2-Certification Addendum Acknowledgement Form.pdf
PDF 110 KB Posted
- Solicitation number
- RFB-26-158
- Issued by
- Yuma County, Arizona
About this file
This is a Certification & Addenda Acknowledgement Form from the City of Yuma's Procurement Division, dated November 6, 2024, for a solicitation (Reference Number RFB-26-158) related to Event Production Equipment & Services for America's 250th Celebration. The document serves as a formal acknowledgement form for potential responders to submit their proposal for the specified project, with instructions to upload the completed form to the City of Yuma's Bonfire Procurement Portal.
The form requires responders to certify several key points, including non-discrimination compliance with Federal Executive Order 11246, confirmation of no improper gratuities or favors offered to public servants, and authorization of the representative to bind their company to the contract. By signing, the representative also confirms receipt and consideration of any addenda to the solicitation. The document emphasizes the responder's responsibility to check the Procurement Portal for any changes or updates to the solicitation, with the City stating it will not be held responsible if a responder fails to receive issued addenda.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Procurement Division
November 6, 2024
Certification & Addenda Acknowledgement Form
Solicitation addenda are posted on the City of Yuma’s Bonfire Procurement Portal identified as:
Ref #: _____________
Project: _______________________________________________________________________________
Any changes to the solicitation document will be in the form of an Addendum. It is the responsibility of the Responder to check the Yuma Procurement Portal for any addenda to the solicitation. The City will not be held responsible if a Responder fails to receive any addenda issued. Any City changes must be in writing.
Submission of Response: The undersigned representative offers and agrees to provide goods and/or services in compliance with all solicitation documents.
Offer Date: ________________________
Responder Company Name Contact Phone #
Address Printed Name
City, State, ZIP Title
Contact Email Address Signature of Person Authorized to Sign Offer
By signing above, the representative certifies:
1. The Responder company will not discriminate against any employee, or applicant for employment in violation of Federal Executive Order 11246 or A.R.S. 3101461 Et. Seq.
2. The Responder company has not given, offered to give, a loan, a gratuity, a special discount, a tip, or any favor, or service to a public servant in connection with the submitted bid.
3. The Representative signing this certification has the authority to bind the Responder to this contract.
4. The Representative’s signature confirms receipt and consideration of all information contained in any addenda.
Upload this document to the Procurement Portal for the associated solicitation.
| Ref 1: RFB-26-158 |
| Ref 2: Event Production Equipment & Services for Americas 250th Celebration |
| Responder Company Name: |
| Contact Phone: |
| Address: |
| Printed Name: |
| City State ZIP: |
| Title: |
| Contact Email Address: |
| Date1_af_date: |
File details come from the government source that posted it. Updated .