2-Contact Information.pdf

PDF 53 KB Posted

Attached to
Land Exchange on River
Solicitation number
RE-03-26
Issued by
Travis County, Texas

About this file

This is a Contact Information Form for the City of San Angelo, Texas Purchasing Division, applicable to the Land Exchange on River contract opportunity. The form serves as a standardized submission document for prospective vendors and respondents interested in participating in the City's solicitation process. The document requires completion of three primary sections: Authorized Agent information (including name, title, email, signature, and date), Primary Contact information (if different from the Authorized Agent), and Vendor Details (including vendor name, phone, fax, website, mailing address, and physical address). The City of San Angelo's Purchasing Division, located at 72 West College Avenue, San Angelo, Texas 76903, administers this solicitation and can be reached at 325.657.4219 or sapurch@cosatx.us.

The form requires that respondents identify an Authorized Agent who is duly authorized by the entity and has full capacity to bind the organization in contractual matters. This individual may include a corporate officer, general partner of a partnership, managing member of a limited liability company, or any other individual with written authority to represent the entity. Additionally, respondents must attach a current IRS Form W-9 with their submission. The City reserves the right to request written verification of an individual's authority to act on behalf of any entity submitting a response to this solicitation.

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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 .