2-VENDOR INFORMATION FORM.pdf

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Attached to
25B-164 LAKE TROPICANA ROAD IMPROVEMENT PROJECT - SW 181ST COURT
Solicitation number
25B-164
Issued by
Marion County, Florida

About this file

This is a Vendor Information Form from Marion County, Florida, designed to collect essential business and contact information from potential vendors seeking to participate in county contracting opportunities. The form requires vendors to provide comprehensive details including their legal business name, doing business as (DBA) name, Federal Employer Identification Number (FEIN), and complete information about their authorized signatory who is legally empowered to sign contracts on behalf of the company. Additionally, the form requests contact details for a primary business contact if different from the signatory, including names, titles, phone numbers, and email addresses, as well as the company's headquarters or legal address information.

The form appears to be a standard pre-qualification or registration document that vendors must complete as part of Marion County's vendor management process, though no specific pricing terms, contract values, funding sources, or incumbent information are specified in this particular document. The form serves as a foundational registration tool that would likely be used in conjunction with specific solicitation documents for individual contracting opportunities within Marion County's procurement system.

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Text version

Vendor Information Form

Legal Business Information

Legal Business Name Doing Business As (DBA)

FEIN

Authorized Signatory This should be the person legally authorized to sign contracts on behalf of the vendor.

First Name Last Name Primary Email Address Secondary Email Address Phone Number

Primary Business Contact If different from signatory First Name Last Name Title/Position Phone Number Email Address

Company Address Information Headquarters or Legal Address Street City State Zip Code

Doing Business As DBA:
Secondary Email Address:
Primary Email Address 1:
First Name:
Last Name:
Legal Business Name:
FEIN:
Phone Number:
Primary First Name:
Primary Last Name:
Title or Position:
Primary Phone Number:
Primary Email Address 2:
Street:
City:
State:
Zip Code:

File details come from the government source that posted it. Updated .