3-RFQt-03-Authorized Signature and Contact Details.pdf
PDF 115 KB Posted
- Attached to
- RFQt Pipe Plug
- Solicitation number
- 25-0205
- Issued by
- Tarrant County, Texas
About this file
This document is an Authorized Signature and Contact Details form from the City of Fort Worth Purchasing Division for a Request for Quotation (RFQt) with reference number 25-0205, specifically for a Pipe Plug procurement. The form is designed for potential bidders to provide their company information, authorized representative details, and contact persons when submitting a proposal for the requested items. The document requires the proposer to acknowledge receipt and understanding of the entire solicitation document and agrees to be bound by its terms if the proposal is accepted.
The form includes blank fields for the legal and doing-business-as (D/B/A) names of the proposer, federal identification number, address, and contact information for up to three representatives. By signing the document, the authorized representative affirms they are submitting a binding bid and are authorized to commit their organization to fully comply with the solicitation requirements. The form provides space for the authorized representative's signature, email, phone number, and other pertinent contact details to facilitate communication during the bidding process.
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Text version
CITY OF FORT WORTH - PURCHASING DIVISION
AUTHORIZED SIGNATURE AND CONTACT DETAILS
RFQt Ref. #: 25-0205 Doc. Ref#: RFQt-03 Page 1 of 1 RFQt Title: Pipe Plug
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 RFQt 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 RFQt.
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:
File details come from the government source that posted it. Updated .