17-Exhibit 3 - Organization Information.pdf

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Attached to
Eviction Advocacy Program
Solicitation number
BEZ26-00029663
Issued by
Dallas County, Texas

About this file

This is an organization information form issued by the City of Dallas Office of Housing and Community Empowerment (OHCE) for the Eviction Advocacy Program solicitation. The form requires proposing organizations to provide their legal name, mailing and physical addresses, primary contact information including phone and email, program title, and organizational structure classification (public agency, private non-profit, private for-profit, partnership/joint venture, or other). Organizations must also supply their federal tax identification number and submit documentation including articles of incorporation or by-laws. Non-profit organizations are required to attach a copy of their IRS letter of tax-exempt status, and all proposers must provide minutes from their three most recent board of directors meetings. The authorized representative signing the form must certify that the organization has read the entire RFP, provided accurate information, and is capable of complying with all insurance and indemnification requirements if selected.

The form serves as a binding certification document wherein the signatory affirms they are authorized to commit the organization to the terms outlined in the solicitation. This document is a standard organizational eligibility and compliance verification tool used to establish baseline information about proposers before award consideration. The Eviction Advocacy Program itself is a one-year agreement with one one-year renewal option designed to provide legal representation and support services to Dallas residents facing eviction at no cost to clients, aligning with the City's housing stability and economic security initiatives.

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Issue Date: 2/28/19 Rev 1/21/26

Exhibit 3 City of Dallas

Office of Housing and Community Empowerment

ORGANIZATION INFORMATION

1. Legal Name of Organization:

Mailing Address (if different from physical address):

CONTACT PERSON: PHONE:

TITLE:

E-Mail: FAX:

2. PROGRAM TITLE:

3. PROPOSER’S ORGANIZATIONAL STRUCTURE: (Check applicable box)

Public Agency Private, Non-profit Private, For-profit Partnership or Joint Venture Other:

Organization Federal Tax ID Number:

4. AGENCY APPROVAL: By signing below, Organization certifies that Organization has read the entire RFP and provided true and correct information in Organization’s submission.

Additionally, Organization certifies that the agency will be able and willing to comply with the insurance and indemnification requirements set out in the RFP, if selected. The signer of this form certifies that he/she is authorized to bind the Organization.

Signature of Authorized Individual

Typed Name and Title of Authorized Individual

Date

5. Attach copy of Articles of Incorporation, By-Laws

6. For non-profit organizations, attach copy of IRS letter of tax exempt status

7. Attach a copy of minutes from last three (3) most recent

Board of Directors meetings

File details come from the government source that posted it. Updated .