BIDDER_CERTIFICATION.pdf
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- Attached to
- Fire Pump Maintenance & Repair Services
- Solicitation number
- IFB-299-2549402-1-WO
- Issued by
- Orange County, San Francisco City, California
About this file
This document is a Bid Compliance Certifications form for Orange County, California's Fire Pump Maintenance & Repair Services contract (IFB-299-2549402-1-WO). The form requires bidders to provide certifications in four key areas: (I) Certificate of Insurance, (II) Conflict of Interest, (III) Litigation, and (IV) Name/Ownership Changes. Each section requires bidders to either disclose specific information or certify that no relevant issues exist, with signature and date required for each certification. The document is specifically designed to ensure transparency and verify the bidder's background, relationships, and legal standing before being considered for the contract.
The certifications cover a seven-year lookback period and require detailed disclosure of potential conflicts, including financial relationships with Orange County entities, any litigation involving the bidder or subcontractors against the County, and any company name or ownership changes. The form is part of a comprehensive bid submission process for OC Waste & Recycling, with critical dates including December 1, 2023, for question submissions and December 5, 2023, for bid submissions, all to be completed electronically through OpenGov.com. Bidders must complete this form along with other attachments like Company Profile References and Signature Page to be considered responsive to the solicitation.
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Text version
BID COMPLIANCE CERTIFICATIONS
I. Certificate of Insurance
Bidder hereby certifies Bidder’s willingness and ability to provide the required insurance coverage and certificates as set forth in the Model Contract by signing below (see Model Contract, Article O. Insurance).
(Signature required) Date
II. Conflict of Interest
Respondent must certify either a or b by signing below:
a. Respondent certifies current/past financial, business or other relationship(s) with the County exist/existed as follows:
i. Disclose any financial, business or other relationship with the County of Orange, any other entity that the Orange County Board of Supervisors governs*, or any Orange County Board member, officer or employee, which could affect or influence award of the contract for the services you propose to provide.
OR
b. Respondent certifies that no relationships exist/existed as outlined in item a. above.
*Orange County Board of Supervisors govern: All Assessment Districts, All Community Facilities Districts, All Reassessment Districts, Housing and Community Development Commission, Housing Successor Agency to the Orange County Development Agency, In-Home Supportive Services Public Authority, Industrial
Development Authority For Orange County, Local Redevelopment Authority Marine Corp Air Station (MCAS)
El Toro, Orange County Financing Authority, Orange County Flood Control District, Orange County Housing
Authority, Orange County Housing Authority Acting As the Housing Successor Agency, Orange County
Public Financing Authority, Orange County Special Financing Authority, South Orange County Public
Financing Authority, and the Successor Agency to the Orange County Development Agency
III. Litigation
a. Respondent certifies current/past litigation as follows:
i. Respondent shall provide detailed information regarding litigation (court and case number), liens, or claims involving Respondent, or any company that holds a controlling interest in Respondent, against the County of Orange in the past seven (7) years.
ii. Respondent shall provide detailed information regarding litigation (court and case number), liens, or claims involving any proposed subcontractors, or any company that holds a controlling interest in subcontractor firm(s), against the County of Orange in the past seven (7) years.
b. Respondent certifies that Respondent, or any proposed subcontractors do not have any past or current litigation.
IV. Name/Ownership Changes
a. Respondent certifies past company name changes and/or ownership changes, for
Respondent’s firm and any proposed subcontractor firm, as follows:
i. Respondent shall provide detailed information regarding any company name changes
(including legal business names) in the past seven (7) years.
ii. Respondent shall provide detailed information regarding any company ownership changes (including legal business names) in the past seven (7) years.
b. Respondent certifies that Respondent, or any proposed subcontractors have not had any company name changes or ownership changes in the past seven (7) years.
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