4-Vendor Information Form.pdf
PDF 1 MB Posted
- Attached to
- 26P-117 Debris Management Operations (Phase 3 Response) Debris Monitoring & Consulting Services
- Solicitation number
- 26-117
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form for the State of Florida related to a debris management operations contract opportunity. The form is designed to collect essential business and contact information from vendors interested in submitting proposals for debris monitoring and consulting services under solicitation 26P-117. The contract opportunity involves Phase 3 response operations for debris management, which encompasses damage assessments and debris clearance activities performed during emergency events to restore essential traffic and stabilize immediate threats to health and safety. The contract term is five years with three optional one-year renewals. The form requires vendors to provide legal business information including the company's legal name, Doing Business As (DBA) designation, Federal Employer Identification Number (FEIN), headquarters or legal address, and authorized signatory and primary business contact information.
The Vendor Information Form captures critical contact details necessary for contract administration and communication purposes, including the authorized signatory's name, email address, and phone number, as well as a primary business contact person if different from the signatory. All information fields are formatted to systematically collect company address details, contact information, and identification numbers required for vendor qualification and contract execution. This form serves as a preliminary step in the procurement process, establishing baseline vendor information before proposal evaluation and award determination.
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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 .