Bidder_Certification_Sheet.doc

DOC document 73 KB Posted

Attached to
IFB 155-002 2 watt VHF Repeater
Solicitation number
0000000294
Issued by
California

About this file

This is a Bid/Bidder Certification Sheet that must be submitted with original signatures along with required attachments as part of a sealed bid package. The document requires bidders to provide essential company information including company name, contact details, address, and organizational structure (sole proprietorship, partnership, or corporation).

The form requests specific identification numbers including Federal ID (FEIN) and California Corporation numbers, as well as any applicable license or certification information. It includes fields to indicate whether the bidder is certified as a California Small Business or Disabled Veteran Business Enterprise through the Department of General Services, Office of Small Business Certification and Resources (OSBCR), requiring certification numbers or pending application dates where applicable.

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Other files

File Type Posted
Bidder_Declaration_Form_(2).pdf PDF
155-002_IFB_Repeaters.docx DOCX document
CCC-307.doc DOC document
std204[1].pdf PDF

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Attachment 3

BID/BIDDER CERTIFICATION SHEET

This Bid/Bidder Certification Sheet must be signed and returned along with all the “required attachments” as an entire package in duplicate with original signatures. The bid must be transmitted in a sealed envelope in accordance with IFB instructions. An unsigned bid/bidder certification sheet may be cause for rejection.

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1. Company Name 2. Telephone Number 3. Fax Number

3. Address

Indicate your organization type:

4. Sole Proprietorship 5. 5. Partnership 6. Corporation

Indicate the applicable employee and/or corporation number:

7. Federal ID 8. California Corporation No.

No. (FEIN)

9. Indicate applicable license and/or certification information:

10. Are you certified with the Department of General Services, Office of Small Business Certification and

Resources (OSBCR) as:

a. California Small Business b. Disabled Veterean Business Enterprise Yes No

Yes No If yes, enter your service code below:

If yes, enter certification number:

11. Bidder's Name (Print) 12. Title

13. Signature 14. Date

NOTE: A copy of your Certification is required to be included if either of the items in box no. 10 is checked "Yes".

Include date application was submitted to OSBCR, if an application is pending.

File details come from the government source that posted it. Updated .