EXHIBIT 10 - GENERAL CERTIFICATIONS.pdf
PDF 192 KB Posted
- Attached to
- LIQUID WASTE REMOVAL SERVICES
- Solicitation number
- OP145195
- Issued by
- California
About this file
This is a General Certifications form (PRO FORM 026) issued by Metro for use in state and local contract opportunities. The document requires bidders and proposers to certify compliance with nondiscrimination requirements, Iran investment restrictions, Disadvantaged Business Enterprise (DBE) regulations, and whistleblower protections. Bidders must respond affirmatively or negatively to each certification item and provide detailed explanations for any negative responses. The certifications address employment discrimination protections based on race, sex, color, religion, ancestry, national origin, marital status, age, and disability; confirmation that the bidder is not engaged in investment activities in Iran if the contract value exceeds $1,000,000; prohibition on fraudulent use of DBE fronts and pass-through subcontracts; and adherence to California Labor Code whistleblower provisions. The form requires execution under penalty of perjury with the bidder's authorized official providing signature, printed name, title, date, and location of execution.
The form contains no pricing terms, set-asides, incumbent information, funding details, or contract duration specifications. Instead, it functions as a mandatory compliance document that all bidders must complete as part of their proposal submission. The certifications are designed to ensure equal employment opportunity compliance, prevent fraud in minority business enterprise participation, and protect employee rights. Bidders must declare under penalty of perjury that all certifications made are true and correct. The document references Metro's Contract Compliance Manual and provides contact information for reporting fraud, waste, abuse, or mismanagement concerns to Metro's Small Business Diversity and Labor Compliance Office, Inspector General Office, and federal oversight agencies.
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Text version
METRO ARCHIVE #
TBD (IFB/RFP NO.)
ISSUED: 00/00/00
GENERAL CERTIFICATIONS
PRO FORM 026
REVISION DATE: 04.10.2026
BIDDER/PROPOSER: ______________________
GENERAL CERTIFICATIONS
The Bidder/Proposer shall respond either "Yes" or "No" to each of the following where indicated.
If the Bidder/Proposer's response is "No", a full explanation shall be provided in the space following the last item.
1.0 CERTIFICATE OF NONDISCRIMINATION Yes No
The Bidder/Proposer hereby certifies: that it does not unlawfully discriminate against any employee or applicant for employment with regard to race, sex, color, religion, ancestry, national origin, marital status, age (over 40), or disability (including AIDS, and cancer-related medical condition); that it is in compliance with all applicable Federal, state, and local directives and executive orders regarding nondiscrimination in employment; and that it agrees to pursue positively and aggressively the principle of equal opportunity in employment. The Bidder/Proposer and its Subcontractors shall comply with the provisions of the Fair Employment and Housing Act Gov. Code § 12900 and the applicable regulations promulgated thereunder. The Bidder/Proposer agrees specifically to adhere to the following:
A. State in all solicitations or advertisements for employees that the Bidder/Proposer will consider all qualified applicants for employment without regard to race, sex, color, religion, ancestry, national origin, marital status, age (over 40), or disability (including AIDS, and cancer-related medical condition).
2.0 NOT USED
3.0 IRAN INVESTMENT ACTIVITIES Yes No
If this Contract is one for goods or services of $1,000,000 or more, the Bidder/Proposer certifies that it is not identified on a list created pursuant to subdivision (b) of Section 2203 of the Public Contract Code as a person engaging in investment activities in Iran described in subdivision (a) of Section 2202.5 of the Public Contract Code, or as a person described in subdivision (b) of Section 2202.5 of the Public Contract Code, as applicable.
4.0 FRAUDULENT USE OF DBE FRONTS Yes No
Only certified Disadvantaged Business Enterprises are eligible to participate in Metro contracts as DBEs. The Bidder/Proposer certifies that it has not knowingly and willfully used “fronts” as defined in section 100.6 of Metro’s Contract Compliance Manual (Federal) to meet the DBE goal established for this contract, as applicable and subject to Applicable Law. The use of “fronts” and “pass through” Subcontracts to non-disadvantaged firms may constitute a criminal violation1.
1 Any indication of fraud, waste, abuse, or mismanagement of these funds should be immediately reported to the Metro Small Business Diversity and Labor Compliance Office, at (213) 922-6000; the Metro Inspector General Office at (213) 344-7300 or the toll free hotline number (800) 221-1142; or to the Office of Inspector General, U.S. Department of Transportation at the toll-free hotline number (800) 424-9071; or to the following field office: 201 Mission Street, Suite 2210; San Francisco, CA 94105-1926; (415) 744-3133.
METRO ARCHIVE #
TBD (IFB/RFP NO.)
ISSUED: 00/00/00
GENERAL CERTIFICATIONS
PRO FORM 026
REVISION DATE: 04.10.2026
5.0 WHISTLEBLOWER REQUIREMENTS Yes No
The Bidder/Proposer certifies that it will take no action, or adopt any rule, regulation or policy which is contrary to the provisions set forth in California Labor Code § 1101.
A full explanation of all "No" answers shall be provided below.
Bidder/Proposer hereby declares under the penalty of perjury under the laws of the State of California that the certifications made above in No. 1-4 are true and correct.
Executed on , 20 , at , (Date) (City) (State)
Typewritten or Printed Name Signature of Authorized Official
Title
GENERAL CERTIFICATIONS
| BIDDERPROPOSER: |
| The BidderProposer hereby certifies that it does not unlawfully discriminate against any: Off |
| If this Contract is one for goods or services of 1000000 or more the BidderProposer: Off |
| Only certified Disadvantaged Business Enterprises are eligible to participate in Metro: Off |
| The BidderProposer certifies that it will take no action or adopt any rule regulation or: Off |
| Date: |
| City: |
| State: |
| Typewritten or Printed Name: |
| Title: |
| year: |
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