ESBD_392438_1737673691042_SOLICIEXH_F.2_Information and Certifications Form.pdf

This is an Information and Certifications Form issued by the Department of Public Safety of the State of Texas (DPS) for vendors participating in state contracting opportunities. The form serves as a comprehensive vendor verification document, requiring detailed company information including demographics, authorized representatives, contract/project manager details, and various certifications. The form was approved on 9/1/2022 and consists of 10 pages of required vendor information and certifications.

The form includes sections for vendor preferences such as Texas-based businesses, service-disabled veteran owned businesses, and environmentally conscious products. It requires vendors to certify numerous compliance areas including HUB status, child support obligations, former executive employment restrictions, lobbying disclosures, and cybersecurity training requirements. Notable certifications include verification that vendors are not engaged in business with Iran, Sudan, or foreign terrorist organizations, do not boycott Israel or energy companies, and are not majority owned by citizens of China, Iran, North Korea, or Russia. The form also includes a verification section for bidders to document their experience on similar projects within the past five years and verify personnel qualifications/licenses.