5-Bidders Affidavit.docx
DOCX document 20 KB Posted
- Attached to
- IRON BRIDGE PUMP STATION REHABILITATION
- Solicitation number
- CIZ-DWU 25 523
- Issued by
- Uvalde County, Texas
About this file
This is a Bidder's Affidavit required by the City of Dallas under City Council Resolution #891132 for the Iron Bridge Pump Station Rehabilitation project located in Wills Point, Texas. The affidavit is a mandatory certification document that bidders must complete and submit with their bids. The project encompasses comprehensive rehabilitation work at the Dallas Water Utilities' Iron Bridge Pump Station on Lake Tawakoni, including civil work such as dredging and sediment management, structural repairs to concrete elements including flumes and guard rails, architectural improvements including roof replacement and elevator rehabilitation, process-mechanical upgrades to intake gates and pump systems, electrical rehabilitation of low-voltage and medium-voltage equipment with new generator installation, and instrumentation replacement related to process-mechanical operations.
The Bidder's Affidavit certifies that the signing corporate officer's firm maintains acceptable safety records with the Dallas OSHA office or local OSHA jurisdiction where the firm conducts business. Specifically, bidders must certify that their firm has not received six or more serious violations (with no repeat violations) or three or more willful violations (with no repeat violations) within the preceding three years. The form requires execution before a notary public with the signature of a corporate officer only, and failure or refusal to complete and submit the affidavit may result in bid rejection. The affidavit does not establish pricing terms, set-asides, or funding requirements but serves as a compliance and safety certification mechanism for bid eligibility.
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Other files
| File | Type | Posted |
|---|---|---|
| 18-25 523 SPECIFICATIONS VOLUME 3 OF 4.pdf | ||
| 17-25 523 SPECIFICATIONS VOLUME 2 OF 4.pdf | ||
| 10-BEH-FRM-602.SAW.pdf | ||
| 2-BDPS-FORM-146 Non Disclosure Statement City of Dallas.doc | DOC document | |
| 3-BID-FRM-216 Change of MWBE Subcontractor Form.pdf | ||
| 13-BEH-FRM-607.SAW.pdf | ||
| 4-Bid Bond.docx | DOCX document | |
| 11-BEH-FRM-603.SAW.xlsx | XLSX spreadsheet | |
| 12-BEH-FRM-604.SAW.pdf | ||
| 1-Acknowledgement of Addendum.docx | DOCX document | |
| 7-Experience Record.pdf | ||
| 19-25 523 DRAWINGS VOLUME 4 OF 4.pdf | ||
| 20-25 523 Bid Proposal Spreadsheet.xlsx | XLSX spreadsheet | |
| 21-25 523 SPECIFICATIONS VOLUME 1 OF 4.pdf | ||
| 9-OPS-FRM-640 -Team Make-Up and Local Workforce Form.xlsx | XLSX spreadsheet | |
| 8-Form 25 Cement Preference Certification.pdf | ||
| 15-BEH-FRM-610.SAW.pdf | ||
| 16-Bid Proposal Submittal Form.pdf | ||
| 14-BEH-FRM-609.SAW.pdf | ||
| 6-Environmental Record Affidavit.pdf |
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Text version
Date of Bid Opening
BIDDER'S AFFIDAVIT
The following information is required by City Council Resolution #891132.
Failure or refusal to complete this form my result in bid rejection.
The undersigned certifies that safety records from the Dallas OSHA office or the local OSHA office in which this firm does business does not reflect penalties for six (6) or more serious violations, none of which may be repeat violation, nor may it reflect three (3) or more willful violations, none of which may be repeat violations, within the preceding three (3) years.
Name of Signatory Title Address
Corporate Authorized Title Address Signatory (Only) The above signature must be by a Corporate Officer.
Legal Name of Bidder Address
SWORN TO AND SUBSCRIBED BEFORE ME on this _____ day of ______________, 20______, to certify which witness my hand and seal of this office.
NOTARY PUBLIC, STATE OF ___________
Printed Name of Notary image1.png
File details come from the government source that posted it. Updated .