7-6-13. REQUIRED IFB 014-26-RM Representations Certifications.docx
DOCX document 31 KB Posted
- Attached to
- Wednesday Street Sewer Improvements
- Solicitation number
- IFB-014-26-RM
- Issued by
- Leon County, Florida
About this file
This document is a Representations/Certifications form for a state and local contract opportunity for infrastructure improvements in Florida. The project involves the installation of approximately 2,505 linear feet of new water main, including associated valves, services, meters, fire hydrants, and fittings. A mandatory pre-bid meeting is scheduled for Tuesday, November 18, 2025, at 2:00 PM EST via Microsoft Teams, with specific meeting details and dial-in information provided. The project scope includes sediment and erosion control, material disposal, traffic maintenance, and restoration of disturbed areas such as driveways, curb, gutter, and pavement.
The contract does not involve federal funding, which means section 1.36 Federal Provisions do not apply. The document requires respondents to complete a Federal Form W-9 and submit it with their bid. The form includes comprehensive sections for capturing official company information, including contact details for contract management, payment remittance, invoice inquiries, and purchase order communication. The contractor is expected to perform services in a timely and workmanlike manner, with the capability to complete all project requirements as specified in the 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:
MAILING ADDRESS:
(City)
| (State) |
| (Zip Code + 4) |
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
WEBSITE URL:
COMPANY CONTACT FOR CONTRACT MANAGEMENT (Type/Print)
NAME:
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
EMAIL ADDRESS:
PAYMENT REMITTANCE ADDRESS (Type/Print)
NAME:
MAILING ADDRESS:
(City)
| (State) |
| (Zip Code + 4) |
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
EMAIL ADDRESS:
CONTACT FOR INVOICE INQUIRIES
NAME:
TELEPHONE NO.:
| (Toll-Free Preferred) |
| VOICE: |
EXTENSION:
OTHER:
FAX:
EMAIL ADDRESS:
WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)
COMPANY NAME:
MAILING ADDRESS:
(City)
| (State) |
| (Zip Code + 4) |
EMAIL ADDRESS:
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