Attachment I - Preferred Pricing Affidavit.pdf

PDF 102 KB Posted

Attached to
Food, Water, and Ice for Emergency Operations (23-93131800-RFP)
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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