Attachment 2 Proposer Information Form~15.pdf

PDF 152 KB Posted

Attached to
Contact Survey
Solicitation number
00002607
Issued by
Oregon

About this file

This is a Proposer Information Form used by the City of Portland, Oregon for state and local contract opportunities. The form serves as a standardized template for collecting essential organizational and administrative information from entities submitting proposals in response to City of Portland Requests for Proposals (RFPs). The document requires proposers to provide their full legal name, business address, authorized representative contact information, and relevant business identification numbers, including City of Portland Business License Tax Account Number, State of Oregon Registry Number, Buyspeed Vendor Number, Federal Taxpayer Identification Number (EIN), and State of Incorporation details. The form includes checkboxes for proposers to identify their organizational structure, declare common parent ownership, acknowledge open data policy compliance, and confirm insurance requirements readiness.

The form requires proposers to indicate their type of organization—selecting from sole proprietorship, partnership, corporate entity (tax-exempt or non-tax-exempt), government entity, or other classifications. Proposers must also disclose any common parent company ownership and may request redactions for public records if sensitive information requires protection. The form explicitly requires proposers to acknowledge the City of Portland's Open Data Policy goals and confirm their understanding and ability to meet the insurance requirements specified in the resulting contract. This standardized intake document ensures consistent information collection across all City of Portland procurement activities and establishes baseline compliance acknowledgments before proposal evaluation begins.

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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 .