13-RFP 05 Verification of Authorized Offeror Form.pdf
PDF 705 KB Posted
- Solicitation number
- RFP26-66
- Issued by
- Los Alamos County, New Mexico
About this file
This is a Verification of Authorized Offeror Form submitted to the Incorporated County of Los Alamos Procurement Division in New Mexico for RFP 13-RFP 05, which seeks an Asset Management System for Fiber Optic Infrastructure. The form requires the selected offeror to designate an authorized officer who can obligate the organization in providing services to the County. Offerors must complete the form by providing the solicitation number and title, the printed name and signature of the authorized offeror, the organization's legal name, state of incorporation, contact information including email and telephone number, mailing and physical addresses, federal tax identification number, New Mexico BTIN (if applicable), and the contract manager's printed name, title, and email address.
The form serves as a binding submission document that confirms the offeror has reviewed the proposal conditions, examined the scope of services, and understands the deliverables required for the fiber optic asset management system project. This verification document is essential for establishing the offeror's legal authority and responsibility in contract negotiations and performance obligations with the County. No pricing information, specific response deadlines, or contract term details are contained within this form; those details would be specified in the main RFP documentation.
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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 .