2-02 Respondent Information Form.pdf
PDF 117 KB Posted
- Solicitation number
- RFQ #16-01-26
- Issued by
- Bell County, Texas
About this file
This document is a Respondent Information Form (Form 4.1) for RFQ #16-01-26, specifically seeking legal services related to Condemnation & Eminent Domain. The form provides a template for potential legal service providers to submit their company and contact information as part of a qualification statement for a procurement opportunity. The form requires detailed company details including business address, tax identification number, contact person information, and space to list authorized personnel who can provide representations about the qualifications statement or resulting contract.
The form is designed to capture essential information about potential legal service providers, allowing the issuing agency to collect standardized information from respondents. It includes sections for company information, authorized personnel details, and an authorization section requiring an authorized signature, printed name, title, and date. The form appears to be part of a competitive solicitation process for legal services, specifically focused on condemnation and eminent domain matters, though specific details about the contract scope, value, or selection criteria are not provided within this particular document.
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Text version
RFQ #16-01-26 Legal Services – Condemnation & Eminent Domain 12
FORM 4.1. - RESPONDENT INFORMATION FORM
1. Company Information
Company Name: ________________________________________________________
Business Address: ______________________________________________________
Remit-to Address, if different: ______________________________________________
Tax Identification Number: _________________________________________________
Contact Person: ________________________________________________________
Phone: _______________________________________________________________
Email: ________________________________________________________________
2. Authorized Personnel
State your Firms’ personnel authorized to give representations regarding your qualifications statement or resulting contract, if any:
Name Phone Number Email Address
3. Authorization
Authorized Signature: ____________________________________________________
Print Name: ____________________________________________________________
Title: ___________________________________ Date: _______________________
File details come from the government source that posted it. Updated .