3-VENDOR INFORMATION.pdf

PDF 948 KB Posted

Attached to
Bus Charter Services
Solicitation number
IFB260083
Issued by
Bath County, Kentucky

About this file

This is a Vendor Information form for a Louisville Metro Government procurement process. The form is designed to collect detailed information from potential vendors or proposers, including basic business contact details, authorized representative information, supplier classification, and demographic certifications. The document allows vendors to self-identify their business ownership status (such as Minority-Owned, Women-Owned, Disabled-Owned, or LGBT-Owned) and select applicable business enterprise certifications like Minority Business Enterprise (MBE), Women Business Enterprise (WBE), or Veteran Owned Small Business (VOSB).

The form includes comprehensive sections for capturing the vendor's legal business name, address, contact information, tax identification numbers, and specific contact persons for contracts and invoices. Additionally, the form provides a section for the Louisville Metro Human Relations Commission Certification, where vendors can indicate their race/ethnicity classification. The form is dated 9/12/2025 and features the official Louisville Metro Government seal, suggesting it is a standardized document used for tracking vendor diversity, qualifications, and contact information in the local government's procurement process.

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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 .