3-D. Submission Form.pdf
PDF 552 KB Posted
- Attached to
- Structural Engineering and Parking Deck Inspection Services State and local contract opportunity
- Solicitation number
- 269-2026-160
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This document is a Submission Form for a City procurement process, specifically a Request for Qualifications (RFQ). The form requires potential vendors to provide comprehensive information and certifications regarding non-discrimination practices, subcontractor solicitation, and compliance with the City's policies. Key requirements include maintaining documentation demonstrating fair subcontractor selection, reporting any discrimination complaints from the past ten years, and confirming no conflicts of interest exist.
The submission is valid for 180 calendar days from the submission due date, and the City reserves the right to reject any or all submissions, make awards on all or select items, and waive formalities as deemed in the City's best interest. Vendors must certify that they have not engaged in discriminatory practices when soliciting potential subcontractors, and they agree to provide documentation and information about subcontractor selection upon request. Failure to comply with these terms can result in rejection of the submission or termination of any awarded contract.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 11-L. Commercial Non-Discrimination.pdf | ||
| 1-A. Bonfire Instructions Procurement Portal.pdf | ||
| 4-E. References Form.pdf | ||
| 6-G. Key Personnel and Other Resources.pdf | ||
| 8-I. Byrd Anti-Lobbying Certification.pdf | ||
| 9-J. Exceptions to RFQ.pdf | ||
| 10-K. CBI FORM 3 Services - Subcontractor Supplier Utilization Commitment.pdf | ||
| 12-B. RFQ 269.2026.160 Structural Engineering and Parking Deck Inspection Services.pdf | ||
| 2-C. Sample Services Contract.pdf | ||
| 7-H. Certification Regarding Debarment.pdf | ||
| 5-F. Licensing and Certifications.pdf |
Show all 11
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Text version
269.2026.160
SUBMISSION FORM
Submitted by:
Company Legal Name: ________________________________________________________
Representative (printed): ________________________________________________________
Address: ________________________________________________________
City/State/Zip: ________________________________________________________
Email address: ________________________________________________________
Telephone: ________________________________________________________
The representative signing above hereby certifies and agrees that the following information is correct:
1. In preparing its Submission, the Company has considered all submitted from qualified, potential subcontractors and suppliers, and has not engaged in or condoned prohibited discrimination.
2. For purposes of this Section, discrimination means discrimination in the solicitation, selection, or treatment of any subcontractor, vendor or supplier on the basis of race, ethnicity, gender, age or disability or any otherwise unlawful form of discrimination. Without limiting the foregoing, discrimination also includes retaliating against any person or other entity for reporting any incident of discrimination.
3. Without limiting any other provision of the solicitation for submissions on this project, it is understood and agreed that, if this certification is false, such false certification will constitute grounds for the City to reject the Submission submitted by the Company on this Project and to terminate any contract awarded based on such Submission.
4. As a condition of contracting with the City, the Company agrees to maintain documentation sufficient to demonstrate that it has not discriminated in its solicitation or selection of subcontractors. The Company further agrees to promptly provide to the City all information and documentation that may be requested by the City from time to time regarding the solicitation and selection of subcontractors. Failure to maintain or failure to provide such information constitutes grounds for the City to reject the Submission submitted by the Company or terminate any contract awarded on such submission.
5. As part of its Submission, the Company shall provide to the City a list of all instances within the past ten years where a complaint was filed or pending against the Company in a legal or administrative proceeding alleging that the Company discriminated against its subcontractors, vendors or suppliers, and a description of the status or resolution of that complaint, including any remedial action taken.
6. The information contained in this Submission or any part thereof, including its Exhibits, Schedules, and other documents and instruments delivered or to be delivered to the City, is true, accurate, and complete. This Submission includes all information necessary to ensure that the statements therein do not in whole or in part mislead the City as to any material facts.
7. None of Company’s or its subcontractors’ owners, employees, directors, or contractors will be in violation of the City’s Conflict of Interest Policy for City, Secondary and Other Employment Relationships (HR 13) if a Contract is awarded to the Company.
8. It is understood by the Company that the City reserves the right to reject any and all Submissions, to make awards on all items or on any items according to the best interest of the City, to waive formalities, technicalities, to recover and resolicit this RFQ.
9. This Submission is valid for one hundred and eighty (180) calendar days from the Submission due date.
Representative (signed): ________________________________________________________
File details come from the government source that posted it. Updated .