5-FORM 3 - REPRESENTATIONS and CERTIFICATIONS.pdf
PDF 836 KB Posted
- Solicitation number
- RFP-034-26-KM
- Issued by
- Leon County, Florida
About this file
This is a Representations and Certifications form for the City of Tallahassee, Florida, related to a Pension and Non-Pension Investment Consultant Services solicitation (RFP-111-25-KM). The form serves as a standardized submission document requiring respondents to provide official company information, including registered company name, mailing address, telephone and facsimile contact information, and website URL. Respondents must identify a primary company contact for contract management purposes and specify separate contacts and addresses for payment remittance, invoice inquiries, and purchase order receipt if applicable.
Respondents are required to complete and submit a Federal Form W-9 (Request for Taxpayer Identification Number and Certification) along with their bid submission. The form ensures that all bidding firms provide accurate identification and contact information for contract administration purposes, establishing clear communication channels between the City and selected vendors for ongoing investment consultant services oversight and management.
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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 .