|
ATTACHMENT K
<br />Contract No.
<br />Execution of
<br />1. By signature hereon, Applicant represents and warrants that the provisions in this Execution of Application
<br />apply to Applicant and all of Applicant's principals, officers, directors, shareholders, partners, owners, agents,
<br />employees, subcontractors, independent contractors, and any other representatives who may provide services
<br />under, who have a financial interest in, or otherwise are interested in this RFA or any contract resulting from it.
<br />2. By signature hereon, Applicant represents and warrants its intent to furnish the requested items at the prices
<br />quoted in its Proposal.
<br />3. By signature hereon, Applicant represents and warrants that it has read and understood and shall comply with
<br />Comptroller's Anti-Fraud Policy, located on Comptroller's website at
<br />htti)://www.window.state.tx.us/ssv/ethics.html, as such Policy currently reads and as it is amended throughout
<br />the term of any resulting contract.
<br />4. By signature hereon, Applicant represents and warrants that its prices include all costs of Applicant in providing
<br />the requested items that meet all specifications of this RFA, and that its prices will remain firm for acceptance
<br />for a minimum of ninety (90) days from deadline for submission of Proposal.
<br />5. By signature hereon, Applicant represents and warrants that each employee, including `replacement
<br />employees', will possess the qualifications, education, training, experience and certifications necessary to
<br />perform the services in the manner required by this RFA.
<br />6. By signature hereon, Applicant represents and warrants that it has no actual or potential conflicts of interest in
<br />providing the requested items to Comptroller under the RFA and any resulting contract, if any, and that
<br />Applicant's provision of the requested items under the RFA and any resulting contract, if any, would not
<br />reasonably create an appearance of impropriety.
<br />7. By signature hereon, pursuant to Section 2155.004(a), Texas Government Code, Applicant represents and
<br />warrants that it has not given, nor intends to give at any time hereafter, any economic opportunity, future
<br />employment, gift, loan, gratuity, special discount, trip, favor or service to a public servant in connection with
<br />the submitted Proposal.
<br />8. By signature hereon, Applicant represents and warrants that it is not currently delinquent in the payment of any
<br />franchise taxes owed the State of Texas under Chapter 171, Texas Tax Code. In addition, if Applicant is an
<br />individual not residing in Texas or a business entity not incorporated in or whose principal domicile is not in
<br />Texas, the following certification applies. Applicant represents and warrants that it holds a permit issued by
<br />Comptroller to collect or remit all state and local sales and use taxes that become due and owing as a result of
<br />the individual's or entity's business in Texas or represents and warrants that it does not sell tangible personal
<br />property or services that are subject to the state and local sales and use tax. Under Section 2155.004(a), Texas
<br />Government Code, a state agency may not accept a bid or award a contract that includes proposed financial
<br />participation by a person who received compensation from the agency to participate in preparing the
<br />specifications or request for proposals on which the bid or contract is based. Further, Applicant certifies that the
<br />individual or business entity named in this Proposal or any contract resulting from this RFA is not ineligible to
<br />receive the specified contract and acknowledges that the contract may be terminated and payment withheld if
<br />this certification is inaccurate. See Texas Government Code Section 2155.004(b).
<br />9. By signature hereon, Applicant hereby represents and warrants that, pursuant to 15 U.S.C. Sec. 1, et seq. and
<br />Tex. Bus. & Comm. Code Sec. 15.01, et seq., neither Applicant nor the firm, corporation, partnership, or
<br />institution represented by Applicant, or anyone acting for such a firm, corporation or institution has violated the
<br />antitrust laws of this state, federal antitrust laws, nor communicated directly or indirectly the Proposal made to
<br />any competitor or any other person engaged in such line of business.
<br />10. By signature hereon, Applicant represents and warrants that all statements and information prepared and
<br />submitted in response to this RFA are current, complete and accurate.
<br />11. By signature hereon, Applicant represents and warrants that the individual signing this document and the
<br />documents made part of this RFA and Proposal is authorized to sign such documents on behalf of the company
|