Attachment 2 Proposer Information Form~15.pdf
PDF 152 KB Posted
- Attached to
- Contact Survey Pilot
- Solicitation number
- 00002671
- Issued by
- Oregon
About this file
This is a Proposer Information Form for the City of Portland, Oregon, related to a Contact Survey Pilot procurement opportunity. The form serves as a standardized submission document requiring proposers to provide comprehensive organizational and administrative information for evaluation and contract administration purposes.
The form requests essential proposer identification details including legal business name, doing business as designation, physical and mailing addresses, and federal taxpayer identification number. Proposers must identify their organizational structure by selecting from categories including sole proprietorship, partnership, corporate entity (taxable or tax-exempt), government entity, or other classifications, and disclose any common parent ownership or control relationships. Additional requirements include City of Portland Business License and Tax Account numbers, Oregon State Registry Number, and Buyspeed Vendor Number. Proposers must acknowledge familiarity with the City of Portland's Open Data Policy goals and confirm capability to obtain required insurance coverage at levels specified in the resulting contract. The form also provides options for proposers to request public records redactions, with instructions to submit both redacted and unredacted copies along with a redaction summary if necessary. Authorization requires signature from the proposer's designated representative, with identification of a local contact if different from the authorized representative.
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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 .