1305M326Q0203__Attachment_5_Construction_Order_Certifications.pdf

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Attached to
Removal and Replacement of Roof in Melbourne, FL
Solicitation number
1305M326Q0203
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This is a Construction Order Certifications and Other Statements of Quoters form for a fixed-price federal construction contract. The form applies to Order/Contract Number 1305M326Q0183 and must be completed and returned by quoters submitting proposals.

The form requires quoters to certify that no asbestos-containing materials, products, or supplies will be delivered to the work site or utilized or installed during contract performance. Quoters further certify that if awarded the contract, they will assume full responsibility for the cost of removal of any asbestos-containing materials delivered or used and the cost for remediation of any resulting hazards. A designated certifying official from the quoter's organization must sign the certification, providing their signature, printed name, title, and the date of certification. This is a template form with blank fields for the quoter's name and certifying official information.

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CONSTRUCTION ORDER CERTIFICATIONS AND OTHER STATEMENTS OF QUOTERS

(FIXED-PRICE)

***Note: Quoter must complete and return this section with quote.***

ORDER/CONTRACT NUMBER: 1305M326Q0183

NAME OF QUOTER: ____________________________________

ASBESTOS-CONTAINING MATERIALS CERTIFICATION

The Quoter hereby certifies that no asbestos-containing materials, products or supplies will be delivered to the work site or utilized or installed during the performance of the proposed contract. The Quoter also certifies, that if awarded the contract, they will be responsible for the cost of removal of all asbestos-containing materials, products or supplies delivered to the work site or utilized or installed during the performance of the contract, and the cost for remediation of any hazard created.

Quoter Name: ________________________________________

Certifying Official (Quoter Signs)

Signature:

Printed Name:

Title:

Date:

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