5-RFP 05 Verification of Authorized Offeror Form.pdf

PDF 696 KB Posted

Attached to
Contract Instructors for the Recreation Department
Solicitation number
RFP26-34
Issued by
Los Alamos 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 at 101 Camino Entrada, Building 3, Los Alamos, NM 87544. The form is designed to capture detailed information about the authorized representative who can obligate an offeror in providing services to the County. The form includes fields for solicitation number, solicitation title, organization's legal name, state of incorporation, contact information, tax identification numbers, and contract manager details.

The form appears to be a standard template for potential vendors to complete when responding to a county procurement opportunity, providing a comprehensive method for the County to verify and document the legal and contact information of businesses submitting proposals. The document is version-controlled with a date code of 20250318, suggesting it is a recent or upcoming standardized procurement form used by Los Alamos County to ensure proper documentation and authorization of vendor submissions.

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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 .