3-02 Required Form - Proposer Information Form.pdf
PDF 123 KB Posted
- Solicitation number
- RFP #36-01-26
- Issued by
- Bell County, Texas
About this file
This document is a Proposer Information Form (Form 5.1) for Request for Proposal (RFP) 36-01-26 for the Airport Hangar 22 Lease issued by the City of Temple. The form requires potential proposers to provide comprehensive company details, acknowledge any addenda through the Euna Procurement e-procurement portal, and authorize a credit check by the City of Temple. Proposers must confirm their ability to execute the attached Airport Hangar Lease Agreement and comply with specified insurance requirements.
The form requires proposers to list authorized personnel who can provide representations about the proposal or resulting contract, disclose any exceptions to the RFP terms, and provide an authorized signature. The document is designed to collect critical information about potential contractors, including business contact details, tax identification numbers, and a formal authorization for the city to investigate the financial responsibility of potential contractors. Proposers must initial to confirm their agreement to execute the lease and comply with contract terms, with space provided to note any specific exceptions they might have to the RFP conditions.
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Text version
RFP 36-01-26 Airport Hangar 22 Lease 17
FORM 5.1. - PROPOSER INFORMATION FORM
1. Company Information
Company Name: ________________________________________________________
Business Address: ______________________________________________________
Remit-to Address, if different: ______________________________________________
Tax Identification Number: _________________________________________________
Contact Person: ________________________________________________________
Phone: _______________________________________________________________
Email: ________________________________________________________________
2. Addenda Our company has reviewed and formally acknowledges receipt of all addenda, if any, provided in the Euna Procurement e-procurement portal. Please record the number of addenda acknowledged here:
____________ (number of addenda acknowledged)
3. Credit Check Authorization The City is required to determine whether a Proposer who may be awarded a contract is financially responsible. The City may run a credit check on the potential contractor before award of the contract. By signing this Proposer Information Form, I hereby authorize the City of Temple, credit bureau, or other investigative agency employed by the City of Temple to investigate my credit history and financial responsibility.
4. Authorized Personnel State your firms’ personnel authorized to give representations regarding your proposal or resulting contract, if any:
Name Phone Number Email Address
RFP 36-01-26 Airport Hangar 22 Lease 18
5. Agreement
The successful Proposer shall be able to execute the attached Airport Hangar Lease Agreement and be able to comply with the insurance requirements as stated within the contract. Please confirm your ability to execute this contract.
____________ (initial to confirm)
6. Exceptions Taken by Proposer State exceptions taken to any of the terms of this RFP, if any.
7. Authorization
Authorized Signature: ____________________________________________________
Print Name: ____________________________________________________________
Title: ___________________________________ Date: _______________________
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