12FPC324Q0004 Attachment 3 Vendor Information Sheet.docx
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- Solicitation number
- 12FPC324Q0004
About this file
This document is a vendor information sheet template to be completed and submitted in response to solicitation number 12FPC324Q0004 for NRCS-Utah Area-Wide Market Analysis (AWMA) Services issued by the Department of Agriculture Under Secretary for Farm Production and Conservation. Vendors are required to provide their business name, address, phone number, point of contact email, Unique Entity Identifier, and GSA contract number if applicable. They must also verify their System for Award Management registration status and include a copy of their SAM record. The authorized representative must sign and date the completed sheet.
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Attachment 3 Solicitation #12FPC324Q0004
VENDOR INFORMATION SHEET
Offeror Name: ________________________________________________________________________
Business Name: _______________________________________________________________________
Business Address: ______________________________________________________________________
Business Phone: ________________________________________________________________________
Offer POC Email: ______________________________________________________________________________
UEI (Unique Entity Identifier): ___________________________________________________________________
GSA Contract # (if applicable): _____________________________________________________________
System for Award Management (SAM) Verification ______are, _______are not registered in SAM.
A copy of the SAM record ______ is, ______is not, included with this quote.
Printed name of Authorized Representative Date
Signature image1.jpg image2.jpg image3.jpg image4.jpg
File details come from the government source that posted it. Updated .