7-Part G - Attachment C - Required Information Form.pdf

PDF 227 KB Posted

Attached to
Organizational Assessment and Integration Study
Solicitation number
2030
Issued by
Alexandria City, Virginia

About this file

This is a Required Information Form (Attachment C) issued by the City of Alexandria, Virginia, for respondents to an "Organizational Assessment and Integration Study" contract opportunity. The form functions as a mandatory submission document requiring all bidders and offerors to provide comprehensive organizational and ownership information. Respondents must disclose their business classification, including whether they qualify as a Minority Business Firm, Small Business Firm, Partnership, Corporation, or Sole Proprietorship. The form collects detailed identifying information tailored to each business structure type, including names, addresses, and state of incorporation details.

For partnerships and sole proprietorships, the form requires complete name, address, and location information for all partners or the sole proprietor. For corporations, respondents must provide the state of incorporation, date of incorporation, Virginia Certificate of Authority charter number, and names of key officers including the President, Vice President, Secretary, Treasurer, and Registered Agent(s). Foreign corporations seeking to conduct business in Virginia must register with the State Corporation Commission pursuant to Section 13.1-757 of the Code of Virginia. All submissions must be signed by an authorized signatory with their printed name and title included, along with the bidder or offeror name and submission date.

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Text version

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:
Enter Solicitiation Type_es_:sender:
Enter Title_es_:sender:
Enter No_es_:sender:

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