3-6. SIGNATURE PAGE VENDOR INFORMATION.pdf

PDF 30 KB Posted

Attached to
Well Field Pump, Motor, Electric Cables and Service Contract
Solicitation number
BVB 401-26 JLO
Issued by
Upton County, Texas

About this file

This document is a Respondent's Information and Signature form for a Request for Proposal (RFP). The form requires potential contractors to provide essential company and contact details while affirming that their proposal has been prepared independently and without collusion with other firms. The form mandates that respondents confirm their willingness to sign a negotiated contract and requires a signature from an authorized representative.

The form includes fields for capturing critical information such as company name, contact person, title, phone and fax numbers, email address, mailing and remit addresses, federal tax ID number, and a signature. A key requirement is that the RFP response must remain valid for a minimum of 90 days from submission. The document serves as a standardized template for vendors to provide their basic information and legally affirm the integrity of their proposal submission.

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RESPONDENT’S INFORMATION AND SIGNATURE

The undersigned affirms that they are duly authorized to execute this contract, that this RFP has not been prepared in collusion with any other firm, and that the contents of this RFP have not been communicated to any other firm prior to the official opening of this RFP. Additionally, the undersigned affirms that the respondent is willing to sign the negotiated contract.

Date:___________________________________

Company Name:__________________________

Name of Contact: _________________________ Title: __________________________

Phone No.: ______________________________ Fax No.: _______________________

Email: __________________________________

Mailing Address: ____________________________________________________________ P.O. Box or Street, City, State and Zip

Remit Address (if different than above): _____________________________________________ P.O. Box or Street, City, State and Zip

This RFP is valid through _____/______/_____ (a period of not less than 90 days is required)

Federal Tax ID No.: _______________________

SIGNED BY: ______________________________

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