Attachment I - Preferred Pricing Affidavit.pdf
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- Solicitation number
- RFP-05887
- Issued by
- Leon County, Florida
About this file
The document is an Attachment I - Preferred Pricing Affidavit related to Contract No. 93131800-23-STC between XXX ("Contractor") and the Florida Department of Management Services. The affidavit attests that the Contractor is in full compliance with the preferred-pricing clause of the Contract.
The related state and local contract opportunity is for Food, Water, and Ice for Emergency Operations, issued by the State of Florida, Department of Management Services, through RFP No. 23-93131800-RFP. The solicitation includes multiple addenda that have been posted, and vendors must submit responses through the Business Network. The contract term and any renewal options are not specified.
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Attachment I Preferred Pricing Affidavit
This preferred-pricing affidavit is entered into in accordance with Section 216.0113, F.S., and as required by Contract No. 93131800-23-STC (“Contract”) between XXX (“Contractor”) and the Florida Department of Management Services.
As the person authorized by Contractor to sign this affidavit, I attest that the Contractor is in full compliance with the preferred-pricing clause of the Contract.
Contractor’s Name: ______________________________________________________________
By: ___________________________________________________________________________
Signature Printed Name/Title
Date: __________________________________________________________________________
STATE OF ____________ COUNTY OF __________
Sworn to (or affirmed) and subscribed before me this __________ day of ________________, by
Signature of Notary
(Print, Type, or Stamp Commissioned Name of Notary Public)
[Check One] ____ Personally Known OR ____Produced the following I.D. ___________
Vendor Name: __________________________________ FEIN#_______________________ Vendor’s Authorized Representative Name and Title: _________________________________ Address:
City, State, and Zip code: _______________________________________________________ Phone Number: (___) ___-____ E-mail: ________________________________________
CORPORATE SEAL (IF APPLICABLE)
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