6-Form 5 - Vendor Offer Form and Conflict of Interest Statement Master Copy (2).pdf
PDF 107 KB Posted
- Attached to
- Marmalade Branch Cladding Project
- Solicitation number
- 26P02
- Issued by
- Salt Lake County, Salt Lake City, Utah
About this file
This is a Vendor Offer Form and Conflict of Interest Statement for Request for Proposal 26P02 issued by the Salt Lake City Public Library System for the Marmalade Branch Cladding Project. The project is located at 280 W 500 N, Salt Lake City, Utah 84103, and seeks proposals from qualified General Contractors and/or Cladding Contractors to provide comprehensive architectural cladding removal, cladding replacement, exterior patio resurfacing services, and waterproof membrane placement on the patio for the Marmalade Branch Library. The form requires all offerors to certify compliance with all terms, scope of services, conditions, specifications, and amendments outlined in the Request for Proposal.
All vendors submitting offers must disclose any potential conflicts of interest by indicating whether any current Salt Lake City Public Library employee is an owner, corporate officer, or employee of their business. If such an affiliation exists, offerors must provide the name and position of the Library employee within their business organization. The form requires the signature of the person legally authorized to sign on behalf of the company, along with contact information including the company address, telephone numbers, mobile telephone, email address, and company website address for clarification purposes.
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Text version
REQUEST FOR PROPOSAL
26P02 Marmalade Branch Cladding
FORM 5 - OFFER FORM
TO THE SALT LAKE CITY PUBLIC LIBRARY SYSTEM:
The Undersigned hereby offers and agrees to furnish the material or service in compliance with all terms, scope of services, conditions, specifications, and amendments in the Request for Proposal.
CONFLICT OF INTEREST:
For purposes of determining any possible conflict of interest, all Offerors must disclose if any current Salt Lake City Public Library employee is also an owner, corporate officer, or employee of your business. Indicate either "Yes" (Library employee is associated with your business), or "No." If yes, provide the name(s) of the Library employee(s) and the position(s) Library employee(s) hold within your business (reference “Instructions to Offerors”).
_____ Yes_____ No If “YES”, please provide the current Library employee and position (include additional pages if necessary)
Contact For Clarification of This Offer
Name (First, Middle Initial, Last) Signature of Person Legally Authorized to Sign on behalf of Company
Name (First, Middle Initial, Last)
Printed Name and Title Printed Name and Title
Company Address
Direct Telephone (include area code)
Telephone Number (including area code)
Mobile Telephone (include area code)
Email Address Email Address
Company Website Address
File details come from the government source that posted it. Updated .