5-Form 1 - Proposal Acknowledgment Authorized Contact Info.pdf

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Attached to
Traffic Signal Improvements at the Intersection of Paredes Line RD at Coffee Road
Solicitation number
164-26-EPW-IFB
Issued by
Cameron County, Texas

About this file

This is a Proposal Acknowledgment and Authorized Contact Information form issued by the City of Brownsville, Texas Procurement Department in October 2025 for the Traffic Signal Improvements at the Intersection of Paredes Line Road at Coffee Road project. The form serves as official acknowledgment of a respondent's intention to submit a sealed competitive bid for the modernization and replacement of existing traffic signal infrastructure at the specified intersection. The project aims to improve traffic operations, safety, and pedestrian accessibility through upgrades to signal equipment and related appurtenances in accordance with applicable federal, state, and local standards. Respondents must complete this form by providing their legal entity name, primary contact information, and an authorized representative who will serve as the point of contact throughout the project. Submission of the completed and signed form is mandatory, as failure to do so may result in rejection of the response as nonresponsive.

By signing the acknowledgment form, respondents certify that they have examined all solicitation documents and addenda, understand the binding nature of their offer subject to the terms and conditions stated in the solicitation package, and possess full authority to bind their entity and enter into an agreement with the City of Brownsville if selected. The authorized signatory must confirm that all statements made are true and correct and that they are duly authorized to execute the form on behalf of the respondent organization. The form establishes the framework for proposal submission and identifies the primary communication channel between the City and each bidder throughout the procurement and project execution phases.

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Text version

FY26 – Version 2 Procurement Department October 2025

Form 1 – Proposal Acknowledgment & Authorized Contact

Purpose

This form officially acknowledges the Respondent’s intention to submit a response to this solicitation. It also identifies the authorized contact who is empowered to act on behalf of the Respondent and will serve as the primary point of contact throughout the project. By submitting this form, the Respondent acknowledges and accepts all terms, conditions, and requirements stated in the solicitation.

Solicitation No.____________________

Respondent Information

Legal Entity Name: __________________________________________

Primary Contact Name: ______________________________________

Title: ___________________________________________

Telephone: ____________________ Email: ____________________

Acknowledgment of Solicitation Requirements

By signing below, the Respondent certifies and acknowledges the following:

1. The Respondent has examined the solicitation documents and addenda and is familiar with all conditions affecting the response.

2. The Respondent understands that submission of this acknowledgment constitutes a binding offer subject to the terms, conditions, and validity period stated in the solicitation package issued by the City of Brownsville.

3. The Respondent certifies that they possess full authority to bind the entity and to enter into an agreement with the City of Brownsville if selected.

4. The Respondent acknowledges that failure to submit this completed form or to sign below may result in rejection of the response as nonresponsive.

FY26 – Version 2 Procurement Department October 2025

Certification

By signing below, the undersigned Respondent certifies that all statements made herein are true and correct and that they are duly authorized to sign this form and bind the Respondent to its contents.

Signature: ____________________________________________

Printed Name: _________________________________________

Title: _________________________________________________

Date: ______________________

Company Name: ________________________________________

Phone: ______________________

Email: _________________________________________________

Solicitation No:
Legal Entity Name:
Primary Contact Name:
Title:
Telephone:
Email:
Printed Name:
Title_2:
Date:
Company Name:
Phone:
Email_2:
Signature1_es_:signer:signature:

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