6-Vendor Information.pdf

PDF 1016 KB Posted

Attached to
Vehicle Damage Appraisal Services
Solicitation number
RFP260126
Issued by
Bath County, Kentucky

About this file

This is a Vendor Information Form for a state and local contract opportunity with Louisville Metro Government in Kentucky. The form is designed to collect comprehensive vendor details for submission of proposals, specifically for Vehicle Damage Appraisal Services that Louisville Metro Fleet Services intends to procure through a Request for Proposal (RFP) process. The document requires vendors to provide their full legal business name, address, contact information including email and telephone, Metro Louisville Revenue Commission number, Federal ID number, and Unique Entity Identifier. Additionally, vendors must designate a primary contact for contract negotiations and a separate contact for invoicing purposes, along with an authorized agent signature and submission date.

The form includes sections for vendors to self-identify their ownership status and applicable business certifications, including options to indicate minority-owned, women-owned, disabled-owned, LGBT-owned, or non-profit status. Certification categories include Minority Business Enterprise (MBE), Women Business Enterprise (WBE), Disabled Business Enterprise (DIBE), LGBT Business Enterprise (LGBTBE), Veteran Owned Small Business (VOSB), and Service-Disabled VOSB designations. Vendors may also indicate their race or ethnicity classification, with options ranging from American Indian or Alaska Native to Latino or Hispanic. The form was dated September 11, 2025, and contains checkboxes for all classifications and certifications, though specific pricing terms, contract duration, renewal options, and award information are not detailed in this vendor information document.

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Other files

File Type Posted
4-Ban the Box Compliance Checklist.pdf PDF
7-W9.pdf PDF
5-GFE Docs.xlsx XLSX spreadsheet
8-Submission Instructions - RFP260126.pdf PDF
3-Acknowledgements Preferences.pdf PDF
1-RFP260126 Price Sheet.pdf PDF
2-RFP260126 Specifications.pdf PDF

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Text version

VENDOR INFORMATION

Full Legal Business Name of Proposer:

Address:

E-Mail Address:

Telephone:

Metro Louisville Revenue Commission Number:

Federal ID Number:

Unique Entity Identifier:

The following individual is authorized to submit this proposal on behalf of and enter subsequent negotiations should Louisville Metro Government determine our firm reasonable susceptible of being selected for award.

Contact for Contracts: Contact for Invoices:

Email: Email:

Name: Name:

Phone Number: Phone Number:

Authorized Agent Signature:

Printed Name:

Title:

E-Mail Address:

Date:

Supplier Classification Ownership Status (51% owned or controlled) Minority-Owned Women-Owned Disabled-Owned LGBT-Owned Non-Profit Not Applicable Certifications (if applicable) Minority Business Enterprise (MBE) Women Business Enterprise (WBE) Disabled Business Enterprise (DIBE) LGBT Business Enterprise (LGBTBE) Veteran Owned Small Business (VOSB) Service-Disabled VOSB (SDVOSB) Louisville Metro Human Relations Commission Certification Race / Ethnicity American Indian or Alaska Native Asian American Asian-Indian American Asian – Pacific American Black / African American Caucasian Latino or Hispanic Other

Form Date: 9/11/2025 ddadi Stamp

Full Legal Business Name of Proposer:
Address:
EMail Address:
Telephone:
Metro Louisville Revenue Commission Number:
Federal ID Number:
Unique Entity Identifier:
The following individual is authorized to submit this proposal on behalf of:
Email:
Email_2:
Name:
Name_2:
Phone Number:
Phone Number_2:
Printed Name:
Title:
EMail Address_2:
Date:
Minority-Owned: Off
Women-Owned: Off
Disabled-Owned: Off
LGBT-Owned: Off
Non-Profit: Off
Not Applicable: Off
MBE: Off
WBE: Off
DIBE: Off
LGBTBE: Off
VOSB: Off
SDVOSB: Off
AI / AN: Off
AA: Off
AIA: Off
APA: Off
BAA: Off
CA: Off
L/H: Off
Other: Off

File details come from the government source that posted it. Updated .