1-Attachment B-1 - Offer Form.docx

DOCX document 30 KB Posted

Attached to
Accounting Services
Solicitation number
260930
Issued by
Pinal County, Arizona

About this file

This is an Offer Form submission document for Pinal County, Arizona, related to a Request for Quotation (RFQ #260930) for accounting services. The form serves as the official vehicle for contractors to submit their offers to provide assurance and/or consulting services on an as-needed basis. The document requires respondents to provide their company name, authorized signatory information, contact details, and web address, establishing the essential identification and communication information necessary for contract consideration.

The offer form includes mandatory certifications that respondents must acknowledge by signature, including compliance with federal and Arizona state non-discrimination requirements, prohibition against providing economic opportunities or gifts to public servants, compliance with electronics and information technology standards under Arizona Revised Statutes 41-3532, adherence to forced labor prohibitions specific to Uyghur labor in the People's Republic of China as outlined in A.R.S. 35-394, and confirmation that the respondent is not debarred from federal, state, or local government contracts. The form emphasizes that submission of a false certification will void the offer and any resulting contract and may subject the respondent to legal penalties.

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Other files

File Type Posted
7-Submission Instructions - 260930.docx DOCX document
8-Attachment A - Scope of Work (SOW).docx DOCX document
6-Attachment C - Draft Contract.docx DOCX document
10-260930RFQ - OPEN FIRST.docx DOCX document
2-Attachment B-2 - Addendum Acknowledgement Form.docx DOCX document
9-260930RFQ - OPEN FIRST.docx DOCX document
5-Attachment B-6 Pricing Document.docx DOCX document
4-Attachment B-4 - Supplier Contact Information.docx DOCX document
3-Attachment B-3 - Conformance Statements.docx DOCX document

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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 #260930RFQ image1.png

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