Exhibit_C_Statement_of_Affiliations_2020.pdf

PDF 347 KB Posted

Attached to
Allmand Light Towers
Solicitation number
2021-IFB-054
Issued by
Allegheny County, Philadelphia City, Pennsylvania

About this file

Exhibit C is a Statement of Affiliations document, likely associated with a bidding process for a municipal contract. The form requires potential contractors to provide detailed information about their qualifications, including their company name, office address, contact information, contract experience, prior business relationships with the city, and details about the company's principals, owners, partners, and shareholders. The document provides blank spaces for contractors to fill in comprehensive information about their organizational structure and previous municipal work.

The form appears to be a standard disclosure document designed to provide transparency and allow the municipal entity to thoroughly evaluate a contractor's background, corporate relationships, and prior performance. While the specific contract details are not included in this exhibit, the form suggests a rigorous vetting process that requires contractors to disclose their full organizational composition, including ownership stakes of 3% or more for public corporations, and any existing business relationships with the city within the past three years. The form allows for additional pages to be attached to provide complete information, indicating a flexible approach to gathering comprehensive contractor details.

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Allmand_Light_Towers.pdf PDF
Allmand_GR-series_Light_Tower.pdf PDF
Vendor_Registration_Form_2020_(Fillable).pdf PDF
W-9.pdf PDF
Exhibit_D_Vendor_Contact_Sheet.pdf PDF

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Text version

EXHIBIT C

Statement of Affiliations

1. Name of Contractor:

Office Address and Phone Number:

2. List your qualifications and experience for performance of the contract.

3. Have you had any contractual or business relationships with the CITY within the past three years?

If yes please give a brief description. Please include the dollar value of the contract or business relationship.

4. Please identify by name and address the contractor's principals including all owners, partners, or shareholders and officers. If the contractor is a public corporation identify by name and address the officers, members of the board of directors, and shareholders holding more than three (3) percent of the corporate stock.

**Additional pages may be attached to complete the information herein requested.

2 List your qualifications and experience for performance of the contract 1:
Dropdown2: [No]
Text5 name of contractor:
Text6 office address & phone #:
Text3 brief description of previous city relationships:
Text4 owners info:

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