ESBD_469832_1763151411028_Exhibit A - Execution of Proposal 301-26-06529.pdf

RFP No. 301-26-06529

EXHIBIT A

EXECUTION OF PROPOSAL

FAILURE TO COMPLETE, SIGN AND SUBMIT THIS EXECUTION OF PROPOSAL FORM

WITH RESPONDENT’S PROPOSAL MAY RESULT IN DISQUALIFICATION

Respondents presenting proposals to this agency shall provide the following, as applicable:

Federal Employer ID#:

Entity Name:

Street Address:

City/State/Zip:

Secretary of State Charter No.

Texas Franchise Tax No.

DUNS No. (if applicable):

Telephone Number (area code & number):

FAX Number (area code & number, if applicable):

E-Mail Address:

Respondents must include names of each person with at least 25% ownership of the business entity submitting the response:

Name Title or Description of Ownership Interest

Name Title or Description of Ownership Interest

Name Title or Description of Ownership Interest

Name Title or Description of Ownership Interest

RESPONDENT ACKNOWLEDGMENT

The Respondent does hereby acknowledge that it can meet all requirements as stated and also acknowledges the receipt, review, and acceptance of the Request for Proposals identified in its Proposal. Any exceptions to the statement of work, terms, requirements, and conditions have been explicitly set forth in the Respondent’s Proposal. Failure to sign and submit this form with its Proposal may disqualify the Proposal.

By signing this Execution of Proposal, Respondent:

1) Certifies that if a Texas address is shown as the address of the Respondent, the Respondent qualifies as a Texas Bidder as defined in Section 2155.444(c) of the Texas Government Code and Texas Administrative Code, Title 34, Part 1, Chapter 20;

2) Certifies and warrants that it has read, understands, and is currently compliant with the contractor certification requirements as described in the RFP, and that Respondent shall remain in compliance with such certifications during the term of any contract awarded as the result of this RFP.

RFP No. 301-26-06529

EXHIBIT A

EXECUTION OF PROPOSAL

FAILURE TO COMPLETE, SIGN AND SUBMIT THIS EXECUTION OF PROPOSAL FORM

WITH RESPONDENT’S PROPOSAL MAY RESULT IN DISQUALIFICATION

3) Acknowledges that its proposal and subsequent documents submitted to the OOG are subject to the Texas Public Information Act and that Respondent is solely responsible for specifically identifying information it contends to be confidential or proprietary in accordance with RFP instructions.

4) Grants a royalty-free, non-revocable limited perpetual license to reproduce any copyrighted portions of the proposal and subsequent documents to comply with Legislative Budget Board reporting requirements, Public Information Act disclosures, or any other reporting requirements mandated by law or statute.

5) Respondent's proposal will remain in effect for 180 days after the Proposal Due Date

Signature - Authorized Bidder Representative

Printed Name

Date