5-Vendor Information Form.pdf
PDF 1 MB Posted
- Attached to
- 26B-098 Waste Tire Transport & Disposal
- Solicitation number
- 26-098
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form related to a waste tire transport and disposal contract opportunity in Marion County, Florida. The contract covers transportation and disposal of waste tires collected at the Marion County Solid Waste Baseline Landfill, encompassing various tire types from residential and commercial sources including passenger, truck, off-road, equipment tires, and rubber tracks. The procurement seeks to award a 2-year contract with three annual renewal options, with the county intending to award the contract to a minimum of two vendors to ensure service continuity and competitive pricing.
The Vendor Information Form captures essential legal business information required for vendor qualification, including the legal business name, Doing Business As (DBA) designation, Federal Employer Identification Number (FEIN), authorized signatory details, and primary business contact information. The form also requires submission of company address information for both headquarters or legal address and any secondary doing business as locations. All prospective vendors must demonstrate licensing and compliance with applicable regulations governing waste tire transportation and disposal in accordance with Florida requirements.
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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 .