2-Contact Information.pdf
PDF 53 KB Posted
- Solicitation number
- HR-01-26
- Issued by
- Travis County, 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 detailed contact and vendor information for a solicitation process, requiring an authorized agent to complete the document. The form provides spaces for an authorized agent's details, a primary contact (if different from the authorized agent), and comprehensive vendor information including vendor name, contact details, mailing address, and physical address.
The form specifically requires vendors to attach a current IRS Form W-9 and provides clear definitions of what constitutes an authorized agent, including officers of corporations, general partners, managing members of limited liability companies, or other individuals with written authorization to bind an entity. The City of San Angelo reserves the right to request written verification of an individual's authority to act on behalf of an entity, ensuring proper documentation and validation of vendor representations.
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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 .