Common use of LITIGATION STATEMENT Clause in Contracts

LITIGATION STATEMENT. CHECK ONE [ ] The undersigned firm has had no litigation and/or judgments entered against it by any local, state or federal entity and has had no litigation and/or judgments entered against such entities during the past ten (10) years. [ ] The undersigned firm, BY ATTACHMENT TO THIS FORM, submits a summary and disposition of individual cases of litigation and/or judgments entered by or against any local, state or federal entity, by any state or federal court, during the past ten (10) years. COMPANY NAME AUTHORIZED SIGNATURE NAME (PRINT OR TYPE) TITLE Failure to check the appropriate blocks above may result in disqualification of your proposal. Likewise, failure to provide documentation of a possible conflict of interest, or a summary of past litigation and/or judgments, may result in disqualification of your proposal. Xxxxx Xxxxx/Purchasing Manager Office of Purchasing March 3, 2022 To: All Known Prospective Proposers ADDENDUM NUMBER 2: Re: PD 21-22.0037, Debris Hauling Escambia County All: Your firm recently received a Request for Proposals for the above-mentioned specification. This Addendum Number 2 provides the responses to questions provided by Potential Bidders. See next page. Sincerely, Buzz Xxxxxxxxxx Sr. Purchasing Coordinator Acknowledgement of Receipt of Addendum 2: SIGNED: COMPANY: 000 Xxxxx Xxxxxxx Xxxxx, 2nd Floor •Xxxxxxxxx, Xxxxxxx 00000 X.X. Xxx 0000 • Xxxxxxxxx, Xxxxxxx 00000-0000 850.595.4980 • xxx.xxxxxxxxxx.xxx This Addendum Number 2 is furnished to all known prospective bidders. Please sign and return one copy of this Addendum, with original signature, with your bid as an acknowledgement of your having received same. You may photo-copy this form for your records. Question Set #1

LITIGATION STATEMENT. CHECK ONE [ ] The undersigned firm has had no litigation and/or judgments entered against it by any local, state or federal entity and has had no litigation and/or judgments entered against such entities during the past ten (10) years. [ ] The undersigned firm, BY ATTACHMENT TO THIS FORM, submits a summary and disposition of individual cases of litigation and/or judgments entered by or against any local, state or federal entity, by any state or federal court, during the past ten (10) years. COMPANY NAME AUTHORIZED SIGNATURE NAME (PRINT OR TYPE) TITLE Failure to check the appropriate blocks above may result in disqualification of your proposal. Likewise, failure to provide documentation of a possible conflict of interest, or a summary of past litigation and/or judgments, may result in disqualification of your proposal. Xxxxx Xxxxx/Purchasing Manager Office of Purchasing March 3, 2022 To: All Known Prospective Proposers ADDENDUM NUMBER 2: Re: PD 21-22.0037, Debris Hauling Escambia County All: Your firm recently received a Request for Proposals for the above-mentioned specification. This Addendum Number 2 provides the responses to questions provided by Potential Bidders. See next page. Sincerely, Buzz Xxxxxxxxxx Sr. Purchasing Coordinator Acknowledgement of Receipt of Addendum 2: SIGNED: COMPANY: 000 Xxxxx Xxxxxxx Xxxxx, 2nd Floor •Xxxxxxxxx•Pensacola, Xxxxxxx 00000 X.X. Xxx 0000 Florida 32502 P.O. Box 1591 • XxxxxxxxxPensacola, Xxxxxxx 00000Florida 32591-0000 1591 850.595.4980 • xxx.xxxxxxxxxx.xxx This Addendum Number 2 is furnished to all known prospective bidders. Please sign and return one copy of this Addendum, with original signature, with your bid as an acknowledgement of your having received same. You may photo-copy this form for your records. Question Set #1

LITIGATION STATEMENT. CHECK ONE [ ] The undersigned firm has had no litigation and/or judgments entered against it by any local, state or federal entity and has had no litigation and/or judgments entered against such entities during the past ten (10) years. [ ] The undersigned firm, BY ATTACHMENT TO THIS FORM, submits a summary and disposition of individual cases of litigation and/or judgments entered by or against any local, state or federal entity, by any state or federal court, during the past ten (10) years. COMPANY NAME AUTHORIZED SIGNATURE NAME (PRINT OR TYPE) TITLE Failure to check the appropriate blocks above may result in disqualification of your proposal. Likewise, failure to provide documentation of a possible conflict of interest, or a summary of past litigation and/or judgments, may result in disqualification of your proposal. Xxxxx Xxxxx/Purchasing Manager Office of Purchasing March 3, 2022 To: All Known Prospective Proposers ADDENDUM NUMBER 2: Re: PD 21-22.0037, Debris Hauling Escambia County All: Your firm recently received a Request for Proposals for the above-mentioned specification. This Addendum Number 2 provides the responses to questions provided by Potential Bidders. See next page. Sincerely, Buzz Xxxxxxxxxx Sr. Purchasing Coordinator Acknowledgement of Receipt of Addendum 2: SIGNED: COMPANY: 000 Xxxxx Xxxxxxx Xxxxx, 2nd Floor •Xxxxxxxxx•Pensacola, Xxxxxxx 00000 Florida 32502 X.X. Xxx 0000 1591 • XxxxxxxxxPensacola, Xxxxxxx 00000Florida 32591-0000 1591 850.595.4980 • xxx.xxxxxxxxxx.xxx This Addendum Number 2 is furnished to all known prospective bidders. Please sign and return one copy of this Addendum, with original signature, with your bid as an acknowledgement of your having received same. You may photo-copy this form for your records. Question Set #1