Exhibit J - Authorized Agent.pdf

PDF 100 KB Posted

Attached to
HSC South Elevator Modernization
Solicitation number
RFP202590000654
Issued by
West Virginia

About this file

The document is an Authorized Agent form for a West Virginia state and local contract opportunity involving the HSC South Elevator Modernization project at West Virginia University. The form is designed for potential bidders to complete, providing essential company and contact information, including firm/company name, address, phone number, email, Federal Employer Identification Number (FEIN), and West Virginia Contractor's License Number. The form emphasizes that the contractor's license must be issued in the exact name of the bidder and be current at the time of bid submission.

The form requires the authorized signatory to agree to furnish all labor, materials, equipment, and services as specified in the Request for Bid/Proposal, subject to the terms and conditions outlined. It includes sections for acknowledging any addenda to the bid documents and provides space for the authorized agent to sign, confirming their commitment to communicate solely with the Procurement Officer. The form is specifically tailored for the elevator modernization project, which involves providing labor, materials, equipment, tools, and supervision to modernize traction elevators in the WVU Health Sciences Center South building.

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Text version

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.

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:

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.

File details come from the government source that posted it. Updated .