1-Certification Addendum Acknowledgement Form.pdf
PDF 123 KB Posted
- Attached to
- Ammunition
- Solicitation number
- RFB-26-224
- Issued by
- Yuma County, Arizona
About this file
This is a Certification and Addenda Acknowledgement Form issued by the City of Yuma's Procurement Division on November 6, 2024, for the purchase and delivery of various pistol and rifle ammunition. The form serves as the official acknowledgment that responding vendors have reviewed all solicitation documents and any related addenda posted on the City of Yuma's Bonfire Procurement Portal. Responders are required to certify their receipt and consideration of all addenda associated with the solicitation, identified as RFB-26-224. The form requires completion of vendor contact information, including company name, authorized representative details, address, phone number, and email address.
By signing the Certification and Addenda Acknowledgement Form, the authorized representative certifies four key commitments: compliance with all solicitation documents and agreement to provide goods and/or services; non-discrimination in employment practices in accordance with Federal Executive Order 11246 and Arizona Revised Statutes Section 34-101 et seq.; that no gratuities, loans, discounts, or favors have been offered to any public servant in connection with the bid; and that the signatory has authority to bind the responding company to the resulting contract. The City of Yuma assumes no responsibility for vendors who fail to monitor the Bonfire Procurement Portal for addenda issuance, as all changes to the solicitation are made exclusively in writing through this portal.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-Specifications.pdf | ||
| 2-Instructions, Standard Terms Conditions.pdf | ||
| 3-Special Terms Conditions and Additional Requirement.pdf |
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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-26-224 |
| Ref 2: Ammunition |
| 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 .