6-Contact Information.pdf
PDF 53 KB Posted
- Solicitation number
- RFQ PK-04-25
- Issued by
- Travis County, Texas
About this file
This document is a Contact Information Form from the City of San Angelo, Texas Purchasing Division, located at 72 West College Avenue in San Angelo. The form is designed for vendors to provide comprehensive contact and company details when responding to a solicitation. It requires information for an Authorized Agent who has the capacity to bind the entity, which may include an Officer of a Corporation, a General Partner of a Partnership, a Managing Member of a Limited Liability Company, or another individual with written authorization to represent the organization.
The form requests detailed vendor information including vendor name, phone and fax numbers, website, mailing address, and physical address (with a specific note prohibiting PO boxes). Additionally, the form instructs the vendor to attach a current IRS Form W-9. The City of San Angelo reserves the right to verify an individual's authority to act on behalf of the entity, emphasizing the importance of accurate and verifiable contact information for potential business transactions.
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Text version
CITY OF SAN ANGELO, TEXAS
PURCHASING DIVISION
72 West College Avenue, San Angelo, Texas 76903
325.657.4219 • sapurch@cosatx.us
CITY OF SAN ANGELO, TEXAS • CONTACT INFORMATION FORM
Contact Information
AUTHORIZED AGENT • PLEASE PRINT
An Authorized Agent for an entity pursuant to this solicitation is an individual duly authorized by the entity and having full capacity to bind the entity. Authorized Agent may include an Officer of a Corporation, a General Partner of a Partnership, a Managing Member of a Limited Liability Company, or any other individual who has been granted such authority in writing executed by an individual having authority to bind the entity. City reserves the right to require written verification of an individual’s authority to act on behalf of an entity.
NAME
TITLE E-MAIL
SIGNATURE
DATE
PRIMARY CONTACT • PLEASE PRINT
Complete if different from above.
NAME
TITLE E-MAIL
SIGNATURE
DATE
VENDOR DETAILS • PLEASE PRINT
VENDOR NAME
PHONE FAX
WEBSITE
MAILING ADDRESS
CITY / STATE / ZIP
PHYSICAL ADDRESS (NO PO BOXES)
CITY / STATE / ZIP
PLEASE ATTACH A CURRENT IRS FORM W-9.
mailto:sapurch@cosatx.us
Contact Information
File details come from the government source that posted it. Updated .