Identity_Confirmation.pdf

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Attached to
FY27 CDBG Street Resurfacing and ADA Improvement Project
Solicitation number
2026-IFB-CIV-0288
Issued by
Los Angeles County, California

About this file

This is an Identity Confirmation form for the City of Pasadena, California's FY27 CDBG Street Resurfacing and ADA Improvement Project. The form requires contractors to provide their business identity information, including contractor name, business address, and organizational structure details. For individual contractors, the form requests basic identification; for partnerships, it requires names and addresses of all constituent members; for corporations, it requires the name of the President/CEO, Secretary, state of incorporation, and local representative information including contact details. The contractor must attach a certificate confirming the identity of the signing bidder or officer, verification that the individual holds the stated officer position, and proof of authority to bind the bidder to the contract.

The Identity Confirmation form serves as a prerequisite document for bid submission on the street resurfacing and ADA improvement project, which involves resurfacing Fair Oaks Avenue from Washington Boulevard to Mountain Street and Los Robles Avenue from Washington Boulevard to Orange Grove Boulevard, along with related improvements such as concrete curb and gutter reconstruction, sidewalk repairs, curb ramp installation, utility adjustments, and traffic signal loop detector replacement. The project is partially funded through federal Community Development Block Grant (CDBG) Program funds, requiring contractors to complete this identity verification documentation as part of the bidding process.

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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 .