Proposal Form 3, Attestation Regarding County Contract Instructions
This form contains 9 fields organized into 4 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| General | ||
| Authorized Signature | Signature | |
| Reviewed Sample County Contract (Question 1) | ||
| Question 1 - Yes | Radiobutton |
Check this box if you have reviewed the Sample County Contract and Special Terms and Conditions exhibits on behalf of your agency.
|
| Question 1 - No | Radiobutton |
Check this box if you have not reviewed the Sample County Contract and Special Terms and Conditions exhibits on behalf of your agency.
|
| SIGNATURE (Must be signed by an individual with the legal authority to enter into a contract with the County of Sonoma on behalf of the proposer) | ||
| Authorized Signature | Text |
Enter the signature of the individual who has legal authority to bind the proposer to a contract with the County of Sonoma.
|
| Printed Name | Text |
Enter the full printed name of the person who signed in the Authorized Signature field.
|
| Date Signed | Date |
Enter the date on which the authorized individual signed this document.
|
| Willingness to Enter Contract and Proposed Changes (Questions 2-3) | ||
| Question 2 - Yes (Willing to enter into contract) | Checkbox |
Check this box if your agency would be willing to enter into a contract with the County of Sonoma under the terms outlined in the Sample County Contract and Special Terms and Conditions (including insurance requirements).
|
| Question 2 - No (Not willing to enter into contract) | Checkbox |
Check this box if your agency would not be willing to enter into the County contract as written; if checked, you should identify any proposed contract term changes in Question 3.
|
| Question 3 – Proposed Contract Changes | Text |
If you answered “No” to willingness to enter the contract, describe any specific terms in the Sample County Contract you would propose changing and explain how you would change them. Fill only if 'Question 2 - No (Not willing to enter into contract)' is 'Yes'.
Depends on:
Question 2 - No (Not willing to enter into contract)
|