4-RFP 05 Verification of Authorized Offeror Form.pdf
PDF 696 KB Posted
- Solicitation number
- RFP26-07
- Issued by
- Los Alamos County, New Mexico
About this file
This document is a Verification of Authorized Offeror form from the Incorporated County of Los Alamos Procurement Division, located in Los Alamos, New Mexico. The form is designed to capture critical information about an authorized representative who can obligate a selected Offeror in providing services to the County. The form provides blank fields for key details such as Solicitation Number, Solicitation Title, Organization's Legal Name, State of Incorporation, Contact Information, Tax Identification Numbers, and Contract Manager Details.
The form serves as a standard template for potential vendors to complete when responding to a county procurement opportunity, ensuring that the County has official documentation of the authorized representative who can legally bind the organization during the solicitation and potential contract process. The form includes spaces for critical business and contact information, allowing the Procurement Division to maintain accurate records of potential service providers and their key representatives.
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Text version
VERIFICATION OF AUTHORIZED
OFFEROR
Incorporated County of Los Alamos
Procurement Division 101 Camino Entrada, Building 3
Los Alamos, NM 87544
Version: 20250318
This form provides the Incorporated County of Los Alamos (“County”) with the name and information of the authorized officer who can obligate the selected Offeror in providing the services to the County.
Having read the Proposal conditions and examined the scope of services and deliverables for this solicitation, this Proposal is hereby submitted by:
Solicitation No.
Solicitation Title
Printed Name of Authorized Offeror
Title of Authorized Offeror
Signature of Authorized Offeror
Organization’s Legal Name
State of Incorporation
Email Address
Mailing Address (City, State, Zip)
Physical Address (City, State, Zip)
Telephone No.
Federal Tax I.D. No.
NM BTIN (if located in-stated)
Contract Manager Printed Name, Title, and Email
| Solicitation No: |
| Solicitation Title: |
| Printed Name of Authorized Offeror: |
| Title of Authorized Offeror: |
| Signature of Authorized Offeror: |
| Organizations Legal Name: |
| State of Incorporation: |
| Email Address: |
| Mailing Address City State Zip: |
| Physical Address City State Zip: |
| Telephone No: |
| Federal Tax ID No: |
| NM BTIN if located instated: |
| Contract Manager Printed Name Title and Email: |
File details come from the government source that posted it. Updated .