DISQUALIFICATION_DISCLOSURE_(4).pdf

PDF 12 KB Posted

Attached to
San Rafael Bridge Seismic Retrofit (BHLS-5064(101))
Solicitation number
2024-RFP-0637
Issued by
Los Angeles County, California

About this file

The document is a Disqualification Disclosure form required by California Public Contract Code (PCC) §10162, designed to be completed by prospective bidders 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 binary response option (Yes or No) with an instruction to explain and attach supporting documentation if the answer is affirmative. This disclosure serves as a mechanism for government agencies to assess the past performance, compliance history, and potential risks associated with bidders seeking to participate in public contracts. By mandating this self-reporting, the state aims to maintain transparency, accountability, and integrity in the procurement 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 .