ach form - UEI.pdf
PDF 99 KB Posted
- Attached to
- Double End Tenoner
- Solicitation number
- FN1577-24
About this file
This document is a Request for Quote (RFQ) for a Double End Tenoner machine issued by the Federal Prison Industries (FPI), operating under the trade name UNICOR, within the Department of Justice's Federal Bureau of Prisons.
The solicitation seeks to procure a Double End Tenoner machine to be used in UNICOR's Furniture Production Factory in Forrest City, AR. The RFQ provides detailed technical specifications for the machine, including requirements for the feed system, saw system, and profiling systems. The machine is to be delivered FOB Destination to the UNICOR facility in Forrest City, AR. The procurement is set aside for small businesses under NAICS code 333310. Offers are due on June 17, 2024 at 2:00 PM EST. Questions must be submitted in writing by June 7, 2024. The contract is anticipated to be a single award Firm Fixed Price contract. Offerors must complete an ACH Enrollment Form, register in SAM.gov, and provide business references. Pricing must include freight and rigging costs.
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Other files
| File | Type | Posted |
|---|---|---|
| Wage Determination Service Contract 15-5129.txt | TXT text file | |
| 1620000234.pdf | ||
| FPI9999-Business Management Questionaire.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
File details come from the government source that posted it. Updated .