4-QUO 04 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 the Animal Shelter and Animal Control Management Software solicitation. The form is designed to collect essential information about the authorized officer representing the selected offeror who will be responsible for obligating the company in providing services to the County. The solicitation seeks qualified and experienced firms to support the operational needs of the County's Animal Shelter through software that provides reliable and efficient functionality while ensuring data accuracy and regulatory compliance. The required solution must support core shelter operations including animal intake, adoption processing, and records management in a consistent and compliant manner.

The form requires offerors to provide detailed organizational information including the authorized representative's printed name, title, and signature; the organization's legal name and state of incorporation; contact information including email address, mailing address, and physical address; telephone number; Federal Tax I.D. Number; and New Mexico BTIN if the organization is located in-state. Additionally, offerors must designate a Contract Manager with printed name, title, and email address. This documentation is a standard requirement to establish the offeror's commitment to the proposal conditions and to identify the key contact responsible for contract performance and management.