1. Vendor Information Form FILLABLE.pdf

PDF 122 KB Posted

Attached to
Fire Station No. 55 and City Hall Window and Sliding Glass Door Replacement Project
Solicitation number
147430
Issued by
Riverside County, California

About this file

This is a Vendor Information Form for a state and local contract opportunity related to the Fire Station No. 55 and City Hall Window and Sliding Glass Door Replacement Project in California. The form requires prospective vendors to provide comprehensive organizational and contact details, including legal contractual name, mailing address, contact person information, email, and phone number. Vendors must identify their business structure, choosing from options including corporation, limited liability partnership, partnership, sole proprietorship, individual, or joint venture. For corporations, vendors must specify the state of incorporation and provide the names of at least two individuals authorized to sign contracts; partnerships and corporations similarly require multiple authorized signatories. Hard copy bid bonds are due by November 12, 2026, at 2:00 PM PST.

The form requires vendors to supply their Federal Tax Identification Number and City of Indian Wells Business License Number, with the latter being mandatory for the successful proposer. This documentation is essential for establishing vendor eligibility and financial accountability. The form appears to be fillable and includes checkbox options for business structure classifications and additional documentation fields to accommodate various organizational types and contractual authorization requirements.

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Text version

11 | P a g e

VENDOR INFORMATION FORM

Legal Contractual Name: _______________________________________

Mailing Address: _____________________________________________

Contact Person & Title: ________________________________________

E-mail Address: ______________________________________________

Phone: _____________________________________________________

Your Firm is: (check one)

Corporation Limited Liability Partnership

Partnership Sole Proprietorship

Individual Joint Venture

If corporation, incorporated under laws of the State of: ______________

Names of Individuals with Authorization to sign contracts (Corporations and Partnership require at least two signatures):

Federal Tax Identification Number: ______________________________

City of Indian Wells Business License Number: _____________________

(Indian Wells business license will be required of the successful Proposer)

Legal Contractual Name:
Mailing Address:
Contact Person Title:
Email Address:
Phone:
Corporation: Off
Partnership: Off
Individual: Off
Limited Liability Partnership: Off
Sole Proprietorship: Off
Joint Venture: Off
If corporation incorporated under laws of the State of:
Federal Tax Identification Number:
City of Indian Wells Business License Number:
Check Box12: Off
Check Box13: Off
Check Box14: Off
Check Box15: Off
Check Box16: Off
Check Box17: Off

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