5-RFP 05 Verification of Authorized Offeror Form.pdf
PDF 696 KB Posted
- Attached to
- Mobile 750kW Generator and Maintenance Services
- Solicitation number
- RFP26-14
- Issued by
- Mckinley 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 capture key information about an authorized representative who can obligate a selected offeror in providing services to the county. The form provides blank fields for critical details such as solicitation number, solicitation title, organization's legal name, contact information, state of incorporation, tax identification numbers, and contract manager details.
The form appears to be a standard procurement template (Version: 20250318) that requires completion by potential vendors or service providers responding to a county solicitation. It serves as an official mechanism for verifying the legal and administrative details of an organization seeking to do business with Los Alamos County, ensuring that the individual signing the document has the proper authority to represent and commit their organization to the proposed contract or service agreement.
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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 .