05 - General Planning Services -Forms

Description

Form 1 RESPONSE CHECKLIST Form 1: Response Checklist Form 2: Proposal Information Form Form 3: Certificate of Authority (Complete Form 3A or 3B as applicable) Certificate of Authority (for Corporations or Partnerships) Certificate of Authority (for Individuals) ______ Form 4 Company Qualifications’ Questionnaire ______ Form 5 Key Personnel ______ Form 6 Client References Form 7: Dispute Disclosure ______ Form 8: Form 9: Acknowledgment of Addenda Single Execution Affidavit Form 2 PROPOSAL INFORMATION FORM I certify that any and all information contained in this RFQ is true. I certify that this RFQ is made without prior understanding, agreement, or connections with any corporation, firm or person submitting a RFQ for the same materials, supplies, equipment, or services and is in all respects fair and without collusion or fraud. I agree to abide by all terms and conditions of the RFQ, and certify that I am authorized to sign for the Proposer’s firm. Please print the following and sign your name: FIRM NAME PRINCIPAL BUSINESS ADDRESS TELEPHONE FACSIMILE EMAIL ADDRESS FEDERAL I.D. NO. OR SOCIAL SECURITY NUMBER NAME TITLE AUTHORIZED SIGNATURE MUNICIPAL BUSINESS TAX RECEIPT OR OCCUPATIONAL LICENSE NO. FORM 3A CERTIFICATE OF AUTHORITY (if Corporation) I HEREBY CERTIFY that a meeting of the [circle one] Board of Directors/ Partners of a business existing under the laws of the State of , (the “Entity”) held on , 20 , the following resolution was duly passed and adopted: “RESOLVED, that, , as of the Entity, be and is hereby authorized to execute this Proposal dated , 20 , on behalf of the Entity and submit this Proposal to the Tow of Surfside, and this Entity and the execution of this Certificate of Authority, attested to by the Secretary of the Corporation, and with the Entity’s Seal affixed, will be the official act and deed of this Entity.” I FURTHER CERTIFY that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the Entity this Secretary: Print Name: (Seal) day of , 20 President: Print Name: . FORM 3B CERTIFICATE OF AUTHORITY (if Individual) I, (“Affiant”) being first duly sworn, deposes and says: 1. I am the [Select and print as applicable: Owner/Partner/Officer/Representative/Agent] of: doing business as , the Contractor that has submitted the attached Proposal. 2.