6-Vendor Acknowledgement.pdf
PDF 85 KB Posted
- Attached to
- Gasoline & Diesel Fuels
- Solicitation number
- ITB 250705
- Issued by
- Henderson County, Texas
About this file
This document is a Vendor Acknowledgement form for Invitation to Bid (ITB) 250705 for Gasoline and Diesel Fuel Annual Pricing. The form is designed for potential vendors to complete and submit their bid, certifying their understanding of the specifications and authorizing their participation in the bidding process. The document requires vendors to provide detailed company information, including business contact details, SAM registration status, and acknowledgment of any addenda to the bid package.
The form emphasizes key bidding ethics, with vendors certifying that their bid has been prepared independently, without collusion with other bidders, and that the prices and terms have not been communicated to other parties prior to the official bid opening. Vendors must complete the form by providing their company name, business addresses, contact information, and obtaining authorization from a representative who will sign and date the document. The form includes provisions for acknowledging up to five potential addenda to the original bid documents, and requires vendors to confirm their eligibility through an active System for Award Management (SAM) registration.
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Other files
| File | Type | Posted |
|---|---|---|
| 3-Certification Regarding Lobbying.pdf | ||
| 4-Cooperative Purchasing.pdf | ||
| 2-Certification Regarding Energy Firearm.pdf | ||
| 7-ITB 250705 Annual Fuel.pdf | ||
| 8-Addendum 1.pdf | ||
| 10-Addendum 3.pdf | ||
| 9-Addendum 2.pdf | ||
| 1-BID Table.pdf | ||
| 5-Non-Collusive Bidding.pdf |
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Text version
ITB 250705
GASOLINE AND DIESEL FUEL – ANNUAL PRICING
VENDOR ACKNOWLEDGEMENT
The undersigned hereby certifies that he/she understands the specifications and any addendums, has read the document in its entirety and the prices submitted in this bid/proposal have been carefully reviewed and are submitted as correct and final. If Bid/Proposal is accepted, proposer further certifies and agrees to furnish any or all products/services upon which prices are extended at the price offered, and upon conditions in the specifications of the Invitation for Bid/Proposal.
The undersigned hereby certifies the foregoing proposal submitted by the company listed below hereinafter called "Bidder" is the duly authorized agent of said company and the person signing said proposal has been duly authorized to execute the same. Bidder affirms that they are duly authorized to execute this contract; this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other Bidder; and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid.
Company Name
Address of Principal Place of Business
City, State, Zip
Remittance Address
City, State, Zip
Phone of Principal Place of Business
Fax of Principal Place of Business
E-mail Address of Representative
Active SAM Registration Y N
Acknowledgement of Addenda
(Please circle EACH acknowledged Addendum(s))
#1 #2 #3 #4 #5
Authorized Representative Name
Authorized Representative Title
Authorized Signature
Date
File details come from the government source that posted it. Updated .