Attachment C Cover Sheet.pdf
PDF 156 KB Posted
- Attached to
- Lake Waramaug Concession Building
- Solicitation number
- DEEP-2026-016-MM
- Issued by
- Middlesex County, Connecticut
About this file
This is an Attachment C Cover Sheet form for the Connecticut Department of Energy and Environmental Protection (DEEP) used to submit proposals in response to Requests for Proposals (RFPs). The form serves as the cover page for completed applications and all supporting attachments, which must be submitted through the CTsource online portal. The form requires applicants to provide their legal name, Federal Employer Identification Number (FEIN), complete street address, contact person information including title, phone number, and email address, as well as the name and title of an authorized official responsible for the proposal submission.
The form includes signature blocks for both the contact person and authorized official, with certification language requiring the applicant to attest that they have examined the submitted information and certify, based on reasonable investigation, that all materials are true, accurate, and complete to the best of their knowledge and belief. The form does not specify particular RFP details such as project scope, deliverables, pricing terms, or contract duration; rather, it functions as a standardized administrative cover sheet that applicants complete and submit along with their full proposal documentation on the CTsource platform.
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Text version
Completed applications and attachments must be submitted on CTsource.
ATTACHMENT-C
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 .