ESBD_383214_1732307762840_[B] Offeror_Acknowledgement_&_Certification.pdf

PDF 441 KB Posted

Attached to
Network Monitoring Services for Next Generation 9-1-1
Solicitation number
24-204
Issued by
Texas

About this file

This is an Offeror Acknowledgment & Certification form (RFP No. 24-204) for the Brazos Valley Council of Governments (BVCOG) Network Monitoring Services for Next Generation 9-1-1 procurement. The form serves as the official document where prospective vendors provide their company information, including legal business name, contract signatory details, mailing and physical addresses, contact information, Federal ID number, and web page URL.

The form includes sections for Underutilized/Disadvantaged Business (HUB/DBE) information, requiring vendors to indicate their ownership status (51% or more) as either Non-HUB/DBE, HUB, or DBE. Vendors must also specify the estimated number of subcontractors who would participate in any resulting contract and how many would qualify as HUB/DBE. The certification section requires the vendor to affirm the accuracy of their proposal, confirm no BVCOG assistance in preparation, acknowledge understanding of RFP terms, and authorize background checks. The form must be signed by an authorized representative who can legally bind the organization.

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Text version

RFP No. 24-204

Invitation Title:

Offeror Company:

Contract Signatory: Title:

Mailing Address:

Physical Address:

Phone: Email:

Federal ID No.: Web Page URL:

Contact Person:

Phone: Email:

Ownership - 51% or more:

Signature: Title:

Printed Name: Date:

I hereby certify that the information contained in this proposal and any attachments is true and correct and may be viewed as an accurate representation of proposed services to be provided by this organization. I certify that no employee, BVCOG member, or agent of the BVCOG has assisted in the preparation of this proposal. I acknowledge that I have read and understood the terms, conditions, requirements and provisions of the RFP and that this organization will comply with the terms thereof, and any other applicable local, state, and federal regulations and policies and that the BVCOG is authorized to verify references and stated performance data and to conduct credit and criminal background checks if needed. Furthermore, I certifify that I am legally authorized to sign this proposal on behalf of said organization by authority of its governing body, and to bind said organization under any contract that may result from the submission of this proposal.

Certification

Proposal Contact Information

Network Monitoring Services for Next Generation 9-1-1

Offeror Acknowledgment & Certification

(Legal name of business which will appear on contract, if awarded)

Underutilized/Disadvantaged Business (HUB / DBE) Information

Estimated number of subcontractors who would participate in any contract:

Number of above subcontractors who would qualify as an HUB / DBE:

Dealer/DistributorManufacturer OtherOfferor Acting Alone Joint Offering

Non-HUB/DBE HUB DBE

Offeror Company:
Contract Signatory:
Title:
Mailing Address:
Physical Address:
Phone:
Email:
Federal ID No:
Web Page URL:
Contact Person:
Phone_2:
Email_2:
Title_2:
Printed Name:
Date:
Subcontractors:
HUB/DBE Subs:
DBE: Off
HUB: Off
Non-HUB DBE: Off

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