5-Vendor Information.pdf
PDF 1016 KB Posted
- Solicitation number
- RFP260128
- Issued by
- Bath County, Kentucky
About this file
This is a Vendor Information form for a procurement opportunity with Louisville Metro Government in Kentucky, specifically for a Local Supplier Readiness and Technical Assistance Consultant position to support the Equity in Procurement and Contracting Task Force. The form is designed to capture comprehensive vendor information including legal business name, address, contact details, federal identification numbers, and authorized representatives for both contract and invoice communications. The document establishes supplier classification categories and certification eligibility, allowing vendors to identify as minority-owned, women-owned, disabled-owned, LGBT-owned, or non-profit entities, and to indicate relevant certifications such as Minority Business Enterprise (MBE), Women Business Enterprise (WBE), Disabled Business Enterprise (DIBE), LGBT Business Enterprise (LGBTBE), Veteran Owned Small Business (VOSB), or Service-Disabled VOSB status. Additionally, the form requests racial and ethnic identification information including categories for American Indian or Alaska Native, Asian American, Asian-Indian American, Asian-Pacific American, Black or African American, Caucasian, Latino or Hispanic, and other designations.
The form includes space for Metro Louisville Revenue Commission Numbers and Unique Entity Identifiers, requiring vendors to provide complete organizational and identification data necessary for contract administration and compliance purposes. The document was dated September 11, 2025, and appears to be part of a rebid process for consultant services aimed at broadening the pool of qualified local vendors in construction by providing supplier readiness and technical assistance.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 6-W9.pdf | ||
| 1-RFP260128 Specifications.pdf | ||
| 3-Ban the Box Compliance Checklist.pdf | ||
| 4-GFE Docs.xlsx | XLSX spreadsheet | |
| 2-Acknowledgements Preferences.pdf | ||
| 7-Submission Instructions - RFP260128.pdf |
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Text version
VENDOR INFORMATION
Full Legal Business Name of Proposer:
Address:
E-Mail Address:
Telephone:
Metro Louisville Revenue Commission Number:
Federal ID Number:
Unique Entity Identifier:
The following individual is authorized to submit this proposal on behalf of and enter subsequent negotiations should Louisville Metro Government determine our firm reasonable susceptible of being selected for award.
Contact for Contracts: Contact for Invoices:
Email: Email:
Name: Name:
Phone Number: Phone Number:
Authorized Agent Signature:
Printed Name:
Title:
E-Mail Address:
Date:
Supplier Classification Ownership Status (51% owned or controlled) Minority-Owned Women-Owned Disabled-Owned LGBT-Owned Non-Profit Not Applicable Certifications (if applicable) Minority Business Enterprise (MBE) Women Business Enterprise (WBE) Disabled Business Enterprise (DIBE) LGBT Business Enterprise (LGBTBE) Veteran Owned Small Business (VOSB) Service-Disabled VOSB (SDVOSB) Louisville Metro Human Relations Commission Certification Race / Ethnicity American Indian or Alaska Native Asian American Asian-Indian American Asian – Pacific American Black / African American Caucasian Latino or Hispanic Other
Form Date: 9/11/2025 ddadi Stamp
| Full Legal Business Name of Proposer: |
| Address: |
| EMail Address: |
| Telephone: |
| Metro Louisville Revenue Commission Number: |
| Federal ID Number: |
| Unique Entity Identifier: |
| The following individual is authorized to submit this proposal on behalf of: |
| Email: |
| Email_2: |
| Name: |
| Name_2: |
| Phone Number: |
| Phone Number_2: |
| Printed Name: |
| Title: |
| EMail Address_2: |
| Date: |
| Minority-Owned: Off |
| Women-Owned: Off |
| Disabled-Owned: Off |
| LGBT-Owned: Off |
| Non-Profit: Off |
| Not Applicable: Off |
| MBE: Off |
| WBE: Off |
| DIBE: Off |
| LGBTBE: Off |
| VOSB: Off |
| SDVOSB: Off |
| AI / AN: Off |
| AA: Off |
| AIA: Off |
| APA: Off |
| BAA: Off |
| CA: Off |
| L/H: Off |
| Other: Off |
File details come from the government source that posted it. Updated .