5-RFQ Acknowledgement.pdf
PDF 92 KB Posted
- Solicitation number
- 25/0223
- Issued by
- Harris County, Texas
About this file
This is a Request for Qualifications (RFQ) Acknowledgment form for the Harris County Juvenile Probation Department's procurement of residential services in Texas. The form serves as a certification document that must be completed and signed by an authorized corporate officer, partner, or proprietor submitting qualifications. The acknowledgment confirms that the submittal is made without prior understanding or collusion with competing firms and that the signatory is authorized to bind the company to all conditions and provisions outlined in the RFQ. The residential services contract is for a one-year term beginning approximately June 1, 2025.
The form requires submission of standard company information including the authorized representative's name and signature, company name and address, DUNS number, telephone, fax, and email contact information. Signatories must certify that all statements made in the submittal are true, complete, and correct, and that they have read and fully understand all RFQ documents. The acknowledgment form does not specify pricing terms, set-asides, funding amounts, or other financial details; those provisions would be contained in accompanying RFQ documentation.
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Text version
Rev. 8.15.25 Page 1 of 1
REQUEST FOR QUALIFICATIONS ACKNOWLEDGMENT
Handwritten ink and electronic signatures are acceptable by a corporate officer, partner, or proprietor:
I certify that this Submittal is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting qualifications for the same services and is in all respects fair and without collusion or fraud. I am authorized to sign this submittal for the Firm and agreed to abide by all conditions of this Request for Qualifications (RFQ) and certify that I have read and understand the RFQ documents in their entirety. In signing this acknowledgement, I attest that under this submittal I shall provide the services requested in this RFQ according to the published provisions of this RFQ. I certify that all statements made are true, complete and correct.
Project Job No.:
Project Description:
Authorized Signature Date
Authorized Representative Name (First & Last):
Company Name:
Company Address:
Bidder DUNS Number:
Telephone: Fax: e-mail:
| Project Job No: |
| Project Description: |
| Authorized Representative Name First Last: |
| Company Address: |
| Bidder DUNS Number: |
| Telephone: |
| Fax: |
| email: |
| Authorized Signature: |
| Date: |
| Company Name: |
File details come from the government source that posted it. Updated .