Attachment 1 Vendor Information-Confirmation of Offer Form.docx
DOCX document 143 KB Posted
- Attached to
- EPA Five-Year Reviews
- Solicitation number
- IFB1 FAAA 2027000002 2
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Vendor Information and Confirmation of Offer Form for the State of Colorado's Invitation for Bid (IFB) No. 1 2027000002 for EPA Five-Year Reviews services. The form serves as the required submission document for vendors responding to this solicitation and must be completed with accurate vendor identification information, including the Colorado Vendor Self Service (VSS) Customer Number, Federal Employer's Identification Number (FEIN), and Unique Entity Identifier (UEI). Respondents must provide their legal business name, any doing-business-as names, complete address information, and details for an authorized signatory who will execute the bid response. The form also requires identification of a point of contact for solicitation-related communications, separate from the authorized signatory, with associated contact information including name, title, phone number, and email address.
The form emphasizes that vendors must thoroughly review the complete solicitation document before submission and that the vendor customer number and FEIN provided will be used for award issuance, contracting, and payment processing. Offerors must verify the accuracy of these critical identifying numbers to ensure proper contract administration. The signed original of this form must be submitted with the original solicitation response. The document includes signature and date attestation blocks to confirm the vendor's review and approval of the entire solicitation response, with options for original ink signatures or digital signatures from the authorized signatory.
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Text version
Attachment 1
SOLICITATION NO: IFB1 2027000002
TITLE: EPA Five-Year Reviews
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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