5-Attachment 1.5 Verification of Authorized Offeror Form.pdf

DESIGN-BUILD PROJECT

SOLICITATION

VERIFICATION OF AUTHORIZED

OFFEROR

Incorporated County of Los Alamos Procurement Division

101 Camino Entrada, Building 3 Los Alamos, NM 87544

Version: 20250318

Offeror’s Response shall be submitted in accordance with the following:

A. By submitting a Response, Offeror proposes and agrees, if its Response is accepted; to enter into an agreement with County in the form included in the Solicitation Documents; to perform and furnish all Services and Work as specified or indicated in the Solicitation Documents for the contract price; and within the contract time indicated in this Response; and in accordance with all the other terms and conditions of the Solicitation Documents.

B. Offeror accepts all the terms and conditions of the Request for Proposal and instructions to Offerors, including without limitation those dealing with the disposition of Proposal Security. The Proposal will remain subject to acceptance for ninety 90) calendar days after the day of the RFP Closing Date. Offeror will sign and submit the Agreement and the Performance, Labor and Material Bonds, Certificate of Insurance and all other documents required by the Solicitation Requirements within ten (10) calendar days after receipt of the County’s Notice of Award.

C. Offeror shall promptly provide written notice to the County of any conflicts, errors, or discrepancies discovered in the Solicitation Documents.

D. Offeror represents its Response is genuine and not made in the interest of or on behalf of any undisclosed person, firm, or corporation. Offeror has not directly or indirectly induced or solicited any other Offeror to submit a false or sham Response. Offeror has not solicited or induced any person, firm or corporation to refrain from proposing, and Offeror has not sought by collusion to obtain for itself any advantage over any other Offeror or over County.

E. By submitting a Response, Offeror represents to the County that it has inspected the site, is familiar with local conditions that may affect cost, progress, performance or furnishing of the work, has considered federal, state, and local laws and regulations that may affect cost, progress, performance, or furnishing of the Work and has read and is thoroughly familiar with all of the technical specifications and plans and the Solicitation and Contract documents (including all addenda). The failure or omission of any such Offeror to examine any form, instrument or document shall in no way relieve any Offeror from any obligation in respect to its Response.

F. Offeror represents that a complete set of Solicitation Documents was used in preparing its Response and acknowledges that the County assumes no responsibility for errors or misinterpretations resulting from the use of incomplete sets of Solicitation Documents.

G. NON-DISCRIMINATION POLICY: This Company does not discriminate on the basis of color, national origin, sex, religion, age, and disabled status in employment or the provision of services.

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.

This Response is hereby submitted by the undersigned, in full conformity with the Solicitation Documents, and warrant that the undersigned has the authority to bind the Offeror for the work. I, the undersigned have reviewed the Scope of Work and certify that the following licenses are required to fully perform the Scope of Work and that I, as the Contractor, and/or Sub-contractors to be employed under this contract possess such New Mexico Contractor’s License Number(s) and Classification(s).

Contractor License Number(s) Classification(s)

Signature of Agent authorized to sign on behalf of Offeror.

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)

Los Alamos County Business License Number (Required to perform work in the County)

Contract Manager Printed Name, Title, and Email