Appendix A _ Proposal Certification.pdf

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Attached to
Spiva Cove Bridge Replacement and Kiutuestia Creek Road Culvert Repair at Lows Mill Road
Solicitation number
PE-74400-NONST-2026-000000012
Issued by
Ware County, Georgia

About this file

This is a Bidder's Certification form for Union County Project #UC-2026-02, involving the Spiva Cove Bridge Replacement and Kiutuestia Creek Road Culvert Replacement. The form requires bidders to certify that their proposal is submitted independently without prior understanding, agreement, or connection with other bidding entities, and acknowledges that collusive bidding violates state and federal law with potential penalties including fines, imprisonment, and civil damages. Bidders must confirm authorization to submit the bid and agree to abide by all bid conditions.

The certification form requires bidders to provide standard bidding information including company name, mailing address for payment, contact information (phone, fax, and email), and tax identification or social security number. The form must be signed by an authorized representative with their printed name and title. Unsigned proposals or bids will be declared non-responsive and ineligible for award consideration. This certification serves as a standard compliance requirement for bid submission and represents the bidder's commitment to fair and ethical bidding practices.

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Appendix A

BIDDER’S CERTIFICATION

SPIVA COVE BRIDGE REPLACEMENT AND

KIUTUESTIA CREEK ROAD CULVERT REPLACEMENT

UNION COUNTY PROJECT #UC-2026-02

Date of Proposal___________________

I certify that this Proposal is submitted without prior understanding, agreement or connection with any corporation, firm or person submitting a Proposal for the same goods/services and is in all respects fair and without collusion or fraud. I understand that collusive bidding is a violation of state and Federal law and can result in fines, prison sentences and civil damages awards. I agree to abide by all conditions of this bid and certify that I am authorized to sign this bid for the bidder.

Bidder Information Name and Mailing Address (Type or Print) (Where to Send Payment)

Name of Company Name of Company

Address Address

City, State, & Zip Code City, State, & Zip Code

Phone Number Phone Number

Fax # Email Address

__________________________ OR __________________________

Tax ID Number Social Security Number

Name & Title of Person Authorized to Sign

Name SIGNATURE

Title

Proposals or Bids not signed shall be declared as “Non-Responsive” and may not be considered for award

Appendix A

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