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2020-159A
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2020-159A
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Last modified
3/5/2021 10:09:12 AM
Creation date
10/1/2020 10:55:09 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
08/18/2020
Control Number
2020-159A
Agenda Item Number
8.AM.
Entity Name
Proshot Concrete, Inc.
Subject
CR 512 Bridge Repairs
FDOT 884078 & 884079
Project Number
IRC-1727
Bid Number
2020048
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SECTION 00460 - CERTIFICATION REGARDING PROHIBITION AGAINST <br />CONTRACTING WITH SCRUTINIZED COMPANIES <br />I hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority- <br />owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists <br />for the purpose of making profit have been placed on the Scrutinized Companies that Boycott Israel List <br />created pursuant to s. 215.4725 of the Florida Statutes, or are engaged in a boycott of Israel. <br />In addition, if this solicitation is for a contract for goods or services of one million dollars or more, I <br />hereby certify that neither the undersigned entity, nor any of its wholly owned subsidiaries, majority- <br />owned subsidiaries, parent companies, or affiliates of such entities or business associations, that exists <br />for the purpose of making profit are on the Scrutinized Companies with Activities in Sudan List or the <br />Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, created pursuant to s. <br />215.473 of the Florida Statutes, or are engaged in business operations in Cuba or Syria as defined in said <br />statute. <br />I understand and agree that the County may immediately terminate any contract resulting from this <br />solicitation upon written notice if the undersigned entity (or any of those related entities of respondent <br />as defined above by Florida law) are found to have submitted a false certification or any of the following <br />occur with respect to the company or a related entity: (i) it has been placed on the Scrutinized <br />Companies that Boycott Israel List, or is engaged in a boycott of Israel, or (ii) for any contract for goods <br />or services of one million dollars or more, it has been placed on the Scrutinized Companies with <br />Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector <br />List, or it is found to have been engaged in business operations in Cuba or Syria. <br />Name of Respondent: Proshot Concrete, Inc <br />By: 6 <br />(Authorized Sig ature) <br />Title: Anthony McDougle, President <br />Date: June 29, 2020 <br />��t11t1111�7r <br />CO N C <br />C,09POR4 t# <br />a. '. SEAL n <br />00460 - Certification Regarding Prohibition Against Contracting <br />00460-1 <br />F:1Public WorksIENGINEERING DIVISION PROJECTS11727 CR -512 EB 81NB Bridge (8a407879) Repairs\1-Admin0d DocumentsWaster Contract Documents100460 - <br />Certification Regarding Prohibition Against Contracting.doc <br />
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