Bidders Information Certification page 12.pdf

This is a Bidder's Information Certification form for Project No. CH-5177, part of the City Hall Courtyard Improvements contract opportunity in California. The form requires bidders to provide comprehensive business and ownership information including company name, business address, telephone number, state contractor's license number and class with issuance and expiration dates. Bidders must also disclose the names, titles, addresses, and phone numbers of all individuals, firm members, partners, joint venturers, or corporate officers holding a principal interest in the bid, along with any history of voluntary or involuntary bankruptcy judgments against principals and all current and prior DBAs, aliases, or fictitious business names associated with those principals.

The certification must be executed under penalty of perjury under California law, with the authorized official signature, title, date, and location required. The related contract opportunity specifies insurance requirements of $2 million/$4 million as outlined in the bid package. This form serves as a standard disclosure and verification document to establish bidder qualifications and financial stability for the City Hall Courtyard Improvements project.