1-Contract Forms.pdf
PDF 147 KB Posted
- Attached to
- Water, Sewer, and Stormwater Comprehensive Cost of Service and Utility Rate Design Study
- Solicitation number
- RFP-26-001(WSD)
- Issued by
- Delaware County, Ohio
About this file
This is a contract forms document for the City of Westerville, Ohio, related to a Water, Sewer, and Stormwater Comprehensive Cost of Service and Utility Rate Design Study. The City of Westerville is soliciting proposals from professional services providers with demonstrated experience in water, sewer, and stormwater utility rate design studies to perform a comprehensive analysis of the full cost of providing these services, including ongoing operating and capital replacement and expansion needs. The consultant shall deliver findings that can serve as a basis for making informed policy decisions regarding fees and rates and establish the appropriate level of future revenues needed to cover operating and capital costs. The rate analysis should focus on the City's needs over the next five years, with projections and financial models extending through the next ten years.
The document contains standard bidding affidavits and certifications required for submission, including a Noncollusion Affidavit in which bidders attest that their bid is genuine, not collusive, and that they have not engaged in any improper coordination with other bidders or attempted to fix pricing or secure unlawful advantages. Additionally, bidders must complete a Personal Property Tax Affidavit certifying their delinquent personal property tax status in Franklin and Delaware Counties, Ohio, with the affidavit to be incorporated into the contract. No specific pricing information, set-asides, incumbent contractor details, award dates, or contract term details are provided in this forms document.
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Text version
NONCOLLUSION AFFIDAVIT
State of:
County of:
BID Identification: Water, Sewer, and Stormwater Comprehensive Cost of Service and Utility Rate Design Study
CONTRACTOR:
Being first duly sworn, deposes as says that he/she is:
of (sole owner, a partnership, president etc.) (name of company) the party making the foregoing BID; that such BID is not made in the interest of or on behalf of any undisclosed person, partnership, company, association, organization, or corporation; that such BID is genuine and not collusive or sham; that said BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham BID, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to put in a sham BID, or that anyone shall refrain from bidding; that said BIDDER has not in any manner, directly or indirectly, sought by agreement, communication or conference with anyone to fix the BID price of said BIDDER or of any other BIDDER, or to fix any overhead, profit, or cost element of such BID price, or of that of any other BIDDER, or to secure any advantage against the OWNER awarding the Contract or anyone interested in the proposed Contract; that all statements contained in such BID are true; and, further, that said BIDDER has not, directly or indirectly, submitted his BID price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid and will not pay any fee in connection therewith, to any corporation, partnership, company, association, organization, BID depository, or to any member or agent thereof, or to any other individual except to such person or persons as have a partnership or other financial interest with said BIDDER in its general business.
Signed:
Subscribed and sworn to before me this
Day of , 20
Seal of Notary
PERSONAL PROPERTY TAX AFFIDAVIT
Re:
To:
FOR
THE CITY OF WESTERVILLE, OHIO
(SECTION 5719.042 ORC)
Water, Sewer, and Stormwater Comprehensive Cost of Service and Utility Rate Design Study
Director of Finance, City of Westerville, Ohio
State of:
County of:
By (Bidder):
Address:
Affiant:
Title:
being first duly sworn, says that on , it (check at left of paragraph 1 or 2; if 2, fill in the appropriate data):
1. Was not charged with any delinquent personal property taxes on the general tax list of personal property of Franklin and Delaware Counties
2. Was charged with delinquent personal property taxes on the general tax list of personal property of Franklin and/or Delaware Counties and the amount due and unpaid delinquent taxes, penalties, and interest are:
Tax Penalties Interest
FRANKLIN COUNTY $ $ $
DELAWARE COUNTY $ $ $
That this Affidavit shall be incorporated into the Contract between the undersigned and the City of Westerville.
Signed:
Subscribed and sworn to before me this
Day of , 20
Seal of Notary
| Personal Property Tax Affidavit.pdf |
| Re: Workers’ Compensation Self-Insurance Services (RFP-17-001(DAS-HR)) |
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