3-Vendor Information.pdf

PDF 948 KB Posted

Attached to
Shawnee Park Asphalt Tennis-Pickleball Courts Renovation
Solicitation number
RFP260168
Issued by
Jefferson County, Kentucky

About this file

This is a vendor information form for a state and local contract opportunity issued by Louisville Parks and Recreation in Kentucky for the renovation of tennis and pickleball courts at Shawnee Park. The project is located at 4501 West Broadway Street, Louisville, Kentucky 40211, and encompasses all necessary site work, tennis and pickleball court construction, fencing, concrete bench footers, utilities, site amenities, and grading and drainage as shown on the plans and specifications. The form was dated September 12, 2025, and requires proposers to submit comprehensive vendor information including legal business name, address, contact details, and authorization documentation for contract negotiations and invoicing purposes.

The vendor information form requests identification of supplier classification and ownership status, including options for minority-owned, women-owned, disabled-owned, and LGBT-owned enterprises, as well as non-profit status. Proposers must declare applicable certifications such as Minority Business Enterprise (MBE), Women Business Enterprise (WBE), Disabled Business Enterprise (DIBE), LGBT Business Enterprise (LGBTBE), Veteran Owned Small Business (VOSB), and Service-Disabled VOSB (SDVOSB) status. The form also requires disclosure of race and ethnicity information for reporting purposes and includes fields for the Metro Louisville Revenue Commission Number, Federal ID Number, and Unique Entity Identifier to establish vendor eligibility and compliance with Louisville Metro Government contracting requirements.

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Other files

File Type Posted
9-Form A.pdf PDF
8-Bid Form.pdf PDF
5-Acknowledgement Preference (Constr) 1.pdf PDF
10-Form B.pdf PDF
7-GFE Docs.xlsx XLSX spreadsheet
12-Form D.pdf PDF
1-Shawnee Park Tennis Design-Bid Drawing Demo Sheet (1).pdf PDF
4-Procurement - LMCO ban the box.pdf PDF
11-Form C.pdf PDF
13-RFP260168 specifications.pdf PDF
6-W9 2024.pdf PDF
2-Shawnee Park Tennis Design-Bid Drawing Final.pdf PDF
14-Submission Instructions - RFP260168.pdf PDF
Show all 13

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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 .