2-RFP-03-Authorized Signature and Questionnaire.pdf

PDF 125 KB Posted

Attached to
RFP Commerce Street Development
Solicitation number
26-0159
Issued by
Tarrant County, Texas

About this file

This is an Authorized Signature and Questionnaire form issued by the City of Fort Worth Purchasing Division for RFP Reference #26-0159 regarding Commerce Street Development. The form requires proposers to provide organizational information including legal name, Federal Tax Identification Number, address, and authorized representative details. Proposers must identify up to three contact persons with their respective titles, email addresses, and phone numbers. By signing the form, the authorized representative certifies that they have received and read the entire RFP document packet and are authorized to bind their organization to comply with all solicitation requirements, furnish requested items and services at quoted prices, and adhere to all terms, conditions, and specifications outlined in the RFP.

The questionnaire component requires proposers to disclose their length of time in business and answer binary questions regarding any current litigation adverse to the City or ongoing criminal investigations involving the business or its principals. Proposers answering affirmatively to either litigation or criminal investigation question must provide detailed explanations on a separate document. Additionally, proposers must identify any pages or specific sections of their proposal containing proprietary information they wish to protect from disclosure, with reference to RFP-01, Section 15.4 for guidance on proprietary information handling procedures.

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Text version

CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0159 Doc. Ref#: RFP-03 Page 1 of 2 RFP Title: Commerce Street Development

City of Fort Worth Bidder/Supplier ID:____________________________________ Legal Name of Proposer:

D/B/A Name of Proposer:

Federal Id Number (TIN):______________________________________________ Address:

Name of the Authorized Representative: __________________________________ Title: _____________________________________________________________ The undersigned, by his/her signature, represents that he/she is submitting a binding Proposal and is authorized to bind the respondent to fully comply with the solicitation document contained herein. The Respondent, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this RFP and agrees to be bound by the terms therein.

The undersigned agrees if the Proposal is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this RFP.

Signature of the Authorized Representative: _____________________________ Email: Phone:

Name of Contact Person - 1:

Title of Contact Person - 1:

Email: Phone:

Name of Contact Person - 2:

Title of Contact Person - 2:

Email: Phone:

Name of Contact Person - 3:

Title of Contact Person - 3:

Email: Phone:

CITY OF FORT WORTH - PURCHASING DIVISION

AUTHORIZED SIGNATURE AND QUESTIONNAIRE

RFP Ref. #: 26-0159 Doc. Ref#: RFP-03 Page 2 of 2 RFP Title: Commerce Street Development

Please answer each question below thoroughly. Responses to the questions will be used to assess the Proposal’s responsiveness. Bidders may use a separate sheet if needed, as long as each answer is labeled with the corresponding question number.

1.0 Length of time in business: _______________________________________

2.0 Is your business or any of its principals currently involved in litigation adverse to the City? Yes_______ No________

3.0 Is your business or any of its principals under criminal investigation?

Yes_______ No________ Have you answered Yes to either Question 1 or 2 above? Please provide the details outlining the situation on a separate document with the submission of this form.

5.0 Proprietary Information - If a Bidder believes certain information in their proposal is proprietary and wishes to prevent its disclosure, they must clearly identify those pages and information in the chart below, for more information see RFP-01, Section 15.4.

Pages with information believed to be Proprietary

Please indicate if only specific sections on the page are believed to be Proprietary

File details come from the government source that posted it. Updated .