Attachment N.-Legal-Action-Summary.pdf
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- Attached to
- DBM Billing and COBRA Administration System
- Solicitation number
- BPM057552
- Issued by
- Maryland
About this file
This is a Legal Action Summary form used as part of a state and local contract solicitation process, effective July 2024. The form is designed to be completed by bidders and offerors and requires disclosure of legal actions, claims, judgments, and litigation history relevant to the contracting entity. Bidders must declare whether current legal actions or potential claims exist against their company and provide brief descriptions if applicable. The form also requires bidders to disclose any settled or closed legal actions or claims that occurred within the past five years, including relevant details about each matter.
Additionally, bidders must report any judgments entered against them within the past five years, specifying the court, case name, complaint number, and a description of the final ruling or determination. For ongoing litigation cases where court-ordered confidentiality restrictions prevent disclosure, bidders must provide the name of the presiding judge and the court location. The form contains multiple blank sections for bidders to document responses to each category, with checkboxes allowing bidders to confirm either the presence or absence of legal actions in each specified timeframe.
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Attachment N. Legal Action Summary effective date: July 2024
ATTACHMENT N. LEGAL ACTION SUMMARY
Solicitation Title:
Solicitation Number:
Name of Company/Firm (Bidder/Offeror):
Legal Action Summary. This summary shall include:
1. A statement as to whether there are any legal actions or potential claims against the Bidder and a brief description of any action;
2. A brief description of any settled or closed legal actions or claims against the Bidder over the past five (5) years;
3. A description of any judgments against the Bidder within the past five (5) years, including the court, case name, complaint number, and a brief description of the final ruling or determination;
and
4. In instances where litigation is ongoing and the Bidder has been directed not to disclose information by the court, provide the name of the judge and location of the court.
1. Check one of the following:
☐There are NO current legal actions or potential claims against the Bidder.
☐There ARE current legal actions or potential claims against the Bidder.
List of current legal actions or potential claims with brief descriptions.
2. Check one of the following:
☐There are NO settled or closed legal actions or claims within the past five (5) years against this Bidder.
☐There ARE settled or closed legal actions or claims within the past five (5) years against this Bidder.
List settled or closed legal actions or claims with brief descriptions.
Administration SystemBilling and Consolidated Omnibus Budget Reconciliation Act (COBRA) Administration System
BPM057552
Attachment N. Legal Action Summary effective date: July 2024
3. Check one of the following:
☐There are NO judgements within the past five (5) years against this Bidder.
☐There are judgments within the past five (5) years against this Bidder.
List of judgements, including the court, case name, complaint number, and a brief description of the final ruling or determination.
4. List of ongoing litigation where the Bidder has been directed not to disclose information by the court, provide the name of the judge and location of the court.
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