ach form - UEI.pdf
PDF 99 KB Posted
- Attached to
- 3 AXIS CNC MACHINE-ASH1 Federal contract opportunity
- Solicitation number
- FN-1570-24
About this file
This document is a Request for Quote (RFQ) for a 3-axis CNC machine to be used at the UNICOR Federal Prison Industries, Inc. facility in Ashland, KY. The solicitation is a 100% small business set-aside, with a NAICS code of 333310 (Other Commercial and Service Industry Machinery Manufacturing). The machine must meet detailed specifications, including a minimum work area, positioning precision, spindle requirements, tool changer, drilling units, and other features. The vendor must provide training, manuals, and remote support. Quotes are due by June 5, 2024, and the anticipated award is a single firm-fixed-price contract. Vendors must complete an ACH form and register in SAM.gov, and provide business references. The government may add additional factories or materials to the contract through modifications.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1620000228-SOLICITATION.pdf | ||
| FPI9999-Business Management Questionaire.pdf | ||
| WAGE DETERMINATION-BOYD KY.pdf |
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Text version
UNICOR, Federal Prison Industries, Inc.
ACH Vendor/Miscellaneous Payment Enrollment Form
This form is used for Automated Clearing House (ACH) payments with an addendum record that contains payment related information processed through the Vendor Express Program. Recipients of these payments should bring this information to the attention of their financial institution when presenting this form for completion.
PRIVACY ACT STATEMENT
The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579). All information collected on this form is required under the provisions of 31 U.S.C. 3322 and 31 CFR 210. This information will be used by the Treasury Department to transmit payment data, by electronic means to vendor=s financial institution. Failure to provide the requested information may delay or prevent the receipt of payments through the Automated Clearing House Payment System. The TIN number submitted may be used for the purposes of collecting and reporting on any delinquent amounts arising out of such person=s relationship with the government.
AGENCY INFORMATION
FEDERAL PROGRAM AGENCY: UNICOR Federal Prison Industries, Inc.
AGENCY IDENTIFIER: UNICOR AGENCY LOCATION CODE (ALC): 15080001 ACH FORMAT: CTX
MAILING ADDRESS: UNICOR, Federal Prison Industries, Inc.
320 First Street N. W., Financial Management Branch, 8th Floor Washington, D.C. 20534
VENDOR PAYMENT CONTACT:
E-MAIL: TELEPHONE : FAX:
PAYEE/COMPANY INFORMATION
**You must include your Dun & Bradstreet Number (DUNS #) **
COMPANY NAME:
UNIQUE ENTITY ID NUMBER: CURRENT DATE:
COMPANY ADDRESS:
CONTACT PERSON: TELEPHONE : E-MAIL: FAX :
TAXPAYER IDENTIFICATION NO (TIN) OR SSN NO: ADDITIONAL INFORMATION:
FINANCIAL INSTITUTION INFORMATION
NAME:
ADDRESS:
ACH COORDINATOR NAME: TELEPHONE NUMBER:
NINE DIGIT ROUTING TRANSIT NUMBER:
DEPOSITOR ACCOUNT TITLE:
DEPOSITOR ACCOUNT NUMBER: LOCKBOX NUMBER:
TYPE OF ACCOUNT: ___ CHECKING ___ SAVINGS ___ LOCKBOX
(Check One) SIGNATURE AND TITLE OF AUTHORIZED OFFICIAL:(could be the same as ACH Coordinator) TELEPHONE :
Business Size ___ Large Business ____Small Business lkerr Cross-Out
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