Backfill Signature Page.pdf
PDF 38 KB Posted
- Solicitation number
- 300000150278386
- Issued by
- Michigan
About this file
This is a signature page and attestation form for the City of Detroit's solicitation for Planned Residential Backfill and Site Finalization at two properties: 13812 Glenwood and 14102 Seymour (Group 8.3.2026). Bidders are required to submit their full legal business name, Federal Employer ID number, total employee count, and the number of employees residing in Detroit. The form includes an attestation requirement that bidders must have visited and inspected the backfill sites before submitting their bid. All submissions must be signed by an authorized officer of the firm or by an individual with documented authority to commit the organization to the bid, with signature, date, title, and contact information required.
The form establishes that purchase orders and payments will be issued only under the legal name provided by the bidder. Any assignment of the contract or related monies requires prior written approval from the Chief Procurement Officer, Chief Financial Officer, and potentially Detroit City Council, with procedures to be coordinated through the Contracting and Procurement Specialist. The signature page was effective as of February 25, 2020, and serves as a standard backfill submission document for this City of Detroit initiative.
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Text version
Effective 2.25.2020
BACKFILL SIGNATURE PAGE
ASSIGNMENT: A Contractor shall not assign any Purchase Order or Contract or any monies due therefrom without prior approval of the Chief Procurement Officer, the Chief Financial Officer and in some cases the City Council. Contact the Contracting and Procurement Specialist for proper procedure.
IN THE FURTHER DESCRIPTION OF THIS PROPOSAL, WE SUBMIT INFORMATION IDENTIFIED AS
FOLLOWS:
BIDDING UNDER THE NAME OF:
(PRINT FULL LEGAL NAME)
(PURCHASE ORDER WILL BE ISSUED AND PAYMENT WILL BE MADE ONLY IN THE NAME ABOVE)
FEDERAL EMPLOYER ID #:
Total Number of Employees: Number of Employees that reside in the City of Detroit:
IF NOT SIGNED BY OFFICER OF FIRM, THE PERSON SIGNING MUST HAVE AUTHORITY TO COMMIT THE FIRM TO THIS BID. THE INDIVIDUAL NAME MUST ALSO BE LISTED ON THE CERTIFICATE OF
AUTHORITY.
I ATTEST THAT OUR ORGANIZATION HAS VISITED THE BACKFILL SITE(S) TO INSPECT AND
REVIEW THE CONDITIONS OF THE PREMISES BEFORE SUBMITTING A BID FOR THE PROPERTY(S)
ASSOCIATED WITH THIS SOLICITATION.
E-MAIL: AUTHORIZED SIGNATURE:
DATE SIGNED:
TELEPHONE NO. PRINTED
CELL PHONE NUMBER:. TITLE/POSITION
ALTERNATE COMPANY CONTACT
File details come from the government source that posted it. Updated .