Authorized Agent.pdf

This is an Authorized Agent form for the Chestnut Ridge Building Roof Renovations project, a state and local contract opportunity in West Virginia. The form serves as the official bid submission document for contractors seeking to provide all materials, installation, tools, equipment, and labor necessary to complete roof replacements and repairs for the WVU Chestnut Ridge Building located in Morgantown, WV. The document requires the authorized signatory to certify that the bidder offers to furnish all specified labor, materials, equipment, and services at the stated price, subject to the terms and conditions outlined in the Request for Bid/Proposal.

The form mandates that bidders provide essential information including the authorized signatory's printed name, signature, contact information (email and phone number), firm or company name, Federal Employer Identification Number (FEIN), and West Virginia Contractor's License Number. A critical requirement stipulates that the West Virginia Contractor's License must be issued in the exact legal name of the bidder and must be active at the time of bid submission. The form also designates the Procurement Officer as the sole authorized point of contact for all communications regarding the bid, as outlined in Exhibit B, Paragraph Two. Additionally, space is provided to identify an alternate contract signatory if different from the authorized agent.