3-C. RFQ SIGNATURE FORM.pdf
PDF 149 KB Posted
- Attached to
- TEMPEST POLYMER FEED SYSTEM
- Solicitation number
- RFQ-CA-26-1001
- Issued by
- Pasco County, Florida
About this file
This is a Request for Quote (RFQ) Signature Form for Pasco County, Florida, related to the procurement of one Tempest Polymer Feed System as a direct replacement for existing equipment. The document serves as the formal submission vehicle for vendors responding to this solicitation and must be fully executed and submitted with all quotes. The form establishes that vendors' offers are firm for ninety days from submission and that all items and services offered meet the attached specifications unless otherwise noted by exception.
Vendors must be registered with the Florida Department of State Division of Corporations through SUNBIZ prior to submission. Additionally, all vendors must complete and have notarized a Human Trafficking Affidavit, sworn under penalty of perjury by an officer or representative of the company, confirming that the vendor does not use coercion for labor or services as defined by Florida Statutes Section 787.06. The affidavit must be executed before a Florida notary public through either physical presence or online notarization. Vendors are required to provide their legal business name as registered with the Internal Revenue Service, any fictitious doing business names, complete business address, and contact information on the signature form.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-A. PO TERMS AND CONDITIONS.pdf | ||
| 2-B. SPECIFICATIONS.pdf |
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Text version
(MUST BE SUBMITTED WITH THE QUOTE AND FULLY EXECUTED)
"We offer to sell/provide Pasco County, Florida, the above item(s) and/or service(s) at the price(s) stated, in accordance with the terms and conditions attached hereto. In addition, the item(s) and/or service(s) offered above meet all specifications attached hereto, unless otherwise stipulated by exception. This offer to sell/provide is firm for ninety (90) days."
VENDOR MUST BE REGISTERED ON SUNBIZ http://www.sunbiz.org/index.html FLORIDA DEPARTMENT OF STATE
DIVISION OF CORPORATIONS.
(Signature of Vendor —Ink)
(Printed Name and Title)
(Business Name)
Business Name: ___________________________________________________________________________________
(The Name on File with the Internal Revenue Service)
Doing Business as (Fictitious Name): ___________________________________________________________________
Business Address: __________________________________________________________________________________
Telephone Number:
Email Address: _ _ http://www.sunbiz.org/index.html
PASCO COUNTY, FLORIDA
HUMAN TRAFFICKING AFFIDAVIT
This form must be completed by an officer or representative of the company or by the individual entering into, renewing, or extending a contract with Pasco County.
Under penalty of perjury, I hereby attest that based upon my personal knowledge, the below-named company or individual does not use coercion for labor or services, as those terms are defined in section 787.06, Florida Statutes.
Signature
Printed Name
Title
Name of Company if applicable
Date
STATE OF FLORIDA
COUNTY OF_____________________
The foregoing Human Trafficking Affidavit is sworn to (or affirmed) and subscribed before me under penalty of perjury by means of ☐ physical presence or ☐ online notarization, this ______day of________, (month) ________ (year), by _____________________________________________(name of person making statement).
(Signature of Notary Public - State of Florida)
(Print Commissioned Name of Notary Public)
☐ Personally Known OR ☐ Produced Identification
Type of Identification Produced
| (MUST BE SUBMITTED WITH THE QUOTE AND FULLY EXECUTED) |
| VENDOR MUST BE REGISTERED ON SUNBIZ http://www.sunbiz.org/index.html FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS. |
File details come from the government source that posted it. Updated .