ESBD_File_346835_[A] Offeror_Acknowledgement_&_Certification_Form.pdf
PDF 670 KB Posted
- Attached to
- Fiber Optic Construction Services
- Solicitation number
- 24-101
- Issued by
- Robertson County, Texas
About this file
This document is an Offeror Acknowledgement and Certification Form related to a Request for Proposals (RFP) issued by the Brazos Valley Council of Governments (BVCOG) for Fiber Optic Construction Services in the state of Texas. The RFP seeks proposals from qualified vendors to provide turn-key fiber installation services, including design, permitting, trenching, installation, and testing, to establish a reliable and high-speed fiber network connection between the existing BVCOGnet 350-mile fiber ring and the City of Bremond in Robertson County. The purpose of this project is to support local communication needs and serve as a demarcation point for further expansion.
The form requires the offeror to provide company information, certify the accuracy of the proposal, and disclose any subcontractors, including the number that would qualify as Historically Underutilized Businesses (HUB) or Disadvantaged Business Enterprises (DBE). The offeror must also indicate whether they are acting alone, in a joint offering, or as a dealer/distributor, manufacturer, or other type of entity.
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Text version
RFP No. 24-101
Invitation Title: Fiber Optic Construction Services
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, and furthermore that I am legally authorized to sign this proposal on behalf of said organization by authority of its governing body.
Certification
Proposal Contact Information
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 .