Civil_Litigation_History_Certification.pdf

CIVIL LITIGATION HISTORY CERTIFICATION

Bidder/Proposer shall provide either the certification requested below or information requested on the next page. Failure to provide such certification or information may result in a determination that the Bidder/Proposer is nonresponsive. Failure to fully and accurately provide the requested certification or information may result in a determination that the Bidder/Proposer is not responsible.

For the two (2) years preceding the date of submittal of this Bid/Proposal, identify any civil litigation arising out of the performance of a construction contract within the State of

California in which the (1) Bidder/Proposer submitting this Bid/Proposal, including any person who is an officer of, or in a management position with, or has an ownership interest in the contracting entity which is submitting this Bid/Proposal, or (2) the qualifying person licensed by the State Contractors’ License Board to perform the work described in this Bid/Proposal, including any such person when they were an officer, manager, owner, or responsible managing employee of a construction contractor other than the Bidder/Proposer submitting this Bid/Proposal, was a named plaintiff or defendant in a lawsuit brought by or against the Owner. Do not include litigation which is limited solely to enforcement of mechanics' liens or stop notices. Provide on the following page labeled “Civil Litigation History Information:” (1) the name and court case identification number of each case, (2) the jurisdiction in which it was filed, and (3) the outcome of the litigation, e.g., whether the case is pending, a judgment was entered, a settlement was reached, or the case was dismissed.

CIVIL LITIGATION CERTIFICATION

If the Bidder/Proposer has no civil litigation history to report as described above, complete the following:

I, , hereby certify that neither (print name of owner, officer, manager, or licensee responsible for submission of Bid/Proposal)

_______________________________________________________________________ nor (Bidder/Proposer Firm name as shown on Bid/Proposal)

____________________________________________________ has been involved in civil litigation as described above.

(name of responsible managing person licensed by the Contractors’ State License Board)

I declare under penalty of perjury that the foregoing is true and correct.

Executed this _____day of _________________________at ___________________________ (month and year) (city and state) by _____________________________________________________ (signature of owner, officer, manager, or licensee responsible for submission of Bid/Proposal)

CIVIL LITIGATION HISTORY INFORMATION

(1) Name of Case:

Court case identification number:

(2) Jurisdiction in which case was filed:

(3) Outcome of the case:

(1) Name of Case:

Court case identification number:

(2) Jurisdiction in which case was filed:

(3) Outcome of the case:

Declaration: I declare under penalty of perjury that the above information is true and correct.

Executed this _____day of _________________________at _____________________ (month and year) (city and state) by_____________________________________________________ (signature of owner, officer, manager, or licensee responsible for submission of Bid/Proposal)