5-B. SOQ EXECUTION FORM.pdf
PDF 156 KB Posted
- Attached to
- Site and Civil Engineering and Design
- Solicitation number
- 269-2026-143
- Issued by
- Mecklenburg County, Cleveland Town, North Carolina
About this file
This document is an Execution of Statement of Qualifications (SOQ) for Site and Civil Engineering Design Services issued by a city government, with the specific Request for Qualifications (RFQ) numbered 269.2026.143. The document requires a consultant to provide engineering design services and includes several critical certifications and declarations about the bidding process. The SOQ requires the consultant to affirm they have not engaged in any collusive practices, have not been convicted of specific statutes, intend to use their own employees or subcontractors, and are not currently debarred or suspended from participating in the project.
The document mandates strict ethical standards, including prohibitions on gifts from contractors or potential business partners, and requires complete transparency in all submitted information. The form allows the consultant to specify their business type (Sole Proprietor, Partnership, Corporation, or Limited Liability Company) and provides space for company details, contact information, and an authorized signature. The SOQ serves as a comprehensive attestation of the consultant's eligibility, integrity, and commitment to following local and state procurement regulations, specifically referencing North Carolina General Statutes 133-24 and 133-32.
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Text version
Execution of SOQ
RFQ# 269.2026.143
Site and Civil Engineering Design Services
The person executing the SOQ, on behalf of the Consultant, being duly sworn, solemnly swears (or affirms) that neither he, nor any official, agent or employee of the Consultant has entered into any agreement, participated in any collusion, or otherwise taken any action which is in restraint of full and open competition in connection with any proposal or contract, that the Consultant has not been convicted of violating North Carolina General Statute 133-24 within the last three years, and that the Consultant intends to do the work with its own bona fide employees or subcontractors and is not proposing for the benefit of another company.
Submission of a response to this RFQ constitutes certification that the Consultant and all proposed team members are not currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this Project by any State or Federal department or agency. Submission is also agreement that the city will be notified of any change in this status.
NC General Statute 133-32 and City Policy prohibit any gift from anyone with a contract with the City, or from any person seeking to do business with the City. By execution of this SOQ, you attest, for your organization and its employees or agents, that you are not aware that any such gift has been offered, accepted, or promised by any employees of your organization.
The information contained in this SOQ, including its forms and other documents, delivered or to be delivered to the city, is true, accurate, and complete. This SOQ includes all information necessary to ensure that the statements therein do not in whole or in part mislead the city as to any material facts.
Type of Consultant: Sole Proprietor
(check 1 box) Partnership
Corporation _____________________________ (identify the State of incorporation)
Limited Liability Company ____________________________ (identify the State of incorporation)
Company Legal Name:
Mailing Address:
City/State/Zip:
Phone: Email:
Printed Name: Title:
Signature: Date:
File details come from the government source that posted it. Updated .