15-J-56 Authorized Signatory Statement.pdf
PDF 47 KB Posted
- Solicitation number
- 2014
- Issued by
- Alexandria City, Virginia
About this file
This is an Authorized Signatory Statement for ITB 2014 related to the Beauregard Street Shared Use Path project for the City of Alexandria, Virginia. The document serves as a certification form that must be completed and signed by an authorized representative of a responding bidder or contractor. By executing this statement, the signatory confirms their authority to submit a response on behalf of their organization and bind the organization to all terms and conditions outlined in the solicitation documents. The signatory also acknowledges having read and understood all solicitation requirements, including instructions, specifications, scope of work, evaluation criteria, and any addenda issued by the City.
The statement includes certifications regarding the independence and validity of the submission, confirming that the response was prepared without collusion or coordination with other bidders and that all information provided is true, complete, and accurate. The signatory further certifies compliance with ethics in public contracting requirements, including that no gratuities or kickbacks have been offered to City officials, and commits to maintaining a drug-free workplace as required by Virginia law. The document requires the respondent's legal name, address, phone number, email, authorized signature, printed name, and title, with the response remaining effective for the period specified in the solicitation documents or for a reasonable period as determined by the City.
View the file
Other files
Show all 15
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
J-56
ITB 2014, Beauregard Shared Use Path
Authorized Signatory Statement
By signing below, the undersigned certifies and represents that:
1. Authority / Binding Offer: The undersigned is an officer, partner, member, manager, or duly authorized agent of the Respondent with full authority to submit this Response on behalf of the Respondent and to bind the Respondent to the representations made herein and to the requirements of this Solicitation.
2. Validity of Response: This Response constitutes a firm and valid submission for evaluation purposes and shall remain effective for the period stated in the Solicitation
Documents, or, if no period is stated, for a reasonable period as determined by the City.
3. Acknowledgment of Solicitation Requirements: The Respondent acknowledges that it has read, understands, and agrees to comply with all requirements of the Solicitation
Documents, including all instructions, specifications or scope, evaluation criteria, applicable terms and conditions, and all addenda issued by the City (as acknowledged by the Respondent).
4. No Collusion / Independent Submission: The Respondent certifies that this Response has been prepared and submitted independently and without collusion, consultation, communication, or agreement with any other respondent, bidder, or offeror regarding prices, qualifications, intent to submit, or response terms, except as expressly permitted by law. The Respondent understands that false certification may subject it to criminal and civil penalties.
5. Ethics in Public Contracting: The Respondent certifies that it has not offered, given, or agreed to give any City employee or official any gratuity, kickback, or thing of value in connection with this Solicitation and will comply with all applicable ethics in public contracting requirements
6. Drug-Free Workplace (when applicable): Where required by Virginia law and/or the
Solicitation Documents, the Respondent certifies that it will provide and maintain a drug-free workplace during performance of any resulting contract and will include the required provisions in subcontracts.
7. Accuracy / Non-Misrepresentation: The Respondent certifies that all information submitted in its Response is true, complete, and accurate, and to the best of its knowledge and acknowledges that any material misrepresentation may result in rejection of the
Response, termination of negotiations, termination for default, and/or other remedies available to the City.
Authorized Signature: Date:
Printed Name: Title:___________________________________
Respondent Legal Name:______________________________
Address:_________________________________________________
Phone/Email: _________________________________________________________________
File details come from the government source that posted it. Updated .