Federal_Tax_Liability_and_Recent_Felony_Conviction.pdf
PDF 57 KB Posted
- Attached to
- Fareboxes for Cutaway Vehicles State and local contract opportunity
- Solicitation number
- RTSX-250062-DS
- Issued by
- Alachua County, Glencoe CDP, Florida
About this file
This document is a Federal Tax Liability and Recent Felony Conviction certification form for a state and local contract opportunity involving fareboxes for the City of Gainesville's Regional Transit System (RTS) in Florida. The form requires a contractor to certify that they do not have any unpaid Federal tax liability that has been assessed and for which all judicial and administrative remedies have been exhausted, and that they have not been convicted of a felony criminal violation under any Federal law within the preceding 24 months.
The certification extends to all subcontractors, who must provide the same certification and flow the requirement down to participants at all lower tiers, regardless of subcontract value. The related contract opportunity seeks to procure twenty-five (25) stanchion-mounted fareboxes for E450 Paratransit Vans. Failure to complete and upload this certification with the submittal will result in automatic disqualification from the bidding process.
View the file
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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: ______________
File details come from the government source that posted it. Updated .