Backfill Signature Page.pdf

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Attached to
Planned Residential Final Grade and Site Finalization at 17149 Waveney 8746 Ker
Solicitation number
300000151629171
Issued by
Michigan

About this file

This is a Backfill Signature Page for a residential site finalization project in Michigan, specifically for the City of Detroit. The document serves as the signature page for bidders submitting proposals for planned residential final grade and site finalization work at five properties located at 17149 Waveney, 8746 Kercheval, 4559 Lillibridge, 5209 Neff, and 4317 Maryland. The form requires bidders to attest that their organization has visited the backfill site(s) to inspect and review conditions of the premises before submitting a bid. The document became effective on February 25, 2020, and requires completion and authorization by a firm officer or a person with documented authority to commit the firm to the bid.

Bidders must submit their full legal name, Federal Employer ID number, total number of employees, and the number of employees residing in Detroit. All purchase orders and payments will be issued only in the name provided on the signature page. The form prohibits assignment of any purchase order or contract without prior written approval from the Chief Procurement Officer, the Chief Financial Officer, and in some cases the City Council. Bidders must provide contact information including email, telephone, and cell phone number, along with the authorized signature, date signed, and title or position of the signing official. An alternate company contact may also be designated on the form.

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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 .