9-Vendor Information Form.pdf
PDF 1 MB Posted
- Attached to
- 26B-057 NE 148th Terrace Bridge Repair
- Solicitation number
- 26-057
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form for the Florida state and local contract opportunity 26B-057 NE 148th Terrace Bridge Repair. The form requests comprehensive vendor identification and authorization information required for bidders interested in submitting proposals for this project. The project consists of a lowest bid technically acceptable repair of the NE 148th Terrace Bridge, encompassing temporary traffic control and detour implementation, excavation and embankment work, restoration of damaged bridge elements, localized deck and surface repairs, and milling and resurfacing of existing pavement.
The Vendor Information Form requires submission of legal business information including the legal business name, Doing Business As (DBA) name, Federal Employer Identification Number (FEIN), and identification of an authorized signatory with legal authority to execute contracts on behalf of the vendor. Additionally, vendors must provide primary and secondary contact information for both the authorized signatory and a primary business contact if different from the signatory, company headquarters or legal address details, and secondary business address information if applicable. All required fields include provisions for first name, last name, title or position, phone numbers, email addresses, street address, city, state, and zip code to ensure complete vendor identification and communication capability for 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 .