ach form - UEI.pdf
PDF 99 KB Posted
- Attached to
- CNC Lather Center Poker V5
- Solicitation number
- FN1573-24
About this file
This document is a Request for Proposals (RFP) from the Department of Justice Bureau of Prisons Federal Correctional Complex in Forrest City, Arkansas for a CNC 5-Axis Lathe Machine. The solicitation seeks a single award Firm Fixed Price contract with a 100% small business set-aside. The machine will be used for wood lathe production at UNICOR's Furniture Production Factory. The NAICS code is 333310 with a size standard of 1,000 employees. Offers are due by June 17, 2024 at 2:00 PM EST. All questions must be submitted in writing by June 7, 2024. The machine must meet detailed technical specifications outlined in the Statement of Work, including capabilities for turning, boring, carving, milling, sanding, and programming. Offerors must provide an ACH form, register in SAM, submit references, and include a signed copy of all amendments. The contract may be modified later to add additional factories or materials.
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Other files
| File | Type | Posted |
|---|---|---|
| Wage Determination Service Contract 15-5129.txt | TXT text file | |
| FPI9999-Business Management Questionaire.pdf | ||
| 1620000233-Solicitation.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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