99SWC-S3328 - Vendor Information Response.pdf
PDF 26 KB Posted
- Attached to
- Security Guard Services State and local contract opportunity
- Solicitation number
- 99SWC-S3328
- Issued by
- Churchill County, Nevada
About this file
This document is a Vendor Information Response form revised in April 2021, designed for vendors to complete and submit as part of a contract proposal. The form provides a structured template for vendors to input their company contact information and designate a specific contact person for questions and contract negotiations. The document is intended to be used for developing a contract if the vendor is awarded the opportunity, and it requires detailed information such as company name, address, telephone numbers, email address, and details of the primary contact person for the potential contract.
The form is blank in the provided image, with empty fields waiting to be filled out by the prospective vendor. It is specifically noted that if the proposal includes subcontractors, this form must be completed for each subcontractor as well. The form is part of a solicitation process, likely for a state or local government contract, with the document being one page of a four-page form. The revision date of April 2021 suggests this is a recent template used for capturing vendor information during a procurement process.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 99SWC-S3328 - RFP Security Guard Services.docx | DOCX document | |
| 99SWC-S3328 - Cost Schedule.docx | DOCX document | |
| Certification-regarding-lobbying~2.pdf | ||
| Standard-form-contract~5.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 99SWC-S3328 - Insurance Schedule.docx | DOCX document | |
| 99SWC-S3328 - reference-questionnaire - 2025-05-15.pdf | ||
| Terms-and-conditions-for-services~6.pdf | ||
| 99SWC-S1553 - Universal Protection Service LLC dba Allied Universal Security Services - Fully Executed Contract.pdf |
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Text version
VENDOR INFORMATION RESPONSE
Revised: April 2021 Page 1 of 4
Vendors shall complete and return this form in their proposal.
If the proposal includes subcontractors, form must be completed for each subcontractor as well.
1. VENDOR CONTACT INFORMATION
COMPANY NAME AND CONTACT INFORMATION:
The information provided in the table below shall be used for development of the contract, if awarded.
Requested Information Response
Company Name:
Company Street Address:
City, State, Zip Code:
Telephone Number, including area code:
Toll Free Number, including area code:
Email Address:
CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS
Requested Information Response
Name:
Title:
Address:
City, State, Zip Code:
Email Address:
Telephone Number, including area code:
Toll Free Number, including area code:
| Confidentiality and Certification of Indemnification |
| Certification Regarding Lobbying |
| Vendor Information Response |
| 1. VENDOR CONTACT INFORMATION |
| 1.1 COMPANY NAME AND CONTACT INFORMATION: |
| 1.2 CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS |
| 2. VENDOR INFORMATION |
| 2.1 Vendors shall provide an overall company profile in the following table: |
| 2.2 VENDOR LICENSING |
| 2.2.1 Please be advised: Pursuant to NRS 80.010, a corporation organized pursuant to the laws of another state shall register with the State of Nevada, Secretary of State’s Office as a foreign corporation before a contract can be executed between the ... |
| 2.2.2 The selected vendor, prior to doing business in the State of Nevada, shall be appropriately licensed by the State of Nevada, Secretary of State’s Office pursuant to NRS 76. Information regarding the Nevada Business License can be located at htt... |
| 2.3 STATE OF NEVADA EXPERIENCE |
| 2.3.1 If ‘Yes’, complete the following table for each State agency for whom the work was performed. |
| 2.3.2 Table can be duplicated for each contract being identified. |
| 2.4 CURRENT OR FORMER EMPLOYEE |
| 2.4.1 If you employ (a) any person who is a current employee of an agency of the State of Nevada, or (b) any person who has been an employee of an agency of the State of Nevada within the past two (2) years, and if such person shall be performing or p... |
| 2.5 PRIOR OR ONGOING CONTRACTUAL ISSUES |
| 2.5.1 Disclosure of any significant prior or ongoing contract failures, contract breaches, civil or criminal litigation in which the vendor has been alleged to be liable or held liable in a matter involving a contract with the State of Nevada or any o... |
| 2.5.2 Any pending claim or litigation occurring within the past six (6) years which may adversely affect the vendor’s ability to perform or fulfill its obligations if a contract is awarded as a result of this RFP shall also be disclosed. |
| 2.5.3 If ‘Yes’, please provide the information in the table below. |
| 2.5.4 Table can be duplicated for each issue being identified. |
| 3. PAYMENT AUTHORIZATION FOR USE OF PROCUREMENT CARD |
| 4. NAME OF INDIVIDUAL AUTHORIZED TO BIND THE ORGANIZATION |
| 4.1 SIGNATURE OF INDIVIDUAL AUTHORIZED TO BIND THE VENDOR |
| Company Name: |
| Company Email Address: |
| Contact Person Name: |
| Contact Person Title: |
| Contact Person Address: |
| Contact Person City, State, Zip Code: |
| Contact Person Email: |
| Contact Person Telephone: |
| Contact Person Toll Free (if applicable): |
| Company Address: |
| Company City State Zip Code: |
| Company Telephone: |
| Company Toll Free: |
File details come from the government source that posted it. Updated .