6-Vendor Information Form.pdf
PDF 1 MB Posted
- Attached to
- 26B-103 SW Regional WRF O&M Improvements
- Solicitation number
- 26-103
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form for the 26B-103 SW Regional WRF O&M Improvements project in Florida. The project encompasses the installation of three new Positive Displacement Blowers with associated electrical work, site preparation, instrumentation, and stormwater infrastructure improvements at a Water Reclamation Facility. The scope also includes decommissioning three existing blowers while reusing the existing hydropneumatic tank and automatic valve. Marion County has procured the blowers in advance to minimize lead time constraints. Physical construction will commence upon blower delivery, though the selected contractor may begin permit acquisition activities during the interim period prior to equipment arrival.
The Vendor Information Form requests standard business registration details including the vendor's legal business name, Doing Business As designation, Federal Employer Identification Number, and authorized signatory information for contract execution. The form captures the authorized representative's contact information along with an alternative primary business contact if different from the signatory. Complete company address information is required, including headquarters or legal address details with street, city, state, and zip code. No specific pricing terms, funding sources, set-asides, or contract duration details are provided within this form document.
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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 .