4-Attachment B-1 - Offer Form.docx

DOCX document 31 KB Posted

Attached to
On-Call Building Safety Residential & Commercial Plan Review Services
Solicitation number
262831
Issued by
Pinal County, Arizona

About this file

This is an Offer Form submission document for Pinal County, Arizona, related to Contract #262831RFP for On-Call Building Safety Residential & Commercial Plan Review Services. The form serves as the official vehicle for respondents to submit their proposals for providing residential and commercial building plan review services on an as-needed basis to Pinal County. The document requires respondents to provide their company name, authorized signatory information, contact details, web address, and email address, along with the offer date. No specific quantities, response dates, due dates, site visits, or bidder's meetings are detailed within this form itself, as it functions primarily as the submission vehicle rather than the solicitation document containing such parameters.

The Offer Form includes mandatory certifications that all respondents must affirm by signature, including compliance with non-discrimination requirements under Federal Executive Order 11246 and Arizona state law, prohibition of economic opportunities or gifts to public servants, compliance with Arizona electronics and information technology accessibility standards (A.R.S. 41-3532), prohibition of forced labor and Uyghur forced labor (A.R.S. 35-394), and confirmation that the respondent is not debarred from government contracting. The form explicitly warns that false statements or failure to provide valid signatures will result in offer rejection and potential legal penalties. No pricing terms, set-asides, incumbent information, or funding amounts are specified within this offer form template.

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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 #262831RFP image1.png

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