2-RFEI 27-501 - Submittal Form 1 - Transmittal Letter.pdf

SUBMITTAL FORM 1 – TRANSMITTAL LETTER

TRANSMITTAL LETTER

(To be typed on RESPONDENT’S Letterhead)

[Date]

Ms. Jodi Hart, CPPO, MBA, Juris Masters Purchasing Services Solid Waste Authority of Palm Beach County 7501 North Jog Road West Palm Beach, FL 33412

Dear Ms. Hart:

______________________________ (RESPONDENT) hereby submits its response to the Request for Expressions of Interest (RFEI) No.: 27-501/JH for DEMOLITION, DESIGN, BUILD, OPERATION AND MAINTENANCE OF A NEW MASS BURN WASTE-TO-ENERGY FACILITY issued by the Solid Waste Authority of Palm Beach County

(AUTHORITY).

As a duly authorized representative of the RESPONDENT, I hereby certify, represent and warrant, on behalf of the RESPONDENT team, as follows in connection with the Submittal:

1. The RESPONDENT acknowledges receipt of the RFEI and all Addenda by virtue of signing the Vendor

Acknowledgement Form.

2. The Submittal has been duly authorized by, and in all respects is binding upon, the RESPONDENT.

3. All information and statements contained in the Submittal are current, correct and complete, and are made with full knowledge that the AUTHORITY will rely on such information and statements.

4. The RESPONDENT certifies that the RFEI has been prepared and is submitted in good faith without collusion, fraud or any other action with any other person taken in restraint of free and open competition for the services contemplated by the RFEI. As used in this Submittal Form, the word “person” shall mean any natural person, business, partnership, corporation, union, committee, club, or other organization, entity, or group of individuals.

5. The RESPONDENT is not currently suspended or debarred from doing business with any governmental entity.

6. The RESPONDENT has reviewed all of the engagements and pending engagements of the RESPONDENT, and no potential exists for any conflict of interest or unfair advantage.

7. No person or selling agency has been employed or retained to solicit the award of the Agreement under an arrangement for a commission, percentage, brokerage or contingency fee or on any other success fee basis, except bona fide employees of the RESPONDENT.

8. The principal contact person who will serve as the interface between the AUTHORITY and the RESPONDENT for all communications is:

Name:

Title:

Mailing Address:

Phone:

Fax:

E-mail:

The RESPONDENT has carefully examined all documents constituting the RFEI and the addenda thereto and, being familiar with the work and the conditions affecting the work contemplated by the RFEI and such addenda, offers to furnish all labor, materials, supplies, equipment, facilities and services which are necessary, proper or incidental to carry out such work as required by and in strict accordance with this RFEI and the Submittal. Please note that the AUTHORITY prefers digital signatures, however, scanned PDFs of wet signatures are acceptable.

Name of Respondent

Print Name of Designated Signatory

Signature

Title

State of

County of

On this ___________ day of _______________, 20____, before me appeared _______________________________ personally known to me to be the person described in and who executed this ________________________________ and acknowledged that (she/he) signed the same freely and voluntarily for the uses and purposes therein described.

In witness thereof, I have hereunto set my hand and affixed my official seal the day and year last written above.

Signature

Notary Public in and for the State of

(Affix Seal here) (Name printed)

Residing at

My commission expires