Attachment 2 Proposer Information Form~14.pdf
PDF 152 KB Posted
- Attached to
- Debris Management Removal Services
- Solicitation number
- 00002531
- Issued by
- Oregon
About this file
This is a Proposer Information Form for the City of Portland, Oregon, related to a Debris Management Removal Services contract opportunity. The form requires proposers to provide comprehensive organizational and administrative information, including the proposer's full legal name, business address, authorized representative contact details, and relevant licensing and registration numbers. Proposers must document their City of Portland Business License Tax Account number, State of Oregon Registry Number, City of Portland Buyspeed Vendor Number, Federal Taxpayer Identification Number (EIN), and state of incorporation. The form requests identification of organizational structure, including options for sole proprietorship, partnership, corporate entity (tax-exempt or non-tax-exempt), government entity, or other designations, and requires disclosure of any common parent ownership or control relationships.
The form includes mandatory acknowledgments regarding the City of Portland's Open Data Policy, requiring proposers to confirm their understanding and commitment to working with the City to meet applicable open data objectives. Additionally, proposers must acknowledge that they have reviewed the insurance requirements for the resulting contract and confirm their ability to obtain or currently maintain the required insurance coverage levels if awarded. Proposers have the option to request redactions for public records purposes and must submit a redacted copy with a summary of redactions if such protection is needed. The form directs proposers to supporting documentation and policy information through the City of Portland's official websites and eFiles system for comprehensive details on open data requirements and insurance specifications.
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Text version
Proposer Information Form
Proposal Date
RFP Number
Project Title
Proposer’s Full Legal Name
Doing Business As (if applicable)
Proposer’s Address
Authorized Representative Name
Authorized Representative Title
Authorized Representative Phone
Authorized Representative Email
Authorized Representative Mailing Address
Authorized Representative Signature
Local Contact (if different)
Local Contact Phone
Local Contact Email
City of Portland Business License Tax Account # (if currently licensed) https://www.portlandoregon.gov/revenue/29320
State of Oregon Registry Number http://egov.sos.state.or.us/br/pkg_web_name_src h_inq.login
City of Portland Buyspeed Vendor Number https://procure.portlandoregon.gov/
Federal Taxpayer Identification Number (EIN)
State of Incorporation https://www.portlandoregon.gov/revenue/29320 http://egov.sos.state.or.us/br/pkg_web_name_srch_inq.login http://egov.sos.state.or.us/br/pkg_web_name_srch_inq.login https://procure.portlandoregon.gov/
Proposer Information Form
Type of Organization
[_] Sole proprietorship;
[_] Partnership;
[_] Corporate entity (not tax-exempt);
[_] Corporate entity (tax-exempt);
[_] Government entity (Federal, State, or local);
[_] Other ____________________.
Common Parent
[_] Proposer is not owned or controlled by a common parent:
[_] Name and EIN of common parent:
Name:
EIN:
Redaction for Public Records
[_] No redactions are required; OR [_] Proposer requires redactions and included with this proposal is a redacted copy and a summary of redactions.
Open Data Requirements https://efiles.portlandoregon.gov/Record/1087990 8/
[_] Proposer acknowledges the goals of the City of Portland’s Open Data Policy and will work with the City to meet the goals of the Policy, as is applicable to this project.
Insurance Requirements [_] Proposer acknowledges the insurance requirements for the resulting Contract have been read, and proposer either currently has or will be able to obtain insurance at level required if awarded the Contract.
https://efiles.portlandoregon.gov/Record/10879908/ https://efiles.portlandoregon.gov/Record/10879908/
File details come from the government source that posted it. Updated .