SUBMITTAL FORMS. Proposal Checklist
A. IDENTITY OF PROPOSING ENTITY
1. Name and contact details of Proposer:
2. Name of Entity, exactly as it will appear on the Lease (if different from above): Please note that any change in the name or organizational structure of the entity designated above from and after the submittal of this RFP may result in a delay or recission of any award of the Lease.
3. The Proposer, if selected, intends to carry on the business as:
4. If the Proposer is composed of one or more individuals and/or entities, attach an executed copy of the general or limited partnership agreement, joint venture agreement, limited liability company operating agreement or shareholder agreement, and answer the following:
(a) Name, address, and share of each partner of the Joint Venture or Partnership: Name Address Share
(b) Date of Organization (MM/YY):
(c) General or Limited Partnership (if applicable):
(d) State of Formation:
(e) Registered California? (Y/N) If so, when (MM/YY)
5. If the Proposer is a Corporation or Limited Liability Company, attach a copy of the Proposer’s Certificate of Good Standing from the State of California (or state of formation), and answer the following:
(a) When incorporated/formed (MM/YY)
(b) In what state/country
(c) Authorized to do business in California? (Y/N) If so, when? (MM/YY)
(d) Name, address, experience in the business, and amount of stock/membership interests held by the following officers. If the officer titles presented below do not exist within your organization, list officers of similar functions and include their actual title with their names: Officer Name Address Percent of Stock or Interests President Vice President Secretary Treasurer Other
(e) Name, address and shares of stock/membership interests held by other “principal” stockholders or members: (A “principal” stockholder or member is defined as a stockholder or member who holds 10% or more of the outstanding stock or membership interests of the corporation or limited liability company.)
6. Small Business Participation Name Percent of Ownership or Identify as Sublessee Identify any/all certifications (SBA, LBE, DBE, ACDBE, etc.)
SUBMITTAL FORMS. A. The following forms attached to this Part 4 are to be used for submittal purposes:
1. The Submittal Transmittal form is to be used when tendering submittals unless another transmittal form is stipulated.
2. The P.E. Certification form is to be used for documenting professional registration and compliance with Specifications when a particular submittal requires Seller's design to be performed by an engineering professional.
3. The Equipment Record Form.
4. The Manufacturer's Installation Certification Form.
B. A digital version of these forms can be obtained upon request to Seller.
SUBMITTAL FORMS a. Certificate of insurance.
b. Statement and explanation of any instances regarding past governmental agency bidding or contract disqualifications or removal from a project. After an acceptable agreement is negotiated with the City, the agreement will be executed by its Public Services Director. Upon receipt of a properly executed agreement, a request for a detailed scope of services will be requested and notification to start services will be issued. It is expected that the consultant will commence services within one week after the agreement is executed.
