1-RFC Bidder Cover Summary Fillable PDF (2).pdf

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Attached to
SLCo FAC134391 Ammonia Supplies and Services RFC
Solicitation number
SLCoFAC134391-RFC
Issued by
Salt Lake County, Utah

About this file

This is a Request for Bids (RFC) Bidder Cover Summary form for Salt Lake County, Utah, specifically for Facilities Management's Mechanical Operations division. The RFC seeks bids for ammonia supplies and services required at the county's ice rink facilities, including ammonia refrigerant oil, Frick/Vilter compressor parts, ammonia refrigeration system components, controls, backup service, scheduled preventative maintenance, repair services, and emergency services. The form serves as the official bid submission document that requires suppliers to provide their legal name, any doing-business-as (DBA) designation, ordering address, contact person information, telephone number, and email contact. Bidders must certify the accuracy and completeness of their submission and confirm they possess legal authority to commit their company to a contractual agreement.

The form includes signature blocks for both the supplier's authorized representative and Salt Lake County's Mayor or designee, with fields for execution date and position or title. The document specifies that final funding for any services is contingent upon funding level availability and approval by the Salt Lake County Mayor. This cover summary serves as the binding certification mechanism for the competitive bidding process and becomes part of the executed contract upon award. No specific pricing information, set-aside provisions, incumbent contractor details, contract term, renewal options, or funding amounts are detailed within this particular form, as it functions solely as the standardized bid submission and authorization document.

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Text version

Request for Bids Resulting Contract (RFC)

Legal Supplier Name

DBA (if applicable)

Ordering Address

City State Zip Code

Supplier Contact Person Telephone Number

Supplier E-mail Contact

I certify that to the best of my knowledge the information contained in this bid is accurate and complete and that I have the legal authority to commit this Supplier to a contractual agreement. I realize the final funding for any service is based upon funding levels and the approval of the Mayor for Salt Lake County.

Supplier Authorized Representative

Date

Position or Title

Electronic Signature acceptable for electronic submission.

IN WITNESS WHEREOF, the Parties have executed this agreement this ______ day of _______________, 20___.

X

SALT LAKE COUNTY

Mayor or Designee

Legal Supplier Name:
DBA if applicable:
Ordering Address:
City:
State:
Zip Code:
Supplier Contact Person:
Telephone Number:
Supplier Email Contact:
Supplier Authorized Representative:
Date:
Position or Title:

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