Attachment 2 Cover Sheet Name of Proposing Organization (Include legal name of parent company, if applicable) Name of Parent Company Mailing Address and Physical Address (if different) Telephone Number Fax Number E-mail of Proposal Liaison Phone Number of Proposal Liaison Name & Title of Proposal Liaison Name & Title of Signatory Authority Legal/Tax Status of Proposing Organization Public Private for Profit (check all that apply) Not for Profit Corporation Partnership Sole Ownership Other (Please Specify) ____________________ Federal Tax ID Number Historically Underutilized Business? Yes No (If attach certification) “Yes”, Total Amount Proposed Appendix 19: Certifications and Assurances
Attachment 2 Cover Sheet Name of Proposing Organization (Include legal name of parent company, if applicable) Name of Parent Company Mailing Address and Physical Address (if different) Telephone Number Fax Number E-mail of Proposal Liaison Phone Number of Proposal Liaison Name & Title of Proposal Liaison Name & Title of Signatory Authority Legal/Tax Status of Proposing Organization (check all that apply) Public Private for Profit Not for Profit Corporation Partnership Sole Ownership Other (Please Specify) ____________________ Federal Tax ID Number Historically Underutilized Business? (If “Yes”, attach certification) Yes No Total Amount Proposed Appendix 19: Certifications and Assurances
RFP-2018-60-2003-Copy.docx