10-10. REQUIRED Representations Certifications.docx

DOCX document 31 KB Posted

Attached to
Hopkins Rice SCR Catalyst Replacement
Solicitation number
IFB-026-26-RM
Issued by
Leon County, Florida

About this file

This is a Representations and Certifications form required for bidders responding to the City of Tallahassee's Hopkins Rice SCR Catalyst Replacement contract opportunity in Florida. The project involves supplying replacement emissions control catalysts for seven Wartsila engines operated by the city. The bid specifically requests three types of catalysts: SCR catalysts (HUG RFV 1300.103.C5.00.S150.450.000 or equivalent) for nitrogen oxide reduction, ROM catalysts (HUG ROM 1300.103.C3.D1.S150.045.255 or equivalent) for nitrogen oxide reduction with ammonia suppression, and OXI catalysts (HUG OCT 1500.141.A7.00.S150.150.000 or equivalent) for the catalytic oxidation of CO, VOCs, and formaldehyde. The catalysts will replace existing units housed in HUG EM400 housings for five 50SG engines and HUG EM196 housings for two 34SG engines.

Respondents must complete and submit a Federal Form W-9 with their bid and provide comprehensive company information including official company name, mailing address, telephone and facsimile numbers, and website URL. Bidders are required to designate a company contact for contract management, establish a payment remittance address, identify a contact for invoice inquiries, and specify where purchase orders should be sent. All contact information must include voice telephone numbers, extensions where applicable, facsimile numbers, and email addresses to facilitate communication throughout the procurement and contract management process.

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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 .