Federal_Tax_Liability_and_Recent_Felony_Conviction.pdf
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- Solicitation number
- RTSX-260041-DS
- Issued by
- Alachua County, Glencoe CDP, Florida
About this file
This is a Federal Tax Liability and Recent Felony Conviction certification form required by the City of Gainesville, Florida for the Construction Manager Services for Bus Stop Improvements Project. The certification document must be completed, signed, and uploaded with bid submittals, with failure to do so resulting in automatic disqualification. The form applies to the City of Gainesville's Phase 2 and Phase 3 RTS Bus Stop Improvements Program, which involves construction oversight and management services across 178 total bus stops (95 in Phase 2 and 83 in Phase 3) with combined construction budgets of $1,050,204.58 and $851,344.45 respectively. Phase 3 is contingent upon receipt of additional Federal Transit Administration (FTA) funds within four months of contract execution.
The contractor must certify that it has no unpaid federal tax liabilities that have exhausted all judicial and administrative remedies and that it was not convicted of any federal felony within the preceding 24 months. The contractor is required to flow this certification requirement down to all subcontractors and lower-tier participants regardless of subcontract value. The combined budget for Construction Manager Services for both phases is capped at $190,154.90, with bidders required to submit firm pricing separately for each phase; submittals exceeding the total combined amount will not be evaluated or considered for award. The certification form includes blank fields for company name, signatory title, signature, and date.
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Text version
Complete, sign and upload with your submittal.
Failure to do so will result in automatic disqualification.
FEDERAL TAX LIABILITY AND RECENT FELONY CONVICTION
The contractor hereby certifies the following:
Does not have any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and was not convicted of the felony criminal violation under any Federal law within the preceding 24 months.
The contractor agrees to require all subcontractors to provide this certification and to flow this requirement down to participants at all lower tiers, without regard to the value of any subcontract.
Company:
Name: ___________________________________________________________________________________________
Title: ____________________________________________________________________________________________
Signature: Date: ______________
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