Humane Society Bid

Town of Wickenburg — Regular Meeting (2025-04-07)

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TOWN OF WICKENBURG, ARIZONA
AUTHORIZED SIGNATURE FORM
FOR BID OFFERING FOR SOLICITATION NUMBER: Bid 25-02

TO THE TOWN OF WICKENBURG:

The undersigned Bidder hereby offers to purchase real property in compliance with the
Solicitation, including any Addenda, and as described in this offer made to the Town.

REAL PROPERTY: 74 West Wickenburg Way, Wickenburg, AZ 85390, Maricopa County
Accessors Parcel No. 505-50-141.

OFFER AMOUNT: $ 509,000.00

Intended Use of Property

Conduct thrift shop operations of which proceeds benefit the Humane Society of Wickenburg, a local
nonprofit organization who operates an animal shelter to temporarily house stray and homeless dogs and
cats in the community. To provide centrally located low-cost veterinary clinical services to the community
such as vaccinations, microchipping, pet wellness exams, and spay and neuter clinics.

Addenda Acknowledged __TH (initial)

Conditions Accepted: The undersigned Bidder declares that before preparing this bid, he or she
has read the Bid Documents carefully, and that this bid is made with full knowledge of the kind,
quality, and quantity of real property to be purchased by signing this bid. Bidder agrees to all
conditions contained in the Bid Documents.

Contract Acceptance: Bidder proposes and agrees that if this bid is accepted, he or she will enter
into a contract with Wickenburg within five business (5) days of being identified as the high bidder,
after Wickenburg’s acceptance of this bid at the listed scheduled price.

Ta Serhina— President & CEO
Signature of Person Authorized to Sign Offer Title
Tammy Hankins March 78, 2025
Printed Name Date
4000 Industrial Road Wickenburg, AZ 85390
Address City, State, Zip
928-684-8801 tammy@wickenburghumane.com

Primary Telephone E-mail address

TOWN OF WICKENBURG, ARIZONA
AFFIDAVIT FOR SOLICITATION NUMBER: Bid 25-02

The undersigned deponent, of lawful age, being duly sworn upon his oath, deposes and says:
1, That they have lawful authority to execute the within and foregoing Bidder's bid.

2. That Bidder has not engaged in collusion or other anti-competitive practices in connection
with the preparation or submission of its Bid. The pricing for this offer has been arrived at
independently and without consultation, communication or agreement with any other bidder who
may submit an offer. The pricing for this offer has not been disclosed to any other bidder who may
submit an offer, and will not be, prior to the Bid Deadline. No attempt has been made or will be
made to induce any firm or person to refrain from submitting an offer, or to submit an offer with
higher pricing than this offer, or to submit an intentionally high or noncompetitive offer or other
form of complementary offer. This offer is made in good faith and not pursuant to any agreement
or discussion with, or inducement from, any firm or person to submit a complementary offer or
other noncompetitive bid.

3. That Bidder, its affiliates, subsidiaries, officers, directors, and employees are not currently
under investigation by any governmental agency and have not in the last four years been convicted
or found liable for any act prohibited by state or federal law in any jurisdiction, involving
conspiracy or collusion with respect to bidding on any public contract.

4. That Bidder or its corporation is not currently involved in an ongoing bankruptcy as a
debtor, or in a reorganization, liquidation, or dissolution proceeding, and does not have a trustee
or receiver appointed over all or a substantial portion of any other property owned or controlled
by the Bidder or its corporation under federal bankruptcy law or any state insolvency law.

5. That property for which the bid is placed will be purchased in an “AS-IS” condition “WITH
ALL FAULTS,” with no representation or warranty being made by the Town of Wickenburg of
any type or nature.

6. That the above-described property is being purchased solely upon the basis of bidder or
authorized representative’s due diligence and investigation of the property, and not on the basis or
any representation, express or implied, written or oral, made by the Town of Wickenburg or its
employees.

7. That the above-described Property is subject to the existing uses and conditions and any
restrictions, limitations, covenants, or conditions on the Property.

8. That Bidder has received any Addenda issued.

[SIGNATURE ON FOLLOWING PAGE.]

Signature 7

Tammy Hankins
Printed Name

President & CEO
Title

ACKNOWLEDGEMENT
STATE OF ARIZONA )
) ss.
County of Maricopa )
On this _| y of Marl , 2025, before me, the undersigned Notary Public,

personally appeared , being so authorized to execute, who

executed and acknowledged the fpregoing instrument for purposes therein contained and whose
identity was proven to me on thé basis of satisfactory evidence to be the persons who they claim
to be and acknowledged that they signed the Affidavit for Solicitation Number Bid 25-02.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.

ae ie (Nin bh homme
Notary Public - State of Arizona

MARICOPA COUNTY

Commission # 604078

Expires June 08, 2026 Notary Public ()
My Commission Expires: b / b / 2g