By Individual. Individual represents and warrants to the Company that:
By Individual. For All Contract Types Regardless of Value Written representation that complies with the nondiscrimination agreements and warranties under Connecticut General Statutes §§ 4a-60(a)(1) and 4a-60a(a)(1), as amended INSTRUCTIONS: For use by an individual who is not an entity (corporation, limited liability company, or partnership) when entering into any contract type with the State of Connecticut, regardless of contract value. Submit to the awarding State agency prior to contract execution. REPRESENTATION OF AN INDIVIDUAL: I, , of , Signatory Business Address represent that I will comply with the nondiscrimination agreements and warranties of Connecticut General Statutes §§ 4a-60(a)(1)and 4a-60a(a)(1), as amended. Signatory Date Printed Name Request for Proposals All Inclusive Contract for Service and Maintenance of Elevators in Xxxxxxx and Tolland Counties Department of Administrative Services Contract Specialist: Xxxx XxXxxx Date Issued: 15 September 2009 Due Date: 13 October 2009 RFP Template RFP-22 Rev. 08/09 Prev. Rev. 02/08 Page 1 of 37 State of Connecticut Department of Administrative Services Announcement of Request for Proposals to provide An all inclusive contract for service and maintenance of elevators in Xxxxxxx and Tolland Counties Date 15 September 2009 RFP No. 09PSX0290 Pursuant to the provisions of Section 4a-57 of the General Statutes of Connecticut as amended, sealed proposals will be received by Procurement Services for the State of Connecticut, at the address provided in this Request for Proposal (“RFP”) for furnishing the commodities and/or services herein listed. The Department of Administrative Services welcomes the opportunity to work with our customers and suppliers to provide All inclusive contract for service and maintenance of elevators in Middlesex and New London Counties to the State of Connecticut as outlined throughout this RFP document. We invite you to be part of this effort. RFP Template RFP-22 Rev. 08/09 Prev. Rev. 02/08 Page 2 of 37 TABLE OF CONTENTS OVERVIEW 4 SCOPE OF SERVICES 5 PRODUCT AND/OR SERVICE SPECIFICATIONS 6 PROPOSAL REQUIREMENTS 30 SELECTION CRITERIA 33 INSTRUCTIONS TO PROPOSERS 34 SUBMITTAL REQUIREMENTS 35 CONTRACT 37 RFP Template RFP-22 Rev. 08/09 Prev. Rev. 02/08 Page 3 of 37 Request for Proposals All inclusive contract for service and maintenance of elevators in Xxxxxxx and Tolland Counties Overview The purpose of this solicitation is to obtain qualified service providers (Contractors) to perform all inclu...
By Individual. For All Contract Types Regardless of Value Written representation that complies with the nondiscrimination agreements and warranties under Connecticut General Statutes §§ 4a-60(a)(1) and 4a-60a(a)(1), as amended INSTRUCTIONS: For use by an individual who is not an entity (corporation, limited liability company, or partnership) when entering into any contract type with the State of Connecticut, regardless of contract value. Submit to the awarding State agency prior to contract execution. REPRESENTATION OF AN INDIVIDUAL: I, , of , Signatory Business Address represent that I will comply with the nondiscrimination agreements and warranties of Connecticut General Statutes §§ 4a-60(a)(1)and 4a-60a(a)(1), as amended. Signatory Date Printed Name STATE OF CONNECTICUT Formatted For HotDocs_Form C 07-08-2009 NONDISCRIMINATION CERTIFICATION — Affidavit By Entity For Contracts Valued at $50,000 or More Documentation in the form of an affidavit signed under penalty of false statement by a chief executive officer, president, chairperson, member, or other corporate officer duly authorized to adopt corporate, company, or partnership policy that certifies the contractor complies with the nondiscrimination agreements and warranties under Connecticut General Statutes §§ 4a-60(a)(1) and 4a-60a(a)(1), as amended INSTRUCTIONS: For use by an entity (corporation, limited liability company, or partnership) when entering into any contract type with the State of Connecticut valued at $50,000 or more for any year of the contract. Complete all sections of the form. Sign form in the presence of a Commissioner of Superior Court or Notary Public. Submit to the awarding State agency prior to contract execution. AFFIDAVIT: I, the undersigned, am over the age of eighteen (18) and understand and appreciate the obligations of an oath. I am of , an entity Signatory’s Title Name of Entity duly formed and existing under the laws of . Name of State or Commonwealth I certify that I am authorized to execute and deliver this affidavit on behalf of and that Name of Entity Name of Entity has a policy in place that complies with the nondiscrimination agreements and warranties of Connecticut General Statutes §§ 4a-60(a)(1)and 4a-60a(a)(1), as amended. Authorized Signatory Printed Name Sworn and subscribed to before me on this day of , 20 . Commissioner of the Superior Court/ Commission Expiration Date Notary Public PROPOSER RFP-14 Rev. 11/07 Prev. Rev. NEW 6/98 Page 1 of 2 PROPOSER’S STATEMENT OF QUALIFI...
By Individual. 19 9.3 By the Company ................................................................................... 20 10.
By Individual. Signed and delivered by: 1. Signature Name Witnessed by: 1. Signature Name 2. Signature Name 2. Signature Name Note: All Stockholders who are individuals should sign and date this Form in the presence of a witness who should also sign Box 3A in accordance with the instructions printed in note 3A on page 3. The witness must be over 18 years of age and must be one of the joint holders. The same person may witness, separately, each signature of the joint holders. 3B EXECUTION BY COMPANY Signed and delivered by:Name: By: _____________________________________ Name: Title:
