Federal_Tax_Liability_and_Recent_Felony_Conviction.pdf
PDF 57 KB Posted
- Attached to
- Solar Canopy for Employee Parking Lot
- Solicitation number
- RTSX-260018-DS
- Issued by
- Alachua County, Graceville City, Florida
About this file
This document is a Federal Tax Liability and Recent Felony Conviction certification form that requires contractors to attest to two key compliance conditions: (1) having no outstanding unpaid Federal tax liability that has exhausted all judicial and administrative remedies, and (2) not having been convicted of a felony criminal violation under any Federal law within the preceding 24 months.
The form mandates that contractors agree to require all subcontractors to provide the same certification and to cascade this requirement to all lower-tier participants, regardless of subcontract value. Failure to complete and submit this form with a bid or proposal will result in automatic disqualification. The document provides blank fields for company name, individual name, title, signature, and date of certification.
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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 .