Responsibility Of Bidder Form - City Of Bowling
ADVERTISEMENT
1RESPONSIBILITY OF BIDDER FORM
This form must be completed in full and submitted with bid. Misrepresentation or failure to
complete will automatically disqualify bid. All information is confidential and exempt from the
Open Records Law, pursuant to KRS 45A.395.
NAME______________________________________Phone# (___)______________________
ADDRESS____________________________________________________________________
Street or PO Box
City
State
Zip Code
1. Type of services/supplies provided in normal course of business:_____________________
2. Length of time in business:________________3. Experience in providing bid-required
services/supplies:___________________________________________________________
4. Currently a party/defendant in lawsuit(s)? ( ) Yes ( ) No If yes, explain.___________
5. State past history as party/defendant in
lawsuit(s) _________________________________________________________________
6. Name of contract/product liability insurance
Carrier:__________________________________________________________________
Limits: $_____________________________
7. If construction bid:
(a) how many other projects currently
ongoing?________________________________________(b) how many bids currently
submitted elsewhere?_______________________________
(c) have books been audited by CPA?
(
) Yes
(
) No
Date of last audit______________________
* 8. City of Bowling Green Occupational License No. _________________________________
9. List of reference (public or private) and contact person for whom similar services/supplies
provided:
Name of Firm
Address
Contact Person
______________________________________________________________________________
Name of Firm
Address
Contact Person
Name of Firm
Address
Contact Person
*Note: If more space is needed, please attach separate sheet(s).
I, _____________________________, do solemnly swear that to the best of my knowledge
and belief the above is true and accurate statement of facts.
Signed_______________________Date_______________
State of____________________
County of__________________
Sworn to and subscribed before, me, a Notary Public, this _____day of ___________, 2006.
My commission expires ___________________
_________________________________
Notary Public
* Required by City of Bowling Green Code of Ordinances
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal