2-Authorization for Release of Performance Information Waiver.pdf
PDF 1 MB Posted
- Attached to
- RFQ-26-226 Partnership Development & Implementation Management Services for Yuma Innovation District
- Solicitation number
- RFQ-26-226 Partnership Dev & Implementation Mgmt Svcs for Yuma Innovation District
- Issued by
- Yuma County, Arizona
About this file
This is an Authorization for Release of Performance Information and Waiver form for the City of Yuma, Arizona's RFQ #26-226 for Partnership Development & Implementation Management Services for the Yuma Innovation District. The document requires a company representative to authorize the disclosure of the company's construction performance information and records from all entities listed in the Statement of Qualifications and any government entities for which the company has performed construction services. The authorization permits these entities to release information, records, and opinions regarding the company's construction performance to the City of Yuma or its representatives for reference purposes. The form must be completed, signed, and submitted with the company's Statement of Qualifications as part of the RFQ response. The authorization remains effective for the term of the contract and accepts photostat copies as valid equivalents to the original document.
By signing this waiver, the company relinquishes any claims against the City of Yuma or any entity providing performance information by reason of disclosure or opinions provided regarding the company's actions or performance. This form is a standard procurement requirement designed to facilitate the City's due diligence process in evaluating qualified firms for the Innovation District partnership and implementation management services contract, which focuses on innovation district strategy, public-private partnership structuring, tenant recruitment, and developer engagement to advance downtown reinvestment and economic development in Yuma, Arizona.
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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#: 26-226 |
| Project Name: Partnership Development & Implementation Management Services for Yuma Innovation District |
| Company Name: |
| Name: |
| Title: |
| Date9_af_date: |
File details come from the government source that posted it. Updated .