00 41 16-1 Signature Page Individual.pdf

PDF 334 KB Posted

Attached to
2027 Sewer System Improvements Project
Solicitation number
Not on record
Issued by
Dauphin County, Harveys Lake Borough, Pennsylvania

About this file

This is a bid proposal signature page template document for Capital Region Water (CRW) in Pennsylvania, providing standardized signature formats for four distinct bidder entity types: individual proprietors, partnerships, corporations, and limited liability companies (LLCs). The document serves as the official execution page for sealed bids submitted through the PennBid Procurement Portal and includes required fields for bidder identification, tax identification numbers, business addresses, and authorized representative signatures. Each entity type section contains specific attestation requirements, with corporations and LLCs requiring additional documentation such as corporate resolutions or operating agreements to verify signatory authority. For partnerships, the form requires listing all partners' names and addresses, with provisions for additional pages if more than four partners exist. Individual proprietors must declare whether any fictitious or trade names have been registered under Pennsylvania law, while entities organized outside Pennsylvania must confirm whether they have obtained or applied for a certificate of authority to conduct business in the Commonwealth.

The signature page template does not contain pricing information, set-asides, incumbent vendor details, or other contract-specific terms, as it functions solely as a standardized execution document. All entity types must provide tax identification numbers and comply with Pennsylvania-specific business registration requirements. For corporations and LLCs organized outside Pennsylvania that have not obtained certificates of authority, the form requires attachment of pending application copies if applicable. The document emphasizes that representatives other than specified officers (such as presidents or secretaries for corporations) must provide valid corporate resolutions or equivalent authority documentation dated prior to or concurrent with bid submission. This signature page applies broadly to all Capital Region Water procurement opportunities, including the referenced 2027 Sewer System Improvements Project and other sealed bid solicitations.

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Text version

00 41 16 Bid Proposal Signature Page

For Use When the Bidder is an Individual Proprietor

Name of Bidder (Printed)

Witness (Signature of Individual)

Trading and doing business as*

Business Address

Tax Identification Number

*If fictitious or trade name is employed in conduct of business, complete, by deletion as appropriate, the following statement:

Foregoing fictitious or trade name (has) (has not) been registered by the individual proprietorship under Pennsylvania Law.

For Use When the Bidder is a Partnership

(Name of Partnership)

Name of General Partner (Printed)

By: ___________________________________

General Partner

Witness

Business Address

The partners constituting the partnership herein named are:

Partner Address

[Add additional lines for the names and addresses of additional Partners, if there are more than four Partners in the Partnership, by attaching an additional page or pages to this Bid.]

*If fictitious or trade name is employed by the partnership in conduct of its business, insert name here:

Next, complete, by deletion as appropriate, the following statement:

Foregoing fictitious or trade name (has) (has not) been registered by the partnership under

Pennsylvania Law.

For Use When the Bidder is a Corporation

[Name of Contractor]

(Print Name of Corporation)

Attest: ______________________ By: ____________________________

Signature of Secretary, Assistant Signature of President, Vice

Secretary, Treasurer, Assistant President or other authorized

Treasurer or other authorized representative* representative**

(Print name of representative) (Print name of representative)

Tax Identification Number __________________________

* If a representative other than the President or a Vice President of the Corporation signs this Bid on its behalf, then attach a valid corporate resolution or other appropriate proof, dated prior to or as of the date of the Bid, evidencing authority to execute this Bid on behalf of the Corporation.

** If a representative other than the Secretary, an Assistant Secretary, the Treasurer or an

Assistant Treasurer attests to the signature of the corporate representative, then attach a valid corporate resolution or other appropriate proof, dated prior to or as of the date of the Bid, evidencing authority to attest to the execution of this Bid on behalf of the Corporation.

(1) Complete the following statement:

The Corporation has been organized and is existing under laws of the State/Commonwealth of ___________________________________________

(2) If Corporation has been organized under laws of a State other than those of the Commonwealth of Pennsylvania, complete, by deletion as appropriate, the following statement:

The Corporation (has) (has not) been granted a certificate of authority to do business in the

Commonwealth of Pennsylvania under applicable laws.

(3) If Corporation has been organized under laws other than those of the Commonwealth of

Pennsylvania and has NOT been granted a certificate of authority, complete, by deletion as appropriate, the following statement:

The Corporation (has) (has not) applied for a certificate of authority to do business in the

Commonwealth of Pennsylvania and (has) (has not) attached a copy of the pending application to this Bid.

For Use When the Bidder is a Limited Liability Company

(Print Name of Limited Liability Company)

Attest:___________________________ By: _______________________________

Signature of an authorized representative* Signature of an authorized representative**

* The individual attesting verifies and represents that the person whose signature is affixed to this Bid on behalf of the Limited Liability Company (LLC) is duly authorized in accordance with the representations hereafter set forth.

** Check the box which applies to this Bid:

The Certificate of Organization provides that LLC is to be managed by managers, and this Bid has been executed by a Manager fully authorized by the Certificate, by the Operating Agreement and by Resolutions of the LLC. Copies of the relevant documents are provided with the Bid or can be provided upon request within three (3) working days.

The Certificate of Organization does not provide that LLC is to be managed by managers, and this Bid has been executed by a Member fully authorized by the Certificate, by the Operating

Agreement and by Resolutions of the LLC. Copies of the relevant documents are provided with the

Bid or can be provided upon request within three (3) working days.

This Bid has been executed by a representative of the LLC who is not a Manager or a Member of the LLC, and instead who holds the office of ______________________ (insert title), and the execution of this Bid is fully authorized by the Certificate, by the Operating Agreement and by

Resolutions of the LLC. Copies of the relevant documents are provided with the Bid or can be provided upon request within three (3) working days.

The Bidder and the individuals signing and attesting to the execution of this document further represent that (1) execution of the Bid is carrying on business in the usual way; (2) the LLC authorizes the execution of this Bid even if execution and submission of this Bid is not carrying on business in the usual way for the LLC; and (3) to the best of the individuals’ information and belief, the Owner has no knowledge of the Member’s or the Manager’s lack of actual authority, or of any applicable and relevant restriction on his or her authority.

Complete the following statement: The LLC has been organized and is existing under laws of the

State/Commonwealth of ____________ .

If the LLC has been organized under laws of a State other than those of the Commonwealth of

Pennsylvania, complete, by deletion as appropriate, the following statement: The LLC (has) (has not) been granted a certificate of authority to do business in the Commonwealth of Pennsylvania under applicable laws.

If the LLC has been organized under laws other than those of the Commonwealth of Pennsylvania and has NOT been granted a certificate of authority, complete, by deletion as appropriate, the following statement: The LLC (has) (has not) applied for a certificate of authority to do business in the Commonwealth of Pennsylvania and (has) (has not) attached a copy of the pending application to this Bid.

00 41 16-2 Signature Page Partnership
00 41 16-3 Signature Page Corporate
00 41 16-4 Signature Page LLC

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