1-Attachment C - Respondent Certification Form.docx

DOCX document 24 KB Posted

Attached to
Levi's Stadium Architectural and Engineering Professional Services
Solicitation number
RFSOQ FY26-0094
Issued by
Santa Clara County, San Francisco City, California

About this file

This is a Respondent Certification Form for Levi's Stadium, a state and local contract opportunity in Santa Clara, California, requiring architectural and engineering professional services. The Stadium Manager is seeking qualified firms to establish an on-call service agreement bench for multi-year engagement at Levi's Stadium located at 4900 Marie P. DeBartolo Way. Respondents must submit Statements of Qualifications (SOQs) demonstrating their capability to provide professional architectural and engineering services as detailed in the Scope of Services (Attachment A). The work will be performed on an as-needed basis under task orders issued by the Stadium Manager.

The certification form requires respondents to affirm compliance with non-collusion, non-debarment, and non-discrimination requirements under federal, state, and local law, including employment practices and protected class considerations. Respondents must certify that all information provided in the SOQ is accurate, that no unauthorized information was received during the RFSOQ period, and that only approved deviations and exceptions are included. The form requires authorized representatives to sign based on the respondent's entity type (individual, partnership, corporation, limited liability company, or joint venture), with provisions for multiple signatory lines. Submission of the completed certification form constitutes representation that the respondent has thoroughly investigated all aspects of the RFSOQ and understands its procedures and requirements.

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Text version

ATTACHMENT C

RESPONDENT CERTIFICATION FORM

ATTACHMENT C

RESPONDENT CERTIFICATION FORM

Responding Firm Name:

Address:

Telephone:

Facsimile:

E-mail:

Contact person name and title:

RESPONDENT REPRESENTATIONS

1. Respondent did not, in any way, collude, conspire or agree, directly or indirectly, with any person, firm, corporation or other Respondent in regard to the amount, terms, or conditions of this SOQ.

2. Respondent additionally certifies that neither Respondent nor its principals are presently disbarred, suspended, proposed for disbarment, declared ineligible or voluntarily excluded from participation in this transaction by any federal department or agency, any California State agency, or any local governmental agency.

3. Respondent acknowledges that all requests for deviations, exceptions, and approved equals are enclosed herein and that only those deviations, exceptions, and approved equals included in the RFP document or permitted by formal addenda are accepted by the Stadium Manager.

4. Respondent did not receive unauthorized information from any Stadium Manager staff member or Stadium Manager Consultant during the RFSOQ period except as provided for in the RFSOQ package, formal addenda issued by the Stadium Manager, or the any pre-SOQ conference.

5. As suppliers of goods or services to the Stadium Manager, Respondent and individuals listed below certify that they do not discriminate in employment of any person because of race, sex, color, religion, religious creed, national origin, ancestry, age, gender, marital status, physical disability, mental disability, medical condition, genetic information, sexual orientation, gender expression, gender identity, military and veteran status, or ethnic background; and that they are in compliance with all Federal, State and local laws, directives and executive orders regarding nondiscrimination in employment.

6. Respondent hereby certifies that the information contained in the SOQ and all accompanying documents is true and correct.

7. Please check the appropriate box below:

|_| If the SOQ is submitted by an individual, it shall be signed by him or her, and if he or she is doing business under a fictitious name, the SOQ shall so state.

|_| If the SOQ is submitted by a partnership, the full names and addresses of all members and the address of the partnership, the full names and addresses of all members and the addresses of the partnership, the full names and addresses of all members and the address of the partnership shall be stated and the SOQ shall be signed for all members by one or more members thereof.

|_| If the SOQ is submitted by a corporation, it shall be signed in the corporate name by an authorized officer or officers.

|_| If the SOQ is submitted by a limited liability company, it shall be signed in the corporate name by an authorized officer or officers.

|_| If the SOQ is submitted by a joint venture, the full names and addresses of all members of the joint venture shall be stated and it shall be signed by each individual.

By signing below, the submission of a SOQ with all accompanying documents shall be deemed a representation and certification by the Respondent that they have investigated all aspects of the RFSOQ, that they are aware of the applicable facts pertaining to the RFSOQ process, its procedures and requirements, and that they have read and understand the RFSOQ.

Authorized Representative Name (print name):

Authorized Representative Signature (sign name):

Authorized Representative Title (print title):

Complete additional signatures below as required per # 7 above

Authorized Representative Name (print name):

Authorized Representative Signature (sign name):

Authorized Representative Title (print title):

Authorized Representative Name (print name):

Authorized Representative Signature (sign name):

Authorized Representative Title (print title):

Attachment C Page 3 of 3 Proposer Certification Form

RFSOQ FY26-0094

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