1-RFEI 26-501 - Proposal Form 1 - Transmittal Letter.pdf

R F E I 2 6 - 5 0 1 / D L P a g e | 24

PROPOSAL FORM 1 – TRANSMITTAL LETTER

TRANSMITTAL LETTER

(To be typed on PROPOSER’S Letterhead)

[Date]

Diane LeRay, CPPO, CPPB Purchasing Services Solid Waste Authority of Palm Beach County 7501 North Jog Road West Palm Beach, FL 33412

Dear Ms. LeRay:

______________________________ (PROPOSER) hereby submits its Proposal in response to the Request for Expression of Interest (RFEI) No.: 26-501/DL for PHONE SYSTEM REPLACEMENT issued by the Solid Waste Authority of Palm Beach County (AUTHORITY).

As a duly authorized representative of the PROPOSER, I hereby certify, represent and warrant, on behalf of the PROPOSER team, as follows in connection with the Proposal:

1. The PROPOSER acknowledges receipt of the RFEI and all Addenda by virtue of signing the Vendor

Acknowledgement Form.

2. The submittal of the Proposal has been duly authorized by, and in all respects is binding upon, the

PROPOSER.

3. All information and statements contained in the Proposal are current, correct and complete, and are made with full knowledge that the AUTHORITY will rely on such information and statements in qualifying

PROPOSER.

4. The PROPOSER certifies under penalties of perjury that the RFEI has been prepared and is submitted in good faith without collusion, fraud or any other action with any other person taken in restraint of free and open competition for the services contemplated by the RFEI. As used in this Proposal Form, the word “person” shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals.

5. The PROPOSER is not currently suspended or debarred from doing business with any governmental entity.

6. The PROPOSER has reviewed all of the engagements and pending engagements of the PROPOSER, and no potential exists for any conflict of interest or unfair advantage.

7. No person or selling agency has been employed or retained to solicit the award of the Agreement under an arrangement for a commission, percentage, brokerage or contingency fee or on any other success fee basis, except bona fide employees of the PROPOSER.

R F E I 2 6 - 5 0 1 / D L P a g e | 25

8. The principal contact person who will serve as the interface between the AUTHORITY and the PROPOSER for all communications is:

Name:

Title:

Mailing Address:

Phone:

Fax:

E-mail:

The PROPOSER has carefully examined all documents constituting the RFEI and the addenda thereto and, being familiar with the work and the conditions affecting the work contemplated by the RFEI and such addenda, offers to furnish all labor, materials, supplies, equipment, facilities and services which are necessary, proper or incidental to carry out such work as required by and in strict accordance with this RFEI and the Proposal. Please note that the AUTHORITY prefers digital signatures, however, scanned PDFs of wet signatures are acceptable.

Name of Proposer

Print Name of Designated Signatory

Signature

Title

State of

County of

On this ___________ day of _______________, 20____, before me appeared _______________________________ personally known to me to be the person described in and who executed this ________________________________ and acknowledged that (she/he) signed the same freely and voluntarily for the uses and purposes therein described.

In witness thereof, I have hereunto set my hand and affixed my official seal the day and year last written above.

Signature

Notary Public in and for the State of

(Affix Seal here) (Name printed)

Residing at

My commission expires

R F E I 2 6 - 5 0 1 / D L P a g e | 26

CERTIFICATE OF CORPORATE AUTHORITY

I, _________________________________, certify that I am the Secretary of the corporation named as CONSULTANT in RFEI No.: 26-501/DL ____________; that __________________________________ who signed the said Contract on behalf of the CONTRACTOR, was then __________________________ of said corporation; that I know the seal of said corporation; that said seal has been affixed to this Contract; and that it was so affixed by order of said official of the Corporation; that I know his/her signature, and such signature hereto is genuine; and that he/she signed this Contract by authority of the directors of said Corporation.

Dated this _____ day of ________________, 20_____

Corporate Secretary

(Corporate Seal)

R F E I 2 6 - 5 0 1 / D L P a g e | 27

ACKNOWLEDGMENT OF CONTRACTOR, IF A PARTNERSHIP

State of _____________________

SS:

County of ___________________

On this _________ day of ________________________, 20_____, before me personally came and appeared ___________________________________, to me known, and known to me to be one of the members of the firm of __________________________________________________ described in and who executed the foregoing instrument and he/she acknowledged to me that he/she executed the same as and for the act and deed of said firm.

Notary Public (Seal)

ACKNOWLEDGMENT OF CONTRACTOR, IF AN INDIVIDUAL

State of _____________________

SS:

County of ___________________

On this __________ day of ________________________, 20_____, before me personally came and appeared ___________________________________, to me known, and known to me to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same.

Notary Public (Seal)