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 Wildlife Assessment for Los Alamos County solicitation. The form serves as the official submission document through which an offeror designates the authorized officer responsible for obligating the selected contractor in delivering professional services. The form requires offerors to provide comprehensive organizational information including the solicitation number and title, the printed name and signature of the authorized offeror, the organization's legal name, state of incorporation, contact information, and Federal Tax ID number. Additionally, offerors must identify a contract manager with printed name, title, and email address to serve as the primary point of contact for contract administration and performance matters.

The form itself contains no pricing information, set-asides, incumbent data, funding sources, or other financial terms, as it functions solely as a verification and authorization document. Offerors are instructed to complete all required fields after having read the proposal conditions and examined the scope of services and deliverables for the wildlife assessment project. The form establishes the legal basis for contract execution by confirming that the signatory possesses the authority to bind the organization to the terms and conditions of the solicitation.