2-Offeror Information Form.pdf
PDF 162 KB Posted
- Solicitation number
- 052726
- Issued by
- Summit County, Utah
About this file
This is an Offeror Information Form from the Park City School District Purchasing Department for a state and local contract opportunity related to Residential Treatment for Special Education services in Utah. The form requires potential bidders to provide essential company information including legal entity name, Federal Tax Identification Number, ordering and remittance addresses, contact information, and authorized representative details. Offerors must certify whether goods or services are produced, manufactured, or performed in Utah, and acknowledge their responsibility to disclose any conflicts of interest or potential conflicts of interest that may arise during contract performance.
The form does not specify pricing terms, set-asides, response dates, due dates, award dates, or contract term details. The document appears to be a standard pre-qualification or information collection instrument used by the Park City School District to establish offeror eligibility and gather baseline administrative data. No incumbent contractor information, funding amounts, or renewal options are detailed in this particular form.
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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 .