1-RFP 05 Verification of Authorized Offeror Form.pdf
PDF 696 KB Posted
- Solicitation number
- RFP27-40R
- Issued by
- Los Alamos County, New Mexico
About this file
This is a Verification of Authorized Offeror form issued by the Incorporated County of Los Alamos, New Mexico, Procurement Division for use in response to the solicitation titled "On-Call Power Line Contractor Services - Resolicitation." The form requires the authorized representative of an offeror to provide verification that they are empowered to obligate their organization in providing the requested services to the County. The solicitation seeks qualified and experienced firms to provide on-call power line work, predominantly for make-ready pole changes associated with a fiber installation project related to the County's electric distribution system, with all work to be performed on a Task Order basis.
The form itself contains no information regarding pricing terms, set-asides, incumbent contractors, contract duration, renewal options, funding sources, or other salient business terms. It serves solely as a verification document requiring completion with the authorized offeror's name, title, signature, organization's legal name, state of incorporation, contact information, federal tax identification number, New Mexico Business Tax Identification Number (if applicable), and designated contract manager information.
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Text version
VERIFICATION OF AUTHORIZED
OFFEROR
Incorporated County of Los Alamos
Procurement Division 101 Camino Entrada, Building 3
Los Alamos, NM 87544
Version: 20250318
This form provides the Incorporated County of Los Alamos (“County”) with the name and information of the authorized officer who can obligate the selected Offeror in providing the services to the County.
Having read the Proposal conditions and examined the scope of services and deliverables for this solicitation, this Proposal is hereby submitted by:
Solicitation No.
Solicitation Title
Printed Name of Authorized Offeror
Title of Authorized Offeror
Signature of Authorized Offeror
Organization’s Legal Name
State of Incorporation
Email Address
Mailing Address (City, State, Zip)
Physical Address (City, State, Zip)
Telephone No.
Federal Tax I.D. No.
NM BTIN (if located in-stated)
Contract Manager Printed Name, Title, and Email
| Solicitation No: |
| Solicitation Title: |
| Printed Name of Authorized Offeror: |
| Title of Authorized Offeror: |
| Signature of Authorized Offeror: |
| Organizations Legal Name: |
| State of Incorporation: |
| Email Address: |
| Mailing Address City State Zip: |
| Physical Address City State Zip: |
| Telephone No: |
| Federal Tax ID No: |
| NM BTIN if located instated: |
| Contract Manager Printed Name Title and Email: |
File details come from the government source that posted it. Updated .