6-RFP-03-Authorized Signature and Contact Details.pdf
PDF 122 KB Posted
- Solicitation number
- 26-0037
- Issued by
- Tarrant County, Texas
About this file
This is an authorized signature and contact details form for the City of Fort Worth Environmental Services Department's Request for Proposals (RFP 26-0037) for Mosquito Trapping and Surveillance Services. The form requires proposers to provide their legal name, doing-business-as name, bidder/supplier identification number or Federal Tax Identification Number, and business address. Proposers must designate an authorized representative who will sign the proposal, certifying that the signatory is authorized to bind the organization to the terms of the solicitation and confirming receipt and acceptance of the entire RFP document packet. The form also requests up to three contact persons with their titles, email addresses, and phone numbers for communication purposes throughout the procurement process.
The form includes fields for proposers to indicate whether the resulting agreement will be available for cooperative agreement use and to specify any prompt payment discount terms offered. By submitting the completed form with an authorized signature, proposers acknowledge their intent to furnish all items and services referenced in the RFP at the quoted prices and in accordance with the terms, conditions, and specifications outlined in the solicitation.
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Text version
CITY OF FORT WORTH
ENVIRONMENTAL SERVICES DEPARTMENT
100 FORT WORTH TRAIL
FORT WORTH, TEXAS 76102
REQUEST FOR PROPOSALS
ENV MOSQUITO TRAPPING AND SURVEILLANCE
SERVICES
RFP: 26 - 0037
Legal Name of Proposer:
D/B/A Name of Proposer:
City of Fort Worth Bidder/Supplier ID or Federal ID Number (TIN):
Address:
Name of the Authorized Representative: __________________________________ Title: _____________________________________________________________ The undersigned, by his/her signature, represents that he/she is submitting a binding Proposal and is authorized to bind the proposer to fully comply with the solicitation document contained herein.
The Proposer, by submitting and signing below, acknowledges that he/she has received and read the entire document packet for this RFP and agrees to be bound by the terms therein.
The undersigned agrees if the Proposal is accepted, to furnish any and all items and/or services upon which prices are offered, at the price(s) and upon the terms, conditions, and scope/specifications contained in this RFP.
Signature of the Authorized Representative: _____________________________
Email: Phone:
Name of Contact Person 1:
Title of Contact Person 1:
Email: Phone:
Name of Contact Person 2:
Title of Contact Person 2:
Email: Phone:
Name of Contact Person 3:
Title of Contact Person 3:
Email: Phone:
Please answer each question below:
Will the agreement be available for Cooperative Agreement use?
Yes_______ No________
Prompt Payment Discount Terms: ____ Percent _______ Days (i.e. 3% Net 15, etc.)
File details come from the government source that posted it. Updated .