Identity_Confirmation.pdf

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Attached to
ANNUAL CITYWIDE STREET RESURFACING AND ADA IMPROVEMENT PROGRAM - FY 2023 & 2024
Solicitation number
2023-IFB-CIV-097
Issued by
Los Angeles County, California

About this file

The document is an Identity Confirmation form for a bidder participating in the Annual Citywide Street Resurfacing and ADA Improvement Program for Fiscal Years 2023 & 2024 in California. The form is designed to collect comprehensive identification details for potential contractors, including information about the business entity type (individual, partnership, or corporation), business address, key organizational leadership, state of incorporation, and local representative contact information.

The form requires the bidder to attach a certificate verifying three key elements: the identity of the bidder or signing officer, confirmation that the individual is the named officer, and documentation of the officer's authority to legally bind the bidding organization. This document serves as a critical pre-qualification step in the procurement process, ensuring transparency, legal compliance, and establishing the formal identity of entities seeking to participate in the municipal street resurfacing and infrastructure improvement project.

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Text version

IDENTITY CONFIRMATION

Contractor's Name: ____________________________________________________________

Business Address: _____________________________________________________________

If an individual, so state: __________________________

If a partnership, co-partnership or firm, so state, giving the names and addresses of individuals constituting the organization:

If a corporation, give the following information:

Name of President/CEO: _____________________________________________

Name of Secretary: _________________________________________________

Organized under the laws of the State of: ________________________________

Name of Local Representative: _________________________________________

Address of Local Representative: _______________________________________

Telephone: _______________________

Fax: ____________________________

Attach a certificate to confirm:

1. The identity of the Bidder or Officer who signs above,

2. The fact that he/she is the officer named, and

3. His/her authority to bind the Bidder.

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