Form C - Qualified Vendor Certification.DOCX
DOCX document 15 KB Posted
- Attached to
- Antigo Boiler Replacement
- Solicitation number
- IFB-26-138-09-0-2026/LC
- Issued by
- Marquette County, Wisconsin
About this file
This document is a Form C - Qualified Vendor Certification for Invitation for Bid (IFB) NTC 26-138-09, issued by NTC (Northern Tier Cooperative) in Wisconsin for an Antigo Boler Replacement project. The scope of work involves the removal, procurement of materials, delivery, and installation of a new Aerco KC1000 boier, with bidders required to demonstrate qualification through a comprehensive certification process.
The certification form requires vendors to attest to several key qualifications, including being in business for at least 5 years, maintaining a permanent business location, being licensed to do business in the United States and authorized to sell in Wisconsin, and not being on any ineligible or debarment lists. Additionally, vendors are asked to indicate if they are a Disadvantaged Business Enterprise (DBE) or Minority Business Enterprise (MBE), which may provide potential competitive advantages in the bidding process. The document does not specify exact pricing, bid due dates, or contract term details, but serves as a preliminary qualification screening for potential contractors interested in the boier replacement project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| W-9.PDF | ||
| Form D - References.DOCX | DOCX document | |
| IFB 26-138-09 Antigo Boiler Replacement.PDF | ||
| Form A - Bid Submission Signature Page.DOCX | DOCX document | |
| Form B - Proposed Costs.DOCX | DOCX document | |
| Form E - Cooperative Purchasing Agreement.DOCX | DOCX document |
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Text version
Invitation for Bid (IFB) - NTC 26-138-09 – Antigo Boiler Replacement
FORM C - QUALIFIED VENDOR CERTIFICATION
In submitting this bid, I certify that I am a “Qualified Vendor” for providing the goods and/or services outlined in this IFB.
This certification as a “Qualified Vendor” attests to the following (check the box next to each item if you agree/concur):
|_| Our Company has been in business for at least 5 years (if not, so specify). years.
|_| Our Company is an authorized agency for any and all goods and/or services provided.
|_| Our Company maintains a permanent place of business.
|_| Our Company is licensed to do business in the United States.
|_| Our Company is authorized to sell in the State of Wisconsin.
|_| Our Company is not presently on any ineligible list maintained by the Department of Administration, or by any other State or the Federal Government, for noncompliance with equal employment opportunities and affirmative action requirements.
|_| Our Company is not presently on a debarment list maintained by the Department of Industry, Labor, and Human Relations for noncompliance with wage rate requirements.
|_| Our Company is a DBE (Disadvantaged Business Enterprise) or MBE (Minority Business Enterprise) Vendor.
Comments:
File details come from the government source that posted it. Updated .