3-VENDOR INFORMATION.pdf

PDF 948 KB Posted

Attached to
Steel Window and Door Security
Solicitation number
RFP260102
Issued by
Bath County, Kentucky

About this file

This document is a Vendor Information form for a solicitation by Louisville Metro Government. The form is designed for potential vendors to provide comprehensive details about their business, including legal name, contact information, and authorization to submit a proposal. The form includes sections for identifying the authorized agent, specifying supplier classification, and documenting various business ownership and certification statuses.

The form allows vendors to self-identify across multiple categories, including ownership status (Minority-Owned, Women-Owned, Disabled-Owned, LGBT-Owned, Non-Profit) and certifications such as Minority Business Enterprise (MBE), Women Business Enterprise (WBE), and Veteran Owned Small Business (VOSB). The document also includes a section for vendors to indicate their race/ethnicity according to Louisville Metro Human Relations Commission categories, which range from American Indian to Asian American, Black/African American, Caucasian, and Latino or Hispanic. The form is dated 9/12/2025 and features the official Louisville Metro seal, indicating it is an official government procurement document.

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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 .