3-RFP 05 Verification of Authorized Offeror Form.pdf
PDF 696 KB Posted
- Attached to
- Library Management Software
- Solicitation number
- RFP25-61
- Issued by
- Los Alamos County, New Mexico
About this file
This document is a Verification of Authorized Offeror form from the Incorporated County of Los Alamos Procurement Division, located in Los Alamos, New Mexico. The form is designed to capture essential information about an authorized representative who can obligate a selected Offeror in providing services to the County. The form includes blank fields for critical details such as Solicitation Number, Solicitation Title, Printed Name of Authorized Offeror, Title, Signature, Organization's Legal Name, State of Incorporation, Contact Information, Addresses, Telephone Number, Tax Identification Numbers, and Contract Manager Details.
The form appears to be a standard template (Version: 20250318) used by the Los Alamos County Procurement Division to verify and document the legal and contact information of potential contractors or service providers. It serves as an official record to establish the authorized representative's credentials and contact information for any procurement process or contract opportunity. The form's layout provides comprehensive fields to capture all necessary organizational and individual details required for formal solicitation responses.
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Text version
VERIFICATION OF AUTHORIZED
OFFEROR
Incorporated County of Los Alamos
Procurement Division 101 Camino Entrada, Building 3
Los Alamos, NM 87544
Version: 20250318
This form provides the Incorporated County of Los Alamos (“County”) with the name and information of the authorized officer who can obligate the selected Offeror in providing the services to the County.
Having read the Proposal conditions and examined the scope of services and deliverables for this solicitation, this Proposal is hereby submitted by:
Solicitation No.
Solicitation Title
Printed Name of Authorized Offeror
Title of Authorized Offeror
Signature of Authorized Offeror
Organization’s Legal Name
State of Incorporation
Email Address
Mailing Address (City, State, Zip)
Physical Address (City, State, Zip)
Telephone No.
Federal Tax I.D. No.
NM BTIN (if located in-stated)
Contract Manager Printed Name, Title, and Email
| Solicitation No: |
| Solicitation Title: |
| Printed Name of Authorized Offeror: |
| Title of Authorized Offeror: |
| Signature of Authorized Offeror: |
| Organizations Legal Name: |
| State of Incorporation: |
| Email Address: |
| Mailing Address City State Zip: |
| Physical Address City State Zip: |
| Telephone No: |
| Federal Tax ID No: |
| NM BTIN if located instated: |
| Contract Manager Printed Name Title and Email: |
File details come from the government source that posted it. Updated .