E-2-25 PFS Roll-off Containers.pdf
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- Roll-Off Containers
- Solicitation number
- E-2-25 PFS
- Issued by
- Chautauqua County, New York
About this file
Chautauqua County's Division of Purchasing has issued an Invitation to Bid (ITB No. E-2-25 PFS) for Roll-Off Containers to be used at the Chautauqua County Landfill. The county is seeking to procure four specific containers: two 20-yard hip top recycling containers, one 30-yard open top container, and one 40-yard open top container, along with six additional sets of 8" D x 8" L rollers. The bid is set to be opened on October 21, 2025, at 2:00 PM, with questions from potential bidders due by October 14, 2025. The contract duration is one year, and the containers will be delivered FOB to the Chautauqua County Landfill located at 3889 Towerville Road, Jamestown, NY 14701.
The bid specifications are detailed and comprehensive, requiring specific manufacturing standards for each container type, including steel gauge requirements, rail dimensions, side post specifications, and wheel configurations. Additional requirements include medium green paint, a manufacturer's serial number, and a one-year warranty covering materials, workmanship, service calls, parts, and labor at no cost to the county. The bid will be awarded to the lowest bidder meeting all specifications, with the county reserving the right to conduct exclusion checks and investigate bidder responsibility. The county encourages bids from diverse businesses, including Minority-owned, Women-owned, Small Business, Disadvantaged Business, and Service-Disabled Veteran-Owned Businesses.
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CHAUTAUQUA COUNTY
DIVISION OF PURCHASING
INVITATION TO BID
ITB NAME ROLL-OFF CONTAINERS
ITB No. E-2-25 PFS
Contact Person: Becky Anderson, Purchasing Manager, andersob@chqgov.com
Issue Date: 9/30/2025 Questions Due By: 10/14/2025 Bid Opening Date (2:00PM): 10/21/2025
Sealed bids are to be remitted no later than the due date and time to:
Purchasing Manager Chautauqua County
Dept. of Finance—Purchasing Division 454 N. Work Street Falconer, NY 14733
Paul M. Wendel, Jr.
County Executive
Kitty L. Crow Director of Finance
Becky Anderson
Purchasing Manager
Brandi McIntyre Purchasing Agent
Nicole Pattison
Tina Huckabone mailto:andersob@chqgov.com
NOTICE TO BIDDERS
Publication Date: September 30, 2025
Chautauqua County is accepting sealed bids for:
INVITATION TO BID
NO. E-5-25 PFS
Roll-Off Containers
Invitation to Bid (ITB) Documents are available at the County’s Purchasing Office, 454 N. Work Street, Falconer, NY 14733, may be downloaded from https://www.bidnetdirect.com/new-york, or may be requested by email from andersob@chqgov.com.
Chautauqua County is not responsible for the completeness or accuracy of ITB documents received from any other source, and the successful bidder shall be subject to official County ITB terms and conditions.
Bids must be received by the County’s Purchasing Office no later than 2:00 P.M. on October 21, 2025, at which time they will be publicly opened and read. EACH BID ENVELOPE MUST BE PLAINLY MARKED WITH THE PROPOSAL NUMBER AND
THE ITEM BID THEREIN.
Becky Anderson Purchasing Manager https://www.bidnetdirect.com/new-york mailto:andersob@chqgov.com
COUNTY NEEDS TO BE MET BY THIS INVITATION TO BID
Contract Duration: 1 Year
Chautauqua County requires a vendor to provide 2—20 yd Hip Top Recycling Containers, 1— 30 yd Open Top Container, and 1—40 yd Open Top Container for our Landfill. This Invitation to Bid (ITB) is being issued to fulfill that need.
General Information for all County ITBs Page 4 Bid Specifications Page 8 REQUIRED BID SUBMITTAL DOCUMENTS Page 11
GENERAL INFORMATION
FOR ALL COUNTY
INVITATIONS TO BID (ITBs)
Invitation to Bid (ITB) Packet Official ITB documents may be obtained from:
County Purchasing Division: 454 N. Work Street, Falconer, New York 14733;
Empire State Purchasing Group, https://www.bidnetdirect.com/new-york; and The “County Contact Person” identified on the Cover Page of this ITB.
Chautauqua County is not responsible for the completeness or accuracy of documents received from any other source. The successful bidder shall be subject to all official County ITB terms and conditions, including those in ITB addenda, regardless of receipt.
Questions From the date of ITB issuance to the date the County makes a final determination(s) of award, any and all questions and communications concerning the ITB and items solicited therein shall be directed exclusively to County Purchasing Division personnel. Contact with other County personnel may be grounds for rejection of a bid.
Questions must be submitted by the due date shown on the cover page. County responses to questions concerning the substance of the ITB will be provided to all parties, in the form of an addendum to the ITB.
IMPORTANT BID SUBMISSION INFORMATION:
Unless otherwise stated on the bid form, all boxes on the bid form should be completed. If a box is not applicable, enter N/A. If the entry for the box should be zero, enter a zero.
Each bid must be enclosed in a separate sealed envelope plainly marked with the ITB name, the ITB number, and the Bidder’s name and complete mailing address.
Bids must be received by the County’s Purchasing Division, 454 N. Work Street, Falconer, New York, no later than the due date and time on the ITB cover page. Bids will not be accepted via facsimile or e-mail.
Please allow ample time to pass through building security, or for delivery by mail or express mail. Even if timely mailed, a Bidder should expect a late bid to be rejected.
The enclosed Bid forms must be used and may not be altered, amended, or substituted. Non-conforming bid submittals are subject to being rejected.
All required bid documents must be submitted with each bid, duly signed, and where indicated, notarized.
Receipt of any and all bid addenda must be acknowledged on the form provided. Failure to acknowledge receipt is grounds for rejection of a bid. Bid addenda are available from all “official” bid document sources shown above.
By submitting a bid you are offering to provide the goods and/or services therein in accordance with all terms and conditions in the ITB and at the bid prices. The individual or entity (contractor) submitting the bid or quote:
1. agrees that Contractor shall be bound by all terms and conditions in the County Solicitation; and
2. affirms that the individual submitting the bid/quote is duly authorized to bind Contractor to the terms and conditions in the County solicitation.
https://www.bidnetdirect.com/new-york
By placing an order, County is accepting the terms and conditions of the County Solicitation with respect to
(i) the good(s) in the order, and (ii) the Contractor whose good or material is ordered.
The County does not guarantee any minimum or maximum purchase of items in this ITB.
Estimated quantities and needs are merely estimates. They are non-binding, and do not represent a County commitment or a guaranteed minimum or maximum quantity or need. Submission of a bid constitutes an agreement not to claim misunderstanding of, misrepresentation of, or reliance in any manner on, estimates of quantities or needs.
Bids should be self-explanatory. A bidder should not expect an opportunity to explain its bid.
Bids should be carefully prepared and reviewed in advance of submittal. Negligence in the preparation of a bid does not confer a right for withdrawal of an opened bid.
Contract Payment and Pricing Unless otherwise indicated, all bid prices are to be effective for the duration of the contract.
Chautauqua County is exempt from Federal and State taxes.
Bid prices must be all-inclusive. The County will not pay fuel surcharges, shipping, transportation, disposal, overhead, travel, or other types of contract-associated charges unless pricing for such items is specifically requested on the bid form.
In most instances, Chautauqua County issues contract payments electronically.
New York State law entitles the County to “piggyback” off of the contracts of other municipalities. The
County reserves the right to purchase the goods and/or services identified in this ITB via a piggyback contract, after giving the awarded bidder the opportunity to match the piggyback price. Additionally, the County reserves the right to use an alternate vendor in furtherance of meeting a requirement of an entity paying in whole or in part for goods or services. The County further reserves the right to use its own staff for provision of services of the type reflected in this ITB.
If this ITB includes services, see the enclosed sample contract for additional information. The sample contract is subject to modification by the County Law Department consistent with the terms of this Invitation to Bid.
Bid Award The manner in which the low bidder will be determined is shown on the Bid Form. Questions about the manner in which the low bidder will be determined should be submitted to County Purchasing staff immediately upon discovery, to allow ample time for clarification. County reserves the right to investigate bidder responsibility, toward making an award to a responsible bidder which offers the lowest price. Bidders shall fully and promptly comply with any and all County requests for information requested toward a County determination of responsibility. Failure to cooperate may result in a determination that a bidder is not responsible.
Information requested on the Bid Form will be used as the basis for award. At the County’s sole option a bid with missing, non-conforming, different, or additional information can be:
(i) rejected as a non-conforming bid; or
(ii) accepted as bid, with non-conforming, additional, or different information enforced or rejected by the County, in whole or in part, and with an uncompleted box on a bid form deemed to mean the item is available at no charge and/or with no markup (unless completion of the box is specifically stated to be optional), as the County, in its sole discretion, deems most advantageous.
By submitting a bid, a bidder agrees that it shall have no recourse against the County in connection with the County’s exercise of its option to accept or reject an irregular bid or unsolicited information, or for its determination concerning an uncompleted box on the bid form.
Dollar amounts requested on the Bid Form which the ITB indicates will not be used toward determining the low bid, may be used for the purchase of the specified goods and/or services during the contract term.
In the event of a discrepancy between an item price and the calculated price for a specified quantity, the item price will be used for purposes of determining the low bidder and for contract pricing.
In the event of a discrepancy between a dollar amount written in words and a dollar amount written in numbers, that written in words shall apply.
Those performing work for the County must be Equal Opportunity employers.
Miscellaneous Information Chautauqua County’s standard contractual insurance requirements can be found here:
https://chqgov.com/finance/insurance-requirements . Within five (5) business days of receipt of a Notice of Award, a bidder which will be providing services must submit certificates of insurance evidencing insurance coverage consistent with County requirements, to Ms. Aki Wakamatsu, wakamata@chqgov.com. Failure to do so may be grounds for a determination of non-responsibility. Contractor shall provide updated insurance certificates on or before certificate expiration, throughout the contract term.
Chautauqua County is transitioning to electronic contract signatures. Signatures can be applied using a computer or a phone.
Proof of insurance shall be provided in advance of contract execution, and contract execution shall precede commencement of contract work. Even if a prospective contractor has been given County departmental authority to commence contract performance, no payment should be expected for work performed in advance of contract execution by both parties.
Pursuant to New York State General Municipal Law §109, contracts let, granted, or awarded by the County may not be assigned, transferred, conveyed, sublet, or otherwise disposed of, nor any right, title, or interest therein, or the power to execute the contract, absent the County’s advance, written consent.
Pursuant to Chautauqua County’s Purchasing Policy, an individual or entity that reviews a County Invitation to Bid in draft or final form prior to its issue may not (i) submit a response to the solicitation or (ii) serve as an employee, contractor, or subcontractor of the individual or entity awarded the contract, for the first five
(5) years of the contract period.
With Contractor concurrence, County may allow any county agency, department or municipality, or any other organization eligible pursuant to NYS General Municipal, to utilize the terms of an awarded bid.
County will not be a party to any such third party agreements and is not in any way bound by or liable for any such agreements or any performance thereunder. Contractor shall provide information to County about such third party agreements upon request.
All data transmission (cloud-based technology solutions) and vendor electronic communications (email) shall only reside and traverse services based in the United States.
MBE, WBE, SBE, DBE, SDVOB
https://chqgov.com/finance/insurance-requirements mailto:wakamata@chqgov.com
Chautauqua County encourages all qualified bidders, including Minority-owned Business Enterprises, Women-owned Business Enterprises, Small Business Enterprises, Disadvantaged Business Enterprises, and Service- Disabled Veteran Owned Businesses to submit bids.
EXTENSION OF BID TO ADDITIONAL PARTIES:
With Contractor concurrence, County may allow any county agency, department or municipality, or any other organization eligible pursuant to NYS General Municipal, to utilize the terms of an awarded bid. County will not be a party to any such third party agreements and is not in any way bound by or liable for any such agreements or any performance thereunder. Contractor shall provide information to County about such third party agreements upon request.
BID SPECIFICATIONS
Each Unit: We will furnish:
20-yard hip top:
New, Closed-Top Recycling Roll-Off [22’L x 42” high wall, nominal] w/cable hookup ___________
Required Features:
Floor: 3/16 sheet steal w/16” on-center cross members; __________ Main Rails: 2" x 6" x 0.25"; __________ Top Rail: 3" x 4" x 7 ga. Tubing; __________ Sides: 12-ga. w/roll @ bottom (butt joint not acceptable); __________ Side Posts: 3" x 5" 12 ga. 24” on-center; __________ Rear Corner Post: 3" x 7" (minimum) x 7 ga.; __________ Roof: 12-ga. Hip or Gambrel w/ 3- 24" x 34" opening (nominal)/side; __________ Access Lids: Double wall plastic flip type w/full length lid lock on each side; __________ Tailgate: 10 ga. side swing w/ Cam lock system operated by single handle; __________ Front End: 10 ga. w/ 7 ga. Push plate; __________ Hook Plate: 0.75" x 23" x 15" w/1.50" hook; __________ Rear/Front/Nose Wheels: 8” D x 10” L / 8” D x 8” L / 4” D x 6” L w/grease fittings; __________
30-yard open top:
New, open-Top Recycling Roll-Off [20’L x 4’ high x 8’ wide] w/cable hookup ___________
Floor: 3/16 sheet steal w/16” on-center cross members; ___________ Main Rails: 2" x 6" x 0.25"; ___________ Top Rail: 3" x 4" x 7 ga. Tubing; ___________ Sides: 12-ga. w/roll @ bottom (butt joint not acceptable); ___________ Side Posts: 3" x 5" 12 ga. 24” on-center; ___________ Rear Corner Post: 3" x 7" (minimum) x 7 ga.; ___________ Tailgate: 10 ga. side swing w/ Cam lock system operated by single handle; ___________ Front End: 10 ga. w/ 7 ga. Push plate; ___________ Hook Plate: 0.75" x 23" x 15" w/1.50" hook; ___________ Rear/Front/Nose Wheels: 8” D x 10” L / 8” D x 8” L / 4” D x 6” L w/grease fittings; ___________
40-yard open top:
New, open-Top Recycling Roll-Off [20’L x 8’ high x 8’ wide] w/cable hookup __________
Floor: 3/16 sheet steal w/16” on-center cross members; __________ Main Rails: 2" x 6" x 0.25"; __________ Top Rail: 3" x 4" x 7 ga. Tubing; __________ Sides: 12-ga. w/roll @ bottom (butt joint not acceptable); __________ Side Posts: 3" x 5" 12 ga. 24” on-center; __________ Rear Corner Post: 3" x 7" (minimum) x 7 ga.; __________ Tailgate: 10 ga. side swing w/ Cam lock system operated by single handle; __________ Front End: 10 ga. w/ 7 ga. Push plate; __________ Hook Plate: 0.75" x 23" x 15" w/1.50" hook; __________ Rear/Front/Nose Wheels: 8” D x 10” L / 8” D x 8” L / 4” D x 6” L w/grease fittings; __________
Additional Requirements:
Paint: All interior and exterior surfaces primed and painted;
Paint Color: Medium Green Shade (i.e. Forest Green, British Racing Green, etc.);
Manufacturer’s Serial Number: Conspicuously and permanently affixed to each unit;
Warranty: Warranted against defects in materials and workmanship for a period of one year from the date of initial use by the County (to include service calls, parts and labor for said period at no cost to the County);
Miscellaneous: Each container will be in compliance with applicable federal, state and local law and regulations;
6 Additional Sets: We would also like to order 6 additional sets of 8” D X 8” L Rollers.
Shipping Information:
Four Units FOB to Chautauqua County Landfill, 3889 Towerville Road, Jamestown, NY 14701
Roll-off Containers Proposal Number: E-2-25 PFS Bid Date: October 21, 2025 Time: 2:00 p.m.
BID SHEET
Landfill
2 - 20 yard hip top Containers
1 – 30 yard open top Container $
1 – 40 yard open top Container $
6—sets of 8” D x 8” L Rollers $
Grand Total* $
* Net delivered price/unit shall be FOB to Chautauqua County Landfill, 3889 Towerville Road, Jamestown, New York 14701.
Award will be made to the lowest bidder meeting the specifications.
Delivery shall be guaranteed within ____________ calendar days from receipt of purchase order.
BIDDER ______________________________________
SIGNATURE ______________________________________
PRINT NAME OF SIGNER ______________________________________
TITLE ______________________________________
ADDRESS ______________________________________
TELEPHONE ______________________________________
FAX
E-MAIL_________________________________________
DATE_________________________________________
ATTENTION BIDDERS – BID RESPONSE FORM
If you find that you are not interested in bidding/quoting this particular project please indicate your reasons below. If you wish to be removed from our bidders list, please fill in this sheet and return by emailing or faxing to:
Becky Anderson, Purchasing Manager ITB Number: E-2-25 PFS
Phone: 716-661-8836
Title Bid: Roll Off Containers Email: andersob@chqgov.com
VENDOR NAME: ______________________________________
COMPANY: ______________________________________
ADDRESS: ______________________________________
PHONE: ____________________/Email: _____________________________
For purposes of facilitating your firm's response to our invitation to bid, the County of Chautauqua is interested in hearing reasons for your not wishing to be on the bid list.
WE ARE NOT INTERESTED BECAUSE:
_____ Items and/or materials requested are not manufactured by us or are not available to our Company.
_____ Our items and/or materials do not meet your specifications.
_____ Specifications are not clearly understood or applicable _____too vague _____ too rigid.
_____ Quantities too small
_____ Other reason not listed above (or) elaborate on the checked marked reason above:
CHAUTAUQUA COUNTY
BID RESPONSE CHECKLIST
Bid Name: Bid No.
Bid Due Date:
The below-listed documents must be submitted with your bid. Failure to submit any of the documents, including failure to acknowledge in writing any ITB addendum, may be cause for rejection of your bid. A bid with any condition, limitation or provision not officially invited in this ITB may also be rejected.
________ THIS RESPONSE CHECKLIST
________ NON-COLLUSION BIDDING CERTIFICATION
________ IRANIAN DIVESTMENT CERTIFICATION
________ EXCLUSION CHECKS CERTIFICATION
________ FINANCIAL AFFIDAVIT
________ AFFIDAVIT OF A FOREIGN CORPORATION (AS APPLICABLE)
________ BID AUTHORIZATION CERTIFICATE
________ BID FORM
________ ITB ADDENDUM(S) ACKNOWLEDGMENT(S) (AS APPLICABLE)
INSURANCE CERTIFICATES MUST BE PROVIDED WITHIN 5 DAYS OF NOTICE OF AWARD
ENTITY NAME
FED ID NO.
TELEPHONE NUMBER
ADDRESS
EMAIL ADDRESS
AUTHORIZED REPRESENTATIVE (PRINT NAME) TITLE
AUTHORIZED SIGNATURE
DATE
The below section is only applicable if services will be provided.
Upon award, the name and address of the individual who will be signing the contract, and that individual’s contact information are:
Name: Title: __ Direct e-mail address:
Mailing address:
NON-COLLUSION BIDDING CERTIFICATION
By submission of this bid, the bidder and each person signing on behalf of the bidder certifies, subject to the terms of Section 103-d of the General Municipal Law, as amended, and under penalty of perjury, that to the best of its knowledge and belief:
(a) The prices in this bid have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor;
(b) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to the bid opening, directly or indirectly, to any other bidder or to any competitor; and
(c) No attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit or not to submit a bid for the purpose of restricting competition.
(d) The person signing this bid certifies that s/he has fully informed him/herself regarding the accuracy of the statements contained in this certification, and under the penalties of perjury affirms the truth hereof, such penalties being applicable to the bidder as well as to the person signing on the bidder’s behalf.
Signature ____________________________________________
Title ________________________________________________
STATE OF NEW YORK )
COUNTY OF ) SS:
On this __________ day of ____________, 2025, before me personally appeared
____________________, to me known, who being by me duly sworn, did depose and say that s/he resides at ______________________________, New York: that s/he is the _________________ of _______________________, the corporation described in and which executed the within instrument; that s/he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of said corporation.
Notary Public
IRANIAN DIVESTMENT CERTIFICATION
NEW YORK STATE GENERAL MUNICIPAL LAW SECTION 103-G
By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief that each bidder is not on the list created pursuant to paragraph (b) of subdivision 3 of section 165-a of the state finance law (see https://ogs.ny.gov/iran-divestment-act-2012 ).
Date:
Signature
Title
Company Name
On 1/13/12, Chapter 1 of the Laws of New York for 2012 was signed into law by Governor Andrew M. Cuomo. The law is known as the "Iran Divestment Act of 2012" (the "Act") and can be found at § 165-aof the NY State Finance Law. The Act became effective on April 12, 2012. The Act imposes limitations on "persons" that are determined to be engaged in investment activities in the Iranian energy sector, as defined in the Act. On 7/17/12, Governor Cuomo signed into law Chapter 106 of the laws of 2012, which extended the Iran Divestment Act to State and local public authorities, the State University of New York, and the City University of New York.
EXCLUSION CHECKS CERTIFICATION
Chautauqua County reserves the right to conduct exclusion checks on those who respond to its solicitations and on those with whom it contracts to verify that the contractor and its employees, subcontractors, and agents have not been sanctioned, excluded, debarred, suspended, or the subject of adverse governmental action by law enforcement, regulatory authorities, or licensing entities. This may include a check for exclusion from Federal healthcare programs. By submitting this bid, you are: certifying that you are not prohibited from providing these services and/or goods as a result of being sanctioned, debarred, suspended, or excluded; agreeing that the County has the right to decline to enter into a contract with you in the event the County finds there to be a legal or funding source impediment to contracting with you; agreeing to provide written notice to the County immediately upon the occurrence of any sanction, exclusion, debarment, or suspension relating to your contract with the County; and agreeing that upon the occurrence of any such sanction, exclusion, debarment, or suspension, the County has the right to declare its contract with you to be terminated effective as of the moment of such occurrence or at such later date as is deemed by the County to be in the best interest of the County.
Date:
Company Name https://ogs.ny.gov/iran-divestment-act-2012
FINANCIAL AFFIDAVIT
STATE / COMMONWEALTH OF )
) ss:
COUNTY OF___________________________ )
___________________________________, being duly sworn, deposes and says that I have made a complete and thorough examination of the financial records of the bidder, ; and that I have determined that said bidder is currently not in arrears in taxes or upon debt or contract to or with the County of Chautauqua, that said bidder has not defaulted as surety or otherwise upon a contract or obligation to the County of Chautauqua, and that said bidder is not disqualified to bid upon municipal or state contracts under any act of New York State Legislature.
Signature of above-named individual
Sworn to before this ___________ day of __________________, 20__
NOTARY PUBLIC
AFFIDAVIT OF A FOREIGN CORPORATION
COUNTY OF___________________________ )
I, ________________________________as____________________________________ of __________________________________ , a corporation incorporated under the laws of _________________________ authorized to do business in the State of New York, do hereby certify and affirm that the above named corporation has complied Article 13 of the Business Corporations Law of the State of New York. As proof I submit a copy of:
[ ] A receipt of filing an application with the New York Secretary of State to conduct business in The State of New York; OR [ ] A copy of our application for authority to conduct business in the State of New York filed with the Secretary of State on _______________________________,20___.
As said corporation has complied with Article 13 of the Business Corporations Law of the State of New York, I hereby swear and affirm that the above-named corporation is authorized to conduct business in the State of New York.
Under penalty of perjury, I declare that the facts presented herein are true and, to the best of my knowledge and belief, are true, correct and complete.
In witness thereof, I set my hand and attach the corporate seal this _______ day of __________, 20____.
Business Corporation Law of New York, Section 102(7):
“Foreign Corporation” means a corporation…formed under laws other than the statutes of (New York)…”Authorized,” when used with respect to a foreign corporation, means having authority, under Article 13 of the Business Corporation Law, to conduct business in New York State.
BID AUTHORIZATION CERTIFICATE
Individual, Corporation, Partnership, or LLC Acknowledgement
COUNTY OF )
On the _____day of ____________in the year 20___, before me personally appeared ______________________________known to me to be the person who executed the foregoing instrument, who, being duly sworn by me did depose and say that s/he resides in the Town of , County of , State / Commonwealth of ________________________________________, and that
[Mark an X in the appropriate box and complete the accompanying statement.]
☐ (If an individual): this person executed the foregoing instrument in his/her name and on his/her own behalf.
☐ (If a corporation): this person is the ____________________________________________ of______________________, the corporation described in said instrument; that, by authority of the Board of Directors of said corporation, this individual is authorized to execute the foregoing bid documents on behalf of the corporation for purposes set forth therein; and that, pursuant to that authority, s/he has executed the foregoing bid document(s) in the name of and on behalf of said corporation as the act and deed of said corporation.
☐ (If a partnership): this person is the ______________________________________________ of___________________________, the partnership described in said instrument; that, by the terms of said partnership, this individual is authorized to execute the foregoing bid document(s) on behalf of the partnership for purposes set forth therein; and that, pursuant to that authority, s/he has executed the foregoing bid document(s) in the name of and on behalf of said partnership as the act and deed of said partnership.
☐ (If a limited liability company): this person is a duly authorized member of _________ LLC, the limited liability company described in said instrument; that, by authority of the Board of Directors or Members of said company, this individual is authorized to execute the foregoing bid document(s) on behalf of the company for purposes set forth therein; and that, pursuant to that authority, s/he has executed the foregoing bid document(s) in the name of and on behalf of said company as the act and deed of said company.
Date Signature Printed Name
NOTARY PUBLIC
| BIDDER ______________________________________ |
| SIGNATURE ______________________________________ |
| PRINT NAME OF SIGNER ______________________________________ |
| TITLE ______________________________________ |
| ADDRESS ______________________________________ |
| TELEPHONE ______________________________________ |
| FAX |
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