2-3. Authorized Signature and Contact Details.pdf

This is an Authorized Signature and Contact Details form from the City of Arlington's Office of Procurement for a state and local contract opportunity. The form serves as a template for respondents to provide authorized representative information, including the respondent's legal name, doing-business-as name, Federal ID/TIN, business address, and the name and title of the authorized representative submitting the bid. The form requires the authorized representative's signature, email, and phone number, along with contact information for up to three additional points of contact, each with their respective titles, email addresses, and phone numbers. By signing this form, the authorized representative certifies that they are submitting a binding response, are authorized to bind the respondent to the terms of the solicitation, have read the entire solicitation document packet, and agree to furnish all items and/or services at the stated prices and under the specified terms, conditions, and scope of work.

The form contains no information regarding pricing terms, payment conditions, set-asides, award dates, contract duration, or funding sources, as it is a procedural document designed solely to capture authorization credentials and contact information for bid administration purposes. While the related solicitation references an annual requirements contract for cold patch asphalt material for the City of Arlington, Texas, this particular form does not contain substantive details about that procurement and functions only as a standard administrative document to establish the authorized signatory and key contacts for the responding vendor.