08DOA-S4023 - Vendor-Information-Response.pdf

PDF 59 KB Posted

Attached to
DRC Behavioral Management Training
Solicitation number
40DHHS-S4049
Issued by
Nevada

About this file

This is a Vendor Information Response form used by Nevada's Aging and Disability Services Division for a behavioral management safety training services contract solicitation. The State intends to award one contract resulting from this informal solicitation, with the resulting contract term expected to be four years. Vendors and any subcontractors must complete and submit this form as part of their proposal response.

The form requires vendors to provide comprehensive contact information including company name, street address, city, state, zip code, telephone number, toll-free number, and email address. Additionally, vendors must designate a specific contact person for questions and contract negotiations, including that individual's name, title, address, city, state, zip code, email address, telephone number, and toll-free number. This information will be used for contract development should the vendor be selected for award.

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VENDOR INFORMATION RESPONSE

Revised: April 2021 Page 1 of 1

Vendors shall complete and return this form in their proposal.

If the proposal includes subcontractors, form must be completed for each subcontractor as well.

1. VENDOR CONTACT INFORMATION

COMPANY NAME AND CONTACT INFORMATION:

The information provided in the table below shall be used for development of the contract, if awarded.

Requested Information Response

Company Name:

Company Street Address:

City, State, Zip Code:

Telephone Number, including area code:

Toll Free Number, including area code:

Email Address:

CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS

Requested Information Response

Name:

Title:

Address:

City, State, Zip Code:

Email Address:

Telephone Number, including area code:

Toll Free Number, including area code:

File details come from the government source that posted it. Updated .