9-Contact Information.pdf

PDF 53 KB Posted

Attached to
City Farm Lease - 282. 94 Acres and 3323. 30 Acres
Solicitation number
RE-01-26
Issued by
Travis County, Texas

About this file

This document is a Contact Information Form from the City of San Angelo, Texas Purchasing Division, located at 72 West College Avenue in San Angelo. The form is designed to collect detailed contact and vendor information for a solicitation process, requiring vendors to provide comprehensive details about their organization and authorized representatives. The form requires completion of three main sections: Authorized Agent, Primary Contact, and Vendor Details, with spaces for names, titles, email addresses, signatures, and dates.

The form specifically requests vendors to provide their full business contact information, including phone numbers, fax numbers, website, mailing address, and physical address (noting no PO boxes are acceptable). Additionally, the form mandates that vendors attach a current IRS Form W-9 with their submission. The document outlines specific requirements for an "Authorized Agent," defining this as an individual with full capacity to bind the entity, which may include corporate officers, general partners, managing members, or other specifically authorized individuals. The City of San Angelo reserves the right to request written verification of an individual's authority to act on behalf of an entity.

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Text version

CITY OF SAN ANGELO, TEXAS

PURCHASING DIVISION

72 West College Avenue, San Angelo, Texas 76903

325.657.4219 • sapurch@cosatx.us

CITY OF SAN ANGELO, TEXAS • CONTACT INFORMATION FORM

Contact Information

AUTHORIZED AGENT • PLEASE PRINT

An Authorized Agent for an entity pursuant to this solicitation is an individual duly authorized by the entity and having full capacity to bind the entity. Authorized Agent may include an Officer of a Corporation, a General Partner of a Partnership, a Managing Member of a Limited Liability Company, or any other individual who has been granted such authority in writing executed by an individual having authority to bind the entity. City reserves the right to require written verification of an individual’s authority to act on behalf of an entity.

NAME

TITLE E-MAIL

SIGNATURE

DATE

PRIMARY CONTACT • PLEASE PRINT

Complete if different from above.

NAME

TITLE E-MAIL

SIGNATURE

DATE

VENDOR DETAILS • PLEASE PRINT

VENDOR NAME

PHONE FAX

WEBSITE

MAILING ADDRESS

CITY / STATE / ZIP

PHYSICAL ADDRESS (NO PO BOXES)

CITY / STATE / ZIP

PLEASE ATTACH A CURRENT IRS FORM W-9.

mailto:sapurch@cosatx.us

Contact Information

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