1-RFP Offerors Checklist.pdf

PDF 170 KB Posted

Attached to
E-Rate Wired and Wireless CAT2 Network Solutions
Solicitation number
172-26
Issued by
Fulton County, Georgia

About this file

This is an Offeror's Checklist for a Request for Sealed Proposal issued by Fulton County Schools in Georgia for E-Rate Wired and Wireless CAT2 Network Solutions. The checklist serves as a submission verification document requiring offerors to confirm completion of mandatory proposal requirements before submittal. Offerors must acknowledge receipt of any issued addenda, obtain signatures from authorized company principals, include the Request for Sealed Proposal and Commitment to Perform as Proposed Form, and certify that no conditions or qualifications have been placed on the submission that would render it non-responsive. Additionally, offerors must confirm their ability to provide required insurance coverage and acknowledge that Fulton County Schools does not provide Workers' Compensation to contractors or subcontractors and bears no responsibility for contractor worker injuries or death.

The checklist requires offerors to submit notarized Georgia Security and Immigration Compliance documentation, including the Immigration and Security Form, Contractor Affidavit and Agreement, Sub-Contractor Affidavit, and Affidavit of Exception. The completed checklist must be returned with the proposal submission and include the typed or printed name and signature of the person completing the checklist, company name, date, company Federal ID number, and company email address. Fulton County Schools maintains a non-discrimination policy and has designated Gonzalo LaCava as the Compliance Coordinator to address complaints or requests for accommodations related to discrimination in any program or activity.

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OFFEROR’S CHECKLIST

Project: ________________________________________________________

Proposal No.: ________________________________________________________

� We have acknowledged receipt of addenda issued.

� The submittal has been signed by an authorized principal or authorized official of the firm.

� We have included the Request for Sealed Proposal.

� We have included the Commitment to Perform as Proposed Form.

� No conditions, restrictions or qualifications have been placed by the company on this submittal that would have the submittal declared non-responsive.

� We are prepared to provide the insurance required in this solicitation.

� We acknowledge that Fulton County Schools does not provide Workers’

Compensation to Contractors, Subcontractors or any tier and as such is not responsible or legally liable for Contractor workers’ injuries, including death.

� We have included the following NOTARIZED Georgia Security and Immigration

Compliance documents with our quote:

� *Immigration and Security Form � *Contractor Affidavit and Agreement � *Sub-Contractor Affidavit � *Affidavit of Exception

TYPE OR PRINT NAME OF PERSON COMPLETING CHECKLIST

SIGNATURE OF PERSON COMPLETING CHECKLIST

COMPANY NAME

DATE

(COMPANY FEDERAL ID NUMBER)

(COMPANY E-MAIL ADDRESS)

READ AND COMPLETE THIS CHECKLIST BEFORE SUBMITTING THE SUBMITTAL

RETURN WITH SUBMITTAL

It is the policy of the Fulton County School System not to discriminate on the basis of race, color, sex, religion, national origin, age, or disability in any employment practice, educational program or any other program, activity, or service. If you wish to make a complaint or request accommodation or modification due to discrimination in any program, activity, or service, contact Compliance Coordinator, Gonzalo LaCava, 6201 Powers Ferry Road, Atlanta, Georgia 30339, or phone (470) 254-5502. TTY 1-800-255-0135

OFFERORS CHECKLIST:
We have acknowledged receipt of addenda issued:
TYPE OR PRINT NAME OF PERSON COMPLETING CHECKLIST:
COMPANY NAME:
DATE:
COMPANY FEDERAL ID NUMBER:
COMPANY EMAIL ADDRESS:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off

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