A business that both maintains a location and employs staff within the NWPTA region. 1. The respondent is a person who is resident in the NWPTA Region. If “Yes,” indicate the applicable province, address, and duration of residency. Address: 2. The respondent is a business that is constituted, established, or organized under the laws of British Columbia, Alberta, Manitoba or Saskatchewan. If “Yes,” indicate the applicable Province, registered office address, and duration of registration. Registered office address: 3. The respondent is business that both maintains a location and employs staff within the NWPTA Region. If “Yes,” provide the location(s), address(es), and the number of staff employed at each location. Location and address: Number of staff employed at each location: Crown Contact Name: Phone: The respondent acknowledges the RFSQ process will be governed by the terms and conditions of the RFSQ, and that, among other things, such terms and conditions confirm that this procurement process does not constitute a formal, legally binding bidding process (and for greater certainty, does not give rise to a Contract A bidding process contract), and that no legal relationship or obligation regarding the procurement of any good Purchasing Entity or service will be created between Purchasing Entity and the respondent unless and until Purchasing Entity and the respondent execute a written agreement for the Deliverables. ________________________________ ________________________________ Signature of Respondent Representative Title of Respondent Representative ________________________________ ________________________________ Name of Respondent Representative Date
A business that both maintains a location and employs staff within the NWPTA region. 1. The respondent is a person who is resident in the NWPTA Region. If “Yes,” indicate the applicable province, address, and duration of residency. Address: 2. The respondent is a business that is constituted, established, or organized under the laws of British Columbia, Alberta, Manitoba or Saskatchewan. If “Yes,” indicate the applicable Province, registered office address, and duration of registration. Registered office address: 3. The respondent is business that both maintains a location and employs staff within the NWPTA Region. If “Yes,” provide the location(s), address(es), and the number of staff employed at each location. Location and address: Number of staff employed at each location: Crown Contact Name: Phone: The respondent acknowledges the RFSQ process will be governed by the terms and conditions of the RFSQ, and that, among other things, such terms and conditions confirm that this procurement process does not constitute a formal, legally binding bidding process (and for greater certainty, does not give rise to a Contract A bidding process contract), and that no legal relationship or obligation regarding the procurement of any good Purchasing Entity or service will be created between Purchasing Entity and the respondent unless and until Purchasing Entity and the respondent execute a written agreement for the Deliverables. ________________________________ ________________________________ Signature of Respondent Representative Title of Respondent Representative ________________________________ ________________________________ Name of Respondent Representative Date
8T%20Template%20-%20RFSQ%20(Prequalification)%20Fall2017.docx