7-4. Representations and Certifications.pdf

PDF 79 KB Posted

Attached to
Annual Dielectric Inspection and Testing of Fleet Equipment
Solicitation number
IFB-079-26-KM
Issued by
Leon County, Florida

About this file

This is a Representations and Certifications form for the City of Tallahassee Fleet Management Department's Annual Dielectric Inspection and Testing of Fleet Equipment contract opportunity in Florida. The contract seeks a single award to the lowest cost, responsible, and responsive bidder to provide structural inspections and dielectric testing on insulated aerial devices, including bucket trucks, boom trucks, and digger derricks, to verify insulation integrity and structural safety in accordance with all current applicable standards, procedures, and manufacturer recommendations. The form requires respondents to provide official company information as registered, including company name, mailing address, telephone number, email address, and website URL, along with designated company contacts for contract management, invoice inquiries, and purchase order delivery.

Respondents must complete and submit a Federal Form W-9 for taxpayer identification purposes with their bid. The form also requires submission of payment remittance address information, which may reference previously provided company information if identical. Additional contact information must be provided for invoice inquiries and specification of where purchase orders should be directed if applicable. No pricing terms, set-asides, incumbent information, funding amounts, response dates, or other financial details are specified in this representations and certifications 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:

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 .