FORM_4_RESPONDENT’S_CERTIFICATION.pdf
PDF 116 KB Posted
- Solicitation number
- 26-0078BW
- Issued by
- Lee County, Fort Lauderdale City, Florida
About this file
This is a Respondent's Certification form for RFQ 26-0078BW issued by the Lee County Port Authority in Florida for architectural and engineering services related to the Southwest Florida International Airport (RSW) New Long Term Parking Lot project. The form serves as the official certification document that must be completed and submitted by prospective respondents as part of their qualifications submission. Respondents are required to certify that they have reviewed the complete RFQ documentation, acknowledge receipt of any addenda, confirm their understanding of project requirements, and attest to their ability and willingness to perform the requested services if awarded the contract. The form also requires respondents to certify that their submission was prepared independently without collusion with competing firms and that all information provided is truthful and accurate.
The certification form includes provisions for respondents to provide consent for the Port Authority to share trade secret information with authorized personnel for evaluation purposes and to authorize electronic or digital signatures for contract execution. Respondents must complete all required fields including business name, mailing address, authorized signatory information, federal identification number, contact details, and confirmation of attendance at any mandated pre-submittal meetings. The form references Part F regarding insurance, indemnification, and bond requirements, indicating that proposal bonds may be required with the submission. Solicitation documents are available through the OpenGov procurement portal at https://procurement.opengov.com/portal/flylcpa.
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Text version
RFQ 26-0078BW: ARCHITECTURAL AND ENGINEERING SERVICES FOR SOUTHWEST FLORIDA INTERNATIONAL AIRPORT (RSW) NEW
LONG TERM PARKING LOT
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: 5.28.2026 Page 47 of 52
| 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: |
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