6-Vendor Information.pdf
PDF 1016 KB Posted
- Attached to
- Holmatro Rescue Equipment, Repairs, and Services
- Solicitation number
- RFP260147
- Issued by
- Bath County, Kentucky
About this file
This is a Vendor Information form for Louisville Metro Government in Kentucky, specifically for a Request for Proposals seeking Holmatro Rescue Equipment for purchases, repairs, and services by the Louisville Metro Fire Department. The form requests standard vendor documentation including the proposer's legal business name, address, contact information, Metro Louisville Revenue Commission Number, Federal ID Number, and Unique Entity Identifier. The document also requires identification of authorized representatives for contract negotiations and invoicing purposes, along with their respective contact details and signatures.
The form includes sections for vendors to indicate their ownership status and applicable business certifications, including Minority-Owned, Women-Owned, Disabled-Owned, and LGBT-Owned classifications, as well as certifications such as 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 (SDVOSB). Vendors must also provide race and ethnicity information if applicable. The contract scope requires that all vendors possess appropriate certifications and warranties, and commit to training Louisville Metro Fire Department personnel on all equipment purchased. The form is dated September 11, 2025.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 7-W9.pdf | ||
| 5-GFE Docs.xlsx | XLSX spreadsheet | |
| 1-RFP260147 Specifications.pdf | ||
| 4-Ban the Box Compliance Checklist.pdf | ||
| 3-Acknowledgements Preferences.pdf | ||
| 2-RFP260147 Price Sheet.pdf | ||
| 8-Submission Instructions - RFP260147.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 .