6-RFP-04-Authorized Signature and Questionnaire.docx
DOCX document 40 KB Posted
- Attached to
- RFP Interpretation and Translation Services
- Solicitation number
- 27-0001
- Issued by
- Tarrant County, Texas
About this file
This is an Authorized Signature and Questionnaire form for the City of Fort Worth Purchasing Division for RFP Ref. #27-0001 regarding Interpretation and Translation Services. The form requires bidders to provide their legal business name, Federal Tax Identification Number, address, and authorized representative information along with contact persons. Respondents must acknowledge receipt and understanding of the complete RFP document packet and agree to furnish all items and services at the prices and terms specified in the solicitation. The form requires bidders to certify their authorized status to bind the respondent to full compliance with the RFP terms and conditions.
The questionnaire component requires bidders to provide their length of time in business and disclose any current litigation adverse to the City or criminal investigations involving the business or its principals. Bidders must also indicate their willingness to extend all contract terms, conditions, specifications, and pricing to other governmental entities participating in cooperative purchasing arrangements. Additionally, respondents must specify prompt payment discount terms and identify any pages or sections of their proposal containing proprietary information that should be protected from disclosure per RFP-01 Section 15.4. The document does not specify pricing requirements, set-asides, contract term, or award timeline within this particular form.
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Other files
| File | Type | Posted |
|---|---|---|
| 3-RFP-01-Instruction to Proposers.pdf | ||
| 1-RFP-05-Forms.pdf | ||
| 4-RFP-07-Deviations.xlsx | XLSX spreadsheet | |
| 5-RFP-03-Draft Vendor Service Agreement.pdf | ||
| 7-RFP-02-Scope of Services.pdf | ||
| 2-RFP-06-Small Business Utilization Form V1.docx | DOCX document |
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Text version
CITY OF FORT WORTH - PURCHASING DIVISION AUTHORIZED SIGNATURE AND QUESTIONNAIRE
| RFP Ref. #: 27-0001 |
| Doc. Ref#: RFP-04 |
| Page 1 of 2 |
RFP Title: Interpretation and Translation Services
City of Fort Worth Bidder/Supplier ID:____________________________________ Legal Name of Proposer:
D/B/A Name of Proposer:
Federal Id Number (TIN):______________________________________________ Address:
Name of the Authorized Representative: __________________________________ Title: _____________________________________________________________ The undersigned, by his/her signature, represents that he/she is submitting a binding Proposal and is authorized to bind the respondent to fully comply with the solicitation document contained herein. The Respondent, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this RFP and agrees to be bound by the terms therein.
The undersigned agrees if the Proposal is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this RFP.
Signature of the Authorized Representative: _____________________________ Email: Phone:
Name of Contact Person - 1:
Title of Contact Person - 1:
Email: Phone:
Name of Contact Person - 2:
Title of Contact Person - 2:
Email: Phone:
Name of Contact Person - 3:
Title of Contact Person - 3:
Email: Phone:
Please answer each question below thoroughly. Responses to the questions will be used to assess the Proposal’s responsiveness. Bidders may use a separate sheet if needed, as long as each answer is labeled with the corresponding question number. If any questions have been answered in your prepared technical response you may refer us to that document.
| 1.0 | Length of time in business: _______________________________________ |
| 2.0 | Is your business or any of its principals currently involved in litigation adverse to the City? Yes_______ No________ |
| 3.0 | Is your business or any of its principals under criminal investigation? Yes_______ No________ |
Have you answered Yes to either Question 1 or 2 above? Please provide the details outlining the situation on a separate document with the submission of this form.
4.0 Cooperative Purchasing - Should other governmental entities decide to participate in this contract, would you, the Vendor, agree that all terms, conditions, specifications, and pricing would apply?
Yes_______ No________
| 5.0 | Prompt Payment Discount Terms: ____ Percent _______ Days (i.e. 3% Net 15, etc.) |
| 6.0 | Proprietary Information - If a Bidder believes certain information in their proposal is proprietary and wishes to prevent its disclosure, they must clearly identify those pages and information in the chart below, for more information see RFP-01, Section 15.4. |
| Pages with information believed to be Proprietary | |
| Please indicate if only specific sections on the page are believed to be Proprietary |
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