4. RFR Affadavit.cleaned.docx

DOCX document 294 KB Posted

Attached to
On Call Architectural Services
Solicitation number
144080
Issued by
Hartford County, Connecticut

About this file

This is a Request for Response (RFR) Affidavit for the City of Hartford, Connecticut, related to an on-call architectural services solicitation. The City of Hartford is seeking proposals from qualified architectural firms to provide on-call, as-needed professional architectural services for projects with estimated total costs below $5,000,000. The solicitation accepts both individual firm submittals and team submittals comprised of two or more firms. The work is divided into two categories: Architectural and Landscape Architectural services. Firms may submit proposals for one or both categories, and the City intends to select multiple consultants to complete various on-call projects distributed at the City's discretion.

The affidavit serves as a compliance certification document that authorized agents of responding firms must complete and have notarized. Respondents must affirm under oath that they have no delinquent real and personal property taxes due to the City of Hartford, are current on all monetary obligations to the City, and are in compliance with all applicable laws, regulations, and ordinances of the United States, the State of Connecticut, and the City of Hartford. The affidavit requires the signature of an authorized company representative along with notarization by a notary public before submission as part of the RFR response package.

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Text version

Request for Response (RFR)

AFFIDAVIT

STATE OF CONNECTICUT)
) ss. __________________, 20___
COUNTY OF ________________)

I, ___________________________________, being duly sworn, depose and say:

(insert name of authorized agent)

1. I am the ___________________________ of ______________________________ (the (insert title) (insert name of company) “Respondent”) and am authorized on behalf of the Proposer to make this Affidavit.

2. I am over 18 years of age and understand the obligations of an oath.

3. There are no delinquent real and personal property taxes due the City of Hartford from the Respondent.

4. The Respondent is current on all monetary obligations due the City of Hartford.

5. The Respondent is currently in compliance with all applicable laws, regulations and ordinances of the United States, State of Connecticut and the City of Hartford.

__________________________________
(Insert name of company)
By: _______________________________
Name:Click or tap here to enter text.
Title: Click or tap here to enter text.

Subscribed and sworn to before me, ___________________________, the undersigned officer this _________ day of ___________, 20___.

____________________________________
Notary Public
My Commission Expires:

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