17-17. REQUIRED Representations Certifications (1).pdf
PDF 1 MB Posted
- Attached to
- Brookwood Drive Drainage Improvements
- Solicitation number
- IFB-082-25-RM
- Issued by
- Leon County, Florida
About this file
The document is a Representations/Certifications form for a bid or contract opportunity, designated as IFB 006-22-CG. This is a standard vendor information collection form that requires respondents to complete and submit a Federal Form W-9 along with their bid. The form provides multiple sections for companies to input their official company information, contact details for contract management, payment remittance address, invoice inquiry contacts, and purchase order information.
The form is designed to capture comprehensive contact and administrative details for potential vendors, including company name, mailing address, telephone numbers (with preference for toll-free), website URL, email addresses, and specific contacts for different aspects of business communication. By collecting this standardized information, the issuing agency can efficiently manage vendor communications, process invoices, send purchase orders, and maintain accurate record-keeping for the procurement process.
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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:
CONTACT FOR INVOICE INQUIRIES
NAME:
TELEPHONE NO.:
(Toll-Free Preferred) VOICE: EXTENSION:
OTHER: FAX:
WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)
COMPANY NAME:
MAILING ADDRESS:
(City) (State) (Zip Code + 4)
IFB 006-22-CG
REPRESENTATIONS/CERTIFICATIONS
File details come from the government source that posted it. Updated .