1-2. Authorized Signature and Contact Details.pdf
PDF 129 KB Posted
- Solicitation number
- RFP 26-0157
- Issued by
- Tarrant County, Arlington City, Texas
About this file
This is an Authorized Signature and Contact Details form for the City of Arlington, Texas, related to an Annual Requirements Contract for Stormwater CCTV Services. The form serves as the official submission document requiring authorized representatives to certify their binding response to the solicitation. By signing, the respondent acknowledges receipt and understanding of the complete solicitation document packet and agrees to provide all requested items and services at the quoted prices and under the specified terms, conditions, and scope requirements outlined in the solicitation.
The form requires submission of critical contractor information including the legal business name, doing business as (DBA) name, Federal Tax Identification Number (TIN), business address, and details for the authorized representative with signature authority. Additionally, the form mandates contact information for up to three designated points of contact, with each entry requiring name, title, email address, and telephone number. The City of Arlington strongly encourages electronic submission of responses through its exclusive Bonfire platform, with paper proposals requiring submission in sealed envelopes labeled with company name, solicitation number, and title. Late proposals will not be accepted, and the City assumes no responsibility for incomplete specifications or addendums received through channels other than Bonfire.
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Text version
CITY OF ARLINGTON – OFFICE OF PROCUREMENT
AUTHORIZED SIGNATURE AND CONTACT DETAILS
Project #: Page 1 of 1 Project Title:
Legal Name of Respondent:
D/B/A Name of Respondent:
City of Arlington Respondent/Supplier Id or Federal Id Number (TIN):
Address:
Name of the Authorized Representative:
Title:
The undersigned, by his/her signature, represents that he/she is submitting a binding response and is authorized to bind the respondent to fully comply with the solicitation document contained herein. The Respondent, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this solicitation and agrees to be bound by the terms therein.
The undersigned agrees if the response is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this solicitation.
Signature of the Authorized Representative:
Email: Phone:
Name of Contact Person - 1:
Title of Contact Person - 1:
Email: Phone:
Name of Contact Person - 2:
Title of Contact Person - 2:
Email: Phone:
Name of Contact Person - 3:
Title of Contact Person - 3:
Email: Phone:
| Project: |
| Project Title: |
| Legal Name of Respondent 1: |
| Legal Name of Respondent 2: |
| DBA Name of Respondent 1: |
| DBA Name of Respondent 2: |
| City of Arlington RespondentSupplier Id or Federal Id Number TIN: |
| Address: |
| Name of the Authorized Representative: |
| Title: |
| Email: |
| Phone: |
| Name of Contact Person 1: |
| Title of Contact Person 1: |
| Email_2: |
| Phone_2: |
| Name of Contact Person 2: |
| Title of Contact Person 2: |
| Email_3: |
| Phone_3: |
| Name of Contact Person 3: |
| Title of Contact Person 3: |
| Email_4: |
| Phone_4: |
| Text1: |
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