Attachment B Cover Sheet Form Fillable.pdf
PDF 235 KB Posted
- Attached to
- Gillette Castle Concession Building
- Solicitation number
- DEEP-2026-014-MM
- Issued by
- Middlesex County, Connecticut
About this file
This is an Attachment B Cover Sheet Form for the Connecticut Department of Energy and Environmental Protection (DEEP) Request for Proposal process. The form serves as the standardized submission document for vendors, providers, CT State agencies, and municipalities participating in the RFP process through CTsource, Connecticut's online procurement portal. Applicants must complete all required fields including legal name, Federal Employer Identification Number (FEIN), street address, contact person information, and authorized official details. The form requires submission of completed applications and all attachments through the CTsource platform.
The cover sheet includes certification language requiring the applicant's authorized official or designee to attest that all submitted information has been personally examined and is true, accurate, and complete to the best of their knowledge. The form accommodates multiple authorized officials or designees, with signature lines and dates provided for each. No specific pricing terms, set-asides, contract term information, or award dates are detailed on this cover sheet, as it functions primarily as a procedural document to verify applicant information and authorize proposal submission rather than to outline substantive contract requirements or financial terms.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Completed applications and attachments must be submitted on CTsource.
ATTACHMENT B
Cover Sheet Form
Department of Energy and Environmental protection
RFP Name/Number:
Legal Name:
Legal Name is defined as the name of provider, vendor, CT State agency, or municipality submitting the proposal.
FEIN
This is not required for currently contracted providers/vendors
Street Address:
Town/City: State: Zip:
Contact Person:
Contact Person is defined as the individual who can provide additional information about the proposal or who has immediate responsibility for the proposal.
Title:
Phone Number:
E-Mail Address:
Authorized Official:
Title:
Signatures:
“I have personally examined and am familiar with the information submitted on this proposal and all attachments thereto, and I certify that based on reasonable investigation, including my inquiry of the individuals responsible for obtaining the information, the submitted information is true, accurate and complete to the best of my knowledge and belief.”
Applicant’s Signature Date
Printed Name Title
Authority of Designee Signature Date
Printed Name Title https://portal.ct.gov/das/ctsource/ctsource?language=en_US
| Title: |
| Phone Number: |
| EMail Address: |
| Authorized Official: |
| Title_2: |
| Date: |
| Printed Name: |
| Title_3: |
| Date_2: |
| Printed Name_2: |
| Title_4: |
| Legal Name: |
| Federal Employer Identification Number: |
| State: |
| Zip: |
| Contact Person: |
| Town/City: |
| RFP Name/Number: |
File details come from the government source that posted it. Updated .