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RFP 211 -037 <br />2. Has your firm been convicted of a criminal offense committed in Hays County, Texas <br />involving fraud, theft, bribery, kickbacks, or unlawful gifts to a public official? <br />If so, has the conviction occurred within three years immediately <br />preceding either the date of submission of a proposal, or statement of qualifications <br />or the date of award of the contract? If so, explain: <br />3. Is your firm involved in pending investigation or criminal prosecution of a criminal <br />offense alleged to have been committed in Hays County, Texas involving fraud, <br />theft, bribery, kickbacks, or unlawful gifts to a public official? If so, <br />explain: <br />4. Does your firm have pending claims, investigations, or civil litigation involving <br />allegations of fraud, misrepresentation, or conversion? <br />5. Does your firm have previous final judgments against the City for breach of contract, <br />fraud misrepresentation or conversion? <br />6. Has your firm failed to timely pay /remit sales tax, property tax, or utility payments to <br />the City of San Marcos? <br />7. Has your firm refused to execute a contract following an award by the San Marcos <br />City Council? <br />8. Has your firm violated the anti - lobbying provisions in a current or previous City of <br />San Marcos procurement process by making contact with a member of the San <br />Marcos City Council prior to the award of a contract? If <br />so, <br />Authorized Signature <br />explain: <br />Representing to be of the Company. <br />Title <br />THIS FORM WILL BE SUBMITTED WITH YOUR PROPOSAL <br />35 <br />