4. RFR Affadavit.cleaned.docx
DOCX document 294 KB Posted
- Solicitation number
- 145995
- Issued by
- Hartford County, Connecticut
About this file
This is a Request for Response (RFR) Affidavit required by the City of Hartford, Connecticut for respondents to a state and local contract opportunity involving Architectural and Engineering Services with Landscape Design for the Colt Park Carriage House and Gardener's Cottage Structural Stabilization project. The affidavit must be completed and sworn before a notary public by an authorized agent of the responding company and serves as a certification document as part of the proposal submission process.
The affidavit requires the respondent's authorized representative to affirm under oath that the company has no delinquent real and personal property taxes owed to the City of Hartford, is current on all monetary obligations to the city, and is in compliance with all applicable laws, regulations, and ordinances of the United States, the State of Connecticut, and the City of Hartford. The document includes standard provisions for notarization, including spaces for the notary public's signature, commission expiration date, and the date of attestation. This affidavit is a mandatory compliance document that bidders must submit as part of their response to the contract opportunity.
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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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