2-Offeror Information Form.pdf

PDF 160 KB Posted

Attached to
PCSD K-5 Math Instructional Materials
Solicitation number
102120261
Issued by
Utah

About this file

This is an Offeror Information Form submitted to the Park City School District Purchasing Department in Park City, Utah for the K-5 Math Instructional Materials bid opportunity. The form captures essential vendor information including the offeror's legal company name, federal tax identification number, ordering and remittance addresses, business structure type, and primary contact details. The form requires offerors to certify that goods or services are produced, mined, grown, manufactured, or performed in Utah, or alternatively to identify the location of production if applicable. Additionally, offerors must acknowledge their obligation to identify any conflicts of interest or potential conflicts of interest that may arise during contract performance.

The completed form indicates Randy Upton as the company contact person and authorized representative. The form serves as a standard requirement for all bidders responding to the Park City School District's solicitation for a comprehensive K-5 mathematics curriculum program aligned with Utah Core Standards. No specific pricing, contract term, or award information is contained within this form; rather, it functions as a preliminary vendor qualification and certification document that must accompany the formal bid submission.

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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 .