156-26-113_Refuse Service New Div 6 HQ_Attachment B_Vendor Data Sheet.pdf
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- Solicitation number
- QQ-117079
- Issued by
- Richmond City, Roanoke City, Virginia
About this file
This is a Vendor Data Sheet attachment for a refuse collection services solicitation (156-26-113) issued by the Virginia State Police, an agency of the Commonwealth of Virginia. The solicitation seeks a qualified contractor to provide refuse collection services, excluding hazardous or infectious materials, for the Virginia State Police New Division 6 Headquarters located at 1745 Loch Haven Drive in Roanoke, Virginia. The vendor data sheet is a mandatory requirement that must be completed and submitted with bid documents; failure to provide this documentation may result in the bid being deemed nonresponsive.
The vendor data sheet requires bidders to demonstrate capability and capacity to fulfill all contractual requirements and provide detailed company information including years in business, eVA Vendor ID or DUNS number, vendor primary contact information with phone number, and a minimum of four current or recent references from commercial or governmental accounts. For each reference account, bidders must provide the company name, contact person, phone number, email address, project description, dates of service, and contract value. All information must be certified as accurate by an authorized company representative with signature, title, and date. Completion and submission of this attachment is mandatory and must be returned with all bid documents.
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Text version
Attachment B 156-26-113
Attachment B
VENDOR DATA SHEET
Note: Note: The following information is required as part of your response to this solicitation. Failure to complete and provide this sheet may result in finding your bid nonresponsive. (In the case of a two-step IFB, it may cause the proposal portion to be determined to be not acceptable.)
1. Qualification: The vendor must have the capability and capacity in all respects to satisfy fully all of the contractual requirements.
2. Vendor’s Primary Contact:
Name: __________________________________ Phone: __________________________________
3. Years in Business: Indicate the length of time you have been in business providing this type of good or service:
__________ Years ________ Months
4. Vendor Information:
eVA Vendor ID or DUNS Number: ________________________________
5. Indicate below a listing of at least four (4) current or recent accounts, either commercial or governmental, that your company is servicing, has serviced, or has provided similar goods. Include the length of service and the name, address, and telephone number of the point of contact.
A. Company:________________________________ Contact: ____________________________________
Phone:(_____)_______________________ email address________________________________
Project:_____________________________________________________________________________
Dates of Service: _________________________________$ Value: _______________________
B. Company________________________________ Contact: ____________________________________
Phone:(_____)_____________________ email address_____________________________________
Project:______________________________________________________________________________
Dates of Service: _________________________________$ Value: ________________________
C. Company:________________________________ Contact: ____________________________________
Phone:(_____)_______________________ email address____________________________________
Dates of Service: _________________________________$ Value: ________________________
D. Company:________________________________ Contact: ____________________________________
Phone:(_____)_______________________email address_____________________________________
Dates of Service: _________________________________$ Value: _______________________
I certify the accuracy of this information.
Signed: ____________________________________Title: ________________________________ Date: _______________
MUST BE COMPLETED, ATTACHED OR RETURNED WITH BID DOCUMENTS.
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