7-Contact Info Form.pdf
PDF 285 KB Posted
- Attached to
- North Lake Way Living Shoreline
- Solicitation number
- ITB No. 2026-039
- Issued by
- Palm Beach County, Florida
About this file
This is a Contact Information Form submitted to the Town of Palm Beach, Florida's Purchasing Division in response to a construction solicitation for the North Lake Way Living Shoreline project. The form requests comprehensive company and contact information from qualified contractors interested in bidding on the living shoreline stabilization and enhancement project along North Lake Way at the Lake Worth Lagoon. The project scope includes construction of a nearshore rock breakwater system, restored mangrove habitat, and stabilized upland slope with native vegetation. A non-mandatory pre-bid meeting is scheduled for Thursday, April 30, 2026, at 9:00 AM EST via Microsoft Teams, providing the only formal opportunity for contractors to seek clarifications directly from the Project Manager and Town staff. Bids must be submitted online through Euna Procurement (Bonfire), the Town's eProcurement platform. Award will be made to the lowest responsive and responsible bidder meeting all requirements, with the Town reserving the right to reject any or all bids and award based on which bidder best serves the Town's interests.
The Contact Information Form captures four sections of critical data: company information including name, ownership, and business address; primary and alternate contact details with phone, fax, email, and website information; purchase order contact specifications for the individual authorized to receive procurement orders along with their phone, cell phone, and email; and accounts receivable contact information for invoice processing and payment coordination. This form serves as the essential administrative documentation required from bidders to establish communication channels and administrative points of contact throughout the procurement and potential contract execution process with the Town of Palm Beach.
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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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