HomeMy WebLinkAboutschedule BRFP TITLE: Purchase of Thermal imaging Cameras RFP NO: (04)A-02
SCHEDULE "B"
CITY OF SUNRISE
CERTIFICATION
THIS DOCUMENT MUST BE SUBMITTED WITH THE PROPOSAL
TO THE CITY COMMISSION OF THE CITY OF SUNRISE:
We (I), the undersigned, hereby agree to furnish the item(s)/service(s) described in the Request for Proposal.
We (I) certify that we (I) have read the entire document, including the Specifications, Additional
Requirements, Supplemental Attachments, Instructions To Respondents, Terms and Conditions, and any
Addenda issued. We agree to comply with all of the requirements of the entire Request for Proposal.
If applicable, would you extend the prices proposed herein to other municipalities? Award of RFP is not
contingent upon concurrence with this offer to other municipalities. Yes: No:
Indicate type of organization below:
INDIVIDUAL ( ) PARTNERSHIP () CORPORATION ( ) OTHER ( )
IF OTHER, EXPLAIN:
AUTHORIZED SIGNATURE
AUTHORIZED SIGNATURE (PRINTED OR TYPED)
TITLE
FEDERAL EMPLOYER ID. OR SOCIAL SECURITY NO.:
COMPANY NAME:
ADDRESS:
CITY: STATE: ZIP:
TELEPHONE NO.: FAX NO.:
CONTACT PERSON:
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Revised May 12, 2003