12-14 Vendor Information Form.pdf
PDF 1 MB Posted
- Solicitation number
- 26-094
- Issued by
- Marion County, Florida
About this file
This document is a Vendor Information Form for a stormwater infrastructure project in Marion County, Florida, specifically the Stanton Weirsdale Drainage Retention Area project (26B-094). The form collects essential vendor registration data including legal business name, Doing Business As (DBA) designation, Federal Employer Identification Number (FEIN), authorized signatory information, and primary business contact details. The related project is designed as a stormwater retrofit and drainage improvement along a portion of SE 134th Avenue Road in Florida, which will construct a new drainage retention area and associated conveyance system on Parcel 49794-000-00, with work occurring within the right-of-way and Marion County-owned parcels.
The form requires vendors to provide headquarters or legal address information, including street address, city, state, and zip code. This vendor information form serves as the preliminary registration document for contractors and suppliers interested in bidding on or participating in the Marion County stormwater drainage improvement project. No specific pricing terms, contract duration, award dates, or bid submission deadlines are contained within this form itself, as it functions solely as a vendor qualification and contact information collection document.
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Text version
Vendor Information Form
Legal Business Information
Legal Business Name Doing Business As (DBA)
FEIN
Authorized Signatory This should be the person legally authorized to sign contracts on behalf of the vendor.
First Name Last Name Primary Email Address Secondary Email Address Phone Number
Primary Business Contact If different from signatory First Name Last Name Title/Position Phone Number Email Address
Company Address Information Headquarters or Legal Address Street City State Zip Code
| Doing Business As DBA: |
| Secondary Email Address: |
| Primary Email Address 1: |
| First Name: |
| Last Name: |
| Legal Business Name: |
| FEIN: |
| Phone Number: |
| Primary First Name: |
| Primary Last Name: |
| Title or Position: |
| Primary Phone Number: |
| Primary Email Address 2: |
| Street: |
| City: |
| State: |
| Zip Code: |
File details come from the government source that posted it. Updated .