Attachment 1 Vendor Information-Confirmation of Offer Form.docx
DOCX document 143 KB Posted
- Attached to
- Surface and Groundwater Sampling for PFAS
- Solicitation number
- RFP FAAA 2027000015 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 2027000015 for Surface and Groundwater Sampling for PFAS. The form serves as the required submission document for vendors responding to this solicitation and must be completed with accurate vendor identification information prior to proposal submission. The form requires vendors to provide their Colorado Vendor Self-Service Customer Number, Federal Employer Identification Number, and Unique Entity Identifier, along with legal business name, any doing-business-as names, complete address, and authorized signatory information. Vendors must designate a point of contact for solicitation-related communications separate from the authorized signatory, including name, title, phone number, and email address. The form explicitly states that responses submitted are subject to all conditions and specifications stipulated in the solicitation document.
The form emphasizes that the Vendor Customer Number and FEIN provided will be used for award issuance, contracting, and payment, requiring vendors to verify the accuracy of these numbers for the entity submitting the response. The completed and signed original of this form must be submitted with the original solicitation response. No specific pricing terms, set-asides, contract duration, or other salient financial or programmatic details are included in this vendor information form, as it functions primarily as an administrative and identification document rather than a substantive terms specification.
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Text version
Attachment 1
SOLICITATION NO: RFP 2027000015
TITLE: Surface and Groundwater Sampling for PFAS
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 .