Attachment_H_Proposer_Info_Form.doc
DOC document 68 KB Posted
- Attached to
- Golf Course Wetland Mitigation Monitoring
- Solicitation number
- 196239
- Issued by
- Santa Clara County, California
About this file
This is a Proposer's Information Form required by the City of Palo Alto for submission in response to a Golf Course Wetland Mitigation Monitoring contract opportunity in California. The form functions as a standardized application document that collects essential information from proposing contractors, including company name, address, contact details, and designated contact person. Proposers must provide professional license information, contractor's license details with classification and expiration dates, and California Department of Industrial Relations registration information. The form requires proposers to indicate their business structure, whether operating as an individual, joint venture, partnership, corporation, or other entity, along with relevant incorporation and authorization dates in California.
The form includes a mandatory section for proposers to acknowledge receipt of all addenda issued during the procurement process, with checkbox options for addendum numbers one through six or a notation if no addenda were received. Proposer signature authorization varies based on business structure: individuals must provide a single authorized signature, partnerships and joint ventures require signatures from at least two partners, and corporations or limited liability companies require signatures from duly authorized officers. The form explicitly states that all proposals must be signed in the designated spaces and that submission constitutes representation and certification that the proposer has thoroughly investigated all aspects of the request for proposal, understands applicable procedures and requirements, and has read and comprehended the entire RFP. The form stipulates that no modifications to proposals will be considered after submission based on claims of incomplete information regarding facts or conditions.
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Text version
Proposer’s Information Form
(REQUIRED)
Proposer Information:
Name:
Address:
Phone:
Email:
Contact Person:
Title:
Email (required):
Phone (required):
| Professional License Information: |
| Contractor’s License Information: |
Number:
Number:
Classification:
Classification:
Expiration Date:
Expiration Date:
California Department of Industrial Relations Registration Information:
Number:
Proposer, if selected, intends to carry on the business as (check one):
Individual
Joint Venture
Partnership
Corporation
Date Incorporated:
State Incorporated:
Date Authorized to do business in California:
Other (explain):
ADDENDA
To assure that all Proposers have received each addendum, check the appropriate box(s) below. Failure to acknowledge receipt of an addendum/addenda may be considered an irregularity in the Proposal:
| Addendum number(s) received: |
| 6; 5; 4; 3; 2; 1; |
| Or, |
| ______ No Addendum/Addenda were received (check and initial) |
PROPOSER’S SIGNATURE
No proposal shall be accepted which has not been signed in the appropriate space below:
By signing below, the submission of a proposal shall be deemed a representation and certification by the Proposer that they have investigated all aspects of the RFP, that they are aware of the applicable facts pertaining to the RFP process, its procedures and requirements, and they have read and understand the RFP. No request for modification of the proposal shall be considered after its submission on the grounds that the Proposer was not fully informed as to any fact or condition.
If Proposer is INDIVIDUAL signature:
Name:
Signature:
Title:
Date:
If Proposer is PARTNERSHIP or JOINT VENTURE (at least two Partner signatures):
Partnership or Joint Venture Name:
Name:
Signature:
Title:
Date:
Name:
Signature:
Title:
Date:
If Proposer is CORPORATION or LLC (duly authorized officer(s) signature):
The undersigned certify that he/she respectively:
Name:
Signature:
Officer Title:
Date:
Name:
Signature:
Officer Title:
Date:
Name:
Signature:
Officer Title:
Date:
Name:
Signature:
Officer Title:
Date:
PAGE
City of Palo Alto
Attachment A Proposer’s Information Form
File details come from the government source that posted it. Updated .