Attachment 2 T1368 - Prior Business Relationships.docx

DOCX document 30 KB Posted

Attached to
T1368 - Technical Support for Air Quality, NJDEP
Solicitation number
16DPP00039
Issued by
Mercer County, New Jersey

About this file

This document is an attachment related to a prior business relationships certification for a bid solicitation titled "T1368 - Technical Support for Air Quality, NJDEP" for the state of New Jersey and the jurisdictions of Mercer County and Trenton City. The vendor submitting this form is required to affirm whether they have had any contractual or other business relationships with the list of persons or entities itemized, which appear to be related to Title V Operating Permits and Pre-Construction Permits. The vendor must either state they have had no such relationships, or provide a separate sheet describing the nature of any relationships, when they occurred, and the work performed.

The document does not provide additional details about the overall contract opportunity, such as the products or services requested, project overview, response due dates, award information, or contract term. Pricing, set asides, incumbent information, funding requirements, and other salient commercial details are also not included in this specific attachment.

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Text version

ATTACHMENT 2 – PRIOR BUSINESS RELATIONSHIPS CERTIFICATION

I am an officer of the Vendor {Bidder} listed below and am completing this certification on its behalf. I have examined the list of persons and /or entities itemized below:

Bid Solicitation Title: _____________________________________________________

Bid Solicitation Number: __________________________________________________

List of persons or entities for whom a technical evaluation, pre-application conference, or public hearing support may be made:

PLEASE SEE ATTACHED LIST OF TITLE V OPERATING PERMITS AND PRE-CONSTRUCTION PERMITS

Pursuant to the Prior Business Relationships as described in Bid Solicitation {RFP} Section 4.4.3.4, I hereby affirm that the firm has:

Had no contractual or other business relationships with any of these persons or entities.

Had relationships with the persons or entities as listed and described on a separate sheet attached to this form. The description should give the following information: the nature of the business relationship, when the potential relationship occurred and is it ongoing, and a description of work performed.

Name of Vendor {Bidder} Submitting this Form: ______________________________

Signature: _____________________________________________________________

Type or Print Name: ____________________________________________________

Date: ______________________________________________________________

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