2-RFP-03-Authorized Signature and Contact Details.pdf
PDF 147 KB Posted
- Attached to
- RFP Customer Information System (CIS) Software
- Solicitation number
- 25-0128
- Issued by
- Tarrant County, Texas
About this file
This document is an Authorized Signature and Contact Details form from the City of Fort Worth Purchasing Division for a Request for Proposal (RFP) numbered 25-0128, specifically for a Customer Information System (CIS) Software procurement. The RFP requires potential proposers to complete this form, which serves as a binding document authorizing a representative to submit a proposal and agree to the terms and conditions outlined in the solicitation packet.
The form provides spaces for detailed contact information, including the legal and doing-business-as (D/B/A) names of the proposer, federal identification number, address, and up to three contact persons. By signing this document, the authorized representative acknowledges receipt and understanding of the entire RFP document and commits to providing the specified items or services at the proposed prices and according to the terms, conditions, and specifications contained in the RFP. The document is designed to ensure clear communication and legal accountability for the proposed software solution for the City of Fort Worth.
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Text version
CITY OF FORT WORTH - PURCHASING DIVISION
AUTHORIZED SIGNATURE AND CONTACT DETAILS
RFP Ref. #: 25- Doc. Ref#: RFP-03 Page 1 of 1 RFP Title:_________________________________________________________
Legal Name of Proposer:
D/B/A Name of Proposer:
City of Fort Worth Bidder/Supplied Id or Federal Id Number (TIN):
Address:
Name of the Authorized Representative:__________________________________ Title: _____________________________________________________________ The undersigned, by his/her signature, represents that he/she is submitting a binding Proposal and is authorized to bind the respondent to fully comply with the solicitation document contained herein. The Respondent, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this RFP and agrees to be bound by the terms therein.
The undersigned agrees if the Proposal is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this RFP.
Signature of the Authorized Representative:_____________________________ Email: Phone:
Name of Contact Person - 1:
Title of Contact Person - 1:
Email: Phone:
Name of Contact Person - 2:
Title of Contact Person - 2:
Email: Phone:
Name of Contact Person - 3:
Title of Contact Person - 3:
Email: Phone:
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