Attachment_2_-_Vendor_Information_Sheet.pdf

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Development of energy practice, installation oversight and checkout/certification of the practice standards to support up to 22 Environmental Quality Incentives Programs contracts
Solicitation number
AG-2B46-S-16-0025
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Attachment 2 - Vendor Information Sheet

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USDA NATURAL RESOURCES CONSERVATION SERVICES

VENDOR INFORMATION SHEET

Offeror’s Name (Print): ____________________________________________________

Business Name: ____________________________________________________

Business Address: ____________________________________________________

Business Phone: ____________________________________________________

Business Fax: ____________________________________________________

Email Address: ____________________________________________________

Authorized Representatives (Print Name and Title):

Taxpayer Identification Number: ___________________________________________

DUNS/CAGE: ____________________________________________________

GSA Contract #: __________________________________________ (if applicable)

SAM (System For Award Management) Verification:

I / We _____ are _____ are not registered in SAM.

A copy of the SAM record ______ is, _____ is not included with this quote.

Signature Authorized Representative Date

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