6-Vendor Information Form.pdf
PDF 1 MB Posted
- Solicitation number
- 26-096
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form associated with the 26B-096 Silver Creek and Silver Creek 1st Addition Road Improvement Project in Florida. The form serves as a template for collecting essential vendor registration data required for participation in this state and local contract opportunity. The project involves reclamation and resurfacing of approximately 0.91 miles of subdivision local road sections within the Silver Creek and Silver Creek 1st Addition limits, along with removal of high shoulders, sod application, thermoplastic striping installation, maintenance of traffic (MOT) management, and construction layout services.
The Vendor Information Form requests comprehensive legal business information including the vendor's legal business name, doing business as (DBA) designation, Federal Employer Identification Number (FEIN), and details of the authorized signatory authorized to execute contracts on behalf of the vendor. The form additionally collects primary and secondary contact information, including names, titles, phone numbers, and email addresses for both the authorized signatory and primary business contact personnel. Complete company address information is required, including headquarters or legal address with street, city, state, and zip code. This standardized form ensures that all prospective bidders provide consistent and complete vendor registration data necessary for contract administration and communication purposes.
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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 .