3-Attachment B-1 - Offer Form.docx

DOCX document 29 KB Posted

Attached to
On-Call Geotechnical Engineering Services
Solicitation number
263131
Issued by
Pinal County, Arizona

About this file

This is an Offer Form (Attachment B-1) for Pinal County, Arizona's solicitation for On-Call Geotechnical Engineering Services. The form serves as the official submission document for qualified consultants interested in providing geotechnical engineering support to the county's Development Services - Public Works department. The work encompasses planning, studying, and analyzing soils, rock, and other materials to support the design and evaluation of various public works, transportation, and infrastructure projects, with services including field investigations, laboratory testing, analyses, and preparation of reports, memos, and related deliverables. The form requires respondents to provide company information, authorized signatory details, contact information, and web address, establishing the contractual basis for service provision in compliance with the solicitation requirements.

The Offer Form includes mandatory certifications that respondents must affirm by authorized signature, including non-discrimination compliance with Federal Executive Order 11246 and Arizona state law, prohibition of economic opportunities or gifts to public servants, compliance with Arizona electronics and information technology product requirements under A.R.S. 41-3532, and compliance with forced labor prohibitions under A.R.S. 35-394 regarding Uyghur labor in goods produced for the contract. Respondents must also certify they are not debarred or otherwise prohibited from participating in government contracts. False statements on the offer form will result in rejection, contract voidance, and potential legal penalties. The contract number for this solicitation is 263131SOQ.

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Text version

Attachment B-1 Offer Form

Submission of Offer: Undersigned hereby offers and agrees to provide goods and/or services in compliance with the solicitation and the offer, which is as indicated by the latest dated version below:

Offer Date:

X
Responder Company NameSignature of Person Authorized to Sign Offer
AddressPrinted Name and Title
City, State, ZipResponder Contact Name and Title
Web AddressContact Email AddressContact Phone #

Certification: By signature in the Offer section above, the Responder certifies:

1. The Responder shall not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, Arizona State Executive Order 2009-9 or A.R.S. §§ 41−1461 through 1465.

2. The Responder has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the offer. Signing the offer with a false statement will void the offer, any resulting contract, and may be subject to legal penalties under law.

3. The Responder certifies compliance with A.R.S. § 41-3532 when offering electronics or information technology products, services, or maintenance.

4. The Responder certifies compliance with A.R.S. § 35-394 prohibiting the use of forced labor by Responder or its contractors or subcontractors of ethnic Uyghurs in the People’s Republic of China in any goods produced in service of this contract.

5. The Responder is not debarred from, or otherwise prohibited from participating in any contract awarded by federal, state, or local government.

Contract #263131SOQ image1.png

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