Attachment 1 Vendor Information-Confirmation of Offer Form.docx
DOCX document 142 KB Posted
- Attached to
- Captain Jack Mill Superfund Site O & M
- Solicitation number
- RFP FAAA 2026000184 1
- Issued by
- Arapahoe County, Denver City, Colorado
About this file
This is a Vendor Information and Confirmation of Offer Form for Colorado's RFP 2026000184, titled "Captain Jack Captain Jack Mill Superfund Site O & M." The form serves as the official vendor submission document for operations and maintenance services at the Captain Jack Mill Superfund Site. Offerors must complete and submit this form with their original solicitation response, providing comprehensive vendor identification information including legal entity name, Doing Business As (DBA) designation if applicable, complete business address, Federal Employer Identification Number (FEIN), and Unique Entity Identifier (UEI#). The form requires designation of an authorized signatory with title and contact information, as well as a primary point of contact for solicitation-related communications. All responses are subject to conditions and specifications outlined in the complete solicitation document.
The vendor information provided on this form, specifically the Vendor Customer Number and FEIN, will be used by the state for award determination, contract execution, and payment processing. Offerors are instructed to verify the accuracy of all identification numbers before submission to ensure proper issuance and administration of the contract award. The form emphasizes that vendors must thoroughly review the complete solicitation document prior to submitting their response, and signatures must be provided in original ink or digital format by the authorized signatory of the submitting entity.
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Text version
Attachment 1
SOLICITATION NO: RFP 2026000184
TITLE: Captain Jack Captain Jack Mill Superfund Site O & M
Vendor Information & Confirmation of Offer Form
Responses submitted are subject to the conditions stipulated in the solicitation and the specifications set forth in the solicitation.
PLEASE TYPE OR PRINT INFORMATION
VENDOR CUSTOMER # (From Colorado VSS): ___________________________________________________________________
FEDERAL EMPLOYER’S IDENTIFICATION (FEIN) #: _______________________________________________________________
Unique Entity Identifier (UEI#) (if applicable): __________________________
LEGAL NAME of OFFEROR: __________________________________________________________________________________
DBA (if applicable):_______________________________________________________________________________________
ADDRESS: ______________________________________________________________________________________________
CITY, STATE, ZIP: _______________________________________________________________________________________
NAME OF AUTHORIZED SIGNATORY: ________________________________________________________________________
TITLE OF AUTHORIZED SIGNATORY: ________________________________________________________________________
E-MAIL ADDRESS: ______________________________________________________________________________________
PHONE #: __________________________________________
The signature below signifies my review and approval of this solicitation response.
___________________________________________________________________ DATE: ___________________________ Original (in ink) or Digital Signature of Authorized Signatory
POINT OF CONTACT FOR SOLICITATION-RELATED COMMUNICATIONS:
NAME______________________________________________ PHONE #: ______________________________________
TITLE: _____________________________________________
E-MAIL: _____________________________________________________________________________________________
Offerors are urged to read the solicitation document thoroughly before submitting a response. The Vendor Customer Number and F.E.I.N. referenced above will be used for issuance of award, contracting, and payment for the winning response. Verify that the provided numbers are correct for the entity submitting this response.
SUBMIT SIGNED ORIGINAL OF THIS FORM WITH ORIGINAL SOLICITATION RESPONSE
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File details come from the government source that posted it. Updated .