7-Attachment B-1 - Offer Form.docx
DOCX document 29 KB Posted
- Attached to
- On-Call Water Resources Engineering Services
- Solicitation number
- 262731
- Issued by
- Pinal County, Arizona
About this file
This is an Offer Form Attachment for a state and local contract opportunity with Pinal County, Arizona, for On-Call Water Resources Engineering Services. The form serves as the submission document for vendors interested in providing engineering services county wide on an as-needed basis. The scope of work includes design, specification review, and other miscellaneous water resources engineering services. Responders must complete the form with company information, authorized signature, contact details, and web address to submit their offer in compliance with the solicitation requirements.
The form includes mandatory certifications that responders must affirm by signature, including non-discrimination compliance with Federal Executive Order 11246 and Arizona state law, prohibition against providing economic opportunities or gifts to public servants, compliance with electronics and information technology product standards under Arizona Revised Statutes Section 41-3532, prohibition of forced labor in supply chains under A.R.S. 35-394, and confirmation of non-debarred status from federal, state, and local government contracts. False statements on the form will void the offer and any resulting contract while potentially subjecting the responder to legal penalties. The contract number is 262731SOQ.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 5-Attachment B - Submission Instructions.docx | DOCX document | |
| 6-Attachment B-3 - Conformance Statements.docx | DOCX document | |
| 3-Attachment B-2 - Addendum Acknowledgement Form.pdf | ||
| 4-Attachment C-1 - Federal Grant Contract Terms.docx | DOCX document | |
| 2-Attachment A - Scope of Work (SOW).docx | DOCX document | |
| 1-Attachment B-4 - Supplier Contact Information.docx | DOCX document | |
| 9-262731ROQ On-Call Water Resources Engineering Services.docx | DOCX document | |
| 8-Attachment C - Draft Contract.docx | DOCX document |
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Text version
Attachment B-1 Offer Form
Submission of Offer: Undersigned hereby offers and agrees to provide goods and/or services in compliance with the solicitation and the offer, which is as indicated by the latest dated version below:
Offer Date:
| X | ||
| Responder Company Name | Signature of Person Authorized to Sign Offer |
| Address | Printed Name and Title |
| City, State, Zip | Responder Contact Name and Title |
| Web Address | Contact Email Address | Contact Phone # |
Certification: By signature in the Offer section above, the Responder certifies:
1. The Responder shall not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, Arizona State Executive Order 2009-9 or A.R.S. §§ 41−1461 through 1465.
2. The Responder has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the offer. Signing the offer with a false statement will void the offer, any resulting contract, and may be subject to legal penalties under law.
3. The Responder certifies compliance with A.R.S. § 41-3532 when offering electronics or information technology products, services, or maintenance.
4. The Responder certifies compliance with A.R.S. § 35-394 prohibiting the use of forced labor by Responder or its contractors or subcontractors of ethnic Uyghurs in the People’s Republic of China in any goods produced in service of this contract.
5. The Responder is not debarred from, or otherwise prohibited from participating in any contract awarded by federal, state, or local government.
Contract #262731SOQ image1.png
File details come from the government source that posted it. Updated .