2-Contact Information.pdf

PDF 53 KB Posted

Attached to
Fleet Vehicles State and local contract opportunity
Solicitation number
FS-02-25
Issued by
Tyler County, Savannah CDP, Texas

About this file

This document is a Contact Information Form from the City of San Angelo, Texas Purchasing Division, located at 72 West College Avenue in San Angelo. The form is designed to collect comprehensive vendor details for a solicitation process, requiring vendors to provide information about their authorized agent, primary contact, and company specifics. The form emphasizes the need for an individual with full authority to bind the entity, which may include an officer of a corporation, general partner of a partnership, managing member of a limited liability company, or another designated representative.

The form requires vendors to submit detailed contact information, including names, titles, email addresses, and signatures for both the authorized agent and primary contact. Vendors must also provide comprehensive company details such as vendor name, phone number, fax, website, mailing address, and physical address (no PO boxes). Additionally, the document stipulates that vendors must attach a current IRS Form W-9 with their submission, indicating a formal procurement process that requires thorough vendor documentation and tax verification.

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Text version

CITY OF SAN ANGELO, TEXAS

PURCHASING DIVISION

72 West College Avenue, San Angelo, Texas 76903

325.657.4219 • sapurch@cosatx.us

CITY OF SAN ANGELO, TEXAS • CONTACT INFORMATION FORM

Contact Information

AUTHORIZED AGENT • PLEASE PRINT

An Authorized Agent for an entity pursuant to this solicitation is an individual duly authorized by the entity and having full capacity to bind the entity. Authorized Agent may include an Officer of a Corporation, a General Partner of a Partnership, a Managing Member of a Limited Liability Company, or any other individual who has been granted such authority in writing executed by an individual having authority to bind the entity. City reserves the right to require written verification of an individual’s authority to act on behalf of an entity.

NAME

TITLE E-MAIL

SIGNATURE

DATE

PRIMARY CONTACT • PLEASE PRINT

Complete if different from above.

NAME

TITLE E-MAIL

SIGNATURE

DATE

VENDOR DETAILS • PLEASE PRINT

VENDOR NAME

PHONE FAX

WEBSITE

MAILING ADDRESS

CITY / STATE / ZIP

PHYSICAL ADDRESS (NO PO BOXES)

CITY / STATE / ZIP

PLEASE ATTACH A CURRENT IRS FORM W-9.

mailto:sapurch@cosatx.us

Contact Information

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