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2021/10/13 Council Agenda Packet
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2021/10/13 Council Agenda Packet
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10/14/2021 2:36:23 PM
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Council Agenda Packet
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10/13/2021
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FORM 4.02 SUPPLIER COMMITMENT AND INFORMATION <br />REQUEST FOR PROPOSAL #2021-002 AUTOMATED PARKING MANAGEMENT SYSTEM <br />Company Name: OSP US, Inc. dba Orbility <br />Company Address: 1650 Summit Lake Drive, Suite 104 <br />City: Tallahassee <br />State: FL <br />ZIP: 32317 <br />Tax ID #: 32-0568420 <br />UBI #: (applied for) ' <br />Legal status of supplier organization, i.e., corporation, partnership, sole proprietorship. Corporation <br />Website: https://www.orbility.com/ <br />City of Everett Business License # (waiting on UBI#) <br />Supplier Contact Name (if different from Authorizing Official): <br />Steven Smith <br />Supplier Contact Title: <br />Project Manager <br />Supplier Contact Email: <br />Steven.Smith@Orbility.com <br />Supplier Contact Direct Phone: <br />+1 678-906-8647 <br />Supplier Contact Address (if different from above): <br />City: <br />State: <br />ZIP: <br />By responding to this solicitation, the Supplier understands and agrees to be bound by all requirements and contract <br />terms and conditions contained in this solicitation. By signing this form, the Supplier acknowledges receipt and <br />understanding of any and all addenda issued for this solicitation. This form, signed by an individual authorized to legally <br />commit the Supplier, must be submitted as the cover page. <br />The Supplier also certifies that: <br />• 1 am authorized to commit my firm to this Proposal and that the information herein is valid for 120 days from this date. <br />• That all information presented herein is accurate and complete and that the scope of work can be performed as presented in <br />this proposal upon the City's request. <br />• That 1 have had an opportunity to ask questions regarding this Proposal and that those questions have been answered. <br />• That this Proposal response is made without prior understanding, agreement, or connection with any corporation, firm, or <br />person submitting an offer for this Proposal and is in all respects fair and without collusion or fraud. <br />Authorizing Official Name: Michael H. Bigbee <br />Authorizing Official Title: CEO <br />Authorizing Official Email: mbigbee@orbility.com <br />Authorizing Official Phone: 972-342-1461 <br />Authorizing Official Signature* and Date: <br />*A signature means an original signature, a copy of an original signature, a PDF scan of an original signature, or a DocuSign/AdobeSign electronic <br />signature. <br />Page 1 of 29 <br />
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