6-6. REQUIRED Representations Certifications.docx

DOCX document 31 KB Posted

Attached to
RELAY TESTING ELECTRIC GENERATING STATIONS
Solicitation number
IFB-017-26-RM
Issued by
Leon County, Florida

About this file

This document is a Representations and Certifications form for a relay testing contract with the City of Tallahassee, Florida, focused on electric generating stations. The contract involves relay testing services to be performed primarily during February, March, April, October, November, and the first half of December, with work sites located within 25 miles of Tallahassee. Contractors must schedule work at least two weeks in advance, possess appropriate occupational and professional licenses, and perform testing in accordance with manufacturer and National Institute of Standards and Technology (NIST) requirements. All work will be conducted under the guidance of a City of Tallahassee employee in energized high voltage substations and power plants.

The form requires bidders to complete a Federal Form W-9 and provide comprehensive company information, including contact details for contract management, payment remittance, invoice inquiries, and purchase order communication. Key operational requirements include providing a technician with a cell phone during fieldwork, having field personnel approved by the city, and requiring employees to be briefed on the APPA Safety Manual. No drawings will be provided to the contractor, and the city retains the right to request replacement of technicians if any issues arise during the project.

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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:

File details come from the government source that posted it. Updated .