5-Vendor Information Form.pdf
PDF 1 MB Posted
- Solicitation number
- 26-135
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form related to a preliminary engineering services contract opportunity with the Office of the County Engineer in Florida. The contract seeks a single consultant to prepare a Preliminary Engineering Report (PER) and develop design construction plans, specifications, and permitting documents for the NW 44th Avenue project, which extends 1.4 miles from NW 60th Street to West Highway 326. The project corridor is currently a two-lane roadway with 12-foot lanes and curb-and-gutter infrastructure, with right-of-way widths ranging from 50 to 130 feet, and the scope includes adding two lanes to this existing facility.
The Vendor Information Form functions as a standard template for collecting essential contractor qualification and contact information, including the vendor's legal business name, doing business as (DBA) designation, Federal Employer Identification Number (FEIN), authorized signatory details, primary business contact information, and company headquarters or legal address. This form serves as the foundational documentation for establishing vendor eligibility and ensuring proper communication channels throughout the procurement and contract administration process.
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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 .