12-12. REQUIRED IFB Representations Certifications.docx

DOCX document 31 KB Posted

Attached to
Pump Station 92 Replacement
Solicitation number
IFB-044-26-RM
Issued by
Leon County, Florida

About this file

This is a Required IFB Representations and Certifications form for the Pump Station 92 Replacement project in Florida. The project involves the construction of a new quadruplex submersible pump station to replace the existing Pump Station 92 located at 6636 Buck Lake Road. The scope of work encompasses all labor, equipment, and materials necessary to deliver a complete, operable system, including deep foundation installation (micropiles), grading, stormwater retention area construction, driveway demolition and replacement, fencing modifications, gravity sanitary sewer piping with manholes, force main piping, bypass pumping systems, erosion control, electrical and water service installation, generator installation, and motor control equipment array construction. Additional work includes sheeting and shoring, dewatering operations, production of as-built and record drawings, and demolition and decommissioning of the existing pump station. A mandatory pre-bid meeting is scheduled for March 16, 2026, at 2:00 PM EST via Microsoft Teams, and bidders must demonstrate capability to perform and complete all services in a timely and first-class workmanlike manner.

Respondents are required to submit a completed Federal Form W-9 with their bid and provide comprehensive company information including official company registration details, contract management contact information, payment remittance address, invoice inquiry contact, and purchase order delivery instructions. The form requests standard identification and communication details such as company name, mailing address, telephone numbers, fax, website URL, and email addresses for multiple designated contacts within the organization.

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Other files

File Type Posted
5-2. IFB 044-26-RM GENERAL PROVISIONSONS.pdf PDF
21-APPENDIX E - Pump Station 92 Report of Geotechnical Investigation (2026-02-10).pdf PDF
2-7. REQUIRED BID SCHEDULE.pdf PDF
19-APPENDIX B - Pump Station 92 Replacement - FDEP Permit (0464185-001-DWC-CG).pdf PDF
6-3. IFB 044-26-RM SUPPLEMENTAL SPECIFICATIONS.pdf PDF
14-14. REQUIRED HUMAN TRAFFICKING AFFIDAVIT.pdf PDF
20-APPENDIX D - Pump Station 92 Supplemental Technical Specifications - 2026.02.11.pdf PDF
10-10. REQUIRED Vendor Conflict of Interest.docx DOCX document
18-APPENDIX A - Pump Station 92 Replacement - LC EMP (LEM25015).pdf PDF
8-5. IFB 044-26-RM SUPPLEMENTAL INFORMATION.docx DOCX document
13-13. DRAFT CONTRACT CONSTRUCTION (from IFB) 1.2024.doc DOC document
7-4. IFB 044-26-RM SPECIAL PROVISIONS.docx DOCX document
15-15 REQUIRED Responsible Vendor Review Form.docx DOCX document
11-11. REQUIRED Non Collusion Affidavit of Respondent.docx DOCX document
3-9. REQUIRED OEV FORMS ITB MWBE Forms Updated 10.06.22.docx DOCX document
1-1. REQUIRED IFB SECTIONS 123.docx DOCX document
17-18. BID SCHEDULRE EXELL .xlsx XLSX spreadsheet
22-APPENDIX F - Pump Station 92 SUE Test Hole Report (4-11-2025).pdf PDF
16-17. REQUIRED Certification of a Drug Free Workplace (1).pdf PDF
4-8. REQUIRED PERFORMANCE BOND BID BOND TRENCH SAFETY FORMS.docx DOCX document
9-6. IFB 044-26-RM PLANS - 2026.02.24 SS.pdf PDF
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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 .