2-BDPS-FORM-146 Non Disclosure Statement City of Dallas.doc
DOC document 46 KB Posted
- Attached to
- IRON BRIDGE PUMP STATION REHABILITATION
- Solicitation number
- CIZ-DWU 25 523
- Issued by
- Uvalde County, Texas
About this file
This is a Non-Disclosure Statement form used by the City of Dallas Department of Water Utilities for personnel participating in the evaluation of proposals submitted in response to Requests for Proposal. The form requires signatories to certify that they are acting independently without duress, financial incentive, or prior bias toward any respondent. Evaluators must commit to maintaining confidentiality regarding proposal contents, status, and rankings, limiting disclosure only to designated evaluation team members and the evaluation team leader. The statement defines prohibited actions as including reproduction or unauthorized removal of proposal materials from designated areas.
Signatories agree to conduct all evaluations in an unbiased manner with the best interests of the City of Dallas as the paramount consideration. The form applies to procurement activities across City of Dallas departments and requires a signature, printed name, and date. This Non-Disclosure Statement is associated with the Iron Bridge Pump Station Rehabilitation project, a comprehensive rehabilitation effort at the Dallas Water Utilities facility located at 4077 Co Rd 3706, Wills Point, Texas, which encompasses civil, structural, architectural, process-mechanical, electrical, and instrumentation work including dredging, concrete repair, roof replacement, pump system improvements, and electrical rehabilitation.
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Other files
| File | Type | Posted |
|---|---|---|
| 18-25 523 SPECIFICATIONS VOLUME 3 OF 4.pdf | ||
| 17-25 523 SPECIFICATIONS VOLUME 2 OF 4.pdf | ||
| 10-BEH-FRM-602.SAW.pdf | ||
| 3-BID-FRM-216 Change of MWBE Subcontractor Form.pdf | ||
| 13-BEH-FRM-607.SAW.pdf | ||
| 4-Bid Bond.docx | DOCX document | |
| 11-BEH-FRM-603.SAW.xlsx | XLSX spreadsheet | |
| 12-BEH-FRM-604.SAW.pdf | ||
| 1-Acknowledgement of Addendum.docx | DOCX document | |
| 7-Experience Record.pdf | ||
| 5-Bidders Affidavit.docx | DOCX document | |
| 19-25 523 DRAWINGS VOLUME 4 OF 4.pdf | ||
| 20-25 523 Bid Proposal Spreadsheet.xlsx | XLSX spreadsheet | |
| 21-25 523 SPECIFICATIONS VOLUME 1 OF 4.pdf | ||
| 9-OPS-FRM-640 -Team Make-Up and Local Workforce Form.xlsx | XLSX spreadsheet | |
| 8-Form 25 Cement Preference Certification.pdf | ||
| 15-BEH-FRM-610.SAW.pdf | ||
| 16-Bid Proposal Submittal Form.pdf | ||
| 14-BEH-FRM-609.SAW.pdf | ||
| 6-Environmental Record Affidavit.pdf |
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Text version
NON-DISCLOSURE STATEMENT
I, ____________________, the undersigned, hereby certify that the following statements are true and correct and that I understand and agree to be bound by the commitments contained herein.
I am acting at the request of the Department of Dallas Water Utilities _as a participant in the ________________________________________________ procurement received in response to the Request for Proposal No. CIZ-DWU-_____________________.
I am acting of my own accord and am not acting under duress. I am not currently employed by, nor am I receiving any compensation from, nor have I been the recipient of any present or future economic opportunity, employment, gift, loan, gratuity, special discount, trip, favor, or service in connection with any responses or involved respondent in return for favorable consideration. I have no preconceived position on the relative merits of any of the submitted responses nor have I established a personal preference or position on the worth or standing of any respondent participating in this action.
I agree not to disclose or otherwise divulge any information pertaining to the contents, status, or ranking of any submitted responses to anyone other than the evaluation team leader or other evaluation team members. I understand the terms "disclose or otherwise divulge" to include, but are not limited to, reproduction of any part or portion of any responses, or removal of same from designated areas without prior authorization from the evaluation team leader. I agree to perform any and all evaluations of said submitted responses in an unbiased manner, to the best of my ability, and with the best interest of the City of Dallas paramount in all decisions.
(Signature)
Printed Name
(Date)
Rev.3 – 6/16/15
Doc# BDPS-FRM-146
File details come from the government source that posted it. Updated .