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 .