6-6. REQUIRED Representations Certifications.docx
DOCX document 31 KB Posted
- Attached to
- Pavement Preservation Services
- Solicitation number
- IFB-028-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Representations and Certifications form required for bid submission to the State of Florida for the Pavement Preservation Services contract opportunity. The form mandates that respondents complete and submit a Federal Form W-9 with their bid and provide comprehensive company information including official registered company name, mailing address, telephone numbers, fax, and website URL. Additionally, respondents must identify a company contact for contract management, establish a payment remittance address with associated contact information, designate a contact for invoice inquiries, and specify where purchase orders should be directed if applicable.
The form serves as a standardized documentation requirement to ensure all bidders provide consistent administrative and contact information necessary for contract management and payment processing. Completion of all required fields is mandatory for bid submission, and respondents must ensure accuracy in providing telephone numbers (with toll-free preferred), fax numbers, email addresses, and complete mailing addresses including ZIP+4 codes for all designated contact points and remittance locations.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-1-1. REQUIRED IFB 028-26-RM REQUIRED IFB SECTIONS 123.docx | DOCX document | |
| 9-9. REQUIRED Vendor Conflict of Interest.docx | DOCX document | |
| 8-8 REQUIRED Responsible Vendor Review Form.docx | DOCX document | |
| 5-5. DRAFT CONTRACT CONSTRUCTION .doc | DOC document | |
| 2-2. REQUIRED BID SUMMARY.xlsx | XLSX spreadsheet | |
| 7-7. REQUIRED Local Vendor Affidavit.docx | DOCX document | |
| 3-3. REQUIRED HUMAN TRAFFICKING AFFIDAVIT.pdf | ||
| 4-4. REQUIRED Non Collusion Affidavit of Respondent.docx | DOCX document |
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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 .