DISQUALIFICATION_DISCLOSURE_(4).pdf
PDF 12 KB Posted
- Solicitation number
- 2025-RFP-0516
- Issued by
- Los Angeles County, California
About this file
This document is a Disqualification Disclosure form pursuant to California Public Contract Code §10162, designed for prospective government project bidders. The form requires bidders to disclose whether they, their officers, or employees with proprietary interest have ever been disqualified, removed, or prevented from bidding on or completing a federal, state, or local government project due to violations of law or safety regulations.
The form provides a simple binary response option (Yes or No) with an instruction to explain circumstances and attach supporting documentation if the answer is affirmative. The document emphasizes that the disclosure must be completed under penalty of perjury, indicating the serious legal implications of providing false information in this governmental contracting process.
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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 .