EXHIBIT E-Emergency Response Form (1).pdf
PDF 193 KB Posted
- Attached to
- 2027 Overhead Sign Structure Replacements
- Solicitation number
- 147862
- Issued by
- Polk County, Florida
About this file
This is an Emergency Response Capability Form for a state and local contract opportunity in Florida for 2027 Overhead Sign Structure Replacements. The form requires bidders to certify their capability to respond to emergency service requests within a specified timeframe and to provide comprehensive emergency contact information. Bidders must designate a primary emergency contact, a secondary emergency contact, and a 24-hour hotline, all of which must be available continuously throughout the year. The form also requires bidders to specify their operations location address and distance from the District, along with certification that they possess the necessary personnel, equipment, and operational capability to meet the emergency response requirements outlined in the solicitation.
The required response time for emergency service requests is two hours. Bidders must complete and submit the form with their bid response and certify under their business name and signature that they can meet the specified emergency response timeframe. The form explicitly states that failure to meet the required response time may constitute a material breach of contract. No pricing information, set-asides, or other financial terms are detailed in this form, as it functions solely as a capability and contact information submission document for emergency response requirements.
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Text version
Exhibit E Emergency Response Capability Form
Bid Number:
Bid Title:
List Emergency Contact Information
Contact Type Name Phone Number Email Address Primary Emergency Contact Secondary Emergency Contact 24-Hour Hotline, if applicable
NOTE: Emergency contacts must be available 24 hours per day, 7 days per week, for 365 days a year.
Emergency Response Capability The Bidder certifies the capability of responding to emergency service requests within the timeframe specified within the solicitation.
Required Response Time:
Two (2) Hours Other:____________
Operations Location
Address: __________________________________________________________
City/State/Zip: ______________________________________________________
Approximately ________ miles away from the District.
Business Information and Signature:
By signing below, the Bidder certifies they possess the personnel, equipment, and operational capability necessary to meet the emergency response requirements specified in the solicitation. Failure to meet the required response time may constitute a material breach of contract.
Business Name:
Signature:
Submit completed form with your bid response.
v.03.26
| Bid Number: |
| Bid Title: |
| NamePrimary Emergency Contact: |
| Phone NumberPrimary Emergency Contact: |
| Email AddressPrimary Emergency Contact: |
| NameSecondary Emergency Contact: |
| Phone NumberSecondary Emergency Contact: |
| Email AddressSecondary Emergency Contact: |
| Name24Hour Hotline if applicable: |
| Phone Number24Hour Hotline if applicable: |
| Email Address24Hour Hotline if applicable: |
| Other: |
| Address: |
| CityStateZip: |
| Approximately: |
| Business Name: |
| Check Box1: Off |
| Check Box2: Off |
File details come from the government source that posted it. Updated .