Identity_Confirmation.pdf

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Attached to
On-Call Guardrail Repair Services - FY 2023
Solicitation number
2022-IFB-CIV-217
Issued by
Los Angeles County, California

About this file

The document is an Identity Confirmation form for a state and local contract opportunity related to On-Call Guardrail Repair Services for the City of Pasadena in California for Fiscal Year 2023. The form is designed to capture critical information about the bidding entity, including details for individuals, partnerships, firms, or corporations seeking to submit a proposal. The form requires comprehensive identification information such as the contractor's name, business address, organizational structure, and key corporate officers.

The form mandates that bidders attach a certificate to confirm three key elements: the identity of the bidding officer, verification that the individual is the named officer, and documentation of their authority to bind the bidder to the contract. While the form itself does not specify pricing or specific contract terms, it is part of the pre-qualification process for contractors to provide on-call guardrail repair services, which will involve repairing damaged guardrail systems, including posts, blocks, metal rail elements, end assemblies, and associated hardware. The contractor will also be responsible for traffic control and proper disposal of removed materials.

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Text version

IDENTITY CONFIRMATION

Contractor's Name: ____________________________________________________________

Business Address: _____________________________________________________________

If an individual, so state: __________________________

If a partnership, co-partnership or firm, so state, giving the names and addresses of individuals constituting the organization:

If a corporation, give the following information:

Name of President/CEO: _____________________________________________

Name of Secretary: _________________________________________________

Organized under the laws of the State of: ________________________________

Name of Local Representative: _________________________________________

Address of Local Representative: _______________________________________

Telephone: _______________________

Fax: ____________________________

Attach a certificate to confirm:

1. The identity of the Bidder or Officer who signs above,

2. The fact that he/she is the officer named, and

3. His/her authority to bind the Bidder.

File details come from the government source that posted it. Updated .