13-Form 5. Representations and Certifications.pdf

PDF 79 KB Posted

Attached to
Re-Bid #3 Frenchtown Cultural Center & Museum (507 W Brevard St)
Solicitation number
IFB-013-26-KM
Issued by
Leon County, Florida

About this file

This document is a Representations/Certifications form for a contract bid submission, requiring a completed Federal Form W-9. The form provides a comprehensive template for bidders to submit their official company information, including contact details for contract management, invoice inquiries, and purchase order routing. The form requests detailed contact information such as company name, mailing address, telephone numbers (with a preference for toll-free numbers), email addresses, website URL, and specific contact persons for different administrative functions.

The form is designed to capture essential vendor information for potential contract awards, with sections for official company registration details, a dedicated contract management contact, and payment remittance information. The document appears to be a standard pre-qualification or bid response template that enables a contracting agency to collect standardized vendor information, facilitating efficient communication, invoicing, and administrative processes during the procurement cycle. Respondents are instructed to complete all sections thoroughly and submit the form along with their W-9 as part of their bid package.

View the file

Other files

Show all 19

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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:

MAIL ADDRESS:

TELEPHONE NO:

(Toll-Free Preferred)

EMAIL ADDRESS:

WEBSITE URL:

(City) (State) (Zip Code+4)

VOICE: , EXTENSION:

OTHER: ; FAX:

COMPANY CONTACT FOR CONTRACT MANAGEMENT (Type/Print)

PERSON NAME:

TELEPHONE NO:

PAYMENT REMITTANCE ADDRESS (Type/Print) (if same as 2.8, enter “SAME 2.8”)

NAME:

TELEPHONE NO:

CONTACT FOR INVOICE INQUIRIES

NAME:

TELEPHONE NO:

WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)

COMPANY NAME:

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