FORM_4_RESPONDENT’S_CERTIFICATION.pdf
PDF 116 KB Posted
- Solicitation number
- 26-0068BW
- Issued by
- Lee County, Fruitville CDP, Florida
About this file
This document is a Respondent's Certification form for RFQ 26-0068BW issued by the Lee County Port Authority in Florida for General Planning and Environmental Services. The certification form serves as the official acknowledgment that the proposer has reviewed the complete Request for Qualifications, including all scope requirements, submission guidelines, evaluation criteria, and award procedures. Respondents must certify their attendance at any mandated pre-submittal meetings and confirm their understanding of all project requirements. The form requires submission of any applicable addenda acknowledgments and the proposal bond as specified in Part F of the RFQ regarding Insurance, Indemnification and Bond Requirements.
The certification requires the authorized representative to attest under oath that the submission was made without prior understanding, agreement, or collusion with competing bidders or Port Authority personnel, and that all information provided is truthful and accurate. Respondents must provide consent for the Authority to share trade secret designations with its officials, employees, agents, and representatives involved in the evaluation process. The form authorizes the execution of the resulting agreement using electronic or digital signatures and designates such signatures as official records. Respondents must complete all required fields including business name, mailing address, authorized signature, federal identification number, contact information, and any other details as specified in the certification section.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
RFQ 26-0068BW: GENERAL PLANNING AND ENVIRONMENTAL SERVICES FOR THE LEE COUNTY PORT AUTHORITY
FORM 4: RESPONDENT’S CERTIFICATION
As an authorized representative of the Proposer, I certify that I have carefully examined the Request for Qualifications (RFQ), which includes scope, requirements for submission, general information and information concerning the evaluation and award process.
I acknowledge receipt and incorporation of the following addenda:
Addendum # Date: Addendum # Date:
I hereby propose to provide the services requested in this Request for Qualifications. I agree that the Authority terms and conditions herein shall take precedence over any conflicting terms and conditions submitted with the RFQ and agree to abide by all conditions of this document.
I certify that all information contained in my submission is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit these qualifications on behalf of the Respondent as its agent and that the Respondent is ready, willing and able to perform if awarded a contract, and the undersigned executed this Certification with full knowledge and understanding of the details therein contained and was duly authorized to do so.
I certify that I attended the pre-submittal meeting, if mandated, and I fully understand the requirements. I further certify, under oath, that this submission of qualifications is made without prior understanding, agreement, connection, discussion, or collusion with any other person, company or corporation submitting qualifications for the same product or service; no officer, employee or agent of the Port Authority or of any other company who is interested in said submitted qualifications; and that the undersigned executed this Respondent’s Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do so.
If trade secrets are claimed, I provide full consent to the Authority to provide the unredacted submission of qualifications to the Authority, its officials, employees, agents and representatives responsible for evaluating my submission to access, view, consider and discuss the information designated as trade secret.
I certify that the name and title of the authorized signatory, as completed below, is authorized to execute the Agreement resulting from this Request for Qualifications using electronic or digital signature. Further, I certify any affixed electronic signature of the authorized signatory is the act of and attributed to the authorized signatory. And, by signing the Agreement resulting from this RFQ, if any, the authorized signatory adopts the electronic signature as his/her own and designates it for use as an official record by the Authority.
If required, a copy of the proposal (RFQ) bond is included with the submission of qualifications per Part F, Insurance, Indemnification and Bond Requirements.
NAME OF BUSINESS MAILING ADDRESS
AUTHORIZED SIGNATURE CITY, STATE & ZIP CODE
NAME, TITLE, TYPED TELEPHONE NUMBER / FAX NUMBER
FEDERAL IDENTIFICATION # EMAIL ADDRESS
Rev: 3.4.2026 Page 43 of 48
| Addendum: |
| Date: |
| Addendum_2: |
| Date_2: |
| NAME OF BUSINESS: |
| MAILING ADDRESS: |
| CITY STATE ZIP CODE: |
| NAME TITLE TYPED: |
| TELEPHONE NUMBER FAX NUMBER: |
| FEDERAL IDENTIFICATION: |
| EMAIL ADDRESS: |
File details come from the government source that posted it. Updated .