3-Part G - Attachment C - Required Information Form.pdf

PDF 227 KB Posted

Attached to
Old Town Pool Replacement
Solicitation number
2038
Issued by
Alexandria City, Virginia

About this file

Written by GovTribe AI ·

This is a Required Information Form from the City of Alexandria for use in responding to state and local contract opportunities, specifically the Old Town Pool Replacement project in Virginia. The form requires respondents to provide organizational classification information, including whether the firm qualifies as a Minority Business Firm, Small Business Firm, Partnership, Corporation, or Sole Proprietorship. Depending on the business structure, respondents must supply corresponding documentation such as state of incorporation, charter numbers, Virginia Certificate of Authority information for corporations, and names and titles of officers including President, Vice President, Secretary, Treasurer, and Registered Agent(s).

The form mandates that all partnerships and sole proprietorships provide the names, addresses, and city/state information for all partners or proprietors. Corporations must register with the State Corporation Commission in accordance with Section 13.1-757 of the Code of Virginia if they are foreign entities desiring to transact business in Virginia. All respondents must execute the form with an authorized signatory's signature, printed name, and title. The form serves as a standardized submission requirement to establish the legal status, ownership structure, and organizational credentials of bidders and offerors competing for the contract opportunity.

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City of Alexandria

Attachment C

Required Information Form

Each Respondent must provide the following information:

1. Minority Business Firm Yes [ ] No [ ] Partnership Yes [ ] No [ ] Small Business Firm Yes [ ] No [ ] Corporation Yes [ ] No [ ] Sole Proprietorship Yes [ ] No [ ]

2. Partnerships* and Sole Proprietorships must provide the following information:

Name: __________________________________________________________ Address: __________________________________________________________ City and State: __________________________________________________________

* Partnerships must complete this information for all partners

3. Corporations must provide the following information:

State of Incorporation: ________________ Date of Incorporation: _________________ Charter Number of the Virginia Certificate of Authority: ___________________________ Foreign corporations desiring to transact business in the State of Virginia shall register with the State Corporation Commission in accordance with Section 13.1-757 of the Code of Virginia, as amended.

Corporations must provide the names of the following officers:

President: ____________________________________________________ Vice President: ____________________________________________________ Secretary: ____________________________________________________ Treasurer: ____________________________________________________ Registers Agent(s): ____________________________________________________

Bidder/Offeror Name: __________________________Date: ____________________________ Signature of Authorized Signatory: _________________________________________________ Name & Title of Authorized Signatory: ______________________________________________

No.:

Name:
Address:
City and State:
State of Incorporation:
Date of Incorporation:
Charter Number of the Virginia Certificate of Authority:
Corporations must provide the names of the following officers:
Vice President 1:
Vice President 2:
Vice President 3:
Registers Agents:
BidderOfferor Name:
Date:
Signature1_es_:signer:signature:
Signature2_es_:signer:signature:
Check Box3:
0:
0: Off
1: Off
1:
0: Off
1: Off
2:
0: Off
1: Off
3:
0: Off
1_es_:signature: Off
4:
1_es_:signature: Off
5:
1_es_:signature: Off
Enter Solicitation Type Abbreviation_es_:sender:
Enter Solicitiation Type_es_:sender:
Enter Title_es_:sender:
Enter No_es_:sender:

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