4-Attachment B-1 - Offer Form.docx
DOCX document 29 KB Posted
- Attached to
- On-Call Transportation Planning Services
- Solicitation number
- 263031
- Issued by
- Pinal County, Arizona
About this file
This is an Offer Form for Pinal County, Arizona's On-Call Transportation Planning Services contract opportunity (Contract #263031RFP). The form serves as the submission document through which qualified consultants provide proposals to support the development, evaluation, and implementation of countywide transportation projects and policies. Respondents must complete the form with company information, authorized representative signature, contact details, and web address. The offer submission requires the dated signature of an authorized person and must comply with all terms outlined in the related solicitation.
The form includes mandatory certifications that respondents must affirm by signature, covering non-discrimination compliance with Federal Executive Order 11246 and Arizona statutes, prohibition of economic incentives or gifts to public servants, compliance with Arizona information technology accessibility requirements under A.R.S. 41-3532, and adherence to forced labor prohibitions under A.R.S. 35-394 regarding Uyghur labor in goods produced for the contract. Respondents must also certify that they are not debarred from federal, state, or local government contracting. False statements on the offer form will result in offer rejection, contract voidance, and potential legal penalties. Failure to provide a valid signature affirming these stipulations will result in immediate rejection of the proposal.
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Other files
| File | Type | Posted |
|---|---|---|
| 9-Attachment C - Draft Contract.docx | DOCX document | |
| 5-Attachment B-5 - Pricing Document.xlsx | XLSX spreadsheet | |
| 6-Attachment A - Scope of Work (SOW).docx | DOCX document | |
| 1-Attachment B-3 - Conformance Statements.docx | DOCX document | |
| 3-Attachment C-1 - Federal Grant Contract Terms.docx | DOCX document | |
| 2-Attachment B-2 - Addendum Acknowledgement Form.docx | DOCX document | |
| 8-Attachment B - Submission Instructions.docx | DOCX document | |
| 7-Attachment B-4 - Supplier Contact Information.docx | DOCX document | |
| 10-263031RFP On-Call Transportation Planning Services OPEN FIRST.docx | DOCX document |
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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 Name | Signature of Person Authorized to Sign Offer |
| Address | Printed Name and Title |
| City, State, Zip | Responder Contact Name and Title |
| Web Address | Contact Email Address | Contact 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 #263031RFP image1.png
File details come from the government source that posted it. Updated .