Form_9.1_Respondent's_Submittal_Checklist.pdf

SECTION 9 – REQUIRED FORMS

FORM 9.1 – PROPOSAL SUBMITTAL CHECKLIST

_____ Form 9.2 – Respondent’s Acknowledgement

_____ Form 9.3 – Addendum and Change Order Procedure Acknowledgement

_____ Form 9.4 – Drug Free Preference Statement (Not Applicable)

_____ Form 9.5 – Public Entity Crimes Statement

_____ Form 9.6 – Anti-Collusion Form

_____ Form 9.7 – Statement of Qualifications

_____ Form 9.8 – Professional References for Previous Experience

______Form 9.9 - Authorized Signatures _ Negotiators

______Form 9.10 – Scrutinized Companies Certification

_____ Form 9.11 – E-Verify Affidavit

_____ Form 9.12 – Debarment, Suspension and Other Responsibility Matters

_____Form 9.12(b) – FEMA – Certification Regarding Debarment, Suspension and Other Responsibility

_____ Form 9.13 – Affidavit of Compliance With Section 287.138, Florida Statutes

_____ Form 9.14 – Non-Disclosure Agreement for Confidential Material

_____Form 9.15 – Compliance with 2 c.f.r 200.321

_____Form 9.16 - Representative _ Certification Form

_____Form 9.17 – Respondent Capacity and Home Elevation Commitment Form

_____Form 9.18 – Hold Harmless and Indemnity Agreement.

_____Form 9.19 – Certification Regarding Lobbying

_____Form 9.20 – No Submittal Request Form

_____Exhibit “A” – Description of Confidential Material

_____ Appendix A, 44. C.F.R. PART 18 – CERTIFICATION REGARDING LOBBYING Certification for Contracts, Grants, Loans, and Cooperative Agreements

BY: __________________________________________

Name of Business

Authorized Signature

Date

This document must be completed and returned with your Submittal