5-6-13. REQUIRED IFB 023-26-RM Representations Certifications.docx
DOCX document 31 KB Posted
- Attached to
- PUMP STATION 43 IMPROVEMENTS
- Solicitation number
- IFB-023-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Representations and Certifications form for a State of Florida Pump Station 43 Improvements project, an infrastructure replacement initiative involving wastewater system upgrades. The project requires the contractor to provide labor, materials, equipment, supplies, services, supervision, and tools for removal of an out-of-service forcemain, installation of approximately 675 linear feet of 18-inch DIP force main, installation of a surge tank and kingpin manhole, bypass pumping components, and relocation of an existing chemical tank. The scope also includes asphalt patching, milling, resurfacing, surface restoration, arboricultural mitigation for impacted trees per an Arborist Report, disposal of removed materials, traffic maintenance, and restoration of disturbed areas. A mandatory pre-bid meeting is scheduled for March 18, 2026 at 2:00 PM EST via Microsoft Teams. The contractor must warrant that all services will be performed in a timely and first-class workmanlike manner and must demonstrate capability to complete all work in accordance with solicitation documents.
The Representations and Certifications document requires respondents to submit a completed Federal Form W-9 with their bid and provide official company information including company name, mailing address, telephone contact information, website URL, designated contract management contact, payment remittance address, invoice inquiry contact, and purchase order delivery address. This project contains no Federal funding sources, and therefore Federal provisions do not apply to the contract requirements or bidding process.
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Text version
REPRESENTATIONS/CERTIFICATIONS
TAXPAYER IDENTIFICATION
Respondent must complete Federal Form W-9 and submit it with their bid.
OFFICIAL COMPANY INFORMATION AS REGISTERED (Type/Print)
COMPANY NAME:
MAILING ADDRESS:
(City)
| (State) |
| (Zip Code + 4) |
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
WEBSITE URL:
COMPANY CONTACT FOR CONTRACT MANAGEMENT (Type/Print)
NAME:
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
EMAIL ADDRESS:
PAYMENT REMITTANCE ADDRESS (Type/Print)
NAME:
MAILING ADDRESS:
(City)
| (State) |
| (Zip Code + 4) |
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
EMAIL ADDRESS:
CONTACT FOR INVOICE INQUIRIES
NAME:
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
EMAIL ADDRESS:
WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)
COMPANY NAME:
MAILING ADDRESS:
(City)
| (State) |
| (Zip Code + 4) |
EMAIL ADDRESS:
File details come from the government source that posted it. Updated .