3-Certification Addendum Acknowledgement Form.pdf
PDF 104 KB Posted
- Attached to
- RFP-26-247 Professional Real Estate Services
- Solicitation number
- RFP-26-247
- Issued by
- Yuma County, Arizona
About this file
This is a Certification & Addenda Acknowledgement Form issued by the City of Yuma, Arizona Procurement Division on November 6, 2024, for RFP-26-247 Professional Real Estate Services. The form serves as the official response submission document for qualified real estate brokers seeking to assist the City with the sale of City-owned properties and potential property acquisitions. Responders must acknowledge receipt and consideration of all solicitation documents and any addenda issued through the City of Yuma's Bonfire Procurement Portal. The form requires responders to provide company information, contact details, and authorized representative signatures to bind the company to the contract terms.
By executing this certification form, responders attest to compliance with Federal Executive Order 11246 and Arizona Revised Statutes Section 3101461 regarding non-discrimination in employment, confirm they have not offered improper consideration to public servants in connection with the bid, and certify that the signing representative possesses authority to bind the responding company. Responders bear sole responsibility for monitoring the procurement portal for any addenda and are advised that the City will not be held responsible for failure to receive issued addenda. All completed forms must be uploaded to the procurement portal for the associated solicitation.
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Text version
Procurement Division
November 6, 2024
Certification & Addenda Acknowledgement Form
Solicitation addenda are posted on the City of Yuma’s Bonfire Procurement Portal identified as:
Ref #: _____________
Project: _______________________________________________________________________________
Any changes to the solicitation document will be in the form of an Addendum. It is the responsibility of the Responder to check the Yuma Procurement Portal for any addenda to the solicitation. The City will not be held responsible if a Responder fails to receive any addenda issued. Any City changes must be in writing.
Submission of Response: The undersigned representative offers and agrees to provide goods and/or services in compliance with all solicitation documents.
Offer Date: ________________________
Responder Company Name Contact Phone #
Address Printed Name
City, State, ZIP Title
Contact Email Address Signature of Person Authorized to Sign Offer
By signing above, the representative certifies:
1. The Responder company will not discriminate against any employee, or applicant for employment in violation of Federal Executive Order 11246 or A.R.S. 3101461 Et. Seq.
2. The Responder company has not given, offered to give, a loan, a gratuity, a special discount, a tip, or any favor, or service to a public servant in connection with the submitted bid.
3. The Representative signing this certification has the authority to bind the Responder to this contract.
4. The Representative’s signature confirms receipt and consideration of all information contained in any addenda.
Upload this document to the Procurement Portal for the associated solicitation.
| Ref 1: RFP-26-247 |
| Ref 2: Professional Real Estate Services |
| Responder Company Name: |
| Contact Phone: |
| Address: |
| Printed Name: |
| City State ZIP: |
| Title: |
| Contact Email Address: |
| Date1_af_date: |
File details come from the government source that posted it. Updated .