5-FORM 3 - REPRESENTATIONS and CERTIFICATIONS.pdf

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Attached to
PENSION AND NON-PENSION INVESTMENT CONSULTANT SERVICES - Fiduciary 3(21)
Solicitation number
RFSQ-034-26-KM
Issued by
Leon County, Florida

About this file

This is a Representations and Certifications form for the City of Tallahassee, Florida, in connection with a Pension and Non-Pension Investment Consultant Services solicitation (RFP-111-25-KM). The form requires respondents to provide official company information, including the registered company name, mailing address, telephone numbers, fax, and website URL. Respondents must also designate a company contact for contract management and provide payment remittance information, including a specific contact for invoice inquiries. The form requests identification of where purchase orders should be sent if applicable.

All respondents are required to complete and submit a Federal Form W-9 with their bid for taxpayer identification purposes. The form collects essential administrative and operational contact information necessary for contract award and ongoing performance management. This documentation is a standard requirement for participation in the City of Tallahassee's procurement process and ensures that selected vendors can be properly identified, contacted, and compensated throughout the contract term.

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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:

RFP-111-25-KM

REPRESENTATIONS/CERTIFICATIONS

File details come from the government source that posted it. Updated .