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Offeror Information Page

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(Attachment # 5)

VEHICLE TOWING, STORAGE, MAINTENANCE & DISPOSAL SERVICES

EASTERN AND WESTERN DISTRICTS OF KENTUCKY, NORTHERN AND SOUTHERN DISTRICTS OF OHIO, NORTHERN AND SOUTHERN DISTRICTS OF WEST VIRGINIA, AND WESTERN DISTRICT OF PENNSYLVANIA

SOLICITATION NO.: 15M50019QA4400013

Each company shall complete this page and submit as the first page of their proposal.

Offeror’s Name (include ‘Doing Business As’ (DBA) and/or ‘Limited Liability Corporation’ (LLC) if applicable):

Offeror’s Address:

Offeror’s Email and Website:

Phone Number:

Fax Number:

Dun’s Number:

Federal Tax I.D. Number:

Business Size (check all that apply): Small Business

_ Other than Small

_ Disadvantaged

_ Women-Owned

_ HUBZone

_ Service-Disabled Veteran-Owned

_ Women-Owned Small Business (WOSB) Eligible

Under the WOSB Program

_ EDWOSB

_ 8(a) Certified Small Business

I, , represent that, to the best of my knowledge and belief, the information included in my offer is complete, accurate, and true.

Signature Date

OFFEROR’S INFORMATION PAGE

Offeror’s Address:

File details come from the government source that posted it.