7-Attachment B General Affidavit ChlorineServices 10.2.23 (2).docx
DOCX document 30 KB Posted
- Solicitation number
- 550972
- Issued by
- Wayne County, Detroit City, Michigan
About this file
This is a General Affidavit attachment for a Request for Quotes (RFQ) issued by the City of Detroit Office of Contracting and Procurement in Michigan for sodium hypochlorite 12.5% solution for city pools. The affidavit serves as a mandatory compliance document that respondents must complete, sign, notarize, and submit in portable document format (.pdf) along with their proposals. Vendors are required to designate primary and secondary points of contact, acknowledge receipt and understanding of all RFQ documentation and terms, and confirm that only one proposal has been submitted per organization. The document establishes that all submitted materials become property of the City and are subject to public disclosure under applicable laws.
The affidavit obligates respondents to certify the truthfulness, completeness, and accuracy of all submitted information and documentation, while acknowledging the City's right to reject proposals containing false, incomplete, or incorrect information. Vendors assume full responsibility and cost for proposal preparation and must maintain an ongoing affirmative duty to immediately disclose any changes or discovered inaccuracies in submitted materials. The affidavit further affirms that vendors have not relied on oral or unofficial written interpretations from City officials and understand that the City reserves the right to conduct background investigations on the organization and its officers or employees. Respondents must not have relied upon any unauthorized communications from City representatives in preparing their proposals.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 6-Attachment A - Respondent Questionnaire (RFQ) 982026.docx | DOCX document | |
| 3-Attachment E - Professional Service Contract Sample.pdf | ||
| 1-TEMPLATE Priority Hiring Letter 2026.docx | DOCX document | |
| 2-Equalization Credit Statement.pdf | ||
| 4-Attachment D-2 Conditions of Award.pdf | ||
| 9-Attachment C - Price Sheet New.xlsx | XLSX spreadsheet | |
| 8-RFQ 550972 Sodium Hypochlorite.docx | DOCX document | |
| 5-Attachment D-1 Required Forms Affidavits.pdf |
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Text version
ATTACHMENT B
REQUEST FOR QUOTES (RFQ) – POOL SERVICES
GENERAL AFFIDAVIT
Please thoroughly read the following affidavit before completing this attachment. Interested vendors must ask any questions related to this attachment prior to the deadline identified in this RFQ. The Respondent must complete, including all required signatures, and submit this affidavit in portable document format (.pdf).
I, <INSERT NAME OF AUTHORIZED REPRESENTATIVE>, state under oath:
1. I am the <INSERT TITLE HERE> of <INSERT ORGANIZATION NAME> (hereafter, “the Organization”), and I am authorized to execute this affidavit on behalf of the Organization.
2. I hereby designate the following individual(s) as the Organization’s point(s) of contact for all matters related to <INSERT SOLICITATION # HERE> (hereafter, “this Solicitation”).
| Primary Contact | Secondary Contact | |
| Name: <INSERT NAME 1 HERE> | Name: | <INSERT NAME 2 HERE> |
| Title: <INSERT TITLE 1 HERE> | Title: <INSERT TITLE 2 HERE> | |
| E-mail: <INSERT EMAIL 1 HERE> | E-mail: <INSERT EMAIL 2 HERE> | |
| Phone #: (XXX) XXX-XXXX | Phone #: (XXX) XXX-XXXX |
3. I acknowledge and attest that the Organization has reviewed and understands the documentation associated with this Solicitation, including but not limited to all attachments and exhibits, and I acknowledge and attest that the Organization is subject to all terms, conditions, requirements, and/or obligations contained therein.
4. I acknowledge and attest that the Organization understands that the City may clarify, modify, amend, cancel, or withdraw this Solicitation at any time.
5. I acknowledge and attest that the Organization has not relied upon any oral interpretation, information, or instruction provided by an officer, employee, or contractor of the City of Detroit in the preparation and submittal of this proposal, and I further acknowledge and attest that the Organization has not relied upon any unofficial written interpretation, information, or instruction provided by an officer, employee, or contractor of the City of Detroit in the preparation and submittal of this proposal.
6. I acknowledge and attest that the Organization has voluntarily submitted the required forms and documents in response to this Solicitation, and I further acknowledge and attest that the Organization assumes full responsibility, including all costs, for the preparation and submittal of all forms and documents associated with this Solicitation.
7. I acknowledge and attest that the Organization, including any subsidiary, affiliated company, or franchise of the Organization, has submitted only one (1) proposal in response to this Solicitation.
8. I acknowledge and attest that the Organization understands that all forms and documents submitted in response to this Solicitation are subject to public disclosure in accordance with all applicable laws, regulations, and rules.
9. I acknowledge and attest that the Organization understands that all forms and documents submitted in response to this Solicitation are now property of the City.
10. I acknowledge and attest that all information and documentation that the Organization submitted to the City in response to this Solicitation are true, complete, and correct to the best of my knowledge and belief.
11. I acknowledge and attest that the Organization understands that the City reserves the right to reject the proposal due to false, incomplete, or incorrect information or documentation.
12. I acknowledge and attest that the Organization has an ongoing, affirmative duty and obligation to provide true, complete, and correct information and documentation to the City, and I further acknowledge and attest that the Organization will submit all requested information or documentation in the form, manner, and time frame stipulated by the City.
13. I acknowledge and attest that the Organization understands that the City reserves the right to reject the proposal if the Organization fails to provide the required information or documentation in the form, manner, and time frame stipulated by the City.
14. I acknowledge and attest that the Organization has an ongoing, affirmative duty and obligation to immediately inform the City of any change(s) in fact or information contained in any required form or document, and I further acknowledge and attest that the Organization is under an ongoing duty and obligation to immediately inform the City of any information that the Organization discovers to be incorrect or inaccurate.
15. I acknowledge and attest that the Organization understands that the City reserves the right to reject the proposal if the Organization fails to immediately disclose any known changes in fact or information or any known incorrect or inaccurate information.
16. I acknowledge and attest that the Organization understands that the City reserves the right to conduct (a) background investigation(s) on the Organization or any officer or employee of the Organization.
Officer Signature Date
This document was properly acknowledged, subscribed, and sworn before me this XXXX day of <INSERT MONTH HERE>, 20XX.
Notary Name Notary Signature
Notary Public, State of Michigan, County of <INSERT COUNTY HERE>.
Acting in the County of <INSERT COUNTY HERE>.
My commission expires on <INSERT EXPIRATION DATE HERE>.
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