ACH Vendor Enrollment Form 2024.pdf
PDF 66 KB Posted
- Solicitation number
- SICG028-25
About this file
This document is an ACH Vendor Enrollment Form that a company would use to provide their banking information and other details to enable electronic payments from UNICOR, Federal Prison Industries, Inc. The form collects the company's name, address, contact information, tax ID, banking details, and whether the company is considered a small, disadvantaged, woman-owned, or service-disabled veteran-owned business. The form also notes that the company must be registered in the System for Award Management (SAM), which is a mandatory federal requirement.
The related federal contract opportunity is a solicitation (SICG028-25) for a geotechnical exploration project at the US Army Aberdeen Test Center. The project involves performing soil testing and providing a geotechnical engineering report to support the design of a radio tower. The solicitation is 100% set aside for small businesses under NAICS code 238910 for core drilling and test boring. The period of performance and pricing details are not provided.
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Text version
Company:
Physical Address:
City: State: Zip:
Contact:
Email Address:
Accounts Recievable Email:
Telephone: Fax:
Large: Small:
Disadvantaged: Woman Owned:
Service Disabled: Veteran Owned:
Yes: No:
SAM UEI NUMBER:
TAX Identification # (TIN):
Nine Digit Routing Transit Number:
Depositor Account Title:
Depositor Account Number:
Financial Institution Name:
Yes: No:
UNICOR, Federal Prison Industries, Inc.
ACH Vendor/Miscellaneous Payment Enrollment Form
Company:
(please check one)
Does UNICOR Pay Shipping?
Our preference is always FOB Destination (freight included in price)*
*FOB DST helps with accurate and timely payment as well*
Registered And Current In System For Award Management - This is a Federal wide mandatory reuiqrement that is free to enroll (not required for credit card vendors)
Once enrolled you will have to anually update your profile when prompted via email.
https://www.sam.gov https://www.sam.gov/ https://www.sam.gov/ https://www.sam.gov/ https://www.sam.gov/ https://www.sam.gov/ https://www.sam.gov/ https://www.sam.gov/
Table 1
| Company: |
| Physical Address: |
| City: |
| State: |
| Zip: |
| State_2: |
| Email Address: |
| Accounts Recievable Email: |
| Telephone: |
| Fax: |
| SAM UEI NUMBER: |
| TAX Identification TIN: |
| Nine Digit Routing Transit Number: |
| Depositor Account Title: |
| Depositor Account Number: |
| Financial Institution Name: |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
| Check Box11: Off |
| Check Box12: Off |
File details come from the government source that posted it. Updated .