1-Attachment B-1 - Offer Form.docx

DOCX document 29 KB Posted

Attached to
On-Call Construction Management Services
Solicitation number
262231
Issued by
Pinal County, Arizona

About this file

This is an Offer Form (Attachment B-1) for an Arizona county's On-Call Construction Management Services contract opportunity (Contract #262231SOQ). The form serves as the submission document for qualified consultants responding to the county's solicitation for on-call construction management services to be provided county-wide on an as-needed basis. Respondents must complete the form with company information, authorized signatory details, contact information, and web address. The scopes of work for on-call projects may include design, specification review, and other miscellaneous services as determined by the county.

The offer form requires respondents to certify compliance with multiple statutory and regulatory requirements, including non-discrimination provisions under Federal Executive Order 11246, Arizona State Executive Order 2009-9, and Arizona Revised Statutes 41-1461 through 1465. Respondents must also certify that no economic opportunities, future employment, gifts, loans, gratuities, special discounts, trips, favors, or services have been offered to public servants in connection with the submission. Additionally, respondents must affirm compliance with A.R.S. 41-3532 regarding electronics or information technology products and services, and A.R.S. 35-394 prohibiting the use of forced labor by respondents or their contractors or subcontractors in goods produced for the contract. Respondents must further certify that they are not debarred from or otherwise prohibited from participating in any contract awarded by federal, state, or local government. Failure to provide a valid signature or signing with false statements will result in offer rejection, contract voidance, and potential legal penalties.

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Text version

Attachment B-1 Offer Form

Submission of Offer: Undersigned hereby offers and agrees to provide goods and/or services in compliance with the solicitation and the offer, which is as indicated by the latest dated version below:

Offer Date:

X
Responder Company NameSignature of Person Authorized to Sign Offer
AddressPrinted Name and Title
City, State, ZipResponder Contact Name and Title
Web AddressContact Email AddressContact Phone #

Certification: By signature in the Offer section above, the Responder certifies:

1. The Responder shall not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, Arizona State Executive Order 2009-9 or A.R.S. §§ 41−1461 through 1465.

2. The Responder has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the offer. Signing the offer with a false statement will void the offer, any resulting contract, and may be subject to legal penalties under law.

3. The Responder certifies compliance with A.R.S. § 41-3532 when offering electronics or information technology products, services, or maintenance.

4. The Responder certifies compliance with A.R.S. § 35-394 prohibiting the use of forced labor by Responder or its contractors or subcontractors of ethnic Uyghurs in the People’s Republic of China in any goods produced in service of this contract.

5. The Responder is not debarred from, or otherwise prohibited from participating in any contract awarded by federal, state, or local government.

Contract #262231SOQ image1.png

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