HomeMy WebLinkAboutDeclarationi 0: Ptl:iro 0. `tmandez L.ilY lianager
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The undersigned, as Respondent (herein used in the masculine- singular. i«espective of actual
tender and number) declares that the persons interested in this Proposal are named here n, that
no other person has any Interest in this Proposal. That this Proposal is made R'ithoui conn- ecrton
or arrangement with any other person and Lnai this Proposal is in eVeid respect La Lr. in zood talTll
-i:hout collusion or,iaud.
1 ire undersigned fur:her declares that he has co,_ plied in eve,—v respect -�v ith he bequest for
Proposals requirements and in�ctions. that he has read ail addenda li any, and. that he has
satisncd himself silly with regard to a'_l =s crs and conditions with respect to the s zrtement to
which the Proposal pertains.
The undersigned herein aclmov-'s that this Proposal corsd uTws a offer and e will
rie6otiate in good faith with the CIrr in he event that the undersigned Is the selected Respondent.
The undersigned � irrher acknowledges that if its Proposal is selected and to undersi�t ed fails To
execute the Aarternent. the Initial Deposit shall be kept by the City as liquidated' darnaffes and
not as a penalty:.
The undersigned understands that the Initial Deposit shall be kept by the Cita- until a
determination is made as to whether this Propos -1 is non-responsive or .inrd; as a:ward is made by
the City Commission to someone other than the undersigned. In the event the undersi6ned is
selected by the Cita Commission, the I itial Deposit shall be kept by the Citi-.
The undersigned acknowledges that all costs related to the preparation and submission of the
Proposal are the sole cost ofRespondent and the undersigned understands and acknowledges that
he will not be entitled to a refund or reimbursement of anv costs incurred.
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Print \ ame of Proposer
SA TE OFF-1—ORTDA
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_".u�reSS
1 neforeaoing i�:st cnt was acknowled,ed before me this A4daiT of
Q0 AG,2:;b by (name of orricer or went title
of Gtieer or agent), of yeti J� -(name of corporamn
acknowledging), a (state or puce or mcorporarion) corporanion,
on behalf of corporation. ueishe isar,onaU r oV-_ to me or who has produced
(type of identification) as identification and who did (did not) take
Commission No.
Paac ? of