SR 28 Central Corridor Trail_Appendix C_Attestation Forms.docx
DOCX document 38 KB Posted
- Solicitation number
- 146631
- Issued by
- Douglas County, Nevada
About this file
This document comprises Acknowledgement and Attestation Forms for a Request for Proposal (RFP) issued by the Nevada Department of Transportation (NDOT) for Construction Manager at Risk (CMAR) services related to the SR 28 Central Corridor Trail project extending from Sand Harbor to Thunderbird Cove. The RFP represents a single-step procurement process that includes proposal submission, evaluation panel scoring, firm shortlisting, separate interview scoring and ranking, and negotiations preceding execution of a Pre-Construction Services Agreement. Proposers must submit one comprehensive proposal addressing pre-construction CMAR services and potential construction services contingent upon NDOT's acceptance of the Construction Manager's Construction Guaranteed Maximum Price (GMP) bids or fixed price bids and successful contract negotiations. Proposals must remain open for acceptance for 180 days following the proposal due date, and selected proposers must execute the Pre-Construction Services Agreement within ten days of receipt and commence work promptly thereafter in accordance with the provided schedule and terms.
Proposers must be general contractors licensed in Nevada pursuant to Nevada Revised Statutes Chapter 624, not engineering firms, and must certify compliance with various statutory requirements including non-participation in restraint of trade activities, debarment status, and equal opportunity obligations. Proposers must acknowledge receipt of all addenda, certify familiarity with all RFP documents including preliminary plans, Standard Specifications, Special Provisions, and the form Construction Contract, and declare that the proposal is submitted without reservation, qualification, assumption, or condition. All costs and expenses incurred in preparing proposals and participating in the procurement are borne solely by proposers, and NDOT retains the discretion to reject any or all proposals. The attestation forms are available in four entity-type variations: partnerships, joint ventures, corporations, and sole proprietorships, each requiring appropriate notarization and signature documentation.
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Acknowledgement and Attestation Forms
Request for Proposal Page C-2 Nevada Department of Transportation
ACKNOWLEDGEMENT AND ATTESTATION FORM
Date:
By responding to this RFP, the Proposer(s) certify that he/she (they) has (have) reviewed the RFP, the form of the Pre-Construction Services Agreement and the form of the Construction Contract, and their exhibits and attachments contained therein, and are familiar with their terms and conditions and find them expressly workable without change or modification. Initially capitalized terms not otherwise defined herein shall have the meaning set forth in the RFP.
| 1. | Proposer certifies that its Proposal is submitted without reservation, qualification, assumptions, or condition. Proposer certifies that it has carefully examined and is fully familiar with all of the provisions of the RFP, any preliminary plans for the Project, the Standard Specifications and Special Provisions, the Pre-Construction Services Agreement, the form of Construction Contract, the Addenda, and the TTD’s responses to Proposers’ questions, before submitting the Proposal, and is satisfied that said documents and responses provide sufficient detail regarding the obligations to be performed by Proposer and do not contain internal inconsistencies; that Proposer has carefully checked all the words, figures, and statements in the Proposal; that it has examined the Project site and the proposed work and done such other investigations and assessments which were prudent and reasonable to prepare this Proposal; and that Proposer has notified TTD of any deficiencies in or omissions in the RFP or other documents provided by TTD. | |||
| 2 | In consideration for TTD supplying Proposer (at Proposer’s request) with the RFP and agreeing to examine and consider the Proposal, the Proposer undertakes: | |||
| (a) | to keep this Proposal open for acceptance for 180 days after the Proposal Due Date, without unilaterally varying or amending its terms and without any member or partner withdrawing or any other change being made in the composition of the partnership/joint venture/limited liability company/consortium on whose behalf this Proposal is submitted, without obtaining the prior written consent of TTD, in TTD’s sole discretion; and | |||
| (b) | to execute the Pre-Construction Services Agreement referenced in the RFP if this Proposal is selected within ten (10) days after receiving the Pre-Construction Services Agreement for execution (If Proposer fails to do so then TTD may proceed to award the Pre-Construction Services Agreement to others); and | |||
| (c) | to commence work promptly, or within such additional time as may be allowed in writing by TTD, after receiving the executed Pre-Construction Services Agreement, and to complete the work in accordance with the schedule and terms and conditions thereof. | |||
| 3. | The undersigned declares that it is the only entity or party interested in the Proposal as principal and that its officers, employees, subsidiaries, or parent corporations (check appropriate box below): | |||
| |_| | Have not in any way participated in any activities in restraint of trade, or been debarred with relation to public contracts either in the State of Nevada or any other State of the United States or on any federally-assisted contract during the five-year period immediately preceding this Proposal or either directly or indirectly entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free competitive bidding in connection with the Pre-Construction Services Agreement. | |||
| |_| | Have participated in activities in restraint of trade with relation to public contracts either in the State of Nevada or any other State of the United States or on any federally assisted contracts during the five-year period immediately preceding the submission of the Proposal or entered into collusion, or restraint of free competitive bidding on this Contract, and are of the opinion that they are a responsible Proposer entitled to the award of a contract involving, public moneys and attach hereto an explanation of their activities in restraint of free trade, restraint of free competitive bidding, or collusion. | |||
| 4. | Proposer, hereby certifies that it has ( ) has not ( ), participated in a previous contract or subcontract subject to the equal opportunity clause, as required by applicable Executive Orders, and that it has ( ), has not ( ), filed with the Office of Federal Contract Compliance Program all reports due under the applicable filing requirements. | |||
| 5. | Proposer acknowledges receipt of the following Addenda: | |||
| NUMBER | DATE | NUMBER | DATE |
| 6. | Proposer understands that TTD is not bound to select any Proposal under this procurement. |
| 7. | Proposer understands that all costs and expenses incurred by it in preparing this Proposal and participating in this procurement will be borne solely by the Proposer. |
| 8. | This Proposal shall be governed by and construed in all respects according to the laws of the State of Nevada. |
| 9. | Proposer is a contractor licensed in this State pursuant to NRS Chapter 624. Proposer’s license number(s) are: |
ACKNOWLEDGEMENT AND ATTESTATION FORM
(PARTNERSHIPS FORM)
I (We) certify and declare that the foregoing is true and correct.
| Subscribed on | at | , | ||
| Date | City | |||
| , State of | . | |||
| County | State |
1) Partner Signature Typed Name:
2) Partner Signature Typed Name:
Notary:
Notary Signature Date Commission Expires:
Note: Add additional signature lines if there are more than two partners.
ACKNOWLEDGEMENT AND ATTESTATION FORM
(JOINT VENTURE FORM)
I (We) certify and declare that the foregoing is true and correct.
| Subscribed on | at | , | ||
| Date | City | |||
| , State of | . | |||
| County | State |
1) Venture Partner Binding Signature Date Typed Name:
Title:
Type of Business:
Witness Date Typed Name:
2) Venture Partner Binding Signature Date Typed Name:
Title:
Type of Business:
Witness Date Typed Name:
1. Add additional venture partners as necessary.
2. Witnesses of venture partners shall be corporate secretary for corporations, partners for partnerships, and notaries for sole proprietorships.
3. Please attach joint venture agreement.
4. Type of business shall identify the venture partner as a corporation, venture, partnership, sole proprietorship, or other legal entity.
ACKNOWLEDGEMENT AND ATTESTATION FORM
(CORPORATE FORM)
I (We) certify and declare that the foregoing is true and correct.
| Subscribed on | at | , | ||
| Date | City | |||
| , State of | . | |||
| County | State |
Corporate Officer Signature Date
Secretary Date Note: Use full corporate name and attach corporate seal here.
(SEAL)
ACKNOWLEDGEMENT AND ATTESTATION FORM
(SOLE PROPRIETORSHIP FORM)
I (We) certify and declare that the foregoing is true and correct.
| Subscribed on | at | , | ||
| Date | City | |||
| , State of | . | |||
| County | State |
Respondent Date Typed Name:
Notary:
Notary Signature Date Commission Expires:
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