05-Attachment C - Contractor Point of Contact doc. (2).pdf
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- Solicitation number
- 6100066641
- Issued by
- Harveys Lake Borough, Pennsylvania
About this file
This is a Supplier Contact Form associated with Pennsylvania's supplemental solicitation for Bagged De-Icing Materials (50 lb. bags) to supplement existing Invitation for Bid numbers 6100060797, 6100061430, and 6100066274. The de-icing materials will be distributed to various state agencies for use as a de-icing agent during winter weather events for snow and ice management. The form serves as the mechanism for contractors to formally register their contact information and designate a primary point of contact for all communications related to the bid submission and contract execution.
The form requires contractors to provide comprehensive identification information, including their legal business name, physical address, SAP Vendor ID number, Federal Identification Number, and primary telephone and email contact details. Additionally, contractors must designate a specific individual responsible for bid preparation and submission, including that person's title, telephone number, facsimile number, and email address. This designated contact person is required to remain available throughout the contract period to answer questions regarding the contractor's delivery capabilities, monitor material supply levels, and notify the Commonwealth of any issues that may affect the contractor's ability to meet established delivery requirements.
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Text version
SUPPLIER CONTACT FORM
SECTION I – CONTRACTOR INFORMATION
CONTRACTOR’S NAME: _____________________________________________
CONTRACTOR’S ADDRESS: _________________________________________________________________
CONTRACTOR’S SAP VENDOR ID NUMBER: ___________________________
CONTRACTOR’S FEDERAL IDENTIFICATION NUMBER: __________________
CONTRACTOR’S TELEPHONE NUMBER: ____________________________
CONTRACTOR’S E-MAIL ADDRESS: ________________________________
SECTION II – CONTRACTOR CONTACT PERSON
NAME OF INDIVIDUAL RESPONSIBLE FOR RECEIVING THE REQUEST FOR QUOTE AND FOR PREPARING AND
SUBMITTING BID: __________________________________________________
TITLE OF INDIVIDUAL: ________________________________________________________________
INDIVIDUAL’S TELEPHONE NUMBER: ___________________________________________
INDIVIDUAL’S FAX NUMBER: __________________________________________________
INDIVIDUAL’S E-MAIL ADDRESS: _______________________________________________
This individual must be available to answer questions regarding the Contractor’s ability to deliver product. This person will be responsible for monitoring the Contractor’s supply of materials, and will notify the Commonwealth of any problems meeting delivery requirements.
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