Attachment D - Offeror Information.pdf
PDF 204 KB Posted
- Solicitation number
- RFP-123052
- Issued by
- Stafford County, Virginia
About this file
This is an Offeror Information Form (Attachment C) for RFP 26-23-TO issued by Spotsylvania County, Virginia, for GIS and GIS-Centric Platform Support Services. The form requires authorized company officers to certify compliance with all RFP terms and conditions and to submit pricing alongside this documentation. Offerors must provide company name, address, authorized signatory information, contact details, and federal tax identification numbers. The form includes a certification statement in which offerors attest that their proposal is genuine and non-collusive, confirming they have not engaged in any collusion, conspiracy, or agreement with other parties regarding proposal pricing, overhead, profit margins, or cost elements. The form also requires disclosure of the company's state of incorporation or LLC formation, Unique Entity Identifier (UEI#) or D-U-N-S number, and Commonwealth of Virginia State Corporation Commission number if applicable.
Additionally, the form includes a conflict-of-interest disclosure section requiring offerors to declare whether they, their immediate family members, or any company personnel who would provide services to Spotsylvania County are currently employed by the County or hold membership on any County committee, board, or commission. Failure to sign the proposal may result in the offeror being declared non-responsive. All information submitted must be certified as correct and true. The Spotsylvania County Finance and Procurement Division, located at 8800 Courthouse Road, Spotsylvania, VA 22553, can be contacted at 540-507-7596 for additional information.
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Attachment C RFP No. 26-23-TO | Page 1 of 1
Attachment C Offeror Information
In compliance with this Request for Proposal (RFP), Addenda and to all the Terms and Conditions imposed therein and hereby incorporated by reference, the authorized undersigned offers and agrees to furnish the Services at the price(s) submitted with this Proposal, in accordance with this Offeror Information Form.
Failure to sign the Proposal may result in the Offeror being declared non-responsive. Further, the party certifies that all information submitted in response to this RFP is correct and true. The Signee of this Proposal shall be an authorized Officer of the Company. The party hereby certifies that such Proposal is genuine and not collusive or a sham; that said Offeror has not colluded, conspired, connived or agreed, directly or indirectly, with any Offeror or person, to put in a sham Proposal or to refrain from proposing, and has not in any manner, directly or indirectly, sought by agreement or collusion or communication or conference, with any person to fix the Proposal price or affiant or any Offeror, or to fix any overhead, profit or cost element of said bid price, or of that of any other Offeror, or to secure any advantage against Spotsylvania County or any person interested in the proposed contract.
Company Name: Date:
Address: By:
(Signature of Authorized Officer)
Name:
(Please Print)
Title:
E-Mail: Phone:
EIN:
Commonwealth of Virginia State Corporation Commission Number:
If Corporation or LLC, list State of Incorporation or Corporation:
Unique Entity Identifier (UEI#) - D-U-N-S Number:
Are you, any member of your immediate family, or any person part of your company that if awarded will provide services for the County of Spotsylvania either employed by the County or a member or part of any County committee, board or commission?
Check One: ☐ YES ☐ NO If yes, please explain:
Finance | Procurement Division 8800 Courthouse Road | Spotsylvania, VA 22553
Phone: 540-507-7596
File details come from the government source that posted it. Updated .