2-1295 Example 1.pdf
PDF 570 KB Posted
- Attached to
- Contractors for General Repairs, Maintenance, Remodeling a & Special Projects (1st Yr. )
- Solicitation number
- RFP 26-010
- Issued by
- Upton County, Texas
About this file
This is a declaration of controlling and intermediary interest form related to RFP 25001 for Cold Storage Services issued by the Laredo Independent School District in Texas. The form requires bidders to identify their company or business entity and declare any individuals who possess controlling interest (defined as ownership exceeding 10 percent, board membership in entities with 10 or fewer members, or officer status in entities with four or fewer officers) or intermediary interest (those receiving compensation for participation and direct communication with the governmental entity regarding the contract). The document provides standardized fields for declarants to enter personal information, business entity details, location information, and signature attestation with date of birth and notarization requirements.
The form serves as a disclosure mechanism to ensure transparency regarding ownership structures and key decision-makers involved in contract submissions. Completion of this declaration is a mandatory component of the bidding process for this general repairs, maintenance, remodeling, and special projects solicitation. The form does not address specific pricing, quantities, delivery schedules, or contract terms, but rather establishes the procedural requirement for vendors to identify individuals with controlling authority or significant involvement in their business entity's representation to the school district.
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Text version
Example Only
) check applicable (
Your Company/Business Entity Name, City, State, Country
Example RFP 25‐001 Cold Storage Services
`Person who has controlling interest in a business entity Controlling Interest‐ has an ownership interest or participating interest in a business entity by virtue of units, percentage, shares, stock, or otherwise that exceeds 10 percent;
is a member of the board of directors or other governing body of a business entity of which the board or other governing body is composed of not more than 10 members; or serves as an officer of a business entity that has four or fewer officers, or serves as one of the four officers most highly compensated by a business entity that has more than four officers.
Subsection (c) of this section does not apply to an officer of a publicly held business entity or its wholly owned subsidiaries.
Intermediary Interest:
receives compensation from the business entity for the person's participation;
communicates directly with the governmental entity or state agency on behalf of the business entity regarding the contract; and is not an employee of the business entity or of an entity with a controlling interest in the business entity.
and my date of birth is _______________________.
( street ) ( state ) ( zip code ) ( country )
( year ) ( month )
State of ________________, on the _____day of ___________, 20_____.
( city )
( Declarant )
File details come from the government source that posted it. Updated .