4-03 Required Form - Bidder Information Form.pdf
PDF 177 KB Posted
- Solicitation number
- Bid #95-03-26
- Issued by
- Bell County, Texas
About this file
This is a Bidder Information Form required by the City of Temple, Texas for the Airport PAPI and REIL Replacement project on Runway 34 at Draughon-Miller Central Texas Regional Airport. The project involves constructing a new 4-box LED Precision Approach Path Indicator (PAPI) and Runway End Identifier Lights (REIL) to replace existing equipment at 7720 Airport Road, Temple, Texas 76502. An Add Alternate is included to replace existing direct buried electrical lines with new conduit from the electrical box to the lights and upgrade the electrical box if needed. The selected contractor must complete all work within 180 consecutive calendar days from the Notice to Proceed. The engineer's estimate of probable construction cost is $100,922, and this project is funded through a TXDOT RAMP Grant.
Bidders submitting proposals must complete and submit the Bidder Information Form either through the EUNA Procurement e-procurement portal or via hard copy. The form requires comprehensive company information, acknowledgment of all addenda, authorization for credit checks to verify financial responsibility, references with contact information, and signature by an authorized representative with authority to bind the company. By signing, bidders affirm they have reviewed all plans, specifications, and contract documents and possess the ability to perform and comply with all stated contract terms.
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Text version
COMPLETE & UPLOAD TO EUNA PROCUREMENT
OR SUBMIT VIA HARD COPY
BIDDER INFORMATION FORM
1. Company Information
Company Name: ____________________________________________________________
Business Address: ___________________________________________________________
Remit-to Address, if different: ___________________________________________________
Tax Identification Number: _____________________________________________________
Contact Person: _____________________________________________________________
Phone: ____________________________________________________________________
Email: _____________________________________________________________________
2. Addenda Our company has reviewed and formally acknowledges receipt of all addenda, if any, provided in the Euna Procurement e-procurement portal. Please record the number of addenda acknowledged here:
____________ (number of addenda acknowledged)
3. Credit Check Authorization The City is required to determine whether a Bidder who may be awarded a contract is financially responsible. The City may run a credit check on the potential contractor before award of the contract. By signing this Bidder Information Form, I hereby authorize the City of Temple, credit bureau, or other investigative agency employed by the City of Temple to investigate my credit history and financial responsibility.
____________ (initial to confirm)
COMPLETE & UPLOAD TO EUNA PROCUREMENT
OR SUBMIT VIA HARD COPY
BIDDER INFORMATION FORM
continued
4. References
Name Phone Email
5. Authorization*
Authorized Signature: _________________________________________________________
Print Name: ________________________________________________________________
Title: ___________________________________ Date: ____________________________
*By signing this Bidder Information Form, you are asserting you have reviewed the plans, specifications, and contract documents associated with this bid, have the ability to perform and comply with the contract terms as stated herein, and are an authorized representative with the authority to bind your company in a legally binding contract.
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