5-VENDOR INFORMATION FORM.pdf

PDF 1 MB Posted

Attached to
25B-162 IRISH ACRES TO SILVER SPRINGS WATER MAIN INTERCONNECT (PH1)
Solicitation number
25B-162
Issued by
Marion County, Florida

About this file

This is a Vendor Information Form from Marion County, Florida, as indicated by the county seal and "marionfl.org" website reference. The form is a blank template designed to collect essential business information from potential vendors seeking to contract with the county, though it does not specify particular products, services, quantities, response dates, or contract terms as it serves as a general vendor registration document.

The form requests comprehensive vendor details including legal business information (legal business name, DBA, and FEIN), authorized signatory information for the person legally empowered to sign contracts, primary business contact details if different from the signatory, and complete company headquarters or legal address information. No pricing terms, set-aside requirements, incumbent information, or funding details are included since this appears to be a standard vendor qualification form used across multiple procurement opportunities rather than a specific solicitation document.

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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 .