Form A.PDF
PDF 130 KB Posted
- Attached to
- Design of Biosolids Handling Upgrade
- Solicitation number
- 23-WW40
- Issued by
- Dane County, Wisconsin
About this file
This is a Signature Affidavit form (Form A) for the City of Sun Prairie Wastewater Department's Request for Proposal for the Design of Biosolids Handling Upgrade, including solar drying and dewatering capabilities. The form serves as a certification and binding agreement document that must be completed and returned with all proposal submissions. Proposers are required to provide their legal company name, signature of an authorized representative, printed name of the signing individual, date of signature, and the associated RFP number.
The affidavit requires proposers to certify under penalty of perjury that they have not engaged in collusion, price-fixing, or any restraint of free competition; have not attempted to induce other firms to submit or withhold proposals; have independently developed their proposal without coordination with competitors; and have not disclosed their proposal contents prior to the official opening. By signing Form A, proposers declare their complete agreement with all terms, conditions, and specifications outlined in the City's Request for Proposal and attest to the accuracy and truthfulness of all submitted information.
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Other files
| File | Type | Posted |
|---|---|---|
| Form D.PDF | ||
| RFQ 23-WW40 Addendum 1.pdf | ||
| Form C.PDF | ||
| Draft Contract.PDF | ||
| RFQ 23-WW40 Award Notification Letter.pdf | ||
| Request for Qualifications.PDF | ||
| Questions Answers (6).PDF | ||
| RFQ 23-WW40_Sign-in Sheet.pdf | ||
| ATTACHMENT 1 Sun Prairie - FPA 2023-11-15-Public Review.pdf | ||
| Form E.PDF | ||
| Form B.PDF |
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Text version
This form must be returned with your response.
In signing Proposals, we certify that we have not, either directly or indirectly, entered into any agreement or participated in any collusion or otherwise taken any action in restraint of free competition; that no attempt has been made to induce any other person or firm to submit or not to submit Proposals, that Proposals have been independently arrived at, without collusion with any other Proposers, competitor or potential competitor; that Proposals have not been knowingly disclosed prior to the opening of Proposals to any other Proposers or competitor;
that the above statement is accurate under penalty of perjury.
The undersigned, submitting this Proposal, herby agrees with all the terms, conditions, and specifications required by the City in this Request for Proposal, declares that the attached Proposal and pricing is in conformity therewith, and attests to the truthfulness of all submissions in response to this solicitation.
Proposers shall provide the information requested below. Include the legal name of the Proposers and signature of the person(s) legally authorized to bind the Proposers to a contract.
COMPANY NAME
SIGNATURE DATE
PRINT NAME OF PERSON SIGNING
Form A: Signature Affidavit
RFP #: Enter RFP #
File details come from the government source that posted it. Updated .