Attachment 1 Vendor Information-Confirmation of Offer Form.docx
DOCX document 143 KB Posted
- Attached to
- NCC WTP Operations and Maintenance
- Solicitation number
- RFP FAAA 2027000059 1
- Issued by
- Gilpin County, Colorado
About this file
This document is a Vendor Information and Confirmation of Offer Form for Solicitation No. RFP 2027000059, titled "NCC WTP Operations and Maintenance," issued by the State of Colorado. The form requires vendors to submit essential company information including their Colorado Vendor Self-Service (VSS) Customer Number, Federal Employer's Identification Number (FEIN), Unique Entity Identifier (UEI#), legal business name, doing business as (DBA) name if applicable, complete address, and authorized signatory details. Vendors must identify a point of contact for solicitation-related communications separate from the authorized signatory and submit a signed original of this form with their complete solicitation response.
The form serves as a critical administrative component of the proposal submission process, as the vendor customer number and FEIN provided will be used for award issuance, contracting, and payment to the winning respondent. Vendors are instructed to verify the accuracy of all provided identification numbers to ensure they correspond to the entity submitting the response. The document emphasizes that all responses are subject to conditions stipulated in the solicitation and specifications set forth therein, and vendors are urged to thoroughly review the complete solicitation documentation before submitting their response. The form does not specify pricing terms, contract duration, renewal options, set-asides, or other substantive contract requirements, as it functions exclusively as a data collection and authorization document.
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Text version
Attachment 1
SOLICITATION NO: RFP 2027000059
TITLE: NCC WTP Operations and Maintenance
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 .