Authorized Agent.pdf

This is an Authorized Agent form for a West Virginia state and local contract opportunity related to the HSC Vivarium Study. The document serves as the official bidder authorization and acknowledgment form for the Health Sciences Center vivarium renovation and potential expansion project. The form requires the authorized signatory to offer and agree to furnish all labor, materials, equipment, and services as specified in the Request for Bid/Proposal at the stated price, subject to all terms and conditions outlined in the solicitation. Bidders must provide their firm or company name, contact information including email and phone number, Federal Employer Identification Number (FEIN), signature, and West Virginia Contractor's License Number. The document also designates a specific Procurement Officer as the sole point of contact for all communications regarding the bid.

The West Virginia Contractor's License must be issued in the exact legal name of the bidding entity and must be active and valid at the time of bid submission. The form allows for identification of an alternate contract signatory if different from the authorized agent, along with their contact information. This form establishes the legal authorization and commitment of the bidder to provide professional architectural and engineering consulting services for the vivarium renovation project within the Health Sciences Center, ensuring compliance with state contracting requirements and proper licensing verification.