8. 9. 10. Item 6. REFERENCES: (Summary of Owner’s Contact Information as provided in Section 4 Team Experience of the RFQ submittal) Project Owner Representative Name Telephone No Email Address 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Item 7. PROFESSIONAL REGISTRATIONS/LICENSES & CORPORATE CHARTERS: Attach copies of Corporate Charter Attach copies of Licenses and Registrations Item 8. BONDS & INSURNACES: Attach Letter of Intent from Surety Attach Letter of Intent from Insurance Company Item 9. ACKNOWLEDGEMENT OF DCST: Applicant (contract entity) is a corporation that provides design and construction services (in-house Design/Build). Applicant (contract entity) has consultant(s) to perform the design services, construction services, or both services; and acknowledges that the applicant and consultant(s) have agreement(s) at the time of application to formally contract for consulting services. Applicant (contract entity) is a Joint Venture to perform the design and construction services. The Joint Venture is registered by the Department of State to do business in the State of Florida at the time of application. Item 10. ACKNOWLEDGEMENT: Do you make the following acknowledgments/certifications? If so, sign on the line provided below and have your signature notarized. a. Regarding information furnished by the applicant herewith, and as may be provided subsequently (including information presented at interview, if a finalist): i. All information of a factual nature is certified to be true and accurate. ii. All statements of intent or proposed future action (including the assignment of personnel and the provision of services) are commitments that will be honored
8. 9. 10. Item 6. REFERENCES: (Summary of Owner’s Contact Information as provided in Section 4 Team Experience of the RFQ submittal) Project Owner Representative Name Telephone No Email Address 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Item 7. PROFESSIONAL REGISTRATIONS/LICENSES & CORPORATE CHARTERS: Attach copies of Corporate Charter Attach copies of Licenses and Registrations Item 8. BONDS & INSURNACES: Attach Letter of Intent from Surety Attach Letter of Intent from Insurance Company Item 9. ACKNOWLEDGEMENT OF DCST: Applicant (contract entity) is a corporation that provides design and construction services (in-house Design/Build). Applicant (contract entity) has consultant(s) to perform the design services, construction services, or both services; and acknowledges that the applicant and consultant(s) have agreement(s) at the time of application to formally contract for consulting services. Applicant (contract entity) is a Joint Venture to perform the design and construction services. The Joint Venture is registered by the Department of State to do business in the State of Florida at the time of application. Item 10. ACKNOWLEDGEMENT: Do you make the following acknowledgments/certifications? If so, sign on the line provided below and have your signature notarized. a. Regarding information furnished by the applicant herewith, and as may be provided subsequently (including information presented at interview, if a finalist): i. All information of a factual nature is certified to be true and accurate. ii. All statements of intent or proposed future action (including the assignment of personnel and the provision of services) are commitments that will be honored
dcsqs-form-cpt-cooling-tower-5.docx