4-Vendor Information Form.pdf
PDF 1 MB Posted
- Solicitation number
- 26-049
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form for the State of Florida local contract opportunity 26B-049 Belleview Heights Estates Unit 8 (SE 44th Avenue). The form is designed to collect comprehensive vendor information required for bid submission on this roadway construction project. The project involves new construction of 0.11 miles of 20-foot-wide paved roadway with roadside swales in an unimproved area, including clearing and grubbing of the right of way, stabilized subgrade and limerock base installation, excavation and grading of drainage swales, installation of swaled concrete driveway aprons, thermoplastic striping, and stabilization of all construction-disturbed areas.
The Vendor Information Form requests legal business information including the legal business name, Doing Business As (DBA) designation, Federal Employer Identification Number (FEIN), and authorized signatory details for contract execution. The form additionally requires identification of a primary business contact if different from the authorized signatory, complete with name, title, phone number, and email address. Company address information must include both the headquarters or legal address and any secondary DBA address, with full street, city, state, and zip code details. Both primary and secondary email addresses, along with phone numbers, are required for communication purposes throughout the procurement process.
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Other files
| File | Type | Posted |
|---|---|---|
| 10-Scope of Work.doc | DOC document | |
| 3-Similar Work Detail Form.pdf | ||
| 5-Special Provisions.doc | DOC document | |
| 9-100% Plans SE 44th Avenue.pdf | ||
| 6-Disclosure of Subcontractors and Suppliers.pdf | ||
| 2-Bidding Specification Manual.docx | DOCX document | |
| 1-ITB General Terms and Conditions.pdf | ||
| 7-Bid Bond Form.pdf | ||
| 8-Conflict of Interest Statement Form.pdf |
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Text version
Vendor Information Form
Legal Business Information
Legal Business Name Doing Business As (DBA)
FEIN
Authorized Signatory This should be the person legally authorized to sign contracts on behalf of the vendor.
First Name Last Name Primary Email Address Secondary Email Address Phone Number
Primary Business Contact If different from signatory First Name Last Name Title/Position Phone Number Email Address
Company Address Information Headquarters or Legal Address Street City State Zip Code
| Doing Business As DBA: |
| Secondary Email Address: |
| Primary Email Address 1: |
| First Name: |
| Last Name: |
| Legal Business Name: |
| FEIN: |
| Phone Number: |
| Primary First Name: |
| Primary Last Name: |
| Title or Position: |
| Primary Phone Number: |
| Primary Email Address 2: |
| Street: |
| City: |
| State: |
| Zip Code: |
File details come from the government source that posted it. Updated .