Federal_Tax_Liability_and_Recent_Felony_Conviction.pdf
PDF 57 KB Posted
- Attached to
- Bus Shelters and Amenities
- Solicitation number
- RTSX-260026-DS
- Issued by
- Alachua County, Glencoe CDP, Florida
About this file
This is a Federal Tax Liability and Recent Felony Conviction certification form required for the City of Gainesville's Regional Transit System (RTS) Bus Shelters and Amenities project in Florida. The form must be completed, signed, and uploaded with all bid submittals, with failure to do so resulting in automatic disqualification. The contractor must certify that it does not have any unpaid Federal tax liability that has been assessed and exhausted of all judicial and administrative remedies, and that it has not been convicted of any felony criminal violation under Federal law 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 form includes blank spaces for the contractor's company name, authorized representative title, signature, and date of certification. This standard compliance document is a prerequisite for bid consideration on the project and ensures that bidders meet basic Federal eligibility requirements before contract award.
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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 .