Exhibit I - Authorized Agent.pdf
PDF 198 KB Posted
- Attached to
- PRT Structural Inspection of Elevated Guideway
- Solicitation number
- RFP202690000712
- Issued by
- West Virginia
About this file
This is an Authorized Agent form for a state and local contract opportunity in West Virginia related to structural inspection services for the WVU PRT elevated guideway. The form serves as the official bid submission document where the authorized signatory agrees to furnish all labor, materials, equipment, and services as specified in the Request for Bid/Proposal at the stated price, subject to the terms and conditions outlined in the solicitation. The document requires the bidder to provide firm or company name, FEIN, West Virginia Contractor's License Number (which must be issued in the exact name of the bidder and must be valid at the time of bid submission), authorized signatory printed name, signature, contact information including email and phone number, and the printed name and email of the contract signatory if different from the authorized agent.
The form includes fields for addenda documentation, allowing for the recording of any addenda numbers and the dates they were issued, which enables bidders to acknowledge receipt of all solicitation modifications prior to submission. The document emphasizes that the authorized signatory's submission constitutes an offer to perform the specified work and absolves communications with any party other than the designated Procurement Officer, as referenced in Exhibit B. This form is a standard component of the bidding process for the PRT structural inspection project and must be completed accurately with all required licensing and contact information to ensure bid eligibility and compliance with West Virginia contracting requirements.
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Text version
Printed Name of Authorized Signatory:
Addenda No.
Addenda
Printed Name of Contract Signatory if Different than Above:
Email of Contract Signatory:
Date Addendum Issued
Date Addendum Issued
Signatory
Signatory
Signatory
Date Addendum Issued Addenda No.
Authorized Agent The undersigned offers and agrees to furnish all labor, materials, equipment, and services as specified in this Request for Bid/Proposal at the price as stated, subject to the terms and conditions of this Request for Bid/Proposal. Signatory also absolves communications with anyone other than the Procurement Officer (Exhibit B, Paragraph Two).
Address
Addenda No.
WV Contractor's License Number:
West Virginia Contractor's License MUST be issued in the exact name of Bidder and Bidder Must be licensed at the time of submission of bid.
Firm/Company Name:
Email:
Signature:
FEIN:
Phone Number:
Sheet1
File details come from the government source that posted it. Updated .