ESBD_572524_1793310041209_02. Execution of Response.pdf

PDF 87 KB Posted

Attached to
Wrong Way Detection System
Solicitation number
601310000103464
Issued by
Tarrant County, Texas

About this file

This is an Execution of Response form for a state solicitation issued by the State of Texas, identified by solicitation number 601310000103464. The form serves as the formal acknowledgment and authorization document that respondents must complete and submit as part of their proposal response. By signing this document, respondents certify that they have read and understand all terms and conditions of the solicitation, agree to be bound by those terms, and have clearly identified any exceptions to the solicitation requirements in their response. The signatory must be duly authorized to execute the response, submit the proposal on behalf of the respondent company, and bind the company to a resulting contract.

The form requires respondents to provide essential identification and contact information, including the company name (which must match the Employer Identification Number), principal place of business, physical address if different from the principal place of business, EIN, authorized signatory information with title and date, telephone number, and email address. Additionally, respondents must designate a point of contact if different from the signing authority. The form also includes a field for the DIR/TXMAS Contract Number if applicable, indicating this may involve existing state contracts or procurement systems managed by the Texas Department of Information Resources or similar state procurement mechanisms.

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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: 601310000103464
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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