9-Vendor Acknowledgement Form.pdf

PDF 196 KB Posted

Attached to
Student and Family Medical Services
Solicitation number
RFQ 26-001KB
Issued by
Fort Bend County, Texas

About this file

This document is a Vendor Acknowledgement Form from Fort Bend Independent School District (FBISD) Purchasing Department for a potential vendor solicitation. The form requires vendors to acknowledge and agree to the terms of the solicitation, including the FBISD Agreement for Services, Data Protection Addendum (DPA), and General Provisions. Vendors must sign this form to affirm they have read and understand all documents, and upon award notification, they will be required to sign the Agreement for Services and provide a valid Certificate of Insurance via DocuSign. The district reserves the right to modify agreement terms or cancel an award if vendor contract forms deviate from FBISD's standard agreement.

The document includes sections for detailed company information and authorized signatory details, requiring vendors to provide comprehensive contact information, including company address, contact person, telephone and fax numbers, email address, and the title of the person signing the bid. The form emphasizes that no vendor shall obtain any interest or rights in an award until the Board has approved and executed a contract, and the district maintains flexibility to make modifications or re-award the project to alternate vendors if necessary. The form is designed to ensure clear communication, legal compliance, and protection of the district's interests in the procurement process.

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VENDOR ACKNOWLEDGEMENT FORM

Purchasing Department

This acknowledgment shall be signed in ink

This solicitation shall be governed by the documents incorporated in the solicitation; the FBISD Agreement for Services, Data Protection Addendum (DPA), General Provisions, and all proposal documents and the terms outlined in the solicitation. By submitting your proposal and signing the Vendor Acknowledgement Form you affirm your agreement to these terms and confirm that you have read these terms.

Upon notification of award, the FBISD Agreement for Services, Data Protection Addendum will be signed and a valid Certificate of Insurance (COI) will be provided via DocuSign.

No vendor shall obtain any interest or rights in any award until the Board has approved and a contract executed. The District reserves the right to require any modification, or modifications to the Agreement terms if the modifications are deemed to be in the best interest of FBISD and do not substantially change the scope of the Board award. The District does not sign vendor contract forms. In the event that a project is awarded to a vendor and the vendor requests changes to FBISD standard agreement form, the District reserves the right to cancel the award and re-award the project to an alternate Vendor(s).

I am authorized to sign this Acknowledgement and agree to abide by all conditions of this solicitation and certify that I have read and understand the documents in their entirety. In signing this acknowledgement, I attest that under this solicitation I shall provide the goods and/or services requested in this solicitation according to the published provisions.

Project Number: ____________________________________________

Project Description _______________________________________________________

Legal Business Name _____________________________________________________

Authorizing Signature _____________________________________________________

Date ______________________________________

Company Information

1. Company Address ___________________________________________

City____________ State_______________ Zip Code ____________

2. Contact Person (Please Print) _______________________________

3. Telephone Number__________________ Fax Number ___________

4. Vendor’s e-mail address ____________________________________

5. Title of Person Signing Bid _________________________________

Authorized Signatory Information

Please provide the contact information of the individual authorized to sign contracts on behalf of your company.

1. Contact Name (Please Print): _______________________________

2. Telephone Number: __________________ Fax Number: ___________

3. E-mail Address: ____________________________________________

4. Authorizing Signature: _______________________________________

5. Title of Person Signing Contract: _______________________________

Project Description:
1 Company Address:
City:
State:
Zip Code:
2 Contact Person Please Print:
3 Telephone Number:
Fax Number:
1 Contact Name Please Print:
2 Telephone Number:
Fax Number_2:
Signature2_es_:signer:signatureblock:
4 Vendors email address_es_:email:
3 Email Address_es_:email:
Title_es_:title:
Date_es_:date:
Signature1_es_:signer:signature:
Project Number:
Legal Business Name:

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