My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Opening of Bids - 2022-2023 Water Treatment Chemicals - Watcon, Inc.
sbend
>
Public
>
Public Works
>
Board of Works Documents
>
2022
>
Opening of Bids
>
Opening of Bids - 2022-2023 Water Treatment Chemicals - Watcon, Inc.
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/12/2022 3:49:13 PM
Creation date
4/12/2022 3:49:03 PM
Metadata
Fields
Template:
Board of Public Works
Document Type
Projects
Document Date
4/12/2022
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
9
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
CITY OF SOUTH BEND, INDIANA F. _a <br />SELLER'S BID FOR SALE OR LEASE OF MATERIALS C <br />3 <br />BID NAME Water Treatment Chemicals 2022-2023 <br />FOR BIDS DUE April 12, 2022; 9:00 AM, Local Time <br />Bidder <br />Date:L�6 <br />2. (Firm): <br />Address: <br />City/State/Zip: f14TW `iQLli Telephone Number: (370747-S'397 <br />Agent of Bidder (if Applicable): <br />When the prospective Contractor is unable to cerfijy to any of the statements below, it shall attach an explanation to this Affidavit <br />CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, <br />CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT <br />ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND <br />ERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY <br />PRODUCTS <br />(Must be completed for all quotes and bids. Please type or print) <br />STATE OF IJ., ) <br />) SS: <br />5J JoJeA COUNTY ) <br />The undersigned Contractor, being duly swoon upon his/her/its oath, affirms under the penalties of perjury <br />that: <br />1. Contractor has not, nor has any other member, representative, or agent of the firm, <br />company, corporation or partnership represented by him, entered into any combination, <br />collusion or agreement with any person relative to the price to be bid by anyone at such <br />letting nor to prevent any person from bidding nor to induce anyone to refrain from <br />bidding, and that this bid is made without reference to any other bid and without any <br />agreement, understanding or combination with any other person in reference to such <br />bidding. Contractor further says that no person or persons, firms, or corporation has, have <br />or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on <br />account of such sale; and <br />2. Contractor certifies by submission of this proposal that neither contractor nor any <br />of its principals are presently debarred, suspended, proposed for debarment, declared <br />ineligible, or voluntarily excluded from participation in this transaction by any Federal <br />department or agency; and <br />3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in <br />investment activities in Iran. <br />a. For purposes of this Certification, "Iran" means the government of Iran and any agency <br />or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as <br />amended from time -to -time. <br />
The URL can be used to link to this page
Your browser does not support the video tag.