3-Vendor Information.pdf
PDF 948 KB Posted
- Attached to
- Hall Place Boulevard Connector Construction
- Solicitation number
- IFB260101
- Issued by
- Bath County, Kentucky
About this file
This document is a Vendor Information form for a Louisville Metro Government procurement process. The form is designed for potential vendors to provide comprehensive details about their business when submitting a proposal, with a focus on capturing key company information, authorized representative details, and supplier classification.
The form includes sections for basic business information such as legal business name, contact details, revenue commission and federal identification numbers, and a unique entity identifier. Vendors can self-identify their ownership status, including options like Minority-Owned, Women-Owned, Disabled-Owned, LGBT-Owned, or Non-Profit. Additional optional certifications are listed, such as Minority Business Enterprise (MBE), Women Business Enterprise (WBE), and Veteran Owned Small Business (VOSB). The form also includes a section for race/ethnicity self-identification through the Louisville Metro Human Relations Commission Certification, with categories like American Indian, Asian American, Black/African American, Caucasian, and Latino or Hispanic.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 5-Procurement - LMCO ban the box.pdf | ||
| 8-Submission Instructions - IFB260101.pdf | ||
| 6-Hall Place Blvd (Cedar Creek Connector) - Final Plans - FS Stamped.pdf | ||
| 7-IFB260101 Specifications.pdf | ||
| 1-GFE Docs.xlsx | XLSX spreadsheet | |
| 2-Acknowledgement Preference (Constr) 1.pdf | ||
| 4-W9 2024.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .