9-RFP 09 Verification of Authorized Offeror Form.pdf
PDF 695 KB Posted
- Solicitation number
- RFP27-41
- Issued by
- Luna County, New Mexico
About this file
This is a Verification of Authorized Offeror Form associated with the Incorporated County of Los Alamos, New Mexico's Request for Proposals for Senior Services. The RFP seeks qualified and experienced firms to operate and staff two Senior Citizen Centers—one in Los Alamos and one in White Rock, New Mexico—and to provide comprehensive home-based services for older and frail adults. The scope of services includes congregate and home-delivered meals, transportation services, educational and social programs, entertainment, volunteer opportunities, adult day care, respite care, home-based care, and care coordination. The form serves as verification documentation that prospective offerors are authorized to submit proposals in response to this solicitation.
The Verification of Authorized Offeror Form functions as a compliance document requiring offerors to confirm their authorization and eligibility to participate in the County's procurement process. This form is a standard component of formal solicitations and does not contain pricing terms, set-asides, incumbent information, or funding details. Completion and submission of this form is mandatory for offerors seeking consideration in the evaluation process.
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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 .