2. Exhibit B - Required Vendor Information - Services.pdf
PDF 141 KB Posted
- Attached to
- Washing Machines - FCF
- Solicitation number
- DQ 2025000373
- Issued by
- Garfield County, Colorado
About this file
This document is Exhibit B - Required Vendor Information for Services, issued by the Colorado Department of Corrections for the Fremont Correctional Facility (FCF) related to a solicitation for washing machines. The document (DQ #2025000373) seeks to procure two Milnor Model 42026V6Z 140LB Hard Mount Washers or equivalent washers to be installed at the Fremont Correctional Facility located at 57500 E Hwy 50 and Evans Rd, Canon City, CO 81212. The form is designed for potential vendors to complete, providing crucial company and contact information, and requires an authorized signature acknowledging acceptance of all solicitation terms and conditions.
The form requires vendors to disclose key business details including legal company name, contact information, Federal Employer Identification Number (FEIN), and vendor registration status. Additionally, the document mandates that vendors submit a certificate of insurance before a purchase order can be executed, as specified in §2.B of the solicitation. The form provides spaces for expected start and completion dates, quote number, and pricing inclusivity, and requires an authorized signature to certify that no conflict of interest exists. Vendors must complete this form and submit it with their quote by the specified submission deadline.
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Text version
EXHIBIT B
Required Vendor Information
Services
This document must be submitted with Quote by submission deadline.
DQ #: _2025000373
DQ Title:_Washing Machines - FCF
This sheet must be filled out and signed by the Offeror or an officer of the Offeror who is legally authorized to bind the Offeror to the quote.
By signing this document, the authorized agent acknowledges acceptance of all terms and conditions of this solicitation including all attachments. By signing this document, the authorized agent certifies that a conflict of interest does not exist.
Offeror(s) Legal Company Name:
Doing Business As:
Contact Person Name:
Contact Person Title:
Remit To Address:
City, State, Zip
Office Phone #:
Cell Phone #:
Contact Persons Email:
Offeror(s) FEIN:
If registered on VSS please provide Vendor Number:
Expected Start and Completion Date _____________________________
Quote # ____________ (attached). Is price on Quote inclusive of above costs?_____________
Per §2.B of this DQ, a certificate of insurance if required before PO can be executed.
Authorized Signature: _________________________________________Date:____________
| EXHIBIT B |
| Is Quote/Pricing firm for the 1-year duration of the Purchase Order or Contract? __________________. |
File details come from the government source that posted it. Updated .