3-RFP 05 Verification of Authorized Offeror Form.pdf

This is a Verification of Authorized Offeror Form issued by the Incorporated County of Los Alamos Procurement Division in New Mexico for an on-call power line contractor services solicitation. The form is used to establish the identity and authorization credentials of the designated officer who will execute the contract on behalf of the selected offeror. The solicitation seeks qualified and experienced firms to provide on-call power line work, with primary focus on make-ready pole changes for a fiber installation project related to the County's electric distribution system. All work will be performed on a Task Order basis through the Department of Public Utilities.

The form requires offerors to provide comprehensive organizational and contact information, including the authorized offeror's printed name, title, and signature; the organization's legal name and state of incorporation; federal tax identification number and New Mexico BTIN if applicable; mailing and physical addresses; email address; telephone number; and designated contract manager information. This documentation is necessary for the County to verify the authorized representative's capacity to bind the selected contractor to the agreement and to establish official points of contact for contract administration and communication throughout the performance period.