10-10. REQUIRED Representations Certifications.docx

DOCX document 31 KB Posted

Attached to
Substation Battery Replacement
Solicitation number
IFB-015-26-RM
Issued by
Leon County, Florida

About this file

This is a Representations and Certifications form required for bid submission to the City of Tallahassee, Florida for a Substation Battery Replacement project. The City seeks to replace several existing 125VDC nicad substation battery strings used in switchgear applications, with approximately 2 battery banks per year requiring replacement over the next 3 to 5 years. The project includes replacement of hardware and connection cables, replacement of 2-step non-seismic battery racks, and factory commissioning of batteries prior to shipment. The bid scope is based on 2 battery banks with delivery required to the Utility Supply Center at 2641 Municipal Way, Tallahassee, Florida 32304, Monday through Friday between 9:00 am and 3:30 pm. The bid must include recycling of existing battery banks consisting of 94 cells each.

The representations and certifications document requires respondents to complete and submit a Federal Form W-9 with their bid and provide comprehensive company information including official company registration details, mailing address, telephone and facsimile numbers, website URL, and designated points of contact for contract management, payment remittance, invoice inquiries, and purchase order delivery. Bidders must identify a specific location for purchase order delivery and provide all contact information including voice extensions, alternative telephone numbers, and email addresses for each designated contact.

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Text version

REPRESENTATIONS/CERTIFICATIONS

TAXPAYER IDENTIFICATION

Respondent must complete Federal Form W-9 and submit it with their bid.

OFFICIAL COMPANY INFORMATION AS REGISTERED (Type/Print)

COMPANY NAME:

MAILING ADDRESS:

(City)

(State)
(Zip Code + 4)

TELEPHONE NO.:

(Toll-Free Preferred)
VOICE:

EXTENSION:

OTHER:

FAX:

WEBSITE URL:

COMPANY CONTACT FOR CONTRACT MANAGEMENT (Type/Print)

NAME:

TELEPHONE NO.:

(Toll-Free Preferred)
VOICE:

EXTENSION:

OTHER:

FAX:

EMAIL ADDRESS:

PAYMENT REMITTANCE ADDRESS (Type/Print)

NAME:

MAILING ADDRESS:

(City)

(State)
(Zip Code + 4)

TELEPHONE NO.:

(Toll-Free Preferred)
VOICE:

EXTENSION:

OTHER:

FAX:

EMAIL ADDRESS:

CONTACT FOR INVOICE INQUIRIES

NAME:

TELEPHONE NO.:

(Toll-Free Preferred)
VOICE:

EXTENSION:

OTHER:

FAX:

EMAIL ADDRESS:

WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)

COMPANY NAME:

MAILING ADDRESS:

(City)

(State)
(Zip Code + 4)

EMAIL ADDRESS:

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