5-5. Respondent Info.pdf

PDF 67 KB Posted

Attached to
Rock Crusher Screenings for Street Maintenance
Solicitation number
ITB 267-26 YM
Issued by
Upton County, Texas

About this file

This is a respondent information and signature form used by the City of Amarillo for bid submission on a rock crusher screenings procurement for street maintenance. The form requires bidders to provide comprehensive company and contact information, including company name, authorized representative details, phone and fax numbers, email address, mailing address, and PO box or street address with city, state, and zip code. Respondents must also supply a remit address if different from their mailing address and their federal tax identification number. The form includes a certification statement in which the authorized signatory affirms that they are properly authorized to execute the contract, that the bid was prepared independently without collusion with other firms, and that the bid contents were not communicated to any other firm prior to the official bid opening.

The form does not specify pricing terms, quantities of rock crusher screenings required, response deadlines, bid opening dates, or contract award timelines. No information is provided regarding set-asides, incumbent contractors, funding sources, or budget amounts for this street maintenance materials procurement. The document serves solely as the official signature page and respondent identification section of the City of Amarillo's bidding package for this materials purchase.

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Text version

CITY OF AMARILLO

RESPONDENT’S INFORMATION AND SIGNATURE

The undersigned affirms that they are duly authorized to execute this contract, that this bid has not been prepared in collusion with any firm, and that the contents of this bid has not been communicated to any other firm prior to the official opening of this bid.

Date:_________________________

Company Name:_________________

Printed Name:_____________________ Title:____________________

Phone number: ___________________ Fax number:______________

Email ___________________________

Mailing Address: ________________________________________________

PO Box or Street, City, State and Zip

Remit Address(if different than above) _______________________________

PO Box or Street, City, State and Zip

Federal Tax ID No.:____________________________

Signed By:___________________________________

File details come from the government source that posted it. Updated .