1-Attachment A - Respondent Information and Signature Page.pdf

This is a Respondent Information and Signature Page attachment for the City of Amarillo's 2027 Stop Loss Insurance Policy procurement in Texas. The document serves as the formal submission form for organizations responding to the City's request for proposals regarding stop loss insurance coverage. Respondents are required to complete this form with their organization's information and authorized representative signatures to formally submit their bid or proposal in response to the scope of work outlined in the primary solicitation documents.

The document establishes the administrative requirements for proposal submission, including identification of the responding organization, contact information for the authorized representative, and certification through signature that the respondent acknowledges the terms and conditions of the solicitation. This signature page ensures that only properly authorized individuals from qualified organizations submit responses and that all submissions contain the necessary documentation for the City to process and evaluate proposals according to the established procurement procedures.