Attachment E - Vendor License Verification Form.pdf

This is a Vendor License Verification Form required by the City of Fredericksburg, Virginia for the 27-0011 Courthouse Renovations project. The form serves as a prerequisite to accessing additional project attachments (Attachments A, B, and C) and must be completed and returned by prospective contractors bidding on the courthouse renovation work. The project involves the renovation of a courtroom within the courthouse located at 701 Princess Anne Street in Fredericksburg, Virginia, with the objective of modernizing and improving functionality, safety, accessibility, and operational efficiency while maintaining uninterrupted judicial services.

The Vendor License Verification Form requires contractors to provide their legal business name, contractor license number, licensing state or authority, and license expiration date. Contractors must certify under penalty of perjury that the information provided is accurate and that their license is active and in good standing, with an authorized signature, printed name, and date required for submission. This form represents a standard eligibility verification mechanism to ensure that only properly licensed contractors are permitted to proceed with proposal submissions for the courthouse renovation project.