BIDDER_CERTIFICATION.pdf
PDF 118 KB Posted
- Attached to
- Clear Polyethylene Bags: Phase 2
- Solicitation number
- 299-2545405-AA-01
- Issued by
- Orange County, San Diego City, California
About this file
The document is a Bid Compliance Certifications form for the County of Orange, covering multiple local government entities including the Orange County Board of Supervisors, Housing Authority, Financing Authorities, and various district agencies. The form requires bidders to provide certifications in four key areas: insurance coverage, conflict of interest, litigation history, and company name/ownership changes. For each section, bidders must either disclose relevant information or certify that no such information exists.
The certification form requires detailed documentation spanning the past seven years, including any financial relationships with the county, litigation involving the bidder or subcontractors, and any company name or ownership changes. Bidders must provide specific details such as court case numbers, liens, claims, and changes to legal business names. The document provides options for bidders to either fully disclose information or certify the absence of reportable events, with signature and date lines for each section to ensure compliance and transparency in the bidding process.
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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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