5-Vendor Information Form.pdf
PDF 1 MB Posted
- Solicitation number
- 26-112
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form for the Rainbow Lakes Estates - Ivy Place Road Improvement Project (26B-112) in Florida. The form requests comprehensive vendor details including legal business name, Federal Employer Identification Number (FEIN), and authorized signatory information for contract execution. The project scope encompasses reclamation and widening of existing roadways, with pavement widening from 18 feet to 20 feet, limerock importation to establish proper 2% roadway slope, shoulder regrading, sodding of shoulders and right-of-way areas, and thermoplastic striping. Additional work includes excavation and grading of a swale approximately 250 feet by 23 feet by 1.5 feet deep in the drainage area at 20154 SW Rainbow Lakes Boulevard, along with finish grading and sodding.
The form captures both primary business contact and authorized signatory information, requiring vendor headquarters or legal address details. The Vendor Information Form serves as the foundational documentation for vendor qualification and contract administration, collecting essential corporate identification, contact information for project communication and correspondence, and authorization details necessary for binding contract execution on behalf of the vendor organization.
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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 .