3. Attachment 2. Foreign Vendor Vetting Information.pdf
PDF 640 KB Posted
- Attached to
- Internet Service Provider in Somalia Federal contract opportunity
- Solicitation number
- N68171-22-S-0001
About this file
This document includes a foreign vendor vetting information sheet and details of a federal contract opportunity for an internet service provider in Somalia. The foreign vendor vetting information sheet requests business and ownership information from foreign companies, including details on company registration, DUNS/CAGE numbers, addresses, type of business, number of employees, annual revenue, nature of business, additional locations, ownership information including passport copies, key employee information including passport copies, and banking information. The federal contract opportunity notice is seeking an internet service provider to provide services in Somalia. Interested vendors should submit a capability statement and completed foreign vendor vetting information sheet to the specified military individual by 1900 East Africa Time on June 14, 2022. The solicitation is expected to be released on June 17, 2022 with proposals due June 24, 2022 and award within two weeks thereafter. The contracting agency is the Department of the Navy Naval Supply Systems Command.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1. Sources Sought Notice - Internet Provision Services.pdf | ||
| 2. Attachment 1. Capability Statement.pdf | ||
| 4. Commericial Internet Statement of Work.pdf |
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Text version
US AFRICOM Foreign Vendor Information Sheet
Please attach copies of Passport or National ID for all owner(s) and key employee(s). Please ensure all fields are completely filled out. This form will not be accepted if there is missing information or documents.
Official Business Name
Doing Business As Name
Country Incorporated / Registered Date Business Commenced
Business Commercial Registration Number
DUNS (if applicable) CAGE / NCAGE (if applicable)
Complete Business Address Complete Mailing Address
Company Contact(s) Information:
Position Name Phone Email Other Phone
Please attach copies of Passport or National ID for all owner(s) and key employee(s). Please ensure all fields are completely filled out. This form will not be accepted if there is missing information or documents.
Type of Business (Corporation / LLC / Sole Proprietorship / Partnership / etc…)
Number of Employees
Annual Revenue (USD / CFA / TND / EURO / RWF / etc…)
Nature of Business (Industry / Transportation / Construction / Logistics / etc…)
Additional Business Locations (Inventory / Trading / Registered in Other Countries)
Trading / Inventory Location Name Address Own / Rent
Owners Information (attach copy of passport or National ID) First Name Middle Name Last Name Amount of Capital
Contributed Ownership Start Date
% of Business / # of Shares
Please attach copies of Passport or National ID for all owner(s) and key employee(s). Please ensure all fields are completely filled out. This form will not be accepted if there is missing information or documents.
Key Employee’s Information (attach copy of passport or National ID) First Name / Middle Name Last Name Position Work Phone
Number Mobile / Other Phone Number
Banking Information for Electronic Funds Transfer (note your bank must accept USD / if an intermediary bank is used, please provide information below)
Bank Name Bank Address Account Number SWIFT Code / IBAN
Intermediary Bank Information
Parent Company Name / Address (if applicable)
Subsidiaries Name / Address (if applicable)
Formerly Operated As Name / Address (if applicable)
| PositionRow1: |
| NameRow1: |
| PhoneRow1: |
| EmailRow1: |
| Other PhoneRow1: |
| PositionRow2: |
| NameRow2: |
| PhoneRow2: |
| EmailRow2: |
| Other PhoneRow2: |
| Trading Inventory Location NameRow1: |
| AddressRow1: |
| Own RentRow1: |
| Trading Inventory Location NameRow2: |
| AddressRow2: |
| Own RentRow2: |
| Trading Inventory Location NameRow3: |
| AddressRow3: |
| Own RentRow3: |
| First NameRow1: |
| Middle NameRow1: |
| Last NameRow1: |
| Amount of Capital ContributedRow1: |
| Ownership Start DateRow1: |
| of Business of SharesRow1: |
| First Name Middle NameRow1: |
| Last NameRow1_2: |
| PositionRow1_2: |
| Work Phone NumberRow1: |
| Mobile Other Phone NumberRow1: |
| First Name Middle NameRow2: |
| Last NameRow2: |
| PositionRow2_2: |
| Work Phone NumberRow2: |
| Mobile Other Phone NumberRow2: |
| First Name Middle NameRow3: |
| Last NameRow3: |
| PositionRow3: |
| Work Phone NumberRow3: |
| Mobile Other Phone NumberRow3: |
| Bank NameRow1: |
| Bank AddressRow1: |
| Account NumberRow1: |
| SWIFT Code IBANRow1: |
| Business Name: |
| DBA: |
| Country Incorporated: |
| Date Business: |
| Registration Number: |
| DUNS: |
| CAGE / NCAGE: |
| Business Address: |
| Mailing Address: |
| Type of Business: |
| Number of Employees: |
| State Currency: |
| Nature of Business: |
| First Name Row 2: |
| Middle Name Row 2: |
| Last Name Row2: |
| Capital Contributed: |
| Text19: |
| Text20: |
| First Name Row3: |
| Middle Name Row3: |
| Last Name Row3: |
| Text24: |
| Text25: |
| Text26: |
| Intermediary Bank Information: |
| Parent Company: |
| Subsidiaries: |
| Formerly Operated As: |
File details come from the government source that posted it. Updated .