ESBD_384451_1733863794833_EXHIBIT F.2 Information and Certificatations Form.pdf

PDF 4 MB Posted

Attached to
FY25 Softpull Paper Towels SOL
Solicitation number
405-25R0004274
Issued by
Henderson County, Lubbock City, Texas

About this file

This is an Information and Certifications Form from the Department of Public Safety of the State of Texas (DPS) that vendors must complete as part of their response to solicitations. The form contains comprehensive vendor information requirements including company demographics, authorized representative details, and contact information for response clarifications and project management. The document, approved on 9/1/2022, is a 10-page form that must be completed and submitted with any vendor response to DPS solicitations.

The form includes sections on HUB (Historically Underutilized Business) representation, vendor preferences for Texas-based goods and services, and numerous compliance certifications. Vendors must certify compliance with Texas state regulations regarding child support, ethics, conflicts of interest, cybersecurity training, and various prohibitions including those against boycotting Israel or energy companies. The form also requires vendors to disclose any former state employment relationships, potential conflicts of interest, and certify they are not owned or controlled by certain foreign entities. Failure to complete and submit this form may result in disqualification of the vendor's response.

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ESBD_384451_1733863793389_EXHIBIT F.3 Application for Texas Identification Number (AP-152).pdf PDF
ESBD_384451_1733863792355_EXHIBIT F.1 Terms and Conditions.pdf PDF
ESBD_384451_1733863792940_EXHIBIT F.5 Request for Taxpayer Identification Number and Certifications (W-9).pdf PDF
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ESBD_384451_1733863794327_SOLICIT_405-25R0004274.pdf PDF
ESBD_384451_1733863794833_EXHIBIT F.2 Information and Certificatations Form.pdf PDF
ESBD_384451_1734027685994_SOL_ADD_1_405-25R0004274.pdf PDF
ESBD_384451_1733863792940_EXHIBIT F.5 Request for Taxpayer Identification Number and Certifications (W-9).pdf PDF
ESBD_384451_1733863794327_SOLICIT_405-25R0004274.pdf PDF
ESBD_384451_1733863792355_EXHIBIT F.1 Terms and Conditions.pdf PDF
ESBD_384451_1733863793841_EXHIBIT F.4 Direct Deposit Authorization Form (74-176).pdf PDF
ESBD_384451_1734027685994_SOL_ADD_1_405-25R0004274.pdf PDF
ESBD_384451_1733863793389_EXHIBIT F.3 Application for Texas Identification Number (AP-152).pdf PDF
ESBD_384451_1733863794833_EXHIBIT F.2 Information and Certificatations Form.pdf PDF
ESBD_384451_1733863792940_EXHIBIT F.5 Request for Taxpayer Identification Number and Certifications (W-9).pdf PDF
ESBD_384451_1733863793389_EXHIBIT F.3 Application for Texas Identification Number (AP-152).pdf PDF
ESBD_384451_1733863792355_EXHIBIT F.1 Terms and Conditions.pdf PDF
ESBD_384451_1733863794327_SOLICIT_405-25R0004274.pdf PDF
ESBD_384451_1733863793841_EXHIBIT F.4 Direct Deposit Authorization Form (74-176).pdf PDF
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