5-RFP 05 Verification of Authorized Offeror Form.pdf

This is a Verification of Authorized Offeror Form issued by the Incorporated County of Los Alamos, New Mexico Procurement Division for an on-call electric power line tree trimming services solicitation. The form is designed to capture essential information about the authorized representative who can legally obligate the selected offeror in executing services for the County. The document requests completion of fields including the solicitation number and title, the authorized offeror's printed name and title, signature, organization's legal name, state of incorporation, contact information (email and telephone), and mailing and physical addresses.

The form also requires submission of the offeror's Federal Tax ID number, New Mexico BTIN (if applicable for in-state located organizations), and designated contract manager information including printed name, title, and email address. This verification document serves as a critical component of the proposal submission process, ensuring that the County has proper identification and authorization details of the party responsible for contract performance and obligation. Offerors must complete all required fields and provide the authorized officer's signature to validate the proposal submission for the tree trimming services contract near energized 15,000 volt power lines and 240 volt open secondary systems.