4-RFP 05 Verification of Authorized Offeror Form.pdf

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Attached to
On-Call Photography & Videography Production Services
Solicitation number
RFP26-42
Issued by
Los Alamos County, New Mexico

About this file

This is a Verification of Authorized Offeror Form issued by the Incorporated County of Los Alamos Procurement Division for an On-Call Photography & Videography Production Services solicitation. The County's Communications and Public Relations Office is seeking qualified and experienced firms to provide professional photography and/or videography services on an as-needed basis. Services may include photography and video production for events, campaigns, public meetings, ceremonies, studio portraits, public service announcements, and marketing initiatives serving all County departments. The form requests standard offeror identification and authorization information to be completed by the selected contractor's authorized representative.

The form serves as verification documentation that the submitted proposal is authorized by a signing officer capable of obligating the selected offeror to provide services to the County. Required information includes the authorized offeror's printed name and title, signature, organization's legal name, state of incorporation, contact information including email and telephone, mailing and physical addresses, Federal Tax ID number, New Mexico BTIN (if applicable), and the designated contract manager's name, title, and email address. No pricing, set-asides, funding amounts, or contract terms are specified within this verification form itself, as it functions solely as an authorization and identification document.

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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 .