2-Supplier Submission Page Rev 9.25.pdf

PDF 258 KB Posted

Attached to
Limestone State and local contract opportunity
Solicitation number
LS/26
Issued by
Summit County, Akron City, Ohio

About this file

This document is a bid form from the City of Akron's Purchasing Division, located at the Municipal Building in Akron, Ohio. The form is a standard bidder information and compliance document that requires potential vendors to provide comprehensive company details and disclose specific information related to their bid submission. Bidders must complete sections indicating their legal company name, contact information, tax status, potential conflicts of interest, and local presence within Akron's corporation limits.

The document specifies standard commercial terms including Net 30 Day payment terms and FOB Destination with no freight allowed. The form requires bidders to affirm whether they have any delinquent property or income taxes in Akron and disclose any potential ethical conflicts involving individuals connected to the City of Akron. An authorized company agent must sign and date the document, ensuring that the name provided matches all subsequent contract documentation such as worker's compensation certificates, insurance forms, and invoices.

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4-ITB - Limestone.pdf PDF

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Text version

Revised 9/25

Municipal Building 166 S. High Street, Room 501

Akron, Ohio 44308

(330) 375-2060 purchasing@akronohio.gov

KIMBERLEY HANSON

Purchasing Agent

PURCHASING DIVISION

PROJECT NAME: _______________________________________________________________________

REFERENCE NUMBER: _________________________

**Please note that the name below must match the required contract forms, For example: worker’s comp certificate, insurance, invoices**

BIDDER (LEGAL NAME OF COMPANY)

IF COMPANY IS RECOGNIZED BY THE STATE OF OHIO UNDER A DIFFERENT NAME, STATE IT ABOVE

CITY STATE ZIPCODE

COMPANY PHONE NUMBER COMPANY EMAIL ADDRESS

BID CONTACT PHONE NUMBER BID CONTACT EMAIL ADDRESS

Do you have delinquent real property taxes and/or Akron income taxes? YES NO

Ethics Regulation: Are you aware of any interest or potential interest in this contract that may be had by an individual who is connected to the City of Akron? YES NO

If YES, please give the name of the individual and nature or interest: _____________________________

Does your company have an office or warehouse within the City of Akron corporation limits?

YES NO

If YES, please provide an address: _________________________________________________________

It is understood that terms are Net 30 Day Terms and FOB Destination (No freight allowed)

AUTHORIZED AGENT (PRINT LEGIBLY OR TYPE)

SIGNATURE & TITLE DATE

REFERENCE NUMBER:
undefined:
BIDDER LEGAL NAME OF COMPANY:
IF COMPANY IS RECONIZED BY THE STATE OF OHIO UNDER A DIFFERENT NAME STATE IT ABOVE:
CITY:
STATE:
ZIPCODE:
COMPANY PHONE NUMBER:
COMPANY EMAIL ADDRESS:
BID CONTACT PHONE NUMBER:
BID CONTACT EMAIL ADDRESS:
Does your company have an office or warehouse within the City of Akron corporation limits:
It is understood that terms are Net 30 Day Terms and FOB Destination No freight allowed:
AUTHORIZED AGENT PRINT LEGIBLY OR TYPE:
DATE:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off

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