14-AFFIDAVIT CONCERNING AUTHORITY (Instructions).pdf

PDF 21 KB Posted

Attached to
OWNER’S ADVISOR AND DESIGN SERVICES FOR MERCY WEST ADVANCED TREATMENT SYSTEM
Solicitation number
RFQ 265X901171
Issued by
Hamilton County, Ohio

About this file

This is an affidavit form concerning authority for the Metropolitan Sewer District of Greater Cincinnati (MSD) in Ohio. The document serves as a template for entities—specifically limited liability companies and partnerships—to designate authorized signatories for legal and financial documents related to MSD projects. The affidavit requires the executing officer to identify themselves, their position within the business entity, and to list all individuals authorized to sign project-related documents with their respective titles. The form must be notarized and accompanied by proof of the affiant's authority to execute the document.

The affidavit explicitly directs that this form be used for LLCs and partnerships but not for corporations, which instead require a certificate of corporate resolution. The document includes detailed instructions regarding proper title designation, specifically noting that "Member" is the appropriate title for authorized representatives of LLCs and that titles such as "President" or "Owner" should not be used for LLC representatives. The affidavit supports the Owner's Advisor and Design Services contract for the Mercy West Advanced Treatment System project, wherein MSD seeks technical and project management support across all project lifecycle phases including study, planning, design, and construction closeout.

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Text version

AFFIDAVIT CONCERNING AUTHORITY

STATE OF _________________, COUNTY OF ______________________, SS:

The undersigned ________________________________, being the/a ___________ of _______________________________, a ___________________________________, being first duly cautioned and sworn, states the following:

1. He/she is a/the ____________ of _____________________________, a

2. The only person/people who is/are authorized to sign legal and financial documents related to projects with the Metropolitan Sewer District of Greater Cincinnati is/are:

_______________________ TITLE: __________________

_______________________ TITLE: __________________

3. Proof of Affiant’s authority to sign this Affidavit is attached hereto.

Further Affiant sayeth naught.

Printed name:_____________________________ Title: ___________________________________

Sworn to and subscribed in my presence this _______ day of _________________, 20______, by __________________________________.

Notary Public, State of ____________________

Comment [g1]: Use this document for LLCs and partnerships but NOT for corporations. Instead, use the certificate of corporate resolution for corporations.

Comment [d2]: Name of person signing affidavit

Comment [GC3]: Pick one.

Comment [GC4]: Insert title. NOTE: “Member” is the appropriate title of an authorized representative of a LLC. Do NOT use such titles as “President” or “Owner” when completing this form for a LLC.

Comment [d5]: Name of business entity

Comment [d6]: Type of business entity including state under whose laws the entity was created. E.g.

Ohio limited liability company

Comment [GC7]: Pick one.

Comment [GC8]: Insert title. NOTE: “Member” is the appropriate title of an authorized representative of a LLC. Do NOT use such titles as “President” or “Owner” when completing this form for a LLC.

Comment [d9]: Name of business entity

Comment [d10]: Type of entity including state

Comment [GC11]: Pick one.

Comment [GC12]: Pick one.

Comment [GC13]: Pick one.

Comment [GC14]: Insert title. NOTE:

“Member” is the appropriate title of an authorized representative of a LLC. Do NOT use such titles as “President” or “Owner” when completing this form for a LLC.

Comment [GC15]: Insert title. NOTE:

“Member” is the appropriate title of an authorized representative of a LLC. Do NOT use such titles as “President” or “Owner” when completing this form for a LLC.

Comment [GC16]: Insert title. NOTE:

“Member” is the appropriate title of an authorized representative of a LLC. Do NOT use such titles as “President” or “Owner” when completing this form for a LLC.

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