Form_7.16_-_Representative_Certification_Form.pdf

PDF 99 KB Posted

Attached to
City Center Sport Complex Ballfields Restoration
Solicitation number
ITB-26-22-CW
Issued by
Volusia County, Florida

About this file

This is a Representative Certification Form (Form 7.16) for a respondent bidding on the City Center Sport Complex Ballfields Restoration project in Florida. The form requires bidders to complete and submit a Federal Form W-9 with their bid submission and to provide official company information as registered, including company name, mailing address with zip code plus 4, telephone number with extension, toll-free number if available, website URL, fax number, and other contact information. Additionally, bidders must designate a company contact for contract management, providing that individual's name, telephone number with extension, toll-free number if available, other contact numbers, fax number, and email address.

The City Center Sport Complex Ballfields Restoration project involves excavation and removal of the upper three feet of soil throughout the project area, identification and lawful disposal of any solid waste or landfill materials encountered, installation of a reinforced geotextile membrane, replacement and compaction of suitable fill and topsoil, and reconstruction of the ballfields, parking lot, and associated site improvements. The project objectives are to restore site functionality, provide long-term stability, and improve the safety and usability of the City Center recreational facilities while appropriately managing legacy landfill conditions. No specific pricing terms, set-asides, funding amounts, response dates, or award dates are detailed in this certification form document.

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Text version

TAXPAYER IDENTIFICATION

Form 7.16

REPRESENTATIONS/CERTIFICATIONS

Respondent must complete Federal Form W-9 and submit it with their bid.

OFFICIAL COMPANY INFORMATION AS REGISTERED (Type/Print}

COMPANY NAME:

MAILING ADDRESS:

(City)

TELEPHONE NO.:

(State)

EXTENSION:

(Zip Code+ 4)

(Toll-Free Preferred) VOICE:

L-- -------------' �------�

WEBSITE URL:

OTHER: FAX:

COMPANY CONTACT FOR CONTRACT MANAGEMENT (Type/Print)

NAME:

TELEPHONE NO.:

(Toll-Free Preferred) VOICE: EXTENSION:

OTHER: FAX:

EMAIL ADDRESS:

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