1-Certification Addendum Acknowledgement Form.pdf
PDF 123 KB Posted
- Solicitation number
- RFB-25-271 - Crane, Material Handling Services and Miscellaneous Rentals (Revised)
- Issued by
- Yuma County, Arizona
About this file
This is a Certification & Addenda Acknowledgement Form issued by the City of Yuma's Procurement Division for solicitation RFB-25-271 regarding Crane, Material Handling Services and Miscellaneous Rentals. The form serves as the required certification document that responders must complete and submit to the Yuma Procurement Portal to acknowledge receipt and consideration of all solicitation documents and any addenda issued. By signing this form, the responding company certifies compliance with all solicitation requirements and confirms that an authorized representative has reviewed all materials, including any addenda posted to the City's Bonfire Procurement Portal.
The form includes certification statements requiring responders to affirm non-discrimination in employment practices in accordance with Federal Executive Order 11246 and Arizona Revised Statutes 3101461 et seq., confirm that no improper gifts, loans, gratuities, discounts, or favors have been offered to public servants in connection with the bid, and declare that the signatory has authority to bind the company to the contract. Responders are responsible for monitoring the procurement portal for any addenda, as the City will not be held responsible for failure to receive issued amendments. The form requires submission of complete company information, contact details, authorized signatory information, and execution by a person with binding authority.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 3-2CFR Section 200 Certification Fill Form.pdf | ||
| 4-Specifications.pdf | ||
| 2-Instructions, Standard Terms Conditions.pdf | ||
| 5-Special Terms and Conditions.pdf | ||
| 6-Addendum 1.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
Procurement Division
November 6, 2024
Certification & Addenda Acknowledgement Form
Solicitation addenda are posted on the City of Yuma’s Bonfire Procurement Portal identified as:
Ref #: _____________
Project: _______________________________________________________________________________
Any changes to the solicitation document will be in the form of an Addendum. It is the responsibility of the Responder to check the Yuma Procurement Portal for any addenda to the solicitation. The City will not be held responsible if a Responder fails to receive any addenda issued. Any City changes must be in writing.
Submission of Response: The undersigned representative offers and agrees to provide goods and/or services in compliance with all solicitation documents.
Offer Date: ________________________
Responder Company Name Contact Phone #
Address Printed Name
City, State, ZIP Title
Contact Email Address Signature of Person Authorized to Sign Offer
By signing above, the representative certifies:
1. The Responder company will not discriminate against any employee, or applicant for employment in violation of Federal Executive Order 11246 or A.R.S. 3101461 Et. Seq.
2. The Responder company has not given, offered to give, a loan, a gratuity, a special discount, a tip, or any favor, or service to a public servant in connection with the submitted bid.
3. The Representative signing this certification has the authority to bind the Responder to this contract.
4. The Representative’s signature confirms receipt and consideration of all information contained in any addenda.
Upload this document to the Procurement Portal for the associated solicitation.
| Ref 1: RFB-25-271 |
| Ref 2: Crane, Material Handling Services and Miscellaneous Rentals |
| Responder Company Name: |
| Contact Phone: |
| Address: |
| Printed Name: |
| City State ZIP: |
| Title: |
| Contact Email Address: |
| Date1_af_date: |
File details come from the government source that posted it. Updated .