4-Vendor Information Form.pdf

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Attached to
26P-118 Debris Management Operations (Phase 4 Recovery) Debris Monitoring & Consulting Services
Solicitation number
26-118
Issued by
Marion County, Florida

About this file

This is a Vendor Information Form for the State of Florida's 26P-118 Debris Management Operations (Phase 4 Recovery) contract opportunity, which requests debris monitoring and consulting services for debris management operations during emergency recovery phases. The contract encompasses collection, transport, staging, reduction, processing, and final disposal of debris along affected roadways, bike lanes, sidewalks, and within rights-of-way or properties as directed and authorized by the County. The term is five years with three optional one-year renewals. Services may include multiple passes for debris collection when authorized by the County, and activities are typically performed post-disaster, though limited recovery actions may occur in conjunction with response phases depending on the event's size, scope, and complexity.

The Vendor Information Form itself is a template document that collects essential vendor details necessary for contract administration, including the vendor's legal business name, doing business as (DBA) name, Federal Employer Identification Number (FEIN), and authorized signatory information. The form requires identification of both an authorized signatory legally permitted to execute contracts on behalf of the vendor and a primary business contact if different from the signatory. Additionally, the form captures company address information for both headquarters or legal address and any secondary business locations, along with corresponding contact information including email addresses and phone numbers.

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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 .