RFP_26-0073LB_FORM_4_-_SCRUTINIZED_COMPANIES_CERTIFICATION.pdf
PDF 120 KB Posted
- Solicitation number
- 26-0073-LB
- Issued by
- Lee County, Fruitville CDP, Florida
About this file
This is a Scrutinized Companies Certification form (Form 4) required by the Lee County Port Authority for RFP 26-0073LB, which solicits proposals for Operation, Management, and Maintenance Services of the Baggage Handling System (BHS) at Southwest Florida International Airport in Lee County, Florida. The RFP seeks qualified firms to provide comprehensive BHS services, including industry-skilled labor, materials, expertise, supervision, equipment, training, and parts management for two outbound common-use automated in-line baggage handling systems and inbound carousel bag claim devices. The certification form must be completed and notarized by all proposers as a requirement for bid submission.
The Scrutinized Companies Certification requires proposers to certify under penalties of perjury that they have not been placed on 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 as defined by Florida Statutes sections 287.135 and 215.4725. Proposers must also certify that they are not engaged in business operations in Cuba and Syria and will not engage in boycott activities during the contract term. Falsification of this certification may result in contract termination, debarment for three years, civil penalties, and assessment of attorney's fees and costs. Proposers are required to inform the Lee County Port Authority of any changes to the certified information prior to contract execution.
View the file
Other files
Show all 14
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
RFP 26-0073LB: OPERATION, MANAGEMENT, AND MAINTENANCE SERVICES OF THE BAGGAGE HANDLING SYSTEM (BHS)
FORM 4: SCRUTINIZED COMPANIES CERTIFICATION
Proposer hereby certifies under penalties of perjury as of the date of submission of its RFP to provide goods and services to Lee County Port Authority that it has not been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List as defined in section 287.135, Florida Statutes, is not engaged in business operations in Cuba and Syria; and will not engage in “Boycott Israel” activities, as defined in section 215.4725 (1)(a), Florida Statutes, that result in proposer being placed on the Scrutinized Companies that Boycott Israel List created after October 1, 2016 and during the term of any contract awarded pursuant to this Request for Proposals.
I further certify that I am duly authorized to submit this certification on behalf of the company as its agent and that the company is ready, willing and able to perform if awarded a contract.
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE PROCUREMENT OFFICE FOR LEE
COUNTY PORT AUTHORITY IS FOR THAT PUBLIC ENTITY ONLY AND, THAT FALSIFICATION OF
THIS CERTIFICATION MAY RESULT IN TERMINATION OF THE CONTRACT, DEBARMENT OF THE
COMPANY FROM SUBMITTING A BID OR PROPOSAL FOR A PERIOD OF THREE (3) YEARS FROM
THE DATE THE CERTIFICATION IS DETERMINED TO BE FALSE, CIVIL PENALTIES, AND THE
ASSESSMENT OF ATTORNEY’S FEES AND COSTS AGAINST THE COMPANY. I ALSO UNDERSTAND
THAT I AM REQUIRED TO INFORM LEE COUNTY PORT AUTHORITY PRIOR TO ENTERING INTO A
CONTRACT OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
[Signature]
Notary Public
STATE OF ______________
COUNTY OF ____________
The foregoing instrument was signed and acknowledged before me this _______ day of _____________________, 20_____, by ____________________________________________ by means of physical presence or online notarization who produced the following as identification _________________________________ (type of identification) or is personally known to me.
My Commission Expires ________________ [stamp or seal]
[Signature of Notary Public]
[Typed or printed name]
Rev: 5.28.2026 Page 54 of 58
| BAGGAGE HANDLING SYSTEMS (BHS) BACKGROUND AND INFORMATION |
| Evaluation Criteria Summary |
File details come from the government source that posted it. Updated .