DISQUALIFICATION_DISCLOSURE_(4).pdf

12 KB Posted

Attached to
Heavy Fleet Tires and Tire Services
Solicitation number
2025-RFP-0001
Issued by
Sacramento County, San Francisco City, California

About this file

Written by GovTribe AI ·

The document is a Disqualification Disclosure form required by California Public Contract Code (PCC) §10162, which mandates that prospective bidders complete a questionnaire under penalty of perjury. The form requires bidders to disclose whether the bidder, any officer, or any 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 is a standard compliance document that requires a simple "Yes" or "No" response, with an option to explain and attach documentation if the answer is "Yes". The purpose is to provide transparency and ensure the integrity of the bidding process by requiring contractors to self-report any previous issues with government contracts. This disclosure helps government entities assess the reliability and compliance history of potential contractors before awarding a contract.

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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 .