1-Acknowledgment Form.pdf

122 KB Posted

Attached to
Musical Instrument Repairs
Solicitation number
26-09202
Issued by
Missouri

About this file

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This Acknowledgement Form is a certification document for the Rockwood School District Fine Arts Department's Request for Proposal for musical instrument repairs in Missouri. The form serves as a proposer's declaration of understanding and agreement to comply with all terms, conditions, requirements, and specifications of the RFP and any associated addenda. Proposers must complete sections identifying their company information, including company name, representative details, contact information, years of operation, and officer names and titles. The form requires acknowledgment of receipt of all addenda issued by the contracting agency, with spaces to record addendum numbers and dates of issuance and acknowledgment. Proposers must certify that they have read and agree to the RFP terms and conditions, and that their proposal will remain open for at least 90 days from the submission deadline.

The form does not specify pricing structures, award amounts, or contract duration details. It functions primarily as a compliance and acknowledgement mechanism rather than a pricing or terms document. Proposers are required to sign and date the form, with provisions for multiple company officers to acknowledge receipt of addenda. This document is a standard component of the RFP process and does not contain information regarding set-asides, incumbent contractors, funding sources, or other financial or logistical specifics related to the musical instrument repair services being solicited.

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ACKNOWLEDGEMENT FORM

The Proposer hereby declares understanding, agreement, and certification of compliance to provide the items and/or services at the prices quoted in accordance with all terms and conditions, requirements, and specifications of the original Request for Proposal (RFP) and as modified by any addenda.

Company Name Representative's Name Title

Address City/State/Zip Telephone # Fax #

E-mail Address

Years in Operation Years under current structure and/or under previous structure

1) Name of Company’s Officers:

NAME TITLE

2) The undersigned hereby acknowledges the receipt of the following addenda:

Addendum Number

Date Issued

Date Acknowledged

Signature

3) The undersigned hereby acknowledges that the Company has read and agrees to the terms and conditions set forth in the RFP and that the terms and conditions set forth in the Proposal will remain open for at least 90 days from the deadline for submission of Proposals.

Company Officer’s Name

Signature Date

NAME 1:
NAME 2:
NAME 3:
NAME 4:
TITLE 1:
TITLE 2:
Number 1:
Number 2:
Number 3:
Date Issued 1:
Date Issued 2:
Date Issued 3:
Acknowledged 1:
Acknowledged 2:
Acknowledged 3:
Acknowledged 4:
Company Name, Representative's Name, Title:
Address, City/State/Zip, Telephone #, Fax #:
E-mail Address:
Years in Operation, Years under current structure and/or under previous structure:
Company Officer's Name:
Signature Date:
Number 4:
Date Issued 4:
TITLE 3:
TITLE 4:

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