3-Contractor Info Form.pdf
PDF 321 KB Posted
- Attached to
- Automotive Parts and Accessories
- Solicitation number
- RFB No. 2026-031
- Issued by
- Palm Beach County, Florida
About this file
This is a Contractor Information Form issued by the Town of Palm Beach, Florida's Purchasing Division in connection with an Automotive Parts and Accessories Request for Bid. The form serves as the standardized submission document for vendors responding to the Town's solicitation for automotive parts and accessories suppliers. Prospective bidders must complete all sections of the Town-provided form, including company information, primary and alternate contact details, purchase order contact information, and accounts receivable contacts. The bid opening will be conducted virtually via Microsoft Teams, with the specific date and time provided in the solicitation events. Vendors are not obligated to bid on all items and may quote only products they currently carry. The Town reserves the right to award on an all-or-none basis to a single bidder, on an item-by-item basis, or to multiple suppliers designated as primary, secondary, and tertiary vendors, whichever serves the Town's best interests. The resulting contract will have a term of one year.
Pricing for all quoted items must remain valid for the entire one-year contract period, with shipping charges included in unit prices. Payment terms are Net 30 days, and all items will be delivered F.O.B. Destination to West Palm Beach, Florida 33401. Quantities are estimated and will not bind the buyer, as items will be ordered on an as-needed basis through purchase orders. The Town has indicated that vendor responsibility determinations will be conducted in accordance with Section 287.05701, Florida Statutes. All bids must be submitted on Town-provided forms with no modifications permitted, and failure to complete all blanks or use the required forms may result in bid rejection.
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Text version
Please Take a Moment to Provide the following Company Information
Contact Information Form Purchasing Division 951 Okeechobee Rd.
West Palm Beach, FL 33401 Phone: 561-838-5406 Fax: 561-835-4688 Web: www.townofpalmbeach.com
Part 1 | Company Information
State: Zip:
Company Name:
DBA Name (If Applicable):
Physical Address (No P.O. Boxes):
Mailing Address (If Di�erent than Above):
City:
Owner’s Name(s):
Part 2 | Contact Information
O�ce Fax:
Alternate Contact:
Alternate Phone:
Web Site:
Alternate Email :
Part 3 | Purchase Orders
Contact for Issuing Purchase Orders:
Contact Phone:
Contact Email:
TOWN OF PALM BEACH
Alternate Contact Cell Phone:
Primary Contact:
Primary Contact Phone:
Primary Contact Cell Phone:
Primary Contact Email:
Emergency After Hours Contact:
Emergency After Hours Phone:
Emergency After Hours Email:
Part 4 | Accounts Receivable
Accounts Receivable Contact:
Contact Phone:
Contact Email:
TOWN OF PALM BEACH - Contact Information Form
| Company Name: |
| DBA: |
| Physical Address: |
| Mailing Address: |
| City: |
| State: |
| Zip: |
| Owner's Name: |
| Main Phone: |
| Fax: |
| Website: |
| Main Contact: |
| Main Contact Phone: |
| Main Contact Cell: |
| Main Contact Email: |
| Emergency After Hours Contact: |
| Emergency After Hours Phone: |
| Alternate Contact: |
| Alternate Phone: |
| Alternate Cell Phone: |
| Alternate Email: |
| Emergency After Hours Email: |
| CONTACT FOR PURCHASE ORDERS: |
| Agents Name: |
| Agents Phone: |
| A/R Contact: |
| A/R PHONE: |
| A/R EMAIL: |
File details come from the government source that posted it. Updated .