Compliance Certification:
As an authorized company representative, I certify my firm or corporation:
Agrees to comply the requirements of Florida Statute 287.087 for a Drug Free Workplace.
Agrees to comply with the requirements of Florida Statute 448.095 for Employment Eligibility. Employers, contractors and their subcontractors are required to register and use the Department of Homeland Security’s E-Verify system when hiring new employees for the term of the contract. Violations will result in contract termination. (E-Verify is operated by the U.S. Department of Homeland Security).
Owner/Authorized Company Representative initials:
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Bidder Certification (Non-Construction):
By my submission of a bid response, and in accordance with your solicitation, I hereby submit this proposal and agree, if my proposal is accepted, to provide goods and services to the City of Ocala in accordance with the solicitation and proposer response. I certify I have read, and will be bound by, all the terms and conditions of this solicitation and any resulting addenda and amendments, in its entirety and understand the scope of work and specification requirements.
Owner/Authorized Company Representative initials:
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The undersigned, on behalf of the bidding Vendor and under the penalties of perjury, affirms as true each of the following selected (X) statements: (All applicable boxes must be checked to indicate acknowledgement and certification. Failure to do so may result in your bid/proposal being deemed non-responsive):
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By submission of an electronic response to this solicitation, the undersigned submits and agrees to provide goods and services to the City of Ocala in accordance with the solicitation and Vendor’s response thereto. The undersigned certifies that he/she understands the scope of work and specification requirements set forth in this solicitation and has either exercised or waived its right to seek clarification or guidance regarding any issues prior to submitting a response. The undersigned certifies that he/she has read all of the terms and conditions of this solicitation, any resulting addenda, and amendments, in their entirety, and has the authority to bind and wishes to bind the Vendor thereto.
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A. Applicability. The City’s Anti-Lobbying Policy shall apply to bidders, proposers, and those intending to qualify for award under any solicitation or procurement action, to include invitations to bid, formal or informal requests for quotations, requests for proposal, invitations to negotiate, or requests for qualifications and to the award of purchasing contracts of any type.
B. Prohibited Communications. To ensure fair consideration for all bidders and proposers, City strictly prohibits unauthorized communication or lobbying by any bidder/proposer, any agent, representative, or member of a bidder/proposer’s staff, any person employed by any legal entity affiliated with or representing a bidder/proposer/protestor - whether in writing or verbally – with any evaluation committee member, City employee, City official, City Council member, or City advisory board member written or verbal or given directly or through a third-party, relative to any solicitation or procurement action, between bidders, proposers, City Council, City officials, City departments, or City staff during the lobbying blackout period, except for those inquiries made directly to designated Procurement and Contracting Department staff, or as otherwise provided in Policy No. PRO-080 – Protested Solicitations and Awards.
C. Lobbying Blackout Period. For the purposes of this policy, the term “lobbying blackout period” shall refer to the time period during which vendors, contractors, consultants, or their agents or representatives are prohibited from communicating or lobbying in any manner with City Council, City officers, or City staff (other than designated Procurement and Contracting Department staff) and a time where City Council, City officers, and non-designated City staff shall not communicate in any manner with vendors, contractors, consultants, or their agents or representatives regarding any solicitation or procurement action.
1. Procurements Requiring Council Approval. The blackout period for solicitations and procurement actions requiring Council approval shall start when the bid, solicitation (RFP, RFQ, ITN, etc.), or quote request is issued and continues until the Council President or its designee executes a contract on behalf of the City.
2. Procurements Not Requiring Council Approval. The blackout period for solicitations and procurement actions that do not require Council approval shall start when the bid, solicitation (RFP, RFQ, ITN, etc.), or quote request is issued and ends upon contract award.
D. Communication with Designated Procurement Staff Only. Any bidder or proposer questions regarding solicitations and procurement actions made during the blackout period must be raised to the individual identified in the solicitation or procurement action as the official point of contact for the City.
By signing below, the undersigned acknowledges that he/she has read the foregoing and understands that any prohibited communications initiated by Vendor, or a third party on behalf of Vendor, will be grounds for disqualifying Vendor from consideration for award of the solicitation AND Vendor will face a three (3) year debarment from doing any business with the City of Ocala.
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By signing below, the undersigned certifies that the following statements are true and correct:
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By signing below, the undersigned has read, acknowledges, and agrees to the following statement: The City of Ocala considers all vendors to be valuable assets in the fulfillment of its mission to its citizens. As such, vendors are expected to conduct their businesses openly, fairly, and honestly and to fulfill their contractual commitments to the City in terms of cost, delivery, and quality of products and services. Vendors who submit a bid to and are awarded a contract by City but fail to fulfill the contract term, for any reason other than termination by City for convenience or non-funding or the mutual agreement of the parties, will be subject to future bidding suspension for a period of one (1) year and may face a bid debarment for up to three (3) years.
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By signing below, the undersigned has read, acknowledges, and agrees to the following statement: The undersigned certifies that Vendor and/or its subcontractors can comply with any licensing or certification requirements noted in the underlying Solicitation, scope of work, and/or specifications and agrees to upload copies of all licenses and certifications with the bid/proposal response and/or provide proof of licensure or certification immediately upon request from City.
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By signing below, the undersigned has read, acknowledges, and agrees to the following statement: Vendor contracts are generally not accepted and Vendors are expected to sign a City of Ocala standard agreement unless the requirement is waived by the City’s Procurement and Contracting Officer. The requirement of the City to execute a Vendor contract may result in bid rejection. If Vendor takes exception to any Solicitation specifications, General Terms and Conditions, or Special Terms and Conditions, Vendor must upload with its solicitation response a copy of said exceptions along with any desired modified or supplemental clauses for the City’s consideration.
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By signing below, the undersigned has read, acknowledges, and agrees to the following statements:
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Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. [indicate which statement applies by selecting only ONE option.]
Please Note: Submission of this form to the City of Ocala is for the City of Ocala only and, that this form is valid through December 31 of the calendar year in which it is filed. Vendor is required to inform the City of Ocala prior to entering into a contract in excess of the threshold amount provided in Section 287.017, Fla. Stat. for category two of any change in the information contained in this form.
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In accordance with Section 837.06, Florida Statutes, Vendor acknowledges that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duties shall be guilty of a misdemeanor in the second degree, punishable as provided in Section 775.082 or Section 775.083, Florida Statutes.
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*Vendor Signature: ![]()
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