AFQ 034020142 APPENDIX A - Application Signature Page1 Rev21315.pdf
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- Attached to
- General Preservation Construction
- Solicitation number
- 034020142
- Issued by
- Dauphin County, Harveys Lake Borough, Pennsylvania
About this file
This document is an Application Signature Page related to a contract opportunity announced by the Pennsylvania Historic & Museum Commission (PHMC) for General Preservation Construction services. The opportunity allows preservation and traditional trade contractors, craftspeople, and artisans to become pre-qualified to bid on preservation construction projects on historic buildings at PHMC's historic sites and museums throughout Pennsylvania. The application process is open enrollment and will remain open until June 30, 2019. The application requires acknowledgments regarding the completeness of the response, receipt of bulletins, agreement to contract terms, submission format, and agreement that any misstatements will be considered fraudulent. The application must be signed by the appropriate individual(s) based on the applicant's business structure.
The contract opportunity covers the jurisdictions of Dauphin County and Harrisburg City, Pennsylvania. No additional details are provided regarding pricing terms, set-asides, incumbent contractors, funding sources, or other salient information.
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Text version
AFQ 034020143
APPENDIX A
APPLICATION SIGNATURE PAGE
Application Number AFQ 034020142
Applicant agrees that their signature on this application acknowledges the following statements to be true:
1. Applicant has submitted a complete response to this AFQ using the format provided in
PART II; and
2. Applicant has reviewed and acknowledges receipt of all Bulletins listed on the DGS e-marketplace and PHMC web sites; and
3. Applicant agrees that the contents of the application will become part of any contract that may be entered into as a result of this AFQ; and
4. Applicant agrees to comply with the terms and conditions: Commonwealth Terms &
Conditions and PHMC Supplemental Terms & Conditions as referenced in Part I-19 of this AFQ.
5. Applicant agrees that four (4) paper copies or one (1) emailed copy of the complete application must be provided in order for it to be considered for review and qualification;
and
6. Applicant accepts the Applicant Responsibilities indicated in Part I-19 of this AFQ; and
7. Applicant agrees that if the Commonwealth finds any of the application information to be false, Applicant will be disqualified.
The undersigned agrees to accept all terms and conditions as set forth in the AFQ. The undersigned acknowledges that the representations made in this application are material and will remain valid. Any misstatement in this application is, and shall be treated as, fraudulent concealment from the Commonwealth of the facts relating to the submission of this response.
APPLICANT IS A SOLE OWNERSHIP/INDIVIDUAL:
Witness: By:
Sole Owner / Individual
APPLICANT IS A PARTNERSHIP OR LIMITED LIABILITY COMPANY (LLC):
Witness: By:
General Partner / Authorized LLC Member
APPLICANT IS A CORPORATION:
Attest: By:
Secretary President
AFQ 034020143
APPLICANT IS A JOINT VENTURE:
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