7-Contact Info Form.pdf

PDF 285 KB Posted

Attached to
A39, A42, A43 Pump Station Ventilation Improvements
Solicitation number
ITB No. 2026-024
Issued by
Palm Beach County, Florida

About this file

This is a Contact Information Form from the Town of Palm Beach, Florida's Purchasing Division, designed to collect vendor company and contact information for solicitation responses. The form captures essential details across four sections: company information (name, DBA, physical and mailing addresses, owner names), contact information (office phone, fax, website, primary and alternate contacts with phone and email), purchase order contact details, and accounts receivable contact information. The form is associated with the A39, A42, A43 Pump Station Ventilation Improvements solicitation, which seeks qualified contractors to complete ventilation improvements at three wastewater pump stations. The project requires all labor and materials necessary to construct a complete and functional ventilation system as specified in the attached scope of work and drawings. A non-mandatory pre-bid meeting will be held virtually via Microsoft Teams with the date and time specified in the events section, providing the only direct forum for clarification with the project manager and Town staff. Award will be made to the lowest responsive and responsible bidder meeting the stated requirements, with the Town reserving the right to award on an all-or-none or line-by-line basis.

Selected vendors must possess a General Contractor License and Certified Electrical Contractor certification. Bid submissions must be made online through Euna Procurement (Bonfire), the Town's eProcurement platform. Prices quoted must remain valid for ninety days from submission. The Town reserves the right to accept or reject any and all bids and to award or not award a contract based on the bid proposal. The Purchasing Division contact information is located at 951 Okeechobee Road, West Palm Beach, Florida 33401, with phone at 561-838-5406 and fax at 561-835-4688.

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Text version

Please Take a Moment to Provide the following Company Information

Contact Information Form Purchasing Division 951 Okeechobee Rd.

West Palm Beach, FL 33401 Phone: 561-838-5406 Fax: 561-835-4688 Web: www.townofpalmbeach.com

Part 1 | Company Information

State: Zip:

Company Name:

DBA Name (If Applicable):

Physical Address (No P.O. Boxes):

Mailing Address (If Di�erent than Above):

City:

Owner’s Name(s):

Part 2 | Contact Information

O�ce Fax:

Alternate Contact:

Alternate Phone:

Web Site:

Alternate Email :

Part 3 | Purchase Orders

Contact for Issuing Purchase Orders:

Contact Phone:

Contact Email:

TOWN OF PALM BEACH

Alternate Contact Cell Phone:

Primary Contact:

Primary Contact Phone:

Primary Contact Cell Phone:

Primary Contact Email:

Emergency After Hours Contact:

Emergency After Hours Phone:

Emergency After Hours Email:

Part 4 | Accounts Receivable

Accounts Receivable Contact:

Contact Phone:

Contact Email:

TOWN OF PALM BEACH - Contact Information Form

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