Vendors_on_Scrutinized_Companies_Lists.pdf

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Attached to
West Sunset Lift Station
Solicitation number
ITB WS 79-26
Issued by
Okaloosa County, Florida

About this file

This is a vendor certification document related to a contract opportunity with Okaloosa County, Florida, for the West Sunset Lift Station project. The document requires bid proposers to certify compliance with Florida statutory requirements regarding international business operations and boycott restrictions. Proposers must attest that they are not listed on the Scrutinized Companies that Boycott Israel List, are not engaged in a boycott of Israel, are not listed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, and are not engaged in business operations in Cuba or Syria.

The County reserves the right to disqualify bids or terminate agreements immediately upon discovery of false certifications or if the contractor is placed on any of the aforementioned lists or engages in prohibited business operations during the contract term. Any bid proposer submitting a false certification will receive written notice and has 90 calendar days to demonstrate in writing that the determination was made in error. If the County's determination is upheld, the proposer will be subject to civil penalties and will be ineligible to bid on any agreement with a Florida agency or local governmental entity for three years following the date of the determination. The certification must be signed by an authorized representative and include the company name, address, contact information, and the authorized signatory's name and title.

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By executing this Certificate________________________________, the bid proposer, certifies that it is not: (1) listed on the Scrutinized Companies that Boycott Israel List, created pursuant to section 215.4725, Florida Statutes, (2) engaged in a boycott of Israel, (3) listed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to section 215.473, Florida Statutes, or (4) engaged in business operations in Cuba or Syria. Pursuant to section 287.135(5), Florida Statutes, the County may disqualify the bid proper immediately or immediately terminate any agreement entered into for cause if the bid proposer is found to have submitted a false certification as to the above or if the Contractor is placed on the Scrutinized

Companies that Boycott Israel List, is engaged in a boycott of Israel, has been placed on the Scrutinized Companies with

Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or has been engaged in business operations in Cuba or Syria, during the term of the Agreement. If the County determines that the bid proposer has submitted a false certification, the County will provide written notice to the bid proposer. Unless the bid proposer demonstrates in writing, within 90 calendar days of receipt of the notice, that the County’s determination of false certification was made in error, the County shall bring a civil action against the bid proposer. If the County’s determination is upheld, a civil penalty shall apply, and the bid proposer will be ineligible to bid on any Agreement with a Florida agency or local governmental entity for three years after the date of County’s determination of false certification by bid proposer.

As the person authorized to sign this statement, I certify that this firm complies fully with the above requirements.

DATE: SIGNATURE:

COMPANY: NAME:

(Typed or Print)

ADDRESS: TITLE:

E-MAIL: PHONE NO.:

DOCUMENT 00410-VENDORS ON SCRUTINIZED COMPANIES LISTS

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