ESBD_549439_1786758092577_TSC RFI 358-26-002 Appendix A Response Cover and Certification Sheet.pdf
PDF 166 KB Posted
- Attached to
- Vibroacoustic, Vibration, and Electromagnetic Interference/Compatibility (EMI/EMC) Mobile Test Capabilities
- Solicitation number
- RFI-TSC-358-26-02
- Issued by
- Texas
About this file
This is a Response Cover Sheet and Certification form for Request for Information (RFI) #358-26-002 issued by the Texas Space Commission regarding Vibroacoustic and Electromagnetic Interference/Compatibility (EMI/EMC) Mobile Test Capabilities. The form serves as the standardized submission template for organizations responding to the information-gathering initiative. Respondents must complete a single cover sheet for their full response and may attach additional team-member pages as needed. The form requests identification of the lead respondent, including legal name, entity type, state of formation, Texas Secretary of State taxpayer number, principal business address, Texas facility or office address, and designated authorized representative and primary technical contact information. Respondents must also disclose any acknowledgment of addenda issued and classify their response type, which may include facility owner/operator, technology/equipment provider, user/demand-only, consortium/team, or other categories. A Team Member and Role Matrix section requires respondents to identify all consortium members, their entity types, Texas locations, assigned roles, and binding responsibility or agreement status.
The Authorized Representative Certification section contains eight mandatory checkboxes requiring signatory acknowledgment that the response is submitted voluntarily for information-gathering purposes and does not constitute an offer or bid; that factual statements are accurate and speculative information is identified separately; that the respondent possesses authority to submit and has obtained necessary third-party disclosure authorizations; that the respondent understands Texas Public Information Act requirements and cannot guarantee confidentiality; that submissions do not contain classified or controlled information; that the Texas Space Commission is authorized to review, reproduce, and use the response for governmental planning; and that participation creates no preference, prequalification, reimbursement right, or commitment by the Commission or State of Texas. The certification requires the printed name, title, signature, and date of the authorized representative.
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Text version
TEXAS SPACE COMMISSION | RFI #358-26-002 | Electromagnetic Interference/Compatibility (EMI/EMC)
Electronic State Business Daily (ESBD) Texas Comptroller of Public Accounts Office Page 17 of 38
Appendix A – Response, Cover Sheet and Certification.
Complete one cover sheet for the full response.
Attach additional team-member pages if needed. This appendix is not counted against the narrative page limit.
Field Respondent Entry
RFI Number 358-26-002
RFI Subject Vibroacoustic and EMI/EMC Capability
Lead Respondent Legal Name
Assumed / Trade Name
Entity Type and State of Formation
Texas Secretary of State /
Taxpayer Number, if applicable
Principal Business Address
Texas Facility or Office Address, if applicable
Authorized Representative / Title
Primary Technical Contact / Title
Email / Telephone
Website
Addenda Acknowledged [ ] None issued [ ] Addendum No(s). __________________
Response Classification [ ] Facility owner/operator [ ] Technology/equipment provider [ ] User/demand-only [ ]
Consortium/team [ ] Other
Texas Nexus
A.1. Team Member and Role Matrix:
Organization Entity Type Texas Location Role Binding Responsibility /
Agreement Status
TEXAS SPACE COMMISSION | RFI #358-26-002 | Electromagnetic Interference/Compatibility (EMI/EMC)
Electronic State Business Daily (ESBD) Texas Comptroller of Public Accounts Office Page 18 of 38
A.2. Authorized Representative Certification:
[ ] The response is submitted voluntarily for information-gathering purposes and is not an offer, bid, grant application, or request for an award.
[ ] To the best of the signer’s knowledge, material factual statements are accurate as of the date submitted, and current, proposed, modeled, and speculative information are identified separately.
[ ] The respondent has authority to submit the response and has obtained any authorization necessary to disclose information owned by a third party.
[ ] The respondent understands that Texas Space Commission (TSC) cannot guarantee confidentiality and that markings are not determinative under the Texas Public Information Act.
[ ] The ordinary-email submission does not contain classified information or controlled information requiring a secure channel, unless
TSC provided and the respondent used written approved instructions.
[ ] The respondent authorizes TSC to review, reproduce, internally distribute, analyze, summarize, and use the response for governmental planning, subject to applicable law.
[ ] The respondent understands that participation creates no preference, prequalification, reimbursement right, entitlement, or commitment by TSC or the State of Texas.
Printed Name Title Signature Date
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