RFO Att F Respondent Release of Liability.docx
DOCX document 33 KB Posted
- Attached to
- Texas Agency Network Wireless, Pagers, and Satellite Services, and Related Hardware (TEX-AN-WPS)
- Solicitation number
- DIR-CPO-TXA-610
- Issued by
- Texas
About this file
This is a Respondent Release of Liability form for Solicitation DIR-CPO-TXA-610 issued by the Texas Department of Information Resources for the Texas Agency Network Wireless, Pagers, and Satellite Services, and Related Hardware (TEX-AN-WPS) program. The form must be completed and signed by each respondent for every identified business reference and submitted with the respondent's requirements submission. The document serves as a formal request to reference providers to disclose relevant information regarding the business relationship between the respondent and the reference provider.
By executing this release form, the respondent entity and any applicable key staff member release the reference-providing company, its agents, employees, and all affiliated persons and corporate entities from any and all liability, claims, or causes of action arising from the disclosure of information provided in response to the business reference request. The form requires signatures from both the respondent (or authorized representative) and key staff person, along with printed names and titles, with space for date completion in the standard month, day, and year format.
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Text version
RFO DIR-CPO-TXA-610
ATTACHMENT F
RESPONDENT RELEASE OF LIABILITY
THIS FORM MUST BE COMPLETED/SIGNED BY RESPONDENT FOR EACH IDENTIFIED REFERENCE AND SUBMITTED WITH THE RESPONDENT’S REQUIREMENTS SUBMISSION To company providing the reference:
Enter name of company providing the reference here
You are hereby requested to provide a business reference for:
Enter name of company (Respondent) or key staff person’s name needing a reference
To the: Texas Department of Information Resources Solicitation Evaluation Team Please disclose any and all information that you deem relevant relating to the above-named parties’ business relationship. By signing this document, the entity and, if applicable, individual key staff person signing below releases the above-named company providing a reference, its agents, employees, and all persons, natural or corporate, in privity with above-named company providing a reference from any and all liability, claims or causes of action arising from their disclosure of information pursuant to this request for a business reference.
Signed the ______________ day of ______________, 20____.
(Respondent Signature)
(Respondent Printed Name)
(Respondent Title)
Signed the ______________ day of ______________, 20____.
(Key Staff Signature or “N/A” if Respondent-level release)
State of Texas Department of Information Resources Texas Agency Network Wireless, Pagers, and Satellite Services, and Related Hardware (TEX-AN-WPS) – Attachment F: Respondent Release of Liability Page 1 of 1
File details come from the government source that posted it. Updated .