Exhibit A - Signature Page.docx
DOCX document 15 KB Posted
- Attached to
- RFP NSLP Fruit, Vegetable and Misc.
- Solicitation number
- RFP IHGA 2027000080 1
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Signature Page form for the Colorado Department of Human Services, Division of Contracts and Procurement, related to a National School Lunch Program (NSLP) Fruit, Vegetable and Miscellaneous goods RFP (Solicitation Number: 2027000080). The form requires vendors to submit essential identifying and certification information as part of their bid submission, including vendor name, address, primary contact details, and authorization for proposal submission. Vendors must disclose any perceived, potential, or apparent conflicts of interest and certify their status as Service Disabled Veteran Owned Small Businesses if applicable. Additionally, vendors must confirm whether they appear on any debarred lists and provide signatures from authorized representatives, which may be executed physically or electronically through methods such as DocuSign, Adobe, or scanned copies.
The Signature Page serves as a mandatory compliance document that establishes vendor eligibility and accountability for the NSLP procurement. No specific pricing information, set-asides, or contract term details are provided in this signature form, as it functions solely as a verification and authorization instrument accompanying the formal bid submission.
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Text version
Exhibit A Signature Page The vendor must complete and submit the Signature Page along with the bid.
| Vendor Name |
| [Insert Vendor Name] |
Vendor Address Vendor Contact Name Vendor Contact Email Vendor Contact Phone Does the Vendor have any perceived, potential, or apparent conflicts of interest? If so, please disclose them.
Is the Vendor a Service Disabled Veteran Owned Small Business pursuant to C.R.S. §24-103-905?
Is the Vendor currently on any debarred list?
Name of person authorized to submit this proposal
Signature from an authorized individual. Signatures may be physical or electronic as defined by the Uniform Electronic Transactions Act. Some examples of acceptable signatures are Docusign, Adobe, or scanned physical copies.
[Insert Vendor Address]
[Insert Vendor Contact Name]
[Insert Vendor Contact Email]
[Insert Vendor Phone]
[Insert Conflicts of Interest if Applicable]
[Insert Yes or No]
[Insert Yes or No]
[Insert Name]
[Insert Signature]
Colorado Department of Human Services Solicitation Number: 2027000080 Division of Contracts and Procurement (v. 05/25) Page 16 of 16
File details come from the government source that posted it. Updated .