6-6. REQUIRED Representations Certifications.docx
DOCX document 31 KB Posted
- Attached to
- Delivery Of Aluminum Sulfate
- Solicitation number
- IFB-045-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Representations and Certifications document for the City of Tallahassee's solicitation for the delivery of aluminum sulfate in Florida. The City is seeking bids for the furnishing, delivery, and pumping of bulk liquid aluminum sulfate (Aluminum Sulfate Solution AL2(SO4)3 equivalent to AL2O3, 8.3%). This is a requirements contract with estimated quantities provided as guidelines only; the City reserves the right to increase or decrease purchase quantities. Bidders are required to familiarize themselves with product specifications and are responsible for inspecting equipment and locations prior to bid submission to understand the full scope of services required.
Pricing for this contract shall be submitted on a per dry ton basis and must represent the complete cost, including delivery. Respondents are required to complete and submit a Federal Form W-9 with their bid. The document establishes required submission fields for official company information, company contact for contract management, payment remittance address, invoice inquiry contact, and purchase order delivery address. Delivery or performance shall be made only through orders issued by the City in accordance with contract terms, and the City may require delivery to multiple destinations.
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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 .