Consultant_Listing_and_Proposer_Certification.pdf

PDF 197 KB Posted

Attached to
San Rafael Bridge Seismic Retrofit (BHLS-5064(101))
Solicitation number
2024-RFP-0637
Issued by
Los Angeles County, California

About this file

The document is a Consultant Listing and Proposer Certification form for a San Rafael Bridge Seismic Retrofit project. The first page contains a blank table for listing consultants, their small or micro-business status, and their percentage of project scope. The second page is a certification form where the proposer certifies the accuracy of their proposal, with space to acknowledge received addenda and for the authorized representative's signature.

The certification specifically relates to preparing an environmental document and PS&E (Plans, Specifications, and Estimate) for the San Rafael Bridge Seismic Retrofit project. The form requires the proposer to verify under penalty of perjury that all representations in the proposal are true and correct to the best of their knowledge at the time of submission. The document provides multiple lines for recording addenda, suggesting potential multiple revisions or updates to the original proposal documents, and requires a signature from a legally authorized representative of the proposing entity.

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Text version

CONSULTANT LISTING

Consultant Small or Micro- Business

(Attach Certification)

Yes/No

Percent of Project Scope of Work

(Do Not Enter Dollar Value)

I, the undersigned, hereby certify under penalty of perjury that all representations made in this Proposal for preparation of environmental document and PS&E for the San Rafael Bridge Seismic Retrofit are true and correct to the best of my knowledge at the time of the Proposal’s submission.

Addenda Received:

Addendum No. , dated , 2024

Signature of party legally authorized to sign for Proposer

Print Name and Title

Date

TEskandary Text Box

PROPOSER CERTIFICATION

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