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 .