3-RFQt-03-Authorized Signature and Contact Details.pdf

This document is an Authorized Signature and Contact Details form for Request for Quotation (RFQt) #25-0227 issued by the City of Fort Worth Purchasing Division for Scantron products or services. The form serves as a binding proposal submission template that requires vendors to provide their legal business name, doing business as name, federal tax identification number, and complete address information. The document establishes that by signing, the authorized representative is submitting a binding bid and agrees to comply with all solicitation terms and conditions, and if accepted, will furnish the requested items or services at the quoted prices according to the RFQt specifications.

The form requires comprehensive contact information including the authorized representative's signature, email, and phone number, as well as details for up to three additional contact persons with their respective titles, email addresses, and phone numbers. The document emphasizes that the respondent acknowledges receipt and review of the entire RFQt packet and agrees to be bound by its terms. No pricing information, contract duration, funding sources, or specific technical requirements are detailed in this signature page, as it functions primarily as a formal commitment and contact information collection tool for the procurement process.