5-RFP 05 Verification of Authorized Offeror Form.pdf

PDF 696 KB Posted

Attached to
Application Software for Human Resources
Solicitation number
RFP27-20
Issued by
Los Alamos County, New Mexico

About this file

This is a Verification of Authorized Offeror Form issued by the Incorporated County of Los Alamos Procurement Division in Los Alamos, New Mexico, related to a solicitation for Application Software for Human Resources, specifically an Applicant Tracking System. The form serves to establish the authorized officer who can legally obligate the selected offeror in providing services to the County. The form requires offerors to provide their solicitation number and title, along with identification and contact information for the authorized representative executing the proposal.

The form collects essential organizational and contact details including the printed name and title of the authorized offeror, their signature, the organization's legal name, state of incorporation, email address, mailing address, physical address, telephone number, and Federal Tax ID. For offerors located in New Mexico, the form also requests the NM BTIN. Additionally, the form requires identification of a contract manager with printed name, title, and email address. This documentation ensures that the County has verified the legitimacy and proper authorization of each proposal submission prior to evaluation and award.

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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 .