8-Part G - Attachment C - Required Information Form RFP 2010.pdf

221 KB Posted

Attached to
Operation of Senior Congregate Programs
Solicitation number
2010
Issued by
Alexandria City, Virginia

About this file

Written by GovTribe AI ·

This is a Required Information Form (Attachment C) for the City of Alexandria's Request for Proposals (RFP) 2010 regarding the Operation of Senior Congregate Programs in Virginia. The RFP seeks qualified proposers to coordinate and manage two senior centers that provide congregate meal programs. Proposers may submit proposals to operate one or both Senior Centers and must identify which center(s) they intend to respond to in their Technical and Cost Proposals. For proposers responding to Senior Center II, a viable site proposal must be included that can serve an average of 60 participants on a daily basis.

The Required Information Form mandates that all respondents provide specific organizational and ownership information, including classifications as minority business firms, partnerships, small business firms, corporations, or sole proprietorships. For partnerships and sole proprietorships, respondents must supply owner names and addresses. For corporations, the form requires the state of incorporation, date of incorporation, Virginia Certificate of Authority charter number, and the names of principal officers including president, vice president, secretary, treasurer, and registered agent(s). All submissions must be signed by an authorized signatory with their name and title included. The form serves as a standardized mechanism for the City of Alexandria to collect essential business entity information from all bidders participating in this senior center operations contract opportunity.

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Other files

File Type Posted
17-Attachment L - Job Descriptions for Senior Center staff.pdf PDF
4-RFP 2010 - Part D - General Terms and Conditions.pdf PDF
18-Attachment M - DAAS Policies and Procedures.pdf PDF
19-Part G - Attachment A Fillable - Authorized Signatory Statement - RFP 2010.pdf PDF
9-Part G - Attachment D - Certifications RFP 2010.pdf PDF
2-RFP 2010 - Part A - RFP General Information.pdf PDF
3-RFP 2010 - Part C - Special Terms and Conditions.pdf PDF
7-RFP 2010 - Part H - Definitions.pdf PDF
14-Attachment I - DARS Guidelines for Serving Sweets.pdf PDF
5-RFP 2010 - Part E - Instructions to Offerors.pdf PDF
16-Attachment K - DAAS Religious Activity guidelines for congregate meal sites 9-2019.pdf PDF
13-Attachment H - Meal Planning Guidelines.pdf PDF
15-Attachment J - Daily Meal Service Checklist.pdf PDF
1-RFP 2010 - Part B - RFP Scope of Work.pdf PDF
10-Part G - Attachment E - Reference Sheet RFP 2010.pdf PDF
6-RFP 2010 - Part F - RFP Eval and Method of Award.pdf PDF
11-Part G - Attachment F - Subcontractor List RFP 2010.pdf PDF
12-Part G - Attachment G - No Response Form - RFP 2010.pdf PDF
Show all 18

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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: Operation of Senior Congregate Programs
Enter No_es_:sender: 2010

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