5-RFP26-62 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 solicitation 5-RFP26-62 regarding the Long-Range Water Plan. The form serves as the official submission document confirming the authorized representative who can legally obligate the selected offeror in providing consulting services to the County. The consulting services involve completing a Long-Range Water Supply Plan that meets New Mexico Office of the State Engineer requirements, with projections for water demand spanning 40 years to serve Los Alamos County retail customers and Los Alamos National Laboratory. The consultant must prepare and implement a public engagement strategy including stakeholder input sessions and public meetings to present the plan to both the County Utilities Board and County Council. Additionally, the consultant shall revise cost estimates for developing a new well at Overlook Park to utilize the County's 1,200 acre-feet of San Juan-Chama water rights and coordinate with the State Engineer's Office to confirm technical and permitting requirements for the project development.

The form requires the offeror to provide comprehensive organizational information including the authorized officer's printed name, title, and signature, organization's legal name, state of incorporation, federal tax identification number, New Mexico Business Tax Identification Number if applicable, and contact details for the designated contract manager. The form does not include specific pricing information, set-asides, response deadlines, or contract term details within its scope, as it functions solely as a verification document to identify the party authorized to represent the offeror and execute the resulting contract on behalf of the organization.