5-RFP 05 Verification of Authorized Offeror Form.pdf

PDF 696 KB Posted

Attached to
Landfill Methane Monitoring and Maintenance Services
Solicitation number
RFP26-19
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 collect comprehensive contact and organizational information from potential vendors or service providers responding to a solicitation. It provides spaces for critical details such as the solicitation number and title, the authorized offeror's name and title, organization's legal name, state of incorporation, contact information, tax identification numbers, and contract manager details.

The form serves as an official mechanism for the County to verify and document the authorized representative who can legally obligate the offeror in a potential contract. While no specific solicitation details are filled in on this template, the form appears to be a standard procurement document used to ensure proper identification and authorization of potential contractors or service providers seeking to do business with Los Alamos County.

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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 .