4-Form 4 - Proposers Statement of Organization.pdf
PDF 459 KB Posted
- Solicitation number
- 260-25-EPW-IFB
- Issued by
- Cameron County, Texas
About this file
This document is Form 4, a Proposer's Statement of Organization, which requires detailed company information for a business proposal submission. The form requests comprehensive organizational details including the full business name, principal business address, contact person information, business structure (corporation, partnership, joint venture, etc.), and specifics about corporate registration. Key sections require information about partners/officers, state of incorporation, registered agent details, leadership names and addresses, business longevity, federal identification number, and disclosure of any previous government contract debarments or suspensions.
The form is designed to provide a thorough organizational profile that enables the requesting agency to assess the proposing company's legal standing, operational history, and corporate structure. Proposers must provide complete transparency about their business, including potential red flags such as past suspensions from government contracts. The document appears to be a standard pre-qualification form likely used in state or local government procurement processes, particularly in Texas, as evidenced by references to the Texas Secretary of State and Texas Business & Commerce Code compliance requirements.
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Text version
FORM 4. PROPOSER’S STATEMENT OF ORGANIZATION
1. Full Name of Proposer’s Business:
2. Proposer’s Principal Business Address:
3. Name, phone number, and email address of Proposer’s contact person:
4. Form of Proposer’s Business (e.g., Corporation, Partnership, Joint Venture, Other):
5. Provide names of partners (if any) and officers. (Attach and refer to an additional page if needed.)
Name Address Title
6. If Proposer is a corporation, identify the state where the Proposer was incorporated and the date of incorporation:
7. If the Proposer is a foreign corporation, please identify:
D. The date of registration with the Texas Secretary of State
E. The name of the Proposer’s Registered Agent
F. The address of the Proposer’s Registered Agent
FORM 4. PROPOSER’S STATEMENT OF ORGANIZATION
(CONTINUED)
8. If the Proposer is a corporation, provide the names and addresses of the Proposer’s President, Vice President, and Treasurer. If the Proposer is a limited liability company, provide the name(s) and address(es) of the manager or managing members.
9. If the Proposer is a Joint Venture or Partnership, identify the date of the joint venture/partnership agreement:
10. Provide the Proposer’s Federal Employer Identification Number:
11. How many years has the Proposer been in business under its present name?
________ years
12. If the Proposer is operating under a fictitious name, submit evidence of compliance with the Texas Business & Commerce Code.
13. Has the Proposer ever been debarred or suspended from doing business with any government entity?
If the answer is yes, please describe and explain the reasons for the debarment or suspension in a separate file and attach it to this document.
File details come from the government source that posted it. Updated .