7-RFP 05 Verification of Authorized Offeror Form.pdf
PDF 696 KB Posted
- Attached to
- Comprehensive Plan
- Solicitation number
- RFP26-39
- Issued by
- Los Alamos County, New Mexico
About this file
This document is a Verification of Authorized Offeror form from the Incorporated County of Los Alamos Procurement Division, located in Los Alamos, New Mexico. The form is designed to capture critical information about an authorized representative who can obligate a selected offeror for a specific solicitation. The document provides blank fields for essential details such as solicitation number and title, authorized offeror's name and title, organization's legal name, contact information, state of incorporation, addresses, telephone number, tax identification numbers, and contract manager details.
The form serves as an official template for potential vendors to complete when responding to a county procurement opportunity, ensuring that all necessary identification and contact information is systematically collected. By requiring comprehensive information, the county can verify the legal and operational credentials of businesses interested in providing services or goods through their procurement process. The form is version-dated 20250318, suggesting it is a current template used by the Los Alamos County Procurement Division for solicitation responses.
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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 .