RFP Bidder Certification form.pdf

PDF 86 KB Posted

Attached to
Sub-Meter System Renovation at Camp Perry
Solicitation number
SRC0000016523
Issued by
Putnam County, Ohio

About this file

The document is a Request for Proposal (RFP) Bidder's Certification form from the Ohio Adjutant General's Department (ADJ) for a sub-meter system renovation project at the Camp Perry Ohio Army National Guard Joint Training Center. The project requires the selected contractor to furnish materials, equipment, and labor to remove and replace approximately 203 sub-meters currently serviced by Byram Labs. The selected contractor will be responsible for providing comprehensive services including repairs, preventative maintenance, monitoring, and reporting as outlined in the Scope of Work. The contractor must submit a proposal that includes all materials, equipment, labor, and travel costs.

The RFP requires bidders to certify that they are the prime offeror, will not perform work or access data outside the United States without authorization, have verified employment authorization for non-U.S. citizen personnel, and will comply with small business program reporting requirements. Bidders must also affirm their status as a separate and independent enterprise from the State of Ohio and ADJ. If using independent contractors, the bidder must obtain written acknowledgment that the contractors are separate and independent enterprises. Bidders who qualify as Veteran Friendly Business Enterprises must also certify their status.

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Request for Proposals Bidder’s Certification

Each Proposal must include the following certification signed by the individual Offeror.

(Insert Company name) affirms they are the prime Offeror.

(Insert Company name) affirms it shall not and shall not allow others to perform work or take data outside the United

States without express written authorization from ADJ.

(Insert Company name) affirms that all personnel provided for the Project, who are not United States citizens, will have executed a valid I-9 form and presented valid employment authorization documents.

(Insert Company name) affirms that any small business program participants will provide necessary data to ensure program reporting and compliance.

(Insert Company name) agrees that it is a separate and independent enterprise from the State of Ohio, the Agency, and the Adjutant General’s Office. (Insert Company name) has a full opportunity to find other business and has made an investment in its business. Moreover (Insert Company name) will retain sole and absolute discretion in the judgment of the manner and means of carrying out its obligations and activities under the Contract. This Contract is not to be construed as creating any joint employment relationship between (Insert Company name) or any of the personnel provided by (Insert Company name), and the ADJ.

(Insert Company name) affirms that the individuals supplied under the Contract are either: (1) employees of (Insert

Company name) with (Insert Company name) withholding all appropriate taxes, deductions, or contributions required under law; or (2) independent contractors to (Insert Company name).

If the Offeror’s personnel are independent Contractors to the Offeror, the certification must also contain the following sentence:

(Insert Company name) affirms that it has obtained a written acknowledgement from its independent Contractors that they are separate and independent enterprises from the State of Ohio and ADJ for all purposes including the application of the Fair Labor Standards Act, Social Security Act, Federal Unemployment Tax Act, Federal Insurance Contributions

Act, the provisions of the Internal Revenue Code, Ohio tax law, worker’s compensation law and unemployment insurance law.

If the Offeror qualifies as a Veteran Friendly Business Enterprise as defined by ORC 9.318 and OAC 123:5-1-01 (KK), the certification must also contain the following sentence:

(Insert Company name) affirms that they are certified as a Veteran Friendly Business Enterprise as defined by Ohio

Revised Code 9.318 and Ohio Administrative Code 123:5-1-01(KK).

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