7-Part G - Attachment A Fillable - Authorized Signatory Statement.pdf
PDF 175 KB Posted
- Attached to
- Temporary Staffing Services
- Solicitation number
- 2022
- Issued by
- Alexandria City, Virginia
About this file
This is an Authorized Signatory Statement form attachment issued by the City of Alexandria, Virginia in connection with a Temporary Staffing Services Request for Proposals. The form serves as a fillable document designed to certify and document the authorized signatory or signatories who are empowered to execute binding proposals and contractual agreements on behalf of an offeror organization responding to the City's temporary staffing services solicitation.
The document establishes the legal authorization structure for proposal submission, requiring organizations to identify and formally designate the individual or individuals with authority to sign and commit their company to contractual obligations with the City of Alexandria. This authorization statement is a standard procurement requirement intended to ensure that only properly authorized representatives execute proposals and subsequent contracts, thereby protecting both the offeror and the City from unauthorized or unenforceable commitments.
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City of Alexandria
Attachment A Authorized Signatory Statement
By signing below, the undersigned certifies and represents that:
1. Authority / Binding Offer: The undersigned is an officer, partner, member, manager, or duly authorized agent of the Respondent with full authority to submit this Response on behalf of the Respondent and to bind the Respondent to the representations made herein and to the requirements of this Solicitation.
2. Validity of Response: This Response constitutes a firm and valid submission for evaluation purposes and shall remain effective for the period stated in the Solicitation Documents, or, if no period is stated, for a reasonable period as determined by the City.
3. Acknowledgment of Solicitation Requirements: The Respondent acknowledges that it has read, understands, and agrees to comply with all requirements of the Solicitation Documents, including all instructions, specifications or scope, evaluation criteria, applicable terms and conditions, and all addenda issued by the City (as acknowledged by the Respondent).
4. No Collusion / Independent Submission: The Respondent certifies that this Response has been prepared and submitted independently and without collusion, consultation, communication, or agreement with any other respondent, bidder, or offeror regarding prices, qualifications, intent to submit, or response terms, except as expressly permitted by law. The Respondent understands that false certification may subject it to criminal and civil penalties.
5. Ethics in Public Contracting: The Respondent certifies that it has not offered, given, or agreed to give any City employee or official any gratuity, kickback, or thing of value in connection with this Solicitation and will comply with all applicable ethics in public contracting requirements
6. Drug-Free Workplace (when applicable): Where required by Virginia law and/or the Solicitation Documents, the Respondent certifies that it will provide and maintain a drug-free workplace during performance of any resulting contract and will include the required provisions in subcontracts.
7. Accuracy / Non-Misrepresentation: The Respondent certifies that all information submitted in its Response is true, complete, and accurate, and to the best of its knowledge and acknowledges that any material misrepresentation may result in rejection of the Response, termination of negotiations, termination for default, and/or other remedies available to the City.
Authorized Signature: Date:
Printed Name: Title:
Respondent Legal Name:
Address:
Phone/Email: _________________________________________________________________
No.:
| Date: |
| Printed Name: |
| Title: |
| Respondent Legal Name: |
| Address: |
| PhoneEmail: |
| Signature1_es_:signer:signature: |
| Solicitation Type: Request for Proposals |
| Solicitation Name_es_:sender: Temporary Staffing Services |
| Solicitation No_es_:sender: 2022 |
| Solicitation Abbreviation_es_:sender: RFP |
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