4-3. REQUIRED Representations Certifications (1).pdf
PDF 1 MB Posted
- Attached to
- Delivery Of Aluminum Sulfate
- Solicitation number
- IFB-045-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Representations and Certifications form for IFB 006-22-CG, a solicitation issued by the City of Tallahassee Underground Utilities and Public Infrastructure for the delivery of bulk liquid aluminum sulfate. The City is seeking bids for the furnishing, delivery, and pumping of liquid alum (Aluminum Sulfate Solution AL2(SO4)3 equivalent to AL2O3, 8.3%). This is a requirements contract with estimated quantities provided as guidelines only; the City reserves the right to increase or decrease purchase quantities. Bidders are responsible for familiarizing themselves with product specifications and are encouraged to inspect equipment and locations prior to submission to ensure full understanding of the scope of services required. The contract specifications require that pricing be bid on a per dry ton basis representing complete costs including delivery, and delivery shall be made only as authorized by orders issued by the City, which may require delivery to multiple destinations.
The form requires respondents to complete and submit a Federal Form W-9 for taxpayer identification purposes. Bidders must provide official company information including company name, mailing address, telephone and fax numbers, and website URL, along with designated contacts for contract management, payment remittance, invoice inquiries, and purchase order delivery. The form does not specify response deadlines, award dates, contract term duration, or pricing evaluation criteria within its content, as it serves as an administrative document for capturing essential contractor information and certifications required for bid submission.
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Text version
REPRESENTATIONS/CERTIFICATIONS
TAXPAYER IDENTIFICATION
Respondent must complete Federal Form W-9 and submit it with their bid.
OFFICIAL COMPANY INFORMATION AS REGISTERED (Type/Print)
COMPANY NAME:
MAILING ADDRESS:
(City) (State) (Zip Code + 4)
TELEPHONE NO.:
(Toll-Free Preferred) VOICE: EXTENSION:
OTHER: FAX:
WEBSITE URL:
COMPANY CONTACT FOR CONTRACT MANAGEMENT (Type/Print)
NAME:
TELEPHONE NO.:
(Toll-Free Preferred) VOICE: EXTENSION:
OTHER: FAX:
EMAIL ADDRESS:
PAYMENT REMITTANCE ADDRESS (Type/Print)
NAME:
MAILING ADDRESS:
(City) (State) (Zip Code + 4)
TELEPHONE NO.:
(Toll-Free Preferred) VOICE: EXTENSION:
OTHER: FAX:
CONTACT FOR INVOICE INQUIRIES
NAME:
TELEPHONE NO.:
(Toll-Free Preferred) VOICE: EXTENSION:
OTHER: FAX:
WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)
COMPANY NAME:
MAILING ADDRESS:
(City) (State) (Zip Code + 4)
IFB 006-22-CG
REPRESENTATIONS/CERTIFICATIONS
File details come from the government source that posted it. Updated .