13-RFP 05 Verification of Authorized Offeror Form.pdf

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Attached to
Asset Management System for Fiber Optic Infrastructure
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 .