2-Part G - Attachment C - Required Information Form.pdf

227 KB Posted

Attached to
Recycling Collections and Processing
Solicitation number
2034
Issued by
Alexandria City, Virginia

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This is a Required Information Form (Attachment C) issued by the City of Alexandria, Virginia for the Recycling Collections and Processing contract opportunity. The form serves as a standardized submission document requiring all respondents to provide detailed organizational and ownership information. Respondents must indicate their business classification, including whether they are minority-owned, small businesses, and their legal structure (partnership, corporation, or sole proprietorship). The form requires submission of basic company information including name, address, and location details.

For corporations, the form mandates disclosure of incorporation details, including state of incorporation, incorporation date, Virginia Certificate of Authority charter number, and the names and titles of key officers (president, vice president, secretary, treasurer, and registered agents). Partnerships and sole proprietorships must similarly provide principal information for all partners or proprietors. All submissions must be signed by an authorized signatory with their printed name and title, along with the submission date. The form ensures compliance with Virginia Code Section 13.1-757 regarding foreign corporations transacting business within the Commonwealth of Virginia.

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City of Alexandria

Attachment C

Required Information Form

Each Respondent must provide the following information:

1. Minority Business Firm Yes [ ] No [ ] Partnership Yes [ ] No [ ] Small Business Firm Yes [ ] No [ ] Corporation Yes [ ] No [ ] Sole Proprietorship Yes [ ] No [ ]

2. Partnerships* and Sole Proprietorships must provide the following information:

Name: __________________________________________________________ Address: __________________________________________________________ City and State: __________________________________________________________

* Partnerships must complete this information for all partners

3. Corporations must provide the following information:

State of Incorporation: ________________ Date of Incorporation: _________________ Charter Number of the Virginia Certificate of Authority: ___________________________ Foreign corporations desiring to transact business in the State of Virginia shall register with the State Corporation Commission in accordance with Section 13.1-757 of the Code of Virginia, as amended.

Corporations must provide the names of the following officers:

President: ____________________________________________________ Vice President: ____________________________________________________ Secretary: ____________________________________________________ Treasurer: ____________________________________________________ Registers Agent(s): ____________________________________________________

Bidder/Offeror Name: __________________________Date: ____________________________ Signature of Authorized Signatory: _________________________________________________ Name & Title of Authorized Signatory: ______________________________________________

No.:

Name:
Address:
City and State:
State of Incorporation:
Date of Incorporation:
Charter Number of the Virginia Certificate of Authority:
Corporations must provide the names of the following officers:
Vice President 1:
Vice President 2:
Vice President 3:
Registers Agents:
BidderOfferor Name:
Date:
Signature1_es_:signer:signature:
Signature2_es_:signer:signature:
Check Box3:
0:
0: Off
1: Off
1:
0: Off
1: Off
2:
0: Off
1: Off
3:
0: Off
1_es_:signature: Off
4:
1_es_:signature: Off
5:
1_es_:signature: Off
Enter Solicitation Type Abbreviation_es_:sender:
Enter Solicitiation Type_es_:sender:
Enter Title_es_:sender:
Enter No_es_:sender:

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