5-D. Proposal Submission Form.pdf

PDF 123 KB Posted

Attached to
HVAC System Services State and local contract opportunity
Solicitation number
FY26-RFP-03
Issued by
Mecklenburg County, Charlotte City, North Carolina

About this file

This document is a Proposal Submission Form for a city contract opportunity, designed to ensure non-discriminatory practices in vendor selection and proposal submissions. The form requires potential vendors to certify their commitment to fair treatment of subcontractors, vendors, and suppliers without discrimination based on race, color, gender, religion, national origin, ethnicity, age, familial status, sexual orientation, veteran status, pregnancy, natural hairstyle, or disability. The proposal submission is valid for 180 calendar days from the proposal due date, and the City reserves the right to reject any and all proposals, make awards based on its best interests, and waive formalities.

The form mandates that companies provide documentation demonstrating non-discriminatory practices and disclose any discrimination complaints filed against them in the past ten years. Companies must also confirm that none of their owners, employees, directors, or contractors will violate the City's Conflict of Interest Policy if awarded the contract. The document serves as a comprehensive certification of ethical business practices, requiring vendors to be transparent about their solicitation and selection processes, and agreeing that false certifications can result in proposal rejection or contract termination.

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Other files for this state and local contract opportunity

Other files attached to HVAC System Services, newest first.
File Type Posted
1-A. Bonfire Procurement Portal Instructions.pdf PDF
2-G. Contractor Safety Assessment Form.pdf PDF
7-B. RFP Document FY26-RFP-03 HVAC System Services.pdf PDF
4-F. References Form.pdf PDF
3-E. MWSBE Utilization Form.docx DOCX document
6-C. SAMPLE CONTRACT for FY26-RFP-03 HVAC System Services.docx DOCX document
8-H. Pricing Sheet (Bid Table).xlsx XLSX spreadsheet

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Text version

PROPOSAL SUBMISSION FORM

This Proposal is submitted by:

Company Legal Name: ________________________________________________________

Representative (printed): ________________________________________________________

Address: ________________________________________________________

City/State/Zip: ________________________________________________________

Email address: ________________________________________________________

Telephone: ________________________________________________________

The representative signing below hereby certifies and agrees that the following information is correct:

1. In preparing its Proposal, the Company has considered all proposals submitted from qualified, potential subcontractors and suppliers, and has not engaged in or condoned prohibited discrimination, as defined in Section 2 below.

2. For purposes of this form, discrimination means discrimination in the solicitation, selection, or treatment of any subcontractor, vendor, supplier, or commercial customer on the basis of a person's race, color, gender, religion, national origin, ethnicity, age, familial status, sex (including sexual orientation, gender identity and gender expression), veteran status, pregnancy, natural hairstyle or disability, or any otherwise unlawful form of discrimination. Without limiting the foregoing, discrimination also includes retaliating against any person or other entity for reporting any incident of discrimination.

3. Without limiting any other provision of the solicitation for proposals on this project, it is understood and agreed that, if this certification is false, such false certification will constitute grounds for the City to reject the Proposal submitted by the Company on this Project and to terminate any contract awarded based on such Proposal.

4. As a condition of contracting with the City, the Company agrees to maintain documentation sufficient to demonstrate that it has not discriminated in its solicitation or selection of subcontractors. The Company further agrees to promptly provide to the City all information and documentation that may be requested by the City from time to time regarding the solicitation and selection of subcontractors. Failure to maintain or failure to provide such information constitutes grounds for the City to reject the Proposal submitted by the Company or terminate any contract awarded on such proposal.

5. As part of its Proposal, the Company shall provide to the City a list of all instances within the past ten years where a complaint was filed or pending against the Company in a legal or administrative proceeding alleging that the Company discriminated against its subcontractors, vendors or suppliers, and a description of the status or resolution of that complaint, including any remedial action taken.

6. The information contained in this Proposal or any part thereof, including its Exhibits, Schedules, and other documents and instruments delivered or to be delivered to the City, is true, accurate, and complete. This Proposal 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.

7. None of Company’s or its subcontractors’ owners, employees, directors, or contractors will be in violation of the City’s Conflict of Interest Policy for City, Secondary and Other Employment Relationships (HR 13) if a Contract is awarded to the Company.

8. It is understood by the Company that the City reserves the right to reject any and all Proposals, to make awards on all items or on any items according to the best interest of the City, to waive formalities, technicalities, to recover and resolicit this RFP.

9. This Proposal is valid for one hundred and eighty (180) calendar days from the Proposal due date.

Representative (signed): ______________________________________ Title: _____________________

For questions regarding the proposal submission, contact (if different than above):

Name: ________________________________________________________

Email address: ________________________________________________________

Telephone: ________________________________________________________

PROPOSAL SUBMISSION FORM

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