7-RFP 05 Verification of Authorized Offeror Form.pdf
PDF 695 KB Posted
- Solicitation number
- RFP27-19
- 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 Procurement Division in New Mexico for the Operation and Staffing of the Performing Arts Center located at 1670 Nectar Street, Los Alamos, NM 87544. The form serves as a standardized document through which offerors submit their proposals and designate the authorized officer responsible for obligating the organization to provide the requested services. The form requires offerors to confirm they have reviewed the proposal conditions, scope of services, and deliverables associated with the solicitation before formal submission.
The form collects essential information for contract administration purposes, including the authorized offeror's printed name and title, organization's legal name, state of incorporation, federal tax identification number, New Mexico Business Tax Identification Number (if applicable for in-state entities), mailing and physical addresses, email address, and telephone number. Additionally, the form requires identification of the contract manager with their printed name, title, and email address. Offerors must provide their signature as verification that they are authorized to obligate their organization, and they must reference the applicable solicitation number and title on the form. This document is essential for establishing the legal representative for contract execution and ongoing contract management.
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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: |
| 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 .