5-Vendor Information.pdf

PDF 1016 KB Posted

Attached to
Light, Medium, and Heavy-Duty Truck Parts
Solicitation number
IFB260146
Issued by
Bath County, Kentucky

About this file

This is a vendor information form for the Louisville/Jefferson Metro Government's procurement for Light, Medium, and Heavy-duty Truck parts and service in Kentucky. The form serves as the official submission document for prospective bidders and requires comprehensive vendor identification including the proposer's full legal business name, address, contact information, and federal identification numbers such as the Metro Louisville Revenue Commission Number, Federal ID Number, and Unique Entity Identifier. The form designates authorized representatives for contract negotiations and invoice processing, requiring signature certification from an authorized agent with specified contact details for contract and invoicing matters.

The vendor information form includes sections for supplier classification and certification documentation, allowing bidders to identify ownership status across multiple categories including Minority-Owned, Women-Owned, Disabled-Owned, LGBT-Owned, and Non-Profit designations. Vendors may also claim relevant business certifications such as Minority Business Enterprise (MBE), Women Business Enterprise (WBE), Disabled Business Enterprise (DIBE), LGBT Business Enterprise (LGBTBE), and Veteran Owned Small Business (VOSB) certifications. The form requires demographic information regarding race and ethnicity classifications for statistical and compliance purposes. As a standardized procurement document dated September 11, 2025, this form establishes the baseline vendor qualification and eligibility criteria that all bidders must complete for consideration in the truck parts and service contract award process.

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Other files

File Type Posted
2-Acknowledgements Preferences.pdf PDF
7-Submission Instructions - IFB260146.pdf PDF
1-IFB260146 Specifications.pdf PDF
6-W9.pdf PDF
4-GFE Docs.xlsx XLSX spreadsheet
3-Ban the Box Compliance Checklist.pdf 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 .