DISQUALIFICATION_DISCLOSURE_(4).pdf

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Attached to
Commercial Appraisal Services
Solicitation number
2025-RFP-0180
Issued by
Los Angeles County, California

About this file

This document is a Disqualification Disclosure form in compliance with California Public Contract Code §10162, designed for prospective bidders to complete under penalty of perjury. The form requires 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 for bidders to indicate their history of project disqualification, with an option to attach explanatory documentation if the answer is "yes". No additional details about a specific project, contract, or procurement are included in this single-page document. The form appears to be a standard legal compliance document intended to ensure transparency and accountability in the bidding process for government contracts.

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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 .