Attach-5_Vendor Info Form.pdf
PDF 106 KB Posted
- Solicitation number
- W9126G26QA086
About this file
This is a Vendor Information Sheet template used as part of federal contract solicitations to collect essential vendor identification and compliance data.
The form requires vendors to provide basic company information including company name, point of contact name, business address, phone and mobile numbers, and email address. Vendors must also supply their Unique Entity Identifier number and CAGE code for federal contracting purposes. The sheet includes two compliance checkboxes requiring vendors to confirm they maintain an active and updated System for Award Management (SAM) record and an active and updated National Institute of Standards and Technology (NIST) Assessment in PIEE/SPRS. Additionally, vendors must provide the solicitation number and requirement title being responded to.
The form concludes with a mandatory signature section where an authorized company representative agrees to all terms, conditions, and provisions included in the solicitation and any amendments, in accordance with Federal Acquisition Regulation clause 52.212-1(a)(6). The signatory must provide their printed name, title, and date of execution. This template serves as a standardized collection mechanism for vendor eligibility and registration information required for federal procurement responses.
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Other files
| File | Type | Posted |
|---|---|---|
| B08_Amend-0001_Attach-2_Rvsd Specifications.pdf | ||
| B08_W9126G26QA0860001.pdf | ||
| B08_Amend-0001_Attach-1_Rvsd PWS.pdf | ||
| B08_Amend-0001_Attach-7_Questions-Answers.pdf | ||
| Attach-1_PWS_26QA086_FINAL_v2-31May26.docx | DOCX document | |
| Attach-4_Price Schedule_v2_26QA086.xlsx | XLSX spreadsheet | |
| Attach-6_PPQ_TEMPLATE.docx | DOCX document | |
| Solicitation-W9126G26QA086.pdf | ||
| Attach-2_Specifications_20250515.pdf | ||
| Attach-3_DB_TX20260119_20260518.pdf |
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Text version
VENDOR INFORMATION SHEET
SOLICITATION NUMBER: _______________________
REQUIREMENT TITLE: _________________________________________________
COMPANY NAME: ____________________________________________________________
POC: _______________________________________________________________________
(Last, First, Middle Initial)
ADDRESS: __________________________________________________________________
(Number & Street) (City, State and Zip Code)
PHONE NUMBER: (___)________________ MOBILE NUMBER: (___)_________________
EMAIL ADDRESS: _____________________________________________
UNIQUE IDENFITY NUMBER: _______________________ CAGE CODE: ______________
Vendor’s has an active and updated SAM record: ☐ YES ☐ NO
Vendor has an active and updated NIST Assessment in PIEE / SPRS: ☐ YES ☐ NO
I _____________________________ agree with all terms, conditions, and provisions included in the solicitation and any solicitation amendments (IAW 52.212-1(a)(6)).
Signed by :
Name: ________________________ Title: ______________________Date:___________
| SOLICITATION NUMBER: |
| REQUIREMENT TITLE: |
| COMPANY NAME: |
| POC: |
| ADDRESS: |
| PHONE NUMBER: |
| MOBILE NUMBER: |
| EMAIL ADDRESS: |
| UNIQUE IDENFITY NUMBER: |
| CAGE CODE: |
| Vendors has an active and updated SAM record: Off |
| Vendor has an active and updated NIST Assessment in PIEE SPRS: Off |
| Name: |
| Title: |
| Date: |
| NUMBER1: |
| NUMBER2: |
| VENDOR REPRESENTATIVE: |
File details come from the government source that posted it. Updated .