8-Vendor Information Form.pdf
PDF 1 MB Posted
- Solicitation number
- 26-126
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form for the state of Florida related to the 26B-126 SW 38th Avenue/SW 3rd Street/SW 40th Avenue Resurfacing Project. The form requests comprehensive legal business information from prospective vendors, including the legal business name, doing business as (DBA) designation, Federal Employer Identification Number (FEIN), and details of an authorized signatory who is legally authorized to execute contracts on behalf of the vendor. Additional required information includes primary and secondary email addresses, phone numbers, and a primary business contact if different from the authorized signatory, along with the vendor's headquarters or legal business address including street, city, state, and zip code.
The resurfacing project, located in Florida, extends from SW 38th Court to SR 40 (West Highway 40) and consists of milling and resurfacing existing roadway, resurfacing existing pavement as required, installation and restriping of pavement markings, and sodding of roadway shoulders. This vendor information form serves as a foundational document for collecting standardized vendor qualification and contact data necessary for bid submission and contract administration purposes.
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Text version
Vendor Information Form
Legal Business Information
Legal Business Name Doing Business As (DBA)
FEIN
Authorized Signatory This should be the person legally authorized to sign contracts on behalf of the vendor.
First Name Last Name Primary Email Address Secondary Email Address Phone Number
Primary Business Contact If different from signatory First Name Last Name Title/Position Phone Number Email Address
Company Address Information Headquarters or Legal Address Street City State Zip Code
| Doing Business As DBA: |
| Secondary Email Address: |
| Primary Email Address 1: |
| First Name: |
| Last Name: |
| Legal Business Name: |
| FEIN: |
| Phone Number: |
| Primary First Name: |
| Primary Last Name: |
| Title or Position: |
| Primary Phone Number: |
| Primary Email Address 2: |
| Street: |
| City: |
| State: |
| Zip Code: |
File details come from the government source that posted it. Updated .