Exhibit A _ Certification Form.docx
DOCX document 34 KB Posted
- Solicitation number
- PE-47200-RFQ-2026-000000138
- Issued by
- Fulton County, Atlanta City, Georgia
About this file
This is a Certification Form (Exhibit A) for the Georgia Institute of Technology's Design Professional Services Request for Qualifications for Project No. J-458-DP, the Daniel Guggenheim School of Aerospace Engineering, located in Atlanta, Georgia. The certification form serves as a required submission document for design professionals seeking to qualify for this project. The form establishes the framework for vendors to certify their qualifications, experience, and credentials relevant to the provision of design professional services for the aerospace engineering facility. Specific details regarding response deadlines, site visits, bidder meetings, contract terms, and award dates would be contained in the primary RFQ documents referenced in the project description.
The certification form functions as part of the qualification evaluation process and likely requires vendors to attest to their professional licensure, experience with similar projects, financial stability, and compliance with applicable regulations. Additional pricing terms, set-asides, funding sources, and other salient project requirements would be detailed in the accompanying RFQ documentation and related exhibits, rather than in this certification document itself.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Egnyte Upload Instructions.pdf | ||
| Exhibit E _ Contractor Affidavit.docx | DOCX document | |
| Exhibit G _ 179D Allocation Agreement.doc | DOC document | |
| _GIT_J_458 DP RFQ_RFP.pdf | ||
| Exhibit D _ DP Fee Proposal.doc | DOC document | |
| Exhibit C _ Project Team Composition Form.docx | DOCX document | |
| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| Exhibit F _ Proposers Disclosure Statement.doc | DOC document |
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Text version
Exhibit A
J-458, Daniel Guggenheim School of Aerospace Georgia Institute of Technology, Atlanta, Georgia
CERTIFICATION FORM
I, _____________________________, being duly sworn, state that I am ______________________(title) of _______________________________(firm) and hereby duly certify that I have read and understand the information presented in the attached proposal and any enclosure and exhibits thereto.
I further certify that to the best of my knowledge the information given in response to the request for proposals is full, complete and truthful.
I further certify that the proposer and any principal employee of the proposer have not, in the immediately preceding five years, been convicted of any crime of moral turpitude or any felony offense, nor has had their professional license suspended, revoked or been subjected to disciplinary proceedings.
I further certify that the proposer has not, in the immediately preceding five years, been suspended or debarred from contracting with any federal, state or local government agency, and further, that the proposer is not now under consideration for suspension or debarment from any such agency.
I further certify that the proposer has not in the immediately preceding five years been defaulted in any federal, state or local government agency contract, and further, that the proposer is not now under any notice of intent to default on any such contract.
I acknowledge, agree and authorize, and certify that the proposer acknowledges, agrees and authorizes, that the Board of Regents may, by means that the Board of Regents deems appropriate, determine the accuracy and truth of the information provided by the proposer and that the Board of Regents or their agents may contact any individual or entity named in the Statement of Qualifications for the purpose of verifying the information supplied therein.
I acknowledge and agree that all of the information contained in the Statement of Qualifications is submitted for the express purpose of inducing the Owner to award a contract.
A material false statement or omission made in conjunction with this proposal is sufficient cause for suspension or debarment from further contracts, or denial of rescission of any contract entered into based upon this proposal thereby precluding the firm from doing business with, or performing work for, the State of Georgia. In addition, such false statement or omission may subject the person and entity making the proposal to criminal prosecution under the laws of the State of Georgia of the United States, including but not limited to O.C.G.A. §16-10-20, 18 U.S.C. §§1001 or 1341.
Signature Sworn and subscribed before me
This _____ day of ________, 20__.
NOTARY PUBLIC
NOTARY SEAL
My Commission Expires: _________________
Gordon State College PPV-89-1201, Student Activity & Rec Ctr., PM RFQ/RFP
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