18-18. REQUIRED IFB Representations Certifications.docx
DOCX document 31 KB Posted
- Attached to
- Floral Street Streetscape Improvements
- Solicitation number
- IFB-030-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Representations and Certifications form required for bid submission on the Floral Street Streetscape Improvements project in Florida. The project involves construction of sidewalk improvements along Floral Street from west of Keith Street to Perry Street, including tree removal, new sidewalk and curb & gutter construction, drainage improvements, water service adjustments, partial roadway reconstruction, milling and resurfacing, signing and pavement markings, and landscape installation. A mandatory pre-bid meeting is scheduled for February 17, 2026 at 3:00 PM EST via Microsoft Teams, with detailed pay items and quantities provided in the Bid Summary Sheets. The contractor must warrant that all services will be performed in a timely and first-class workmanlike manner, and must possess the capability to complete all work in accordance with the solicitation documents.
Respondents must complete and submit Federal Form W-9 with their bid and provide official company information including company name, mailing address, telephone, fax, and website. The form requires designation of a company contact for contract management, a payment remittance address, a contact for invoice inquiries, and where purchase orders should be sent. All contact information must include voice telephone numbers, extensions where applicable, fax numbers, and email addresses as applicable to each designated contact.
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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:
EMAIL ADDRESS:
CONTACT FOR INVOICE INQUIRIES
NAME:
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
EMAIL ADDRESS:
WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)
COMPANY NAME:
MAILING ADDRESS:
(City)
| (State) |
| (Zip Code + 4) |
EMAIL ADDRESS:
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