5-RFP-04-Authorized Signature and Questionnaire.pdf
PDF 129 KB Posted
- Attached to
- Equipment Rental
- Solicitation number
- 26-0324
- Issued by
- Tarrant County, Texas
About this file
This is an Authorized Signature and Questionnaire form for the City of Fort Worth, Texas Equipment Rental RFP (Reference #26-0324). The City of Fort Worth seeks proposals to establish an agreement for equipment rental services to be provided on an as-needed basis. The form serves as the required submission document for all bidders and requires completion of authorized representative information, including name, title, contact details, and signature, along with identification of up to three additional contact persons. Bidders must certify that they have read and understood the entire RFP document packet and agree to be bound by all terms, conditions, and specifications contained therein.
The questionnaire component requires bidders to provide essential business information, including length of time in business and disclosure of any ongoing litigation or criminal investigations involving the business or its principals. Bidders must also indicate their willingness to extend contract terms and pricing to other governmental entities participating in cooperative purchasing agreements. Bidders should specify prompt payment discount terms if applicable. The form includes a section for bidders to identify any pages or specific information within their proposal deemed proprietary, which must be clearly marked in accordance with RFP-01, Section 15.4. All responses should be thorough and complete, with bidders permitted to use separate sheets as needed provided each answer is clearly labeled with its corresponding question number.
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Other files
| File | Type | Posted |
|---|---|---|
| 6-RFP-07-Deviations.xlsx | XLSX spreadsheet | |
| 3-RFP-01-Instruction to Proposers.pdf | ||
| 4-RFP-03-Draft Vendor Service Agreement.pdf | ||
| 2-RFP-06-Small Business Utilization Form V1.docx | DOCX document | |
| 1-RFP-05-Forms.pdf | ||
| 7-RFP-02-Scope of Services-Rental Equipment.pdf |
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Text version
CITY OF FORT WORTH - PURCHASING DIVISION
AUTHORIZED SIGNATURE AND QUESTIONNAIRE
RFP Ref. #: 26-0324 Doc. Ref#: RFP-04 Page 1 of 3 RFP Title: Equipment Rental
City of Fort Worth Bidder/Supplier ID:____________________________________ Legal Name of Proposer:
D/B/A Name of Proposer:
Federal Id Number (TIN):______________________________________________ Address:
Name of the Authorized Representative: __________________________________ Title: _____________________________________________________________ The undersigned, by his/her signature, represents that he/she is submitting a binding Proposal and is authorized to bind the respondent to fully comply with the solicitation document contained herein. The Respondent, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this RFP and agrees to be bound by the terms therein.
The undersigned agrees if the Proposal is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this RFP.
Signature of the Authorized Representative: _____________________________ Email: Phone:
Name of Contact Person - 1:
Title of Contact Person - 1:
Email: Phone:
Name of Contact Person - 2:
Title of Contact Person - 2:
Email: Phone:
Name of Contact Person - 3:
Title of Contact Person - 3:
Email: Phone:
RFP Ref. #: 26-0324 Doc. Ref#: RFP-04 Page 2 of 3
Please answer each question below thoroughly. Responses to the questions will be used to assess the Proposal’s responsiveness. Bidders may use a separate sheet if needed, as long as each answer is labeled with the corresponding question number.
1.0 Length of time in business: _______________________________________
2.0 Is your business or any of its principals currently involved in litigation adverse to the City? Yes_______ No________
3.0 Is your business or any of its principals under criminal investigation?
Yes_______ No________ Have you answered Yes to either Question 1 or 2 above? Please provide the details outlining the situation on a separate document with the submission of this form.
4.0 Cooperative Purchasing - Should other governmental entities decide to participate in this contract, would you, the Vendor, agree that all terms, conditions, specifications, and pricing would apply?
Yes_______ No________
5.0 Prompt Payment Discount Terms: ____ Percent _______ Days (i.e. 3% Net 15, etc.)
6.0 Proprietary Information - If a Bidder believes certain information in their proposal is proprietary and wishes to prevent its disclosure, they must clearly identify those pages and information in the chart below, for more information see RFP-01, Section 15.4.
Pages with information believed to be Proprietary
Please indicate if only specific sections on the page are believed to be Proprietary
RFP Ref. #: 26-0324 Doc. Ref#: RFP-04 Page 3 of 3
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