Harris_Environmental_CTR056544_Revised Offer_and_Acceptance - signed.pdf

PART 3 of the Solicitation Documents Template version 6.0 (18-NOV-2019)

SECTION 3-B: Offer Forms Page 1 of 1 3

A v a i l a b l e o n l i n e a t : A P P . A Z . g o v

Harris Environmental Group, Inc.

Offer and Acceptance Form

SUBMISSION OF OFFER: Undersigned hereby offers and agrees to provide Water Quality Sampling and Monitoring in compliance with the Solicitation indicated above and our Offer indicated by the latest dated version below:

Initial Offer:

1. x x Date initial

Revised Offers:

2. x x 3. x x 4. x x date #1 initial date #1 initial date #1 initial

5. x x 6. x x 7. x x date #4 initial date #5 initial date #6 initial

Best and Final Offer:

8. x x Date initial x x Offeror company name Signature of person authorized to sign Offer x x

Address Printed name and title x x

City | State | ZIP Contact name and title x x x

Federal tax identifier (EIN or SSN) Contact Email Address Contact phone number

CERTIFICATION: By signature in the above, Offeror certifies that it:

1. will not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, [Arizona] State

Executive Order 2009-

2. has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the Offer. Signing the Offer with a false statement will void the Offer, any resulting contract, and may be subject to legal penalties under law;

3. complies with A.R.S. § 41-3532 when offering electronics or information technology products, services, or maintenance; and

4. is not debarred from, or otherwise prohibited from participating in any contract awarded by federal, state, or local government.

ACCEPTANCE OF OFFER: State hereby accepts the initial Offer, Revised Offer, or Best and Final Offer identified by the latest date and number at the top of this form (the Accepted Offer). Offeror is now bound (as Contractor) to carry out the Work under the attached Contract, of which the Accepted Offer forms a part. Contractor is cautioned not to commence any billable work or to provide any material or perform any service under the Contract until Contractor receives the applicable Order or written notice to proceed from Procurement Officer.

State’s Contract No. is: ________________ The effective date of the Contract is: __________ Contract awarded _________ Date Date

Procurement Officer Signature Procurement Officer Printed Name

07/08/2021 ed by the la xxxxx xx xx initial

07/08/2021 initial x x initial

Harris Environmental Group, Inc.

650 North 6th Avenue

Tucson, AZ 85705

86-0777752

Lisa Harris, President

Chase Voirin cvoirin@heg-inc.com 520-628-7648 re of person authhhhhhhhhhhhhoooorioooooooooooooooooooooooooooooooo zed to sign Offer

08/03/2021

8/4/20218/4/2021 CTR056544

Patricia Lorenzen (Aug 4, 2021 07:00 PDT) Patricia Lorenzen Patricia Lorenzen https://azadoagov.na1.echosign.com/verifier?tx=CBJCHBCAABAAmV-BRC1f2DkLhF1aJafx4KzpMIDr5xiZ