2-Authorization for Release of Performance Information Waiver.pdf
PDF 1 MB Posted
- Attached to
- Professional Architectural Services (On Call)
- Solicitation number
- RFQ-26-122 Professional Architectural (On Call)
- Issued by
- Yuma County, Arizona
About this file
This document is an Authorization for Release of Performance Information and Waiver form for the City of Yuma's Request for Qualifications (RFQ) #26-122 for Professional Architectural Services (On Call). The RFQ seeks architectural firms to provide on-call professional services, with the document serving as a consent form allowing potential vendors to authorize the release of their performance information to the City of Yuma for reference purposes.
The form requires potential bidders to complete and sign the document, granting permission for the City of Yuma to contact and obtain performance references from previous clients and government entities where the company has performed construction services. The authorization is valid for the entire term of the contract, and signatories waive any potential claims against the City of Yuma or reference-providing entities regarding the disclosed information. Bidders must return this completed form along with their Statement of Qualifications as part of the RFQ response process.
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Text version
AUTHORIZATION FOR RELEASE OF
PERFORMANCE INFORMATION AND WAIVER
I, ______________________________________, the undersigned, on behalf of ___________________________________________ (this company), do hereby consent and authorize all those companies and government entities listed in my
Statement of Qualifications and any other government entity for whom this company has performed construction services, to disclose and release to the City of Yuma, or their representatives, information, records and opinions concerning this company’s construction performance. The purpose of this disclosure is to provide references to the City of Yuma. ________________________________ hereby waives any claim it may have against the City of Yuma or any company or entity providing information to the City of Yuma by reason of any information being disclosed or opinions provided regarding the actions or performance of this company.
This authorization for disclosure of information is effective for the term of the contract.
This consent or Photostat copy of this authorization shall be as valid and effective as the original.
Dated:
Signature:
Printed Name:
Title:
Return this completed and signed document with your Statement of Qualifications
RFQ #
Project:
| RFQ#: 26-122 |
| Project Name: Professional Architectural Services (On Call) |
| Company Name: |
| Name: |
| Title: |
| Date9_af_date: |
File details come from the government source that posted it. Updated .