NOTICE TO PROSPECTIVE BIDDERS - COTA

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CERTIFICATION OF COMPLIANCE WITH § 3517.13 OF THE OHIO REVISED CODE The individual listed as the signatory of this certification is a duly appointed representative of the below named entity and is authorized to sign this certification as an individual or as a representative of ________________________________________ for a contract for ___________________________________________ Name of entity Type of product or service with the Central Ohio Transit Authority (<strong>COTA</strong>) in an amount aggregating more than ten thousand dollars ($10,000) in a calendar year. Further, the above named individual or representative makes the following statements with respect to prohibited activities constituting a conflict of interest or other violations under the Ohio Revised Code § 3517.13: 1. That none of the following, individually, contributed in excess of one thousand dollars ($1000) in the previous twenty-four months, and that none of the following will contribute in excess of one thousand dollars ($1000) beginning on the date the contract is awarded and extending until one year following the conclusion of the contract, to the public officer or the campaign committee of the public officer having ultimate responsibility (as defined by O.R.C. § 3517.13(K)) for the award of the contract: a. The individual; b. Any partner or owner of the partnership or other unincorporated business; c. Any shareholder of the association; d. Any administrator of the estate; e. Any executor of the estate; f. Any trustee of the estate; g. The spouse of any person identified; h. Any child seven years of age through seventeen years of age of any person identified i. An owner of more than 20% of the corporation or business trust; j. A spouse of an owner of more than 20% of the corporation or business trust; k. A child seven years of age through seventeen years of age of an owner of more than 20% of the corporation or business trust. 2. That no combination of two or more of the following contributed in excess of two thousand dollars ($2000) in the previous twenty-four months nor will contribute in excess of two thousand dollars ($2000) beginning on the date the contract is awarded and extending until one year following the conclusion of the contract, to the public officer or the campaign committee of the public officer having ultimate responsibility (as defined by O.R.C. § 3517.13(K)) for the award of the contract: a. The individual; b. Any partner or owner of the partnership or other unincorporated business; c. Any shareholder of the association; d. Any administrator of the estate; e. Any executor of the estate; f. Any trustee of the estate; g. The spouse of any person identified; 4-7
h. Any child seven years of age through seventeen years of age of any person identified i. An owner of more than 20% of the corporation or business trust; j. A spouse of an owner of more than 20% of the corporation or business trust; k. A child seven years of age through seventeen years of age of an owner of more than 20% of the corporation or business trust. 4-7a Signature: _____________________________________ Printed Name: __________________________________ Title: _________________________________________ Company Name: ________________________________ Company address: ______________________________ Date Signed: ___________________________________
Page 1 and 2: NOTICE TO PROSPECTIVE BIDDERS This
Page 3 and 4: RE-SOLICITAION OF REQUEST FOR BIDS
Page 5 and 6: SECTION I GENERAL INFORMATION
Page 7 and 8: 7. Form of Bid Every bid must be ma
Page 9 and 10: 17. Evidence of Ability to do Work
Page 11 and 12: 29. GENERAL Bid Protest Procedures
Page 13 and 14: DECISION ON PROTEST The Director of
Page 15 and 16: SECTION 2 CONTRACT TERMS
Page 17 and 18: 6. 7. State or Federal Taxes (a) Th
Page 19 and 20: 14. Modification of Contract The Co
Page 21 and 22: If reasons beyond the control of CO
Page 23 and 24: 25. 26. Warranties Inspection 25.1
Page 25 and 26: 32. Prompt Payment Notwithstanding
Page 27 and 28: SPECIFICATIONS FOR THE PURCHASE OF
Page 29 and 30: SECTION 4 BID FOR MS BID FORM 1
Page 31 and 32: NON-COLLUSION AFFIDAVIT NOTE: EACH
Page 33 and 34: Affiant further says that the propo
Page 35 and 36: Suspension and Debarment GOVERNMENT
Page 37: NONDISCRIMINATORY CERTIFICATION In

NOTICE TO PROSPECTIVE BIDDERS - COTA

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