7-QUO 05 Verification of Authorized Offeror Form.pdf
PDF 696 KB Posted
- Attached to
- Trauma Informed Care Certification Training
- Solicitation number
- QUO26-75
- Issued by
- Los Alamos County, New Mexico
About this file
This is a Verification of Authorized Offeror Form issued by the Incorporated County of Los Alamos, New Mexico Procurement Division for the Trauma-Informed Care Certification Training solicitation. The form is designed to document and verify the authorized representative who can legally obligate the selected offeror in delivering services to the County. The document requests comprehensive organizational and contact information including the authorized officer's printed name, title, and signature, along with the offeror's legal organization name, state of incorporation, email address, mailing address, physical address, telephone number, Federal Tax ID, and New Mexico Business Tax ID if applicable. The form also requires identification of the contract manager with printed name, title, and email address. No specific information regarding project scope, quantities, response deadlines, site visits, bidders conferences, award dates, or contract terms is contained within this form itself, as it serves solely as a verification mechanism for authorized representation.
This form contains no pricing terms, set-asides, incumbent information, funding sources, or other financial details. As a procedural verification document, it establishes the framework for which an eligible offeror's authorized representative can commit their organization to the County's Trauma-Informed Care Certification Training contract opportunity. Completion and submission of this form is a mandatory requirement for any organization seeking to bid on this New Mexico procurement opportunity.
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Text version
VERIFICATION OF AUTHORIZED
OFFEROR
Incorporated County of Los Alamos
Procurement Division 101 Camino Entrada, Building 3
Los Alamos, NM 87544
Version: 20250318
This form provides the Incorporated County of Los Alamos (“County”) with the name and information of the authorized officer who can obligate the selected Offeror in providing the services to the County.
Having read the Proposal conditions and examined the scope of services and deliverables for this solicitation, this Proposal is hereby submitted by:
Solicitation No.
Solicitation Title
Printed Name of Authorized Offeror
Title of Authorized Offeror
Signature of Authorized Offeror
Organization’s Legal Name
State of Incorporation
Email Address
Mailing Address (City, State, Zip)
Physical Address (City, State, Zip)
Telephone No.
Federal Tax I.D. No.
NM BTIN (if located in-stated)
Contract Manager Printed Name, Title, and Email
| Solicitation No: |
| Solicitation Title: |
| Printed Name of Authorized Offeror: |
| Title of Authorized Offeror: |
| Signature of Authorized Offeror: |
| Organizations Legal Name: |
| State of Incorporation: |
| Email Address: |
| Mailing Address City State Zip: |
| Physical Address City State Zip: |
| Telephone No: |
| Federal Tax ID No: |
| NM BTIN if located instated: |
| Contract Manager Printed Name Title and Email: |
File details come from the government source that posted it. Updated .