6-6-13. REQUIRED IFB 092-25-RM Representations Certifications.docx
DOCX document 31 KB Posted
- Attached to
- Pump Station 43 Improvements
- Solicitation number
- IFB-092-25-RM
- Issued by
- Leon County, Florida
About this file
This document is a Representations/Certifications form for a state and local contract opportunity involving Pump Station 43 Improvements in Florida. The project requires a contractor to provide comprehensive infrastructure replacement services, including removal of an out-of-service forcemain, installation of approximately 675 linear feet of 18-inch ductile iron pipe force main, installation of a surge tank and kingpin manhole, bypass pumping components, and relocation of an existing chemical tank. A mandatory pre-bid meeting is scheduled for July 23, 2025, at 2:00 PM EST via Microsoft Teams, with specific meeting details and dial-in information provided.
The contract involves surface restoration work, including asphalt patching, milling, resurfacing, and other incidental infrastructure replacement tasks. The contractor will be responsible for material disposal, traffic maintenance, area restoration, and arboricultural mitigation for impacted trees as specified in the provided Arborist Report. The solicitation requires the contractor to perform services in a timely, professional manner and submit a Federal Form W-9 with their bid. The document includes extensive contact information sections for company details, contract management, payment remittance, invoice inquiries, and purchase order communication, emphasizing the comprehensive administrative requirements of the procurement process.
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Text version
REPRESENTATIONS/CERTIFICATIONS
TAXPAYER IDENTIFICATION
Respondent must complete Federal Form W-9 and submit it with their bid.
OFFICIAL COMPANY INFORMATION AS REGISTERED (Type/Print)
COMPANY NAME:
MAILING ADDRESS:
(City)
| (State) |
| (Zip Code + 4) |
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
WEBSITE URL:
COMPANY CONTACT FOR CONTRACT MANAGEMENT (Type/Print)
NAME:
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
EMAIL ADDRESS:
PAYMENT REMITTANCE ADDRESS (Type/Print)
NAME:
MAILING ADDRESS:
(City)
| (State) |
| (Zip Code + 4) |
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
EMAIL ADDRESS:
CONTACT FOR INVOICE INQUIRIES
NAME:
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
EMAIL ADDRESS:
WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)
COMPANY NAME:
MAILING ADDRESS:
(City)
| (State) |
| (Zip Code + 4) |
EMAIL ADDRESS:
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