6-K. VENDOR INFORMATION FORM.pdf
PDF 1 MB Posted
- Attached to
- 26B-009 NE 58TH AVE RESURFACE PROJECT, TIP080454 (FROM E HWY 326 TO NE 90TH STREET ROAD)
- Solicitation number
- 26B-009
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form associated with a Florida state and local contract opportunity for the NE 58th Avenue Resurface Project (TIP080454) in Florida. The project involves reclaiming and resurfacing NE 58th Avenue from E Highway 326 to NE 90th Street Road, spanning 3.09 miles. The scope of work includes reclaiming and widening the existing roadway, resurfacing pavement, sodding shoulders, removing and adding cross drains and end treatments, constructing driveways and side road aprons, and installing or re-striping pavement markings.
The Vendor Information Form is a template document that collects essential business registration and contact information from prospective vendors bidding on this project. The form requires vendors to provide their legal business name, Doing Business As (DBA) name if applicable, Federal Employer Identification Number (FEIN), and authorized signatory information for contract execution. Additionally, the form requests primary and secondary contact information, including names, titles, phone numbers, and email addresses for both the authorized signatory and primary business contact, as well as the company's headquarters or legal address including street, city, state, and zip code. This standardized information gathering enables the contracting agency to maintain accurate vendor records and facilitate communication throughout the procurement and contract execution process.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .