Authorized Agent.pdf
PDF 116 KB Posted
- Solicitation number
- RFP202690000719
- Issued by
- Mingo County, West Virginia
About this file
This is an Authorized Agent form for a state and local contract opportunity in West Virginia related to architectural and engineering services. The form is designed for contractors bidding on the Health Sciences Education Building project, which requires comprehensive A&E services for planning, design, and construction administration of a new Health Sciences Education Building on the HSC Campus in Morgantown, West Virginia. The document establishes that the undersigned contractor agrees to furnish all labor, materials, equipment, and services as specified in the Request for Bid/Proposal at the stated price, subject to the terms and conditions outlined in the solicitation.
The form requires bidders to provide essential company information including firm name, Federal Employer Identification Number (FEIN), West Virginia Contractor's License Number, contact information (phone and email), and signatures from both the authorized agent and contract signatory if different. The form also includes sections for acknowledging receipt of addenda, with spaces to record addenda numbers and the dates they were issued. This document serves as the official authorization for the bidder to enter into contractual negotiations with the Procurement Officer, and all communications regarding the bid must be directed solely to that officer.
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Text version
Authorized Agent The undersigned offers and agrees to furnish all labor, materials, equipment, and services as specified in this Request for
Bid/Proposal at the price as stated, subject to the terms and conditions of this Request for/Proposal. Signatory also absolves communications with anyone other than the Procurement Officer.
Address
Addenda No.
WV Contractor's License Number:
Firm/Company Name:
Email:
Signature:
FEIN:
Phone Number:
Printed Name of Authorized Signatory:
Addenda No.
Addenda
Printed Name of Contract Signatory if Different than Above:
Email of Contract Signatory:
Date Addendum Issued
Date Addendum Issued
Signatory
Signatory
Signatory
Date Addendum Issued Addenda No.
Sheet1
File details come from the government source that posted it. Updated .