3-Contact Information.pdf

PDF 53 KB Posted

Attached to
Caustic Soda State and local contract opportunity
Solicitation number
WU-06-26
Issued by
Tyler County, Texas

About this file

This is a Contact Information Form from the City of San Angelo, Texas Purchasing Division for submission in response to a bid solicitation for caustic soda (sodium hydroxide diaphragm) for the Water Production Plant. The form requires bidders to provide detailed information including an authorized agent with full capacity to bind the entity, a primary contact if different from the authorized agent, and complete vendor details. Bidders must submit current IRS Form W-9 documentation along with the completed contact information form to the City of San Angelo Purchasing Division located at 72 West College Avenue, San Angelo, Texas 76903, or via email at sapurch@cosatx.us.

The Water Production Plant requires approximately 450 dry tons of caustic soda annually at a 50% solution concentration for potable water treatment purposes. Bidders designated as authorized agents must be officers of corporations, general partners of partnerships, managing members of limited liability companies, or individuals with written authority to bind their respective entities. The City reserves the right to request written verification of an individual's authority to act on behalf of a bidding entity prior to contract award.

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Text version

CITY OF SAN ANGELO, TEXAS

PURCHASING DIVISION

72 West College Avenue, San Angelo, Texas 76903

325.657.4219 • sapurch@cosatx.us

CITY OF SAN ANGELO, TEXAS • CONTACT INFORMATION FORM

Contact Information

AUTHORIZED AGENT • PLEASE PRINT

An Authorized Agent for an entity pursuant to this solicitation is an individual duly authorized by the entity and having full capacity to bind the entity. Authorized Agent may include an Officer of a Corporation, a General Partner of a Partnership, a Managing Member of a Limited Liability Company, or any other individual who has been granted such authority in writing executed by an individual having authority to bind the entity. City reserves the right to require written verification of an individual’s authority to act on behalf of an entity.

NAME

TITLE E-MAIL

SIGNATURE

DATE

PRIMARY CONTACT • PLEASE PRINT

Complete if different from above.

NAME

TITLE E-MAIL

SIGNATURE

DATE

VENDOR DETAILS • PLEASE PRINT

VENDOR NAME

PHONE FAX

WEBSITE

MAILING ADDRESS

CITY / STATE / ZIP

PHYSICAL ADDRESS (NO PO BOXES)

CITY / STATE / ZIP

PLEASE ATTACH A CURRENT IRS FORM W-9.

mailto:sapurch@cosatx.us

Contact Information

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