Backfill Signature Page.pdf

This is a signature page and attestation form for a City of Detroit procurement related to planned residential removal and replacement of fill material for 20 properties in Group 9, with an anticipated contract date of 14.2026. The document requires bidders to submit their legal business name, Federal Employer ID number, and employee information including the number of total employees and those residing in Detroit. A critical requirement stipulated on this form is that bidders must attest to having visited the backfill site(s) to inspect and review the conditions of the premises before submitting their bid proposal. The form 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 the signatory's name required to appear on the Certificate of Authority.

The procurement requires performance and payment bonds for this bid as a mandatory condition of participation. Any assignment of the Purchase Order or Contract requires prior written approval from the Chief Procurement Officer, Chief Financial Officer, and in some cases the City Council, with inquiries directed to the Contracting and Procurement Specialist. Payment will be issued only in the name of the bidding entity as printed on the signature page. The form requires complete contact information including email, telephone, and cell phone numbers for the authorized representative, as well as identification of an alternate company contact.