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HomeMy WebLinkAboutBid Response Form4.0 BID RESPONSE FORM 4.1. Certification Statement Please quote on this form(s) net prices for the item(s) listed. Return signed original and retain a copy for your files. Prices should include all costs, including transportation to destination. The City reserves the right to accept or reject all or any part of this bid. Prices should be firm for a minimum of 120 days following the time set for opening of the bids. In the event of errors in extension of totals, the unit prices shall govern in determining the quoted prices. We (I) certify that we have read your Invitation for Bids, completed the necessary documents, and propose to furnish and deliver, F.O.B. DESTINATION, the items or services specified herein. The undersigned hereby certifies that neither the contractual party nor any of its principal owners or personnel have been convicted of any of the violations, or debarred or suspended as set in section 18-107 or Ordinance No. 12271. All exceptions to this bid have been documented in the section below (refer to paragraph and section). EXCEPTIONS: A140G"� Payment Terms: 2% 10 days__Net 30 days Delivery or Completion of project will be made within q calendar days after receipt of purchase order. We (I) certify that any and all information contained in this bid is true; and we (I) further certify that this bid is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a bid for the same materials, supplies, equipment, or service, and is in all respects fair and without collusion or fraud. We (I) agree to abide by all terms and conditions of this IFB and certify that I am authorized to sign this bid for the bidder. Please print the following and sign your e: NAME OF BIDDER: __0"L ObJETR ADDRESS: j' 1 I §° • - 4 F 7 AX: �. cz BEEPER: PHONE: EMAIL: SIGNE TITLE: "/I DATE: _7 7e, FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM SHALL DISQUALIFY THIS BID. City of Miami Bid No. 05-06-028 Page 18 Bid Response Form - Certification Statement (Page 2 of 3) CERTIFICATE OF AUTHORITY (IF CORPORATION) I HEREBY CERTIFY that at a meeting of the Board of Directors of , a corporation organized and existing under the laws of the State of , held on the _day of resolution was duly passed and adopted authorizing (Name) as (Title) of the corporation to execute bids on behalf of the corporation and providing that his/her execution thereof, attested by the secretary of the corporation, shall be the official act and deed of the corporation. I further certify that said resolution remains in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand this , day of 20 Secretary: Print: ,a CERTIFICATE OF AUTHORITY (IF PARTNERSHIP) HEREBY CERTIFY that at a meeting of the , a partnership orga the laws o - - - e of _ , held on the resolution was duly pass- • - die adopted authorizi (Title) of the that his/her execution thereof, attes - = •y partnership. I further certify tha 20 Board of R=c ors of and existing under yof ---- _, a me) as ids on behalf of the partnership and provides r, shall be the official act and deed of the d partnership agreement remains in full force an I • TNESS WHEREOF, I have hereunto set my hand this ___, day of artner: Print: CERTIFICATE OF AUTHORITY (IF JOINT VENTURE) Joint venturers must subm : '•int venture agreeme - g at the person signing this bid is authorized to sign bid documen - • b= • . • e joint venture. If there is no joint venture agreement each member of t ven - •gust sign the bid and submit the appropriate Certificate of Authority • . • rate, partnership, or in • i ► • - - City of Miami Page 19 BId No. 05-06.028 Bid Response Form - Certification Statement (Page 2 of 3) CERTIFICATE OF AUTHORITY (IF INDIVIDUAL) 1 H. REBY CERTIFY that, I (Name) , individually and doing bus ess as (d/b/a) (If Applicable) have exec ed and am bound by the terms of the bid to which this attestation is - ched. IN WI ESS WHEREOF, I have hereunto set my • d this , day of , 20_—. Signed: Print: STATE OF COUNTY OF ) ) The foregoing instr ent was acknowledged before me 20_____, by , who is produced as identification oath. SIGNAT RE OF NOTARY PUBLIC STAT OF FLORIDA NTED, STAMPED OR TYPED NAME OF NOTARY PUBLIC Is City of Mlamf Page 20 Bld No. 05-06-028 , rsonally known to me or who has nd who (did / did not) take an day of