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

PDF 221 KB Posted

Attached to
Temporary Staffing Services
Solicitation number
2022
Issued by
Alexandria City, Virginia

About this file

This is a Required Information Form attachment issued by the City of Alexandria, Virginia, as part of a Request for Proposals (RFP) for Temporary Staffing Services. The form serves as a standardized submission document that all respondents must complete to be considered for the contract opportunity. The form requests basic organizational information and classification details that allow the City to evaluate bidder eligibility and qualifications prior to proposal evaluation.

The form requires respondents to provide organizational classification information, including whether the firm qualifies as a Minority Business Firm, Small Business Firm, Partnership, Corporation, or Sole Proprietorship. Depending on the business structure, respondents must supply corresponding documentation such as state of incorporation, date of incorporation, Virginia Certificate of Authority charter number, and names of corporate officers including President, Vice President, Secretary, Treasurer, and Registered Agent(s). All submissions must be signed by an authorized signatory with their printed name and title. The form includes checkboxes for solicitation type designation and appears designed to support the City's procurement compliance requirements and small business utilization tracking objectives.

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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: RFP
Enter Solicitiation Type_es_:sender: Request for Proposals
Enter Title_es_:sender: Temporary Staffing Services
Enter No_es_:sender: 2022

File details come from the government source that posted it. Updated .