Attachment E - Contractor's License Certification Form - Page 1.pdf
PDF 94 KB Posted
- Solicitation number
- 3000025030
- Issued by
- Webster Parish, Baton Rouge City, Louisiana
About this file
This document is a Contractor's License Certification Form for a Request for Proposal (RFx 3000025030) issued by a state or local government agency for Elevator Maintenance and Repair Service at a Department of Corrections (DOC) facility. The form requires potential bidders to complete and submit detailed information about their specialized licensing for elevator and dumbwaiter services, with a clear warning that failure to comply with the submission requirements may result in bid rejection.
The form provides a template for bidders to document their company information, including name, address, and specific license details related to elevator and dumbwaiter maintenance. While no specific pricing, funding sources, or contract terms are detailed in this attachment, the document serves as a critical qualification step in the procurement process, ensuring that only licensed and qualified contractors can participate in the bidding for this specialized maintenance service contract.
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Text version
Attachment E – Contractor’s License Certification Form RFx 3000025030
CONTRACTOR’S LICENSE CERTIFICATION FORM
RFx Title: Elevator Maintenance and Repair Service – DOC - LSP
Bidder: Company Name: ___________________________________________
Company Address: _________________________________________
City, State, Zip Code: _______________________________________
Required License(s):
Type of License License Number(s) Specialty: Elevators, Dumbwaiters
Signature of Bidder or Authorized Representative: ________________________________________
Typed or Printed Name: ________________________________________
Title: ________________________________________
Date: ________________________________________
NOTE: THIS FORM SHOULD BE COMPLETED AND RETURNED WITH THE BID. FAILURE
TO COMPLY WITH THIS REQUIREMENT MAY CAUSE YOUR BID TO BE REJECTED.
File details come from the government source that posted it. Updated .