Attachment_4_-_Contractor_Certification.docx

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Fort Lee Roofing Repair and Replacement
Solicitation number
W91QF517B0001
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Contractor Certification

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CONTRACTOR CERTIFICATION

Bidders are cautioned to note the “Contractor’s Certification,” included in this solicitation, and to furnish the information required by paragraph b., Partnerships, and paragraph c., Corporations, as appropriate.

a. Contracts with Individuals. If the resultant contract is with an individual, it shall be signed by the individual in his own name. A contract with an individual doing business as a firm shall be signed by that individual and will ordinarily take the following form.

(Signed) An individual doing business as

b. Contracts with Partnerships. If the resultant contract is with a partnership, it needs to be signed by only one partner provided the partner signing has the authority to legally bind the partnership. In addition, the following statement shall be completed:

is a partnership composed of (Firm Name)

(List all Partners)

(Indicate if any partner is limited in partnership authority)

c. Contracts with Corporations. If the resultant contract is with a corporation, it shall be executed in the corporation name, followed by the word “by” after which the person who has been authorized to execute the contract on behalf of the corporation shall sign his name, with the designation of his official capacity. In addition, the following certification shall be completed:

I,, certify that I am theof the corporation named as Contractor herein, that, who signed this contract on behalf of the Contractor was then, of said corporation, that said contract was duly signed for and on behalf of said corporation by authority of the government body and is within the scope of its corporate powers.
In witness thereof, I have hereunto affixed my signature this_day of
_, 20 _.

AFFIX CORPORATE SEAL

(Signature, Printed Name, Title)

d. Contract with Joint Ventures. If the resultant contact is with a joint venture, each participant shall sign and in the manner indicated above for each type of participant. In addition, to assure a single point of contact for resolution of contractual matters and payments, the following certification shall be signed by each participant in the joint venture.

The parties hereto expressly understand and agree as follows:

1. (Name) (Title) (Company) is the principal representative of the joint venture. As such, all communications regarding the administration of the contract and the performance of the work thereunder may be directed to him. In the absence of:

(Name) (Title) (Company as above)

(Name) (Title) (Company as above) is the alternate principal of the joint venture.

1. Directions, approvals, required notices, and all other communications from the Government to the joint venture, including transmittal of payments by the Government, shall be directed to:

(Name) (Title) (Company) principal representative of the joint venture.

e. Signature of Agents. If the resultant contract is signed by an agent, other than as stated above, the fact of the agency will be evidenced by a copy of the Power of Attorney.

PREVIOUS CONTRACTS

Prospective bidders/offerors will identify both Government and private contracts performed within the last three years for same or similar type work as required in this solicitation.

TITLE OFPERSON TOTELEPHONE
LOCATION OF CONTRACTCONTRACTCONTACTNUMBER

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