5-RFP Offerors Checklist.pdf
PDF 170 KB Posted
- Attached to
- Physical Examination Services for Bus Drivers
- Solicitation number
- 145-26
- Issued by
- Fulton County, Georgia
About this file
This is an Offeror's Checklist for a Request for Sealed Proposal issued by Fulton County Schools, Georgia for Physical Examination Services for Bus Drivers. The checklist serves as a compliance and submission verification document that offerors must complete and return with their proposal. Offerors must confirm receipt of all issued addenda, ensure the submittal is signed by an authorized principal or official, include required documentation such as the Request for Sealed Proposal and Commitment to Perform as Proposed Form, and verify that no conditions or qualifications have been placed on the submission that would render it non-responsive. Additionally, offerors must acknowledge their ability to provide required insurance coverage and confirm their understanding that Fulton County Schools does not provide Workers' Compensation to contractors or subcontractors and bears no legal liability for contractor worker injuries or deaths.
The checklist requires offerors to submit notarized Georgia Security and Immigration Compliance documents, including an Immigration and Security Form, Contractor Affidavit and Agreement, Sub-Contractor Affidavit, and Affidavit of Exception. The completed checklist must be signed and dated by the person completing it and must include the company name, federal ID number, and email address. Fulton County Schools maintains a non-discrimination policy covering race, color, sex, religion, national origin, age, and disability in all employment practices, educational programs, and activities. Inquiries regarding discrimination complaints or accommodation requests should be directed to Compliance Coordinator Gonzalo LaCava at 6201 Powers Ferry Road, Atlanta, Georgia 30339, or by phone at (470) 254-5502, with TTY access available at 1-800-255-0135.
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Text version
OFFEROR’S CHECKLIST
Project: ________________________________________________________
Proposal No.: ________________________________________________________
� We have acknowledged receipt of addenda issued.
� The submittal has been signed by an authorized principal or authorized official of the firm.
� We have included the Request for Sealed Proposal.
� We have included the Commitment to Perform as Proposed Form.
� No conditions, restrictions or qualifications have been placed by the company on this submittal that would have the submittal declared non-responsive.
� We are prepared to provide the insurance required in this solicitation.
� We acknowledge that Fulton County Schools does not provide Workers’
Compensation to Contractors, Subcontractors or any tier and as such is not responsible or legally liable for Contractor workers’ injuries, including death.
� We have included the following NOTARIZED Georgia Security and Immigration
Compliance documents with our quote:
� *Immigration and Security Form � *Contractor Affidavit and Agreement � *Sub-Contractor Affidavit � *Affidavit of Exception
TYPE OR PRINT NAME OF PERSON COMPLETING CHECKLIST
SIGNATURE OF PERSON COMPLETING CHECKLIST
COMPANY NAME
DATE
(COMPANY FEDERAL ID NUMBER)
(COMPANY E-MAIL ADDRESS)
READ AND COMPLETE THIS CHECKLIST BEFORE SUBMITTING THE SUBMITTAL
RETURN WITH SUBMITTAL
It is the policy of the Fulton County School System not to discriminate on the basis of race, color, sex, religion, national origin, age, or disability in any employment practice, educational program or any other program, activity, or service. If you wish to make a complaint or request accommodation or modification due to discrimination in any program, activity, or service, contact Compliance Coordinator, Gonzalo LaCava, 6201 Powers Ferry Road, Atlanta, Georgia 30339, or phone (470) 254-5502. TTY 1-800-255-0135
| OFFERORS CHECKLIST: |
| We have acknowledged receipt of addenda issued: |
| TYPE OR PRINT NAME OF PERSON COMPLETING CHECKLIST: |
| COMPANY NAME: |
| DATE: |
| COMPANY FEDERAL ID NUMBER: |
| COMPANY EMAIL ADDRESS: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
File details come from the government source that posted it. Updated .