2-Offeror Information Form.pdf

PDF 160 KB Posted

Attached to
ITB - WHS Roof Replacement
Solicitation number
040726
Issued by
Summit County, Utah

About this file

This is an Offeror Information Form submitted by a vendor to the Park City School District's Purchasing Department for a contract opportunity to provide a Classroom Emotional Regulation Course. The form serves as the official documentation of the bidding entity's company information, contact details, and certifications required for participation in the procurement process. The vendor must complete all required fields including legal company name, federal tax identification number, ordering and remittance addresses, business type classification, primary contact information, and authorized representative signature. The solicitation is issued by the Park City School District, located in Park City, Utah, and seeks qualified vendors to deliver a comprehensive professional learning framework designed to teach classroom emotional regulation to district staff or students.

The form includes critical certifications that all offerors must complete, specifically confirming whether goods or services are produced or performed in Utah, and requiring disclosure of any conflicts of interest or potential conflicts that may arise during contract performance. The document bears the signature and typed name of Randy Upton, identified as an authorized representative, along with the date of submission. This documentation is standard for state and local procurement processes and must be submitted with the vendor's formal proposal to be considered eligible for contract award.

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Text version

Purchasing Department 2700 Kearns Blvd, Park City, UT 84060

Offeror Information Form

Legal Company Name (include d/b/a if applicable) Federal Tax Identification Number

Ordering Address City State Zip Code

Remittance Address (if different from ordering address) City State Zip Code

Type

Corporation Partnership Proprietorship Government

Telephone Number (include area code) Company Contact Person

Company’s Internet Web Address Contact email address

The undersigned certifies that the goods or services offered are produced, mined, grown, manufactured, or performed in Utah.

Yes_____ No_____. If no, enter where produced, etc.___________________________________________

The undersigned certifies that they must identify in their proposal any conflict, or potential conflict of interest, that might arise during the contract.

Offeror’s Authorized Representative’s Signature Date

Type or Print Name Position or Title x z070973 Highlight

Randy Upton Highlight

Randy Upton Highlight

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