3-Contact Information.pdf
PDF 53 KB Posted
- Attached to
- Water Treatment Coagulant
- Solicitation number
- WU-08-26
- Issued by
- Travis County, Texas
About this file
This is a Contact Information Form from the City of San Angelo, Texas Purchasing Division for the Water Treatment Coagulant solicitation. The form is designed to collect authorized agent and primary contact information from bidders responding to the City's request for bids on coagulant testing and supply for the Water Production Plant's potable water treatment operations. The form requires vendors to designate an Authorized Agent with full capacity to bind the entity, which may include corporate officers, general partners, managing members of limited liability companies, or other individuals granted written authority. If different from the Authorized Agent, a Primary Contact must also be identified. The City reserves the right to require written verification of an individual's authority to act on behalf of the bidding entity.
The form also requires vendors to provide complete Vendor Details including company name, phone, fax, website, mailing address, and physical address (no post office boxes permitted). Bidders must attach a current IRS Form W-9 with their submission. The Contact Information Form is submitted to the City of San Angelo Purchasing Division located at 72 West College Avenue, San Angelo, Texas 76903, with contact available via phone at 325.657.4219 or email at sapurch@cosatx.us.
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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 .