8-Certification Addendum Acknowledgement Form.pdf

PDF 148 KB Posted

Attached to
Professional Architectural Services (On Call)
Solicitation number
RFQ-26-122 Professional Architectural (On Call)
Issued by
Yuma County, Arizona

About this file

This document is a Certification & Addenda Acknowledgment Form from the City of Yuma's Procurement Division for a professional services solicitation dated July 10, 2025. The solicitation (Reference #RFQ-26-122) is for Professional Architectural Services on an on-call basis, requiring interested firms to submit a response through the city's Bonfire Procurement Portal. The form outlines the process for potential responders to acknowledge any addenda to the solicitation and confirms their commitment to purchasing property in compliance with all solicitation documents.

The form requires potential responders to certify several key points, including non-discrimination compliance, ethical bidding practices, and authorization to bind the company to the contract. Responders must upload the completed document to the Procurement Portal and are responsible for checking for any addenda. The document emphasizes that the city will not be held responsible if a responder fails to receive issued addenda, and all changes to the solicitation must be in writing. The form provides space for company details, contact information, and an authorized signature, with four specific certifications that the representative must acknowledge when signing.

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Text version

Procurement Division

July 10, 2025

Certification & Addenda Acknowledgment Form for Sale of Property

Solicitation addenda are posted on the City of Yuma’s Bonfire Procurement Portal identified as:

Ref #: _____________

Project: _______________________________________________________________________________

Any changes to the solicitation document will be in the form of an Addendum. It is the responsibility of the Responder to check the Yuma Procurement Portal for any addenda to the solicitation. The City will not be held responsible if a Responder fails to receive any addenda issued. Any City changes must be in writing.

Submission of Response: The undersigned representative offers and agrees to purchase property in compliance with all solicitation documents.

Offer Date: ________________________

Responder Company Name Contact Phone #

Address Printed Name

City, State, ZIP Title

Contact Email Address Signature of Person Authorized to Sign Offer

By signing above, the representative certifies:

1. The Responder company will not discriminate against any employee, or applicant for employment in violation of Federal Executive Order 11246 or A.R.S. 3101461 Et. Seq.

2. The Responder company has not given, offered to give, a loan, a gratuity, a special discount, a tip, or any favor, or service to a public servant in connection with the submitted bid.

3. The Representative signing this certification has the authority to bind the Responder to this contract.

4. The Representative’s signature confirms receipt and consideration of all information contained in any addenda.

Upload this document to the Procurement Portal for the associated solicitation.

Ref 1: RFQ-26-122
Ref 2: Professional Architectural Services (On Call)
Responder Company Name:
Contact Phone:
Address:
Printed Name:
City State ZIP:
Title:
Contact Email Address:
Date1_af_date:

File details come from the government source that posted it. Updated .