1-8. Section H (40).doc

H. PROPOSAL FORM

I, we ______________________________________ agree to perform the services requested in accordance with the attached Statement of Work for the following:

References Please provide the name, address and telephone number of three references for whom the offeror performed work substantially similar to that required by the solicitation. Performance surveys (included in package) must be completed and accompany bids responses in separately sealed envelopes.

List all items, other than the required proposal form and certifications, included as part of the offeror’s proposal:

Acknowledgement of Amendments

The offeror hereby acknowledges the receipt of and obligation to perform pursuant to the following addenda to this RFP:

Addendum No.

dated

Addendum No.

dated

Addendum No.

dated

Binding Contract

The offeror acknowledges and agrees that no contract shall exist until signed by both parties, except that Section F.3 (Proposal Security) shall be binding on the offeror in accordance with its terms prior to the execution of a contract. In addition, until an agreement is signed by both parties, PHA may rescind any recommendation of award and the offeror will be deemed to have waived any and all rights to obtain a contract with PHA or seek damages against PHA.

Name of Offeror:

Federal Tax Identification Number

(if applicable)

State of incorporation

Philadelphia Business A/C Number

Social Security Number

(if offeror is an individual)

Official Address:

Signature:

Print Name and Title:

Date:

Witness:

PLACE CORPORATE SEAL HERE

IF A CORPORATION

H-1