DISQUALIFICATION_DISCLOSURE_(4).pdf
PDF 12 KB Posted
- Solicitation number
- 2023-RFP-294
- Issued by
- Los Angeles County, Berkeley City, California
About this file
This document is a Disqualification Disclosure form required under California Public Contract Code §10162, which is part of a bid submission for the ServiceNow IT Asset Management & ITSM Enhancements project. The form requires prospective bidders to disclose whether the bidder, any officer, or employee with a proprietary interest has ever been disqualified, removed, or prevented from bidding on or completing a federal, state, or local government project due to a violation of law or safety regulation.
The form provides a simple yes/no checkbox mechanism for bidders to self-report any past disqualifications, with an option to attach explanatory documentation if the answer is affirmative. This disclosure is a standard compliance requirement designed to ensure transparency and accountability in the government contracting process, specifically for the California state government's Department of Information Technology (DoIT) ServiceNow implementation project focused on asset and cost management reporting enhancements.
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| Implement_ServiceNow_-_IT_Asset_Management_&_ITSM_Enhancements.pdf | ||
| TELCOM_DATA.xlsx | XLSX spreadsheet | |
| DESKTOP-RADIO_DATA.xlsx | XLSX spreadsheet | |
| DESIGNATED_REPRESENTATIVESdocx.pdf | ||
| DoIT_Technical_Questionnaire.xlsx | XLSX spreadsheet | |
| Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf | ||
| CONFLICT_OF_INTEREST_(5).pdf | ||
| REQUIRED_FORMS_-_AAs_-_SIG-LEGAL-STATUS_-_DECLARATION_OF_NONCOLUSION_(27).pdf | ||
| Master_Services_Contract.pdf | ||
| RELEVANT_EXPERIENCE_FORM.pdf | ||
| Unique_Entity_ID_(SAM).pdf |
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Text version
DISQUALIFICATION DISCLOSURE
In accordance with California code, Public Contract code- PCC §10162, the prospective bidder shall complete, under penalty of perjury, the following questionnaire.
Has the bidder, any officer of the bidder, or any employee of the bidder who has proprietary interest in the bidder, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or safety regulation?
(Please check one below)
Yes_____ No _______
If the answer is yes, explain the circumstances and attach document to this Exhibit.
| Yes: |
| No: |
| Text3: |
File details come from the government source that posted it. Updated .