11-RFP 05 Verification of Authorized Offeror Form.pdf

This is a Verification of Authorized Offeror Form issued by the Incorporated County of Los Alamos, New Mexico, Procurement Division. The form is designed to document and verify the authorized representative of an offeror submitting a proposal for redaction services for video and audio recordings. The solicitation requires offerors to identify their authorized officer who can legally obligate the organization to provide redaction services for the County, specifically for redacting information from body-worn camera footage, police vehicle in-unit camera footage, and other video recordings as requested by the County.

The form requires offerors to provide comprehensive organizational and contact information, including the authorized offeror's printed name, title, and signature; the organization's legal name and state of incorporation; federal tax identification number and New Mexico BTIN (if applicable); mailing and physical addresses; email address; telephone number; and the contract manager's name, title, and email. This information establishes the point of contact responsible for contract performance and ensures that the County has verified the authority of the individual executing the proposal on behalf of the offeror organization.