Form_9.16_-_Representative_Certification_Form.pdf
PDF 99 KB Posted
- Solicitation number
- RFP-26-24-CW
- Issued by
- Volusia County, Florida
About this file
This is a Representative Certification Form related to RFP 26-24-CW for the elevation of flood-prone homes in Florida. The form serves as a certification document for representatives authorized to submit proposals on behalf of respondent organizations. The solicitation encompasses an elevation project involving eleven single-family structures, with respondents permitted to propose completion of any number of structures ranging from one to all eleven, contingent upon their ability to meet required timelines. No preference is granted to respondents bidding on all properties. The form establishes the official capacity and authorization of the signing representative to legally bind their organization to the terms and conditions of the contract.
The certification form requires the representative to provide identifying information, including their name, title, and organizational affiliation, along with a sworn statement affirming their authority to execute the proposal submission. The form typically includes signature blocks and notarization requirements to validate the certification. This document is essential for ensuring that only authorized personnel submit bids on behalf of their organizations and that proposals are legally binding commitments. Respondents must complete and submit this form as part of their proposal package to demonstrate organizational compliance and authorized representation in the bidding process.
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Text version
TAXPAYER IDENTIFICATION
Form 9.16
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:
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