2-06 Required Form - Proposer Information Form.pdf
PDF 181 KB Posted
- Attached to
- Fire Station No. 2 Renovation & Expansion
- Solicitation number
- CSP #22-01-26
- Issued by
- Bell County, Texas
About this file
This is a Proposer Information Form for the City of Temple, Texas, related to the Fire Station No. 2 Renovation & Expansion project. The form requires contractors submitting proposals to provide complete company information including business name, address, tax identification number, and primary contact details. Proposers must acknowledge receipt of all addenda issued through the Euna Procurement e-procurement portal and authorize the City to conduct credit checks and financial responsibility investigations prior to contract award. The project involves renovation and expansion of Fire Station No. 2 located at 1710 E. Avenue H in Temple, Texas, with work including reconfiguration of interior spaces to create six individual bedrooms, two restrooms with showers, remodeled kitchen and dayroom, IT closet, and dedicated office space. An approximately 460-square foot addition will be constructed on the east side of the existing living quarters, and the existing porch on the west side of the apparatus bays will be enclosed and converted into a gear storage room. Additional scope includes removal and replacement of exterior stone veneer, all affected gypsum board and insulation, all ductwork, HVAC equipment, and associated controls. The selected contractor must complete all work within 365 consecutive calendar days from the Notice to Proceed.
The engineer's estimate of probable cost for this project is $1,672,844. Proposers must provide at least three professional references with contact information and submit the completed form along with their proposal. By signing the form, authorized representatives certify they have reviewed all plans, specifications, and contract documents, possess the ability to perform and comply with contract terms, and have authority to bind their company in a legally binding agreement. The form must be completed and uploaded to the Euna Procurement portal or submitted as a hard copy.
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Text version
COMPLETE & UPLOAD TO EUNA PROCUREMENT
OR SUBMIT VIA HARD COPY
PROPOSER INFORMATION FORM
1. Company Information
Company Name: ____________________________________________________________
Business Address: ___________________________________________________________
Remit-to Address, if different: ___________________________________________________
Tax Identification Number: _____________________________________________________
Contact Person: _____________________________________________________________
Phone: ____________________________________________________________________
Email: _____________________________________________________________________
2. Addenda Our company has reviewed and formally acknowledges receipt of all addenda, if any, provided in the Euna Procurement e-procurement portal. Please record the number of addenda acknowledged here:
____________ (number of addenda acknowledged)
3. Credit Check Authorization The City is required to determine whether a Proposer who may be awarded a contract is financially responsible. The City may run a credit check on the potential contractor before award of the contract. By signing this Proposer Information Form, I hereby authorize the City of Temple, credit bureau, or other investigative agency employed by the City of Temple to investigate my credit history and financial responsibility.
____________ (initial to confirm)
COMPLETE & UPLOAD TO EUNA PROCUREMENT
OR SUBMIT VIA HARD COPY
PROPOSER INFORMATION FORM
continued
4. References
Name Phone Email
5. Authorization*
Authorized Signature: _________________________________________________________
Print Name: ________________________________________________________________
Title: ___________________________________ Date: ____________________________
*By signing this Proposer Information Form, you are asserting you have reviewed the plans, specifications, and contract documents associated with this proposal, have the ability to perform and comply with the contract terms as stated herein, and are an authorized representative with the authority to bind your company in a legally binding contract.
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