5. Offeror Info Page.pdf

PDF 180 KB Posted

Attached to
Cryptocurrency Management & Disposal Services
Solicitation number
15M50023QA4400002
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Text version

(Attachment # 5)

REQUEST FOR QUOTE

CRYPTOCURRENCY MANAGEMENT AND DISPOSAL SERVICES

SOLICITATION NO.: 15M50023QA4400002

OFFEROR’S INFORMATION PAGE

Each company shall complete this page and submit as the first page of their proposal.

Offeror’s Name (include ‘Doing Business As’ (DBA) and/or ‘Limited Liability Corporation’ (LLC) if applicable):

Offeror’s Address: ____________________________________________________

Offeror’s Email and Website: ____________________________________________________

Phone Number: ____________________________________________________

Fax Number: ___________________________________________ Unique Identity ID: ___________________________________________ Dun’s Number: ___________________________________________ Federal Tax I.D. Number: ___________________________________________

Business Size (check all that apply): _____ Small Business

_____ Other than Small

_____ Disadvantaged

_____ Women-Owned

_____ HUBZone

_____ Service-Disabled Veteran-Owned

_____ Women-Owned Small Business (WOSB) Eligible

Under the WOSB Program

_____ EDWOSB

_____ 8(a) Certified Small Business

I, ______________________________________________, represent that, to the best of my knowledge and belief, the information included in my offer is complete, accurate, and true.

Signature Date

OFFEROR’S INFORMATION PAGE

File details come from the government source that posted it. Updated .