4-Supplier Submission Page-PPLSUR25.pdf
PDF 482 KB Posted
- Attached to
- Partner Participation in Lead Safe Units Rebid State and local contract opportunity
- Solicitation number
- PPLSUR/25 -
- Issued by
- Summit County, Akron City, Ohio
About this file
This document is a Supplier Submission Page from the City of Akron's Purchasing Division for a bid titled "Partner Participation in Lead Safe Units Rebid" with the bid number PPLSUR/25. The form is a standard solicitation document designed for potential vendors to complete and submit their company information and attestations for participating in a municipal procurement opportunity.
The form requires potential bidders to provide comprehensive details about their business, including legal company name, business address, contact information, and responses to specific compliance questions. These questions include disclosures about delinquent taxes, potential conflicts of interest, and company presence within Akron city limits. The document indicates acceptance of Net 30 day payment terms and FOB Destination, and requires an authorized agent's signature to complete the submission process.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 2-SSA - Form Agreement Example.pdf | ||
| 6-RFP - PPLSUR.25.pdf | ||
| 5-SOW - Partner Participation in Lead Safe Units Rebid.pdf | ||
| 1-EEO Form.pdf | ||
| 3-Production Schedule Example.xlsx | XLSX spreadsheet |
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Text version
City of Akron Municipal Building
166 S. High Street, Room 501 Akron, Ohio 44308
Kimberley Hanson Purchasing Agent
PURCHASING DIVISION
(330) 375-2060 purchasing@akronohio.gov
SUPPLIER SUBMISSION PAGE
BID TITLE:
BID NUMBER:
***Please note that the name of the vendor on the worker’s compensation certificate, insurance certificates, and invoices must be the same as below***
BIDDER (LEGAL NAME OF COMPANY)
IF COMPANY IS RECOGNIZED BY THE STATE OF OHIO UNDER A DIFFERENT NAME, STATE IT ABOVE
BUSINESS ADDRESS
CITY STATE ZIPCODE
PHONE NUMBER FAX NUMBER
EMAIL ADDRESS FEDERAL I.D. NUMBER
Do you have delinquent real property taxes/and or City Income Taxes? Yes No
Ethics Regulation: Are you aware of any interest or potential interest in this contract that may be had by an individual who is connected to the City of Akron? Yes No
If Yes, please give the name of the individual and nature or interest:
Does your company have an office or warehouse within the City of Akron corporation limits? Yes No
If Yes, please provide an address:
Acceptance of Net 30 Day Terms and FOB Destination
AUTHORIZED AGENT (PRINT LEGIBLY OR TYPE)
SIGNATURE & TITLE DATE
Revised 6/24 mailto:purchasing@akronohio.gov
| BID TITLE: Partner Participation in Lead Safe Units Rebid |
| BID NUMBER: PPLSUR/25 |
| BIDDER LEGAL NAME OF COMPANY: |
| IF COMPANY IS RECOGNIZED BY THE STATE OF OHIO UNDER A DIFFERENT NAME STATE IT ABOVE: |
| BUSINESS ADDRESS: |
| CITY: |
| STATE: |
| ZIPCODE: |
| PHONE NUMBER: |
| FAX NUMBER: |
| EMAIL ADDRESS: |
| FEDERAL ID NUMBER: |
| Do you have delinquent real property taxesand or City Income Taxes: Off |
| individual who is connected to the City of Akron Yes: Off |
| No_2: Off |
| If Yes please give the name of the individual and nature or interest: |
| Does your company have an office or warehouse within the City of Akron corporation limits Yes: Off |
| No_3: Off |
| If Yes please provide an address: |
| AUTHORIZED AGENT PRINT LEGIBLY OR TYPE: |
| DATE: |
| Check Box1: Off |
File details come from the government source that posted it. Updated .