5-Part G - Attachment C - Required Information Form.pdf

171 KB Posted

Attached to
Swimming Pool Maintenance, Cleaning, And Repair (O&M) Services
Solicitation number
2031
Issued by
Alexandria City, Virginia

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This is a Required Information Form (Attachment C) issued by the City of Alexandria, Virginia for an Invitation to Bid (ITB No. 2031) soliciting swimming pool maintenance, cleaning, and repair operations and maintenance services. The City seeks qualified bidders to provide opening and closing services, cleaning, repairs, and whitecoat applications for indoor and outdoor swimming pools, mini-pools, and wading pools as deemed necessary by the municipality.

The Required Information Form mandates that all respondents provide specific organizational documentation and certifications. Respondents must identify their business classification, including whether they are minority business firms, small business firms, partnerships, corporations, or sole proprietorships. Partnerships and sole proprietorships must submit owner names and business addresses. Corporations are required to provide state of incorporation, date of incorporation, Virginia Certificate of Authority charter number, and names of officers including president, vice president, secretary, treasurer, and registered agent(s). All bidders must submit the completed form with an authorized signatory's signature, printed name, and title. The form does not specify pricing terms, set-asides, incumbent information, contract duration, or renewal options within the document itself.

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Other files

File Type Posted
11-Part A - ITB Solicitation General Information.docx DOCX document
10-Part H - Exhibit A - Definitions.docx DOCX document
1-Part G - Attachment G - No Response Form.pdf PDF
3-Part G - Attachment E - References.pdf PDF
6-Part G - Attachment A - Authorized Signatory Statement.pdf PDF
13-Part C - ITB STC F.docx DOCX document
8-Part E - ITB Instructions to Bidders.docx DOCX document
9-Part F - ITB Eval and Method of Award.docx DOCX document
7-Part D - Global GTC.docx DOCX document
4-Part G - Attachment D - Certifications.pdf PDF
12-Part B - ITB Scope of Work.docx DOCX document
2-Part G - Attachment F - Subcontractor List.pdf PDF
Show all 12

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City of Alexandria

Attachment C

Required Information Form

Each Respondent must provide the following information:

1. Minority Business Firm Yes [ ] No [ ] Partnership Yes [ ] No [ ] Small Business Firm Yes [ ] No [ ] Corporation Yes [ ] No [ ] Sole Proprietorship Yes [ ] No [ ]

2. Partnerships* and Sole Proprietorships must provide the following information:

Name: __________________________________________________________ Address: __________________________________________________________ City and State: __________________________________________________________

* Partnerships must complete this information for all partners

3. Corporations must provide the following information:

State of Incorporation: ________________ Date of Incorporation: _________________ Charter Number of the Virginia Certificate of Authority: ___________________________ Foreign corporations desiring to transact business in the State of Virginia shall register with the State Corporation Commission in accordance with Section 13.1-757 of the Code of Virginia, as amended.

Corporations must provide the names of the following officers:

President: ____________________________________________________ Vice President: ____________________________________________________ Secretary: ____________________________________________________ Treasurer: ____________________________________________________ Registers Agent(s): ____________________________________________________

Bidder/Offeror Name: __________________________Date: ____________________________ Signature of Authorized Signatory: _________________________________________________ Name & Title of Authorized Signatory: ______________________________________________

No.:

Name:
Address:
City and State:
State of Incorporation:
Date of Incorporation:
Charter Number of the Virginia Certificate of Authority:
Corporations must provide the names of the following officers:
Vice President 1:
Vice President 2:
Vice President 3:
Registers Agents:
BidderOfferor Name:
Date:
Signature1_es_:signer:signature:
Signature2_es_:signer:signature:
Check Box3:
0:
0: Off
1: Off
1:
0: Off
1: Off
2:
0: Off
1: Off
3:
0: Off
1_es_:signature: Off
4:
1_es_:signature: Off
5:
1_es_:signature: Off
Enter Solicitation Type Abbreviation_es_:sender: ITB:
Enter Solicitiation Type_es_:sender: Invitation to Bid
Enter Title_es_:sender: SWIMMING POOL MAINTENANCE, CLEANING, AND REPAIR (O&M) SERVICES
Enter No_es_:sender: 2031

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