Attachment_10_-Affirmation_of_Business_License_to_Operate_in_Panama_.docx

Affirmation of Business License to Operate in Panama The Offeror shall provide the following information:

(1) License Number published by the Republic of Panama:

(2) Name by which entity is commonly recognized:

(3) Company physical street address, city, state, and zip code

(4) Company mailing address, city, state, zip code (if separate from physical).

(5) Date the company started.

(6) Company telephone number.

(7) Contact name and title:

(8) Ministry:

(9) Director:

(10) Access granted: Yes/No.

Consent is/is not granted to the Government to verify all information provided as part of the solicitation process.

Signature: __________________Date:_________________________________ I certify the accuracy, currency, and completeness of this document:

Signature: _________________________Date:_____________________