9-11 - Required Document - Vendor Supplemental Information.pdf
PDF 1 MB Posted
- Attached to
- Annual Contract for the Sale of Scrap Metal
- Solicitation number
- 26-21-A
- Issued by
- Denton County, Little Cypress CDP, Texas
About this file
This is a Vendor Supplemental Information form required by the City of Lewisville, Texas for contract development related to an Annual Contract for the Sale of Scrap Metal. The form collects essential vendor information necessary for contract administration and execution. Vendors must provide their state of formation, identify three key contacts (contract executor, contract implementer, and notice recipient), and specify their business structure from options including sole proprietorship, general partnership, limited partnership, corporation, limited liability company, or other entity types. The form requires vendors to disclose physical business addresses for their selected business structure and answer questions regarding employee count, publicly traded status, and Texas Secretary of State registration.
The form serves as a standardized information collection document rather than a pricing or terms document. Vendors must certify that all information provided is true and correct through an authorized signature. Notably, the City emphasizes that all goods and services provided must comply with the Americans with Disabilities Act and its implementing regulations, and that award will be determined in accordance with Local Government Code Chapter 252. All questions regarding this opportunity must be submitted through the Bonfire platform in the questions and answers section. The document was last updated on March 24, 2022.
View the file
Other files
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
VENDOR SUPPLEMENTAL INFORMATION
The following information is required for contract development.
1. In what state was your business formed?
2. Provide the following information for the person authorized to execute contracts on behalf of your organization:
Name Title
Email Address Telephone No.
Mailing Address. _ _ City _ _ State Zip
3. Provide the following information for the contact person authorized to implement this contract on behalf of your organization:
Name
Email Address_
Mailing Address
Title
Telephone No
City_ State Ziq
4. Provide the following information for the person authorized to receive notices and communications regarding this contract on behalf of your organization:
Name Title
Email Address Telephone No
Physical Business Address City_
Notices and communications will be mailed to this physical address
5. Select and complete one of the following:
a. Sole Proprietorship
i. Legal name of Sole Proprietor:
ii. Physical business address:
City State
73 General Partnership
i. Legal name of Partnership:
ii. Physical business address:
City_
State_ Zip
State Zip _ _ .
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
Updated March 24, 2022 Page 1 of 2
VENDOR SUPPLEMENTAL INFORMATION
C. Limited Partnership e.
f.
o
1. Legal name of Limited Partnership:
ii. General Partner( s):
If a legal entity, name of the entity:.
If an individual, name of the individual:
iii. Physical business address:
City
Corporation
i. Legal name of Corporation:
ii. Physical business address_
City
State
State
Limited Liability Company
i. Legal name of Limited Liability Company:
ii. Physical business address
City State
Other Entity ( not listed)
i. Legal name and type of Company:
ii. Physical business address.
Zip
Zip
Zip
City State_ _ _ Zip
6. Does your business have 10 or more full- time employees? No Yes
7. a. Are you a publicly traded business? No Yes — where traded:
b. Are you a wholly owned subsidiary of a publicly traded business? No Yes — which publicly traded business:_
8. a. Is your business registered with the Texas Secretary of State? No Yes
b. If yes, please provide records or screenshot( s) from the Texas Secretary of State' s website reflecting the name or names for which your business has been registered.
In signing this form, I acknowledge that I have read the above and state that the information contained therein is true and correct.
Signature:
Print Name:
Date:
Print Title:
Updated March 24, 2022
File details come from the government source that posted it. Updated .