4-PROPOSAL SIGNATURE FORM.pdf
PDF 29 KB Posted
- Solicitation number
- 2026-301
- Issued by
- Jefferson County, Texas
About this file
This is a Proposal Signature Form for Johnson County, Texas, associated with RFP 2026-301 seeking a qualified, independent employee benefits consultant to provide comprehensive consulting services related to the County's group health and employee benefit programs. The form requires the authorized representative of the responding company to affirm that the proposal has not been prepared in collusion with other respondents or Johnson County employees, and that the proposal contents have not been communicated to other respondents or County employees prior to the official opening. The form mandates that respondents certify they have read and understand all specifications and attachments contained in the RFP package. Failure to sign and return the completed form results in automatic rejection of the entire proposal.
The signature form requires submission of company name and address, authorized representative signature, name, title, telephone number, facsimile number, and email address. Additionally, respondents must provide after-hours emergency contact information including name and telephone number. This document serves as a mandatory component of the proposal submission process and must be executed by an individual duly authorized to bind the responding company to a contract with Johnson County.
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Text version
PROPOSAL SIGNATURE FORM
The undersigned agrees this Proposal becomes the property of Johnson County after the official opening.
The undersigned affirms that they are duly authorized to execute a contract, that this Proposal has not been prepared in collusion with any other Respondent, nor any employee of Johnson County, and that the contents of this Proposal have not been communicated to any other Respondent or to any employee of
Johnson County prior to the official opening.
The undersigned affirms that they have read and do understand the specifications and any attachments contained in this RFP package. Failure to sign and return this form will result in the rejection of the entire
Proposal.
Signature:
X ____________________________________________________
Authorized Representative
NAME AND ADDRESS OF COMPANY:
___________________________________ Date ________________________________
___________________________________ Name _______________________________
___________________________________ Title ________________________________
Tel. No. ____________________________ FAX No. _____________________________
E-Mail Address: ______________________________________________________________
AFTER HOURS EMERGENCY CONTACT:
Name: ______________________________ Tel. No. _____________________________
THIS FORM MUST BE SIGNED.
File details come from the government source that posted it. Updated .