1-Affirmation_and_disclosure_form_-_Trip_bid_1.pdf

PDF 121 KB Posted

Attached to
Competitive Selection OH|DOT05525-45
Contract number
DOT05525-45
Issued by
Ohio

About this file

This document is an Affirmation and Disclosure Form related to a state and local contract, specifically for Tuscarawas County, Ohio. The form appears to be part of a contract or bid process involving an indefinite delivery vehicle, with multiple sections indicating various contract-related declarations and acknowledgments. The form is associated with the Sourcewell Cooperative Purchasing Contract and involves considerations for contract performance, service provisions, and potential contract extensions.

The document suggests this is a contract with potential multi-state applicability, where vendors must affirm their eligibility, compliance, and willingness to provide services under the contract terms. While specific pricing details are not explicitly outlined in this form, the document indicates that contract services can be utilized by various governmental entities and subcontractors. The form includes multiple sections for declaring contract capabilities, including areas marked for "Applicable" or "Not Applicable" status across different contract aspects. The contract appears designed to provide flexibility for governmental purchasing, with provisions for potential service expansions and cooperative purchasing arrangements.

View the file

Other files

File Type Posted
1-TRIP_BID_-_Rosenberry_Towing_1.xlsx XLSX spreadsheet
055-25__2_.pdf PDF
Signature__4___1___002_.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

(dr7 e1e1g I13) t99?y orL{o 'erqdlapelrqd /naN

(dr7'a1e1g'[1r3'sserppy) alqecrlddv ]oN (drz alels {1r3 ssalppy) elqecrlddv ]oN

(dtZ'atets 'IltC)

(ssarppy)

=N 60 olnou alels /rtL

JolceJluoc Iq 'pa1ecol aq llt/m elep alels elaqM uolleeol 0

(atuep) atqEcrtddv ioN (aLuep)

(aLuep) olqecrlddv ]oN (s)rolcerluocqns lo sseursnq Jo uorleeol ledrcur:67euep

(ssarppv) atqecrtddv ]oN alqecrlddv loN (s)rolcerluocqns Aq pauurolred eq 11tm sacrrues ereqM uotlecol/auleN

(drZ'elelS 'r(trC) (sse:ppy) oil..lo '^luno3 sBMerecsnl B L L auoz dlul :rolceJluoc ,iq peLuropad aq llrM sectrues eJeq/v\ uotlecol

(drz elels r(1r3 ssarppy) (eLuep) alqecrtddv loN

(dr7 egelg r(1r3 ssarppy) olqectlddv loN t ggw or Ljo' er Lldlapelr Lld /v\aN f N 6t alnou alels /rtL JoigeJluoC Jo ssaursnq lo uorlegol ledrguud

'erssnu ur pauropad aq llrm ]cerluoC sr.ll rapun srolcelluocqns slr ro rolceJluoo oLl] Jo sacrrues ou 6ururrrge ']cerluoC srql 1o ped e seuroceq pue peierodLocur sr r.lcrr.lm 'AZ0-ZZ0Z repJ6 e^rlncexf Llllm aprqe o] 'uJol a.rnsolcsrO pue uorleurrgv rolcerluocqnS/JolceJluoC 'll ]lq!qxf peqce]]e eq] alalduoc o1 sea:6e.rolceJluoO atll lcelluoC slqt ul .l_OCO o1 papraotd satpeuler pue siq6r-r -raq1o ,(ue a^reM Iou seop IOCO .leplo a^rlneexf sl11] jo uorlelor^ ur erssnU ur sr-uropad JolcerluoC eql sec!rues Jol pred spunl r(ue .reloceJ oi ]q6u aq] saruasar IOCO ']ceJluoC sl11] Jo stuJa] Jaqlo ,{ue 6urpuelsqyM}oN orqO lo elels eq] ^q sacrrues eroqs#o ;o aseqcrnd eq1 sapnlcard ,(11eraue6 qolLlM CZ L-6 LOZ repJO e^rlncaxl uodn spuedxa pue o] uoryppe ur sr uorlrqrqold srql suorlnlrJsur ro sarueduoc uerssnU uloJJ sacrruas 1o eseqcrnd eql LUoJJ palrqrqord are sarcuabe alels lle 'JepJO anllncaxj s!q] o] ]uens.rnd ]ceJluoC srq] Jo acueurroped aql ur slueuarrnber asoql Iq aprqe lleqs pue OZO-ZZOZ reprO e^rlncaxf spuelsrepun pue pee.r e^eLl o) sLrtrge rolcerluoC oL1l 'sNotrnttsNr uo ssrNVdwoc NVrssnu As o3NuoJU3d s3crAUss No soNnJ cr-r8nd Jo 3unJoN3dxs

'seceds aleudordde aqi u r ,,a;qec r;ddv lo N,, aleorpur 'srolcerluocqns 6ursn eq iou lpm ,roicerluo3 eql jl preme ou ut ]lnseJ ,{er-u uorleu-uo;ur srql eprnord o} ernlrel luauJqceue Iq ro molaq peprnord saceds eql ur pa}e9ol sr e}ep eraqM pue peiutoped eq llrm lcerluoC srql lepun secrn.res eraqm (s)uorlecol pue (s)aueu atll lle aprnord lleLls JolceiluoC eqf

'paurepe uaeq seq elels eL{} urorlrelrem peuOrs,{1np e ssalun se}e}S pa}run aq}Jo eprs}no (palecol),{le}oLuel elqelre^e apeL! ro parols'dn-pe>1ceq 'peure}ureur 'pe}se}'passacce 'ua)ie}'}ues eq o} e}ep e}e}S Molle

]ou 'seiels pelrun aLl] lo aprslno lceiluoC srql :epun palsanbe: socrruas ou r.uropad lleqs sJolceJluocqns slr 1o r(ue pue rolcelluoC aql Llloq'lcerluoc e papJemelr ]eLll spuelsJapun pue surUleJolcerluo3 eLll'oleraq paxr$e arnleu6rs aql [E l tuol 3unsotcslo oNV NorrvlflurJlv gzoz-o0-e 'a]ta lueplsaJd el]11 fu.raquasog ropuexolv :eLleN ]urrd arnleuDrg

0urmol furequasog

(orurno=u sr 3unrvNers ''tvNtctuo NV)

-er-uep ,(uedr-uo3

'uraJeq] palelod.rocur sr pue alels aql LlllM oiur ralua r(eu rolcerluoc ]eLl] lceJluoc /(ue lo ued e sr L.uJol slLll ]eq] pueisrepun pue peeJ o^eLl pue L.urol elnsolcsro pue uorleurlJlv s!ql alncexe o] pazrJoLilne,(1np Lue lleql e6palmou)jce | 'JolcPJluoc aqlJolleLleq uo salels palrun aql aprslno secrrues aq1 uropad olJolceJluoC eq1 ,(q paurelie ueeq seLl elets elll r.uorlranrervr pauOrs

Alnp e sselun 'lcerluoc arl] aleurtuJa] r(lalerpauur o] ]q6u eq] seLl elels aLlI secrruas slr ,ro uorlecol ur UrL.ls Jo a6ueqc qcns r(ue 1o ,(lalerpaLur-ur elels aLll !r1ou os ;;eqs 1r saaroe JolcelluoS .alels eqt Lllr/v\ lceJluoc ,(ue 1o uorlncaxa Jaue pue 6uunp 'arolaq srolce:luocqns slr ro JolceJlu03 riq pauropad seorues Jo uorlecol ur Urqs ..ro a6ueqc r{ue alegg aq1 ol esolcstp o1 r(1np e Japun eJe sJolcerluocqns slr pue JolseJluoc }eq} saar6e pue spuelsJepun 'sur]ule osle .lolcerluoc

(dr7'a1e1g',{1r3'ssarppy) (euep) elqecrlddv loNelqecrlddv ]oN (dr7'aleig',(1r3'ssarppy) (aLuep) olqesrlddv loN

(dr2'a1e1g'41r3'sserppy) alqecrlddv loN

(eLueg) atqecrtddv loN otqecrtddv loN

(s)ro]oelluocqns Aq palecol aq llrM eiep alels aJeqm (s)uorlecolTatuep

File details come from the government source that posted it. Updated .