3-Contractor Info Form.pdf
PDF 321 KB Posted
- Attached to
- Automotive Batteries
- Solicitation number
- RFB No. 2026-033
- 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 for use in response to a Request for Bid for Automotive Batteries. The form is designed to collect comprehensive company and contact information from bidders, organized into four primary sections: Company Information, Contact Information, Purchase Orders Contact, and Accounts Receivable. The solicitation invites qualified companies to provide pricing for automotive batteries with specifications outlined in the Request for Bid document. Substitute items must be exact equivalents with manufacturer and part numbers documented. Bids must be submitted on Town-provided forms with all blanks completed; no modifications to forms are permitted. A virtual bid opening will be held via Microsoft Teams at a date and time specified in the Events section. The contract term is one year from the award date, with items ordered on an as-needed basis through Purchase Order issuance.
Pricing quoted must remain valid for the one-year contract period and must include all applicable shipping charges with F.O.B. set at Destination (West Palm Beach, FL 33401). Payment terms are Net 30 days. Quantities are estimated and non-binding on the buyer. Vendors are not required to bid on all items and may quote only items currently in stock. 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 designate Primary, Secondary, and Tertiary suppliers, whichever is most advantageous to the Town. The Town may also make a responsible vendor determination in accordance with Section 287.05701, Florida Statutes.
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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 .