8-Contact Info Form.pdf
PDF 285 KB Posted
- Attached to
- Police Station Improvements
- Solicitation number
- ITB No. 2026-010
- Issued by
- Palm Beach County, Florida
About this file
This is a Contact Information Form issued by the Town of Palm Beach, Florida Purchasing Division in support of a Police Station Improvements solicitation. The form requests comprehensive company and contact information from prospective bidders interested in submitting competitive bids for the renovation and expansion project. The project scope includes renovation of men's and women's locker rooms, restroom facilities, and public restroom spaces at the Police Station, along with replacement of aging sanitary and domestic water piping throughout the building. The work encompasses video inspection of piping below the building's slab foundation, selective slab modifications, new masonry construction, exterior stucco application, and MEP infrastructure integration. The Town of Palm Beach accepts online bid submissions exclusively through its electronic procurement system. The contact form requests bidders to provide detailed information across four primary sections: company information including business name, DBA, and physical address; primary and alternate contact details with phone and email; a designated contact for purchase order issuance; and accounts receivable contact information. Emergency after-hours contact details are also required. The form is directed to the Purchasing Division located at 951 Okeechobee Road, West Palm Beach, Florida 33401, with phone contact available at 561-838-5406.
No specific pricing terms, set-aside provisions, incumbent information, response deadlines, or contract duration details are included in this contact information form. The form serves as an administrative prerequisite for bid submission and does not address financial terms, funding sources, or award timelines. Bidders must complete and submit this form as part of the overall bid package requirements established by 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
File details come from the government source that posted it. Updated .