1-Certification Addendum Acknowledgement Form.pdf
PDF 141 KB Posted
- Attached to
- Biohazard Cleanup and Remediation Services
- Solicitation number
- RFB-26-309
- Issued by
- Yuma County, Arizona
About this file
This document is a Certification & Addenda Acknowledgement Form issued by the Procurement Division of the City of Yuma, Arizona, for the solicitation of Biohazard Cleanup and Remediation Services (RFB-26-309). The form serves as the official acknowledgement that responders have reviewed all solicitation documents and any posted addenda. Responders are required to certify receipt and consideration of all addenda issued through the City of Yuma's Bonfire Procurement Portal, as the City assumes no responsibility for responders who fail to receive amendments. The form requires submission of the responder's company name, authorized representative contact information, offer date, and signature of the person with authority to bind the company to the contract.
By executing this certification form, responders attest to compliance with Federal Executive Order 11246 and Arizona Revised Statutes Section 34-226, confirming non-discrimination in employment practices and absence of improper gifts or inducements to public servants in connection with the bid submission. The form must be uploaded to the Procurement Portal for the associated solicitation and serves as binding evidence that the signatory has the authority to represent the bidding company and has acknowledged all contractual requirements and modifications to the original solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2-Special Terms Conditions and Additional Requirement.pdf | ||
| 3-Specifications.pdf | ||
| 4-Instructions, Standard Terms Conditions.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-26-309 |
| Ref 2: Biohazard Cleanup and Remediation Services |
| 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 .