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 Procurement Division in New Mexico for the SMART Recovery for Juveniles solicitation. The form serves as the official submission document through which qualified service providers designate an authorized officer capable of obligating their organization to provide SMART Recovery programming for juveniles within the County's Municipal Court system. The solicitation seeks contracted facilitation of juvenile-focused SMART Recovery meetings designed to address substance use and behavioral health challenges among youth through evidence-based, cognitive behavioral and motivational approaches. The program aims to provide a consistent, supportive environment that promotes positive behavior change, reduces recidivism, and supports long-term well-being in adolescents facing increasing substance use challenges.

The Verification of Authorized Offeror Form requires offerors to provide comprehensive organizational and contact information, including the authorized officer's printed name, title, and signature, the organization's legal name and state of incorporation, Federal Tax ID number, NM BTIN if applicable, mailing and physical addresses, email, and telephone number. Additionally, offerors must designate a Contract Manager with printed name, title, and email address. The form confirms that the submitting party has reviewed the proposal conditions and examined the scope of services and deliverables for the solicitation prior to submission.