Attachment_C_-_QUALIFICATIONS_FORM_3.pdf
PDF 91 KB Posted
- Attached to
- Waste to Energy Facility Operator
- Solicitation number
- 24-1082-RFP
- Issued by
- Pinellas County, Florida
About this file
This document is a Performance Bond Affidavit (Qualifications Form 3) from a surety company for Pinellas County, Florida, related to a Waste-to-Energy Facility operation and maintenance contract. The affidavit indicates that the surety is prepared to issue a performance bond of $10,000,000 for the selected respondent if they are awarded the contract for managing, operating, and maintaining the county's resource recovery facility. The document outlines the surety's commitment to provide this bond, subject to reviewing the contract terms and assuming no material adverse changes occur in the respondent's financial condition.
The surety company certifies that it has a rating of at least "A" from a recognized rating agency and is licensed in the State of Florida. The performance bond serves as a financial guarantee that the selected contractor will fulfill their contractual obligations to Pinellas County. The document is a standard qualification form that demonstrates the financial backing and reliability of the potential contractor, which is a critical component of the county's Request for Proposal (RFP) process for selecting a long-term operator for its Waste-to-Energy Facility.
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Other files
| File | Type | Posted |
|---|---|---|
| Waste_to_Energy_Facility_Operator_(Addendum_#3_Revision).pdf | ||
| Attachment_B_-_QUALIFICATIONS_FORM_2.pdf | ||
| Attachment_A_-_QUALIFICATIONS_FORM_1.pdf | ||
| Non-Competitive_Oversight_Committee_Justification_Form.docx | DOCX document | |
| PINCO_2024_WTE_Operator_RFP-RFQ_Template_DRAFT-08202024.docx | DOCX document | |
| RFQ_Proposed_Term_Sheet_DRAFT-08202024.docx | DOCX document |
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Text version
Attachment C
QUALIFICATIONS FORM 3
PERFORMANCE BOND AFFIDAVIT FROM SURETY
STATE FLORIDA
PINELLAS COUNTY
BEFORE ME, the undersigned authority, personally came and appeared ____________________, who after being by me duly sworn, deposed and said that he is fully authorized representative of _______ _______ (hereinafter referred to as “Surety”) and said affiant stated:
1) That affiant is familiar with ____________________________ (hereinafter referred to as “Respondent”) the party who prepared the Statement Of Qualifications for the management, operation and maintenance of the resource recovery facility for Pinellas County, which Statement Of Qualifications will be received by Pinellas County on _______________ ___, 20____.
2) That if Respondent is awarded the contract by Pinellas County, Surety will issue a performance bond in the amount of ten million dollars ($ 10,000,000) for the benefit of Pinellas County in case the Respondent should default on any of the obligations contained in the contract, subject to the Surety’s review of the terms and conditions of the contract and bond forms and assuming that no material adverse changes have occurred to the Respondent’s financial condition between the date of this Qualifications Form 3 and the date that the performance bond is to be issued.”
3) That Surety has a rating of at least “A” (or the equivalent) from an appropriate recognized rating agency and Surety is licensed as a Surety Company in the State of Florida.
4) I certify that I am authorized to sign for Surety
5) Said Surety hereby certifies the truth and accuracy of the above statements under the pains and penalties of perjury.
(Signature of Surety)
(Printed Name and Title)
SWORN TO AND SUBSCRIBED
BEFORE ME THIS DAY OF , 20____
(SEAL)
NOTARY PUBLIC IN AND FOR THE STATE OF __________
Qualifications Form 3
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