CERTIFICATION_AND_CONTRACT_OFFER_to_be_Signed_and_Uploaded.docx
DOCX document 19 KB Posted
- Solicitation number
- 2020.093B
- Issued by
- Washington County, Oregon
About this file
This document is a Certification and Contract Offer from Washington County, Oregon, specifically related to a five-year septic services contract for Scoggins Valley Park and Henry Hagg Lake. The contract is being solicited by the Washington County Department of Support Services, Parks and Facilities Division, seeking a contractor to provide comprehensive septic services over a five-year period.
The certification document requires bidders to affirm their legal and ethical standing, including verifications that they are not debarred, suspended, or currently under criminal investigation, and have not been terminated from previous government contracts. Bidders must disclose any potential legal issues within the past three years, including fraud, antitrust violations, or criminal activities related to public contracts. The document provides space for bidder contact information and requires a signature affirming the accuracy of the provided certifications, with the understanding that any misrepresentations could impact contract award eligibility.
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Text version
CERTIFICATION AND CONTRACT OFFER
The undersigned after having carefully examined the Special Instructions, Project/Specification Information, General Instructions and all other related material and information, agrees to comply with the terms set forth in those documents and to furnish the services described at the rates bid.
The bidder certifies to the best of its knowledge and belief that neither it nor any of its principals:
1. Are presently debarred, suspended, proposed for debarment, or declared ineligible from submitting bids by any federal, state or local entity, department or agency;
2. Have within a three-year period preceding this offer, been convicted or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performance of a public (Federal, state or local) contract or subcontract; violation of Federal or state antitrust statues relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statement, tax evasion, or receiving stolen property;
3. Are presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph 2 of this certification;
4. Have within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal, state or local public agency.
The bidder will provide immediate written notice to the County if at any time prior to contract award, the bidder learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
Where bidder is unable to certify to any of the statements in this certification, or solicitation document, bidder shall attach an explanation to this offer. A certification that any of the items in the above paragraphs exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the bidder’s responsibility.
SIGNED BY:
DATE:
PRINTED NAME:
TITLE:
FIRM:
E-MAIL ADDRESS:
MAILING ADDRESS:
PHYSICAL ADDRESS:
CITY, STATE and ZIP
PHONE: (AREA CODE)
Rev. 5/04/20
File details come from the government source that posted it. Updated .