Disclosure and Certification with respect to State Finance Law 139-j and 139-k-2.pdf
PDF 105 KB Posted
- Attached to
- Rice Hall AV Equipment
- Solicitation number
- 2137051
- Issued by
- Tioga County, New York
About this file
This is a Disclosure and Certification Form C related to State Finance Law compliance requirements for the Rice Hall AV Equipment procurement opportunity in New York. The form is used by the State University of New York (SUNY) to verify that bidders meet responsibility standards under New Finance Law §139-j and §139-k-2 before contract award. Offerers are required to disclose whether a governmental entity has made a determination of non-responsibility against them within the previous four years based on violations of State Finance Law §139-j or the intentional provision of false or incomplete information regarding previous non-responsibility determinations. The form also requires disclosure of any procurement contracts terminated or withheld by a governmental entity due to similar violations.
Completion of this certification form is mandatory for all bidders, as offerers must certify that all information provided regarding compliance with State Finance Law §139-j and §139-k is complete, true, and accurate. The form requires the offerer to provide its name, address, and contact information for the person submitting the certification, along with that individual's signature, title, and date. Failure to disclose applicable information or providing false certifications may result in a determination of non-responsibility and disqualification from the procurement process.
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| File | Type | Posted |
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| ESCALATION_CLAUSE_Doc1 3.21.25(1).docx | DOCX document | |
| Clarifications Thu, Aug 20, 2026 9_54 AM.pdf | ||
| 2026-08-07 Rice Hall AV Addendum No 1.pdf | ||
| 274116 - AUDIOVISUAL SYSTEMS.pdf | ||
| Exhibit A 2023.doc | DOC document | |
| Equipment List-1 8.19.26.pdf | ||
| Exhibit_A-1_3_31_2020.docx | DOCX document | |
| Addendum 1.doc | DOC document | |
| IFB 8.19.26.docx | DOCX document |
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FORM C
Disclosure and Certification with respect to State Finance Law §§139-j and 139-k
Procurement Description/ID No._______________________
1. Has a Governmental Entity, as defined in State Finance Law §139-j(1)(a), made a determination of non-responsibility with respect to the Offerer within the previous four years where such finding was due to a violation of State Finance Law §139-j or the intentional provision of false or incomplete information with respect to previous determinations of non-responsibility?
No ___ Yes ___
If yes, provide the following details:
Governmental Entity which made the finding:
Date of finding:
Basis of finding:
2. Has a Governmental Entity terminated or withheld a procurement contract with the Offer because of violations of State Finance Law §139-j or the intentional provision of false or incomplete information with respect to previous determinations of non-responsibility?
No ___ Yes ___
If yes, identify the following:
Governmental Entity which terminated the contract:
Date of contract termination or withholding:
Identify the related procurement contract:
Offerer CERTIFIES that all information provided by Offerer with respect to its compliance with State Finance Law §§139-j and 139-k is complete, true and accurate.
Name of Offerer:
Address:
Signature of Person Submitting Form: _________________________________ Name:
Title:
Date:
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