5-Attachment 3 Sworn Statement of Proposer.docx
DOCX document 22 KB Posted
- Solicitation number
- RFP-ED2601
- Issued by
- Milwaukee County, Mattoon Village, Wisconsin
About this file
This is a Sworn Statement of Proposer form required by Milwaukee County, Wisconsin for submission with a Request for Proposal (RFP) regarding the Acquisition and Development of the County Medical Examiner's Office Building and its 1.07-acre parcel located at 933 West Highland Avenue, Milwaukee, WI 53233. The document serves as a certification mechanism whereby the proposer's authorized representative attests to having thoroughly reviewed all RFP terms, conditions, attachments, questions and answers, addenda, and related information provided by Milwaukee County before submitting their proposal response.
The sworn statement requires the proposer's official representative to certify under oath that all statements contained within the proposal are true and correct, that the individual has full authority to submit the proposal on behalf of the proposer organization, and that the submission has been prepared directly from the RFP documentation. The form must be notarized and includes signature blocks for both the proposer's authorized representative and a notary public, along with spaces for the notary's commission expiration date. This attestation becomes an integral part of the RFP response and serves as a binding verification of the proposer's compliance with submission requirements and accuracy of all proposal statements.
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| 4-Attachment 2 EEOC Compliance.docx | DOCX document | |
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| 7-Attachment 5 Vendor Information Sheet.docx | DOCX document | |
| 8-Attachment 6 Conflict of Interest.docx | DOCX document | |
| 6-Attachment 4 Exceptions.docx | DOCX document | |
| 1-RFP Medical Examiner RFP-ED2601.pdf | ||
| 9-Attachment 7 Certification re Debarment Suspension.docx | DOCX document | |
| 3-Attachment 1 Proprietary Info Disclosure Form.docx | DOCX document |
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Text version
ATTACHMENT 3
SWORN STATEMENT OF PROPOSER
| I, being first duly sworn at | _________________________________________________, | ||
| City, State | |||
| On oath, depose and say I am the | ___________________________________________________ | ||
| Official Title | |||
| Of the Proposer, | __________________________________________________, | ||
| Name of Company |
Do state the following: that I have fully and carefully examined the terms and conditions of this Request for Proposal, and prepared this submission directly and only from the RFP and including all accessory data. I attest to the facts that:
· I have reviewed the RFP, all related attachments, questions and answers, addenda, and information provided through Milwaukee County, in detail before submitting this proposal.
· I have indicated review, understanding and acceptance of the RFP.
· I certify that all statements within this proposal are made on behalf of the Proposer identified above.
· I have full authority to make such statements and to submit this proposal as the duly recognized representative of the Proposer.
· I further stipulate that the said statements contained within this proposal are true and correct and this sworn statement is hereby made a part of the foregoing RFP response.
Signature
Legal Address Subscribed and sworn to before me
This _______________ day of _____________________, ____________ Notary Public, ________________________________ County State of ____________________________________________ My commission expires ______________________________.
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