Attachment 3 - Signature & Attestation Page.doc

DOC document 63 KB Posted

Attached to
Instructional Presentation Designer
Solicitation number
DQ1 EDAA 2027000021 2
Issued by
Denver County, Denver City, Colorado

About this file

This is a Signature and Attestation Page for a Documented Quote (DQ1) issued by the Colorado Office of Economic Development and International Trade (OEDIT) for solicitation EDAA 2027000021 related to an Instructional Presentation Designer position. The form serves as the formal submission document requiring companies to provide essential organizational information including tax identification number, company name, contact information, and authorized signatory details. Bidders must acknowledge receipt of the solicitation and any modifications published on Colorado Vendor Self-Service, with the number of modifications listed on the form. The document requires an acceptable electronic signature from a person legally authorized to sign on behalf of the company, along with their typed or printed name and title.

The attestation section requires bidders to disclose any organizational or other conflicts of interest regarding the solicitation, their application, staff, proposed subcontractors, or related business with the State of Colorado or OEDIT employees. Companies must also confirm whether they are registered with the Colorado Secretary of State and submit a Certificate of Good Standing if applicable. The OEDIT Purchasing and Contracts Office reserves the right to make a non-responsive determination or cancel an award if any conflict of interest, perceived conflict, or appearance of conflict is identified or disclosed from any source. Parent companies must provide their name, main office address, and tax identification number on a copy of the form, as the parent company will be legally responsible for performing services under any resulting contract.

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Colorado Office of Economic Development and International Trade

ATTACHMENT 3 - Signature and Attestation Page

Documented Quote (DQ1) #: EDAA 2027000021 Please print or type information in all fields below, marked with underscores and/or brackets as placeholders. If not applicable to your organization, please insert “N/A”. For Yes/No question, please respond by marking with an “X”.

Company’s Tax ID Number (FEIN)*: __ Company Name: __ Contact Name: __ Company Address: __ Contact’s Telephone: __ Contact’s E-mail: __ Should the solicitation be modified, Company shall indicate review of all Modifications of EDAA DQ1 2027000021 as published on Colorado Vendor Self-Service (VSS).

Our company acknowledges receipt of EDAA DQ1 2027000021 modifications. List the number of modifications: [__]

Signature of person legally authorized to sign on behalf of the Company – MUST BE SIGNED WITH AN ACCEPTABLE ELECTRONIC SIGNATURE

Date

Typed or printed name of person legally authorized to sign for the Company

Title of person legally authorized to sign for the Company

*PARENT COMPANY. A vendor, owned or controlled by a parent company, must provide the name, main office address and parent company’s tax identification number on a copy of this form. The tax identification number provided must be that of the vendor’s parent company who will be legally responsible for performing services under any Contract resulting from this solicitation.

Conflict of Interest Section

Bidders must state whether there currently are, or potentially could be, organizational or other conflicts of interest regarding this solicitation and/or their application, their staff or their proposed subcontractors, related business with the State of Colorado, or with OEDIT employees.

List any potential conflicts of interest: [__] The OEDIT Purchasing and Contracts Office reserves the right to make a non-responsive determination on a Bidder’s quote or cancel the award if there is a conflict, a perceived conflict, or if a conflict or appearance is disclosed from any other source.

Is your company registered with the Colorado Secretary of State? [__] Yes

[__] No If you answered yes, please submit a copy of Certificate of Good Standing with bid.

MUST BE SUBMITTED WITH BID

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

Attachment 3

File details come from the government source that posted it. Updated .