12-RFP 05 Verification of Authorized Offeror Form.pdf

696 KB Posted

Attached to
Pavement Survey, Analysis, and Pavement Management Software
Solicitation number
RFP26-40
Issued by
Los Alamos County, New Mexico

About this file

Written by GovTribe AI ·

This is a Verification of Authorized Offeror Form used by the Incorporated County of Los Alamos Procurement Division in New Mexico for the solicitation titled "Pavement Survey, Analysis, and Pavement Management Software" (RFP 12-RFP 05). The County is requesting proposals from qualified firms to perform pavement condition collection for roads and provide pavement asset management software meeting specified requirements. The form serves as the official submission document through which selected offerors designate their authorized representative who can obligate the company in providing services to the County.

The form requires offerors to provide comprehensive organizational and contact information, including the authorized officer's printed name, title, and signature; the organization's legal name and state of incorporation; federal Tax ID and NM BTIN (if applicable); mailing and physical addresses; email and telephone contact information; and the designated contract manager's printed name, title, and email. This form must be completed and submitted with the proposal to establish the authorized representative responsible for contract execution and performance obligations with the Incorporated County of Los Alamos.

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3-RFP 03 Certification Debarment Suspension Form.pdf PDF
1-RFP 01 Sample Services Agreement.pdf PDF
11-RFP 12 Policies Referenced in the County Technology Standards.pdf PDF
4-RFP 04 Request for Preference Form.pdf PDF
8-RFP 09 Software Functionality Matrix - Pavement Management Software.pdf PDF
13-RFP 00 Pavement Survey Analysis and Software RFP26-40.pdf PDF
2-RFP 02 Campaign Contribution Form.pdf PDF
7-RFP 08 Cost Proposal Worksheet RFP26-40.xlsx XLSX spreadsheet
6-RFP 07 Agreement Deviations and Exceptions Form.pdf PDF
10-RFP 11 County Technology Standards.pdf PDF
9-RFP 10 Word Version - Software Questionnaire.pdf PDF
5-RFP 06 Previous Clients Form.pdf PDF
Show all 12

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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 .