ITB202605_Directional_Boring_Services__Exhibit_I.pdf
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- Attached to
- Directional Boring Services
- Solicitation number
- ITB-2026-05
- Issued by
- Santa Rosa County, Mount Carmel CDP, Florida
About this file
This is a Scrutinized Companies Certification form (Exhibit I) for the City of Milton, Florida's Invitation to Bid (ITB 2026.05) for Directional Boring Services. The certification applies to Contract No. PW-DB-2026-01 and is required under Florida Statutes 287.135 and 215.4725. The City of Milton seeks qualified and licensed contractors to provide horizontal directional drilling (HDD) services on an as-needed, Purchase Order basis for the installation, extension, maintenance, and repair of underground utility infrastructure including water, sewer, and natural gas systems within Milton and Santa Rosa County. Bidders must hold all licenses required under Florida Chapter 489 in the appropriate classification at the time of bid submission and maintain such licensure throughout the contract term. Award shall be made to the lowest responsive and responsible bidder in accordance with applicable Florida law and the City's Purchasing Policy, with the City reserving the right to reject any or all bids.
All contractors submitting bids must certify under penalty of perjury that they are not listed on any scrutinized companies list maintained pursuant to Florida law, including lists related to Sudan, Iran's petroleum energy sector, or Israel boycotts. Contractors must also certify that they are not engaged in business operations in Cuba or Syria, are not foreign principals from countries of concern, and are not owned or controlled by such foreign principals. The contractor acknowledges that this certification is a material representation of fact upon which the City is relying and that submitting a false certification may result in civil and criminal penalties and termination of the agreement.
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Text version
EXHIBIT I – SCRUTINIZED COMPANIES CERTIFICATION
Directional Boring Services Contract
Authority: § 287.135, 215.4725, F.S.
Contract No. PW-DB-2026-01
The undersigned, being duly authorized to execute this certification on behalf of
____________________________________ (“Contractor”), hereby certifies under penalty of perjury that, as of the date set forth below:
1. Contractor is not listed on any scrutinized companies list maintained pursuant to
§287.135, Fla. Stat., including the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or the Scrutinized Companies that Boycott Israel List.
2. Contractor is not engaged in a boycott of Israel as defined in §215.4725, Fla. Stat.
3. Contractor is not engaged in business operations in Cuba or Syria as prohibited by
§287.135, Fla. Stat.
4. Contractor is not a foreign principal from a foreign country of concern, and is not owned or controlled by a foreign principal from a foreign country of concern, as provided in
§§286.101 and 287.138, Fla. Stat.
5. Contractor acknowledges that this Certification is a material representation of fact upon which the City is relying in entering into or continuing the Agreement.
Contractor acknowledges that submitting a false certification may subject Contractor to civil and criminal penalties and to termination of the Agreement pursuant to § 287.135(3) and (5), Fla.
Stat.
Bidder/Contractor: ___________________________________________
Authorized Signature: ______________________________________________
Printed Name: _____________________________________________________
Title: _____________________________________________
Date: ____________________________________________
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