3-ITB-03-Authorized Signature and Contact Details.pdf
PDF 179 KB Posted
- Attached to
- ITB Moving and Disposal of Gaming Machines
- Solicitation number
- 25-0209
- Issued by
- Tarrant County, Texas
About this file
This document is an Invitation to Bid (ITB) form from the City of Fort Worth Purchasing Division, specifically for the Moving & Disposal of Gaming Machines, with the reference number ITB-25-0209. The document is a standard bidder contact and authorization form that allows potential vendors to submit a binding proposal for the specified services, with space to provide company details, contact information, and an authorized representative's signature.
The ITB solicits bids for moving and disposing of gaming machines, though specific quantities or detailed scope are not provided in this form. The document requires bidders to fully complete the form, including legal and doing business as (D/B/A) names, federal identification number, address, and contact details for up to three representatives. By signing, the authorized representative acknowledges receipt and understanding of the entire bid document and agrees to provide the requested services at the proposed prices and terms if the bid is accepted.
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Text version
CITY OF FORT WORTH - PURCHASING DIVISION
AUTHORIZED SIGNATURE AND CONTACT DETAILS
ITB Ref. #: 25- Doc. Ref#: ITB-03 Page 1 of 1 ITB Title:_________________________________________________________
Legal Name of Proposer:
D/B/A Name of Proposer:
City of Fort Worth Bidder/Supplied Id or Federal Id Number (TIN):
Address:
Name of the Authorized Representative:__________________________________ Title: _____________________________________________________________ The undersigned, by his/her signature, represents that he/she is submitting a binding Bid and is authorized to bind the respondent to fully comply with the solicitation document contained herein. The Respondent, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this ITB and agrees to be bound by the terms therein.
The undersigned agrees if the Proposal is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this ITB.
Signature of the Authorized Representative:_____________________________ Email: Phone:
Name of Contact Person - 1:
Title of Contact Person - 1:
Email: Phone:
Name of Contact Person - 2:
Title of Contact Person - 2:
Email: Phone:
Name of Contact Person - 3:
Title of Contact Person - 3:
Email: Phone:
Moving & Disposal of Gaming Machines
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File details come from the government source that posted it. Updated .