6-04 Required Form - Proposer Information Form.pdf
PDF 201 KB Posted
- Attached to
- Parks Maintenance Storage Expansion
- Solicitation number
- CSP #41-01-26
- Issued by
- Bell County, Texas
About this file
This is a Proposer Information Form required for submission to the City of Temple, Texas for the Parks Maintenance Storage Expansion project (CSP #41-01-26). The form must be completed and uploaded to the EUNA Procurement e-procurement portal or submitted via hard copy. The project involves construction of approximately 10,240 square yards of new paved parking areas and six parking structures, along with a new storage facility located at the City of Temple Parks & Recreation Administration Office at 1701 North General Bruce Drive, Temple, Texas. The engineer's estimate of probable cost is $3,833,604, with anticipated project completion within 360 consecutive calendar days from Notice to Proceed, though the final contract term will be established through negotiation between the City and the selected contractor.
The Proposer Information Form requires submission of standard company information including business name, address, tax identification number, and primary contact details. Proposers must acknowledge receipt of all addenda issued through the procurement portal and authorize the City to conduct credit checks to verify financial responsibility. The form requires identification of authorized personnel who may provide representations regarding the proposal or resulting contract, and must be signed by an authorized representative with binding authority. Signatures must be original or executed through a validated electronic signature platform; typed names, initials, or manually entered text are not acceptable. By executing this form, proposers affirm they have reviewed all plans, specifications, and contract documents and possess the ability to perform and comply with all stated contract terms.
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Text version
COMPLETE & UPLOAD TO EUNA PROCUREMENT OR SUBMIT VIA HARD COPY
CSP #41-01-26 Parks Maintenance Storage Expansion
PROPOSER INFORMATION FORM
1. Company Information
Company Name: ____________________________________________________________
Business Address: ___________________________________________________________
Remit-to Address, if different: ___________________________________________________
Tax Identification Number: _____________________________________________________
Contact Person: _____________________________________________________________
Phone: ____________________________________________________________________
Email: _____________________________________________________________________
2. Addenda Our company has reviewed and formally acknowledges receipt of all addenda, if any, provided in the Euna Procurement e-procurement portal. Please record the number of addenda acknowledged here:
____________ (number of addenda acknowledged)
3. Credit Check Authorization The City is required to determine whether a Proposer who may be awarded a contract is financially responsible. The City may run a credit check on the potential contractor before award of the contract. By signing this Proposer Information Form, I hereby authorize the City of Temple, credit bureau, or other investigative agency employed by the City of Temple to investigate my credit history and financial responsibility.
____________ (initial to confirm)
COMPLETE & UPLOAD TO EUNA PROCUREMENT OR SUBMIT VIA HARD COPY
CSP #41-01-26 Parks Maintenance Storage Expansion
PROPOSER INFORMATION FORM
continued
4. Authorized Personnel State your firm’s personnel authorized to give representations regarding your proposal or resulting contract, if any:
Name/Title Phone Email
5. Authorization*
Authorized Signature**: _______________________________________________________
Print Name: ________________________________________________________________
Title: ___________________________________ Date: ____________________________
*By signing this Proposer Information Form, you are asserting you have reviewed the plans, specifications, and contract documents associated with this proposal, have the ability to perform and comply with the contract terms as stated herein, and are an authorized representative with the authority to bind your company in a legally binding contract.
** Signatures must be either original signatures or electronic signatures executed through a validated electronic signature platform. Typed names, initials, or any form of manually entered text in place of a signature will not be accepted.
File details come from the government source that posted it. Updated .