8-187-26 RFP Offerors Checklist.pdf
PDF 161 KB Posted
- Attached to
- Pediatric Healthcare Nursing Services
- Solicitation number
- 187-26
- Issued by
- Fulton County, Georgia
About this file
This is an Offeror's Checklist for a Request for Sealed Proposal issued by Fulton County Schools in Georgia for Pediatric Healthcare Nursing Services. The checklist serves as a pre-submission verification tool to ensure offerors have completed all required documentation and compliance items before submitting their proposals. Offerors must confirm receipt of any issued addenda, obtain proper authorization signatures, and include the Request for Sealed Proposal and Commitment to Perform as Proposed Form. The submittal must contain no conditions, restrictions, or qualifications that would render it non-responsive, and offerors must certify their ability to provide required insurance coverage.
Offerors are required to submit several mandatory compliance documents, including Certification Regarding Lobbying and Certification Regarding Debarment, Suspension, and Other Responsibility Matters. Additionally, all offerors must provide notarized Georgia Security and Immigration Compliance documents, specifically the Immigration and Security Form, Contractor Affidavit and Agreement, Sub-Contractor Affidavit, and Affidavit of Exception. Offerors must acknowledge that Fulton County Schools does not provide Workers' Compensation coverage to contractors, subcontractors, or any tier and bears no legal liability for contractor worker injuries or death. The checklist requires completion by an authorized representative and must be returned with the proposal submission. Fulton County Schools maintains a non-discrimination policy and has designated Gonzalo LaCava as the Compliance Coordinator for addressing discrimination complaints or accommodation requests.
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Text version
OFFEROR’S CHECKLIST
Project: ________________________________________________________
Proposal No.: ________________________________________________________
� We have acknowledged receipt of addenda issued.
� The submittal has been signed by an authorized principal or authorized official of the firm.
� We have included the Request for Sealed Proposal.
� We have included the Commitment to Perform as Proposed Form.
� No conditions, restrictions or qualifications have been placed by the company on this submittal that would have the submittal declared non-responsive.
� We are prepared to provide the insurance required in this solicitation.
� We have included the Certification Regarding Lobbying.
� We have included the Certification Regarding Debarment, Suspension, and Other Responsibility Matters.
� We acknowledge that Fulton County Schools does not provide Workers’ Compensation to Contractors, Subcontractors or any tier and as such is not responsible or legally liable for Contractor workers’ injuries, including death.
� We have included the following NOTARIZED Georgia Security and Immigration Compliance documents with our quote:
� *Immigration and Security Form � *Contractor Affidavit and Agreement � *Sub-Contractor Affidavit � *Affidavit of Exception
TYPE OR PRINT NAME OF PERSON COMPLETING CHECKLIST
SIGNATURE OF PERSON COMPLETING CHECKLIST
COMPANY NAME
DATE
(COMPANY FEDERAL ID NUMBER)
(COMPANY E-MAIL ADDRESS)
READ AND COMPLETE THIS CHECKLIST BEFORE SUBMITTING THE SUBMITTAL
RETURN WITH SUBMITTAL
It is the policy of the Fulton County School System not to discriminate on the basis of race, color, sex, religion, national origin, age, or disability in any employment practice, educational program or any other program, activity, or service. If you wish to make a complaint or request accommodation or modification due to discrimination in any program, activity, or service, contact Compliance Coordinator, Gonzalo LaCava, 6201 Powers Ferry Road, Atlanta, Georgia 30339, or phone (470) 254-5502. TTY 1-800-255-0135.
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