8-RFP 3903 PROPOSER’S BUSINESS INFORMATION.pdf

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Attached to
Ammonia Chemical Feed Skid
Solicitation number
RFP # 3903
Issued by
Riverside County, California

About this file

This is a Proposer's Business Information form for RFP #3903 issued by a California school district for the procurement of an ammonia chemical feed skid system. The form requests standard business documentation from prospective vendors, including legal business name, address, contact information, length of time in business, federal tax identification number, officer names and titles, and California State Contractor's License information. The district will issue a standard form agreement to the successful firm selected through this competitive solicitation process for the purchase of a liquid ammonium sulfate and 12.5% sodium hypochlorite chemical dosing skid system.

Proposers must complete and submit all required information along with a price form, list of subcontractors, and any exceptions or modifications to the district's standard contract terms and insurance requirements as of May 2021. Vendors must either accept the terms and conditions as stated or provide detailed documentation of any exceptions, additions, or deletions using the designated form. The submission package requires a completed submittal check-off list confirming all required documentation has been included with the proposal.

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Text version

PROPOSER’S BUSINESS INFORMATION

RFP #3903

Busi Legal Business Name:

ness Information

Date:

Address:

Street Address Suite #

City State ZIP Code

Contact: Title:

Phone: Email

Length of time in business:

Length of time at current location: Federal Tax No.

Names and titles of officers of the Business:

Is your firm incorporated? No Yes

Name and remittance address that will appear on invoices:

Is your firm a sole proprietorship doing business under a different name? No Yes

If yes, please indicate sole proprietorship name and the name you are doing business under:

California State Contractor’s License No.:

Department of Industrial Relations Registration No.:

RFP #3903 PRICE FORM
LIST OF SUBCONTRACTORS
ADDITIONS, DELETIONS AND/OR EXCEPTIONS
District will issue an Agreement in its standard form to the successful firm(s) for the services contemplated herein; a copy of which is attached hereto and incorporated herein. Any deletion, exception, or modification taken to District contract terms...
☐ Check here if you DO NOT accept terms and conditions as stated in the Insurance Requirements (05/2021). Detail all Exceptions in, Additions, Deletions and/or Exceptions Form.
(This document is to be submitted with the proposal package) (rev. 10/08/18)

SUBMITTAL CHECK-OFF LIST

Name:
Date_2:
Address_3:
City:
State:
ZIP Code:
Contact:
Phone:
in business:
current location:
undefined_7:
undefined_8:
Names and titles of officers of the Business 1:
Names and titles of officers of the Business 2:
Names and titles of officers of the Business 3:
Is your firm incorporated: Off
Is your firm a sole proprietorship doing business under a different name: Off
Title:
Email:
Federal Tax No:
Text7:
Text8:

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