7-1295 Example 1.pdf
PDF 570 KB Posted
- Solicitation number
- RFP #26-007
- Issued by
- Upton County, Texas
About this file
This is an affidavit and disclosure form related to RFP 25001 for Cold Storage Services, applicable to vendors bidding with the Laredo Independent School District in Texas. The document serves as a declaration of ownership and interest in a business entity, requiring the respondent to disclose their company name, location, and controlling interest information. The form establishes definitions for "controlling interest" (ownership exceeding 10 percent, board membership in entities with ten or fewer members, or officer positions in entities with four or fewer officers) and "intermediary interest" (compensation for participation and direct communication with the governmental entity on behalf of the business, excluding employees). The affidavit requires the declarant to provide their date of birth and signature, along with notarization by state and date.
The document functions as a compliance and disclosure requirement for potential vendors and does not contain pricing information, contract terms, renewal options, or service delivery specifications. No specific due dates, site visits, or bidders' conferences are referenced in this particular form. The disclosure serves to establish transparency regarding ownership structures and interested parties involved in the bidding process, ensuring compliance with state and local contracting regulations for the school district's procurement activities.
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Text version
Example Only
) check applicable (
Your Company/Business Entity Name, City, State, Country
Example RFP 25‐001 Cold Storage Services
`Person who has controlling interest in a business entity Controlling Interest‐ has an ownership interest or participating interest in a business entity by virtue of units, percentage, shares, stock, or otherwise that exceeds 10 percent;
is a member of the board of directors or other governing body of a business entity of which the board or other governing body is composed of not more than 10 members; or serves as an officer of a business entity that has four or fewer officers, or serves as one of the four officers most highly compensated by a business entity that has more than four officers.
Subsection (c) of this section does not apply to an officer of a publicly held business entity or its wholly owned subsidiaries.
Intermediary Interest:
receives compensation from the business entity for the person's participation;
communicates directly with the governmental entity or state agency on behalf of the business entity regarding the contract; and is not an employee of the business entity or of an entity with a controlling interest in the business entity.
and my date of birth is _______________________.
( street ) ( state ) ( zip code ) ( country )
( year ) ( month )
State of ________________, on the _____day of ___________, 20_____.
( city )
( Declarant )
File details come from the government source that posted it. Updated .