11-11. REQUIRED Representations Certifications (1).pdf
PDF 1 MB Posted
- Attached to
- RELAY TESTING ELECTRIC GENERATING STATIONS
- Solicitation number
- IFB-017-26-RM
- Issued by
- Leon County, Florida
About this file
This document is a Representations/Certifications form for a competitive bidding process, likely associated with Invitation for Bid (IFB) 006-22-CG. The form requires potential respondents to complete and submit Federal Form W-9 along with their bid, providing comprehensive contact and company information. The document includes multiple sections for capturing official company details, including company name, mailing address, telephone numbers, website URL, and specific contact information for contract management, payment remittance, invoice inquiries, and purchase order routing.
While the document does not specify the specific goods or services being procured, it is designed to collect critical vendor information needed for potential contract award and subsequent administrative communications. The form emphasizes the need for complete and accurate company information, with fields for various contact methods including voice, extension, fax, and email addresses. The IFB number (006-22-CG) suggests this is part of a formal competitive bidding process, though the specific procurement details are not included in this particular form.
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| 1-1. IFB 017-26-RM RE-BID RELAY TESTING .docx | DOCX document | |
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| 2-2. REQUIRED PRICE SCHEDULE ATTACHMENT A .xlsx | XLSX spreadsheet | |
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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:
CONTACT FOR INVOICE INQUIRIES
NAME:
TELEPHONE NO.:
(Toll-Free Preferred) VOICE: EXTENSION:
OTHER: FAX:
WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)
COMPANY NAME:
MAILING ADDRESS:
(City) (State) (Zip Code + 4)
IFB 006-22-CG
REPRESENTATIONS/CERTIFICATIONS
File details come from the government source that posted it. Updated .