7-Attachment 5 Vendor Information Sheet.docx

DOCX document 23 KB Posted

Attached to
Acquisition and Development of land at 933 W. Highland Avenue, Milwaukee
Solicitation number
RFP-ED2601
Issued by
Milwaukee County, Mattoon Village, Wisconsin

About this file

This is a Vendor Information Sheet attachment for a Wisconsin County contract opportunity regarding the acquisition and development of land at 933 West Highland Avenue, Milwaukee, Wisconsin. The form serves as a standardized submission document required to accompany vendors' proposals and is designed to collect essential organizational and contact information from prosponders.

The form requires vendors to provide their legal business name, physical address, phone number, and fax number. Vendors must designate three key personnel: a primary contact person responsible for responding to County inquiries regarding proposal clarification, the individual who prepared the proposal response, and the vendor's authorized representative empowered to make binding commitments on behalf of the respondent. Each designated person must provide their name, title, email address, and phone number. The form requires the authorized representative's signature and date to validate the submission. This documentation enables the County to maintain clear lines of communication throughout the procurement process and establish accountability for contractual obligations related to the 1.07-acre parcel acquisition and County Medical Examiner's Office building development project.

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4-Attachment 2 EEOC Compliance.docx DOCX document
2-ATTACHMENT A-D.pdf PDF
8-Attachment 6 Conflict of Interest.docx DOCX document
6-Attachment 4 Exceptions.docx DOCX document
1-RFP Medical Examiner RFP-ED2601.pdf PDF
9-Attachment 7 Certification re Debarment Suspension.docx DOCX document
5-Attachment 3 Sworn Statement of Proposer.docx DOCX document
3-Attachment 1 Proprietary Info Disclosure Form.docx DOCX document

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Text version

ATTACHMENT 5

VENDOR INFORMATION SHEET

This form must be completed and submitted with the proposal. It is intended to provide the County with information on the vendor’s name and address and the specific persons who were responsible for preparation of the vendor’s response. Each vendor must also designate a specific contact person who will be responsible for responding to the County if any clarification of the vendor’s response should become necessary.

Vendor Legal Name:

Vendor Address:

Phone Number: FAX:

Primary Contact for questions regarding the Proposal:

Name: __________________________________________________Title: _________________________

Email Address: _________________________________________________________________________

Phone Number: _________________________________________________________________________

Proposal Prepared By:

Name: __________________________________________________Title: _________________________

E-mail Address: ________________________________________________________________________

Phone Number: _____________________________________________________________________

Vendor’s authorized Representative: The person identified shall be empowered to make binding commitments for the Respondent.

Name: __________________________________________________Title: _________________________

E-mail Address: ________________________________________________________________________

Phone Number: _____________________________________________________________________

Signature: Date:

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