8-Attachment G Representations Certifications.pdf
PDF 1 MB Posted
- Solicitation number
- IFB-090-25-CW
- Issued by
- Leon County, Florida
About this file
This document is Attachment "G" from Invitation for Bid (IFB) 006-22-CG, which is a Representations/Certifications form for potential bidders to complete. The form requires respondents to submit a completed Federal Form W-9 with their bid and provides sections for companies to enter their official company information, contact details for contract management, payment remittance address, invoice inquiry contacts, and purchase order information. The form is designed to collect comprehensive contact and tax identification information from businesses interested in participating in the bidding process.
The form includes multiple sections for detailed company information, including fields for company name, mailing address, telephone numbers (with preferences for toll-free numbers), website URL, specific contacts for contract management and invoice inquiries, and an email address section. While no specific contract details, pricing, or scope of services are outlined in this document, it serves as a standardized information collection tool to ensure potential vendors provide complete and accurate contact and tax information for potential business engagement.
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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:
Attachment "G"
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:
WHERE TO SEND PURCHASE ORDER (IF APPLICABLE)
COMPANY NAME:
MAILING ADDRESS:
(City) (State) (Zip Code + 4)
IFB 006-22-CG
REPRESENTATIONS/CERTIFICATIONS
File details come from the government source that posted it. Updated .