Contractor_Responsibility_Certification.pdf
PDF 80 KB Posted
- Attached to
- Fareboxes for Cutaway Vehicles State and local contract opportunity
- Solicitation number
- RTSX-250062-DS
- Issued by
- Alachua County, Glencoe CDP, Florida
About this file
The Contractor Responsibility Certification is a document from the City of Gainesville, Florida, designed to evaluate a bidder's qualifications and compliance for a contract involving twenty-five stanchion-mounted fareboxes for Regional Transit System (RTS) paratransit vans. The certification requires bidders to disclose and verify their business history, legal standing, performance record, and operational capabilities over the past three years through a comprehensive series of yes/no questions covering areas such as suspension/debarment, felony convictions, project defaults, license revocations, legal violations, bankruptcy proceedings, and insurance requirements.
The document serves as a self-attestation mechanism for potential contractors, requiring them to provide truthful information about their business practices and qualifications under penalty of perjury. By completing this certification, bidders must demonstrate their ability to successfully perform the contract by confirming they possess necessary licenses, technical qualifications, resources, experience, and appropriate insurance coverage. The City of Gainesville reserves the right to request additional documentation to support the certification and evaluate the bidder's responsibility, ensuring a thorough vetting process for potential contractors seeking to provide fareboxes for cutaway vehicles.
View the file
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| Fareboxes_for_Cutaway_Vehicles.pdf | ||
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| Disclosure_of_Lobbying_Activities.pdf | ||
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| Anti-Human_Trafficking_Affidavit.pdf | ||
| Federal_Tax_Liability_and_Recent_Felony_Conviction.pdf | ||
| Certification_Regarding_Debarment.pdf | ||
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Text version
CONTRACTOR RESPONSIBILITY CERTIFICATION
The Bidder is required to certify compliance with the following contractor responsibility standards by checking appropriate boxes. For purposes hereof, all relevant time periods are calculated from the date this Certification is executed.
YES NO
1. Has the firm been suspended and/or debarred by any federal, state or local government agency or authority in the past three years?
2. Has any officer, director, or principal of the firm been convicted of a felony relating to your business industry?
3. Has the firm defaulted on any project in the past three (3) years?
4. Has the firm had any type of business, contracting or trade license revoked or suspended for cause by any government agency or authority in the past three (3) years?
5. Has the firm been found in violation of any other law relating to its business, including, but not limited to antitrust laws, licensing laws, tax laws, wage or hour laws, environmental or safety laws, by a final unappealed decision of a court or government agency in the past three (3) years, where the result of such adjudicated violation was a payment of a fine, damages or penalty in excess of $1,000?
6. Has the firm been the subject of voluntary or involuntary bankruptcy proceedings at any time in the past three (3) years?
7. Has the firm successfully provided similar products or performed similar services in the past three (3) years with a satisfactory record of timely deliveries or on-time performance?
8. Does the firm currently possess all applicable business, contractor and/or trade licenses or other appropriate licenses or certifications required by applicable state or local laws to engage in the sale of products or services?
9. Does the firm have all the necessary experience, technical qualifications and resources, including but not limited to equipment, facilities, personnel and financial resources, to successfully provide the referenced product(s) or perform the referenced service(s), or will obtain same through the use of qualified, responsible subcontractors?
10. Does the firm meet all insurance requirements per applicable law or bid specifications including general liability insurance, workers’ compensation insurance, and automobile liability insurance?
11. Firm acknowledges that it must provide appropriate documentation to support this Contractor Responsibility Certification if so requested by the City of Gainesville. The firm also understands that the City of Gainesville may request additional information or documents to evaluate the responsibility of firm. Firm agrees to provide such additional information or supporting documentation for this Certification.
Under the penalty of perjury, the Bidder’s authorized representative hereby certifies that all responses marked in this form or otherwise submitted for purposes of determining the Bidder’s status as a responsible contractor is true, complete and accurate and that he/she has knowledge and authority to verify the information in this certification or otherwise submitted on behalf of the Bidder by his or her signature below.
Company:
Name: ___________________________________________________________________________________________
Title: ____________________________________________________________________________________________
Signature: Date: ______________
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