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 for submission to the City of Palo Alto in response to a Request for Proposals for golf course wetland mitigation monitoring services. The form requests comprehensive proposer information including business structure, licensing credentials, California Department of Industrial Relations registration, and acknowledgment of all addenda issued during the procurement process. The project involves conducting five-year wetland mitigation monitoring and reporting services for the Baylands Golf Links project located at 1875 Embarcadero Road in Santa Clara County, California, encompassing 8.03 acres of expanded wetlands and 0.42 acres of enhanced wetlands. The question submission deadline is December 10, 2025, at 3:00 p.m., with proposals due December 17, 2025, at 3:00 p.m., to be submitted electronically through OpenGov. The contract will be awarded as a Not-To-Exceed Budget Per Task agreement with progress payments based on project completion percentage and will continue for five years or until success criteria are met.
The form requires proposers to provide evidence of financial stability through audited financial statements, reviewed financial statements, a letter of good standing, or a current Dun & Bradstreet report, and to maintain insurance coverage compliant with City standards and approved by the City's Risk Manager. Proposers must include duly authorized signatures based on their business structure, whether individual, partnership, joint venture, corporation, or LLC. The procurement does not include specific set-aside designations for disadvantaged enterprises and is open to all qualified firms. The contact for the procurement is Albert Lujan, Contract Administrator, at albert.lujan@paloalto.gov or (650) 463-4954. Upon recommendation for award, all proposals will become public record, with materials marked as confidential trade secrets exempted from disclosure.
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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 .