20-Form 01-Execution of Offer.pdf

PDF 90 KB Posted

Attached to
3202600155 Open Enrollment (OE) for Orientation and Mobility (O&E)
Solicitation number
3202600155
Issued by
Texas

About this file

This is an Execution of Offer form for Procurement #3202600155, an open enrollment solicitation administered by the Texas Workforce Commission-Vocational Rehabilitation (TWC-VR) division. The solicitation seeks qualified providers to deliver Orientation and Mobility Services to Vocational Rehabilitation customers across all Workforce Solutions offices throughout Texas. By executing the form, applicants commit to providing the services as described in the open enrollment solicitation and agree to comply with the Applicant Certifications outlined in Section 1.6 of the solicitation document. The form does not specify contract term details, renewal options, or specific response or due dates within the document itself, as these elements are referenced as being contained in the broader enrollment packet and solicitation materials.

The Execution of Offer form requires applicants to provide complete organizational information including legal entity name, mailing address, contact information, and business classification. Applicants must supply either their Texas Identification Number or Federal Tax ID Number to establish their business entity status. The form does not address pricing terms, set-asides, incumbent information, or funding amounts within its scope, as it functions solely as the signature document confirming an applicant's intent to participate in the open enrollment opportunity and accept the terms and conditions of the solicitation.

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Form 1- EXECUTION OF APPLICATION

Procurement # 3202600155

(Open Enrollment for Orientation and Mobility Services)

By signing below Applicant agrees to provide the services described in this open enrollment solicitation, and to the Applicant Certifications in sections 1.6 of this solicitation document.

Place your signed Execution of Offer form behind FORM 1 in the Enrollment Packet.

Authorized Signatory

Date Signed

Printed Name

Instructions

1. Provide complete organizational information in the spaces provided below.

2. 2. Enter either your organization’s Texas Identification Number or Federal Tax I.D. Number.

3. 3. Provide your business organization type, e.g. sole proprietorship, partnership, non-profit corporation, for profit corporation etc.

Legal Entity Name

Mailing Address

City, State & Zip Code

Phone No.

E-Mail Address

Texas Identification Number (TIN)

Federal I.D. Tax Number

Business Organization Type

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