request for letters of interest - Broward Sheriff's Office

ATTACHMENT “E”Sewerage Grinding SystemRLI # 849012SECTION ONE:1.1 PROPOSER ACKNOWLEDGEMENT:Proposer by signing below confirms that he/she has read and understands and will complywith the terms, conditions and specifications/scope of this Request for Letter of Interestand any addenda, if issued.____________________________________Legal Company Name____________________________________Company Street Address____________________________________City, State, Zip Code____________________________________Telephone Number______________________________Signature of Officer of CompanySubmitting Proposal______________________________Typed Name of Officer of CompanySubmitting Proposal______________________________E-Mail Address______________________________Federal ID Number____________________________________FAX Number1.2 ADDENDA:Proposer to indicate Addenda below (if issued):Addenda #1.3 CONFLICT OF INTERESTFor purposes of determining any possible conflict of interest, all Proposers must disclose if anyBSO employee or his family is also an owner, corporate officer, or employee of their business.Indicate either "yes" (A BSO employee is also associated with your business), or "no". If yes,give person(s) name(s) and position(s) with your business.YesName(s) and Position(s)No ___