4-Attachment B-1 - Offer Form.docx

DOCX document 29 KB Posted

Attached to
On-Call Engineering Development Plan Review Services
Solicitation number
262331
Issued by
Pinal County, Arizona

About this file

This is an Offer Form submission document for Pinal County, Arizona's On-Call Engineering Development Plan Review Services contract opportunity (Contract #262331SOQ). The form requires responding companies to submit their offer by providing company name, authorized signatory information, company address, contact details, and web address. The solicitation seeks qualified consultants to provide on-call engineering development plan review services on a county-wide, as-needed basis, with scopes of work potentially including specification review and miscellaneous related services.

The offer form includes mandatory certifications that respondents must acknowledge by signature, including compliance with federal and Arizona state non-discrimination requirements, prohibition against offering economic benefits or gratuities to public servants, compliance with Arizona electronics and information technology standards, prohibition of forced labor in goods produced for the contract, and confirmation that the responder is not debarred from government contracting. Failure to provide a valid signature or submission of false statements will result in offer rejection, contract voidance, and potential legal penalties. The document does not specify pricing terms, contract term length, renewal options, or other financial details within the offer form itself.

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Text version

Attachment B-1 Offer Form

Submission of Offer: Undersigned hereby offers and agrees to provide goods and/or services in compliance with the solicitation and the offer, which is as indicated by the latest dated version below:

Offer Date:

X
Responder Company NameSignature of Person Authorized to Sign Offer
AddressPrinted Name and Title
City, State, ZipResponder Contact Name and Title
Web AddressContact Email AddressContact Phone #

Certification: By signature in the Offer section above, the Responder certifies:

1. The Responder shall not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, Arizona State Executive Order 2009-9 or A.R.S. §§ 41−1461 through 1465.

2. The Responder has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the offer. Signing the offer with a false statement will void the offer, any resulting contract, and may be subject to legal penalties under law.

3. The Responder certifies compliance with A.R.S. § 41-3532 when offering electronics or information technology products, services, or maintenance.

4. The Responder certifies compliance with A.R.S. § 35-394 prohibiting the use of forced labor by Responder or its contractors or subcontractors of ethnic Uyghurs in the People’s Republic of China in any goods produced in service of this contract.

5. The Responder is not debarred from, or otherwise prohibited from participating in any contract awarded by federal, state, or local government.

Contract #262331SOQ image1.png

File details come from the government source that posted it. Updated .