10-10. REQUIRED Representations Certifications.docx

This is a Representations and Certifications form required for submission with bid proposals to the State of Florida for the Martin Luther King Jr Drainage Improvements project. The form establishes mandatory documentation and contact information requirements that all respondents must complete and submit with their bids. Respondents are required to complete and submit a Federal Form W-9 for taxpayer identification purposes. The form requests official company information as registered, including company name, mailing address, telephone number, fax, and website URL. Additionally, respondents must provide designated contacts for contract management, payment remittance, invoice inquiries, and purchase order delivery, with each contact section requiring name, phone number, fax, email address, and mailing address information.

The Martin Luther King Jr Drainage Improvements project involves construction of stormwater infrastructure improvements along MLK Jr Boulevard in Florida, specifically addressing localized flooding at the intersections of Barbourville and Young Streets through roadway reconstruction, new stormwater curb inlets, and installation of an 18-inch reinforced concrete pipe outfall connecting to the existing city stormwater system. The contractor will be responsible for providing all labor, materials, equipment, supplies, services, supervision, and necessary tools required for successful project completion. The representations and certifications document serves as a standardized submission requirement to collect essential company identification, banking information, and project management contacts necessary for contract administration and payment processing upon award.