5-Contractor Info Form.pdf
PDF 285 KB Posted
- Solicitation number
- SS No. 2026-22
- Issued by
- Palm Beach County, Florida
About this file
This is a Contractor Information Form issued by the Town of Palm Beach, Florida's Purchasing Division in conjunction with a sole source procurement for an MVB3X Modular Vehicle Barrier System. The Town intends to award a Purchase Order to Advanced Security Technologies LLC (AST) as the sole source provider for the specified barrier system. The form serves as a standardized template for collecting essential contractor information required for procurement processing, including company details, primary and alternate contact information, purchase order contact designations, and accounts receivable contact information. Questions regarding the solicitation must be submitted through the EUNA platform's Messages/Vendor Discussion feature or directed to Duke Basha, Assistant Procurement and Contract Manager, at dbasha@townofpalmbeach.com or (561) 227-7001. The Town reserves the right to award the entire project or portions thereof and retains the discretion to accept or reject bids based on solicitation terms.
The form does not specify pricing terms, contract duration, or renewal options within its content, as it functions primarily as an administrative data collection instrument. No specific response deadlines, due dates, or award dates are provided in the form itself. The solicitation remains open to alternative vendors capable of providing equivalent products and services, despite the sole source designation for AST. For technical assistance with account creation or bid submission through the Bonfire platform, vendors may contact the Bonfire Help Desk at 1 (800) 354-8010 or support@gobonfire.com. The Town's Purchasing Division is located at 951 Okeechobee Road, West Palm Beach, Florida 33401, with contact available at (561) 838-5406.
View the file
Other files
Show all 13
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
Please Take a Moment to Provide the following Company Information
Contact Information Form Purchasing Division 951 Okeechobee Rd.
West Palm Beach, FL 33401 Phone: 561-838-5406 Fax: 561-835-4688 Web: www.townofpalmbeach.com
Part 1 | Company Information
State: Zip:
Company Name:
DBA Name (If Applicable):
Physical Address (No P.O. Boxes):
Mailing Address (If Di�erent than Above):
City:
Owner’s Name(s):
Part 2 | Contact Information
O�ce Fax:
Alternate Contact:
Alternate Phone:
Web Site:
Alternate Email :
Part 3 | Purchase Orders
Contact for Issuing Purchase Orders:
Contact Phone:
Contact Email:
TOWN OF PALM BEACH
Alternate Contact Cell Phone:
Primary Contact:
Primary Contact Phone:
Primary Contact Cell Phone:
Primary Contact Email:
Emergency After Hours Contact:
Emergency After Hours Phone:
Emergency After Hours Email:
Part 4 | Accounts Receivable
Accounts Receivable Contact:
Contact Phone:
Contact Email:
TOWN OF PALM BEACH - Contact Information Form
File details come from the government source that posted it. Updated .