Agenda - 06-07-2011 - 5j - Laserfiche WebLink

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21 PROPOSER'S BID CERTIFICATION FORM To Whom It May Concern: I have carefully examined the Request for Qualifications/Proposals and any other documents accompanying or made a part of this Request for Qualifications/Proposals. The hourly rates proposed on the Cost Proposal Form shall include all applicable overhead, profit, personal protective equipment, communications devices (including radios and cell phones). I agree that our firm's proposal will remain firm for a period of 90 days in order to allow the County adequate time to evaluate the proposals. I certify that all information contained in this proposal is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit this proposal on behalf of the firm as its act and deed and that the firm is ready, willing and able tv perform if awarded the contract. All reimbursable expenses must be approved by the County. I further certify, under oath, that this proposal is made without prior understanding, agreement, connection, discussion, or collusion with any other person, firm or corporation submitting a proposal for the same product or service; no officer employee or agent of the County of Orange or any other proposer is interested in said proposal; and that the undersigned executed this Proposer's Certification with full knowledge and understanding of the matters therein contained an was duly authorized to do so. It is distinctly understood that the County of Orange reserves the right to reject any or all proposals. Name of Firm Authorized Signature Name & Title, typed or printed Mailing Address City, State, Zip Code Federal Tax ID: Telephone: Fax: Email: Subscribed and sworn to before me this day of , 2010 Notary Public My commission expires: (Seal) THIS FORM MUST BE NOTARIZED RFP 5167 -PAGE 10 OF 11