6-Part G - Attachment C - Required Information Form DRAFT 3-2-26.pdf

221 KB Posted

Attached to
Temporary Staffing Services
Solicitation number
2022
Issued by
Alexandria City, Virginia

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Written by GovTribe AI ·

This is a Required Information Form (Attachment C) issued by the City of Alexandria, Virginia for submission in response to a Request for Proposals for Temporary Staffing Services. The form mandates that all respondents provide comprehensive organizational information to establish their qualifications and business structure. Respondents must identify their business classification, including whether they are minority business firms, small business firms, and their legal structure (partnership, corporation, or sole proprietorship). The form requires detailed documentation of company registration and officer information to verify legitimacy and responsible business operations.

The form establishes specific documentation requirements based on business entity type. Partnerships and sole proprietorships must provide owner names and addresses. Corporations must submit their state of incorporation, incorporation date, Virginia Certificate of Authority charter number, and the names of all principal officers including president, vice president, secretary, treasurer, and registered agents. All respondents must be signed by an authorized signatory with printed name and title. This standardized information collection enables the City of Alexandria to evaluate the responsibility and qualifications of all bidders responding to the temporary staffing services procurement.

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11-Part G - Attachment F - Subcontractor List.pdf PDF
7-Part G - Attachment A Fillable - Authorized Signatory Statement.pdf PDF
12-Part G - Attachment G - No Response Form.pdf PDF
8-Part G - Attachment C - Required Information Form.pdf PDF
14-Part B - RFP 2022 Scope of Work Final.pdf PDF
17-Part A - RFP 2022 General Information Final.pdf PDF
5-Part G - Attachment A Fillable - Authorized Signatory Statement - DRAFT 3-2-26.pdf PDF
9-Part G - Attachment D - Certifications.pdf PDF
13-Part G- Attachment H - Cost Proposal-Final.xlsx XLSX spreadsheet
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10-Part G - Attachment E - Reference Sheet.pdf PDF
16-Part H - Exhibit H - Information Technology - Final.pdf PDF
1-Part G- Attachment H - Cost Proposal.xlsx XLSX spreadsheet
15-Part H - Exhibit A - Definitions -Final.pdf PDF
4-Part F - RFP 2022 Eval and Method of Award Final.pdf PDF
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City of Alexandria

Attachment C

Required Information Form

Each Respondent must provide the following information:

1. Minority Business Firm Yes [ ] No [ ] Partnership Yes [ ] No [ ] Small Business Firm Yes [ ] No [ ] Corporation Yes [ ] No [ ] Sole Proprietorship Yes [ ] No [ ]

2. Partnerships* and Sole Proprietorships must provide the following information:

Name: __________________________________________________________ Address: __________________________________________________________ City and State: __________________________________________________________

* Partnerships must complete this information for all partners

3. Corporations must provide the following information:

State of Incorporation: ________________ Date of Incorporation: _________________ Charter Number of the Virginia Certificate of Authority: ___________________________ Foreign corporations desiring to transact business in the State of Virginia shall register with the State Corporation Commission in accordance with Section 13.1-757 of the Code of Virginia, as amended.

Corporations must provide the names of the following officers:

President: ____________________________________________________ Vice President: ____________________________________________________ Secretary: ____________________________________________________ Treasurer: ____________________________________________________ Registers Agent(s): ____________________________________________________

Bidder/Offeror Name: __________________________Date: ____________________________ Signature of Authorized Signatory: _________________________________________________ Name & Title of Authorized Signatory: ______________________________________________

No.:

Name:
Address:
City and State:
State of Incorporation:
Date of Incorporation:
Charter Number of the Virginia Certificate of Authority:
Corporations must provide the names of the following officers:
Vice President 1:
Vice President 2:
Vice President 3:
Registers Agents:
BidderOfferor Name:
Date:
Signature1_es_:signer:signature:
Signature2_es_:signer:signature:
Check Box3:
0:
0: Off
1: Off
1:
0: Off
1: Off
2:
0: Off
1: Off
3:
0: Off
1_es_:signature: Off
4:
1_es_:signature: Off
5:
1_es_:signature: Off
Enter Solicitation Type Abbreviation_es_:sender: RFP
Enter Solicitiation Type_es_:sender: Request for Proposals
Enter Title_es_:sender: Temporary Staffing Services
Enter No_es_:sender: 2022

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