6-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 an on-call concrete and paving services contract. The form serves as the official submission document through which qualified and experienced firms authorize a designated officer to represent and obligate their organization in response to the County's request for proposals. The solicitation addresses the County's periodic needs for concrete and roadway repairs driven by ADA compliance requirements, aging infrastructure, erosion, and utility installation projects. Task orders will be issued on an as-needed basis throughout the contract period, allowing the County flexibility in managing its maintenance and repair obligations.

The form requires offerors to provide comprehensive organizational and authorization information, including the authorized officer's printed name, title, and signature; the organization's legal name and state of incorporation; federal tax identification number and New Mexico Business Tax Identification Number (if applicable); mailing and physical addresses; email and telephone contact information; and a designated contract manager with corresponding details. This documentation establishes the legal authority and point of contact for contract performance and administration. No specific pricing information, set-asides, award dates, contract terms, or renewal options are detailed in this form, as it functions solely as the authorization and identification mechanism within the broader solicitation process.