: ________________
Phone Number: _______________________________________________________________________
Email Address: ________________________________________________________________________
Pursuant to subsection 287.135 Florida Statutes, at the time a Vendor submits a Bid or before entering into a contract of any dollar amount, the Vendor or Contractor must certify that the company is not participating in a boycott of Israel, and that the company is not on the Scrutinized Companies that Boycott Israel List. For a contract where the value exceeds $1 million, the Vendor or Contractor must certify that it is not listed on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or that it does not have business operations in Cuba or Syria.
As the person authorized to sign on behalf of Vendor, I hereby certify that the company identified above in the section entitled “Vendor Name” is not participating in a boycott of Israel, and is not on the Scrutinized Companies that Boycott Israel List. If the contract value will exceed $1 million, I hereby further certify that the company identified above in the section entitled “Vendor Name” is not listed on the Scrutinized Companies with Activities in Sudan List, or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, and that it does not have business operations in Cuba or Syria. I understand that pursuant to section 287.135, the submission of a false certification may subject company to termination of the contract, civil penalties, attorney’s fees, and/or costs.
Certified By: _________________________________________________________________________
(Authorized Signature)
Print Name and Title: __________________________________________________________________
Date: _______________________________________
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