2-Vendor Information.pdf
PDF 948 KB Posted
- Attached to
- Loan Servicing
- Solicitation number
- RFP260113
- Issued by
- Bath County, Kentucky
About this file
This document is a Vendor Information form from Louisville Metro Government, designed for potential proposers to complete when submitting a bid or proposal. The form seeks comprehensive details about a vendor's business, including legal business name, contact information, identification numbers, and authorized representative details.
The form includes sections for Supplier Classification and Certifications, allowing vendors to self-identify their ownership status (such as Minority-Owned, Women-Owned, Disabled-Owned, or LGBT-Owned) and relevant business certifications like Minority Business Enterprise (MBE), Women Business Enterprise (WBE), or Veteran Owned Small Business (VOSB). Additionally, the form requires vendors to specify their race/ethnicity for the Louisville Metro Human Relations Commission, with options including American Indian, Asian American, Black/African American, Caucasian, Latino/Hispanic, and others. The form is dated 9/12/2025 and includes space for an authorized agent's signature and contact information.
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| 8-Submission Instructions - RFP260113.pdf | ||
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| 7-RFP260113 Specifications.pdf | ||
| 5-Certifications-Lobbying Telecommunications.docx | DOCX document | |
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Text version
VENDOR INFORMATION
Full Legal Business Name of Proposer:
Address:
E-Mail Address:
Telephone:
Metro Louisville Revenue Commission Number:
Federal ID Number:
Unique Entity Identifier:
The following individual is authorized to submit this proposal on behalf of and enter subsequent negotiations should Louisville Metro Government determine our firm reasonable susceptible of being selected for award.
Contact for Contracts: Contact for Invoices:
Email: Email:
Name: Name:
Phone Number: Phone Number:
Authorized Agent Signature:
Printed Name:
Title:
E-Mail Address:
Date:
Supplier Classification Ownership Status (51% owned or controlled) Minority-Owned Women-Owned Disabled-Owned LGBT-Owned Non-Profit Not Applicable Certifications (if applicable) Minority Business Enterprise (MBE) Women Business Enterprise (WBE) Disabled Business Enterprise (DIBE) LGBT Business Enterprise (LGBTBE) Veteran Owned Small Business (VOSB) Service-Disabled VOSB (SDVOSB) Louisville Metro Human Relations Commission Certification Race / Ethnicity American Indian or Alaska Native Asian American Asian-Indian American Asian – Pacific American Black / African American Caucasian Latino or Hispanic Other
Form Date: 9/12/2025
| Full Legal Business Name of Proposer: |
| Address: |
| EMail Address: |
| Telephone: |
| Metro Louisville Revenue Commission Number: |
| Federal ID Number: |
| Unique Entity Identifier: |
| The following individual is authorized to submit this proposal on behalf of: |
| Email: |
| Email_2: |
| Name: |
| Name_2: |
| Phone Number: |
| Phone Number_2: |
| Printed Name: |
| Title: |
| EMail Address_2: |
| Date: |
| Minority-Owned: Off |
| Women-Owned: Off |
| Disabled-Owned: Off |
| LGBT-Owned: Off |
| Non-profit: Off |
| Not Applicable: Off |
| MBE: Off |
| WBE: Off |
| DIBE: Off |
| LGBTBE: Off |
| VOSB: Off |
| SDVOSB: Off |
| American Indian or Alaska Native: Off |
| Asian American: Off |
| Asian-Indian American: Off |
| Asian-Pacific American: Off |
| Black African American: Off |
| Caucasian: Off |
| Latino Hispanic: Off |
| Other: Off |
File details come from the government source that posted it. Updated .