5-E. VENDOR INFORMATION FORM.pdf

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Attached to
26Q-033 STORMWATER ENGINEERING DESIGN SUPPORT SERVICES
Solicitation number
26Q-033
Issued by
Marion County, Florida

About this file

This is a Vendor Information Form associated with Marion County Office of the County Engineer's stormwater engineering design support services contract opportunity (26Q-033) in Florida. The form serves as the primary registration document for vendors seeking to qualify for the contract. The form requests comprehensive vendor identification and authorization information, including the legal business name, Doing Business As (DBA) designation, Federal Employer Identification Number (FEIN), and details of the authorized signatory who holds legal authority to execute contracts on behalf of the vendor.

The form requires vendors to provide both primary and secondary contact information, including names, titles, phone numbers, and email addresses for both the authorized signatory and a primary business contact representative. Additionally, the form mandates the submission of complete company address information, distinguishing between the headquarters or legal address and any secondary business location serving as a DBA. This vendor registration information establishes the foundational documentation necessary for Marion County to maintain an active vendor pool of qualified professional engineering design and consulting service firms capable of providing stormwater engineering-related services.

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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 .