ESBD_571138_1792770759993_03. Execution of Response.pdf
PDF 87 KB Posted
- Attached to
- Asphalt Storage Tank Maintenance and Repair
- Solicitation number
- 601320000072188
- Issued by
- Texas
About this file
This is an Execution of Response form for a Texas state and local contract solicitation (Solicitation No. 601320000072188) related to Asphalt Storage Tank Maintenance and Repair. The form serves as the binding execution document whereby respondents acknowledge their acceptance of all terms and conditions outlined in the solicitation. By signing this form, respondents confirm they have read and understand the solicitation requirements, have clearly identified any exceptions to the stated terms, and authorize the signatory to submit the response and execute a contract on behalf of their organization.
The form requires respondents to provide standard identification information including company name (which must match the Employer Identification Number), principal place of business, physical address if different from the principal location, EIN, signature of authorized representative, typed or printed name and title of signatory, date of execution, telephone number, and email address. A separate section accommodates information for an alternative point of contact if different from the signatory. The form also includes fields for a DIR/TXMAS Contract Number if applicable. All required fields are presented as text input areas awaiting completion by responding vendors.
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Text version
1 – 2 Revised 09/18/2026
Execution of Response
Solicitation No.
Respondent’s signature below constitutes execution of the Response. By signing and submitting the Response, Respondent acknowledges and agrees to the following:
1. Respondent has read, understands, and agrees to be bound by all terms and conditions of the Solicitation. Any Exceptions to the
Solicitation have been clearly identified in the Response.
2. The undersigned is duly authorized to sign this Execution of Response, to submit the Response and to execute a Contract on behalf of
Respondent. Capitalized terms used in this Execution of Response shall have the meaning assigned to them in the Solicitation.
Respondent (Company Name – must match EIN):
Principle Place of Business (must match EIN):
Physical Address (if different from above):
Employer Identification Number (EIN):
Signature:
Name (typed or printed):
Title:
Date:
Telephone:
Email Address:
Respondent Point of Contact, if different from above:
2 – 2
Name (Typed or Printed):
Telephone:
Email Address:
DIR/TXMAS Contract Number: (if applicable)
| txt_solicitation_number: 601320000072188 |
| txt_respondent_company_name: |
| txt_principal_place_of_business: |
| txt_physical_address: |
| txt_employer_identification_number: |
| txt_name_typed_or_printed: |
| txt_title: |
| txt_telephone: |
| txt_email_address: |
| txt_point_of_contact_name: |
| txt_point_of_contact_telephone: |
| txt_point_of_contact_email_address: |
| txt_dir_txmas_contract_number: |
| date_signed: |
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