Decline Form.pdf

PDF 590 KB Posted

Attached to
Detroit Supply Schedule #11 Single Family Home Repairs
Solicitation number
300000130037297
Issued by
Michigan

About this file

This is a Contractor Decline Form issued by the City of Detroit, Michigan, through the Coleman A. Young Municipal Center. The form permits contractors to formally decline participation in projects assigned through the city's rotation system. The document serves as an acknowledgment that by signing the form, the contractor foregoes their assigned turn in the project rotation for a specific property referenced in the correspondence.

The form requires the contractor to provide their signature, name, and address along with details about the property owner, property address, and case number associated with the project. The decline is based on the contractor's review of an initial cost estimate provided by the Housing Compliance Inspector. By executing this form, the contractor confirms they are relinquishing their opportunity to bid on or perform work for the identified project and will lose their position in the city's rotation queue.

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Text version

Coleman A. Young Municipal Center Phone: 313.224.6380 2 Woodward Avenue, Suite 908 Fax: 313.224.1629 Detroit, MI 48226 www.detroitmi.gov

DATE:

RE: Case No.:

Property Owner:

Property Address:

City, State Zip:

Contractor Signature Date

Contractor Name:

Contractor Address:

“Contractor Decline Form”

Detroit, MI

Upon review of the initial cost estimate provided by the Housing Compliance Inspector for the above referenced project, I hereby decline this project and acknowledge that I will be foregoing my turn in this rotation.

City/State/Zip:

As an authorized agent of , _______________________________ I herby decline project for the property so referenced above.

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