7-Vendor Information Form - 2024.docx
DOCX document 24 KB Posted
- Solicitation number
- BC-BID-25-50
- Issued by
- Bergen County, New Jersey
About this file
This document is a Vendor Information Form from the County of Bergen Department of Administration and Finance Division of the Treasurer, located in Hackensack, New Jersey. The form is associated with a state and local contract opportunity for providing skating rinks, equipment rental, and management for the 2025-2026 Winter Wonderland Season, with two additional seasonal options. The contract involves supplying two skating rinks - one 80' x 220' and another 80' x 80' - for winter activities.
The form captures detailed vendor classification information, including business type, ownership status, and tax classification. Vendors can indicate if they are a small business, minority-owned, women-owned, or veteran-owned enterprise, with options ranging from sole proprietorship to various corporate structures. The document requires comprehensive contact information, payment details, and includes a certification section for the authorized official to verify the accuracy of the submitted information. While specific pricing terms are not detailed in this form, it serves as a preliminary step for potential vendors interested in participating in the Winter Wonderland seasonal contract with Bergen County, New Jersey.
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Text version
COUNTY OF BERGEN DEPARTMENT OF ADMINISTRATION AND FINANCE
DIVISION OF THE TREASURER
One Bergen County Plaza• Suite 501 • Hackensack, N.J. 07601-7076
(201) 336-6550 • (201 336-6595
James J. Tedesco, Ill County Executive
Jon Rheinhardt
CFO
Melissa Howard Treasurer
* - Required field
VENDOR INFORMATION FORM
Vendor Information (as displayed on W-9 form):
Company Name*:
Address*:
City*:
State*:
Zip Code*:
Name of Authorized Official*:
Phone Number*:
Email Address*:
| Would you prefer that PO's to be emailed to the email address provided? * | |
| □Yes | □No |
Remittance Address: (if different than information above) Pay-To-Name:
Pay-To-Address:
Pay-To-City:
Pay-To-State:
Pay-To-Zip:
Pay-to Attn:
Payment Email:
Business Classification:
| Is your company a: * |
| IRS Classification: * |
| □ Small Business |
| □ Individual/ Sole proprietor |
| □ Minority Owned |
| □ C-Corp |
| □ Women Owned |
| □ S-Corp |
| □ Veteran Owned |
| □ Partnership |
| □ Other: |
| □ Trust/Estate |
| □ Not Applicable |
| □ Limited Liability Corp - Corporation |
□ Limited Liability Corp - S Corporation
□ Limited Liability Corp - Partnership
□ Tax-Exempt Organization
I certify that the information provided on this form is true and accurate to the best of my knowledge.
Print Name: Signature:
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File details come from the government source that posted it. Updated .