1-6. SIGNATURE PAGE VENDOR INFORMATION.pdf

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Attached to
SPECIALTY GASSES ANNUAL CONTRACT
Solicitation number
ITB 289-25 JLO
Issued by
Orange County, Amarillo City, Texas

About this file

This document is a Respondent's Information and Signature form for a Request for Proposal (RFP), designed to be completed by a potential contractor or vendor. The form requires the respondent to affirm that they are authorized to execute the contract, that the RFP was not prepared in collusion with other firms, and that the respondent is willing to sign the negotiated contract. The form requests key contact and company information, including company name, contact person, phone and fax numbers, email, mailing and remit addresses, and Federal Tax ID number.

The form stipulates that the RFP must remain valid for a minimum of 90 days and includes a space for the authorized representative's signature. It serves as a standard preliminary document in the procurement process, ensuring transparency, accountability, and basic identification of the responding party. The form itself does not provide details about the specific contract, services, or project being bid, but rather acts as a cover page for the respondent's formal submission to the soliciting agency.

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Text version

RESPONDENT’S INFORMATION AND SIGNATURE

The undersigned affirms that they are duly authorized to execute this contract, that this RFP has not been prepared in collusion with any other firm, and that the contents of this RFP have not been communicated to any other firm prior to the official opening of this RFP. Additionally, the undersigned affirms that the respondent is willing to sign the negotiated contract.

Date:___________________________________

Company Name:__________________________

Name of Contact: _________________________ Title: __________________________

Phone No.: ______________________________ Fax No.: _______________________

Email: __________________________________

Mailing Address: ____________________________________________________________ P.O. Box or Street, City, State and Zip

Remit Address (if different than above): _____________________________________________ P.O. Box or Street, City, State and Zip

This RFP is valid through _____/______/_____ (a period of not less than 90 days is required)

Federal Tax ID No.: _______________________

SIGNED BY: ______________________________

File details come from the government source that posted it. Updated .