ATTACHMENT_6_-_BUSINESS_CERTIFICATION_AND_OTHER_INFORMATION.pdf
PDF 117 KB Posted
- Attached to
- Local Boards Legal Counsel Services
- Solicitation number
- RTM RFP 25-002
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This document is Attachment 6 from a Request for Proposal (RFP) RTM RFP 25-002 issued by the City of Phoenix Retirement Department for Local Board Legal Counsel Services. The attachment is a business certification form that requires potential offerors to provide comprehensive business information, including basic contact details, corporate structure, potential conflicts of interest, and pending litigation status. The form is designed to collect critical information about prospective legal service providers for the Phoenix Retirement Department's local board.
The document outlines specific disclosure requirements for potential vendors, including the need to detail any known conflicts of interest, procedures for mitigating such conflicts, and any pending or threatened bankruptcy, litigation, liens, or claims. The form gives the Boards explicit rights to disqualify offerors who fail to provide complete and accurate information, with the disqualification process being at the sole discretion of the Boards. Offerors are required to waive any future rights to object to the disqualification process, emphasizing the thorough vetting approach of the City of Phoenix Retirement Department in selecting legal counsel services.
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Text version
Attachment 6 Page 1 of 3
CITY OF PHOENIX
RETIREMENT DEPARTMENT
LOCAL BOARD LEGAL COUNSEL SERVICES
REQUEST FOR PROPOSAL
RTM RFP 25-002
RETIREMENT
OFFICE
ATTACHMENT 6 - BUSINESS CERTIFICATION AND OTHER INFORMATION
1. BUSINESS INFORMATION
Please provide the following:
Name of Firm:
Principal Office Address:
Mailing Address:
Telephone Number:
Fax Number:
E-mail Address:
Date:
2. FORM OF BUSINESS ENTITY
Is your firm a:
Authorized Person, Title:
Signature of Authorized Person:
Telephone Number:
Fax Number:
E-mail Address:
Attachment 6 Page 2 of 3
LOCAL BOARD LEGAL COUNSEL SERVICES
RTM RFP 25-002
*If a corporation, answer the following:
Where incorporated:
Date incorporated:
Have your Articles ever been suspended or revoked?
Yes No
If yes, when, for what reason, and when were they reinstated:
3. CONFLICT OF INTEREST AND RIGHT TO DISQUALIFY
Offeror shall disclose if it knows, or has reason to believe, that a conflict of interest may exist in its performing the Services under any resulting contract. The Boards reserve the right to disqualify any Offeror on the basis of any real or apparent conflict of interest that is disclosed by the qualifications submitted or any other data available to the Boards.
The Boards reserve the right to disqualify any Offeror who fails to provide information or data requested, or who provides materially inaccurate or misleading information or data.
This disqualification is at the sole discretion of The Boards.
By submission of qualifications hereunder, the Offeror waives any right to object now or in the future, before any body or agency, including but not limited to, the Board Council, the Boards, or any court, as to The Boards’ right to disqualify or as to any disqualification by reason of or apparent conflict of interest determined by The Boards.
(a) Describe any conflict or potential conflict of interest.
(b) Describe any procedures that you have to mitigate or eliminate potential conflicts of interest.
Attachment 6 Page 3 of 3
LOCAL BOARD LEGAL COUNSEL SERVICES
RTM RFP 25-001
4. PENDING LITIGATION
Provide detailed information regarding any pending or threatened bankruptcy, litigation, liens or claims involving Offeror.
| ATTACHMENT 6 - BUSINESS CERTIFICATION AND OTHER INFORMATION |
| 1. BUSINESS INFORMATION |
| Please provide the following: |
| 2. FORM OF BUSINESS ENTITY |
| Is your firm a: |
| ATTACHMENT 6 - BUSINESS CERTIFICATION AND OTHER INFORMATION |
| *If a corporation, answer the following: |
| 3. CONFLICT OF INTEREST AND RIGHT TO DISQUALIFY |
| Offeror shall disclose if it knows, or has reason to believe, that a conflict of interest may exist in its performing the Services under any resulting contract. The Boards reserve the right to disqualify any Offeror on the basis of any real or apparen... |
| The Boards reserve the right to disqualify any Offeror who fails to provide information or data requested, or who provides materially inaccurate or misleading information or data. This disqualification is at the sole discretion of The Boards. |
| By submission of qualifications hereunder, the Offeror waives any right to object now or in the future, before any body or agency, including but not limited to, the Board Council, the Boards, or any court, as to The Boards’ right to disqualify or as t... |
| (a) Describe any conflict or potential conflict of interest. |
| (b) Describe any procedures that you have to mitigate or eliminate potential conflicts of interest. |
| ATTACHMENT 6 - BUSINESS CERTIFICATION AND OTHER INFORMATION |
| 4. PENDING LITIGATION |
| Provide detailed information regarding any pending or threatened bankruptcy, litigation, liens or claims involving Offeror. |
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