5-RFQU Offerors Checklist.pdf
PDF 170 KB Posted
- Solicitation number
- 207-26
- Issued by
- Fulton County, Georgia
About this file
This is an Offeror's Checklist document for a Request for Sealed Submittal issued by Fulton County Schools (FCS) in Georgia for Professional and Consulting Services for the Strategy and Technology Division. The checklist serves as a pre-submission verification tool requiring offerors to confirm completion of all mandatory submittal requirements before filing their response. Key items that must be completed include acknowledgment of all issued addenda, authorization signatures from company principals, inclusion of the Request for Sealed Submittal and Commitment to Perform as Proposed Form, confirmation that no conditions or qualifications restrict the submittal's responsiveness, and verification of the company's ability to provide required insurance coverage.
The checklist additionally requires offerors to acknowledge that Fulton County Schools does not provide Workers' Compensation insurance to contractors or subcontractors at any tier and bears no legal responsibility for contractor worker injuries or fatalities. Offerors must submit notarized Georgia Security and Immigration Compliance documents, including the Immigration and Security Form, Contractor Affidavit and Agreement, Sub-Contractor Affidavit, and Affidavit of Exception. All checklist items must be completed and signed by an authorized company representative with the company name, federal identification number, email address, and date before submittal. Fulton County Schools maintains a non-discrimination policy and has designated a Compliance Coordinator for inquiries regarding discrimination complaints or accommodation requests.
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Text version
OFFEROR’S CHECKLIST
Project: ________________________________________________________
Submittal 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 Submittal.
� 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 1: |
| OFFERORS CHECKLIST 2: |
| 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 .