6-Form 4. Representations and Certifications.pdf
PDF 79 KB Posted
- Attached to
- Senior Center Roof Project
- Solicitation number
- IFB-032-26-KM
- Issued by
- Leon County, Florida
About this file
This is a Representations and Certifications form required for bid submission to the City of Tallahassee, Florida for the Senior Center Roof Project located at 1400 N Monroe Street, Tallahassee, Florida 32303. The project involves roof replacement work including cleaning and patching of the existing mineral surface low slope roofing system, removal of parapet wall base flashing, and installation of an 80 mil polyvinyl chloride (PVC) fleece backed cap sheet roofing system with 60 mil PVC flashing membrane, all adhering to a high solar reflectance index (SRI) rating of 80 per roofing manufacturer specifications. Bidders must submit this form along with detailed company information, authorized contact personnel, and payment remittance details to be considered for contract award.
Respondents are required to complete and submit a Federal Form W-9 for taxpayer identification purposes with their bid submission. The form requests official company registration information, including company name, mailing address, telephone, email, and website details. Additionally, bidders must designate specific contacts for contract management, invoice inquiries, and payment remittance, as well as identify the location where purchase orders should be directed. Detailed specifications and the complete Scope of Work are available in the full solicitation documents.
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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:
MAIL ADDRESS:
TELEPHONE NO:
(Toll-Free Preferred)
EMAIL ADDRESS:
WEBSITE URL:
(City) (State) (Zip Code+4)
VOICE: , EXTENSION:
OTHER: ; FAX:
COMPANY CONTACT FOR CONTRACT MANAGEMENT (Type/Print)
PERSON NAME:
TELEPHONE NO:
PAYMENT REMITTANCE ADDRESS (Type/Print) (if same as 2.8, enter “SAME 2.8”)
NAME:
TELEPHONE NO:
CONTACT FOR INVOICE INQUIRIES
NAME:
TELEPHONE NO:
WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)
COMPANY NAME:
File details come from the government source that posted it. Updated .